Transportation Carrier Information

The information below reflects the content of the TMIS
information system as of the close of the previous business day.
Carrier ID PSG0023202
Carrier Name ENCORE SENIOR LIVING LLC
Phone Number (503) 905-3361
Primary DBA CANYON HILL CLUB, ENCORE SENIOR VILLAGE AT RIVERSIDE
Other DBAs ENCORE SENIOR VILLAGE AT SIERRA VISTA
VALLEY CREST RESIDENTIAL CARE

Contact
Address
PETER MUHLBACH PRESIDENT
6400 SE LAKE ROAD SUITE 400
MILWAUKIE, OR 97222

Physical
Address
525 S ANAHEIM HILLS ROAD
ANAHEIM HILLS, CA 92807

Authorities Transportation Charter Party Specialized Permit - Active - 07/24/08

INSURANCE POLICIES
Policy Type Policy Number Insurance Company Address
Excess Policy W1OV7KO7PNHL LLOYDS OF LONDON SYNDICATE (VARIOUS)

PL and PD Policy BUA2098357118 VALLEY FORGE INSR CO
P O BOX 2300
BREA, CA 92622-2300
Workers Compensation Coverage WC2098357118 VALLEY FORGE INSR CO
P O BOX 2300
BREA, CA 92622-2300