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15.08. 2019 15:22 17145444996 #0217 P 4/19 <br />Account Number: CA GRUE 1440 Date: 8/15/19 Initials: KB <br />CERTIFICATE OF INSURANCE <br />ALLIED WORLD INSURANCE COMPANY <br />C/O: American Professional Agency, Inc. <br />95 Broadway, Amityville, NY 11701 <br />800-421-6694 <br />This is to certify that the insurance policies specified below have been issued by the company <br />indicated above to the insured named herein and that, subject to their provisions and conditions, <br />such policies afford the coverages indicated insofar as such coverages apply to the occupation <br />or business of the Named Insured(s) as stated. <br />THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS <br />THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE. <br />Name and Address of Named Insured <br />ERIC WAYNE GRUVER, PH.D. <br />2021 E 4TH STREET <br />SUITE 116 <br />SANTA ANA CA 92705 <br />Type of Work Covered: PROFESSIONAL PSYCHOLOGIST <br />Location of Operations: N/A <br />(If diffarent than addrese listed above) <br />Claim History: <br />Rwl-rnari-i I,r A. . nIInI /+000 <br />krer-JRwrownw-• <br />& APPROVEC <br />1GEMENT DIVISION <br />212019 <br />M. LAMBERT <br />Coverages <br />Policy <br />Number <br />Effective <br />Date <br />Expiration <br />Date <br />Limits of <br />Liability <br />PROFESSIONAL/ <br />LIABILITY <br />5010-7473 <br />3/01/19 <br />3/01/20 <br />2,000,000 <br />4,000,000 <br />NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED, WHO SHALL <br />ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF <br />CANCELLATION. <br />Comments: Defense Reimbursement Proceedings Limit is <br />CITY OF ANAHEIM CITY OF SANTA ANA <br />RISK MANAGEMENT DIVISION <br />20 CIVIC CENTER PLAZA <br />ANAHEIM, CA 00000 SANTA ANA, CA 92702 <br />This Certificate Issued o <br />Name: ERIC WAYNE GRUVER, PH.D. <br />2021 E 4TH STREET <br />Address: SUITE 116 _ <br />SANTA ANA CA 92705 <br />$75,000. 3 ADDL.INS.BELOW: <br />CITY OF GARDEN GROVE, <br />IT'S OFFICERS, OFFICIALS <br />EMPLOYEES, AGENTS, AND <br />VOLUUZS,tRS 00000 <br />orized Representative <br />APA 00138 00 (06/2014) <br />