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EXECUTIVE RISK INDEMNITY INC. <br />'. . ~ / 16 / 04 - A PSYCH0~0 [3 A CLAIMS~IADE POOL CY~ PLEASE READ CAREOFULLY <br />*** RENEWAL *** <br />NOTICE. A LOWER LIMIT OF LIABILITY APPLIES TO JUDGEMENTS OR SETTLEMENTS WHEN THERE ARE ALLEGATIONS <br />OF SEXUAL MISCONDUCT (SEE THE SPECIAL PROVISION "SEXUAL MISCONDUCT" iN THE POUCY). <br />POLICI'NO: 0 08-1751708 <br />ITEM I. (a) NAME AND ADDRESS OF INSURED; <br />ERIC WAYNE GRUVER,PH.D <br />17772 17TH ST. <br />SUITE 106 <br />TUSTIN, CA 92780 <br />ACCOUNT NO: CA-vRUE144-0 0006288B <br />ITEM L (b) ADDITIONAL NAMED INSURBDS~. <br />q -.~ol~a -oxa <br />TYPE OFORG: INDIVIDUAL <br />ITEM 3. ADDITIONAL INSUREDS: <br />CITY OF ANAHEIM CITY OF SANTA ANA ORANGE CO. SHERIFFS DEPT <br />POLICE & PERSONNEL DEPT.S50 NORTH FLOWER <br />ANAHEIM, CA 24 CIVIC CENTER PLAZA SANTA ANA, CA 92702 <br />SANTA ANA, CA 92702 <br />ITEM 3. POLICY PERIOD: FROM: 03/01/04 T0: 03/01/05 <br />12:01 A. NI. ST,4NDARD TIME AT THE ADDRESS OP THE INSURED AS STATED HEREIN: <br />ITEM 4. LIMITS OF LIABILITY: (a) S 2 , 000 , 00 0 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEATED <br />OR INTERRELATED WRONGFUL ACTSOR OCCURRENCE <br />(b)S 50, 000 DEFENSE REIMBURSEMENT <br />(c)S 4,000,000 AGGREGATE <br />ITEM i. PREMIUM SCHEDULE: <br />''~. CLASSIFICATION NUMBER RATE ANNUAL PREMIUM <br />j # PSYCHOLOGISTS '_' <br />DEFENSE LIMIT <br />ADDITIONAL INSUREDS 5 <br />~r..~ <br />.> f , 1 .. <br />ITEM 6. RETROACTIVE DATE: 03 / 01 / 92 TOTAL PREMIUM; <br />ITEM 7. EXTENDED REPORTING PERIOD <br />ADDITIONAL PREMIUM (if exercised):S ~ NO DISCOUNT INCLUDED <br />f PEM 8. POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY <br />C22129 (7/95 ED.) C22128 C22092 EXE-99 <br />f' I <br />1'H1S [S NO'f A BILL. PREMIUbI HAS BEEN PAID_ AUT R1ZED COMPANY KEPRE ENTATIVE <br />:APA2?(I'0%95) Americ Pro(tssional Agency' 95 Broadway, Anti ryville, NY 11701 <br />