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<br />NO. P42003 <br /> <br />ASSURED <br /> <br />ADDRESS <br /> <br />PERIOD <br /> <br />SUM INSURED <br />OR LIMIT <br />OF INDEMNITY <br /> <br />PARTICULARS <br />OF INSURANCE <br /> <br />HERETO <br /> <br />INSURED WITH <br /> <br />MEMORANDUM OF INSURANCE <br /> <br />PREMIUM <br /> <br />US $730,000 annual <br />Plus Taxes and Fees <br /> <br />Mitchell Silberberg & Knupp LLP and others as more fully described <br />in the coinsuring Lloyd's Policy. <br /> <br />11377 West Olympic Boulevard <br />Los Angeles. CA 90064 <br /> <br />In accordance with your instructions we have effected insurance as follows: <br /> <br />12:01 a.m. September 26'h. 2003 to 12:01 a.m. September 26'\ 2004 <br /> <br />US$IO,OOO,OOO each claim US$IO,OOO,OOO aggregate <br />excess of the Self Insured Retention of <br />U8$500.000 each and every claim <br /> <br />)including costs. <br />)charges and <br />)expenses as more <br />)fully described in <br />)the co-insuring Lloyd' s <br />)Policy <br /> <br />As per attached. <br /> <br />10.00% part oflOO.OO% (i.e. US$O.1O part of each dollar of limit and <br />premium expressed hereon and of payments hereunder). <br /> <br />Columbia Casualty Company (CNA) <br />(The "Company") <br /> <br />DATE: <br /> <br />/0-/- 03 <br /> <br />~~ <br /> <br />Signature of Aut orized Representative of the Company <br /> <br />PS-198275575 <br />Reference No. <br /> <br />Immediale notice must be given by you if any changes are <br />required in the above particulars of insurance. <br />