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ERRO c AND OMISSIONS LIABILITY DOLICY <br />EOP 0027902 —R MLSCEIEHIS 3ACLAM&BMADEPOS Yds STOCKCOMPANY <br />EOP0026367 DECLARATIONS <br />RENEWAL OF NUMBER <br />ITEM 1. INSURED AND ADDRESS ,e .^. .r. TUDOR e .^ A& ," <br />1785 KENNETH WAY <br />PASADENA, CA 91103 <br />I®41E, NEW HAMPSH E 0941.91 <br />A-a-1�o5- X88 <br />2001 AM, standard d ne r m address FROM: 3/01/06 TO: 3101/07 <br />W in year herein <br />1.1'N1t 3 ibFE�9QIlfN " <br />SOLELY IN THE PERFORMANCE OF PROVIDING PAYROLL AND HUMAN <br />RESOURCE CONSULTING SERVICES PROVIDED TO OTHERS FOR A FEE <br />$ 1,700.00 <br />$ 0 PREMIUM FOR COMPLIANCE WITH TERRORISM RISK INSURANCE ACT OF 2002 <br />3/01104 <br />EOP(Ed.10/02), TU5, TU 3, TU EOP 10A, TU 22B, TU EOP 33, TU 63A, TU80, ENDT 8 <br />The declaration page and endorsements and/or forms listed above and attached hereto together with the completed and <br />signed application shall constitute the contract between the Insured and the Company. Furthermore, coverage provided <br />hereunder is specifically limited to the Insured's profession, as shown in Item 3. <br />Countersigned: <br />00495 - YATES & ASSOCS INSURANCE. SVCS ? <br />FRANKLIN LAKES, NJ 3/06/06 / By (Autned[ed a� `' i / <br />