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~ r EXECUpTIVE RII9K AAIrN~~DEM~~NIT' <br />2/06/06 - A PSYC Tiit~rSIwCLAr1kSO~DFPO[OrC'V=P~~ASeR <br />w--~~ <br />*** RENEWAL **+ <br />NOTICE: p LOWER LIMIT OF LIABILITY gpPL1ES TO JUDGEMENTS OR SETTLEMET <br />OF SeXUAI. MISCONDUCT (SEE THE SPECIAL PRU VISION "SEXUAL MISCONDUCT" <br />POL[CYNO: 0 08-174 1907 ~' `~'^Hl1V1v~ <br />ITEM I (a) NAME AND ADDRESS OF INSURED: I ACCOUNT NO: <br />ITEM I (b) AC <br />SUSAN SAX6=CLTFFORD,PH.D <br />A PROFESSIONAL CORD- <br />16530 VENTURA BLVD. <br />SUITE 203 <br />ENCZNO, CA 9.1436 <br />i <br />TYPE OF ORG: <br />iM 2. DD NAL SURE <br />CITY OF BEVERLY HILLS CITY OF ZNGLEWOOD <br />HUMAN SERVICES ONE MANCHESTER BLVD <br />455 N. REXFORD DR. #210 INGLEWOOD, CA 90303 <br />AEVERLY HLLLS, CA 90210 <br />ITFM 3. POI iCV PFRl01)'. PROM: 03/01/06 <br />]7AIA.M. STANDARD TJME AT THE <br />I"TEl/r a. L ,NITS OF L1ADILITY~ (a) S EACH W <br />1,000,000 OR tNTEI <br />(y)S 75, 000 <br />ITEM 5. _ PREMIUM YCHEDULC: <br />N TI-1ER F: ARE ALLEGATIONS <br />POLICY). <br />CA-SUSA165-0 042726jB <br />1L NAMED INSUREDS. . <br />9AXE-CLIFFUR'.7, PH.D <br /> <br />_PROFESSIONAI, <:ORPORATION <br />L,OS ANGELES COUNTY <br />METROPOLITAN TRIMS. AIJTH <br />~1 GATEWAY PLAZA FL- 9 <br />LOS ANGELES, CA 90012 <br />Cotztinued. - . <br />03/0107 <br />~)F TI{E INtiIIRFiD ASS A'fED Hl:•REIN: <br />OR SERIES OF CoN'ifNUOtts. REPEATeD <br />~NCFUL ACTS OR. OcCVRRENCE <br />OFFENSE REIN)~'(1R$EMENI' <br />(c)S _ 3, 000, 000 ACCRSGgTE <br />1ST PSYCHOLOGIST <br />_T~T!lF^EtiDENT C~NTRA.CTOY,~, <br />DEFENSE LIMIT <br />ADDITIONAL INSUREDS <br />1 ~I y78.00 <br />4 I ~I ~ n n ~. <br />9 <br />,.:) : <Iekni <br />~ ~, <br />~ ~ <.~~ <br />ITEM 6. Re'fROACI'IvEDATE 03/01/04 ~ ~ ~ IOTA <br />ITEM 7. EXTF.NUF.U REPOR"PING PERIOD <br />ADDITIONAL PREMIUM (if exercued):S~_~361_•Q~ NO DIB~ <br />n'F_ivi 8. I'JU~"'Y 1-,ORMS AND P.NDORSEMENTS A77ACHP.D 70 TH15 POLICY <br />C221zg (7 j~~5 F.'D„) 022128 022092 <br />THIS t5 NOT A DILL. PREMIUM HAS BEEN PAID, - ~ <br />nve»n va~~ A b <br />n ~.o- o~ <br />Z d vv58 88L 818 Q Hd 02lOddI1D- <br />978,OOI <br />^6.^0 <br />65.00 ' <br />250.00 <br />H: 1,349.00 <br />INC'LU^. EA <br />COMPANY REPRE5~V7ATl~E <br />rl nn.r~~*9511.~arl.vm, gmm•~ulr NV iilill <br />WDL1~ Wd90~Z1 90Z-ZZ-S <br />