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NOU-0-2001 10:11 FROM:ERIC W Gr""IERPH D 7145444996 TO:"14 647 6515 P.003/005 <br />,7 EtUTIVE RISK IND <br />EMNITjY� INC. % <br />1/12/01 - A FSYCHOLOGISTS PSMAUIPI' CYLPLISASEREA" REFULLY' <br />*** RENEWAL * " <br />�u nCE A I_011'ER LIMIT OF LIABILITY APPLIESTO JUDGEMENT$ OR SETTLEMENTS WHEN THERE AREA LLEGATIONS <br />01 SEXL,1-I. NUSCONDuCT (SEE THE SPECIAL PROVISION "DUi ARMTID OCT" Jr,' THE POLICY] <br />—'- { ACCOUNT NO�DITIONA NAM UE144-0S 00062883 <br />FDucYNO OOS-1751708 IITEMI <br />I'I Ent I WI NAME AND ADDRESS OF INSURED: <br />ERIC WAYNE <br />17772 17TH <br />SUITE 106 <br />TUSTIN, CA <br />CITY OF ANAHEIM <br />ANA4$IM, CA <br />I f Cit ; POLICY PERIOD <br />GRUVER,PH.O. <br />ST. <br />92780 <br />ITEM J I wITS OF LIABILITY <br />YYPEOFORG INDIVIDUAL <br />CITY OF SANTA ANA ORANGE CO. SHERIFFS SEPT <br />POLICE & PERSONNEL DEPT.550 NORTH FLOW92702 <br />24 CIVIC CENTER PLAZA SANTA ANA, <br />CA SANTA ANA, CA 92702 TO_ 03/01/02 <br />FROM• 03/01/01 <br />12;01A.M STANDARD TIME ATTHE ADDRO-SS OF l HL• INSURED nS STnTf.0 HC i <br />(aJ5 2,000,000 ORINTEIRRFLATED RO GFULACTSUROONGFUL ACT OR SERIF� OF CI <br />CCRRE\C LPI�fED <br />(b)S 50,000 DD•FENSEREIMBURS EMENT <br />(C)S 4,000,000 AGGREGATE <br />PART TIME DECISTS <br />FENSEOLIMIT <br />ADDITIONAL INSUREDS <br />F1 <br />3 <br />TOTAL PREM <br />I TF\10 RE'IROACTIVEDATE 03/01/92 <br />I -I Ell ADDI' ZONAL PROO <br />PREMIUM (+ER%c sul) _. <br />ITEM S <br />C22129 <br />POLICY FORMS AND ENDORSEMENTS ATTACHED TOTHIS POLICY <br />EXE -99 <br />(7/95 ED.) C22128 C22092 <br />THIS IS NOT A BILL 11REMIUM HAS BEEN PAID <br />..n"', m.ui1 <br />TO 0 W& <br />; <br />