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EXECUTIVE RISK INDEMNIT' INC. <br />tir THIS M A CLAIMS MADE POLICY • PLEASE REI4AREFULLY <br />1/13/99 — A PSYCHOLOGISTS PROFESSIONAL LIABILITY POLICY <br />*** RENEWAL *** <br />TICS A LOWER LIMIT OF <br />SER THE SPECIAL PROVISION APPLIES <br />TO JUDGMENTS MISCONDUCT' IR ETTTHE POLICY). WHEN THERE ARE ALLEGATIONS OF SEXUAL <br />M <br />DECLARATIONS <br />POLICY NO: got -0011378 ACCOUNT NO: CA—GRUE144-0 00062888 <br />ITEM 1. (a) NAME AND ADDRESS OF INSURED: <br />ITEM 1. (b) ADDITIONAL NAMED INSUREDS: <br />ERIC MAYNE <br />17772 17TH <br />SUITE 106 <br />TUSTIN* CA <br />GRUVER*PH*D. <br />5T. <br />92680 <br />TYPE OF ORG: I NO IV I DUAL <br />ITEM 2. ADDITIONAL INSUREDS: <br />CITY OF ANAHEIM CITY Of= SANTA ANA ORANGE CO. SHERIFF'S DEPT <br />POLICE 6 PERSONNEL DEPT.550 NORTH FLOWER <br />ANAHEIM* CA 24 CIVIC CENTER PLAZA SANTA ANA- CA 92702 <br />SANTA ANA. CA 92702 <br />ITEM 3. POLICY PERIOD: FROM: 03/01/99 TO: 03/01/00 <br />12:01 A.M. STANDARD TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN: <br />ITEM 4. LIMITS OF LIABILITY: (a) $ 2* 000.000 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPEATE <br />OR INTERRELATED WRONGFUL ACTS OR OCCURRENCE <br />(b)$ 50*000 DEFENSE REIMBURSEMENT <br />(c)$ 4.000.000 AGGREGATE <br />ITEM 5. <br />ITEM 6. <br />ITEM 7 <br />PREMIUM SCHEDULE: <br />CLASSIFICATION <br />NUMBER <br />RATE <br />ANNUAL PREMIUM <br />PART TIME PSYCHOLOGIST <br />1 <br />858.00 <br />858*00 <br />DEFENSE LIMIT <br />95.00 <br />ADDITIONAL INSUREDS <br />3 <br />100.00 <br />QrTRnACTIVF DATE: 03/01/92 TOTAL PREMIUM: <br />i 1053.00 <br />EXTENDED REPORTING PERIOD 1 * 643.00 <br />ADDITIONAL PREMIUM (If exercised): $ <br />ITEM 8. POLICY FORMS AND ENDORSEMENTS <br />ATTACHFn Tn THIR Pnl ICY' <br />