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<br />I/f2/01 . A <br /> <br />11"1:11 FROM:ERIC W GF""JERPH D 7145444996 <br />1'0,7'4 647 6515 <br />E~UTIVE RISK INDEMNITY INC, '-' <br />rSYCBOLOGISTS PROFSSSIONAL LIABILITY pOLICY <br />THIS is 1\ CLAIMS I\'IA01: POLICY. pLI::ASe lIe"o CARI::,ULLY <br /> <br />P.00Y1"I1"I5 <br /> <br />NOl)-~3-21"11"11 <br /> <br />* * * RENEWAL . U <br /> <br />'0 Iln ~ LOWER LIMIT Or LIABILITY APPLIES TO JUDGEMENTS OR sm'LEMENTS WHEN THeR. ARE ALLEGATIO'S <br />01' >E\I:'\I, MISCONDUCT (SEE THE SPECIAL PROVISION "SEXU"L MISCONDUCT" IN THE POLICY], <br />DECI.^RATION~ <br /> <br />I'OLIO NO 008- ~ 751708 ACCOUNT NO; CA.GRUE1~4-0 00062663 <br />J'l "" I IJI ,,"'IE AND ,WORIESS Or INSURED: ITEM I (b) ADDITIONAL NAMED INSUREDS <br /> <br />ERIC WAYNE GRUVER.~H-D, <br />17772 11TH ST. <br />5UITE lOG <br />TUSTIN, c:"" 92nO <br /> <br />l'YPE OF ORG: <br /> <br />INDIVIDU""L <br /> <br />J'l EM 2 <br /> <br />ADDITIONAL IN 'UREOS: <br /> <br />CITY Of SANTA ANA ORANCE co, SHER!PFS OEPT <br />POLICE & PERSONNEL DEPT.SSO NORTH FLOWER <br />24 CIVIC CENTER PLAZA S~T"" ANA, c"" ~2702 <br />SANTA ANA, CA 92702 <br />fROM' 03/01/01 TO 03/01/02 <br />Il:OIAM STANDARD TIME ATTlio ADDRESS OF -I HE I'ISURED I\S SlATED HeR.I\ <br /> <br />cITY OF' AN""HEIM <br /> <br />!l.NlI'IEIM. ClJ-. <br /> <br />I [fll ,1 !'OLICY' PERIO!) <br /> <br />2,000,000 <br /> <br />Ei\CH WRONGFUL ACT OR SERI E> OF CONTINUOUS I\.~i: '\ T ED <br />OR INTEIIRr.lATED WRONGfUL "CTS OR OC (lIRRE\lt <br /> <br />I-rEM J <br /> <br />LIMITS OF LIABILITY <br /> <br />(0) S <br /> <br />(b)S 50.000 DErENSEI\EIMBURSEMENT <br />(el S 4.000. 000 AGORr.CAT~ <br /> <br />--.,-.. <br /> <br />ITE\1 S <br />L. <br />I <br /> <br />PREMIUM SCI.IEDULE- <br />ClAS IfKA.-tION <br /> <br />NUM ";;R ' I{A TE <br /> <br />"'NNUAL 1'1\ ~lIU 1[1 <br /> <br />PART TIME PSYCHOLOGISTS <br />DEFENSE LIMIT <br />ADDITIONAL INSUREDS <br /> <br />1 <br /> <br />3 <br /> <br />.. <br /> <br />ITf;11 (I <br />n(\17 <br /> <br />RfTRO.\CTIVE DATE 03/01/92 <br />D;TI;NDW RE~ORTING rERlutJ <br />ADDITIONAL PREMIUM (,I e'crm,d),~ <br /> <br /> <br />CRIIIoTINE LEE s'i\i ' <br />Dep\l~ ~ AtW' ll"~ <br /> <br />- <br /> <br />ITEII. <br />C22129 <br /> <br />PULlCY fORMS AND ENDORSEMENTS ATTACHBD TO THIS POLICY <br />(7/95 ED.) C22128 C22092 EXE-99 <br /> <br /> <br />TfilS I., ~()T A ~llL PREMiUM HAS I:lE"N P"'ID <br />.d' ~ ~'II(H)~\ <br /> <br />AUT RIZED tOMPANy-il(PR~; NI A'i\[ - <br />ArmHn: PlOlb~l1"Jnal"~.!:ll\;.,..!):\.H(')\l.J....;l.y,..l,ml'~' 1"- ..., II.':, <br />