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<br />09/29/2000 11:43 <br />,..,( :2EU3Ei l!L :J2 <br /> <br />2413390 <br />'3Q':l45B873:? <br /> <br />Tore. <br /> <br />PAGE 02/05 <br />PClGE 0'; <br /> <br />AJPROFESSIONAL UNDERWRITERS <br />LIABILITY INSURANCE COMPANY <br />A roc r..",pony <br /> <br />12121 VVllshlre Boulevard, Suite 601 Loo Angeles, Callfomla.tIOO25 <br /> <br />GERTlFICA TE OF INSURANCE J. <br />ThJe Is la certlfy !hilt rJ'lf' Polk:'f of frl&uranoe 1~t8d b..low n:ls be,.n .IoLlecl to the I n5u,.d NEIl _n<lla in forc~ at fhis t1rpe, <br />Notwithsumding any te<l\.lil"ll.r~nt. tBrm or condition of e.ny contrad or otl'1er dOOlJf'I'IatlfW\th fe8.~ct kl which this C~UUllaA~ <br />may ~.IHU@d or tnlIIy partarn. tnI!' In!.Urance afforded b~ Ihe Polley described' hef'8in is GUPjQctl1io all the .~, II)tdlJ~om; <br />end ODndifJons of s/Jch Policv <br /> <br />NAME AND AOOItESS OF <br />NAMED INSURED: <br />Luis E R !yara, M. D <br />2222 s Me" Slo... <br />SlInta Al1li1, CA Q2707 <br /> <br />SPl'CIA~ TV: <br /> <br />O<;OUD.tlOM' Medb". - No 5"lgOry <br /> <br />ACCITIONA~ INSUREllS: <br />(sharwd limNs of OClvttrage) <br /> <br />POLICY NUMBER: <br />P93IlO&07 <br /> <br />POUCY EFFECTI\IE DATE <br />Septembet 1, 2006 <br /> <br />I <br />POLICY ~XPf"ATlON OAT": <br />Septemb~r 1 2007 <br />12;01:11",_J.m._rd~"'" <br /> <br />1..H)1am .tar>dltdllmt: <br /> <br />I.IMfTS OF LII\I'/LfTY; <br />5:1,000,000,00 per claim <br />S3,aOO,aaa 00 "llg'''ll''' <br /> <br />POLICY Itl;TROACTlIIE DArE, <br />I <br />Se~tsmbhr 1. 200S <br />, <br />12:01I,"''':;''''dIIlrdtlm. <br /> <br />TYPE OF INSL;RANCE- IlfEDICAL ~OFESSIONAL L,lAalllTY <br /> <br />NAME AND ADDRESS <OF <br />CERTIFICATE HOLDER' <br />~llll E RJllenl. M () <br /> <br />i <br />I <br />N"'M~ AND ADOREb OF BROKER <br />, <br /> <br />o..l"'(led: Septemb<!lr'6. 20.00 <br /> <br />ROlln'Unlnt:8 Sen;Ic:". <br />23241 SOIJIf'lf'ot,~llD Of~" <br />llgllHI Hllh! C'&'S28~1 <br />I <br />I <br />~+ rliJ.J.. .'~/ <br />Authorized ~.prw~"n.nv~~ ~ <br />! <br /> <br />~ <br />