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<br />:0!03/20~b 1&:51 <br /> <br />'34'::1 830232.. <br /> <br />DENNIS COLUCCI MA <br /> <br />PAGl J3 <br />Prlnl Dot.. 10/03/06 <br /> <br />C'NA <br /> <br />HEALTHCAI{E PROVIDI;R8 <br />8EI{VICE OI{GANIZAnON <br />PU~CHA8ING OROUP <br />CEII11FICII n, Of INSUItANCE <br />OCCUIlIlENCE POLICY FOIlM <br /> <br /> <br />Denni. A COl"cci <br />23961 Calle de la <br />J. 355 <br />aguna !fill 9 . CA <br />, OOleal SpeC/oily: <br />I AudtoIOglst <br /> <br />Magdalena <br />92653 <br /> <br />Code. 80714 <br /> <br />Amorieon Casuolly Ce. of Rea<llng, PA <br />CNA Plaza 28$ Chicavo, IL 60685 <br /> <br />A. PROFE:S8IONAL I.JJ\IlILfTY <br /> <br /> <br />l-~~ - - -~- ~::~r <br />$-'0;000 -. ... . 0011- -ole- <br />'-'-:M/j-----"-- -~-.- <br />. iin-- _.__._."l!Grego~_ <br />.-- _J~__ _ __..__~ggr~!..... <br />. _2,500 . .agg~at~_ <br />S 10,000 <br /> <br />C, WOl{l<PlI\CE UABllITY <br /> <br />- 'J\fonipi8caL.:i8iiIIi~:- <br />F"... & Water L~.lliaDlI <br />-JIOr.on-ill'obilrty - <br />. '- <br /> <br />eo.....,. PI" c. Worllplaoe LiNlI....dooI noIIlWtvIl'COww.,. j:llu1C. ee.,.rw .....11""',. "".~otuW.poIlcy <br /> <br />0, OENEAAL lIA.BIUTV <br /> <br /> <br />included in A. Pllimn3hO;n -8OOV8-'--- -----_ n._._,._._ _ __'_ __. <br />1nc:I.if8ci in A.Pllmit .hoWnob""G sub ed to $150,000 s.I>-Jjm~ <br />.SniOO;crOO' ---"gg"'eglit..- <br /> <br />eo......" D. Geo'lll'lll UllbMr lID-. ~0II1flP" I ClJI'_"" PwI C w~ LillI.IV" h'lad. ~ Of',,", 1IOI1ew. <br /> <br />-Ge;';;:Q,-ua~ity (Gl)'-----' -- ---"""iKU.--e ----- - ------ '__ <br />Rima AUlo"l"Non Ov<<ied AuW . _-.~. ~-~-~fuf___,_. __._ <br />.-. i~Tre_&!Nater leQiILlabmiy~- none <br />_..~e~~l!?!~blliiy ~_~--= <br /> <br />none <br /> <br />- _._,_..~ - - ..--... - - -,,- -,- "- <br /> <br /> <br />none <br />none <br /> <br />"-'.'- - - -" '- _ _.'.h <br /> <br />G-121503-C G-121501-C1 G-145184 <br />G 144872-A G'12]846-004 <br /> <br />· 124,00 PREMIUM fO.OO CIGA SURCHARGE <br /> <br />Ms5ter Polic.y *188111433 J <br />K-.rpIhlllClOOutl'l-nlIn a:..r.p'Iee. ll""pn'JOl'OI""",".r&~OfI'tlUrIM~OOlI~ <br />-f Ci . ... A ..A J. <br />dr-v--G. I~~ 171 If'"': vVI T'4'4... <br />C'.'=O' .ft,. Bo.,. s".,...Y' <br /> <br />G-l~12~1-A (0712001) <br /> <br />COverage C~.noe Dille: <br />d .. <br />,./ 4'/ ~ <br />----", ., /, .". <br />;.-:/'..&(..~/tv,-,~ V'UL:-f .7 <br /> <br />Endomment Change Oats; <br />