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Em <br />Iftw <br />JAN -23-2001 10:19 DONALD H. MAYNOR P.02 <br />DECD v aTIONS <br />Lawyers Professional Liability Insuxa=ce Policy <br />This is a claizw-mads Policy. Please review yoar Policy carefully. <br />The Policy is limited to liability for only those claims that are <br />first made against the Insured during the policy period. <br />Insured by the Stock CoMany below and hereinafter called the company. <br />Chicago Insurance) company <br />A Member of Interstate Insurance Group <br />Executive Offices: 55 E. Munroe St. <br />Ohicogo, Illinois 60603 <br />POLICY XjV_4=.- LWW2000340 <br />ITEM 1 � " <br />Named Inaured a Addresses: Producer Name: <br />Donald H. Maynor Seabury & Smith <br />1776 West Lakes parkway <br />235 Catalpa Drive West Dan Moines, IA 50398 <br />Atherton, CA 94027 <br />ITEM 2. Policy Period: From: 9101109 To: 9/01/01 <br />(12:01 A.M. Standard Time at the addreou of the Named <br />insured as stated herein.) <br />ITEM 3. Form of Named Insured's Busineses Insured is: <br />( ) Individual ( ) Partnership (X) Corporation ( ) Other <br />ITSH 4. Limit of Liability: $1,000,000 Each Claim <br />$1,000,400 Aggregate <br />CLAIM EXPENSES: <br />(X) a.Claim expenses are included within the limits of liability. <br />( ) b.A separate limit of liability applies to claim expenses (see <br />policy Section III, Limit of Liability, item B.). <br />ITRH S. Deductible: $10,000 Per Claim <br />( }a.The deductible amount specified above ies only to damages. <br />(X) b.The deductible amount (specified abov,@ pliep to both damages <br />and claim expenses. j <br />ITEM 6. Premium. <br />$4,671 Amount <br />No. of Lawyers 1 <br />ITEM 7. Forms Attached at Issues A0 ;4T27 (04100) PON 2203(06/9-9) <br />BY acceptance of this policy the Insured agrees that the statements <br />in the Declarations and the Application and any attachments hereto <br />are the Insured's agreegimte and representations and that this <br />policy embodier# all agreements existing between the insured and the <br />company or uny of its representatives relating to this insurance. <br />Do Not Write In This Box <br />Remarks.- <br />countersigned <br />emarks:Countersigned at: Da Moines. IA r Date Countersigned: 8/39100 <br />