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~- . <br />Ff20M ~ PHONE N0. C4~ • Aug. 22 2068 02:20PM P1 <br />I~oSA <br />UNDERWRITERS AT LLQ~ID"S LQIVDQN <br />PENSION ACTUARIES PROFESSIONAL LlABIL1TY DECLARATIONS <br />TH L~AS~ R~Aa TH6 ENT REM ORM CAREFULLY E <br />Master Policy Issued To' CIMA Liability Protection Programs for Pension Actuary <br />' Professionals and Specified insured Organizations <br />Renewal of No. XS5402 <br />Evidence pf Insura~Ce N4. XS6457 <br />Master Policy No. 33006506 /~ <br />Named f ure - re /L~ AgentlBroker tJumber and Address <br />XIS Group, Inc. <br />Demse Filli er & Associates, LL 1800 N, Beauregard Street, Suite 100 <br />~ 006 Devons ire Alexandria, VA 22311 <br />Suite 205 <br />Chatsworth, CA 91317 <br />policy Period: From 01/15/2008 to 01!15/2009 at 12:01 A.M. Standard Time at your mailing address shown above. <br />1n return for the payment of the premium, and subj9ct to ail the terms of this policy, we agree witi~"`1-ettt0 pr~'yide the <br />insurance as Stated in this policy. ~ ~ <br />s <br />Business Description. Empioyee Benefits Administrator/ActuarylConsultant ___ <br />-~--,.-_..-- --.,,,_.-~.-~._--...~-~..~ ~_....r- <br />Limits Of Insurance: Each Claim Limit $2,000,000 ~"' <br />Aggregate Limit $2,000,OOD N <br />Defense Cost Limit $1,00D,000 (In addition to Aggregate Limit; N <br />Deductible: <br />Each claim $10,000 <br />Retroactive Date: <br />Coverage does not apply to "claims" arising dut of any act, error, omission or offense committed before the <br />Retroactive Date, if any, shown here: January 15, 2004 <br />Forms And Endorsements <br />Forms and Endorsements made part of this Policy at time of issue: Several Liability Notice endorsement, War and <br />Terrorism Exclusion endorsement, War and Civil War Exclusion Clause, CanCelfation Endorsement, Service 4i' Suit <br />Clause endorsement, Third Party exclusion, Revised Extended Reporting Periods endorsement; Nuclear Incident <br />Exclusion; Radioactive Contamination exclusion <br />Premium ~~ $5,914.00 Surplus Lines Tax: $133.07 <br />Report Claims To: XS/Group, Inc <br />1$00 N. f3eauregard Street, Suite 100 <br />Alexandria, VA 22311 <br />Countersigned: December 28, 2007 fay: Lau_ri¢ S. COLeman <br />Authorised Signature <br />410.130 (2-98) <br />These declarations, together with the common policy conditions, coverage farm and forms and endorsements, i# any, <br />issued to form a part thereof, Gompfete the above numbered policy <br />:~7 i <br />(DIrMSFIL! 569115/1:5~-rG) <br /> <br /> <br />