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1 / b / G V V ~ ~ : V ~ : ~k l YP7 YACi l', <br />COOPF RA'1'EVE C:)F <br />.p1.t`~lliZ(CAN E'HY~1(l:~.NS <br />4/VVb rax server <br />CERTIFICATE OF COVERAGE <br />Coverage through December 31, 2009 <br />Member: John G. Alevizos, DO <br />Address: 800 N. Tustin Ave Suite A <br />Santa Ana, CA 92?OS <br />This certificate confirms that, on the date below, the above-named phgsicivt is a tuetnber of the Cooperative of Atnerican <br />Physicians, Inc. (CAP) and a participant in the Mutual Protection Trust (MP'T). MY'1' is au tututwrporated iuterutdentnit~• <br />arrangement organized under California Insurance Code section 1280.7. 11us certificate touters uo rigltts upon Ute metnber and <br />does not amend, extend or alter the coverage afforded under the terms, conditions and exclusions of the MPT Agreement. <br />Membership Number <br />9275 Medical Specialty <br />Family Medicine, With <br />Surgical Assist Coverage Date <br />April 1, 1999 Retroactive Coverage Date <br />October 1, ] 993 <br /> subspecialty <br />Coverage (Claims made and paid) Curren< Limits of Liability <br /> $1.000.000 for all Claims based <br />Medical Professional Liability Coverage upon an Occurrence <br /> $3.000,000 each calendar year <br /> aggregate <br />the tneutber ttutst remain a. Metuber itt good statxiittg or an<utge for "fail Coverage for arty open or potential Claitn tltat uta}- <br />arise dtuing the Coverage Period. Neither CAP nor MPT undertake any obligation to advise any party, other tl><vt the ttameti <br />member, of any changes to or tetmittation of this coverage. <br />Cooperative of American Physicians, Tnc. <br />~~ ~G~.•-~y- <br />Januan~ 06. 2UU9 <br />on cone <br />Vice President, Membership Services <br />Mutual Protection Trust <br />Laura Stitt Speedy <br />Assistant City Attorney <br />SAN DIEGO I ORANGE t LOS ANGELES 1 SAN JOSE I SACRAMENTO <br />(.`~Oi,f'~R;11'It j=. ~,f ;1v~c:.fi:(~':11V fl~!)`SICl~:1"';. iVC' <br />3.53 `~ (ti.•~• ~ "~ I•.....,; t 5 C <br />