Laserfiche WebLink
Sep.19,2013 10:56 AM Eric W. Gruver, Ph.D. 17145444996 PAGE <br />Account Number: CA GRUE 1440 Date: 9/19/13 Initials: KIM <br />CERTIFICATE OF INSURANCE <br />DARWIN NATIONAL ASSURANCE COMPANY <br />C /O: American Profeeaaional Agency, Inc. <br />95 Broadway, Amityville, NY 11701 <br />This to to certify that the insurance policies epealfied below have been Issued by the aodpany andlaabed <br />above to the Inourad nosed hersin and that, n0ject to Moir provisions and conditions, such palicies afford <br />the Coverages Indicated Insofar as such coverages apply to bus ddoupatlan ar business of the dosed ineured(s) <br />as stited, <br />THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR <br />ALTERS THE COVERACdE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE. <br />Name and Address of _Tnsured: <br />ERIC WAYNE GRUVER, PH.D, <br />2021 E 4TH STREET <br />SUITE 116 <br />SANTA ANA CA 92705 <br />Type of Work Covered: PROFESSIONAL PSYCHOLOGIST <br />Location of operations: N/A <br />(If differenb the addr000 listed above) <br />Claim History: <br />Ra+rnan+iva da +a is 03/01/1992 <br />&%itignal Named RL reds: <br />PROVED AS TO BYJRi? <br />Laura A. Rossini <br />° 'tant City Attorney <br />Coverages <br />Policy <br />Number <br />Effective <br />Date <br />Eltpiration <br />Date <br />Limits of <br />Liability <br />PROFESSIONAL/ <br />LIABILITY <br />5010 -7473 <br />3/01/23 <br />3 01 14 <br />2,000,000 <br />4,000,000 <br />NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE TIRST NAMED IN3M= ON THIS <br />POLICY AND HE OR SHE SHALL ACT ON SEBALT OF ALL INSUREDS WITS RESPECT TO GIVING <br />OR RECEIVING NOTICE OF CANCELLATION. <br />Ccw*nts: ADDITIONAL INSUREDS: 1.CITY OF ANAHEIM, ANAHEIM, CA <br />2.CITY OF SANTA ANA, POLICE & PERSONNEL DEPT, 20 CIVIC <br />CENTER PLAZA, SANTA ANA, CA 92702. <br />3.ORANGE CO. SHERIFFS DEPT, 550 NORTH FLOWER, <br />92702. <br />This Certificate Issued to; <br />Name: ERIC WAYNE GRUVER, PH.D, <br />2021 E 4TH STREET <br />Address: SUITE 116 <br />SANTA ANA CA 92705 <br />APA 00049 00 (05/2012) <br />SANTA ANA,CA <br />RECEIVE: NO. 0446 09/19 /2013 /T H 09:50AM , <br />1/ 2 <br />