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Mar.11.2014 04:05 PM Eric W. Gruver, Ph.D. 17145444996 <br />DARWIN NATIONAL ASSURANCE COMPANY <br />12/19/13 - A Psycholo PHIcists' Professional Liability Policy <br />S A CLAIMS MADE POLICY - PLEASE READ CAREFULLY <br />* ** RENEWAL * ** <br />NOTICE: A LOWER LIM II' OF LIABILITY APPLIES TO JUDGMENTS OR SETTLEMENTS WHEN THF,RE ARP, ALLI- GATIONS <br />OF SEXUAI. MISCONDUCT (SEETHE SPECIAL PROVISION "SEXUAL MISCONDUCT" IN THE POLICY). <br />POLICY NO: 5010 -7473 <br />ITEM 1. (a) NAME AND ADDRESS OF INSURED: <br />ERIC WAYNE GRUVER, PH.D. <br />2021 E 4TH STREET <br />SUITE 116 <br />SANTA ANA, CA 92705 <br />2, ADDII'IONAL INSUF <br />CITY OF ANAHEIM <br />ANAHEIM, CA <br />ITEM 3. POLICY PERIOD: <br />ITEM 4. LIMITS OF LIABILITY: <br />PAGE. 2/ <br />ACCOUNTNO: CA- GRUE144 -0 000G288C <br />ITEM 1. (b) ADDITIONAL, NAMED INSUREDS: <br />'TYPE OF ORG: INDIVIDUAL <br />CITY OF SANTA ANA ORANGE CO. SHERIFFS DEPT <br />POLICE & PERSONNEL DEPT 550 NORTH FLOWER <br />20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 <br />SANTA ANA, CA 92702 <br />/ Continued... <br />03 T <br />/ <br />12 :01A.M. STAND TIME AT THE ADDRESS OF THE INSURED AS STATED HEREIN: <br />(a) 2,0 0 0 , 0 0 0 EACH WRONGFUL ACT OR SERIES OF CONTINUOUS, REPRAXED <br />OR INTERRELATED WRONGFUL ACAS OR OCCURRENCE <br />(b) $ _ _ 75,000 COSTS RELATED TO ANY SINGLE PROCEEDING <br />(c) g 4, 0 0 0, 0 0 0 AGGREGATE, FOR ALL CLAIMS AND ALL PROCEEDINGS <br />ITEM S. PREMIUM ,SCHEDULE: <br />E: <br />- - CLASSIFICATION <br />NUMBER <br />RA'I'D. <br />ANNUALPREMIUM <br />PART TIME PSYCHOLOGISTS <br />1 <br />971.00 <br />738.00 <br />DEFENSE LIMIT <br />140.00 <br />ADDITIONAL INSUREDS <br />5 <br />150.00 <br />RR; PROACTIVE DATE: 03/01/92 TOTAL PREMIUM: <br />954.00 <br />ITEM 6. <br />ITEM 7. <br />KOPINN91 <br />EXTENDED REPORTING PERIOD <br />ADDITIONAL PREMIUM (if excreised):$ 1,670.00 SCHEDULED RATING CREDIT INCLUDED <br />ITEM 8, POLICY FORMS AND ENDORSEMENTS ATTACHED TO THIS POLICY <br />PRGE2000 (3/2006) PRGe1069 (1/2006) <br />PRGell24 (3/2006) <br />T111515 NOT A HILL. PREMIUM NAS BEEN PAID. UT R1ZED COMPANY REPRESENTATIVE <br />PRG132005 (312006) Americ rofessienal Agcncy " 95 Broodwey, Amityville, NY 1 1701 <br />RECEIVE: N0.1528 03/11/2014/TUE 02:47PM <br />