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00 MERCER <br />August 21, 2014 <br />Felice Hernandez <br />320 S. Pixley Street <br />Orange, CA 92868 <br />Re: Allied Health Professional Liability <br />Customer Number: 986851 <br />Policy Number: AHY-754318001 <br />Expiration Date: 08/21/2015 <br />Dear Felice R Hernandez, <br />Mercer Consumer, a service of <br />Mercer Health & Benefits Administration LLC <br />P.O. Box 14576 <br />Des Moines, IA 50306-3576 <br />www.pmliability.com <br />I am pleased to enclose your insurance policy through the Liberty Insurance Underwriters Inc. Please review the <br />material carefully and take specific notice of any endorsements to the policy. These policy documents should be <br />kept with your important papers. <br />Please note the important information below: <br />Address or Mid -Term Changes: Any change of address or request for mid-term change should be sent to the <br />following address to assure timely receipt of future notices. All requests must be signed and dated by the policy <br />holder. Also note that requests for mid-term changes to your coverage must be approved by an underwriter prior to <br />binding coverage. <br />Mercer Consumer, a service of <br />Mercer Health & Benefits Administration LLC <br />P.O. Box 14576 <br />Des Moines, IA 50306-3576 <br />Fax:515-365-6338 <br />Phone: 1.800-503-9230 <br />If you have any questions, please contact our office Monday through Friday from 8:15 a.m. to 5:00 p.m. (CT). <br />Thank you for the opportunity to serve your insurance needs. <br />Sincerely, <br />Mark Brostowitz <br />Principal <br />Mercer Consumer <br />Enclosure <br />Rehabilitation Prof Self Employed <br />New Submission <br />MARSH & McLENNAN <br />TALENT • HEALTH • RETIREMENT • INVESTMENTS COMPANIES <br />