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Account Number: CA SUSA 1650 Date: 2/23/18 Initials: LPD <br />CERTIFICATE OF INSURANCE <br />ALLIED WORLD INSURANCE COMPANY <br />C/O: American. Professional Agency, Inc. <br />95 Broadway, Amityville, NY 11701 <br />8OD-421-6694 <br />This is to certify that the insurance policies specified below have been issued by the company <br />indicated above to the insured named herein and that, subject to their provisions and conditions, <br />such policies afford the coverages indicated insofar as such coverages apply to the occupation <br />or business o`. the Named Insured(s) as stated. <br />THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS <br />THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE - <br />Name and Address of Named Insured: <br />SUSAN SAXE-CLIFFORD, PH.D. <br />A PROFESSIONAL CORP. <br />16530 VENTURA BLVD <br />STE 603 <br />ENCINO CA 91436 <br />Type of Work Covered: PROFESSIONAL PSYCHOLOGIST <br />Location of Operations: N/A <br />(if a. ferent than address listed above) <br />Claim History: <br />PPtYnarti ,a-F- 4 - -I - , <br />Additional Named lnsureds: <br />SUSAN SAXE-CLIFFORD, PHD <br />CATHY GOODMAN, PHD <br />WILLIAM SMITH, PSY.D. <br />MEREDITH RIMMER, PH.D. <br />Coverages <br />NomberLV Piicy <br />Effective <br />Expiration <br />Limits of <br />Date <br />Date <br />Liability <br />PROFESSIONAL/ <br />LIAD-T ITY <br />5011-0137 3/01/18 3/01/1.9 4,000,000 <br />NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED, WHO SHALL <br />ACT ON BEHALF OF ALL INSURE➢S WITH RESPECT TO GIVING OR RECEIVING NOTICE OF <br />CANCELLATION. <br />Comments: Defense Reimbursement Prcceedinqs Limit is $150,000. <br />This Certificate Issued to: <br />Name: SUSAN SAXE-CLIFFORD, PH.D- <br />A PROFESSIONAL CORP. <br />Address: 16530 VENTURA BLVD <br />STE 603 Aut on <br />ENCINO CA 91436 <br />APA 00138 00 (06/2014) <br />---- 1WbR eAic F 1001'161' �� r� ��m IS of 6 2c Fri —ice/ <br />Representative <br />