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Account Number: CA SUSA 1650 Date: 2/05/19 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 />800-421-6694 <br />This is to certify that the insurance policies specified below have been issued by the compan <br />indicated above to the insured named herein and that, subject to their provisions and condition <br />such policies afford the coverages indicated insofar as such coverages apply to the occupation <br />or business of 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 different than address listed above) <br />Claim History: <br />RPt_rnA1f_i1'c lq. -_ 4 1 no /n' Mn- <br />Additional Named Insureds- <br />SUSAN SAXE-CLIFFORD, PHD <br />CATHY GOODMAN, PHD <br />WILLIAM SMITH, PSY.D. <br />MEREDITH RIMMER, PH.D. <br />Coverages <br />Policy v <br />Number <br />Effective <br />Date <br />Expiration <br />Limits of <br />Date <br />Liability <br />PROFESSIONAL/ <br />2,000,000 <br />LIABILITY-5011-0137 3/O1/19 3/01/20 4,000,000 <br />NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED, WHO SHALL <br />ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF <br />CANCELLATION. _ <br />Comments: Defense Reimbursement Proceedings Limit is $150,000. 3/13 ADDL.INS.BELOF <br />This Certificate Issued to: <br />Name: SUSAN SAXE-CLIFFORD, PH.D. <br />A PROFESSIONAL CORP. <br />Address: 16530 VENTURA BLVD <br />STE 603 <br />ENCINO CA 91436 <br />APA 00138 00 (06/2014) <br />AutXorized Representative <br />s B/z�Ms <br />