SAXE-CLIFFORD, SUSAN 8 -2015 - Laserfiche WebLink

Home Browse Search

A�coun't Number: CA SUSA 1650 Date: 2/05/15 Initials: LY CERTIFICATE OF INSURANCE DARWIN NATIONAL ASSURANCE COMPANY C/O: American Professional Agency, Inc. 95 Broadway, Amityville, NY 11701 800-421-6694 This is to certify that the insurance pollutes specified below have been issued by the company indicated above to the insured named .herein and that, subject to their provisions and conditions, such policies afford the coverages indicated insofar as such coverages apply to the occupation or business of the Named insured(s) as stated. THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE. Name and Address of Insured SUSAN SAXE-CLIFFORD, PH.D. A PROFESSIONAL CORP. 16530 VENTURA BLVD STE 203 ENCINO CA 91436 Type of Work Covered: PROFESSIONAL PSYCHOLOGIST Location of Operations: N/A (If different than address listed above) Claim History: R Pi'Yn�ntivo Alm _ no /n' /.nn. Additional Named Insureds: SUSAN SAXE-CLIFFORD, PHD CATHY GOODMAN, PHD NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED ON THIS POLICY AND HE OR SHE SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPE TO GIVING OR RECEIVING NOTICE OF CANCELLATION. Comments: This Certificate Issued to: Name: SUSAN SAXE-CLIFFORD, PH.D. A PROFESSIONAL CORP. Address: 16530 VENTURA BLVD STE 203 ENCINO CA 91436 APA 00049 00 (05/2012) zed Representative Policy- Effective Expiration Limits of Coverages Number Date Date Liability PROFESSIONAL/ 2,000,000 LIABILITY 5011-0137 3/01/15 3/01/16 4,000,000 NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED ON THIS POLICY AND HE OR SHE SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPE TO GIVING OR RECEIVING NOTICE OF CANCELLATION. Comments: This Certificate Issued to: Name: SUSAN SAXE-CLIFFORD, PH.D. A PROFESSIONAL CORP. Address: 16530 VENTURA BLVD STE 203 ENCINO CA 91436 APA 00049 00 (05/2012) zed Representative