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BRANCH' <br />B/A <br />PRODUCER NUMBER <br />32 <br />A <br />0001614 250 <br />ROW023 <br />DATE OF ISSUE I PRIOR CERTIFICATE NUMBER <br />10/17/96 AHC --024 5022 <br />SPECIFIED MEDICAL PROFESSIONAL LIABILITY <br />OCCURRENCE INSURANCE POLICY <br />Offered Through American Health Care Professions Purchasing Group Ass aciatio� <br />Purchasing Group Policy Numbsr: AHA -2000000 <br />Item <br />DECLARATIONS CERTIFICATE NUMBER AHC - <br />I. <br />Named Insured <br />LAW ENFORCEMENT MED-SERVS.INC, <br />2. <br />MAILING ADDRESS 7201 HAVEN AVENUE BUILDING E <br />SUITE 167 <br />RANCHO CUCAMONGA, CA 91701 <br />3. <br />Policy Period 12:01 A.M. Standard Time At From: To: <br />09/14/96 0 9 14 /97 <br />Location of Designated Premises <br />4. <br />The insurance afforded is only with respect to such of the following types of insurance as indicated by specific premium charge <br />or charges: <br />COVERAGE PREMIUM <br />---T—Liability E] A. Profess ona <br />S. General Liability E X3 44.00 <br />C. Endorsements 1 X3 80.00 <br />TOTAL PREMIUM: <br />s. <br />LIMITS OF LIABILITY <br />$1,000,000 each Incident <br />$3,000,000 in the Aggregate <br />or Occurrence <br />- <br />Deductible (if applicable): <br />7. <br />The Named Insured is: Sole Proprietor (including Individual) Partnership Corporation El <br />❑ Other: <br />Afflljatjon• All M -D--- <br />8* <br />Business or occupation of the Named Insured: <br />REGISTERED NURSE <br />9. <br />This policy is made and accepted subject to the printed conditions of this policy together with the provisions, stipulations and <br />agreements contained in the following form(s) or endorsement(s): <br />PLE-2081 PLJ—E02-c,(01/95) PON -2003 <br />PLE-2089 (01/9S) PLE-2135 (9/9c-) <br />CHICAGO INSURANCE COMPANY <br />55 E. MONROE STREET, CHICAGO, ILLINOIS 60603 <br />REPRESENTATIVE: <br />MAGINNIS & ASSOCIATES <br />DIVISION OF RVI <br />332 S. MICHIGAN AVENUE <br />CHICAGO, IL 60604 <br />1-800-621-3008 <br />'LP -2028 (01195) (elec-a) <br />MG6-2087959 <br />