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Certificate of Insurance(ProofofCoverage) Date Issued. 08121/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORIMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT"AIVH:ND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE PULiCIES BELOW. <br />Insured Name and Mailing Address* <br />Santa Ana Police Department <br />Program Administrator <br />Nancy K. Bohl Inc. dba The Counseling Team International <br />POLICY PROVISIONS. <br />Administered By: <br />Nancy K Bohl <br />[ X YesllYo J <br />**If <br />CPH and Associates <br />1881 Business Center Drive 911 <br />711 S. Dearborn, Suite 205 <br />'an Bernardino, CA 92108 <br />lieu of such endorsement(s). <br />Chicago, IL 60605 <br />P.312-987-9823 F.312-987-0902 <br />''Additional insured locations are often requested by individual business owners who have more than one <br />info(Elenhins.coin <br />office. Your coverage is portable, meaning that you are covered at any location for practice corder the <br />Underwritten By: <br />occupation(s) listed on yourpolicy. <br />Philadelphia Indemnity Insurance Company <br />Coverage <br />Policv #: 025826 Effective Date: 08/31/2017 <br />Expiration Date: 08(31!2018 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED <br />NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQITIREIVIENT, TERIYI OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH <br />RESPECT BY THE POLICIES DESCRIBED IIERE11N IS SUBJECT TO ALL THF. TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LINIITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Limits of Liability <br />EACH OCCURRENCE AGGREGATE <br />Coverage Part <br />(Per individual claim) (Total amount per policyyyear) <br />— <br />$1.000,000 $5,000,000 <br />Professional Liability <br />Commercial General Liability <br />N/A N/A <br />Includes: General Liability, Fire & Water Legal Liability <br />and Personal Liability <br />NIA N/A <br />Property Coverage <br />$1.0001000 $5,000,000 <br />Supplemental Liability <br />Unlimited Unlimited <br />Defense Expense Coverage <br />$35,000 $35,000 <br />State Licensing Board Investigation Defense Coverage <br />$15,000 $15,000 <br />Assault Coverage <br />$10,000 $35,000 <br />D;position Expense Benefit <br />$5.000/person $50,000 <br />Medical Expense Coverage <br />$15,000 $15,000 <br />First Aid Coverage <br />Description.;Special Provisions: <br />Certificate Holder Cancellation <br />Santa Ana Police Department <br />60 Civic Center Plaza SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />Santa Ana, CA 92702 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />Holder has also been added to the policy as an additional insured:** <br />[ X YesllYo J <br />**If <br />' <br />the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be <br />endorsed. A statement on this certificate does not confer rights to the certificate holder is <br />Authorized Representative <br />lieu of such endorsement(s). <br />C. Philip Hodson <br />DISCLAIMER:The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and <br />the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. <br />j0s'v� VV -70 � 4�e <br />