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CP H ® PHILADELPHIA <br />INSURANCE COMPANIES <br />S ASSOCIATES <br />Certificate of Liability Insurance <br />Date Issued: 01/25/2019 <br />Underwritten by: Philadelphia Indemnity Insurance Company - One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 NAIC if: 18058 <br />Administered by: CPH & Associates 711 S. Dearborn St. Ste 205 Chicago, IL 60605 - P 800.875.1911 F 312.987.0902 - info@cphins.com <br />DISCLAIMER: This certificate is issued as a matter of information only and confers no rights upon the certificate holder. The Certificate of Insurance does not <br />constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, <br />extend, or alter the coverage afforded by the policies listed thereon. <br />Insured: Nancy K. Bohl Inc. dba The Counseling <br />Team International <br />Nancy BON <br />1881 Business Center Dr. #11 <br />San Bernardino, CA 92408 <br />Policy Number: 025826 <br />Policy Term: 08/31/2018 to 08/31/2019 <br />Covered Locations <br />Professional Liability: Portable coverage, not location specific <br />Coverage Type Per Incident Aggregate <br />(Occurrence Form) (Per individual claim) (Total amount per year) <br />Professional Liability $ 1,000,000 $ 5,000,000 <br />Supplemental Liability $ 1,000,000 $ 5,000,000 <br />Licensing Board Defense $ 35,000 $ 35,000 <br />Commercial General NIA N/A <br />Liability N/A N/A <br />Fire/Water Legal Liability <br />Business Personal Property N/A N/A <br />Vicarious Sexual $ 1,000,000 $ 1,000,000 <br />Misconduct <br />Comments/Special Descriptions: <br />Certificate Holder <br />City of Santa Ana, Its Officers,Employees, Agents, Volunteers & Representatives <br />60 Civic Center Plaza <br />Santa Ana, CA 92702 <br />® Certificate Holder has been added as an additional insured <br />If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in <br />lieu of such endorsement(s). Notice of Cancellation will only be provided to the first named insured in accordance with policy provisions, who shall act on behalf of all <br />additional insureds with respect to giving notice of cancellation. <br />Authorized Representative <br />C. Philip Hodson <br />/l-,d1le' �a z / c y /�llil=& rS Dl ZfYY <br />