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PHILADELPHIA <br />INSURANCE COMPANIES <br />Certificate of Liability Insurance <br />Date Issued: 01/28/2020 <br />Underwritten by: Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 . NAIC #: 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 insureds), 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 Team International policy Number: 025828 <br />Nancy Berl <br />1881 Business Center Drive #11 <br />San Bernardino, CA 92408 <br />Policy Term: 08/3112019 to 08/31/2020 <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 N/A N/A <br />Liability N/A NIA <br />Fire/Water Legal Liability <br />Business Personal Property N/A N/A <br />Vicarious Sexual Misconduct $ 1,000,OOD $ 1,000,000 <br />Cyber Liability <br />(Claims Made Form) $ 25,000 <br />Retroactive Date: $ 25,000 <br />08/31/2018 <br />Comments/Special Descriptions <br />Certificate Holder <br />City of Santa Ana <br />Attn Risk Management <br />20 Civic Center Plaza, 4th Floor <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(ies) must be endorsed, A statement on this certificate does not Confer rights to the certificate holder in <br />Ileu 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 />trf)� <br />Authorized Representative <br />C. Philip Hodson <br />�.� - eM <br />