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MERCY-2 OP ID: SD
<br />`A�,. L' CERTIFICATE OF LIABILITY INSURANCE
<br />DATE 712019Y)
<br />05/17/2019
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),. AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsoment(s).
<br />PRODUCER
<br />Dufour insurance Services, LLC
<br />5611 Littler Drive
<br />Huntington Beach, CA 02649
<br />Stephanie Dufour
<br />CONTACT Stephanie Dufour
<br />NAME:
<br />to'0 NE14.369-2998 _ fp/� Nq ; 714.840.0357
<br />FIMDA Ess: Stophanje@dufoutinsurance.com
<br />--
<br />INSURER 5 AFFORDING COVERAGE
<br />NAIC N
<br />INSURER A: Philadelphia InclemI
<br />_
<br />18058
<br />INSURED More yy House Living Centers
<br />P,O. Bax 1905
<br />Santa Ana, CA 92702
<br />INSURER B: Philadelphia Indemnity18058
<br />INSURER C:NOVA
<br />42662
<br />,Casualty,Company
<br />INSURER D: Philadelphia Indemnity
<br />18056
<br />msunm e: PhlladelPhla Indemnity
<br />18058
<br />INSURER F
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT 1'O WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />INSR
<br />R
<br />TYPE OF INSURANCE
<br />4DDL
<br />SUSR
<br />POLICY NUMBER
<br />POLICY EFF
<br />ID IYYW
<br />POLICY EXP
<br />MM/DD
<br />LIMITS
<br />A
<br />A
<br />A
<br />GENERAL LIABILITY
<br />_x1 COMMERCIAL GENERAL LIA21UTV
<br />CLAIMS -MADE XOCCUR
<br />X Prof. Liability
<br />PHPK1976777
<br />PHPKI076777
<br />PHPKI976777
<br />05/02/2019
<br />05102/2019
<br />05/02/2019
<br />05/02/2020PR
<br />05/02/2020
<br />05/02/2020
<br />EACH OCCURRENCE
<br />$ 1,000,00
<br />_
<br />10Q00
<br />MED EXP (An qne parson)
<br />,
<br />$ 10,00
<br />PERSONALS ADV INJURY
<br />$ 1,000,00_
<br />X
<br />Sex Abuse/Miscond
<br />GENERALAGGREGATE
<br />$ 2,000,00
<br />GEN'L AGGREGATE
<br />X POLICY
<br />LIMIT APPLIES PER
<br />PRO LOC
<br />PRODUCTS, COMPIOP AGG
<br />$ 2,000,00
<br />Fed. $0
<br />$
<br />A
<br />AUTOMOBILE
<br />HX
<br />LIABILITY
<br />ANYAUTO
<br />ALLOWNED SCHEDULED
<br />AUTOS X AUTOS
<br />NON•OWNED
<br />HIRED AUTOS X AUTOS
<br />PHPKI976777
<br />05102(2019
<br />05/02/2020
<br />COMBINED SI
<br />OBINEDSI GLE LIMIT
<br />$ 1,000,00
<br />BODILY INJURY (Per person)
<br />..'......................
<br />$
<br />BODILY INJURY (Per accident)$
<br />....._.....
<br />PROPERTY DAMAGE
<br />P A 'O N'
<br />$ 130,00
<br />Comp/Call Ded.
<br />$ 50
<br />g
<br />X
<br />UMBRELLA LIAB
<br />EX"SS LIAB
<br />X I OCCUR
<br />1CLAIMS-MADE
<br />PHUS674538
<br />05/0212019
<br />05/0212020
<br />EACH OCCURRENCE
<br />$ 5,000,00
<br />AGGREGATE
<br />$ 51000,00
<br />DED I X I RETENTION 10000
<br />$
<br />C
<br />E
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNER/EXECUTIVE YIN
<br />OffICERtMEMBER EXCLUDED?
<br />(Mandatory In NH)
<br />If 6descrbe under
<br />OE&'CPORTION OF OPERATIONS below
<br />NIA
<br />CF1-WK-10000043.03
<br />(ACCIDENT) PHLY78926850
<br />02/08/2019
<br />1112112018
<br />02/08/2020
<br />11/21/2019
<br />X WC STATU X OTH-
<br />TORT LIMITS E
<br />•�•••'
<br />EL. EACH ACCIDENT
<br />,,,.,,,,,,_,,,,
<br />$ 1,000,00
<br />E.L. DISEASE. EA EMPLOYE
<br />S 1,000,00
<br />El DISEASE -POLICY LIMIT
<br />$ 1,000,00
<br />D
<br />E
<br />Cyber Liability
<br />D&O/EPLi
<br />NLP3642944
<br />�PHSD1173663
<br />0112912019
<br />10/17/2018
<br />01/29/2020
<br />10/17/2019
<br />Per Dec 11000100
<br />Aggregate 1,000,00
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) �_�� �•�� �
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />(D 1988.2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105)
<br />The ACORD name and logo are registered marks of ACORD
<br />
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