BOSCH, WESLEY A. - 2005 - Laserfiche WebLink

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Certificate of Insurance (Proof of Coverage) Date Issued: 8/4/2006 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO~LUION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW . Insured Name and Mallin!!: Address ~ Pro!!:ram Administrator Wesley A. Bosch A-.)..oOS- i~7 Administered By: ;4-~f.,..;J.;)..g CPH and Associates 1000 E. Santa Ana Blvd. #200 711 S. Dearborn, Suite 205 Santa Ana, CA 92701 Chicago, IL 60605 .Additional insured locations are often requested by individual business uwners who hal'f! more than one office. I.our em'erage is Underwritten By: portable, meaning that you are covered at any location for practice Philadelphia Indemnit). Insunmce Company lInder the occlIIJation{s) listed on rOllr Dolicr. :- Coverage Policy #: PHCP025487 Effective Date: 08/01106 ./ I Expimtion Date: 08/01107 ./ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS,VED TO THE IN,VRED NAt>IED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDIN'G ANY REQUIREMENT, TEJU..I OR CONDITION OF ANY CONTR.-\CT OR OTHER DOCUMENT WITH RESPECT TO v''HICH THIS CERTIFICATE t>J.W BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERt>IS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOV.'N !\IA Y HAVE BEEN REDUCED BY PAID CLAIMS. Limits of Liability EACH OCCURRENCE AGGREGA TE Coverage Part (Per individual claim) (Fotal amount per f)Olicv year) $1,000,000 $3,000,000 Professional Liability N/A N/A Commercial General Liability Includes: General LlabUity, Fire & \V iller Le.al L1abllit>' and Personal Liability $1,000,000 $3,000,000 SUDnlernental Liabilitv Unlimited Unlimited Defense EXDense Coverage $25,000 $25,000 State Licensing Board Investi!!:ation Expense Covem!!:e $5,000 $5,000 Assault Coverage $5,000 $15,000 DeDosition Exnense Benefit $2,500/person $25,000 Medical Exnense Covera!!:e $2,500 $2,500 First Aid Coverage Description/Spechll Pro\'isions: Certificate Holder Cancellation City of Sllnla All:.l, Its Officers, Agent'i, Should an)" of the above described policy be cancelled before the expiration date and Employees thereof, the issuing insW'er will endeavor to mail 30 da~'s written notice to the P.O. Box 1983 certificate holder named to the left, but failure to do so shall impose no obligation Sanbl Anu. CA 92702 or liabilitv of any kind u on the insurer, its a!!:ents or representatives. Holder has also been added to the polic)" as an Authorized Representative - additional insured:" PH. _Yes/XNo (. **If the certificate hoMer b an ADDITIONAL INSURED, the Ilolicy(les) must be en(lorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of !l'Uch endorsement(s). C. Philip Hodson DISCLAIl\IER: The Certificate of Insurance does not constitute III contnlct benyeen the issuing insurer(s), authorized represent.ltivf or produce.", and the certificate holder, nor does it ;;lffiroll.ltinly or negnti'vely nmend, extend, or alter the COyer41ge afforded by the policies listed the,'eon. \ F ?~?l) \' ~::. ,) .~-f) FOR1\1 i~~l)..