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Certificate of Insurance (Proof of Coverage) Date Issued: 8/28/2014 <br />THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CER I'IW IC:.A`PE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />Insured Name and Mailing Address* <br />Program Administrator <br />Nancy K. Bohl Inc. <br />Administered By: <br />dba The Counseling Team <br />CPH and Associates <br />Nancy Bohl <br />711 S. Dearborn, Suite 205 <br />1881 Business Center Dr. Stell <br />Chicago, IL 60605 <br />San Bernardino, CA 92408 <br />P.312-987-9823 F.312-987-0902 <br />info@ephins.eom <br />'"Additional insurers locations are often requested by individual business <br />owners who have more than one office. Your coverage is portable, <br />Underwritten By: <br />meanirs;; that you are covered at any location./or practice under the <br />Philadelphia Indemnity Insurance Company <br />occupatiou(s) listed on your policy. <br />Coverage <br />Policy #: PFICP02.5826 <br />Effective Date: 08/31/2014 <br />Expiration Date: 08/31/2015 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHS' ANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BF ISSUED D OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, ERCG.IiSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />Limits of Liability <br />Coverage Part <br />EACH OCCURRENCE <br />AGGREGATE <br />(Per individual claim) <br />(Total amount perpodiey year) <br />$1 million <br />$5 million <br />Professional Liability <br />Commercial General Liability <br />N/A <br />N/A <br />Includes: General Liability, Fire & Water <br />Legal Liability, and Personal Liability <br />NIA <br />N/A <br />Property Coverage <br />$1 Dt -Mort <br />$5 million <br />Supplemental Liability <br />Unlimited <br />Unlimited <br />Defense Expense Coverage <br />$3�.LOd <br />$35,000 <br />State Licensing Board Investigation <br />Defense Coverage <br />$ n5'C,00 <br />$15,000 <br />Assault Coverage <br />$10,000 <br />$35,000 <br />Deposition Expense Benefit <br />115,06E/person <br />$50,000 <br />Medical Expense Coverage <br />$ l E,000 <br />$15,000 <br />First Aid Coverage <br />DescriptioolSpecial Provisions: <br />Certificate holder <br />Cancellation <br />Should any of the above described policy be cancelled before the expiration date <br />thereof, the issuing insurer will endeavor to mail 30 days written notice to the <br />certificate holder named to the left, but failure to do so shall impose no obligation <br />PROOF O- COV EIt.0. E or liability of any kind upon the insurer, its agents or representatives. <br />Holder has also nee:. added to the policy as an additional insured:* <br />Authorized Representative <br />_Yes/XNo <br />**If the certific.ite hn' ler is an ADDITIONAL INSURED, the policy(ies) must <br />- <br />be endorsed. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />C. Philip Hodson <br />DISCI,.ALi-ISR:.I iie Cert am r o" 1 !wn alice does not coustitute a contract between the issuing insurer(s), authorized representative or producer, and the <br />certificate bolder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon. <br />