THE COUNSELING TEAM INTERNATIONAL - 2014

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Certificate of Insurance (Proof of Coverage), Date Issued: 9/13/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Insured Name and Mailing Address* Coverage Program Administrator Nancy K. Bohl Inc. dba'I'he Counseling Effective Date: 08/31/2016 Administered By: Team international NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CPH and Associates Nancy Bold A — �01-t+ THE INSURANCE AFFORDED BY THE POLICIES 711 S. Dearborn, Suite 205 1881 Business Center Dr. #11 POLICIES. AGGREGATE LIMITS SHOWN MAY Chicago, IL 60605 San Bernardino, CA 92408 (Coverage Part P. 312-987-9823 F. 312-987-0902 *Additional insured locations are often requested by individual (Per individual clahn) info�,cphins.com business owners who have more than one office. Your coverage $1 Million Underwritten By: is portable, ineaning that you are covered at any locationfir Philadelphia Indemnity Insurance Company practice under the occupation (s) listed on your policy. N/A N/A DISCLAIMER: The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon Coverage Policy #: 0,25826 Effective Date: 08/31/2016 Expiration Date: 08/31/2017 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL, THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits of Liability (Coverage Part EACH OCCURRENCE AGGREGATE (Per individual clahn) (Total amount per policy year) $1 Million $5 Million Professional Liability Commercial General Liability N/A N/A Includes: General Liability, Fire & Water Legal Liability, and Personal Liability N/A N/A Property Coverage $1 Million $5 Million Supplemental Liability Unlimited Unlimited Defense Expense Coverage $35,000 $35,000 State Licensing Board Investigation Defense Coverage $15,000 $15,000 Assault Coverage $10,000 $35,000 Deposition Expense Benefit $5,000/person $50,000 Medical Expense Coverage $15,000 $15,000 First Aid Coverage Description/Special Provisions: Certificate Holder Santa Ana Policy Department SHOULD ANY OF'rHE ABOVE DESCRIBED POLICIES BE CANCELLED 60 Civic Center Plaza BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Santa Ana, CA 92702 IN ACCORDANCE WITH THE POLICY PROVISIONS. Holder has also been added to the Authorized Representative policy as an additional insured:** [EYES El NO **If the certificate holder is an ADDITIONAL INSURED, the policy(ies) Cl. Philip Hodson must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER: The Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend, or alter the coverage afforded by the policies listed thereon