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ACORD -25 CERTIFICATE OF LIABILITY INSURANCE DATE 9/29/2015 <br />PRODUCER <br />LOUIS MARINACCIO CA LICENSE #: OG33277 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND <br />CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />GALLAGHER MGA <br />8430 ENTERPRISE CIRCLE, STE 200 <br />CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW <br />LAKEWOOD RANCH FL 34202 <br />INSURED <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />COOK, RICHARD <br />814 HIBISCUS WAY <br />INSURER A <br />BCS INSURANCE CO. <br />38245 <br />INSURER B <br />PLACENTIA CA 92870 <br />INSURER <br />OVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INST <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MM/DD/YY ) <br />POLICY <br />EXPIRATION <br />DATE MM/DD/YY <br />LIMITS <br />GENERAL <br />LIABILITY <br />EACH OCCURANCE <br />$ <br />FIRE DAMAGE (Any one fire) <br />CLAIMS MADE ❑OCCUR <br />MED EXP(Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L <br />AGGREGATE LIMITY APPLIES PER: <br />PRODUCTS - COMP /OP AGO <br />$ <br />POLICY PROJECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$ <br />ANY AUTO <br />(Ea accident) <br />ALL OWNED AUTOS <br />BODILY INJURY <br />SCHEDULEDAUTOS <br />(per person) <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br />NON -OWNED AUTOS <br />(per accident) <br />PROPERTY DAMAGE <br />$ <br />(per accident) <br />GARAGE LIABILITY <br />A <br />AUTO ONLY -EA ACCIDENT <br />$ <br />ANY AUTO <br />(Ea accident <br />q <br />OTHERTHAN EA ACC <br />$ <br />AUTO ONLY: AGG <br />EXCESS LIABILITY <br />OCCUR CLAIMS MADE <br />(( <br />a \ <br />� <br />� <br />EACH OCCURENCE <br />$ <br />AGGREGATE <br />�p <br />DEDUCTIBLE <br />RETENTION $ <br />1 <br />$ <br />WORKERS COMPENSATION AND <br />WC STATUTORY I OTHER <br />EMPLOYERS' LIABILITY <br />LIMITS <br />5 <br />E.L EACH ACCIDENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE- POLICY LIMIT <br />$ <br />A <br />LIFE /HEALTH INSURANCE AGENTS <br />Per Claim <br />$1,000,00C <br />ERRORS AND OMISSIONS COVERAGE <br />AE029236 <br />6/1/2015 <br />6/1/2016 <br />Annual Aggregate <br />$1,000,00 <br />This is a non - refundable individual agent's E &O claims made policy. In the case a buslness name appears on this cerlifcata, coverage is extended from the Indivldual insured to the corporation named but only for <br />the covered acts of the individual insured. This policy includes coverage for products and services of all life and health companice Including 24hr care coverage, variable life, variable annuities, and mutual funds <br />sales and servicing, subject to all terms, conditions, and exclusions of the policy. The following deductibles apply to this policy: $1000 for BlueShleld of California product claims, $2,500 for non BI ueShield of <br />Cal [forms product claims. Defense casts are provided within the limits of IIaldIIlty. All premium is earned as of the policy Inception date. This repay cannot be cancelled by the Insured. There Is an automatic extended <br />reporting period only for terminated agents, running from the data of termination to the policy anniversary data. Please contact MGA for details of the E.R.P. or for full policy details visit wwvv.bos- eo.com. <br />CERTIFICATE HOLDER ADDITIONAL INSURED, INSURED LETTER: <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />PROOF OF INSURANCE <br />DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />Authorized Representative: <br />