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CERTIFICATE OQNSURANCE'y <br />NOTICE: This insurance provides professional liability (E &O) insurance coverage and is written on a "claims -made and reported" basis and <br />applies only to "written claims" first made against an insured and reported to the Insurer during the Named Insured's Certificate Period. <br />Please note that this certificate of insurance is a summary of coverage and the certificate does not amend, extend, or alter the coverage <br />afforded by the insurance policy, and coverage Is subject to all of the terms, conditions and exclusions of the policy. In the instance of any <br />conflict, the insurance language contained in the policy will prevail and control. Please review the policy carefully. <br />NAMED INSURED: PRODUCER: <br />COOK, RICHARD LOUIS MARINACCIO CA LICENSE #: OG33277 <br />814 HIBISCUS WAY GALLAGHER MCA <br />8430 ENTERPRISE CIRCLE, STE 200 <br />PLACENTIA, CA 92870 LAKEWOOD RANCH, FL 34202 <br />COMPANY AFFORDING COVERAGE: BCS INSURANCE CO. <br />COVERAGE: THIS IS TO CERTIFY THAT THE INSURED LISTED ABOVE IS COVERED UNDER THE POLICY OF INSURANCE LISTED <br />BELOW, FOR THE CERTIFICATE PERIOD INDICATED. THE INSURANCE AFFORDED BY THE POLICY DESCRIBED HEREIN IS <br />SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY, <br />Policy Number <br />Certificate Period <br />Limits of Liability: Each Claim <br />Limits of Liability: Aggregate <br />AE029236 <br />611/2046 <br />611/2017 <br />$1,000,000 <br />$1,000,000 <br />COVERAGE <br />RETEhiTION 1#MQUNT: Each Claim <br />BlueShield of California product claims <br />$1,000 <br />Non BlueShield of California product claims <br />$2,500 <br />NQTICE QF CLAIMS: <br />MGA Benefit Services <br />8430 Enterprise Circle, Suite 200 <br />Lakewood Ranch, FL 34202 <br />1- 866 -389 -0022 <br />SPECIAL PROV. IM'itONS: '.. <br />Named Insured's Endorsements attached at Certificate Inception: <br />DATE: 611312016 <br />BY <br />Authorized Representative <br />This is a non- refundable Individual agent's E &O claims made policy. In the case a business name appears on this certificate, coverage is extended from the Individual Insured <br />to the corporation named but only for the covered acts of the individual insured. This policy includes coverage for products and services of all life and health companies <br />including 24hr care coverage, variable life, variable annuities, and mutual funds sales and servicing, subject to all torms, conditions, and exclusions of the policy. The following <br />deductibles apply to this policy: $1000 for BlueShield of California product claims, $2,600 for non BlueShield of California product claims. Defense costs are provided within the <br />limits of liability. All premium is earned as of the policy inception date. This policy cannot be cancelled by the insured. There is an automatic extended reporting period only for <br />terminated agents, running from the date of termination to the policy anniversary date. Please contact MGA for details of the E.R.P. or for full policy details visit www.bcs- <br />eo.com. <br />