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CPH <br />H PHILADELPHI <br />INSURANCE COMPANIESS <br />& ASSOCIATES <br />Certificate of Liability Insurance <br />Date Issued: 07/22/2020 <br />Underwritten by: Philadelphia Indemnity Insurance Company • One Bala Plaza, Suite 100 • Bala Cynwyd, PA 19004 • NAIC #: 18058 <br />Administered by: CPH & Associates 711 S. Dearborn St Ste 205 Chicago, IL 60605 P 800 875 1911 F 312 987 0902 info@cphins.com <br />DISCLAIMER: This certificate is issued as a matter of information only and confers no rights upon the certificate holder. The Certificate of Insurance does not <br />constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, <br />extend, or alter the coverage afforded by the policies listed thereon <br />Insured: Nancy K. BON Inc. dba The Counseling <br />Team International <br />Nancy BOW <br />1881 Business Center Drive #11 <br />San Bernardino, CA 92408 <br />Policy Number: 025826 <br />Policy Term: 08/31 /2019 to 08/31 /2021 <br />Covered Locations <br />Professional Liability: Portable coverage, not location specific <br />Coverage Type Per Incident Aggregate <br />(Occurrence Form) (Per individual claim) (Total amount per year) <br />Professional Liability $ 1,000,000 $ 5,000,000 <br />Supplemental Liability $ 1,000,000 $ 5,000,000 <br />Licensing Board Defense $ 35,000 $ 35,000 <br />Commercial General <br />N/A <br />N/A <br />Liability <br />N/A <br />NIA <br />o Fire/Water Legal Liability <br />Business Personal Property <br />N/A <br />N/A <br />Vicarious Sexual <br />$ 1,000,000 <br />$ 1,000,000 <br />Misconduct <br />Cyber Liability <br />(Claims Made Form) <br />$ 25,000 <br />$ 25,000 <br />Retroactive Date: <br />08/31 /2018 <br />Comments/Special Descriptions: <br />Certificate Holder <br />City Of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th Floor <br />Santa Ana, CA 92702 <br />® Certificate Holder has been added as an additional insured <br />If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in <br />lieu of such endorsement(s) Notice of Cancellation will only be provided to the first named insured in accordance with policy provisions, who shall act on behalf of all <br />additional insureds with respect to giving notice of cancellation <br />(' P)A� Alft'- <br />Authorized Representative <br />r' Dhinn I-I-4— <br />Q N_oaa RAManagmentDMsian <br />REVIEWED & APPROVED BY.- <br />4F R. VSA44a <br />® Risk Management Analyst <br />