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r <br /> 4.---- <br /> ® <br /> A <br /> CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDM'YY)08/09/2017 <br /> THIS CERTIRCATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIRCATE HOLDER,THIS CERTIFICATE DOES NOT <br /> AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT <br /> CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> • IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.N SUBROGATION IS WANED, <br /> subject to the terms and conditlors of the policy,certain polldes may require an endorsement A statement on this certificate does not confer rights to the certificate <br /> holder In lieu of such endorsements. <br /> PRODUCER <br /> CONTACT <br /> NASW RRG Plan Administrator NAME <br /> FAX <br /> 1200 East Glen Avenue PHONE <br /> wc,Peoria Heights,IL 61616-5348 N°' '(A/C No} <br /> E-MAIL <br /> ADDRESS: <br /> INSURED INSURERS)AFFORDING COVERAGE NAIC# <br /> Wendy Warman Consultation&Counseling LLC INSURER A: NASW Risk Retention Group <br /> 14366 <br /> 20006 Cedar Valley Rd INSURER B: <br /> Ste 202 INSURER <br /> C <br /> Lynnwood, WA 98036 I m <br /> INSURER E <br /> INSURER F: <br /> CUSTOMER ID:1 HGLDXAA67H CERTIFICATE NUMBER:P-GRO1 KZAAKD4VAG-01 <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. REVISION NUMBER:001 <br /> NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMrES <br /> SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR <br /> POLICY NUMBER GPOLICYIMIDW POLICY RP <br /> O+wootntre eampononm LIMITS <br /> INSR YVVD <br /> COMMERCIAL GENERAL UAEALRY <br /> r--r <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S <br /> DAMAGE TO RENTED $ <br /> ...—.CLAIMS-MADE ❑OCCUR PREMISES(Ea Occurrence) <br /> EPLI-CLAIMS MADE MED EXP(Any one person) $ <br /> PERSONAL 8 ADV INIURY $ <br /> EPLI-OCCUR GENERAL AGGREGATE $ <br /> GENS AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $$ <br /> R [3LOCPOLICY ❑PROTECT § <br /> OTHER <br /> AUTOMOBILE LIABILITY <br /> ANY AUTO COMBINED SINGLE LIMIT $ <br /> OWNED SCHEDULED <br /> AUTOS ONLY AUTOS <br /> (Ea accident) <br /> BODILY INJURY(Per person) <br /> $ <br /> HIRED AUTOS NON-OWNED BODILY INJURY(Per accident) $ <br /> $ <br /> --ONLY �-AUTOS ONLY <br /> PROPERTY DAMAGE $ <br /> uMggELu (Per accident) <br /> DAB OCCUR <br /> ��yyrrEACH OCCURRENCE $ <br /> S <br /> -__/ pp��--��S� CLAIMS-MADE AGGREGATE <br /> DED RETENTION S $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS LABILITY YM —'PER STATUTE 'OTHER <br /> ANY PROPRIETOR/PARTNER E] N/A EL EACH ACCIDENT $ <br /> EXECUTIVE OFFICER MEMBER <br /> EXCLUDED? EL DISEASE-EACH EMPLOYEE <br /> (Mandatory In NHl�SCIf yes,describe under $ <br /> dption of Operations below E.L.DISEASE-POLICY LIMIT $ <br /> Professional Liability Insurance <br /> Retroactive Date:09-04-2012 Per Claim Limit $2,000,000.00 <br /> A N N P-GRO1 KZAAKD4VAG-01 09/04/2017 09/04/2018 Aggregate Limit E4,000,000.00 <br /> State Licensing Board Limits $100,000.00 <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> CERTIFICATE HOLDER <br /> CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE <br /> CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE <br /> WILL BE DELIVERED ON ACCORDANCE WITH POUCY/' PROVISIONS, <br /> AUTHORIZED / P l/ <br /> REPRESENTATIVE 6 \ <br /> bijO <br /> © 1988-2015 ACORD CORPORATION.All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />