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Certificate of Liability Insurance <br />Date Issued: 05/18/2023 <br /> <br /> <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 /> <br />Covered Locations <br />Professional Liability: Portable coverage, not location specific <br />Comments/Special Descriptions: <br /> <br /> <br />Certificate Holder <br /> <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 />Underwritten by: Philadelphia Indemnity Insurance Company · One Bala Plaza, Suite 100 · Bala Cynwyd, PA 19004 · NAIC #: 18058 <br />Administered by: CPH Insurance · 711 S. Dearborn St. Ste 205 · Chicago, IL 60605 · P 800.875.1911 · F 312.987.0902 · info@cphins.com <br />Insured: Greenhouse Psychological, PLLC, Rockwell, <br />Inc.Policy Number: E140727 <br /> Lauren Rockwell Policy Term: 06/04/2023 to 06/04/2024 <br /> 2304 Hales Road <br /> Raleigh, NC 27608 <br /> Coverage Type <br />(Occurrence Form) <br />Per Incident <br />(Per individual claim) <br />Aggregate <br />(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 /> <br />Commercial General <br />Liability <br />▫ Fire/Water Legal Liability <br />N/A <br />N/A <br />N/A <br />N/A <br /> Business Personal Property N/A N/A <br />Orange County Government <br />PO Box 8181 <br />Hillsborough, NC 27278 <br />Certificate Holder has been added as an additional insured <br /> <br />Authorized Representative <br />C. Philip Hodson <br />DocuSign Envelope ID: DDDA6FCC-02A7-4C90-AA5C-8645872AB7D3