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PROOF OF INSURANCE (2025 - 2026) CLOSEDCERTIFICATE OF LIABILITY INSURANCE ..03/07/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endo'rsement(s). GROSSLIGHT INSURANCE/PHS PrIONE (866) 467-8730 FAX 72250765 (A/C, No, Ext): (A/C, No): The Hartford Business Service Center 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: INSURER(5) AFFORDING COVERAGE NAIC# INSURED— INSURER A: Sentinel Insurance Company Ltd., 11000 PSYCHOLOGICAL CONSULTING ASSOCIATES INC. INSURER B 10940 WILSHIRE BLVD STE 1600 INSURER C LOS ANGELES CA 90024-3910 c INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN., THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ADIDL SUBR POLICY EFF POLICY EXP POLICY NUMBER LIMITS Y LT.. COMMERCIAL GENERAL LIABILITY N M..;^d'YYY MM1O. EACH OCCURRENCE $2,000,000 OCCUR DAMAGETOR'EN'rED $1,000,000 CLAIMS-MADE .� _ X General Liability MED EXP (Any one person) $1 0,I}tit A X 72 SBA BE0717 04/01/21124 04/01/2025 PERSONAL & ADV INAIRY 12,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY II PRO I X LOC PRODUCTS - COMP/OP AGG $4,000,000 JECT OTHER: COMBINED SIN..GLE. LIMIT $2,000,000 AUTOMOBILE LIABILITY ^ Grdf1:.. ANY AUTO BODILY INJURY (Per person) A ALL OWNED SCHEDULED X 72SBA BE0717 04/01/2024 04/01/2025 BODILY INJURY (Per accident) AUTOS AUTOS HIRED NON -OWNED PRx "d pA'0.4AAt,"E X X AUTOS AUTOS (Peer' accident) UMBRELLA LIAR f;1GCLPR EACH OCCURRENCE EXCESS LIAB CLAIMS- ''..AGGREGATE MADE OED RETENTION $ WORKERS COMPENSATION PER OTH_ AND EMPLOYERS' LIABILITY 'AIUTE ANY YIN E.L. EACH ACCIDENT PROPRIETOR/PARTNER/EXECUTIVE N/A E.L. DISEASE -EA EMPLOYEE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS b I o air A DATA BREACH -DEFENSE & 72 SBA BE0717 04/01/2024 04/01/2025 Limit $100,000 LIAB COVG DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED CITY OF EL SEGUNDO 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3813 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RE�PORESENTATIVE. © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ,ram - CERTIFICATE OF LIABILITY INSURANCE osio�izo25 THIS CERTIFICATE IS ISSUED AS A MAT11 TER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). NUTMEG INSURANCE AGENCY INC/PHS 02025657 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251 PSYCHOLOGICAL CONSULTING ASSOCIATES INC. 10940 WILSHIRE BLVD STE 1600 LOS ANGELES CA 90024-3910 PHONE (A/C, No, Ext): ADDRESS: (AIC, No): INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Hartford Fire and Its P C�Affiliates 00914 INSURER Bt. INSURER C i INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: _ KtVIJIUN IvuMlst:K: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS 'SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AODL SUBR POLICY EFF..... POLI.C'Y EXP LIMITS TYPE OF INSURANCE_LM m. POLICY NUMBER MMdOD IrFOrY YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE �CbCCUR DAMAGE TO -RENTED �a "MtSES nurrencsr MED EXP (Anyone person) GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDF� SCHEDULED AUTOS AUTOS HIRED NON -OWNED AUTOS AUTOS UMBRELLA LIAB �J --`- EXCESS LIAB CLAIMS - MADE RETENTION $ AND EMPLOYERS' LIABILITY ANY A PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under GENERAL AGGREGATE PRODUCTS - COMP/OPAGG BODILY INJURY (Per person) BODILY INJURY (Per accident) (Per EACH OCCURRENCE AGGREGATE X 1SrA U` = I I m '" E,L, EACH ACCIDENT NIA 02WEGAR6RC3 03/11/2025 03/11/2026 E.L. DISEASE -EA EMPLOYEE E.L., DISEASE - POLICY LIMIT $1,000,000 $1,000,000 $1,000, 000 1 DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this CITY OF EL SEGUNDO _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3813 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �'�ceZti, � CG1lJL ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD , ►rxr�° CERTIFICATE OF LIABILITY INSURANCE N f 03 .. /07/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(fes) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)„ NUTMEG INSURANCE AGENCY INC/PHS PHONE FAX F (86'6)46a"-8730 FAX 02025657 (A/C, No, Ext): No): The Hartford Business Service Center 3600 Wiseman Blvd EMAIL, San Antonio, TX 78251 ADDRESS: � " INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford File and Its P&C Affiliates 00914 PSYCHOLOGICAL CONSULTING ASSOCIATES INC. INSURER B ; 10940 WILSHIRE BLVD STE 1600 LOS ANGELES CA 90024-3910 INSURER C : . INSURER D - INSURER E INSURER F CO11 VERAGES CERTIFICATE NUMBER: REVISION NUMBER_ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, MSR TYPE OF INSURANCE NDDL R WVOR POLICY NUMBER P65C lY F I PO __ "�MM ICY EXP LIMITS !Y Y'rYN �. COMMERCIAL GENERAL LIABILITY EACH OCCURRENCDAAGE CLAIMS�MADEOCCUR PREEMIS TO REN"tEU c� ry MED EXP (Any one person) -FL-8 SONAL & ADV IN.IUR,Y GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY JECT LOC PRODUCTS - COMP/OP AGG E PRO- D OTHER: 77a�NEra suNGu.E LIMIT AUTOMOBILE LIABILITY ynr N ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS HIRED NON -OWNED PROPERTY OAMAGL. '..AUTOS AUTOS (.Perac ident) " UMBRELLA LIAB OC•CLNR' EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE MADE ED WOR14,'EASRETENTION $ . ".... -- COMPENSATION I X PER C'6d°I• AND EMPLOYERS' LIABILITY STATUTE " I I........ ANY YIN EL. EACH ACCIDENT $1,000,000 A PROPRIETOR/PARTNER/EXECUTIVE NIA 02WEGAR6RC3 03/11/2024 03/11/2025 E.L.DISEASE-EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under E,L.. DISEASE -POLICY LIMIT $1,000,000 DEvC:RNP1 VON OF OPERATIONS bellow ..... -- DESCRIPTION OF OPERATIONS/LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this Policy. CERTfFICATE HOLDER CANCELLATION CITY OF EL SEGUNDO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 350 MAIN ST BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED EL SEGUNDO CA 90245-3813 IN ACCORDANCE WITH THE POLICY PROVISIONS. '.. AUTHORIZED REPRESENTATIVE �u®�erj o3� Cgv�2�> ©1988-2015 ACORD CORPORATION. All rights reserved.) ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Account Number: CA PSYC 1870 Date: 6/11/24 Initials: KB CERTIFICATE a INSURANCE ALLIED WORLD INSURANCE COMPANY C/O: American Professional Agency, Inc. 95 Broadway, Amityville, NY 11701 800-421-6694 This is to certify that the insurance policies specified below have been issued by the company indicated above to the insured named herein and that, subject to their provisions and conditions, such policies afford the coverages indicated insofar as such coverages apply to the occupation or business of the yarned Insured(s) as stated. THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE(S) AFFORDED BY THE POLICY(IES) LISTED ON THIS CERTIFICATE. Name and Address of Named Insured: PSYCHOLOGICAL CONSULTING ASSOCIATES, INC. 10940 WILSHIRE BLVD SUITE 1600 LOS ANGELES CA 90025 Type of Work Covered: PROFESSIONAL PSYCHOLOGIST Location of Operations: N/A (If different than address listed above) Claim History: xw rn n iva HA-t-a is n4/1 a/2C'n2 Additional Named Insureds: GINA L. GALLIVAN, PH.D Coverages Policy Number Effective Date Expiration Date Limits of Liability PROFESSIONAL/ LIABILITY 5011-2743 4/15/2024 4/15/2025 1,000,000 31000,000 NOTICE OF CANCELLATION WILL ONLY BE GIVEN TO THE FIRST NAMED INSURED, WHO SHALL ACT ON BEHALF OF ALL INSUREDS WITH RESPECT TO GIVING OR RECEIVING NOTICE OF CANCELLATION. Comments: Defense Reimbursement Proceedings Limit is $75,000. 3/25 ADDL.INS.BELOW: CITY OF LONG BEACH CITY OF SANTA MONICA CITY OF GARDEN GROVE POLICE DEPARTMENT POLICE DEPT. POLICE DEPT 400 W BROADWAY 333 OLYMPIC DR. P.O. BOX 307 LONGBEACH CA 90802 SANTA MONICA CA 90401 GARR, ROVE A 9284 This Certificate Issued to: Name: PSYCHOLOGICAL CONSULTING ASSOCIATES, INC. Address: 10940 WILSHIRE BLVD SUITE 1600 Authorized Representative LOS ANGELES CA 90025 APA 00138 00 (06/2014) PAGE 1 POLICY NO.: 501-000012743 ISSUED TO: PSYCHOLOGICAL CONSULTING ASSOCIATES, INC. BY: ALLIED WORLD INSURANCE COMPANY ITEM 2: ADDITIONAL INSUREDS 01. CITY OF LONG BEACH POLICE DEPARTMENT 400 W BROADWAY LONGBEACH, CA 90802 02. CITY OF SANTA MONICA POLICE DEPT. 333 OLYMPIC DR. SANTA MONICA, CA 90401 03. CITY OF GARDEN GROVE POLICE DEPT P.O. BOX 3070 GARDEN GROVE, CA 92842 04. CITY OF BURBANK ATTN:PURCHASING DIVISION 275 E OLIVE AVE BURBANK, CA 91502 05. CITY OF ANAHEIM 425 S HARBOR BLVD ANAHEIM, CA 92805 06. CITY OF OXNARD FIRE DEPT RISK MGMNT-REF #705715FI 300 W THIRD ST, STE 302 OXNARD, CA 93030 07. SEE ATTACHED LONG BEACH, CA 90801 08. CITY OF CULVER CITY POLICE DEPT. 4040 DUQUESNE AVE CULVER CITY, CA 90232 09. CITY OF HUNTINGTON BEACH POLICE DEPT/FIRE DEPT 200 MAIN ST., PO BOX 70 HUNTINGTON BCH, CA 92648 10. COUNTY OF LOS ANGELES CA SHERIFF'S DEPT. 211 W. TEMPLE ST LOS ANGELES, CA 90012 *** CONTINUED ON NEXT PAGE *** AUTHORIZED ATIVE PAGE 2 POLICY NO.: 501-000012743 ISSUED TO: PSYCHOLOGICAL CONSULTING ASSOCIATES, INC. BY: ALLIED WORLD INSURANCE COMPANY ITEM 2: ADDITIONAL INSUREDS 11. CITY OF BEVERLY HILLS HUMAN RESOURCE ANALYST DEPT. 455 N. REXFORD DR. BEVERLY HILLS, CA 90210 12. BEVERLY HILLS POLICE DEPT. 464 N. REXFORD DR. BEVERLY HILLS, CA 90210 13. CITY OF EL SEGUNDO 350 MAIN ST. EL SEGUNDO, CA 90245 14. COUNTY OF ORANGE SHERIFF CORONER DEPT PURCH UNIT 320 N FLOWER ST SANTA ANA, CA 92703 15. CITY OF PASADENA 100 N GARFIELD AVE PASADENA, CA 91101 16. CITY OF RIVERSIDE RISK MNAGEMENT 3900 MAIN ST RIVERSIDE, CA 92522 17. STATE OF CALIFORNIA CDCR OFFICE OF BUSINESS 9838 OLD PLACERVILLE B-2 SACRAMENTO, CA 95827 18. THE CITY OF HUNTINGTON BEACH 2000 MAIN STREET HUNTINGTON BEACH, CA 92648 19. MONTEBELLO UNIFIED SCHOOL DISTRICT 123 SOUTH MONTEBELLO MONTEBELLO, CA 90640 20. CITY OF MANHATTAN BEACH 420 15TH STREET MANHATTAN BEACH, CA 90266 *** CONTINUED ON NEXT PAGE *** PAGE 3 POLICY NO.: 501-000012743 ISSUED TO: PSYCHOLOGICAL CONSULTING ASSOCIATES, INC. BY: ALLIED WORLD INSURANCE COMPANY ITEM 2: ADDITIONAL INSUREDS 21. CITY OF TORRANCE 3300 CIVIC CENTER DRIVE TORRANCE, CA 90503 22. COUNTY OF LOS ANGELES DEPT OF CHILDREN & FAMILY SERVICES LOS ANGELES, CA 90020 23. CITY OF ONTARIO 303 E B ST ONTARIO, CA 91764 24. CITY OF LONG BEACH FIRE DEPARTMENT 3205 LAKEWOOD BLVD LONG BEACH, CA 90808 25. CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PLAZA SANTA ANA, CA 92702 AUTHORIZED REIN ATIVE