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2019/04/18 Clifford, Susan Saxe DR a Professional Corporation Certificate of Liability Insurancer-� City of Menlfee AEI jD0 �ln�nre CERTIFICATE OF LIABILITY INSURANCE OAR jYmolYYYYI THIS GERTII=ICATE RS ISSUED AS A MATTER OF wol;tVIIA710N ONLY AND CONFERS NO RIGHTS~ UPON T E dAr ?HOLD R0911&20'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), AIiT}IORMED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER_ IMPORTANT: Ii the certlflcaty hafdar la an AbpITIONAL ENSiIRi=D, tf>� pollcyllasj rnu>&t E►gvc A>7p1T♦aNA1 INStTRED prnv sluil's os' by andoraod, If SUBROGATION !S WANED, Subject to the terms and coed&tons Cal the policy, cvrtBln poUckas may require an endarSomerK. A atatBmarrc on tilb eertiltrAty Qvea nat confer rt T1l>! !a Ilia re►tiTjcvte haldor En lfeu of Such endorsemanl g]. oRo�cER StateFartn ERdL NnssAra fiAlkil<: EROL HA'aSAN PHONR 310 545-6570 s fTut 5 8821 3540 NIEiH1. AND AVE 10 54_ 1N1AIVHATT.zW BEACH, CA 90266 ADD— _ - INLiIRERI�AFFt7RD/Ita CaSfERACE I'fAIC II _ vf- ERA: SWe Faf'm Caommi ln5uranca Carrlp>sfrrY 25951 CLIFFORD, SUS�k;V SAXE DR A PROFESSIONAL _ .ER III. State Farm Fire ertd Casuafty C&Varty 25143 CORPORATION wsulkBre C : - 16530 VENTURA13LVD S1E 603 +ksvl�fao_: — rusuR>tIq E : - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INDICATED- THE POLICIES OF CATED- IS TO CERTIFY THAT INSURANCE LISTED BELOW HRVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDINOTINITHSTANDING ANY PEOUIRF.MENT, TERM OR CON(ImON Or ANY CONTRACT- OR OTHER DOCUMENT OATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN- THE INSURANCE ArfORDED by THE POLICIES )ESCRIOFD MCRFJN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHO►kN MAY HAVE BEEN REDUCED BY PAID ClAIAf5, � $<I�TM OF rNSUANCQ "noLj w - -COWCfL;AtPCMLSI•LIAGENERAL LlA87rY Y MMM F4CFOCCLREaGE':Cih1.00I1,000 -- 300.000 A uED Exp (Tiny a� 5.000 N N 92-92-2579 2 R9J9&rZQ10 Ua1?&2U20 Pfr+tirxgA[]V1NAp4Y f rL AUQY 1c,A•E Umrr APpL)gy PER �c W RAL AWR,RFQA It f 2,000.000 POl.I.pY l _ r ° 'OC I - -- - PftISE]ix.1s-CQMi4(7f'A[ = 2,000,Wo OT e _ AVMNOW-E LLABUJW i ANY AUTO OVINED ® ONLY F$CHMVLIED INM AQfTOS ONLY I NLY umaRELLA _a 1 of:OurF Ef(cusLIAR r C1AIV y AND "APLOYMS, UABIM AtIY PRCPRIbip*'VAPJ wRcxccvr1YE Y r tr C ICE-Rai*u irs Excwnto- Y WA N 192-C,7-u308-5 (t40dj WV to FIH) ' Ir Vk>t, dv%wDd u dee f G LI e> , UNIT I f IS:95v� BO(KLY *"WAY 4� pe 1 s WUOLY INJURY (Per aecidnkY] F Fs ERtY-E401Gk- ' S s �►�.H9CCL�etENGk _�; 07t01f20I9 07f011/2020 r.l EACHriCG1RL•NIs 1.000,000 C _k. C S"SC . EA E WkOYM f 1 t }D.ON I rx- r4SFl+SE IOLJC.yIJWrr E S 1,000.000 DESCrUPTION OF OPERATMINS I LDCATION31 VErkI"S (ACOM 16t AddtdwmjpAn ** SrAwdutk F I PSYCOLOGICAL SERVICES "� a' 19k sip Is rogoNrdl CITY OF MENIFEe 29844 HAUN RD MENIFEE. CA 92596 ACORD 25 (2016103) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. rmE t988•Z CORD CORPORATION. All rights r—"erv®CI. The ACORD name and logo are registered marks M ACORD 10014W 1328007 03-162ff16 VD Policy No. 92 922579 2 1308—FA75 CMP-4786.1 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 92 922579 2 Named Insured: CLIFFORD, SUSAN SAXE DR A PROFESSIONAL CORPORATION 16530 VENTURA BLVD STE 603 ENCINO CA 91436-5017 Name And Address Of Additional Insured Person Or Organization: CITY OF MENIFEE 29844 HAUN ROAD MENIFEE CA 92586 1. SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in- clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily injury", "property damage", or "personal and advertis- ing injury" caused, in whole or in part, by: a. Ongoing Operations (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing opera- tions for that additional insured; or b. Products — Completed Operations "Your work" performed for that additional insured and included in the "products - completed operations hazard". However, Paragraph 1. above is subject to the following: a. The insurance afforded to the additional insured only applies to the extent permit- ted by law; b. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance provided to the additional insured will not be broader than that which you are required by the contract or agreement to provide for such addition- al insured; and c. If the contract or agreement between you and the additional insured is governed by California Civil Code Section 2782 or 2782.05, the insurance provided to the additional insured is the lesser of that which: (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by Cali- fornia Civil Code Section 2782 or 2782.05 for your sole liability; or (2) You are required by contract or agreement to provide for such addi- tional insured. We have no duty to defend or indemnify the additional insured under this endorsement un- til a claim or "suit' is tendered to us. ©, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office. Inc., with its permission. CONTINUED CMP-4786.1 Page 2 of 2 2. Any insurance provided to the additional in- (3) The nature and location of any injury sured shall only apply with respect to a claim or damage arising out of the "occur - made or a "suit" brought for damages for rence" or offense; which you are provided coverage. b. Tender the defense and indemnity of any 3. With respect to the insurance afforded to the claim or "suit' to us and to all other insur- additional insured, the following is added to ers who may have insurance potentially SECTION II — LIMITS OF INSURANCE: available to the additional insured; and If coverage provided to the additional insured c. Agree to make available any other insur- is required by contract or agreement, the most ance the additional insured has for de - we will pay on behalf of the additional insured fense or damages for which we would will be the lesser of the amount of insurance: provide coverage under SECTION II — a. Required by the contract or agreement; or LIABILITY. b. Available under the applicable Limits Of 5. With respect to the insurance afforded the ad - Insurance shown in the Declarations. ditional insured, the following replaces SEC- This endorsement shall not increase the ap- TION II —LIABILITY of Paragraph 7. Other Insurance of SECTION I AND SECTION Il — plicable Limits Of Insurance shown in the COMMON POLICY CONDITIONS: Declarations. a. This insurance is primary to and will not 4. With respect to the insurance afforded to the seek contribution from any other insurance additional insured, the following is added to available to the additional insured, provided Paragraph 3. Duties In The Event Of Occur- that the additional insured is a named in- rence, Offense, Claim Or Suit of SECTION sured under such other insurance. li — GENERAL CONDITIONS: b. Regardless of any agreement between The additional insured must: you and the additional insured, this insur- a. See to it that we are notified as soon as ance is excess over any other insurance whether primary, excess, contingent or on practicable of an `occurrence" or an of- any other basis for which the additional in- fense which may result in a claim. To the sured has been added as an additional in - extent possible, notice should include: sured on other policies. (1) How, when and where the "occur- rence" or offense took place; There will be no refund of premium in the event this endorsement is cancelled. (2) The names and addresses of any in- jured persons and witnesses; and All other policy provisions apply. CMP-4786.1 1007033 148011 08-21-2014 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Account Number: CA SUSA 1650 Date: 7/16/19 Initials: RAQUEL CERTIFICATE OF 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 Named 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: SUSAN SAXE-CLIFFORD, PH.D. A PROFESSIONAL CORP. 16530 VENTURA BLVD STE 603 ENCINO CA 91436 Type of Work Covered: PROFESSIONAL PSYCHOLOGIST Location of Operations: N/A (If different than address listed above) Claim History: Ratrnar-ritrr� riatc i c n-� Ini /onnn Additional Named Insureds: SUSAN SAXE-CLIFFORD, PHD CATHY GOODMAN, PHD WILLIAM SMITH, PSY.D. MEREDITH RIMMER, PH.D. Coverages Policy Number Effective Date Expiration Date Limits of Liability PROFESSIONAL/ LIABILITY 5011-0137 3/01/19 3/01/20 2,000,000 4,000,000 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 CITY OF BEVERLY HILLS CITY OF INGLEWOOD HUMAN SERVICES ONE MANCHESTER BLVD. 455 N . REXFORD DR. ## 210 BEVERLY HILLS CA 90210 INGLEWOOD CA 90303 This Certificate Issued to: Name: SUSAN SAXE-CLIFFORD, PH.D. A PROFESSIONAL CORP. Address: 16530 VENTURA BLVD STE 603 ENCINO CA 91436 APA 00138 00 (06/2014) $150,000. 3/13 ADDL. LOS ANGELES COUNTY METROPOLITAN TRANS. 1 GATEWAY PLAZA FL. LOS bXG.ELES CA 90012 INS.BELOW AUTH 9 Aut�lorized Representative