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A`c ® 01/26/ <br />1 /26/ M/DDIYYYY) <br />o1/2s/ <br />v CERTIFICATE OF LIABILITY INSURANCE 2o2s <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN <br />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 <br />endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an <br />endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />POLICY EFF <br />NAME: Trust Risk Management Services Inc <br />Trust Risk Management Services Inc. <br />9 <br />PHONE FAX <br />AIC No Ext): 877.637.9700 AIC, No): 877.261.6111 <br />1791 Paysphere Circle <br />EMAIL <br />Chicago, IL 60674 <br />ADDRESS: Info0trustrms.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: ACE American Insurance Company 22667 <br />LIMITS <br />INSURED <br />LEPS-PSS, PLLC <br />20818 44Th Ave W Ste 150 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />Lynnwood, WA 98036 7734 <br />INSURER E: <br />INSURER F: <br />EACH OCCURRENCE $ <br />COVERAGES CERTIFICATE NUMBER: RFVISInN NIIMRFR- <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br />PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT <br />TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />ADDL <br />SUB <br />POLICY EFF <br />POLICY EXP <br />LTR <br />TYPE OF INSURANCE <br />INSR <br />WVD <br />POLICY NUMBER <br />(MMIDDIYYYY) <br />(MMIDDNYYY) <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ <br />CLAIMS MADE OCCUR <br />DAMAGE TO RENTED $ <br />PREMISES Ea occurrence) <br />MED EXP (Any one person) $ <br />PERSONAL & ADV INJURY $ <br />L AGGREGATE LIMIT APPLIES PER: <br />POLICY [:] PRO- <br />JECT LOC <br />N'OTHER: <br />GENERAL AGGREGATE $ <br />PRODUCTS—COMP/OP AGG $ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per Person) $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOOrAUTOS <br />$ <br />BODILY INJURY Peraccident <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE $ <br />Per accident <br />UMBRELLA LIABOCCUR <br />HCLAIMS-MADE <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />AGGREGATE $ <br />DED I I RETENTION $ <br />WORKERS COMPENSATIONPER <br />AND EMPLOYERS LIABILITY Y / N <br />OTH $ <br />STATUTE I ER <br />E.L.EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTNE <br />N / A <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />11 <br />E.L. DISEASE -EA EMPLOYE $ <br />E.L. DISEASE -POLICY LIMIT$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />Psychologist's Professional <br />Liability <br />88G28740360 <br />11/20/2022 <br />11/20/2023 <br />Each Incident <br />Annual <br />$1,000,000 <br />$3,000,000 <br />Aggregate <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required): <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED <br />�REPRESENTATIVE <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />