HomeMy WebLinkAbout14060073 Certificate of Insurance = .; . C'e�tif cate of Ins�r�cnce
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` ABMP In-Dues Liability Program
ABMP MAILING ADDRESS: MASTER POLICY HOLD�R
Associated 8odywo�c&Massage Professionals All12d PLOfC5510i18�S IIlS478I]CE��i
25]88 Grnesee Tmil Road
Suite 200 AGENT/BROKER
GolAen.LO 8D401
Allied Professionals Insurance Services
�ssuen ex:
POWCY#: pPl-ABMP-13 Alljed Pr�fessionals Insurance Company,A
Risk Retention Group,Inc.
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LIAtlILilYL'1�'jj1J �ei�memAer) Aivivur�� nvGnEGr�TE ..............._....._......._...._._.__ .�b,vu��,wv
PER OCCURRENCE LIMIT.............__......__................ S2,OW,WO
COMMERCIAL CENERAL LIABILITY
PRODUCTS-COMP/OP......................_..._..................... Induded
PROFESSIONAL LIABIL]TY ..........._._................__._. Included
GLNL•RAI,. I,lA6ILITY ......................._......:._...._...._ Jncludr.d
F1RE LIABILITY L1M1T ............................................. �100.000
To verify information, contact ABMP. Tel: 303-674-8478 Fax: 3U3-674-0859
This Policy is issocd by your risk retention�group. Your risk retention gruop may no(be subject to all of the insurance laws and
regulations of your State. State�insurance insolvency guaranty funds are not available for your risk reteniion group. Coverage is
afforded lo person(s)named herein.as Named Insureds accordine�to the[erms and eonditionsof the Policv�o�vhich this Cenificate
I refers. No other rights or conditions,except as speci5cally stated herein,are granted or inferred. I
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COVERAGES
THISISWCER1lFYTHATTHEPOLICYOFINSURqNClLISTEOABOVEHASBEENISSUEDTO ADD�TIONAL�NSURED: �
THE MSUR[D NAMED PELOW.THE INSURED ACTIV E�A'fG LISTED BELOW APPLfES ONLY TO �ndlA ntCfJ�ltOrv[IP(PJ
ELEMENTS aF COVERn4E C'OMINUOUSI.Y�M PLqCE SRtCE THE MCEPTION OF THF NnMED
MSl1A£D'SPOLICY. CNANGFSTOCOVEHAGEAREEFFECfIVERFI'ROACTiVELYONLYTOTHE
DATE THE CNANfE N'A$MADE.REPORT 11 W ftiTING WITMY 4N HOIIRR dNV N n�I.CI MM[,
OR MCI�ENTS THAT Y W BELIEVE MAY RESUI.T M A CLAIM,EVEN 1F GROUNDLESS.
TAnCenifioiyela�qwilh�pePOliqiew�i<hhrefip.pralMo�Wmaeofaoverager�leodedmtbv COI�[)OrBfCSOU� SQp2Z,2�]�3
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State of Indiana Sep 22,2013
— ` 4Q2 W Washing!onSt
CERTIFICATE HOLDER - � � Indianapolis,W 46204-2243
(AClive Regiscered Mem6en�pre on jrle with Ihe ABMP Membership Director.)
Mcmbcr/Named Insured: Scott Hansen
�Mcmbership I.D.#: 284471
Member/Policy Term Active: Sep-222013
MembedPolicy Term Expires: Sep-21-2014
TolalMr.mberC:nsC $ 199 (ABMPMembersM1iy,incluJing
IhlaMCeLmb�l�ryloveagq �
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Authorized Representative
CANCELLATION:The Compeny shall provide the Namcd lnmmd 90 days no�ice of ils intem Corerage is es�ended mb/ea m 4/I term�and rondiHO�s of rhe Polity.
to cencel this poliry fm any mason o�M1cr�han faihvc m pay amounls wheo duc. Should�hc
Namcd I�wvrd fail to pny amounts whrn due,�he Poliry shall be immedietely and euromancally
ce�elled withou�funher noticc.