HomeMy WebLinkAbout07040081 Certificate of Insurance
APR-06-2007 FRI 10:06 AM
FAX NO.
p, 02/02
ALLIED PROFESSIONALS INS
A Risk Retention Gro
RANCE COMPANY,
p, In c.
~
AMERICAN
MASSAGE
COUNCIL
DeeIarations to Claims-Made Professi nal Liability Policy
Carol Sue Ricbhart, L .T.
APIM-621l13
American Massage C uncil
APIC.AMC.lOOI
CA
Claims.Made
Massage
As stated in Section V ofEndorsemcnt to Policy
None
Unltccl States - TIle N
by eadl_ in which the
Individual Deductible per claim: None
. Endorsement(s): Massage(APIC-AM 1001)
Umits of Liability: $1,000,000.00 Each C aim 1 $3,000,000.00 Aggregate
. Total AnnUllI Cost Basis: $ 99.00 (I'!emiton-$33,15 Polley Fee.SS.8S: Membelsl1ipF...$60.00j
Premium Based On: Annual Reporting Per
Paymenl Term 1 Plan Type: Annually / A-I
Lapse Dates: None
. Retroactive Date; 9/1 8/06
Policy Period: From: 9/18106 To: 9/ 8107
(All dates OR at 12:01 a.m. at address of NlUIIed llI91100 as s1Bted
polley period ending on Expiration Date.)
Ceneral: This De4:laratlons Page identifies tho pcrmn(s) named herein as a insured under the 1Ionn. and condilions of a policy
Issued to the members of the .American Massage COWlcil. The terms and condO . of the polley apply to a/l members who hold a
CCltiflcalll of insUlllRCC. The terms and conditions oflhi. certificate apply only 10 person(s) named herein and the insurer.
COYl!l1lgll: Coverage Is aftbnlecI to perstIIl(.) named herein as Named 1nsweds ing ltlthe _ and eonditions of the policy to
which this eertificalll refln. No other rillhts or conditions, except as specifically ben:in are granted or inferred. When your Claims
Reporting Basis is "Claims Made" the Polley affonIs defense and damage co only for claims made apInslthe Named Insured. 1)
arising fiom the perfurmance of Professional sorviees rendered during the su ltlthe Retroactive OllIe and 2) made sll/linst the
Named Insured and reported to the Company during the Policy Period. Please . ew the policy C81Clidly and discuss any questiOns
regarding eovemge with the illS1ll'lllt<e broker 81 (800) 500-3930.
Estended Coverage: If your Claims ReportIng Basis is "Claims Made" and the
may apply for Extended COvmrge &0 that you can ~bmjl claims after your pol'
policy period. An application for E:lIcnded Coverage must be received within 3
modified by any applicable Stare Mandatory Endorsement attached hereto.
Notice: Report in writing within 48 hours any &: all claims against you and any
ll@llinsIyoll, even if &fDUndless. to American M~ Council, 1851 E. First
Notice: This policy is issued by your risk reu:ntion group. Your risk rdCnliofl
regulations of your Slate. Sta1Io insurance insolvem:y gullJ'aI1ly funds are not availabl
Named Insured Member:
Member Policy No.:
Master Policy Held By:
Master Policy No.:
Policy Issued In:
Claims Reporting Basis:
Professional Services:
Exclusions:
Limilalions:
Territory:
I_red mllS! !flIlintain profession'" licensing ns noquirad
Insured pmcticcs fer """"rage 10 apply in lhaI_,
TIIis Declal1ltiollS page covers one year
icy is 1Ionnitu1Ied either by you Dr the Company you
period ends for incidents that occurred during your
days of termination of your policy, unless otherwise
all incidents tl1at you believe may result in a claim
Suile , 160, Santa Ana. CA 92705.
may not be subject to all of the insurance laws and
for your risk ,.otiu.l group.
Coun1lorsigned by.
--
'on
A1'ICoAWC~1lO1