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HomeMy WebLinkAbout07050158 Certificate of Insurance 5' S' ::r '" ~ "" '" 0 0 '" ,.. 9"' o ::: o..r> " '" ~ R , '" N' '" ~ ffi.. 0 ~ c. ::0 :T 0..::: ~ '" ~. == A ~ ~ '< 'r' '" "6 3 S 5' 0 0 ,~ ~'" 0 2': ~ ~ ~ .;:J :T- '" :T 0 '" :>- '" .-: ~ 0 3"g ....' 0 ::::: ~ c. n' '" 0 5' '" ~. rt ~ ~ r> '" S' ::r ~ '" == 0 " 15' V> '" :::~ ~ or " ~ " '" - ffi '" '" ~ 8- '" " x '" " '" "" " = 0 0.. '" 0.. ~ or :T -l" = ~ ~ '" ::r~ ~ ~ '" 0.. ~ :T ~ '" ... >-l tv " " '" ~ "0 '" ::r ~ g " '< @' 0 0.. ....' :>-Z Ul 0 tQ " -; " '" _. <: ~ 0.. il !IJ- It> 0\ :;. r> '" := >-t S)' 0.. @l '" =. 0' t:;.; Ul ..... tv '" o ~ ~ It> " ~ '=0: a '" Ul 0 " -; 0 _ r> s:- O ~ ~ 0 ~ 0.."" '""'" .-: t. :;. _. " III '-l '" _. :3 ~ v;' :::::r ::r. ..... . :>- '" 0 1::: < ~ " . 12 '" '" ~ ~ o. ~ 0"", ~ '< " = o' ~. q<:j "" ~ ~ .' c' " ~ = " 0 " ? rtfi)' ~ . x 0..'" ~ '" '" ::;. ::r g' ~ -. ~ 0 '" a $ C> ~ ~ 3 ...., g p-. ro ~ ~ ""3 0 r> 0" f'""I' 0 ~'" ...., " '" ~ 0 o ~ ~ -, == 3 :;. '" :>- ~ 3 r> 0-0". '" <: Ul '" :T'" ~.~ - '^ ;"C AMERICAN MASSAGE THERAPY ASSOCIATION@ . . Insurance Memorandulll Occurrence Coverage AIJi\IINISTERED BY Marsh Aninity Group Services a service of Seabury & Smith 1440 Renaissance Drive Park Ridge. Illinois 6006X-1400 ICERTIFICATE NUMBER: AI-IC 200653X I COMPANY AFFORDING COVERAGE Chicago Insurance Company 55 E. Monroe SI. Chicago. Illinois 60603 (SEND INQUIRIES TO: Marsh Aninity Group Services) INSURED The American Massage Therapy Association and Individual Professional (Active Status). Associate. or Student Members of the association who reside in the United States of America. its territories or possessions or Canada. 500 Davis Street. Suite 900 Evanston. Illinois 60201-4695 COVERAGE EFFECTIVE: FROM: 0710 I 12005 TO: 06/30/2006 COVERAGES: Professional Liability Including Personal Injury General Liability Including: Contractual Liability Advertising Liability Host Liquor Liability Fire Legal Liability Product Liability LIMIT OF LIABILITY S2.000.000 eacb incident $6.000,000 aggregate* COMMENTS: *The aggregate limit of liability shall apply separatcly to each solc proprietorship. partncrship or other organization owned and operated by one or morc individual Professional (Active Status). Associate. or Student member(s) of AMTA as well as any other individual Professional (Active Status), Associate or Student member who is not a sole proprietor. partner. executive onicer. director. stockholder, or cmployec of an entity delined herein. Membership Inception Date: 0710 I 12003 MEMORANIJUi\1 HOLDER ID #: 153649 CANCELLATION Should any of the above described policies be cancelled before the expiration dale thereof. the issuing company will endeavor to mail 10 days written notice to the memorandum holder named to the left. hut failure 10 mail such notice shall impose no obligation or liability of any kinclupon the company, its agents or representatives. Jennifer Hartmann The Ginkgo Tree 105 1st Ave NE Carmel, IN 46032-1707 AUlhorized Representative: Marsh Affinity Group Services w*n7.t\n':t1A thyg~t<r~~ ~OUk/m~ American Massage Therapy Association@ 500 Davis Street, Suite 900 Evanston, IL 60201-4695 Contact us toll free at 877.905.2700 Or www.amtamassage.org '(' ~ . ,~~. . .~ - - ----:~-:--.... ,''00'. -',: ,",::; ')'~_~:.')~~'::~~:_:,:,,:;-,.'.~'~:'~:~~_~/~i.~ . fJ~iifMate~,>, '::(i~~ ~;,;;,,,~~;,,, .'.;'- /i.. . '. ,.: .'" "r:~:~~ : '"'~~4 ,I;; '~;\~~ ]; -:C.' " ;A, :., '-~ , ", '. ~. " " }~ ,., .~..~-C':~~~~ ~ '" ~.,. , ..,"..; Jennifer Hartmann Member ID# 153649 Dues Payment Due 06/30/2007 Jennifer, Don't Let Your Membership Expire Basic Membership Dues Indiana Chapter $235.00 $25.00 TOTAL I $260.00 -" '\ As a Professional Active member, you:re required to fulfill h8 continuing education (CE) hou~ 9ver 4 years or submit yotir current NCTMB or NCCAOM number and expiration date. Our records show you've submitted the following hours toward your CE requirement: Your continuing education hours are due by: ~ If you have any questions, call AMTA toll.free at o 08/1312010 , I 877.905.2700. Professional IJability Insurance Massage InformationCenter mtj"'" (Massage 'fh:erapy J.ourna1@) Member-only access to Web"site Hands On@ Newsletter National and Local Volunteer Opportunities AMTA's Find a Massage Therapist@ Locator Service included ~ncluded included included included included included By renewing, f.'reaffirm my commitment to abide by AMTA's Code of Ethics. u...>u___. ~,' """" . _..._.__.____...____~._...~..____h___.~._._______________....+.,_."-,~_........~""""""'._d<~..,-.=,=__..-,._~..w~ ~ Join Date, 07/0112003 Paid Thru, 06/3012007 Work # (317) 844.6546 Home # (317) 844.6954 Fax "# E-mail: jenny@theginkgotree.net Please make name/address changes directly below. Name Address Home # E~mail Address Work # l'd like to receive my Hands Onl!P Newsletter by: 0 e-mail 0 mail Your national locator service phone II is (317) 844.6546 Jennifer Hartmann The Ginkgo Tree 105 1st Ave NE Carmel, IN 46032.1707 1.1111.1I..II111..II."I.I...III...III...I...III""I.I..I.I.1 ~ '.. . 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" .. ".,.'~ .. . "_.""'. ,,~;. '.A<~'."'" .:,,:"'" ,. "..l....':"'.'j'ir',-."'._ '. """, '..~" ~,~. Ma.s'sa'ge~T,1ter'ap& ,~;~~', . o. t.'" ".-~i.,'~. ';_.';'.,<....n.; "icy' ~ "..~' :';'."'ilf ~.4..; '..:.:'?~t:A.SSOC.l.~.t'!;On@i,;:;'" '~:}4'. '!',. ,~~ ... J~";~\4- ~.-J~-V~~~~.;bf'~\Y"'~~).....;.{;':Ill>i/!'!~.. ,~.,?! .....""_ """ ....'...~.....'-'-k. ..'j .~V il!;'\:'. ., .~. ."1;"'-;' ~'\;._'.'t ,.'" 4 .c;......_~ ,.,j ~~l~',. . . -'~.. \,. ,~-, ..' ,.v~... .' .......X"!,"f: "~""" "- tf:f" _~,~ " ~ -, .~.. "'" '-"". -I _ '{",.-....,--r-......".. I ~ ~.<I...~..)-:-.~ /"' ~ :,r'{- --:i.f..m~ "'to ~~:..,.. -r;i "'r."-':h.l : . -.- '__''''''' _r~~.t. '.-<~';~' rtl:~,;:~.!.~-~2. "I,.~...:"';.""",~ Jennifer, welcome back to our family of professionals! On behalf of all of my colleagues at AMTA, I want to warmly welcome you back for another year of Associate membership. We're thrilled to partner with you to advance the massage therapy profession. Through your support, we're excited to offer you numerous opportunities to strengthen your professional credibility. build your skills through continuing education, and enhance your practice through information resources. In addition, you can take pride in being a part of a non.profit professional membership association. knowing that AMTA helps you to be your very best. Here are just a few of the ways you can take advantage of the many benefits your AMTA Associate membership continues to offer you in the coming year: . Liability Coverage and Credentials - Work confidently, knowing you are covered by the best professional and general liability insurance in the industry. Display your AMTA wall certificate and code of ethics to enhance your credibility and professionalism. . Business Building Tools - Stay up. to-date on practice development ideas, current research data and useful tips for client practice in MASSAGE THERAPY JOURNAL"'. Access an extensive array of business. building tools in the Members' Only section at www.amtamassage.org. . Networking and Learning Opportunities - Get involved with local events, meetings or even volunteer for a leadership role in your local chapter. Make rich new connections at AMT A's 2005 National Convention in Albuquerque, New Mexico, September 21-24,2005. It's our privilege to continue to work with you to advance and protect the profession in which you've invested so much of your heart and soul. Thanks again for choosing AMT A to help you embrace the power of your profession. Wannest regards, j~~. Tanya Cojulun Director of Member Services Jennifer Hartmann The Ginkgo Tree 105 1st Ave NE Carmel, IN 46032-1707 1,1"1,11"11"",11",1,1",111",111",1,,,111,,,,1,1,,1,1,1 'l'~-'~~~"i] AMTA .'(\~~J~ 71?en.ie~ ~ " Name Member 11)# Member Classification Expiration Date Jennifer Hartmann 153649 ASSC W 06/30/2006 0007 American MaBsage Therapy Association"