HomeMy WebLinkAbout07050124 Certificate of Insurance
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OCCURRENCE COVERAGE
. ABMPIn-Dues liability Progrcim
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INSURED MAlUNG ADDRFSS:
-Assoc~ated BodYwork &. Massage Prof€;Ssionals
,and 'Individual Members in Good Standing
127lSugarbtish Drive
EveFgreen, CO 80439-9766
PRODUCER:
Midwest General Agency
AGENT /BROKER:
Midwest General Agency
POUCY #CL 486 106962 EVANSTON INSURANCE CO.
MASTER POUCYEFFECTIV[ DATE: 1/1/2006
Coverage afforded to individual members by this policy is applicable for a period
of 12 months from, the date the member is added by endorsement or untilthe
individ'ual'memher's' coverage is c-ancelled"or they ceasetobe an active member
of the association.
LIA.BILI1Y liMITS (pN memb,,)
. . COMMERCIAL GENERAL UABIU-ry
GENERAL AGGREGATE..".....:.....................................;......$3;000,000
PRODUc-rscc6MP/OP..A}';GREGATI::.:..:.;:.:.:.::....:...........:..:...$3,000,000
.,. PRoFJts~iQ~..wN~q.Rff&\i~%~g~~~~.ttt~""'" ... .... ..... ..... .$3:000,000
'PERSONAI; &'ADVERTISING;lNJUgy;;;., ,',.".............. ........... c... .$2,000,000
'. .~<H.OfCyRIU:NCE,:~'i;~~i~]~~idi;~j!;[[:'-'..:...........................$2,090,000
..' RE DAMAGE(any onelire},.,."."......:......................................$lOO,OOO
,~~:::';; . . 'J'::!3f"$);?:': ';{:S,;,; /"
.' . . . To verify infrir:m;~ti~~,~ont~ct A.lJM~:1:~j1r~Q3)!~Z~~;'Z8::.\f~: (303)674-0859
~his certificate :~~o~~~s- p~OOf.:~f:,c:~,~~f~~?t~~?n~j}~_:,i_ndiyid~~!~,~_~,~eg" c~:'1in~,~~~iP.g~,~:e.~,_}n}~~~I~~j}}Yt;~~~~~ertificate-~OES NOT ~r9vi~e
. proof of coverage for any emplo:y~e~,_.IIldep~Il(jent_~ontra~t2~s.;and/or;J_ny:~ot?er;1rl~}~~~?ls;aHlhat~q4~IWjthe named. certificate holder. Each
'INDIVIDUAL ,insured ,ABMP' m'e,~Q~ns.'i~_sl1~~:tli~i~ ,~~~~ceH~fi~a'te- ~{i.~s~~~~ce;~9~,e!ag-er~i~v~ii(:r1r~J"^"". 'e.inembership incertion: date to the
niembership expiration date. - ~ ~;~-L~::~;~i,3~(t:~r "'i:: )k~~ t';,;':- ~" ~<,i '~Jjt~t'~'t~~~:0"~;"" .
Member Na.me: : Josephine Tilyou'.
. Mert,bersltip W."#: 136225.
'"oyaIMemberSince: October 23,'1994
'_. (does not reflect possible interrupt,ion -of insurance)
INSURED: '{ 1fjth:!n~ePti~n-Date)
ers;LLC . .
""Vif --, .'
.~rstler,lnc, 10/11/06
::-. -COVERAGES "">:-',-:'"._ '#;~@~i:~" ,'_ '^'.~>:..':~ (. _. 'i:"f(i'-
THIS IS TO CERTIFY THAT TI-lE POLICY OF INSu'RAN,~E'USTEri~Q~ HAs BEEN IssLw'iJ_:TO'yJ~:.INstiREDr' ~-'
. NAMED BELOW F()R THE POLICY PERIOD INDICATER.';N9TWi1!I$-r:~j)IN_G'ANY.REQ~~I(I>T~R.M-OR/,
'CONDITION OF ANY c:QNTRACT OR OTHER!)(?C~jytlT!lJ~ESPE;-c.T,T.QWH!c:H;TI-{IS CERlJFlf::A!f: MA \~i'
:. BE ISSUED OR M.o\ Y ~ERTAlN; l}IE INSURANCE;:N19-8Pi::QLB'y',TI;lF;:f'OLl!':Y'DE5CiqBED HEMJri.I?~B.J1;:g,>,;!)
. "TO AUTI-!E TERMS,'EXCLU510NS; AND CONDI1"IONS OfSllc;t1,:POLlcY~9MrrS,SJ-:lo)\'N,M.A--Y,;J-lAVr;:B~~.fq:-4y
'. RE~UCE:D, BY CLAIMS P~ID. SOpy OF POLlC\~';A,'~~,IfrgN,~2~~:r:(~~O;~.~I~~9;;:~;~,__' ?': iSi':-;\~cr:'
. , - '. . .,' _ ~-ht:t~0-,v;s.t:;;;:,<;;,1jil;~1-/,:;C:::;/:::::<;-,':L<'~,':',;;~,~_'\-:<':.0;,;:;;,::;: ';, :j2~~;i y
This ce~lflcate is issued as.a ~atter ~I infonnat'00~~~1,.~<?-~.f~,s,no,!!gh~ upo!:l.~hecemn~~e...~l:)l~~,~:;;_,;y~
:h,\s_ c~rti'lcat7 d~es oot alT),eod, ~end;or ai,ter ~he ~B~~~:'t~0r:r:,,~.~\:2~0'~:~f!-~g~:~i;}~~1~~~$~;~~~~
CERTIFICATE HOLDER
.(Active'Registered Jrfe(n.b€rs are o'n fif~
. 'I _ _' .'. . - .
October 22;2007
. .
October23, 2006
Authorized Representative
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CANCEllATION: Should the above desCIibed pollcy,be cancelled before thc expiration datc '
'thereof, the Issuing company win endeavor to mall 10 days wriHen notice lor. non payn1ent. or 30 days .
written notice lor any other rea.~on to the certificate holdc'r ilamed above, butlailllre to mail ,such notice
shall iaipo~e no obligation or liability of any kind upon thecomp~y, Ilsagent,s or representaIiV.~_
Per form ME 009 (4/99)
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