HomeMy WebLinkAbout07070051 Certificate of Insurance
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QItdifitah~ of ~usuranCt
OCCURRENCE COVERAGE
ABMP In-Dues liability Program
INSURED MAIUNG ADDRESS:
Associated Bodywork & Massage Professionals.
and Individual Members in Good Standing
1271 Sugarbush Drive
Evergreen, CO 80439-9766
PRODUCER:
Midwest Gen~raJ Agency
AGENT/BROKER:
Midwest General Agency
POUCY tCL 480100902 EVANSfON INSURANCE CO,
MASTER POUCY EFFECTIVE DATE: 1/1/2006
Coverage afforded to individual members by this policy Is applicable fora period
of 12 months from the date the m~mber Is added by endorsement or until the
Individual member's coverage Is' cancelled or they cease to he an active member
of the association.
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UABIUTY liMITS . -""--:~~,.~;~':;,;.~~. . >
. ' (per member) ~~~/o;Xfb~7~~;r ;~t~~'J, rlrrf'F~~~_~'~ '. .'
COMMERCIAL GENERAL UABI~'" . !:l;;, l'^",rGENERAE'~GGREGA'fE':""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,...$3,000,000
CC'"~C'~~." ,,~_. . . ~'." .~.. ~,~ .k,:{R'OD;;;~o\";;'O'M' '6/.0~p"~f!G>Gc"REGA='_' ,.", '.'. $300 000
'~'~_\;;t~! -t~ ;"l.!,,,,,,,fu'tr,___ I.J,~:;;;~'.:>:-s _ r _"'~... ,_ __-I_L:'~'~'~""_';'~'''''''''''''''''h''''' , 0,
~-+.*~\):,St ,,;-'~ ':t_';:1';~'J~-:6R'I'IO~~'S"I'ON--!"AL-~~'A''''GGnRE-'GA''''~'~~~~~-*V}i..t>:;:-_~../ 300' 00
~'-~"lZ~" J""v "" ~.~" ',.,..~w r l,l:oJ . I'C~.....<..::..;.:.;;.....~.~'..........................$, 0, o.
\:~i[i' .,~;:~~;;:,'N'" ;PERSONAI'&W5VERTISn\iGiNJiJR'H~~:Z'''''''''''''''''h......$2,OOO,OOO
.nz;." ,-' -"'EA"C.~H OC' C..U" RE''''N"''v.C~E'1;~~''tfi~~~rr~lJt\ $2000000
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e~- #W1,' ;';~~.-F;~.!Kl'!,~.ti~'~~l!l..~~"-r:e:p1
VI . m' FlRE;DAMAGJ;:,(any.;.o.neflre}...."'..n~...... h....,...h h h.h.h.hh.hm..$! 00,000
' "", g r" ........n~""'~,'""V
i ...".. '';-J * 11 }tt.1 ':';,\~,<Y~Y""'_a\..
To verify infb~~:'lcl)Qfuctt..m.""\wh~.>W~o3j1~7Jf8.~Fllx.\: (303) 674-0859 .
. .. 3"--m.-'q~""lj':'",~/,..d., .~.....- ",--~1N't\.\. it/lor.":/, -t: i;P~:' .,,-,,1t>o<.';tb;;'f.,;Q' ~"~" ' .
This certificate provides proof ~t$2~e.~~~'~nJli.~i:ip.9tyj~~~~jJ,~1~.seIVt~t~I~~~~t;ifrr:~t~~OJ:~.~!Y'~1~-~ ~ertificate O,?ES.NOT provide
proof of coverage for any ef!1Plqy.~~tp~eg~~~!".t~~9.~ntr~g~r.:{~~.~/~1~J;,~tti~.r~~~tytC!~~~~Jil~~~Wl_t!!!the named certlflc.ate holder. ,Each
INDMDU~-insured.ABMP meml?~~~'ls.su~~th~~irf~~.~~.!=at.e oqnsuran~~.!GC?~erages arel~flia'f~~.,!,~J:te members~ip Inception date to the
membership expiration date. ,~~~~."~t,!l\.~"",,,,"c'.'JNr" 'lnliJ.i'~~" J?;ilJJJ'M~~.. . ,..''iJi
'Jl- ,,' =1+":.... -'" ,fl~,i;~., -Itil !!;:li*'f;:l" '!Jffi !f":.-...'-<<!J'1l
'..., ,_~u',~t aW~ 1 "i'il,~'l' '~IffIfi'..;JJ,;,.j ,-,,:,,;,'-,. ~,ft,oj\~, .",,-p
\'''--",",.~,\ ~ \ ~""'Hl\."J;':'I'!i'r\Pr ,-, .U''''''~'''''='i'"'l'
COVERAGFS ,;;:j;\.:f'cC'A~~'\.\ d't)tJit~i\l;J{ ...br/'''-_-'-:'; ..' .
~i1,~~CO~,:;;.~T~c'i'~o~:,~~.;~:m....-:l.a. . ~JJmHAS.i~_G.,B.'ANY.EEN. . ,=~~~UREIl.f 0.7 ~(~DmO~AL INSURED: (with Inception Date)
CONDmON OF ANY CONTRACT OR OTHER DOCUMENT wm{Jits~<:r~TO~WHJCH,nils'cERTIFiciTI: ~~ ~>;,.?!i' .
BE IS_SUED OR MAY PERTAIN. THE lNSURANCE~~gpW,BY;T!f(r,5UCYiDEs<::ijIB_ED HEREINIS-syWECT....;..~ "'~4:~ _
TO AU. THE n:RMS, EXCLUSIONS, AND CONOmOMfof'5UCH rOUey.'UMJT::i S.~OWN MAYjHAVEBEEN-~~'" ~~~'--_ ,
REDUCED.BYCLAJMS PAID. COPY oFP?u~{t~4~~~~~~;~~J:!{~~:tfi.tff~Ji ~~'~;::'!.~~TfF:J~~~
This certtflcate Is Issued as a matter ollnlonnatJon ~ntr .~d'-CS'!'f~~.~oJlgh~,!:'f'o~}~_~5~~!!J.fJcate bOlderY..!fa r.;Jj ,~::;^.~,~ 'lb':~. r,_'~~~~\i~tf' ~. t" ~
-This certlflcate does not amend, extend. or alter the coverage a1fordrobY.the pollcY'ABOVE.~.~V~'t" ,:~..tl ~:; ~~.......t~,:?~~,. ,. .
. . ~;.;r;,:t.~N1~~Y?;,~5:.,j~::L:~~;~~K~~~ "~k;';~:/;'>~~::::~,/..7'
CERTIACATE HOLDER ""';:r- '"\1(~!~~lfl, ,..~~ . -"'.".si;&"
(Actwe RegIstered Members are on file wllh the ABMP Membershil!J::halrmafi!j-
. \\:"::'~1i'f
Member Name: Holly Wilson 'W
Membersbip I.D. #: 885491 V
Loyal Meinber Since: .september 20, 2005
(does not reflect possible interruption .of insurance)
MembersbiplPoIlcy
Term Expiration:
September 19, 2007
Issue Date:
September 20, 2006
Authorized RepreSentative
- . - . -' , J _~" , ,.
CANCELLATION: Should the above described polley be cancelled belore the expiration date
therwf:ttle issuing wmpany wll(endeavor to mall 10 days written nollce for non payment or 30 days .
written notice Jor any o_ther reason t'o the'certillcate h~lder named_above. but lallurE' to m.a1J ,ue~ notlce
shall ~ImPO~e no obllptlori or lIabll!tY, of any. kind upOn the (:omp-~y, Its agenta or representativeS. .
Per iormME 009 (4i9~)"
o Printed on recycled srock.
02006ABMP Re/). /2/05