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<br />f <br /> <br />, <br />! <br /> <br /> <br />ctrtrtifitaU of ~nsutame_ <br />. OCC1JRRENCE COVERAGE <br />ABMP (q..I)ues Uabllity Program <br /> <br />.. <br /> <br />JNSVRf.D ~ AOORESS: <br />A8iiCJdatect~ &; Massage Pi'ofesslonaIa <br />and lDcItvIdiW Members In Good StandIIIg <br />1271 Suprbush Drive <br />l:vew~CO ~766 <br />P01JC\f ICL _110802 EVANSTON INStJRANCE co. <br /> <br />PRODUCER: <br />MIdwest Genel'a1 Agency <br /> <br />AGENTJBROKER: <br />Midwest GenA Agency <br /> <br />MASTER POUCY t;tl'U~ DAm 1/1/2806 <br />~ Ilforded to ~ 1II8II1bersb:Y lhI8 poBcy Is applicable for a perlod <br />ollZ -..tbs Irom tile date Ibli i;leiDber 1si1dde4 by~t or until the <br />IDdlvIduaI_ber'8 -. Is aaceIIed or tbeyceue to be 811 ectM,:. ~ <br />DftJIt~ <br /> <br />. . <br /> <br />LIABILITY LIMlTS(per__) . <br />COMMERQAL GENERAL LLUIUI'V . <br /> <br />. ,,:':' ::~:, :/ . - . ',"..' , :, ',' .~. :',~,:,::;; <br /> <br />GENERALA~~,~_._._....__..-._..._....._....._.._......S3.000.000 <br />. . Pt<<>DUC"fs;COMPj~AGGREaA.n:~;;;;_;.;,~;...._....._._..J3.00Q.OOO <br /> <br />.~~~_~~i~=-~==::===:=:~~=:::~:::: <br /> <br />. EACH oc::clfflRENq:~~;;'~~';;~j:--~~...,........_....._.._........._.$2,OOO.OOO <br />FIRE DAMAQ:(any OM fire) .~_._._.;__...._...._._.......__......$IOO.OOO <br /> <br />To verify ~rmatlOD, contactABMP. Tel: (3()3)614--8~78..~ (303) 674-0859 <br />ThIs c:ertific;ate provldes proof t:lf coverage:for the lndivldllal namlid certlflCate boIder(memberlOnlJ;Tbts certlfIcate DOES NOT prcWkIe <br />proof of coveta(e for llRY em~. ItIdependerit I!ODtracttlrs, and/en: lIlI)' other ~y1~ aQlIlate4'lVitb the IUlIDed certificate holder. Ead1 <br />lNOMDUAL Insured ABMP melllber Is Issued their own certl8ca1e of IrISurmce. Coverages are valid rrom.tbe membership inception date to the <br />membershll' expiration da~ ... . . . .. . ., <br /> <br /> <br />ADDITIoNAL INSURED: (1Dilh inceptiOn Date) <br /> <br />CO\'ERA.GES . . .. <br />'THIS IS TO CERTIFY THAT 1Itt POUCY Of'lI'lllUIWa LlSI'ED AII01IE HAS 8la91S9l/1D 10 'l'HElNSUIlIlD <br />NAIlED IIFLOW fOR nil! I'OUcY PitRIOD 1IIDlCA'l'ED. NO'IWI11ISTANDIiIG AllY 1IF.QUlRf;MENT, 'lTNA 01\ . <br />CONIimON Of' """ COI'lJ1IACT OR 0'\1lER ~ wmt.1lElII'ECT TO WHICIi THIS CI!KI1I-1CATE MAY <br />IIElSSWD 01\ MAY PEJn'AIN, 11l! INSUaANI:E ~ BY 11 IE I'OUCY DEScRIlIm HEBEJN l8!UIIJECT <br />TO AU. lIlE 1J;IlMS. EXQ.I.J5lONS. AICD CONIlI1lQ!IS OF SUOl PO\.ICY. LIMI'JlI!HO\Yfl NAY HAW 8III!N <br />RDIuaD BY ci.Aaa PAID. CX)pY OFI'OIJCY AVA/lAIILE IlI'ON /If!QUE$T (lJlUIO OWIGE). . . <br />TIde..allc:ale Iillauild.... _ of III/ar=IIaD IIIII1ll111coa1.n IIDdgtlb.,.Mttlie eertIIIc8Ie 1IoIcIer. <br />TIde C1lIdlcale ~ .. emend, 1lIllend. or _!be........ atIardell by ilia poUqo ABOVE. <br /> <br />UJCI.u-1CATE HOLDER <br />(AcIive Regiflered Membel1 are on file IDi1h the ABMP Membel1hlp Chofrman.) <br /> <br />Member Name: Lisa Kieselbont <br /> <br />Membenbip I.D. #: 835160 <br /> <br />Lo)'ai M'em~ Since: SeptePlber 30, 2006 <br />(dOe!IlIOt relied p8lIIIfbIe IaWTuptieD efillSllJ'llllCe) <br />M..nbershlplPoUey <br />Term Eqllratioa: <br /> <br />fssoeJ)-= <br /> <br />September 2S'. 2007 <br />September 3D, 2006 <br /> <br /> <br />CAl\lC!!U.A~ $Joulof....~clMcribitIlf,..., IIecuceJlcd.iIcIDre.lIlcl.1II;IIndIoII dele <br />d......t, tbe1auloa CGIIIJIIIIl7w11t ___10 _10.,. 'orJlUilil iitIt!ce IGr _ ..,.... or 30'" <br />wrIIleD IlIlIk:efiit.., ........."..10 dlaterllll<BlB....... -.ed ......lIut IoIluIe 10 lIIIIIeadl ~ <br />ahd!nlJi\lie l!O.~or.UaidUtJ of eqj.~ upaIl the~,'" ...........~ <br /> <br />Per form ME iJo!i (4/99) <br /> <br />O~.~- <br /> <br />1ll:lfX16 /JJMl' ..... 1Z/fIS <br />