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CERTIFICATE OF LIABILITY INSURANCE DA2r�i20D14' <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND.CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION 1:3 WAIVED, subject to <br /> the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br /> certificate holder in lieu of such endorsement(s). <br /> PRODDER CONTACT <br /> Francis L.Dean&Associates of Indiana,LLC NAME: <br /> 310 West Cook Road Suite 204 AlCNNo Fxt): (877)732-4746 Ile <br /> Fort Wayne,IN 46825 EDORess: )nfDINLOMean.com <br /> fdean.comiRedlrectlN,htm INSURERS)AFFORDING COVERAGE NAIC Y <br /> INSURER A: U.S.Fire Insurance Company 21123 <br /> INSURED SPORTS AND RECREATION PROVIDERS ASSOCIATION(PURCHASING GROUP)AND INSURERS: <br /> ITS PARTICIPATING MEMBERS: <br /> INSURER C <br /> MICHAEL SAVINO INSURER D: <br /> 506 LONG LEAF DRIVE INSURERS; <br /> CHAPEL HILL,NC 27517 <br /> 919-967-1043 �INSURERF: r <br /> i <br /> COVERAGES CERTIFICATE NUMBER: USS233328 REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUBR pOLiCYNUMBER POLIO EFF POLICY EXP LIMITS <br /> LTR INSR WVD MMR70A'YYY MMIO <br /> GENERAL LIABILITY GENERALAGGREGATE $ 3,000• X) <br /> X COMMERCIAL GENERAL UASIUTY PRODUCTS-COMPIOP AOG 5 3.000,000 <br /> CWMS.MAZE a OCCUR PERSONAL&ADV IN.RtRY S 11000,000' <br /> A SRPG-101-0413 2/19/2014 2/1912015 <br /> 12:01 AM 12:01 AM EACH OCCURRENCE $ 1,000.000 <br /> FIRE DAMAGE(Any one 5n r) $ 300,000 <br /> CENL AGGREGATE UWT APPLIES PER MED EXP(AM one person) $ 5,000 <br /> X POUOY JECar LOD PROFESSIONAL LIABILITY Included <br /> COMINNED SINGLE LIMIT S <br /> AUTOMOBILE LIABILITY a eeoN <br /> ANY A MO BODILY INJURY(Per person) $ <br /> ALL OWNED SCHEDULED BODILY INJURY(Per Scoldfnt) s <br /> AUTOS AUTOS <br /> NON•OWNEO PROPERTY DAMAGE <br /> ERRED AUTO AUTOS Per etddenR $ <br /> $ <br /> UMBRELLA LIAB OCCUR EACH OCCURRENCE S <br /> EXCESS LIAR CLAMS-MADE AGGREGATE $ <br /> OED RETENTION S $ <br /> WORKERS COMPENSATION WC SIATU- OTH <br /> AND EMPLOYERS'LIABILITY YIN TORY LIMITS $ <br /> ANY PROPRIETORIPARTNEWEXECImVE E.L EACH ACCIDENT <br /> OFFICERIMEMI ER EXCLUDED? ❑NIA $ <br /> (Mandatory In NH) E.L.DISEASE-EAEMPLO'(EE S <br /> Iryee.dewrlbe ender EL DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS below <br /> AD&D . <br /> MAXIMUM MEDICAL <br /> DEDUCTIBLE <br /> TERMS OF PAYMENT <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) <br /> Business Operation:"Massage and Approved Modalities* <br /> No coverage Is provided for Hot Stone Massage Therapy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> FrahttZy L. tea n� <br /> ®1988.2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD <br />