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li <br /> DocuSign Envelope ID: 5D5A595E-2BB6-4DD8-9F77-030F1CC8DC59 <br /> 3 <br /> 3 <br /> Ar r7�N, <br /> UtSUt AUCE GROUP becatity/& T(�(�(r <br /> Great American Alliance Insurance Company �oI 1 Y 181 U#i N <br /> 301 E.Fourth Street,25 S ADMINISTRATED BY 111111-111JJnS1UPYa►►11CP,1t-111111 <br /> Cincinnati,OH 45202-4201 Veracity Insurance Solutions,LLC <br /> http://www.iiisurebodywork.com South 2500 West Suite 303 nsurebodvwork.cam <br /> Pleasant Grove Utah 84062 r <br /> 866-395-1308 <br /> infofa insurebodvwork.com <br /> i` <br /> COMMERCIAL GENERAL LIABILITY COVERAGE FORM— CLAIMS MADE COVERAGE is <br /> SPECIFIED PROFESSIONAL LIABILITY COVERAGE FORM— CLAIMS MADE COVERAGE <br /> THIS POLICY IS WRITTEN ON A CLAIMS MADE COVERAGE FORM. <br /> IT IS AGREED THATTHIS CERTIFICATE IS ISSUED TO THE CERTIFICATE HOLDER LISTED BELOW TO CERTIFY COVERAGE <br /> UNDER THE COMMERCIAL GENERAL LIABILITY INSURANCE MASTER POLICY LISTED BELOW. <br /> INSURANCE COMPANY:GREAT AMERICAN ALLIANCE INSURANCE COMPANY POLICY NUMBER: <br /> NAMED INSURED: BEAUTY HEALTH&TRADE ALLIANCE PL3842262 <br /> CERTIFICATE HOLDER:Karen Weaver <br /> ADDRESS:431 Hampton Pointe Blvd,Hillsborough,NC 27278 CERTIFICATE NUMBER: <br /> POLICY PERIOD:0 211 8/2 0 1 6 TO 02/18/201712:01 A.M.STANDARD TIME ATYO UR ADDRESS SHOWN, BWI043433 <br /> IN RETURN FOR PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL OF THE TERMS OF THE POLICY,WE AGREE WITH YOU <br /> TO PROVIDE <br /> THE INSURANCE AS STATED IN THIS POLICY, <br /> A. Specified Products, Goods, Operations and Premises Covered: Health and beauty related products and <br /> goods normal and incidental to the practice of those Professional Services of which the Insured is a practitioner <br /> or student practitioner;all related premises and operations of the Insured <br /> B. Professional Services: Massage and Related Modalities;Animal Massage and Related Modalities;Esthetics, <br /> Cosmetology, Nail Technician, Aromatherapy, Reflexology and Energy Work Including Their Related Modalities; <br /> Face &Body Painting <br /> LIMITS OF INSURANCE <br /> General and Professional Aggregate Limit(Other than Products- <br /> Completed Operations) $ 3,000,000 <br /> Products-Completed Operations Aggregate Limit $ 3,000,000 <br /> Personal and Advertising Injury Limit $ INCLUDED <br /> General and Professional Each Occurrence Limit $ 2,000,000 <br /> Damage to Premises Rented to You Limit $ 300,000 Any One Premises <br /> Medical Expense Limit $ 5,000 Any One Person <br /> I <br /> Identity Recovery Coverage Aggregate Limit $ 15,000 <br /> Deductible $ 250 <br /> RETROACTIVE DATE:02/18/2016 <br /> RATE: $ FLAT <br /> TOTAL POLICY COST :(The cost is 100% earned/non refundable) $ 99 <br /> COMMERCIAL INLAND MARINE/BUSINESS PERSONAL PROPERTY: $ INCLUDED <br />