2019-430-E Aging - Neidra Clark wellness instructor

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CERTIFICATE HOLDER ©1988-2009 ACORD CORPORA TION.A l l ri ghts r eser v ed . A CORD 25 (2009/09) AUTHORIZED REPRESENTATIVE CANCELL ATION DA TE (MM/DD/YYYY)CERTIFICA TE OF L IA B IL ITY INSURA NCE LOCJECT PRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL L IA BILITY PREMISES (Ea occurrence) $DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTION DEDUCTIBLE CLAIMS-MADE OCCUR $ $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA L IAB EXCESS LIAB DESCRIPTION OF OPERA TIONS / LOCA TIONS / VEHICL ES (A ttach ACORD 101, Addi ti o n al Rem ark s Schedul e, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mand ato ry in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSA TION AND EMPL OYERS' L IA BILITY Y /N AUTOMOBIL E L IAB ILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS $ COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident)$ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAND ING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL WVD SUBR N / A $ $ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA TION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA TE HOL DER.THIS CERTIFICA TE DOES NOT A FFIRMATIVEL Y OR NEGA TIVEL Y AMEND,EXTEND OR A L TER THE COVERA GE A FFORDED BY THE POL ICIES B EL OW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRA CT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTA TIVE OR PRODUCER,A ND THE CERTIFICATE HOLDER. IMPORTA NT:If th e c er t if i c at e h o l d er i s an A DDITIONA L INSURED,the po l i cy (i es )m u s t b e en d o r s ed .If SUBROGA TION IS WAIVED,s ubj ec t to t h e ter m s an d c ond i t i o n s o f the po l i cy ,c er t ai n po l i ci es m ay r equ i r e an en d or s em en t .A st atem en t o n th i s c ert if i c at e d o es n o t c onf er r i g h t s t o t h e c ert i fi c at e ho l d er i n li eu of suc h endo r sem en t (s ). The A CORD n am e an d l o go ar e regi s t ered mar ks o f ACORD COVERA GES CERTIFICATE NUMBER:REVISION NUMB ER: INSURED PHONE(A /C, No ,Ex t ): PRODUCER PRODUCER CUSTOMER ID #: ADDRESS:E-MAIL FAX(A /C, No ): CONTA CTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOUL D ANY OF THE A B OVE DESCRIB ED POL ICIES BE CA NCELL ED B EFORE THE EXPIRA TION DA TE THEREOF,NOTICE WILL B E DEL IVERED IN A CCORDA NCE WITH THE POLICY PROVISIONS. 795220 09/05/2018 CM&F Group 1-800-221-4904 212-608-4378 info@cmfgroup.comCM&F Group, Inc 99 Hudson St., 12th Floor New York, NY 10013 Neidra L. Clark 617 Buttonwood Drive Hillsborough, NC 27278 MEDICAL PROTECTIVE COMPANY A Professional Liability K15982 09/10/2018 09/10/2019 $1,000,000Per Inc. $6,000,000Aggregate Doula (Death Doula) /Laughter Yoga Occurrence Coverage Neidra L. Clark DocuSign Envelope ID: E68B7190-61A2-446F-9678-FD295B7D91B4