CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)
12/23/2010
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Massage Magazine Insurance Plus 800-222-1110 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Stratus Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
260 South 2500 West, Suite 303
Pleasant Grove, UT 84062 801-763-1375
INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Certain Underwriters at Lloyds, London
David Cody Gibson INSURER B:

147 Brevard Rd. INSURER C:

INSURER D:
Asheville, NC 28806
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION
LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YYYY) DATE (MM/DD/YYYY) LIMITS

A GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000

DAMAGE TO RENTED
X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 100,000
CLAIMS MADE X OCCUR
12/23/2010 12/23/2011 MED EXP (Any one person) $ Not Applicable
# MM 2010 001
X Product Liability - Claims Made w/ 2 PERSONAL & ADV INJURY $ Not Applicable
Year Extended Reporting Period GENERAL AGGREGATE $
3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
2,000,000
X POLICY PRO-
JECT LOC
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO

ALL OWNED AUTOS BODILY INJURY $

(Per person)
SCHEDULED AUTOS

HIRED AUTOS BODILY INJURY $

(Per accident)
NON-OWNED AUTOS

PROPERTY DAMAGE $
(Per accident)

GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $

ANY AUTO EA ACC $

OTHER THAN
AUTO ONLY: AGG $
EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $

OCCUR CLAIMS MADE AGGREGATE $

DEDUCTIBLE $

RETENTION $ $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY TORY LIMITS ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER Professional Liability - Claims Made # MM 2010 001 $2,000,000 per occurrence / $3,000,000
A w/ 2 Year Extended Reporting Period # LI 0904352 annual aggregate
Identity Fraud # MMIM 2010 001 $15,000
Inland Marine (lost/stolen equipment) $1,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS

Not Applicable

CERTIFICATE HOLDER CANCELLATION

Not Applicable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION

DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN

NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL

IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR

REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE

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