Billmayer Hangar Insurance 2021-2022� l ® DATE (MMIDD/YYYY)
oRO CERTIFICATE OF LIABILITY INSURANCE DA08/19/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the
terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTANAME: CT Charles Monroe
Charles Monroe PHONE FAX
/C o A/c No): N/A
30 5th St. East STE 101 E-MAIL
I.net
Kalispell, MT 59901 PRODUCER ., _ D
INSURED
Jay Billmayer INSURER B
DBA: Jay Billmayer Hangar Rental
INSURER C
4410 Hwy 2 East
Kalispell, MT 59901 INSURER D
AFFORDING COVERAGE NAIC #
COVERAGES CERTIFICATE NUMBER: RFVISIAN NIIMRFR-
THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR
TYPE OF INSURANCE
INSR
WVD SUER
POLICY NUMBER
MMIDDPOLICY/YYYY
MMIDDNM
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
3AA499452
09/20/2021
09/20/2022
EACH OCCURRENCE
$ .44QQQ�
PREMISES Ea occurrence
$ tQQ090
MED EXP (Any one person)
$ 5000
PERSONAL & ADV INJURY
$ 1000000
GENERAL AGGREGATE
$ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO- LOC
JECT
PRODUCTS - COMP/OP AGG
$ •- • EXCL_
$
AUTOMOBILE
LIABILITY
ANY AUTO,
�.,
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY (Per person)
--
$
ALL OWNED AUTOS
—
BODILY INJURY (Per accident)
$
SCHEDULED AUTOS
HIRED AUTOS
PROPERTY DAMAGE
(Per accident)
$
$
NON -OWNED AUTOS
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
S
EXCESS LIAB
CLAIMS -MADE
r
AGGREGATE
$
DEDUCTIBLE
$
I
I
$
RETENTION $
WORKERS COMPENSATION
WC STATU- OTH-
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR+PARTNER/EXECUTIVE ❑
OFFICERIMEMBER EXCLUDED?
NIA A
T RY LIMIT ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
—
$
I Mandatory In NH)
f yes, describe under
E L. DISEASE - POLICY LIMIT
S
�I
r
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
ltla:4ll2 Ly_\ I a
City of Kalispell
312 1 st Ave. East
Kalispell, MT 59901
CK_\ Yq=14W'_1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD