S27 T-Hangar Condo Owners Association 1-2022 through 12-2022ACC>R D® CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY
F 1/09/2021)
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 endorsements .
PRODUCER
CONTACT
NAME:
PHONE FAX
A/CNo:
National Hangar Insurance Program
E-MAIL
ADDRESS:
1300 S. Main Street
INSURERS AFFORDING COVERAGE
NAIC #
Tulsa, OK 74119
INSURER A: Travelers Indemnity Company (IND)
INSURED
INSURER B
INSURER C :
The S27 T-Hangar Condominium Owners Association, Inc.
INSURER D :
67 Overlook Ridge
KALISPELL, MT 59901
INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
IPOLICY
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
MM/DDY EFF
EXP
MMIDD/YYYY
LIMITS
GENERAL LIABILITYA
x COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
4F793137
01/09/2022
01/09/2023
EACH OCCURRENCE
DAM AGE TO RENTED
PREMISES Ea occurrence
$ 1,000,000
s Excluded
MED EXP (Any one person)
s Excluded
PERSONAL & ADV INJURY
s Excluded
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
s Excluded
POLICY PRO LOC
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
PROa RTY DAMAGE
$
NON -OWNED
HIRED AUTOS AUTOS
UMBRELLA LU\B
OCCUR
EACH OCCURRENCE
$
HCLAIMS-MADE
AGGREGATE
S
EXCESS LIAR
DIED RETENTIONS
$
WORKERS COMPENSATION
WC STATU- OTH-
TORY LIMITS
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
N / A
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
(1/1-2) Kalispell City Airport, Al and A2 Ryan Drive, KALISPELL, MT 59901
Certificate Holder is added as Al as evidence by the CG 20 11 01 96 form.
l.Cr% I lri%.A% I C r1VLUCR
Kalispell City Airport
PO Box 1997
Kalispell, MT 59903
Additional Insured
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
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
ACORDs provided by Forms Boss. www.FormsBoss.com; (c) Impressive Publishing 800-208-1977