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Western States Policytill Western States I�ura� 4�e� 240 W. Idaho P.O. Box 8090 MAIN 406.758.4200 Kalispell, MT 59904 Fax 406.755.1189 6wkl, 4/k-GfvllGfagx,, a" 1 /20/2009 1 N V 0 1 C E Western States Ins - Kalispell P O Box 8090 Kalispell, MT 59904-1090 BILL TO: Kalispell, City Of Amy Robertson Drawer 1997 Kalispell, MT 59903 Itm# Effective Date Transaction Account M KALIS25 Customer Name: Kalispell, City Of Company: Policy Number: Effective Date: Expiration Date: Ace USA AAPN02200806 02/11 /08 02/11 /09 Amount 02/11/09 REN Commercial Aviation $4175.00 Oil m City of Kalispell c/o Western States Insurance Agency PO Box 8090 Kalispell, IVIT 59904 Airport General Liability Policy Period: 02111/2009-02/11/2010 Presented By ilk THIS "INSURANCE PROPOSAL" IS NOT A LEGAL CONTRACT AND PROVIDES ONLY A GENERAL DESCRIPTION OF COVERAGES OFFERED. ANY INDICATION OF COVERAGES CONTAINED HEREIN ARE SUPERSEDED BY THE ACTUAL POLICY WORDING AND SUBJECT TO ALL TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY. OTHER LIMITS OF COVERAGE THAN THOSE SPECIFICALLY OFFERED HEREIN MAY BE AVAILABLE UPON REQUEST. VALIDITY PROVISION The terms offered herein will normally | renewal date of coverage subject to no adverse changes in underwriting information and further subject to underwriter acceptance. CONFIDENTIALITY CLAUSE This document contains information which is proprietary,and ieintended only for the use ofthe person, entity orentities named herein. Any unauthorized disclosure, copying ordistribution ofthis document is prohibited. LIABILITY LIMITS Higher Liability Limits may be available upon request. � �� Page 2of7 _��'.�NN�� City of Kalispell Policy Period:02111109 — 02/11/10 PREMIUM SUMMARY OF OVERALL PROGRAM EXPIRING RENEWAL POLICY PREMIUM PREMIUM ACE ACE Starr Aviation Airport Commercial General Liability $4,175 $4,175 $5,684 $5,000,000 Limit TOTAL PREMIUMS: 14AM Optional Coveraaes ACE Starr Aviation TRIA Liability $835 $5,684 War Risk Liability $835 N/A War + TRIA Liability $1,253 N/A Airport Liability - $10M Limit N/A $6,217 Payment Terms Option A Payment in full within fifteen (15) days of policy inception Option B Premium finance, terms will be provided upon selection of renewal program Page 3 of 7 ASIRcIINRE ._ 3 '. < i Y F. ti City of Kalispell Policy Period.,02/11/09 — 02111/10 Page 4 of 7 F e D City of Kalispell NAMEDINSURED Policy Period.02/11/09 — 02111/10 City of Kalispell and any subsidiary, affiliated, managed, owned or controlled companies or entities now in existence or hereafter formed. PREMISES LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury and Property Damage arising out of the aviation operations of the facility described in the policy. Limit of Liability: PREMISES MEDICAL PAYMENTS $5,000,000 Combined Single Limit Bodily Injury and Property Damage Each Occurrence To pay on behalf of the Insured all reasonable medical expense to persons who sustain Bodily Injury caused by an accident arising from a condition of the insured premises or aviation operations of the Insured. Limit of Liability $5,000 Each Person PRODUCTS/COMPLETED OPERATIONS LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury and Property Damage arising out of aviation services, goods or products manufactured, sold, handled or distributed under the Insured's name, or work completed by or for the Insured, but only if such services, goods or products or work completed have been relinquished to others and the accident occurs away from the premises of the Insured. Limit of Liability GROUND HANGARKEEPERS LIABILITY $1,000,000 Combined Single Limit Bodily Injury and Property Damage Each Occurrence and Annual Aggregate To pay on behalf of the Insured all sums the Insured should become legally obligated to pay for the direct loss of or damage to any non -owned or non-leased/non-managed aircraft (including loss of use) which at the time of the loss is in the care, custody or control of the Insured for storage, repair, service, or refueling on the premises owned or leased by the Insured and is on the ground. Limit of Liability: Deductible — ACE: Deductible — Starr: $1,000,000 Each Aircraft $1,000,000 Each Occurrence NIL $2,500 Each Aircraft Page 5 of 7 .. gi; i T F D City of Kalispell GENERAL AND OTHER PROVISIONS + Additional Insureds All Employees Fred Leistiko Policy Period:02/11/09 — 02111/10 + Notice of Cancellation Thirty (30) Days Ten (10) Day for non-payment of premium A lesser notice may result regarding War, Hi -jacking & Other Perils Coverage + Supplementary Payments Bail Bonds: $250 Each Bond Loss of Earnings: $100 Each Day EXPANSION COVERAGES ADVERTISING LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay for injury sustained by any person or organization relating to the aviation operations of the Insured arising out of libel, slander, defamation, violation of privacy, piracy, unfair competition or infringement of copyright, title or slogan which occurs in the course of the Named Insured's aviation advertising activities. Limit of Liability: $5,000,000 Annual Aggregate Note: This liability limit is part of and not in addition to the Personal Injury Liability Limit. FIRE LEGAL LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay for Property Damage caused by fire to the premises rented or leased to the Insured. Limit of Liability: $50,000 Each Occurrence INCIDENTAL MEDICAL MALPRACTICE LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury arising out of the rendering of, or the failure to render, assistance to air ambulance patients in assistance of medical personnel on board the aircraft. Limit of Liability: $5,000,000 Each Occurrence and Annual Aggregate MENTAL ANGUISH COVERAGE To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury arising out of the policy coverages provided to include mental anguish (pain and suffering). PERSONAL INJURY LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for injury sustained by any person (excluding employees) or organization relating to the aviation operations of the Insured arising out of false arrest, detention or imprisonment, malicious prosecution, libel or slander, wrongful entry or eviction, or other invasion of the right of private occupancy. Limit of Liability: $5,000,000 Annual Aggregate Note: This liability limit is part of and not in addition to the Advertising Injury Liability Limit. Page 6 of 7 I T E is City of Kalispell Policy Period: 02/11/09 — 02111/10 ® ACE Quote Contained Herein (Incumbent) a Aerospace Insurance Declined to Quote ® AIG No Response to Date ® Allianz No Response to Date ® Global Aviation Declined to Quote ® Houston Casualty Declined to Quote ® Inter-Aero No Response to Date ® Phoenix Aviation Declined to Quote ® Starr Aviation Quote Contained Herein ® USAIG Declined to Quote ® USSIC Declined to Quote ® W. Brown No Response to Date Page 7 of 7