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Certificate of Insurance/North End UtilitiesDATE (MM/DD/YYYY) ACORD-TM 03/14/2005 PRODUCER (406) 542-5126 FAX (406) 542-5647 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flynn Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2445 S. Third St. W. Suite B HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 3868 d i ssoul a, MT 59801 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Montana State Fund INSURER B: Windy Ridge Construction Inc. FINSUREIRC: Box 490 SURER D: Plains, MT 59859 SURERE: rnx/FIll THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINt F,NY 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 ADDT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DDIYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S :�:p CLAIMS MADE ❑OCCUR MED EXP (Any one person) S PERSONAL & ADV INJURY S s^ GENERAL AGGREGATE S NEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S 11 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS H'.Rc2D aUTOS NJN-O'v'1NL=D AUTOS BODILY INJURY (Peaccident) S PROPERTY DAMAGE (Per accident) S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO -- S AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE S OCCUR El CLAIMS MADE S S DEDUCTIBLE S RETENTION S WORKERS COMPENSATION AND 03-289208-5 05/03/2004 04/01/2005 TH- X WC sTATu- FIR (IIMIT. — E.L. EACH ACCfUErJT — S 100,000 A EMiPLOY ERS' LiAGILi Y ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT I $ 500,000 If yes describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ZE: Kalispell City Airport North End Utilities. '-*This certificate replaces and superceeds all previous certificates issued** City of Kalispell PO Box 1997 Kalispell, MT 59903-1997 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 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Mark Nicholls/ST ACORD 25 (2001/08) ©ACORD CORPORATION 1988 If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. k,CORD 25 (2001/08)