Billmeyer Leasebackv � �
AeOOPRCERTIFICATE OF
DATE
�4� INSURANCE
19/20/2011
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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poticy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terns 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 UT01-Utah
NA CT
ME-
9815 S Monroe Street
° No E : LAIC, No):
Vic
Suite 510
ADDRESS:
Sandy UT 84070
INSURE S AFFORDING COVERAGE NAIC #
INSURERA: ESSEX INSURANCE COMPANY
INSURED J. Biilmayer Hangar Rentals
INSURER B :
INSURER C :
Jay Billmayer dba:
INSURER D :
1845 Airport Rd.
INSURER E :
Kalispell MT 59903
INSURER F :
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO
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 SHOWNIMAYHAVE BEEN REDUCED BY PAID CLAIMS.
ILTR
TYPE OF INSURANCE
OL
Su
POLICY R
POL YE F
L EXP
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I OCCUR
3DG0674
09/20/2011
0912012W 2
EACH OCCURRENCE
$ 1,000,000
AMA, TO RENTED
PREMISES Ea occurrence
$ 50,000
MED EXP (Any one person)
$ 1,000
PERSONAL & ADV INJURY
$ Excluded
GENERAL AGGREGATE
$ 2,000,000
[GEN'L AGGREGATE LIMIT APPLIES PER:
ROFI LOC
POLICY PECT
PRODUCTS- COMPIOP AGG
$ Excluded
$
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS AUTOSED(Peraccide
EOMBI ED SINGLE LIMITa accident)
$
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPrrM
$
$
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNERIEXECUTNE
OFFICEPJMEMBER EXCLUDED?
(Mandatory In
It yes, describe under
DESCRIPTION OF OPERATIONS belt
NIA
WC LTATU- OTH-
TORYMfTS ER
E.L. EACH ACCIDENT
—.__.,--_..._..
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT I
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Airplane Hangar -Certificate Holder is also Named as Additional Insured.
CI Of Kalispell SHOULD Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
% p THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
312 1st Ave. East ACCORDANCE W1ITH THE POLICY PROVISIONS.
Kalispell MT 59901
AUTHORIZED REPRESENTATIVE
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