Pete Gross/Leaseback of Craighead PropertyTHIS CERTIFICATE ISSUED TO:
Kalispell City Airport
PO Box 1997
Kalispell, MT 59901
® (if checked) Certificate Holder listed as Additional Insured
AIRCRAFT LIABILITY AND PHYSICAL DAMAGE COVERAGE
INSURED'S NAME AND ADDRESS:
Airport Enterprises, LLC
PO Box 7276
Kalispell, MT 59904
Insurance Company Providing Coverage:
Policy Number:
Effective Expires
NO.
AIRCRAFT COVERED
AMOUNT OF HULL
INSURANCE
TYPE OF COVERAGE
(Ground&rFhght, Excl Flight, or NIM only)
DEDUCTIBLE S
NIM
IN MOTION
1.
2.
3.
4.
LIMITS OF LIABILITY
Each Person Each Occurrence
A. Bodily Injury - Excluding Passengers
XXXXXXXXXX
B. Property Damage
XXXXXXXXXX
C. Passenger Liability
XXXXXXXXXX
D. Single Limit Bodily In"ur cludia Passen ers &t ProLerty
Damage
AIRPORT LIABILITY
Insurance Company Providing Coverage: U S Specialty Insurance Co
Policy Number: UA00169437-03 Effective
-- - _._-- -
11/23/13 Expires 11/23/14
--__- -- - LIMITS OF- LIABILITY - --.-
Per Aircraft Per Occurrence
A. Premises Liability
XXXXXXXXXX
1,000,000
B. Personal &z Advertising Injury
XXXXXXXXXX
1,000,000
C. Products/Completed Oerations~~XXXXXXXXXX
1,000,000
D. Medical Expense
XXXXXXXXXX
E. Hana erkee ers Liability
Deductible 2500
50,000
150,000
REMARKS/ADDITIONAL PROVISIONS
aggregate on Premises
This certificate does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy.
Absence of any entry indicates not applicable to this certificate. All coverages effective/expire 12:01 AM Standard Time at the insureds address
This is to certify that the Policy/Policies of Insurance as described herein have been insured by the company/companies listed and are in force as of the
date of this certificate. In the event o f cancellation of the policy/policies, the company/companies will endeavor to give the party to whom this certificate
is issued 30 days advance written notice of such cancellation but will not be liable in any way for failure to give such notice. In the event of cancellation
for non-payment of premium, the company/companies will endeavor to give the party to whom this certificate is issued 10 days advance written notice of
such cancellation twill not be liable in any way for failure to give such notice.
`t November 22, 2013
S' tur of Authorized Representative Date
Mountain Air Insurance Services, Inc.
P 0 Box 1918 ® Hamilton, MT 59840 m Phone 406-363-1411 m Fax 406-363-1412
'*` 4 TO
H CC
Date: 11 /22/2013
AIRPORT ENTERPRISES, LLC
P.O. BOX 7276
KALISPELL, MT 59904
U.S. Specialty Insurance Company
0601 Granite Parkway, Suite 1100 Plano, TX 75024
main 464-633-7400 facsimile 469 633-7470
NOTICE OF REINSTATEMENT
Re: Policy Number UA00169437-02
AGENT
LADDGARDNERAVIATION INSURANCE
AGENCY„ INC.
PO BOX 1:83
ADDISON, TX 75001
Dear Policyholder:
This loiter is to advise you that your insurance has been reinstated effective 12:01 a.m.,. local time, at the address shown
above; on
If you have any questions, please contact your agent at (972) 250-0400.
/Sincerely,.
Underwriter
CC KALISPELL CITY AIRPORT
POBOX 1997
KALISPELL, MT 59901
Form HCC 90101 (06/2000)
h subsidiary of HCC Insurance Holdings, Inc.
DATE""ND—YYI
.+ CERTIFICATE OF AVIATION LIABILITY INSURANCE 111212013
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 WANED, 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).
CONTACT
PRODUCER
NAME:
MOUNTAIN AIR INSURANCE SERVICES, INC.
PHONE FAX
P.O. BOX 1918
AIC, No, EA): PJG, No):
E-MAIL ADDRESS:
HAMILTON, MT 59840
ROD UCE R CUSTOMER ID No.
INSURED
AIRPORT ENTERPRISES, LLC
P.O. BOX 7276
INSURER(S) AFFORDING COVERAGE
%
NAIC No.
INSURERA: U.S. SPECIALTY INSURANCE COMPANY
t00%
INSURERS:
KALISPELL, MT 59904
INSURE R.0 :
NSURER D :
NSURER E :
NSURER F:
THIS IS70 CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICYPERIOD
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 THEROLICIES DESCRIBED. HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS'AND'CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
AIKPUKT & FBU LIAt31Ll I Y I,:UVLKAULb ULK I III It NUMULK: KLVI,IUN NUM t3tK:
INSURERLETTER
POLICY NUMBER
UA00169437-03
EFFECTIVE DATE
11 /23/2013
EXPIRATION DATE
11 /23J2014
ADDITIONAL INSURED? (YIN)
Y
SUBROGATION WAIVED? (YIN)
N
COVERAGE
OPTIONS
LIMIT
APPLIES TO
LIMIT
APPLIES TO
PREMISES LIABILITY
X
$
$ 1,000,000
BI EA PER
EAOCC
$
$ 2,000,000
PD
AGGR
PREMISES MEDICAL PAYMENT
$
EA PER
$
LA OCC
PRODUCTS LIABILITY
x
EXTENDED
$ 100,000
$ 1,000,000
BIEAPER
EAocc
$ 1,000,000
AGGR
COMPLETED
OPERATIONS
uABIL17Y
X
LJ
EXTENDED
$ 100,000
$ 1,000;000
BIEAPER
EAOCC
$ 1,000,000
AGGR
HANGERKEEPERS
LEGAL LIABILITY
X
INCLUDINGTAXI
IN FLIGHT
$ 50,000
EA AIRCRAFT
$ 150,000
EAocc
FIRE LEGAL LIABILITY
$
ANYONE FIRE
PERSONAL INJURYLIABILITY
X
$ 1,000,000
EAOGG
$ 1,000,000
AGGR
ADVERTISINGLIABILITY
X
$ 1,000,000
EACCG
$ 1,000,000
AGGR
CONTRACTUAL UABIIUTY
INCLUDED
EXCLUDED
COVERAGE
OPTIONS
LIMIT
APPLIES TO
LI MIT
APPLIES TO
CODE
DESCRIPTION
$
$
DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 101. Additional Remarks Schedule, if more space is reauired)
KALISPELL CITY AIRPORT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
POBOX 1997
PO BOX,
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
MT 59901
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
U "LUU"U AUUKU t:UKPUKA I IUN. All rlgnts reserved.
ACORD 20 (2009112) The ACORD name and logo are registered marks of ACORD