Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Site A-12/Strand
STRAND1 OP ID: JH ® LIABILITYCERTIFICATE OF ATE (MM/DD/YYYY) P09/12/11 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 endorsement(s). PRODUCER 406-892-9191 Avalon Insurance PO Box 2007 406-892-9199�NN CONTACT NAME: , Ext): FAX No: - E-MAIL ADDRESS: Columbia Falls, MT 59912 John R. Horine ) --- INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : CBIC _ INSURED Myron K Strand PO Box 166 Kalispell, MT 59903 _ INSURERB: INSURERC: INSURER D : -_ INSURER E : 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. INSR; -- !ADDLjSUBR LTR TYPE OF INSURANCEINSR POLICY NUMBER POLICY EFF POLICY EXP ( MM/DD/YYYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X_.I COMMERCIAL GENERAL 'GN2000004 DAMAGE TO RENTED 01/31/11 01/31/12 ! PREMISES (Ea occurrence) _1$ _ _ 50,000 �LIABILITY CLAIMS -MADE 1 X ]OCCUR MED EXP (Any one person) $ 5,000 — -----— PERSONAL & ADV INJURY $ 1,000,000 � 1 GENERAL AGGREGATE $ I 2,000,000 - PER: I I, GENT AGGREGATE LIMIT APPLIES PE � PRODUCTS - COMP/OP AGG j $ 2,000,000 PRO POLICY I ICI $ AUTOMOBILE LIABILITY j COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO �_ -- ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE _ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N I, TQRY LIMITS ER ANY - Y ! A E.L.EACH ACCIDENT $ _-- _ --- -- OFHCROPRIIETBOR/EXRLNER/r,EXECUTIVE m NH------- ) �� I E.L. DISEASE - EA EMPLOYEE (Mandatory ( ry' If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) BLDG/PREMS-BANK/OFF-IN RE: Lease holding Al2, Kalispell City Airport CERTIFICATE HOLDER CANCELLATION KALCITY Kalispell City Airport - S27 Fred A Leistiko PO Box 1997 Kalispell, MT 59903 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 R ESENTATIVE John R. ine/ / ©1988-2010'ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are Istered marks of ACORD