Site A-2/Villa Normandy LLC^tea CERTIFICATE OF LIABILITY INSURANCE 11/01,� 2d';- 3-�
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 certinoate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policy may require an endorsement A statement on this certificate does not carrier rights to the
certificate holder in lieu of such endorse s .
PRODUCER 406-755-5626 406-755-5627
Bocksnick insurance
264 N Main St #200
KallsDell.MT 59901
cv=f Ga Bocksnick
P I .406-755-5626 W .-406-755-5627
Aff gbocksnick@,gmall.com
INSU S AFFORDINGCOVERAGE
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INSURERA: Farmers Union I Ins. co
1NSUIED
Villa Normandy LLC
1007 Mission Canyon Rd
Santa Barbara, CA 93015
INSURER B:
INSURER O,
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INSURER E:
INswrER P -
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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.
MR
I TYPEOPINSURANCE
POLICY NUMBER
POLICY EFF
POLICY
LIMITS
A
GENERAL LIABILITY
1/ COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
CP00011752
11/01/2013
11/01/2014
EACH OCCURRENCE
$ 1 00
PREI
$5000
NED EXP one
a
vERSONALAAOVINuu-
$20 0 0
GENERAL AGGREGATE
s2.000,000
GEML AGGREGATE UNIT APPLIES PER:
POLICY 7 PR LOG
PRODUCTS-COMP/OPAGG
$ Z000,000
S
AUTOMOBILE
UA
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HIREDAUTOS NON{1NNED
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BODILY INJURY (Per Person)
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BODILY INJURY (Per &=dern)
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$
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UMBRELLA I"
EXCESS UAB
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CLAIMS•MADE
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EACH OCCURRENCE
$
AGGREGATE
$
DED I I RFTI
WORKERSCOMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY
CFFICE MEMBER AARTNERIE ECUTWE
(Mwldalory In NH)
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EL DISEASE - EA EMPLOYEE
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bEScwPnON OF OPERAT10N61 LOCATK)NS7VEHICLES(AKAch ACORD 101, Ad4ftnsl Re ft Schedule. If space NmgW,ed)
Hangar Building # A2 Kalispell city airport
City as additional Insured.
CERTIFICATE HOLDER CAAICP/ I ATU`Vd
City Manager
City Of Kalispell
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
P.O. BOX 1997
Kalispell, Montana 59903-1997
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
A DANCE WITH THE POLJ PROVISIONS.
A
ED REPRESENT E
ary ocksn!gK
/ ! / 9)193>i:R010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010109) The ACORD name and logo are registered marks of ACORD