Pete Gross/Leaseback of Craighead Property/Hangar 1/Exp 11/16# " CERTIFICATE OF AVIATION LIABILITY
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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(les) 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 endorsemen s).
CONTACT
PRODUCER
NAME:
Mountain Air Insurance Services, Inc.
PHONE FAX
P.O. Box 1918
A(C, No, E>d: 'C, No):
E-MAIL ADDRESS:
Hamilton, MT 59840
R0DUCER CUSTOMER ID No.
INSURED
Airport Enterprises, LLC
INSURER(S) AFF ORDING COVE RAGE
%
NAIC No.
INSURER A: U.S. SPECIALTY INSURANCE COMPANY
100h
P.O. Box 7276
INSURER B.
Kalispell, MT 59904
INSURER C
INSURER D:
INSURER E:_
INSURER F :
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 CONTRACTOR 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.
AIRPORT & PBU LIABILI I Y UUVERAGE5 CERTIFICATE NUMBER: REV15ION NUMBER:
INSURER LETTER
POLICY NUMBER
UA00169437-05
EFFECTIVE DATE
11/23/2015
EXPIRATION DATE
11/23/2016
ADDITIONAL INSURED? (Y! N)
Y
SUBROGATION WAIVED? (Y/ N)
N
COVERAGE
OPTIONS
LIMIT
APPLIES TO
LIMIT
APPLIES TO
PREMSSIS LIABILITY
Li
$ 1,000,000
$ 1,000,000
BIEAPER
EA OCC
$
$ 2,000,000
PD
AGGR
PREMISES MEDICAL PAYMENT
$
EA PER
$
EA OCC
PRODUCTS LIABILITY ..
EXTENDED . ...
$ 100.000
$ 1-,000,,000
BI EA PER
EA OCC
$ 1,000,000
AGGR
COMPLETED
OPERATIONS
LIABILITY
EXTENDED
$ 100 DOO
$ 1,000,,000
BI EA PER
EA OCC
$ 1,000,000
AGGR
H LEGAL
LEGAL LIABILITY
INCLUDING TAXI
IN FLIGHT
$ 100,000
EA AIRCRAFT
$ 150,000
EA OCC
$
$
EA OCC
$
AGGR
$
EA OCC
$
AGGR
INCLUDED
EXCLUDED
COVERAGE
OPTIONS
LIMIT
APPLIESTO
LIMIT
APPLIES TO
CODE
DESCRIPTION
$
$
DESCRIPTION OF OPERATIONS! REMARKS (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
KALISPELL CITY AIRPORT, KALISPELL, MT
Certificate Holder is included as an Additional Insured.
Kalispell City Airport
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE
P.O. Box 1997
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Kalispell, MT 59901
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
(9 2W9 ACORD CORPORATION. All rights reserved.
ACORD 20 (2009112) The ACORD name and logo are registered marks ofACORD
AiCC>JW CERTIFICATEOF AVIATION LI`INSURANCE
THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLYAND 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 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, subjectto
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 endorsemen s ,
CONTACT
PRODUCER
NAME:
Mountain Air Insurance Services, Inc.
PHONE I FAX
P.O. Box 1918
(NC,No, bd P/C, No):
E-MAIL ADDRESS:
Hamilton, MT 59840
R0DUCER CUSTOMER IDW.
INSURED
Airport Enterprises, LLC
INSURER(S)AFFORDING COVERAGE
%
NAIC No.
INSURER A: U.S. SPECIALTY INSURANCE COMPANY
100%
P.O. Box 7276
INSURER B,
Kalispell, MT 59904
INSURERC:
INSURER D :
INSURER E :
INSURER F
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.
AIRPORT & FBO LIABILITY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSURER LETTER
POLICY NUMBER
UA00169437-05
EFFECTIVE DATE
11/23/2015
EXPIRATION DATE
11/23/2016
ADDITIONAL INSURED?(YIN)
Y
SUBROGATION WAIVED? (YIN)
N
COVERAGE
OPTIONS
LIMIT
APPLIES TO
LIMIT
APPLIES TO
PREMISES LIABILITY
$ 1,000,000
$ 1,000,000
BIEAPER
EA OCC
$
$ 2,000,000
PD
AGGR
PREMISES MEDICAL PAYMENT
$
EA PER
$
EA OCC
PRODUCTS LIABILITY
EXTENDED
$ 100,000
$ 1;000,000
BI EA PER
EA OCC
$ 1,000,000
AGGR
_
COMPLETED
OPERATIONS
LIABILITY
EXTENDED
$ 100,000
$ 1,000,000
BIEAPER
EA OCC
$ 1,006,000
AGGR
HIANGERKEEPERS
LEGAL LIABILITY
INCLUDING TAXI
IN FLIGHT
$ 100,000
EA AIRCRAFT
$ 150,000
EAOCC
$
$
EA OCC
$
AGGR
$
EA OCC
$
AGGR
INCLUDED
EXCLUDED
COVERAGE
OPTIONS
LIMIT
APPLIES TO
LIMIT
APPLIES TO
CODE
DESCRIPTION
$
$
DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Certificate Holder is included as an Additional Insured.
CERTIFICATE HOLDER ICANCELLATION
City of Kalispell
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE
19
P.O. Box 1997
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Kalispell, 59901
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
-
W "LUUU HtrUKW whCrUKA I IUrC All ngmis reserveo.
ACORD 20 (2009112) The ACORD name and logo are registered marks of ACORD