Site A-5/Mount Cleveland DevelopmentC H U B B CHUBB SPECIALTY 213.833-3100 main
CASUALTY 213-833-3107 fax
Aerospace
www.ace-ina.com
601 S. Figueroa Street
Suite 1500
Los Angeles, CA 90017
July 8, 2016
CERTIFICATE OF INSURANCE (PAGE 1 OF 2)
THIS IS TO CERTIFY that the Insured set forth below is at this date insured with ACE PROPERTY AND
CASUALTY INSURANCE COMPANY under Policy No: AAP N11236443 002 as described in the following
schedule. 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 terins, exclusions and conditions of such policies. Limits shown may have been reduced by
paid claims.
THIS CERTIFICATE OF INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY, AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THE CERTIFICATE DOES NOT
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE
AFFORDED BY THE POLICY (IES) BELOW. THIS CERTIFICATE DOES NOT CONSTITUTE A
CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR
PRODUCER, AND THE CERTIFICATE HOLDER
DESCRIPTIVE SCHEDULE
INSURED: Mount Cleveland Development, LLC
ADDRESS: 7393 Hwy 35, Big Fork, Montana 59911
LOCATION: Premises necessary and incidental to the aviation operations of the Named Insured.
TYPE: Airport Owners and Operators Liability Insurance
POLICY PERIOD: From: July 11, 2016 To July 11, 2017 (both dates at 12.01 am LST)
SUM INSURED: Bodily Injury, Personal Injury/Advertising Injury and Property Damage combined
$1,000,000 each occurrence/offense, subject to the following limitations:
Products -Completed Operations Aggregate Limit ........................
$Not insured
Personal Injury Aggregate Limit ................................................
$1,000,000
Malpractice Aggregate Limit .....................................................
$Not insured
Fire Damage Limit Any One Fire ........................................
$ 250,000
Medical Expense Limit Any One Person ................................
$ 3,000
Hangarkeepers Limit Any One Occurrence .................................
$ 500,000
Hangarkeepers Limit Any One Aircraft ......................................
$ 500,000
Non -Owned Aircraft Liability Limit Any One Occurrence...........
$Not insured
DEDUCTIBLE: NIL.
Page I of 2 One of the ACE Group of Insurance & Reinsurance Companies
July 8, 2016
CERTIFICATE OF INSURANCE (PAGE 2 OF 2)
ISSUED TO: City of Kalispell
It's Officers, Employees and Agents
P.O. Box 1997
Kalispell, NIT 59903
ADDITIONAL
AGREEMENT: Solely with respect to aviation operations between the Named Insured and this Certificate
Holder, WHO IS AN INSURED is amended by endorsement to include as an insured person
or organization the following Certificate Holder as an insured, but only with respect to
liability to which the insurance provided under the above Policy (ies) applies that is caused,
in whole or in part, by the Named Insured's acts or omissions or acts or omissions of those
acting on the Named Insured's behalf in the performance of the Named Insured's "aviation
operations".
COMMENTS: This Certificate of Insurance neither affinnatively nor negatively amends, alters, or extends
The coverages afforded by the policy described above. Should any of the above described
policies be cancelled before the expiration date thereof, notice will be given in accordance
with the policy provisions.
(Authorized Representative)
Page 2 of 2