Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Billmayer Hangar/Exp 9/20/17
CERTIFICATE LIABILITY INSURANCE DATE TE(MMIDDIYYYY) 01/26/2017 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 CONTACT NAME: Charles Monroe Charles Monroe PHONEI FAX 690 N. Meridian Rd. # 204 Kalispell, MT 59901 E-MAIL — ---- ADDRESS: charliemonroeentu ryteL net PRODUCER -- —--"---- INSURER S AFFORDING COVERAGE - ---- NAIC_#_ INSURED _ INSURER A: Evanston Insurance CO. Jay Billmayer DBA: Jay Billmayer Hangar Rental 4410 Hwy 2 East Kalispell, MT 59901 lNSURER B -""--- -- INSURER C : — —----- _ ! 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� LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMlDDlYYYY) POLICY EXP (MM/DDIYYYYI I LIMITS A GENERAL LIABILITY (— 3EG5546 09/20/2016 09/20/2017 EACH OCCURRENCE $ ,� QQQQQQ X 1 COMMERCIAL GENERAL LIABILITY _ DAMAGE TO RENTED PREMISES (Ea occurrenceJ__J _ . $ 100000_., CLAIMS OCCUR _-_- _ j_ -MADE MED EXP (Any one person) - $ - - - ---_ _ 5000__- �- PERSONAL & ADV INJURY $ 1000000__ GENERAL AGGREGATE $___ _2000000 GEN'L AGGREGATE LIMIT APPLIES PER: ( PRODUCTS COMPIOP AGG $ EXCL._ X1 POLICY PRO LOC JECT -- $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO {--'-•- (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ � SCHEDULED AUTOS ---- - ------------------- PROPERTY DAMAGE $ HIRED AUTOS NON -OWNED AUTOS (Per accident) �$ UMBRELLA LIAB OCCUR EACH OCCURRENCE_____ $ EXCESS LIAB CLAIMS -MADE ( ��� AGGREGATE _ -_ $,-- -- _ DEDUCTIBLE i RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- 'I__ I AND EMPLOYERS' LIABILITY Y 1 N . TORY LIh11TS�_I ER Ir -$ ---- ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A ( E.L. EACH ACCIDENT -� $ - - - j (Mandatory in NH) ( j E.L. DISEASE - EA EMPLOYEB — ----� $ ____----------------- - 1 If yes, describe under ! E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Kalispell is also listed as an Additional Insured. u .— - I — -t\ L1AIV4CLLA I IUN City of Kalispell 3121stAve. East Kalispell, MT 59901 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 REPRESENTATIVE ©1988- 2009 ACORD CORPORATION- All rights racPrvi-d ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD