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Airport General Liability Policy 2017-2018 Insurance Confirmation2017 Aviation Insurance Confirmation City of Kalispell C/o PayneWest Insurance, Inc. PO Box 8090 Kalispell, IVIT 59904 Airport General Liability Policy Policy Period- February 11, 2017 to February 11, 2018 February 10, 2017 C 25548 Genesee Trail Road Golden, CO 80401 (P) 303-526-5300 (F) 303-526-5303 City of Kalispell Confirmation Period:02/11/2017 — 0211112018 NOTICE THIS "INSURANCE CONFIRMATION" IS NOT A LEGAL CONTRACT AND PROVIDES ONLY A GENERAL DESCRIPTION OF COVERAGES OFFERED. ANY INDICATION OF COVERAGES CONTAINED HEREIN IS SUPERSEDED BY THE ACTUAL POLICY WORDING AND SUBJECT TO ALL TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICY. OTHER LIMITS OF COVERAGE THAN THOSE SPECIFICALLY OFFERED HEREIN MAY BE AVAILABLE UPON REQUEST. CONFIDENTIALITY CLAUSE This document contains information which is proprietary, and is intended only for the use of the person, entity or entities named herein. Any unauthorized disclosure, copying or distribution of this document is prohibited. LIABILITY LIMITS Higher Liability Limits may be available upon request. Page 2 of 6 L 11 M T E 0 City of Kalispell Confirmation Period:02/11/2017 — 0211112018 PREMIUM SUMMARY Old Republic AIRPORT GENERAL LIABILITY $5,995 TOTAL PREMIUM $5,995 PAYMENT TERMS Option A Payment in full within fifteen (15) days of policy inception Option B Premium finance, 20% Down Payment with 10 Monthly Payments INSURANCE COMPANY Old Republic Insurance Company — A.M. Best rated "A+" XII (Underwritten by Old Republic Aerospace, Inc.) Financial Strength Rating A++ and A+ (Superior) - Assigned to companies that have, on balance, superior balance sheet strength, operating performance and business profile when compared to the standards established by the A.M. Best Company. These companies, in the opinion of A.M. Best Company, have a very strong ability to meet their ongoing obligations to policyholders. Financial Size Category XII - $1,000,000,000 to $1,250,000,000 adjusted policyholder surplus Page 3 of 6 L 11 M T E 0 City of Kalispell Confirmation Period:02/11/2017 — 0211112018 PRIMARY COVERAGES NAMED INSURED City of Kalispell and any subsidiary, affiliated, managed, owned or controlled companies or entities now in existence or hereafter formed. PREMISES LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury and Property Damage arising out of the aviation operations of the facility described in the policy. Limit of Liability: PREMISES MEDICAL PAYMENTS $5,000,000 Each Occurrence To pay on behalf of the Insured all reasonable medical expense to persons who sustain Bodily Injury caused by an accident arising from a condition of the insured premises or aviation operations of the Insured. Limit of Liability: $ 5,000 Each Person $25,000 Each Occurrence PRODUCTS/COMPLETED OPERATIONS LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury and Property Damage arising out of aviation services, goods or products manufactured, sold, handled or distributed under the Insured's name, or work completed by or for the Insured, but only if such services, goods or products or work completed have been relinquished to others and the accident occurs away from the premises of the Insured. Limit of Liability: GROUND HANGARKEEPER'S LIABILITY $1,000,000 Combined Single Limit Each Occurrence and Annual Aggregate To pay on behalf of the Insured all sums the Insured should become legally obligated to pay for the direct loss of or damage to any non -owned or non-leased/non-managed aircraft (including loss of use) which at the time of the loss is in the care, custody or control of the Insured for storage, repair, service, or refueling on the premises owned or leased by the Insured and is on the ground. Limit of Liability: $5,000,000 Each Aircraft and Each Occurrence Deductible: NIL Page 4 of 6 L 11 M T E 0 City of Kalispell Confirmation Policy Period:02/11/2017 — 0211112018 GENERAL AND OTHER PROVISIONS + ADDITIONAL INSUREDS + NOTICE OF CANCELLATION + SUPPLEMENTARY PAYMENTS + TERRITORY BAGGAGE COVERAGE All Employees Sixty (60) Days Ten (10) Day for non-payment of premium Bail Bonds: $5,000 Each Bond Loss of Earnings: $250 Each Day Anywhere in the world EXPANSION COVERAGES The personal effects and baggage of each passenger are covered while being transported in an aircraft being operated by or for the Insured. Limit of Liability: Included FIRE LEGAL LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay for Property Damage caused by fire to the premises rented or leased to the Insured. Limit of Liability: $100,000 Each Occurrence INCIDENTAL MEDICAL MALPRACTICE LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury arising out of the rendering of, or the failure to render, assistance to air ambulance patients in assistance of medical personnel on board the aircraft. Limit of Liability: $5,000,000 Each Occurrence and Annual Aggregate MENTAL ANGUISH COVERAGE To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury arising out of the policy coverages provided to include pain and suffering. Limit of Liability: Included Page 5 of 6 L 11 M T E 0 City of Kalispell Confirmation Period:02/11/2017 — 0211112018 MOBILE EQUIPMENT LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay for Bodily Injury and Property Damage arising out of the use of mobile equipment which is owned or leased under a written agreement by the Named Insured while it is on insured premises. Limit of Liability: $5,000,000 Combined Single Limit Bodily Injury and Property Damage Each Occurrence NON -OWNED AIRCRAFT LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for Bodily Injury or Property Damage (EXCLUDING damage to the non -owned aircraft) arising from the use of any non -owned or non-leased/non-managed aircraftwhile being utilized byoron behalf of the Insured in its operations. Limit of Liability: $5,000,000 Combined Single Limit Bodily Injury, Property Damage and Passenger Legal Liability Limitations: Fixed Wing, Land, 20 max seats, Standard Airworthiness Certificate PERSONAL & ADVERTISING INJURY LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay as damages for injury sustained by any person (excluding employees) or organization relating to the aviation operations of the Insured arising out of false arrest, detention or imprisonment, malicious prosecution, libel or slander, wrongful entry or eviction, or other invasion of the right of private occupancy. Limit of Liability: $5,000,000 Annual Aggregate Page 6 of 6 L 11 M T E 0