Site A-4/Belhat Ventures/Exp 9-30-17 - TERMINATED - HANGAR SOLD JULY 2017THIS CERTIFICATE ISSUED To:
INSURED'S NAME AND ADDRESS:
City of Kalispell
Belhat Ventures
Attn: Denise Michel
590 Labrie Dr.
PO Box 1997
Whitefish, MT 59937
Kalispell, MT 59903
IM (if checked) Certificate Holder listed as Additional Insured
AIRCRAFT LIABILITY AND PHYSICAL DAMAGE COVERAGE
Insurance Company Providing
Coverage:
Policy Number: Effective Expires
AMOUNT OF HULL TYPE OF COVERAGE
DEDUCTIBLE S
N0. AIRCRAFT COVERED
INSURANCE (Ground&Flight, Excl Flight, or NIM only)
NIM IN MOTION
1.
a
2.
3.
4.
LIMITS OF LIABILITY
Each Person
Each Occurrence
A. Bodily Injury - Excluding Passengers XXXXXXXX X
B. Property Damage
XXXXXXXXXX
C. Passenger Liability
XXXXXXXXXX
D. Single Limit Bodily
cluding Passengers & Property Damage
I
AIRPORT LIABILITY
Insurance Company Providing One Beacon Insurance Group
Coverage:
Policy Number: 710-03-38-73-0003 Effective 09/30/2016 Expires 09/30/2017
.._.......
IMITS OF LIABILITY
— LILIT._
Li ....._ ,..r �.. �... _e.
Per Aircraft Per Occurrence
A. Premises Liability XXXXXXXXXX $1,000 000*
B. Personal & Advertisin In'u XXXXXXXXXX
C. Products/Completed Operations XXXXXXXXXX
D. Me_dical Expense XXXX3{30{3C}CX .-..
E. Hanalrerkeeners Liabilitv Deductible m�
'ADDITIONAL PROVISIONS
*$2,000,000 aggregate limit
Certificate holder is included as an additional insured under liability coverages, but only as respects the operations of the named
insured. Premises covered: Kalis ell City Airport Han ar A4, Kalis ell, MT 59901
This certificate does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy.
Absence of any entry indicates not applicable to this certificate. All coverages effective/expire 12:01 AM Standard Time at the insured's address
This is to certify that the Policy/Policies of Insurance as described herein have been insured by the company/companies listed and are in force as
of the date of this certificate. In the event o f cancellation of the policy/policies, the company/companies will endeavor to give the party to whom
this certificate is issued 30 days advance written notice of such cancellation but will not be liable in any way for failure to give such notice. In the
event of cancellation for non-payment of premium, the company/companies will endeavor to give the party to whom this certificate is issued 10
days advance written notice such cancellation but will not be liable in any way for failure to give such notice.
February 15, 2017
Signature of Authorized Representative Date
Mountain Air Insurance Services, Inc.
P 0 Box 1918 a Hamilton, MT 59840 m Phone 406-363-1411® Fax 406-363-1412