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Site A-1 & Site A-2/T-Hangar Condo (Exp 1/9/18)
CC>R" CERTIFICATE OF LIABILITY INSURANCE _ DADD/YYW, 02-16-201-2017 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 MOUNTAIN AIR INSURANCE SERVICES i PO BOX 1918 HAMILTON MT 59840 I NANAME: CONTACT AHCNE Ezt FAX No): E-MAIL --- ADDRESS: INSURER S AFFORDING COVERAGE NAIC # Phone: 406-363-1411 Fax: 406-363-1412 INSURED S-27 T-HANGAR CONDOMINIUM ASSOCIATION, INSURER A: THE TRAVELERS INDEMNITY COMPANY(IND) INSURER8: _ INC. KEN BENESH 67 OVERLOOK RIDGE KALISPELL MT 59901 I N S U R E R 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. rINSR LTR TYPE OF INSURANCE ADD L SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MMIDDNYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PA AGE REM SESO RENTED Eaoccurrence) - $_EXCLUDED CLAIMS -MADE C" J OCCUR MED EXP (Any one person) $ EXCLUDED --- — — 4F793137 01/09/17 01/09/18 PERSONAL & ADV INJURY _ $ EXCLUDED EN'L GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PEA �] LOC PRODUCTS -COO $ EXCLUDED -- $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT �aaccident) $ — BODILY INJURY (Per person) $ ' ANY AUTO 1 ALL OWNED SCHEDULED AUTOS ( AUTOS - -- ---- B accident) INJURY (Per � ) ----------------- $_ NON -OWNED _ HIRED AUTOS AUTOS PROPERTY DAMAGE (Per accident _ - — $J UMBRELLA AB CCUR EXC SSLAB __EACH -_J_OL IMS-MADEI AGGR GATERRENCE DED RETENTION $ $ WORKERS COMPENSATION I PER OTH- STATUTE_ AND EMPLOYERS' LIABILITY �, / N __t I. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A I yes, describe under E.L._DISEASE - EA EMPLOYEE --- $ -------- ---------- DESCRIPTION OF OPERATIONS below D ! E.L. DISEASE - POLICY LIMIT $$ I i i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (1-2) KALISPELL CITY AIRPORT; Al AND A2 RYAN DRIVE; KALISPELL, MT 59901 ,.ctc I it VA I r= nvt-wrzm t;ANUtLLA I ILJN KALISPELL CITY AIRPORT P.O. BOX 1997 KALISPELL, MT 59903 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ATIVE © 1988-2014 ACORD CORPOYRATION. All riahtr; rPcprvorl ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD