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Site A-12/Strand (Exp 1/31/18)
STRAND1 OP ID: JH DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 02/20/2017 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 have ADDITIONAL INSURED provisions or 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 406-892-9191 1coNracr John R. Horine NAME: ______ Avalon Insurance i P /C, No, —406-892-9191 —FAX 406-892-9199 PO BOX 2007 (A/c, No, Ext): (A/C, No): Columbia Falls, MT 59912 1 E-MAIL — - - _-- - John R. Horine I ADDRESS_--- -----------__--- ------ _--- Scottsdale Insurance Co INSURED Myron K Strand '�. INSURERB_ PO Box 166 Kalispell, MT 59903 _INsuRERc_; INSURER D INSURER E INSURER F 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 ` ADDL SUBR LTR , TYPE OF INSURANCE _ '', INSD WVD, POLICY NUMBER _. ._...- POLICY EFF POLICY EXP LIMITS --_-. _ . (MM/DD/YYYY) _-- _-_ ___ --- X -: COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 . CLAIMS MADE X CPS2580051 I r 01/3112017' 01/311201$ DAMAGE TO RENTED 50,000 ,OCCUR X pREMISES(Eaoccutrence), $ _- ''I.i MED,EXP (Any one person) 5,000 1,000 000 GENT, AGGREGATE APPLIES PER: GENERAL AGGREGATE $ 2,000,000 1 PRO- PRO- POLICY, LOC '' PRODUCTS-_COMP/OPAGG_ $ 2,000,000 OTHER: — — — — 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY (Per person__ $ OWNED I SCHEDULED AUTOS ONLY AUTOS BODILY_INJURY (Per accident)!$ AUTOS ONLY ALTOS ONED PROPERTY DAMAGE $ Per accident UMBRELLA LAB OCCUR '', '�, EACH OCCURRENCE I $ ... EXCESS LIAB CLAIMS MADE', AGGREGATE $ DIED RETENTION $ -..._-.. . $ ' WORKERS COMPENSATION PER OTH- STATUTE ER.__ AND EMPLOYERS' LIABILITY YIN, :._. . - ANv PROPPI.ETCnIaAPTNER1EXECUT!VF N / A, E L. EACH ACCIDENT S - - --- - - - OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE', $ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) KALCITY Kalispell City Airport - S27 Becky L. Spain PO 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. AUTHORIZED REPRESENTA John R. Horine Iv ACORD 25 (2016/03) © 8-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered l of ACORD