Western States/FBOWestern States Ins - Kalispell
P O Box 8090
Kalispell, NIT 59904-1090
Phone : 406-758-4200 Fax : 406-755-1189
Kalispell, City Of
Amy Robertson
Drawer 1997
Kalispell, NIT 59903
INVOICE# 94865
ACCOLTsTTN . CSCDATE
I ALI525 I -I , 02/10/06
PR193505
COMPANY,
Phoenix Insurance
PRODUCER
Rubin Boon, CPC
EFFECTME EXPIRATION BALANCED]
02/11/06 02/11/07 02/11/06
939107 02/11/06 REN CAVI Policy renewal $ 7,095.00
Invoice Balance: $ 7,095.00
Binder dated 11712006
City of Kalispell
Insurance Binder
Policy Period: 02/11/06 - 02/11/07
NAMED INSURED
INSURER
POLICY PERIOD
Kalispell, City of
c/o Western States Ins. Angency, Inc.
P.O. Box 8090
Kalispell, MT 59904
Phoenix Aviation Managers
2/ 11 /06-02/ 11 /07
COVERAGES Ij
Renewal
ICE ITS EPREMIUM
Named Insured
Kalis ell, City of --
Included
- --
Bodily Injury and Property
$5,000,000 Each
Included
Damage Liability
Occurrence
Products/Completed Ops
$1,000,000 Each
$570
Occurrence
Malpractice Liability
$5,000,000Each
Inccuded
Occurrence/A re ate
Fire Darna e Limit
$50,000 Any One Fire
Included
Medical Expense Limit
$1,000 Each
Included
Person/$5,000 Any
One Occurrence
Ilangarkeepers Liability
$1,000,000 Any One
Included
Aircraft/Any One j
Occurrence '
Personal Injury and Advertising
$5,000,000 Aggregate
Included
In'uTiv Liabil tv
Additional Insureds
All Employees
Included
Fred A. Leistiko
Mental Anguish
--------------------------- i
Included
Supplementary Payments
$250 Each Bail Bond
Included
$100 Each Da
Deductibles
NIL Each Occurrence I
Included
it
or Aggregate
TOTAL ANNUAL W.; 7;09s
PREMIUM
Binder Is Subject To:
The insured and/or contract employed manager not taking possession of any aircraft and not engaging in direct
operations for moving, taxiing, towing or fueling of aircraft that does not belong to the insured.
ALL POLICY TERMS & CONDITIONS ARE SUBJECT TO THE PROVISIONS OF THE POLICYAND THE
APPLICABLE ENDORSEMENTS CURRENTLY USED BY THE ISSUING COMPANY.
VALIDITY PROVISION
This quotation will remain valid for thirty (30) days subject to no adverse changes in underwriting information and
further subject to underwriter acceptance.
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.
d!*C%W'M
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