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Home My WebLink AboutInsurance Certificate: Given & Company Av1!V'rio .A, 3353 Peachtree Road NE, Suite 1000 Atlanta, GA 30326 Certificate of Insurance Certificate Holder: CITY OF ASHLAND 20 EAST MAIN STREET ASHLAND, OR 97520 Named Insured: GIVEN & COMPANY, AN ACCOUNTANCY COR 2020 SODA MOUNTAIN ROAD ASHLAND, 0RE0ON-375__ Policy Period: From DECEMBER 3, 2012 To DECEMBER 3, 2013 Policy Number: 9957-2063-05 Issuing Company: FEDERAL INSURANCE_COMPANY This is to certify that the 11 unc(les) listed herein have been Issued providing covesge for the listed insured as further described. This certificate of Insurance is not an insurance policy Notwithsta and does not amend, extend, or alter the coverage afforded by the policy(ies) listed herein. nding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance ma be concemed or may. pertain, the insurance afforded by the policy(ies) listed on this certificate is subject to all the terms, exclusions, n on ii ns of such Aircraft: Reg Deductibles Year Make and Model No Insured Value NIM / IM Liability Limit 1979 CESSNA P21 ON II N6582P $ 150,000. NIL / NIL $1,000,000. CSL EXCLUDING PAX - S S - S S - S g - S - - S =S - THE CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER LIABILITY COVERAGES, BUT ONLY AS RESPECTS OPERATIONS OF THE NAMED INSURED. THE COMPANY SHALL ENDEAVOR TO PROVIDE 30 DAYS NOTICE OF CANCELLATION. DEC - 6 2012 Certificate Number: 1.1 Issued By and Date: SU 11/29/2012 By Starr 10200 (6/06) (Au orized Representative) ADDITIONAL INSURED ENDORSEMENT This policy is amended as follows: The provisions of this endorsement shall apply with respect to: 1979 CESSNA AIRCRAFT COMPANY P210N II - N6582P (Only the clause(s) indicated by an " X' shall apply.) ❑ The scheduled persons or organizations are included as additional insured. The scheduled persons or organizatioronsare -the -registered owner of - and are included as additional insured. ❑ The scheduled persons or organizations are included as additional insured but only as respects liability coverages. ® The scheduled persons or organizations are included as additional insured under liability coverages, but only as respects operations of the named insured. ❑ The scheduled persons or organizations are included as additional insured but only as respects operations of the named insured. The insurance extended by this endorsement shall not apply to, and no person or organization named in the schedule shall be insured for bodily injury or property damage which arises from the design, manufacture, modification, repair, sale, or servicing of aircraft by that person or organization. Schedule: Name CITY OF ASHLAND Address 20 EAST MAIN STREET ASHLAND, OR 97520 Name Address Name Address All other provisions of this policy remain the same. This endorsement becomes effective DECEMBER 3, 2012 to be attached to and hereby made a part of: Policy No. 9957-2063-05 Issued to GIVEN & COMPANY, AN ACCOUNTANCY CDR By FEDERAL INSURANCE COMPANY Endorsement No. TBA _ Date of Issue SU 11/29/2012 By (Authorized Representative) Starr 10284 (3/06)