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HomeMy WebLinkAboutInsurance Certificate: Columbia Helicopters 112013 °^0 AC40M ~ CERTIFICATE OF AVIATION LIABILITY INSURANCE 0510WNUDWYYY) /01 /2013 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 poltcy(les) 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 endorsements . PRODUCER - - NON . Drew Johnston or Cheryl Turner CONT CT Aon Risk Solutions, Inc. PHONE.316.941.1553 or 316.941.1519 F No : 847.953.3457 245 N. Waco, Suite 420 Eaal drew.)"Dh AODUCE nston@aOn.COm or Cheryl.tumer@aDn.com Wichita, K$ 67202 PRODUCER INSURERS AFFORDING COVERAGE % NAIL/ INSURED INSURER A: Underwriters at Lloyd's of London and Columbia Helicopters, Inc. INSURER B: various com anies. and all Affiliated Subsidiaries as now or hereinafter Constituted INSURER C: P.O. Box 3500 INSURER D Portland, OR 97208 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. AIRPORT & FBO LIABILITY COVERAGES CERTIFICATE NUMBER: 2013- 67 _ REVISION NUMBER: INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATIONDATE ADDITIONALINSUREOT('r/N) SUBROGATIONINAMEUT(YIN) AM1300401 05/0112013 05/0112014 Y N COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO PREMISES LIABILITY $ BI EA PER $ PD $ 10,000,000 EA OCC PREMISES MEDICAL PAYMENTS $ EA PER $ EA OCC PRODUCTS ABILITY SALE OF FUEL S OIL $ BI EA PER $ 10,000,000 AGGR EXTENDED $ 10,000,000 EAOCC COMPLETED EXTENDED L-i OPERATIONS $ BI EA PER $ AGGR LIABILITY $ EA occ HANGARKEEPERS INCLUDING TAXI LEGAL LIABILITY IN FLIGHT $ EA AIRCRAFT $ EA OCC FIRE LEGAL UABWTY $ ANY ONE FIRE PERSONAL INJURY LIABILITY $ EA= $ AGGR ADVERTISING LIABILITY $ EA OCC $ AGGR CONTRACTUAL LIABILITY INCLUDED E%CLUDEO COVERAGE CODE DESCRIPTION OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO Aircraft Liability $ 10,000,000 EA OCC $ $ $ $ $ DESCRIPTION OF OPERATIONS I REMARKS (A act ACORD 701 Additional Remarks Schedule If mores ace Is re uiretl DESCRIPTION OF INSURANCE: Third Party Bodily Injury (Excluding Passengers) and Property Damage Legal Liability arising out of the operation of the Insured Aircraft and Premises. ADDITIONAL INSURED: The Certificate Holder is included as an Additional Insured buy only as respects the acts or omissions of the Insured in Connection with the Contract. CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland, its departments, divisions, officers and ACCORDANCE WITH THE POLICY PROVISIONS. employees AUTHORUTD REPRESENTATIVE City Hall - 20 E. Main Sheet Ashland, OR 97520 Aon. -Risk Solutions, Inc. © 2009 ACORD CORPORATION. All rights reserved. ACORD 20 (2009/12) The ACORD name and logo are registered marks of ACORD J~ PRIVATE HANGAR LIABILITY COVERAGES PRODUCER CUSTOMER ID: INSURERLETTER POLICY NUMBER EFFECT EDATE EXPIRATION DATE ADDITIONAL INSURED? (Y I N) SUBROGATIONWAWED?(Y/N) COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO HANGARKEEPERS INCLUDING TAXI LEGAL LIABILITY IN FLIGHT $ EA AIRCRAFT $ EAOCC COVERAGE CODE DESCRIPTION OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO $ $ $ $ AVIATION PRODUCTS LIABILITY COVERAGES INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED? IT IN) SUBROGATION WAIVED? (Y/N) COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO INCL COMP OPS INCL SPACECRAFT PRODUCTS LIABILITY $ EA OCC $ AGGR EXCL COMP OPS EXLL SPACECRAFT GROUNDING LIABILITY $ EA OCC $ AGGR FOREIGN MILITARY AIRCRAFT PRODUCTS INCLUDED COVERAGE CODE DESCRIPTION OPTIONS LIMIT APPLIESTO LIMIT APPLIES TO $ $ $ $ OTHER COVERAGES LINE OF BUSINESS INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONALINSURED?(YIN) SUBROGATIONWAIVED?(Y/N) COVERAGE CODE DESCRIPTION OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ OTHER COVERAGES LINE OF BUSINESS INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED? (Y I N) SUSROGATIONWARNED?(Y/N) COVERAGE CODE DESCRIPTION OPTIONS LIMB APPLIES TO LIMIT APPLIES TO $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ ACORD 20 (2009112)