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HomeMy WebLinkAboutInsurance Certificate: Precision Helicopters ~►co CERTIFICATE OF LIABILITY INSURANCE OATE(MMODNYYY) 10114/2013 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 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 NCONTACT AME: Tracy Myers JLTAerespace (North America) Inc. PHONE 703-459-2393 703-059-9580 A/C No Ext : NC, No 2300 Dulles Station Blvd acy. AoDRESS: TrMyers@jltaerospace.com Suite 230 INSURER(S) AFFORDING COVERAGE NNC0 Herndon, VA 20171 INSURERA: New Hampshire Ins Co INSURED INSURER B Precision, LLC, DBA: Precision Helicopters, INSURER C: 17770 N.E. Aviation Way INSURER D: INSURER E : Newberg OR 97132 INSURERF: COVERAGES CERTIFICATE NUMBER: 12-13 Business Auto REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIOD (MWDDffYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea o= ence $ CLAIMS-MADE F-1 OCCUR MED EXP (Any one person) $ PERSONAL a ADV INJURY S GENERALAGGREGATE $ GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMPIOPAGG It POLICY PRI LOC $ --I JE F-1 UUM AUTOMOBILE LIABILITY E aao9tlent 1,000,000 $ ANY AUTO BODILY INJURY (Per person) $ A ALL OWNED SCHEDULED 01CA019046845-1 10/17/2012 11/17/2013 BODILY INJURY (Per accident) $ AUTOS AUTOS 17 NOTWOWNED HIREDAUTOS AUTOS (Per eccalent $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTIONS $ WORKERS COMPENSATION W TATU- OTH- ANDEMPLOYERS'LVU3ILRV YIN TORY LIMITS ER ANY PROPRIETONPARTNENEXECUTIVE ❑ NIA E.L. EACHACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E L. DISEASE - EA EMPLOYE $ It yes, describe order DESCRIPTION OF OPERATIONS below El. DISEASE - POLICY LIMIT It DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Notice of Cancellation: In the event of Cancellation or material changes of the policies by insurers which would adversely affect the interests of the Additional Insureds, Insurers agree to provide 30 days (ten (10) days in the event of Cancellation for non-payment of premiums) prior written notice to the Certificate Holder(s). CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN its officers, agents, and employees ACCORDANCE WITH THE POLICY PROVISIONS. 20 E. Main Street Ashland OR 97520 AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD