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Home My WebLink AboutInsurance Certificate: Precision Helicopters Inc Au CERTIFICATE OF LIABILITY INSURANCE °"';;„;n°°;; ' 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 pollcy(les) must be endorsed. H 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 endorsemem(a). PRODUCER NOCONTACT NE; Tracy Myers FAX IC No: 703-459-2381 JLTAeroepace(North America) Inc. PA/~C NaREgg;; 703-459-2393 A 2300 Dulles Station Blvd AOp Tracy. MyersQ)Itaerospace.com Suite 230 INSURER(S) AFFORDING COVERAGE NNCO am on VA 20171 INSURER A: Nev, Hampshire Ins C° INSURED INSURER B : Precision Helicopters, Inc., Nancy Sturdevant and INSURER C: Precision, LLC INSURER D : 17770 N.E. Aviation Way INSURER E: Newberg OR 97132 INSURER F: COVERAGES CERTIFICATE NUMBER: 13-14 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE 1µ6R yyyp POLICY NUMBER MUMADDNYYY) MMIDDNYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE f COMMERCIAL GENERAL LIABILRY PREMISES Ee ocarrenm f CIAIMSMADE ® OCCUR MED D(P (Any one person) f PERSONAL b AW INJURY f GENERALAGGREGATE f GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOPAGG f POLICY JECT LOC $ AUTOMOBILE LIABILITY Es sodden( f 1,000,000 ~A~ BODILY INJURY (Per person) f A AANYAL"O SCHEDULED 01-CA-019046845.2 11/17/2013 11/17/2014 BODILY IWURY(Per accident) f Ed 0 AUTOS AUTOS HIREDAUTOS NON-OWNED S AUTOS Per accident) f UMBRELL,k UAB OCCUR EACH OCCURRENCE f EXCESS LAB CLAIMSMADE AGGREGATE f DEC) RETENTIONS f WORKERS COMPENSATION C TA - OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L. EACHAOCIDENT f OFFICERMEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ Use, descdtro under DESCRIPTION OF OPERATIONS Winn E.L. DISEASE- POLICY LIMIT f DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Anact ACORD 101, Additional Nannette Schedule, 9 more space Is reRulred) 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 SHOULDANY OF THEABOVE 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 AUTHORIZED REPRESENTATIVE Ashland OR 97520 ACORD 25 (2010105) ®1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 JLT AEROSPACE (North America) Inc. LT 2300 Dulles Station Boulevard Suite 230 Herndon, VA 20171 "0~ J Main: 703 459.2380 Facsimile: 703 459-2381 CERTIFICATE OF INSURANCE PHI43-002 This is to certify to: The City of Ashland And its officers, agents, and employees 20 E. Main Street Ashland, OR 97520 That: Precision Helicopters, Inc., Precision, LLC. 17770 NE Aviation Way Newburg, OR 97123 as of this date, has arranged for the following insurance coverage(s) for the period and with underwriters as identified on the attached Seventy Sheet. COVERAGES: AIRCRAFT LIABILITY INSURANCE Combined Single Limit Including, but not limited to: Comprehensive General Liability, Bodily Injury and Property Damage to Third Parties, Each Occurrence' Passenger Liability. $5,000,000 1. Medical Expenses: $5,000 any one person 2. Damages to Premises (rented) $500,000 each occurrence 'REFER TO THE POLICY. AN ANNUAL AGGREGATE LIMIT AND/OR SUB-LIMIT MAY APPLY TO SOME COVERAGES. GEOGRAPHICAL LIMITS: Worldwide AIRCRAFT INSURED: Registration Number. N5449W OTHER COVERAGES/CONDITIONS/REMARKS Subject always to the scope of the attached policies and all the policies' declarations, insuring agreements, terms, conditions, limitations, exclusions, deductibles, warranties and endorsements thereof remaining paramount: Solely as respects: (i) The Coverage(s) noted above; (ii) the Contract(s) (and then only to the extent of the Named Insured's obligation to provide insurance under the terms of the Contract(s)); and (iii) the operations of the Named Insured; the policies are endorsed to include the following provision(s): 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). This Certificate of Insurance is issued as summary of the insurances under the policies noted above and confers no rights upon the Certificate Holders as regards the insurances other than those provided by the policies. The undersigned has been authorized by the above insurers to issue this certificate on their behalf and is not an insurer and has no liability of any sort neither under the above policies nor as a result of this certification. This certificate or verification of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contact or other document with respect to which this certificate or verification of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all terms, exclusions, limitations and conditions of such policies (including, but not limited to an Electronic Date Recognition Exclusion Clause, and a related Electronic Date Recognition Exclusion Limited Coverage Endorsement; copies of which will be made available on request). November 17. 2013 Authorized Representative Date J LT JLT AEROSPACE (North America) Inc. 2300 Dulles Station Blvd., Suite) 230 In Herndon, 20171 Main: 703 45 459-2380 Facsimile: 703 459-2381 SECURITYSHEET POLICY TERM: November 17, 2013 to November 17, 2014, on both dates at 12:01 A.M. Local Standard Time at the address of the Named Insured. INSURER POLICY NUMBER OUOTASHARE National Union Fire Insurance FV 019700109-01 50.00% Company of Pittsburgh, PA FG 019700110-01 Per AIG XL Specialty Insurance Company UA00009098AV 13A 50.00% TOTAL 100.00% SEVERAL LIABILITY NOTICE The subscribing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligations. LSW 1001 (Insurance)