HomeMy WebLinkAboutInsurance Certificate: Given & Company
AIG AEROSPACE INSURANCE SERVICES, INC.
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO: CITY OF ASHLAND
20 EAST MAIN STREET
ASHLAND, OR 97520
THAT THE FOLLOWING POLICY/IES OF INSURANCE HAVE BEEN ISSUED TO:
GIVEN & COMPANY, AN ACCOUNTANCY COR
2020 SODA MOUNTAIN ROAD
ASHLAND, OR 97520, USA
POLICY NO. LA 000272069-02
POLICY PERIOD: From December 3, 2014 to December 3, 2015
INSURANCE COMPANY NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA
Coverage only applies as indicated by a specific limit and deductible. Limits of Liability
A. Aircraft Liability Single Limit for Bodily Injury and $ 1,000,000. each occurrence
Property Damage Ex cluding Passengers, but
Passenger Bodily Injury Limited within the Single
Limit to $ 0. each passenger
B. Medical Expense In cluding crew $ 5,000. each passenger
C. Physical Damage to Your Aircraft
Deductibles
ID Number Year Make and Model Agreed Value Not-in-Motion Not-in-Flight Flight
N6582P 1979 CESSNA 210 PRESS. $ 150,000. $ 0. $ N/A $ N/A
THIS CERTIFICATE HOLDER IS:
1. included as additional insured as respects liability coverage but coverage only applies after all other coverage available to the
additional insured has been exhausted;
2. included as additional insured as respects liability coverage but coverage only applies with respect to the vicarious responsibility of
the additional insured for the operation of the aircraft by the Named Insured, including any interest in the aircraft as owner/lessor,-
3. included as additional insured as respects liability coverage but coverage does not apply to any occurrence arising from the design,
manufacture, modification, repair, sale, or servicing of insured aircraft other than ground handling.
Coverage is sub'ect to Aviation Date Recognition Endorsement Form No. 71223.
The Aviation Managers have made provision to give the certificate holder prompt notice of cancellation of any policy
above. But, the Aviation Managers assume no responsibility for failure to provide such notice. This certificate does
not change in an way the actual coverages provided b the olic /ies specified above.
Certificate No. 11841783-10
Date of Issue December 1 2014 By
(Authorized Representative)
LAD30D (3100)