HomeMy WebLinkAboutInsurance Certificate: R&D Air LLC & Irvine Industries
POLICY NO.: NAB2000539 ATTACHED TO CERTIFICATE # 1
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
ASHLAND MUNI-SUMNER PARKER FIELD
CITY HALL 2- E. MAIN ST
ASHLAND, OR 97520
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
R&D Air, LLC and Irvine Industries, Inc.
2113 Emigrant Creek Road
Ashland, OR 97520
POLICY NUMBER: NAB2000539
POLICY PERIOD: From November 22. 2015 To November 22, 2016
INSURANCE COMPANY: Catlin Insurance Company, Inc.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
The above Certificate Holder is included as an Additional Insured but only to the extent of liability imposed
upon the Additional Insured solely as the result of an act or omission of the Named Insured or its
employees in connection with the Named Insured's Operations.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of November 22, 2015.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the
coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition
of any contract or other document with respect to which this certificate of insurance may be
issued or may pertain, the insurance afforded by the policy described herein is subject to all the
terms, exclusions and conditions of such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) notice to the certificate holder named herein.
However, failure to mail such notice shall not impose any obligation nor any liability of any kind upon the
Company, its representatives or agents.
By: Date of Issue: November 20, 2015
W. Brown & Associates Insurance Services Certificate No.: 1
Certificate # 1 Page 1 of 2
POLICY NO.: NAB2000539 ATTACHED TO CERTIFICATE # 1
SCHEDULE OF AIRCRAFT
DESCRIPTION OF AIRCRAFT
No. FAA Cert # Serial # Year/Make/Model Insured Value
1 N814SR 2184 2006 Cirrus SR22-G2 $400,000
PHYSICAL DAMAGE COVERAGE
Deductibles
No. Not In Motion in Motion Physical Damage Coverage
1 $100 $500 F. All Risk Basis
AIRCRAFT LIABILITY COVERAGES
Single Limit Bodily Injury Passenger Passen er Liability Limited To
No. & Property Damage Liability Each Person Each Occurrence
1 $1,000,000 Included $250,000 $1,000,000
MEDICAL EXPENSES
No. Including Crew Each Person Each Occurrence
1 Yes $5,000 $20,000
Certificate # 1 Page 2 of 2