HomeMy WebLinkAboutInsurance Certificate: Skinner Aviation
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CERTIFICATE , AIRPORT LIABILITY INSURANCE
This Certificate or Verification of Insurance is not an insurance policy and is issued by the Northwest Insurance Group, Inc., without any liability
whatsoever as an Insurer, as a matter of information only, and confers no rights upon the Certificate Holder. This Certificate does not amend, extend, or
alter the coverage afforded by the policy below other than provided for by Policy Endorsement issued directly from the Insurance Company.
CERTIFICATE HOLDER: Cert AP- 01
City of Ashland Date of Issue: 9/28/2007
20 East Main Street
Ashland, OR 97520
NAMED INSURED:
Skinner Aviation, Inc.
403 Dead Indian Memorial Road
Ashland, OR 97520
POLICY INFORMATION:
Insurance Carrier: XL SPECIALTY INSURANCE COMPANY THROUGH W. BROWN & ASSOCIATES
Policy Type: Airport Commercial General Liability
Policy Number: NAF3044420
Policy Period: From: 10/1/2007 To: 10/1/2008 both days at 12:0 lam Local Standard Time
Certificate Valid: From: 10/1/2007 To: 10/1/2008 both days at 12:01 am Local Standard Time
COVERAGES AFFORDED:
Annual Policy General Aggregate Limit $2,000,000
Premises Operations each Occurrence $1,000,000
Contractual Liability $
Products/Completed Operations / Occurrence $1,000,000 - Subject to Annual Aggregate Limit of $1,000,000
Personal Injury Aggregate $ - Subject to Annual Aggregate Limit of $
Advertising Injury Aggregate $ - Subject to Annual Aggregate Limit of $
On-Airport Premises Liability $
Damage to Premises Rented to you $ ❑ Fire Damage Only
Medical Expense (any one person) $ subject to an Occurrence Limit of $N/A
Hangarkeeper's Limit $100,000 - Subject to Each Aircraft Limit of $300,000
Hangarkeeper's Deductible $5,000
ADDITIONAL INSURED PROVISIONS:
Certificate Holder is included as an Additional Insured for Liability Coverages, but only with respect to liability arising out of the Named
Insured's AVIATION operations or the maintenance or use of that part of the premises leased by the Named Insured and shown in the
Policy. Subject to Y2K Endorsement; and excluding any occurrence which takes place after the Named Insured ceases to be a tenant;
and excluding all losses resulting from Certificate Holders' structural alterations, new construction or demolition operations; and
excluding all losses resulting from Certificate Holder's failure to provide health care services.
NOTICE OF CANCELLATION:
Provision has been made to give the Certificate Holder thirty (30) days Notice of Cancellation - ten (10) days for nonpayment of
premium of any policy above, however, the Company assumes no responsibility for the failure to provide such notice. This Certificate
does not change in any way the actual coverages provided by the policy(ies) specified above.
AUTHORIZED SIGNATURE:
NORTHWEST INSURANCE GROUP, INC. 3301 NE CoRNELL ROAD, SUrrE R HILLSSWO, OR 97124 503-6406060 FAx 503-640-6202 NWiNSURANCE.NET
ARIZONA #160873; CALIFORNIA #OE20424 DBA: OREGON-NORTHWEST INSURANCE SERVICES; COLORADO #NPA00164712; FLORIDA #P026430; GEORGIA #116082; IDAHO 015105160; MONTANA
06105160; NEVADA #18717; NEW MEXICO #548771; OREGON #806066; TEXAS #19518 DBA: NW INSURANCE GROUP; UTAH #103494; WASHINGTON #WAOIC222936; WYOMING 410350