HomeMy WebLinkAboutInsurance Certificate: Stephen C. Smith Costello Insurance Associates , Inc.
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INSURANCE
July 25, 2023
City of Ashland
51 Windburn Way
Ashland, OR 97520
INSURANCE SHOWING
ADDITIONAL INSURED (LIABILITY)INTEREST
Owner: Stephen C Smith
Property: Aviation N825RV
Company: Global Aerospace
Policy No.: 10284203
Effective Date: August 15, 2023
Term: 1 Year
The enclosure shown below protects your interest in the above property in accordance with the policy provisions.
Please advise if anycorrections are necessary.
Enclosed: Insurance certificate with additional insured wording
Best Regards,
Riley Clark
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P. O. BOX'28280 / 428 E. SOUTHERN AVENUE/TEMPE, AZ. 85285-8280
TEL: 480-968-7746/800-528-6483/FAX: 480-967-3828/insure@aviationi.com
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GLOBAL AEROSPACE
.°°g'' GLOBAL AEROSPACE,4NC
CERT I Fl CAT E OF I NS URANGE
THIS CERTIFICATE IS GIVEN AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ADDRESSEE.
Date:August 15,2023
This is to certify to: that the policies listed below have been issued to the following for the period
indicated by One of More Member Companies of Global Aerospace Pool through
Global Aerospace,Inc:
City of Ashland Stephen C Smith
51 Windburn Way 1804 Anderson Creek Road
Ashland,OR 97520 Talent,OR 97540
Policy No: 10284203 Policy Period:From August 15,2023 to August 15,2024
COVERAGES:
Aircraft Liability _ Limits of Liability
Single Limit Bodily Injury and Property Damage $1,000,000 $200,000
Liability Including Passengers Each Occurrence Each Passenger
AIRCRAFT:
Year,Make and Model of Aircraft Identification No.
2009 VAN'S AIRCRAFT RV-8(TD) N825RV
It is agreed that only as respects any written agreement between the Named Insured and the certificate addressee and entered into as a
prerequisite to-the use of an airport by the Named Insured:
1. As respects any aircraft:
a) Described in this certificate,
b) Which is the subject of the extended insurance provisions of Insuring Agreement V. TEMPORARY USE OF
SUBSTITUTE AIRCRAFT;or
c) Which is the subject of the extended insurance provisions of Insuring Agreement VII. AUTOMATIC INSURANCE
FOR NEWLY ACQUIRED AIRCRAFT
for which insurance is afforded by Liability Coverage D-Single Limit Bodily Injury and Property Damage Liability and the
maintenance or use of the premises in or upon which the aircraft is stored, the definition of Insured includes the certificate
- addressee,but only with respect to its liability because of acts or omissions of the Named Insured and to no greater extent than
the scope of the insurance afforded by this policy.
2. Unless otherwise indicated in this policy,the policy shall not apply to ariy assumption of the liabilityof the certificate ora airport
authority described in the Schedule by the Named Insured for bodily injury or property damage caused by an occurrence arising
out of any service performed by or on behalf of the certificate addressee.
3. In the event the policy is cancelled by the Company,thirty(30)days prior written notice shall be given to the certificate addressee.
4. The Company waives any right to recovery it may have against the certificate addressee because of payments it makes for
physical damage in accordance with Insuring Agreement III -PHYSICAL DAMAGE COVERAGES, but only to the same
extent that the Named Insured has waived its right of recovery for such physical damage against such person or organization.
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5. The insurance the policy provides to the certificate addressee is primary insurance,without right of contribution from insurance
purchased by the certificate addressee,only if the written agreement between the Named Insured and the certificate addressee
contains an express requirement that the insurance operate in that manner.
6. Premises Liability is included in the Limits of Liability shown as the Each Occurrence Limit.
7. The insurance afforded applies separately to each Insured against whom claim is made or suit is brought,except with respect
to the limits of the Company's liability.
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.This certificate does not amend,extend or otherwise alter the coverages afforded by the policies described herein.Limits
may have been reduced by paid claims.
GLOBAL AEROSPACE,INC.
BY: I I
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