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HomeMy WebLinkAboutInsurance Certificate: Civil Air Patrol A�UDATE(MMIDD/YYYY) ® CERTIFICATE OF AVIATION LIABILITY INSURANCE 9/21/2023 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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If 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 endorsement(s). PRODUCER CONTACT NAME: AssuredPartners Aerospace PHONENo.ExU; FAX AIC,No): 4582 S.Ulster St,#600 E-MAIL Denver, CO 80237 ADDRESS: PRODUCER CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE % NAIC# INSURED INSURERA: Old Republic Insurance Company 50 24147 Civil Air Patrol INSURER B: Starr Indemnity&Liability Company 50 38318 General Counsel 105 South Hansell St., Building 714 INSURERC: Maxwell AFB AL 36112 INSURERD: INSURER E: INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VVHICH 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AIRPORT&FBO LIABILITY COVERAGES CERTIFICATE NUMBER: 76409756 REVISION NUMBER: INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED?(Y/N) SUBROGATION WAIVED?(Y/N) A AV 048517 21 10/1/2023 10/1/2024 Y N COVERAGE OPTIONS II LIMIT APPLIES TO LIMIT APPLIES TO PREMISES LIABILITY LI $ BI EA PER $ PD $10,000,000 EA OCC PREMISES MEDICAL PAYMENTS $25,000 EA PER $ EA OCC PRODUCTS LIABILITY SALE OF FUEL&OIL $ BI EA PER $10,000,000 AGGR EXTENDED $10,000,000 EA OCC COMPLETED EXTENDED u $ El EA PER $10,000,000 AGGR OPERATIONS — UABILITY $10,000,000 EA OCC HANGARKEEPERS INCLUDING TAXI LEGAL LIABILITY — $ EA AIRCRAFT $10,000,000 EA OCC IN FLIGHT FIRE LEGAL LIABILITY $10,000,000 ANY ONE FIRE PERSONAL INJURY LIABILITY $10,000,000 EA OCC $10,000,000 AGGR ADVERTISING LIABILITY $10,000,000 EA OCC $10,000,000 AGGR CONTRACTUAL LIABILITY / INCLUDED EXCLUDED COVERAGE CODE DESCRIPTION OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO EXCESS AUTO $3,000,000 EXCESS 012,000,000 PRIMARY EXCESS EMPLOYER $3,000,000 EXCESS 01 1,000,000 PRIMARY IND CONTRACTORS $10,000,000 EA OCC $10,000,000 AGGREGATE $ $ $ $ $ $ DESCRIPTION OF OPERATIONS/REMARKS (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as additional insured but only with respects operations of the Named Insured. Certificate Holder is not covered for claims arising out of their liability as a manufacturer,seller,handler,distributor or service facility of any product or service sold,handled,distributed or provided. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Ashland THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Public Work Director ACCORDANCE WITH THE POLICY PROVISIONS. 20 E.Main St Ashland OR 97520 AUTHORIZED REPRESENTATIVE ki../...y)4.....tw I Kerin Dodd ©2009,2015 ACORD CORPORATION. All rights reserved. ACORD 20(2016/03) The ACORD name and logo are registered marks of ACORD 76409756 123-29 GL Coverages 1 Giff Treybig 19/21/2023 10:12:54 AM (MST) 1 Page 1 of 1 AssuredPartners Aerospace 4582 S.Ulster St,#600 Denver,CO 80237 MAIL DOCUMENT Certificate of Insurance Delivery by ecertsonlineTM f77,777-7 City of Ashland Sendel Giff Treybig Attn: Public Work Director 1 ' Phone~� 303-526-5300 20 E. Main St ` Ashland OR 97520 Subje Cert No.76409756-Certificate of Aviation Liability :Civil Air Patrol/General Counsel- Date: 9/21/2023 No of Pages: 2 • Enclosed please find the certificate of insurance issued on behalf of the subject insured.If this certificate of insurance is no longer needed,or if you would like to receive future certificates via email, please feel free to let me know and we will update our files accordingly. U THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED,CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW.IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT,OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT,YOU ARE HEREBYNOTIFIED THAT ANY DISSEMINATION,DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED.IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY US IMEDIATELY BY TELEPHONE,AND RETURN THE ._ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA REGULAR POSTAL SERVICE. Certificate of Insurance Delivered by ecertsonlineTM Insurance Visions,Inc.All rights reserved.