HomeMy WebLinkAboutInsurance Certificate: Skinner Aviation Inc POLICY NO.: NAF6043082 ATTACHED TO CERTIFICATE# 5
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
City of Ashland
20 E. Main Street
Ashland, OR 97520
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
• Skinner Aviation, Inc., its Individual Executive Officers and Shareholders and employees while acting
Within the scope of their duties. -
403 Dead Indian Memorial Road
Ashland, OR 97520
POLICY NUMBER: NAF6043082
POLICY PERIOD: From October 1, 2021 To October 1, 2022
INSURANCE COMPANY: Endurance American Insurance Co.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Designation of Premises is (Part Leased to You):
That portion occupied by the Named Insured at:Ashland Municipal Airport,Ashland, OR
Name of Person or Organization (Additional Insured): City of Ashland
As respects the above certificate holder:
Section II -Who is an Insured is amended to include as an insured the person(s)or organizations(s), 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 to the Named Insured and shown above.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 1, 2021.
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.
67-0161a°
By: Date of Issue: September 29, 2021
W. Brown &Associates Insurance Services Certificate No.: 5
Certificate# 5 Page 1 of 2
POLICY NO.: NAF6043082 ATTACHED TO CERTIFICATE# 5
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
Ashland Municipal Airport,Ashland, OR
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured.
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit(Other than Products-Completed
Operations and Hangarkeepers') $4,000,000
Products-Completed Operations Aggregate Limit $1,000,000
Products/Completed Operations Occurrence Limit $1,000,000
Personal Injury&Advertising Injury Aggregate Limit $1,000,000
Personal Injury&Advertising Injury Occurrence Limit $1,000,000
Each Occurrence Limit $2,000,000
Fire Damage Limit(Any One Fire) $50,000
Medical Expense Limit(Any One Person) $5,000
Hangarkeepers' Each Loss Limit $500,000
Hangarkeepers' Each Aircraft Limit $250,000
Hangarkeepers' Deductible Each Occurrence See Below
On-Premises Automobile: $2,000,000
Hangarkeepers' Deductible(s): $5,000 per aircraft/$10,000 as respects jet and turbine-powered aircraft
Property Damage Deductible(s): $5,000 per claim/$10,000 as respects jet and turbine-powered aircraft
Certificate# 5 Page 2 of 2