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ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP 10 sf DATE (MM/DDNYYY)
NATLH-7 01/05/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Brown & Brown Ins of Denver HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
7110 W. Jefferson Ave. , #100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Denver CO 80235
Phone: 303-980-6265 Fax: 720-962-5142 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A Old Republic Ins / PHX Aviat 01503
INSURER B: Fireman's Fund Insurance 21873
National Haniar Owners Assoc & INSURER C:
Jim Matzger Carol R Smith
780 Bair Island Road #305 INSURER D:
Redwood City CA 94063 INSURER E:
COVERAGES
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 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~~ ~~[ TYPE OF INSURANCE POLICY NUMBER 'D~';!~~MM/DDNYI I Pgl TE IMM/DDIYVi' LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.
~ 01/01/07 01/01/08 PREMISES '(E~~~~nce)
A ~ COMMERCIAL GENERAL LIABILITY AP829107 $ No Coveraae
~ ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 1,000.
~ Airport Premises COMMERCIAL OFS EXCLUDED PERSONAL & ADV INJURY $NO Coveraae
GENERAL AGGREGATE $ None
~
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $No Coverage
II .nPRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
~ $
ANY AUTO (Ea accident)
I-- --
ALL OWNED AUTOS BODILY INJURY
I-- $
SCHEDULED AUTOS (Per person)
f--
HIRED AUTOS BODILY INJURY
f-- $
NON-OWNED AUTOS (Per accident)
I--
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
==l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSlUMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR 0 CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY L1MmS I fJr-
ER
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $
ANY PROPRIETOR/PARTNER/EXECUTIVE .---..- -----
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under E.L. DISEASE - POLICY LIMIT $
SPECIAL PROVISIONS below
OTHER
B Property / Hangar MXI98473142 01/01/07 01/01/08 BUILDING $25,000.
Phvsical Damaae DEDUCT $1,000.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Dates shown above are the Master Policy effective dates. Cert #27-4270
Your coverage is effective: 01/01/07 to 01/01/08 Building Flood: $25,000.
Airport Location: Sumner Parker Municipal, space #B
Hangar KEepers Legal Liab $75,000/aircraft $150,000/occurrence $1,000 deduct
Cert Holder Interest: Addl Ins (respect to operations of NI & per policy)
CERTIFICATE HOLDER
CANCELLA liON
MISCELL
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
~:.:"
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS~~ITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMIij:! TO THE LEFT, BUT FAILURE TO DO SZrSHALL
IMPOSE NO OBLIGATION OR L~B 0 UPON THE INSU.RER. ITS, A A~G I'l!.TS OR
REPRESENTATIVES.. ,.,...,. ..;--
AUTHORIZED REPRESENTATIV
The City of Ashland its
officers,commissions,elected
officials,employees & agents
20 E Main Street
Ashland OR 97520-1850
Rick Weinkauf"
ION 1988
ACORD 25 (2001/08)