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HomeMy WebLinkAboutCivil Air Patrol ACORD,. CERTIFICATE OF LIABILITY INSURANCE CSR LS I DATE (MMIDDIYYYY) CIVAI-1 02/27/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Huntleigh McGehee HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8235 Forsyth Boulevard, #1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clayton MO 63105 Phone: 314-746-4700 Fax:314-889-3700 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Old Republic Insurance Co. INSURER B: St. Paul Travelers -- -- Civil Air Patrol Inc. INSURER C Bld~714,Maxwell Air Force Base INSURER 0 Mon gomery AL 36112-6332 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 WIHICH 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. N PD'i'4~lJ~rJIf~E Pgk!fEY(~Wtb~~~N ~~~ ~~~d TYPE OF INSURANCE POLICY NUMBER LIMITS I I GENERAL LIABILITY ! ! EACH OCClIRRENCE $1,000,000 A I X X COMMERCIAL GENERAL LIABILITY ! 03/01/07 I AP690410 I 10/01/08 u~~~';~':. $ 100,000 PREMISES (Ea occurence) :=0 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $25,000 PERSONAL & ADV INJURY $1,000,000 c--- .- GENERAL AGGREGATE $2,000,000 f-- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 rxl n PRO- nLOC X POLICY JECT AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT c--- $1,000,000 B X ANY AUTO PBI0750KB747TIL06 - 1\OS 10/01/06 10/01/07 (Ea accident) f-- ALL OWNED AUTOS BA750K8760COF06 - 'IIX 10/01/06 10/01/07 BODILY INJURY I---- 10/01/06 (Per person) $ I SCHEDULED AUTOS PBI0750KB759TIL06 - HI 10/01/07 f-- f-~ HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) c--- I---- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ I R ANY AUTO I OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ tJ OCCUR D CLAIMS MADE -- AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ , WORKERS COMPENSATION AND ! X IT~WY"~IM:TS i IV'H- 09/01/061 ER A I EMPLOYERS' LIABILITY OCAWOl779706 10/01/07 $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under EL DISEASE - POLICY LIMIT $1,000,000 SPECIAL PROVISIONS below OTHER I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of Ashland, it's officers, commissioners, elected officials, employees, and agents are named as additioanl insured in relation to the general liability policy with respect to the Ashland Municipal Airport (Sumner Parker Field) as respects lease with the insured. CERTlFICA TE HOLDER CANCELLA TlON CITOFAS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Ashland Attn: FINANCE DEPT. City Hall Ashland, OR 97520 @ ACORD CORPORATION 1988 ACORD 25 (2001/08)