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HomeMy WebLinkAboutBen CookCOOKBE000$ .4c�Ro- CERTIFICATE OF LIABILITY INSURANCE OAT718/202YYYY, �►s►2oza 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(fes) 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 an this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER C ACT Acrisure Aerospace Partners Insurance Solutions, LLC PO Box 291388 PHONE FAX At No Ext : (800) 880-4545 Arc, NO); Kerrville, TX 78029 INSURERS AFFORDING COVERAGE NAIC A INSURER A: New Hampshire Insurance Company 23841 INSURED INSURER B : INSURER C : Ben Cook INSURER D : 5028 N Teresita Avenue Meridian, ID 83646 INSURER E INSURER F ; COVERAGES CERTIFICATE NUMRFR- REVISION NUMRFR- 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE r ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUB POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR Premises Liability X 01-LX-020471449-1 7/612024 VS12025 EACH WCURRENCE S 1,000,000 DAMAGE TO RENTED Excluded X MEDEXP (Any one Persoril $ 5,000 PERSONAL & ADV INJURY S Excluded GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ pref �X LOC OTHER GENERAL AGGREGATE 2,000,000 PRODUCTS-COMPIOP AGG Excluded Hangarkeepem $ Excluded AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTO ONLY COMBINED SINGLE LIMITWI S BODILY INJURY Per on BODILYBOORDILY INJURY Per accident Pori acEcandent AMAGE $ UMBRELLA LUIB EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE S DE❑ RETENTIONS WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIIETORIPARTNEREXECUTIVE ❑ Wi detonNS It yes, describe under DESCRIPTION OF OPERATIONS below NIA PER O-H ISTATUTE E.L. EACH AC (DENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY. IMI! S A Aviation Hangar Prop 01-LX-020471449-1 716/2024 7/612025 Building 429,162 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required] K rlrS BY hangar location: 5015 Aviation Way Hgr 0625 Caldwell ID $3605 tihLd'llcf f: I,,(f rLtP CERTIFICATE HOLDER CANCFLLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE C Of CeIdWBlI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Caldwell Executive Airport 4814 E. Linden Street AUTHORIZED REPRESENTATIVE Caldwell, ID 83605 ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD