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HomeMy WebLinkAboutDelbert CollerSVRD95425719-003 ACCPJZo® CERTIFICATE OF LIABILITY INSURANCE DATE (MM2024 Y) 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 pollcy(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 endorsements . PRODUCER Kimmel Aviation Insurance Agency, Inc. NAM . Karen Moore 442 Airport Road Greenwood MS 38930 PHONE 316-669-9500 FAX AIC No : n DOEss: karen.moore kimmelinsurance.com INSURERS AFFORDING COVERAGE NAIC R INSURERA: Chubb/ ACE American Insurance Company INSURED Delbert Francis Coller INSURER B : 945 New London Road Newark DE 19711 INSURER C INSURER D INSURER E : INSURER F : COVERAGES CFRTIFICOTF NIIMRFR- DCVlclnrJ klnaal2e C. 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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LIR TYPE OF INSURANCE ADD SUBR POLICYNUMBER POLICY EFF IMMIDDIYYYYI POLICY EXP [MM/DDIYYYY1LIMITS A COMMERCIAL GENERAL LIABILITY CLAIM:MADE ElOCCUR SVRDW25719-003 0710512024 0710512025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEU-- PREMISES Ea occurrence $ ME ] _XP (Arty one person) $ 5,000 PERSONAL& ADV INJURY $ 'LAGGREGA-ELIMITAPPLIESPER: POLICY ❑ JPECT ❑ LOC n(:THFR: GENERAL AGGREGATE s2,000,000 PRODUCTS-COMPIOP AGG S $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY RECENCE) BV COMBINE ) SINGLE LIMIT Ea acadenl $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ s UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR vALvTVC� 6 V. i . �` `I� IUlG -. . EACH OCCURRENCE $ AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION ANDEMPLOYERS'LLABILWY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory In NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA 17PER OTH - STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ I ID -- H DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Liability Insurance for the hangar located at 612 Dishman Pi, Caldwell, ID at the Caldwell Airport Certificate holder is included as an Additional Insured only with respect to liability arising out of the Named Insured's operations. CERTIFICATE HOLDER r_ANr.FI I ATInN City of Caldwell 4814 E. Linden Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Caldwell, ID 83605-8036 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Karen Moore ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD