HomeMy WebLinkAboutJames & Connie SmithAIRCRAFT INSURANCE POLICY
COVERAGE SUMMARY PAGE
This page, the policy provisions, and the endorsements attached, completes this policy at its inception.
Policy number LA 000307254-02 Issued by: NATIONAL_ UNION FIRE INSURANCE CO. OF
PITTSBURGH, PA
1271 AVE OF THE AMERICAS FL 37, NEW YORK, NY
Item 1. Your Name and Address: JAMES M. SMITH and CONNIE SMITH
23956 CAMADRIE LANE
STAR, ID 83616, USA
Item 2. Policy Period: From March 25, 2024 to March 25, 2025
Beginning and ending at 12:01 a.m. standard time at the address shown in Item 1. above.
Item 3. Coverage only applies as indicated by a specific limit, premium and deductible.
A. Aircraft Liability Single Limit for Bodily Injury and
Property Damage In cluding Passengers, but
Passenger Bodily Injury Limited within the Single
Limit to
B. Medical Expense In cluding crew
C. Physical Damage to Your Aircraft
Limits of Liability Premiums
$ 1,000,000. each occurrence $ 531.
$ 100,000. each passenger
$ 5,000. each passenger $
Coverage Type
and Deductibles
Not -in- Not -in -
ID Number Year Make and Model Agreed Value Motion Flight Flight
N8463Q 1976 CESSNA 206 $
150,000. $ 0.
$ 0. $
0. $
1,782.
Endorsements: LAD01-NU 02112, LAD180, LAD1541, AVN48B, UE1643, UE1066, AVN38B, $ 1.
AV882, AVN466, 125595, LAD857, UE858, LAD26, UE2000A, UE2001A,
UE1642, UE1437, SE52141, UE1283-ID
State and Local Premium Taxes and Surcharges: $ 0.00
Total Premium $ 2,314.00
Item 4. The aircraft will be used only for Business and Pleasure use.
Item 5. While the aircraft is in flight it will be piloted only by the person(s) meeting the provisions of the "Pilots
Endorsement".
Producer FALCON INSURANCE AGENCY - KERRVILLE
F00087 PO BOX 291388, , KERRVILLE, TX 78028
Countersigned
At
By Approved By
(Authorized Representative) (Authorized Representative)
LAD03 (10/16) Page One GAmerican International G up, Inc.Al! tights Reserved.