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.4l rig CERTIFICATE OF AVIATION LIABILITY INSURANCE13127f2017
<br />POUcYNUMBER
<br />QAVOOD0947-7
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERR($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certiflcate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. F SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certiticate holder In !leu of such endorsements).
<br />PRODUCER
<br />�WCT 131-1
<br />Bramar Associates
<br />2135 Golden Hill Road
<br />PHONE �� ' N :
<br />aAIL
<br />am -
<br />CUSTOMER IQ it
<br />Paso Robles, CA 93446
<br />INSURE!NS) AFFORDING COVERAGE °% NAICIF
<br />INSURED
<br />INSURER A QBE Insurance an 100 39217
<br />INSURERS:
<br />casco Flight Training, Inc. & lasco Flight Training, Inc. dba IFT &
<br />lasco
<br />INSURER C :
<br />INSURER D:
<br />6460 Lockheed Drive
<br />Redding, CA 96002
<br />INSURERE:
<br />INSURERF:
<br />EA PER
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />AIRPORT &FBO LIABILITY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1
<br />INSURER LETTER
<br />GL1000
<br />POUcYNUMBER
<br />QAVOOD0947-7
<br />tin: p
<br />THE. EXPIRATION DATE THEREOF, NOTICE WILL BE VELIVERED 1N
<br />ECTIYEOATE
<br />EOET01/2017
<br />EXP1RAnONDATE
<br />03/0112018
<br />AOQITIONALfNSURED7(YIN)
<br />Y
<br />SUBROGA710NWAIYEDT(Y1N)
<br />N
<br />COVERAGE
<br />11 North Ruby, Suite 1
<br />Ilensburg, WA 98926
<br />OPTIONS
<br />LIMIT
<br />APPLIESTO
<br />LIMrr
<br />APPLIESTO
<br />PREMISES LIABILITY
<br />$
<br />$2,000,000
<br />BI EA PER
<br />EA OGG
<br />$
<br />PO
<br />PREMISES MEDICAL PAYMENTS
<br />$5,000
<br />EA PER
<br />$
<br />EA OCC
<br />PRODUCTS LIABILITY
<br />SALE OF FUEL &OIL
<br />EXTENDED
<br />$
<br />,$2,040,000
<br />BII:APER
<br />EA OCC
<br />$2,000,000
<br />AGGR
<br />COMPLETED
<br />OPERATIONS
<br />IABIUTY
<br />EMENDED
<br />$
<br />$2,000,000
<br />RI EAFER
<br />EA OCC
<br />$2,000,000
<br />AGGR
<br />HANqARKEEPERS
<br />LEGAL LIABILITY
<br />INCLUDING TAXI
<br />IN FLIGHT
<br />$1,404,000
<br />EAAiRCRAFT
<br />$2,000,000
<br />EAOCc
<br />FIRE LEGAL LIABILITY
<br />Rented t0 you
<br />$2,000,000
<br />ANY ONE FIRE
<br />PERSONAL INJURYLIASILTTY
<br />$1,000,000
<br />EA OCC
<br />$1,000,4DD
<br />AGGR
<br />ADVERTISING LIABILITY
<br />$1,000,000
<br />EAOGG
<br />$1,000,000
<br />AGGR
<br />CONTRACTUAL LIABILITY
<br />INCLUDED
<br />EXCLUDED $2,000,000
<br />COVERAGE
<br />CODE DESCRIPTION
<br />OPTIONS
<br />LIMrr
<br />APPLIESTO
<br />LIMIT
<br />APPLIES TO
<br />$
<br />$
<br />$
<br />$
<br />$
<br />$
<br />$
<br />$
<br />$
<br />DESCRIPTION OF OPERATIONS! REMARKS (Attach ACORD 101, Additional Remarks Schedule, If mores ace Is required)
<br />noluded as an Additional Insuredand only as respects the requirements ot the (;entral Washington University and State o
<br />ashington contract on file.
<br />Policy is Primary and Non Contributory
<br />-]angarkeeepers Dedcutible $1,000
<br />n Preminas Airnort Aiitn_$2.000.000
<br />CERTIFICATE HOLDER CANCELLATION
<br />Director/ Airport Manager
<br />Kirk Holmes, Director
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />tin: p
<br />THE. EXPIRATION DATE THEREOF, NOTICE WILL BE VELIVERED 1N
<br />Owers Field Airport
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ublic Works Department, Kittitas County
<br />AUTHORIZED REPRESENTATIVE
<br />`�–
<br />11 North Ruby, Suite 1
<br />Ilensburg, WA 98926
<br />® 2009 ACORD CORPORATION. All rights reserved.
<br />ACORD 20 (2009112) The ACORD name and logo are registered marks of ACORD
<br />ACORos provided by Forms Boss. www.FormsBoss.com: (c) Impressive Publishing 800.208-1977
<br />
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