HomeMy WebLinkAboutFRONT RANGE HELICOPTERS - INSURANCE CERTIFICATE (2)POLICY NO.: NAC3048572
ATTACHED TO CERTIFICATE # 1
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
City of Fort Collins
300 LaPorte Ave.
Fort Collins, CO 80521
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Front Range Helicopters, LLC, and High Range Helicopters, LLC and as endorsed
P. O. Box 685
Fort Collins, CO 80522
POLICY NUMBER: NAC3048572
POLICY PERIOD: From May 14, 2008 To May 14, 2009
INSURANCE COMPANY: XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
The above Certificate Holder is included as an Additional Insured but only to the extent of liability imposed
upon the Additional Insured solely as the result of an act or omission of the Named Insured or its
employees in connection with the Named Insured's Operations.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 14, 2008
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) notice to the certificate holder named herein.
However, failure to mail such notice shall not impose any obligation nor any liability of any kind upon the
Company, its representatives or agents.
By:W. Brown & Associates Insurance Services
Date of Issue: October 15, 2008
Certificate No.: 1
Certificate # 1 Page 1 of 2
POLICY NO.: NAC3048572
ATTACHED TO CERTIFICATE # 1
SCHEDULE OF AIRCRAFT
DESCRIPTION OF AIRCRAFT
No.
FAA Cart #
ISerial #
Insured Value
1
tYear/Make/Model
4 Schweizer 300
$175,000
=N3911CP1683
1206
5 Schweizer 300
$125,000
205
2 Bell 206 B III
$625,000
PHYSICAL DAMAGE COVERAGE
No.
Deductibles
Physical Damage Coverage
Not In Motion
In Motion
1
2
3
$1,000
$1,000
5% Of Insured Value
5% Of Insured Value
5% Of Insured Value
5% Of Insured Value
F. All Risk Basis
F. All Risk Basis
F. All Risk Basis
AIRCRAFT LIABILITY COVERAGES
No.
Single Limit Bodily Injury
& Property Damage
Passenger
Liability
Passen er Liability Limited To
Each PersonT
Each Occurrence
1
2
3
$1,000,000
$1,000,000
See Below
Included
Included
Included
XXXX
XXXX
XXXX
XXXX
XXXX
XXXX
MEDICAL EXPENSES
No.
Including Crew
Each Person
Each Occurrence
1
Yes
$2,500
$7,500
2
Yes
$2,500
$7,500
3
Yes
$2,500
$12,500
Certificate # 1 Page 2 of 2