HomeMy WebLinkAbout04-01-2005Aviation Insurance Agen, cy, Inc.
P.O. Box 500
DeWitt, MI 48820
Telephone: (517) 669-8308
Telefax: (517) 669-8220
April 1, 2005
City of Jeffersonville
City/County Building
501 E. Court Street
Jeffersonville, IN 47130
RE: Drake Aerial Enterprises, LLC d/b/a Air America Aerial Ads
USSIC Policy No. GA00136742-03
Expiration Date: 12-01am 4/4/2006
Dear Sir or Madam:
Please find enclosed a Certificate of Insurance issued in reference to the above captioned Insured/policy. We
ask that you review this document very carefully and advise us immediately of any errors, omissions or
questions you may have regarding it. Remember, in the event of a loss, the wording of the policy itself will
determine precisely what is and is not covered.
Thank you and please let me know if you have any questions or need anything further.
Sincerely,
~~ _Cheryl ~Mo ~~~~son
Account Manager
CAM/clh
Enclosure
cc: James Miller
THIS CERTIFICATE CANCELS AND supERsEDES CERTIFICATE NUMBER 1628.
CERTIFICATE OF INSURANCE
CERTIFICATE DATE: 03/3 ~/2005 CERTIFICATE NUMBER: ~949
CERTIFICATE HOLDER:
City of Jeffersonville
City/County Building
501 E. Court Street
Jeffersonville, IN 47130
POLICYHOLDER:
Drake Aerial Enterprises~ LLC d/b/a Air ./~nerica
Aerial Ads
27800 Lemoyne
Suite I
Millbu~ 43447
This is to certify that the following policy(s), subject to the terms, conditions, limitations and endorsements contained therein, and during their effective period, have been
issued by the insurance company(s) indicated below. In the event of cancellation of said policy(s), the insurance company will endeavor to notify the ,certificate holder, but
failure to do so shall impose no liability or obligation of any kind to the insurance company(s) involved nor to the undersigned who is not an insurance company, but an
insurance broker. Aviation Insurance Agency, Inc. is not an insurer and shall not be held liable for any loss or damage.
Policy Type: AIRCRAFT
Insurance Company: US Specialty Insurance Insurance Company
Policy Number: GA00136742-03
Policy Period: April 4, 2005 to April 4, 2006
ADDITIONAL AGREEMENTS:
1954 Piper Super Cub
1960 Piper PA25-150
N9841Q 1+1 Seating $
N6238Z 1 Seat $
60,000. Insured Value
30,000. Insured Value
$1,000,000. Combined Single Limit Bodily Injury and Property Damage Limited to
$100,000. on each Passenger Seat
It is understood and agreed that the above Certificate Holder is included as an additional Insured,
including 30 days Notice of Cancellation clauses, but only to the extent of liability vicariously
imposed upon the Additional Insured solely as the result of an act or omission of the Na~ned Insured
or it's employees in connection with the Named Insured's operations.
NOTICE OF CANCELLATION: iN THE EVENT OF CANCELLATION OF SAID POLICY(S), THE INSURANCE COMPANY(S) SHALL E~qDEAVOR TO GIVE 30
. , , TIFICATE HOLDER (10 DAY NOTICE OF CANCELLATION IS THE MAXIMUM TIME LIMIT UNDER ANY CIRCUMSTANCES
~ 'S WRITTEN NOTICE TO THE CER .............. q~ aT .T. r~fPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
FOR NON-PAYMENT OF PREMIUM); BUT FAILURE TO MAIL BUt;ti
INSURANCE COMPANY, ITS AGENTS, OR REPRESENTATIVES.
Aviation Insurance Agency, Inc.
P.O. Box 500
DeWier, MI 4fIlg20
Telcph.one: (517) 669-83t)8
Telefax: (517) 669.-8220
Cheryl Morrison for Aviation Insurance Agency, Inc.