HomeMy WebLinkAbout04-04-2005Aviation Insurance Agen¢' y, Inc.
P.O. Box 500
DeWitt, MI 48820
Telephone: (517) 669.8308
Telefax: (517) 669-8220
April 4, 2005
City of Jeffersonville
City/County Building
5001 E. Court Street
Jeffersonville, IN 47130
RE: BB Aeroworks, LTD
USSIC Policy No. GA00136774-03
Expiration Date: 12:01am 4/4/2006
Dear Sir or Mad..ar~
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,
Account Manager
CAM/clh
Enclosure
cc: Brad
.i :.~:.! !,
'THIS CERTIFICATE CANCELS AND uPERSE'DES CERTIFICATE NUMBER 1653
CERTIFICATE OF INSURANCE
CERTIFICATE DATE: 04/01/2005 CERTIFICATE NUMBER: 1967
CERTIFICATE HOLDER: I POLICYHOLDER:
City of Jeffersonville ~ BB Aeroworks, LTD
City/County Building [ 1407 Abbott Ave.
5001 E. Court Street ~ Toledo, OH 43614
:ffersonville, IN 47130 ......
This is to certify that the following policy(s), subject to the terms, conditions, limitations and endorsements contained therein, and during their effectiw-~ 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 c, ertificate 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:
Insurance Company:
Policy Number:
Policy Period:
AIRCRAFT
US Specialty Insurance Company
GA00136774-03
April 4, 2005 to April 4, 2006
ADDITIONAL AGREEMENTS:
1968 Cessna 150
N22159 1 + 1 Seating
$ 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 Named Insured
or it's employees in connection with the Named Insured's operations.
NOTICE OF CANCELLA,~ TION: IN THE EVENT OF CANCELLATION OF SAID POLICY(S), THE INSURANCE COMPANY(S) SHALL ENDEAVOR TO GIVE 30
D~AYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER (10 DAY NOTICE OF CANCELLATION IS THE MAXIMLrM TIME LIMIT UNDER ANY CIRCUMSTANCES
FOR NON-PAYMENT OF PREMIUM); BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURANCE COMPANY, ITS AGENTS, OR REPRESENTATIVES.
Aviation Insurance Agency, Inc.
P.O. Box 500
DeWi.tt, Nil 48820
Teleph.one: (517) 669-8308
Telefax: (517) 669-8220
~~ ance Agency, Inc.