CTR060716_COI_Valid_Thru_1-1-24.pdf

CERTIFICATE HOLDER

INSURED

INSURERS AFFORDING COVERAGE

INSURER A:

INSURER B:

INSURER C:

INSURER D:

INSURER E:

NAIC #

ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.

HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR

ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONPRODUCER

ACORD 25 (2001/08) © ACORD CORPORATION 1988

CANCELLATION

AUTHORIZED REPRESENTATIVE

REPRESENTATIVES.

IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR

NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL

DAYS WRITTENDATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION

TMACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

$AUTO ONLY - EA ACCIDENT

AGG

EA ACC

AUTO ONLY:

OTHER THAN

GARAGE LIABILITY

ANY AUTO

$(Per person)

BODILY INJURY

$(Per accident)

BODILY INJURY

$(Ea accident)

COMBINED SINGLE LIMIT

$(Per accident)

PROPERTY DAMAGE

NON-OWNED AUTOS

HIRED AUTOS

SCHEDULED AUTOS

ALL OWNED AUTOS

ANY AUTO

AUTOMOBILE LIABILITY

INSRD

ADD'L

LIMITSDATE (MM/DD/YY)

POLICY EXPIRATION

DATE (MM/DD/YY)

POLICY EFFECTIVEPOLICY NUMBERTYPE OF INSURANCELTR

INSR

POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING

COVERAGES

OFFICER/MEMBER EXCLUDED?

SPECIAL PROVISIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

TORY LIMITS

WC STATU-

EMPLOYERS' LIABILITY

WORKERS COMPENSATION AND

$EACH OCCURRENCE

$AGGREGATE

EXCESS/UMBRELLA LIABILITY

OCCUR CLAIMS MADE

DEDUCTIBLE

RETENTION $

$5,000,000PRODUCTS - COMP/OP AGG

$ 10,000,000GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$25,000MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$1,000,000PREMISES (Ea occurence)

GENERAL LIABILITY

COMMERCIAL GENERAL LIABILITY

CLAIMS MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-

JECT LOC

OTHER

Pacific Coast Aviation Insurance Services P.O. Box 131178 Carlsbad, CA 92013

Endurance Assurance Corp.

12/29/2022

Granite State Insurance Co.Hangar One Avionics, Inc.

2026 Palomar Airport Road Carlsbad, CA 92011

B 02-CA -019047089-11 12/28/22 12/28/23

1,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS

Regarding Business Auto Policy: Approved Drivers includes Richard Herrera CA DL # C4503095

To Whom It May Concern

NAF6051951 01/01/23 01/01/24

OCAN03457112 06/17/22 06/17/23 1,000,000

1,000,000

1,000,000

C

Old Republic Insurance Company

5,000,000

5,000,000

Liability for damage to aircraft not owned $10.000.000

A X

41718 23809 24147

ACORD 25 (2001/08)

holder in lieu of such endorsement(s).

require an endorsement. A statement on this certificate does not confer rights to the certificate If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement

IMPORTANT

affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.

the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it The Certificate of Insurance on the reverse side of this form does not constitute a contract between

DISCLAIMER

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