LOH-23-054_State_of_Arizona.pdf

Arthur J. Gallagher Risk Management Services, LLC Aerospace US 300 S Riverside Plaza, Suite 1500, Chicago, IL 60606

R02/21/2024

This is to certify to Certificate Holder(s):

State of Arizona

Certificate Number LOH-23-ACGL-054

This is to certify that the insurance brokers of Arthur J. Gallagher Risk Management Services, LLC have secured the referenced insurance policy Aircraft Hull & Liability (SASICOM60063523-10) and Aviation Commercial General Liability (SASICOM60063823-10) for 100% with Starr Indemnity & Liability Company and Other Licensed Companies, each for their part and not one for the other, on behalf of the Named Insured covering their operations against the following risks and up to the limits stated whilst operating Worldwide or as defined in the policy.

Named Insured: Lohman Helicopter, LLC at 406 Burrell Ave., Hangar N23, PO Box 976, Lewiston, ID 83501-4524

Policy Period: May 1, 2023 to May 1, 2024 both days at 00:01 Local Standard Time at the address of the Named Insured

Coverages: AIRCRAFT HULL VALUE: Agreed Value as on file.

AIRCRAFT LIABILITY LIMIT: USD 10,000,000 each occurrence with respects rotor wing aircraft; USD 5,000,000 each occurrence with respects fixed wing aircraft.

unless sublimited as noted; Including, but not limited to: Bodily Injury and Property Damage to Third Parties including Passenger Legal Liability, Personal & Advertising Injury ($10,000,000 any one offense and in the annual aggregate), AVN52E Extended Coverage Endorsement (Aviation Liabilities)

AVIATION COMMERCIAL GENERAL LIABILITY: USD 2,000,000 each occurrence unless sublimited as noted; Including but not limited to: Bodily Injury and Property damage to Third Parties, Premises, Damage to Premises Rented To You (USD 250,000 any one premises), Medical Expense Limit (USD 25,000 any one person), Personal & Advertising Injury, Products/Completed Operations, Hangarkeepers (USD 500,000 each aircraft / USD 500,000 each loss) and On-Airport Premises Auto Liabilities.

Aircraft And/Or Equipment: Any and all aircraft or equipment owned, leased or operated by the Named Insured

Contracts: In regards to any and all Contracts or Agreements between the Certificate Holder and Named Insured with respect to all premises necessary and incidental to the aviation operations of the Named Insured, including Contract Number CTR063933 for Helicopter Wildlife Capture Services.

Special Provisions Subject always to the scope of the referenced policies and all the policies’ declarations, insuring agreements, terms, conditions, limitations, exclusions, deductibles, warranties and endorsements thereof remaining paramount: Solely as respects: (i) The Coverage(s) noted above; (ii) the Contract(s) (and then only to the extent of the Named Insured’s obligation to provide insurance under the terms of the Contract(s)); and (iii) the operations of the Named Insured; the policies are endorsed to include the following provisions(s):

In the event of cancellation or material changes of the policies by insurers, which would adversely affect the interests of the Certificate Holder(s), Insurers agree to provide 30 days, ten (10) days before the effective date of cancellation if the Company or Aviation Managers cancel for non-payment of premium, with prior written notice.

The subscribing insurers’ obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or parts of its obligations. LSW1001

This is to certify that policies of insurance listed above have been issued to the Insured named above and are in force at this time.

Notwithstanding any requirement, term or condition of any contracts or other documents with respect to which the certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all terms, exclusions and conditions of such policies.

Authorized Representative

Arthur J. Gallagher Risk Management Services, LLC Aerospace US 300 S Riverside Plaza, Suite 1500, Chicago, IL 60606

SCHEDULE OF ADDRESSEES TO CERTIFICATE NUMBER: LOH-23-ACGL-054

INSURED Lohman Helicopter, LLC

SUBJECT In regards to any and all Contracts or Agreements between the Certificate Holder and Named Insured with respect to all premises necessary and incidental to the aviation operations of the Named Insured, including Contract Number CTR063933 for Helicopter Wildlife Capture Services.

COMPANY State of Arizona

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NAME

ADDRESS 1616 West Adam Phoenix, AZ 85007

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