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JOSE MORENO- AIRCRAFT 20-21
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Last modified
6/2/2020 6:43:40 PM
Creation date
2/21/2020 1:12:23 PM
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Department
City Clerk
General - Type
Agendas
General 2 - Date
2/21/2020
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� 1 1 <br />INSURANCE COMPANIES <br />3353 Peachtree Road NE, Suite 1000 <br />Atlanta, GA 30326 <br />Certificate of Insurance <br />Certificate Holder: CITY OF RIVERSIDE MUNICIPAL AIRPORT <br />6951 FLIGHT ROAD <br />RIVERSIDE, CA 92504 <br />Named Insured: JOSE MORENO <br />16163 SETTING SUN CIRCLE <br />RIVERSIDE, CA 92503 <br />Policy Period: From: FEBRUARY 15, 2020 To: FEBRUARY 15, 2021 <br />Policy Number: 1000200555-08 <br />Issuing Company: STARR INDEMNITY & LIABILITY COMPANY <br />This is to certify that the policy(ies) listed herein have been issued providing coverage for the listed insured as further described. This <br />certificate of insurance is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy(ies) listed herein. <br />Notwithstanding any requirement, term or condition of any contract, or other document with respect to which this certificate of insurance <br />may be concerned or may pertain, the Insurance afforded by the policy(ies) listed on this certificate is subject to all the terms, exclusions, <br />and conditions of such policy(ies). <br />Aircraft: Reg Deductibles Passenger <br />Year Make and Model No. Insured NIM /IM Liability Limit Sublimits <br />1961 BEECHCRAFT N 35 N431SP $ 75,000. $ NIL / NIL $ 1,000,000. / 100,000. <br />S S S <br />S $ <br />APPROVED.S S <br />S $ <br />S S <br />THE CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER LIABILITY COVERAGES, BUT ONLY <br />AS RESPECTS OPERATIONS OF THE NAMED INSURED. <br />THE CERTIFICATE HOLDER WILL BE PROVIDED WITH THIRTY (30) DAYS [TEN (10) IF FOR NON-PAYMENT] NOTICE <br />OF CANCELLATION OR MATERIAL CHANGE. <br />Certificate Number: <br />Issued By and Date: <br />Starr 10200 (6/06) <br />3.1 <br />FEBRUARY 19. 2020 (1 B) <br />By~C"--•--.. <br />
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