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<br />AIG AVIATION <br /> <br />CERTIFICATE OF INSURANCE <br /> <br />~ <br /> <br />THIS IS TO CERTIFY TO: CASS COUNTY <br />1201 MAIN AVE WEST <br />WEST FARGO, ND 58078 <br />THAT THE FOllOWING POLlCYIIES OF INSURANCE HAVE BEEN ISSUED TO: <br />DEAN SOLUM D/B/A AIRBORNE CUSTOM SPRAYING <br />1507 COUNTY HIGHWAY 21 <br />HAlSTAD, MN 56548 <br /> <br />POLICY NO. AV 3398375-04 <br />POLICY PERIOD: From MAY 2, 2004 to MAY 2, 2005 <br />INSURANCE COMPANY NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA <br /> <br />LIMITS OF LIABILITY <br />NON-CHEMICAL <br />100,000. each person $ <br />300.000. each occurrence <br />aggregate <br />100,000. each occurrence <br />aggregate <br />each person <br />each occurrence <br />each occurrence <br />aggregate <br />each person Not applicable <br />each occurrence Not applicable <br />Chemical Limits of Liability are part of and not in addition to the Non-chemical Limits of Liability. <br />All liability arising from anyone occurrence shall not exceed the Non-chemical limits of Liability. <br />Description of Aircraft and Physical Damage Coverage hereunder: DEDUCTIBLES <br /> <br />F.A.A. YEAR INSURED NOT IN IN MOllON, <br />CERT. NO. MAKE AND MODel BUILT VALUE MOTION INGESTION, <br />OR MOORING <br />N6246F CESSNA 337 1965 $ NOT COVERED $ N/A $ N/A $ <br /> <br />LIABILITY COVERAGES <br /> <br />Bodily Injury -- excluding Passengers <br /> <br />$ <br /> <br />CHEMICAL <br />100,000. each person <br />300,000. each occurrence <br />300,000. aggregate <br />100,000. each occurrence <br />100,000. aggregate <br />Not applicable <br />Not applicable <br /> <br />Property Damage <br /> <br />Passenger Liability <br /> <br />Single Limit -- Property Damage & Bodily <br />Injury, excluding Passengers <br /> <br />Medical Expense -- eluding Crew <br /> <br />each occurrence <br />aggregate <br /> <br />LIEN <br />AMOUNT <br /> <br />OTHER COVERAGES/CONDITIONS/REMARKS <br />CHEMICAL COVERAGE APPLIES PER RESTRICTED CATEGORY "RC" RESTRICTED CHEMICAL <br />THE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED, BUT ONLY AS RESPECTS OPERATIONS OF <br />THE NAMED INSURED. <br />AS RESPECTS N6246F $1,000,000. NON CHEMICAL LIABILITY SHAll APPLY WHilE IN OPERATIONS OF <br />CONTRACT. <br />(RESIDENTIAL EXCLUSION REMOVED) <br /> <br />The Aviation Managers have made provision to give the certificate holder prompt notice of cancellation of any policy <br />above. But, the Aviation Managers assume no responsibility for failure to provide such notice. This certificate does <br />not change in any way the actual coverages provided by the policy/ies specified above. <br /> <br />Certificate No. <br /> <br />3 <br /> <br />Date of Issue <br /> <br />MAY 13, 2004 (TSS) <br /> <br />By <br /> <br />(~~<1: '" <br /> <br />d IAUthOr¡z*sentanveJ <br /> <br />~ <br /> <br />AG30 (8/01) <br />