WMOD00163

• Contract/Permit #: #91-4
• Applicant: North American Weather Consultants
• Project Name: Grand Mesa
• Date: 12/1/1990
• Weather Modification - Doc Type: Application

AVIATION INSURANI..J
ASSOCIATES (SOl.JfH DAKOTA) INC.

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CERTIFICATE
OF INSURANCE

MAY 1 2 1991

P.O. Box 3506, Rapid City, South Dakota 57709.3506
Telephone: [phone] Telefax: 605-348-6017

THIS IS TO CERTIFY TO: COLORADO WATER CONSERVATION BOARD ATTN: DAVID W\,LKER
1313 SHERMAN ST. RM. 721. DENVER. COLORADO 80203
THAT THE FOLLOWING POLlCY/IES OF INSURANCE HAVE BEEN ISSUED TO:
NORTH AMERICAN WEATHER CONSULTANTS. INC.
3761 SOUTH 700 EAST. SALT LAKE CITY. UT 84106
AIRCRAFT POLICY NO. POLICY PERIOD: FROM
INSURANCE COMPANY
LIABILITY COVERAGES

TO

EACH PERSON
o Bodily Injury Excluding Passengers $
o Property Damage $
o Passenger Bodily Injury $
o Single Limit _c1uding Passenger.S. $
o With Passengar Liability Limited To $
PHYSICAL DAMAGE COVERAGE: ALL RISKS, GROUND & IN-FLIGHT
REGISTRATION AGREED DEDUCTIBlES
NUMBER YEAR MAKE & MODEL VALUE NOT IN.MOTION

xxx X

LIMITS OF LIABILITY
EACH OCCURRENCE
$
$
$
$
$

XXXX

XXXX

IN-MOTION
INGESTION
MOORED

LIEN
AMOUNT

$
$

$
$

$
$

$
$

THIS CERTIFICATE HOLDER IS:
o INCLUDED AS A LOSS PAYEE FOR AIRCRAFT PHYSICAL DAMAGE COVERAGE
o PROVIDED BREACH OF WARRANTY COVERAGE ON AIRCRAFT PHYSICAL DAMAGE COVERAGE
o IS INCLUDED AS AN ADDITIONAL INSURED ON AIRCRAFT LIABILITY COVERAGE, BUT ONLY WITH RESPECT
TO OPERATIONS OF THE POLICYHOLDER.

AIRPORT LIABILITY POLICY NO. POLICY PERIOD: FROM
INSURANCE COMPANY OLD REPUBLIC INSURANCE COMPANY
COVERAGES COMPREHENSIVE GENERAL LIABILITY
LIMITS OF LIABILITY
each person $ each occurrence *
$ each occurrence *
$ 2.000.000. OQach occurrence.

4-12-91 TO

4-12-92

o Bodily Injury
o Property Damage
[)! Single Limit Bodily Injury &
Property Damage
o Hangarkeepers Liability $ each aircraft $
DEDUCTIBLES: Hangarkeepers Liability $ each loss
Premises Liability $ each claim with respect to Property Damage
'REFER TO THE POLICY. AN ANNUAL AGGREGATE LIMIT APPLIES TO SOME COVERAGES.

$

each loss

WORKERS COMPo POLICY NO.
INSURANCE COMPANY
LIMITS OF LIABILITY: PART I: $ Statutory

POLICY PERIOD: FROM

TO

PART II: $

OTHER COVERAGES/CONDITIONS/REMARKS

PERSONAL INJURY LIABILITY: $1,000,000.00 EACH OCCURRENCE.

THE AVIATION MANAGERS HAVE MADE PROVISION TO GIVE THE CERTIFICATE HOLDER PROMPT NOTICE OF CANCELLATION OF ANY POLICY ABOVE. BUT, THE AVIATION MANAGERS ASSUME
NO RESPONSIBILJTY FOR FAILURE TO F'ROVJDE SUCH TlCE. THIS CERTIFICATE DOES NOT CHANGE IN ANY WAY THE ACTUAL COVERAGES PROVIDED BY THE POLlCYIIES SPECIFIED ABOVE.

By

4-12-91

(Today's Date)

CERTIFICATE NO. 166-06