WMOD00163

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

".

po. Box 3506, Rapid City, South Dakota 57709-3506
Telephone: [phone] Tele\ax: 605-348-6017

,1
CERTIFICATE
OF INSURANCE

...'\
AVIATION INSURAN~2
ASSOCIATES (SOU1H DAKOTA) INC.

THIS IS TO CERTIFY TO: D. COLORADO WATER CONSERVATION BOARD, ATT:
1313 SHERMAN STREET. ROOM #721. DENVER. CO 80203
THAT THE FOLLOWING POLlCY/IES OF INSURANCE HAVE BEEN ISSUED TO.:
NORTH AMERICAN WEATHER CONSULTANTS
3761 SOUTH 700 EAST. SALT LAKE CITY. UT 84106
AIRCRAFT POLICY NO. POLICY PERIOD: FROM
INSURANCE COMPANY
LIABILITY COVERAGES

DAVID WP.LKER

TO

EACH PERSo.N
o Bodily Injury Excluding Passengers $
o Property Damage $
o Passenger Bodily Injury $
o Single Limit _cluding Passengers. $
o With Passenger Liability Limited To $
PHYSICAL DAMAGE COVERAGE: ALL RISKS, GRo.UND & IN-FLIGHT
REGISTRATION AGREED DEDUCTIBL.ES
NUMBER YEAR MAKE & MODEL VAWE NOT IN_MOTION

xxx X

LIMITS OF LIABILITY
EACH OCCURRENCE
$
$
$
$
$

XXX X

XXXX

IN-MOTION
INGESTION
MOORED

LIEN
AMOUNT

$
$

$
$

$
$

$
$

THIS CERTIFICATE Ho.LDER IS:
o INCLUDED AS A LOSS PAYEE FOR AIRCRAFT PHYSICAL DAMAGE Co.VERAGE
o PRo.VIDED BREACH o.F WARRANTY Co.VERAGE o.N AIRCRAFT PHYSICAL DAMAGE Co.VERAGE
o IS INCLUDED AS AN ADDITlo.NAL INSURED o.N AIRCRAFT LIABILITY Co.VERAGE, BUT o.NLY WITH RESPECT
TO. o.PERATlo.NS o.F THE Po.LlCYHo.LDER.

NlIIlI\0Jt1J LIABILITY Po.LlCY NO.. AP-500101 Po.LlCY PERlo.D FRo.M
INSURANCE Co.MPANY 01 n RFPIIRI IC INSIIRANCF COMPANY
COVERAGES COMPRFHFNSIVF r,FNFRAI I IP.RTI !TV

4/12/90

TO 4/12/91

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

$

LIMITS OF LIABILITY
each person $
$
$ ? , 000 , 000 .

each occurrence *
each occurrence .
each occurrence *

each loss

WORKERS COMP. Po.LlCY NO.
INSURANCE Co.MPANY
LIMITS OF LIABILITY: PART I: $ Statutory

Po.LlCY PERlo.D: FRo.M

TO.

PART Ii: $

OTHER COVERAGES/Co.NDITIONS/REMARKS

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 RESPONSIBILITY FOR FAILURE TO PROVIDE SUCH NOTICE THIS CERTIFICATE DOES NOT CHANGE IN ANY WAY THE ACTUAL COVERAGES PROVIDED BY THE POLlCYllES SPECIFIED ABOVE

FEBRUARY 28. 1991
(Taday's Date)

CERTIFICATE NO_ 166-107