WMOD00199

• Contract/Permit #: #98-1
• Applicant: Western Kansas Groundwater Moanagement
• Project Name: Western Kansas Weather Modfication Program
• Date: 1/1/2001
• Weather Modification - Doc Type: Application

W. BROWN & ASSOCIATES
INSURANCE SERVICES

'lfW ~

4675 MacArthur Court, Suite 770
Newport Beach, CA 92660
[phone]

CERTIFICATE OF INSURANCE

THIS IS TO CERTIFY TO: Colorado Department of Agriculture, Division of Plant Industry, 700
Kipling Street, Suite 4000, Lakewood,CO 80215-5894
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUeD TO:

Western Kansas Groundwater Management District No.1
P. O. Box 604, Scott City, KS, 67871

POLICY NUMBER:
POLICY PERIOD:
INS\.JRANCE COMPANY: .

NAC300488:i
FROM: April 12, 2001 TO: April 12, 2002
XL Specialt\' Insurance Company

DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY

fAA.11.
N5140P
N535l-lP
N5842P
N7104P
N7611P
N7715W
N7765P
N7B05P
NB1BGW

. Single Limit Injury and
?mDertv DamaOB

$1,000,000.00
$1.000.000.00
$1.000.000.00
$1,000,000.00
$1,000.000.00
$1,000.000.00
$1.000.000.00
$1.000.000.00
$1.000.000.00

Ails:W1

1958 Piper PA24-250 N514CP
195B Piper PA24-250 N5359P
1959 Piper PA24-250 N5B42P
1960 Piper PA24-250 N7104P
1961 PiperpA24-250N7611P .
1._-7 .... .....~.., ,'-J..: ~'I""-"'''-==' "i
. ~r _rrper~..G~;';\~...;....;>.,.. ..'
1962 Piper PA24-250 N7'765P
1963 Piper PA24-250 N7B05P
1966.Beech Baron 95.C55 NB1BGW

Evidence of Coverage Only.

.Subject to Y2K Endorsement.

Passenger Uability Umited to:

Each Person

$100,000.00
$100,000.00
$100,000.00
$100.000.00
$100.000.00
$100.000.00
$100.000.00
$100.000.00
$100,000.00

Insured
~

$~:{)-,9cb.OO"
. ..

$89.000.00

Each Occurreru:e

Medical Expense
EN:h Person

Medical Expense
Each Occurrence

Physical Damage
Coveraoe
Not Covered Hereunder
Not Cov.!Ked Hereunder
Not Covered Hereunder
Not Covered Hereunder
Not Covered Hereunder
F. All Risk Basi.
Not Covered Hereunder
Not Covered Hereunder
F. All Risk Basis

$300,000.00
$300.000.00
$300.000.00
$300,000.00
$300.000.00
$100.000.00
$300.000.00
$300.000.00
$100,000.00

Oeductibles
Not in Motion
N/A
N/A
N/A
N/A .
N/A
,!Q,OOt,l:OO
N/A
N/A
$5,000.00

Oeductibles
In Motion
N/A
N/A
N/A
N/A
N/A
$10:0Cln.OO
N/A '.
N/A
$5,000.00

Should any of the above described policy(ies) be cancelled before the expiration date hereof, the
issuing company will endeavor to give 30 days (10 days for non-payment) notice to the certificate
holder named herein. However, failure to mail such notice shall not impose any obligation nor any
liability of any kind upon the company, its representatives, or agents.
... ,/1 "
By: ).Li!/~ f.A-1..'~ ( ) Ji)i Date of Issue: April 3, 2001

W. Brown & Associates

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