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Aircraft & Parts Manufacturers Application

September 20, 2011

Aircraft & Parts Manufacturers Application

PIM Aviation Insurance
P.O. Box 12750
Wichita, KS 67277
Local: (316) 942-0699
Toll free: (800) 826-4442
Facsimile: (316) 942-1260
If you would like to request an online quote please complete the form below. This information is for internal use only; none of the following will be distributed to any other parties. See our privacy statement for more information.

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Limits of Liability

Single Limit Bodily Injury and Property Damage Liability

Single Limit Bodily Injury and Property Damage Liability
Aggregate Same
Aggregate Same
Aggregate Same

20% of Above Limit of Liability

Estimated Sales

Non-Military Aircraft Products

The following drop down dates run horizontal to form the x-axis of a grid of boxes. "Airframes..."; "Supersonic..."; "Rotary..."; "All Other..." form the y-axis.
Following 4 one line inputs should be horizontal from heading
Following 4 one line inputs should be horizontal from heading
Following 4 one line inputs should be horizontal from heading
Following 4 one line inputs should be horizontal from heading

Military Aircraft Products

The following drop down dates run horizontal to form the x-axis of a grid of boxes. "Airframes..."; "Supersonic..."; "Rotary..."; "All Other..." form the y-axis.
Following 4 one line inputs should be horizontal from heading
Following 4 one line inputs should be horizontal from heading
Following 4 one line inputs should be horizontal from heading
Following 4 one line inputs should be horizontal from heading
Following 4 one line inputs should be horizontal from heading

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Policy Period

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To the best of the knowledge or belief of the undersigned, no executive officer of the Insured knows of any feature of any aircraft product covered hereby that could require it, in his judgement, to be grounded or replaced as unsafe, and with respect ot which remedial action has not been or is not being taken.
Following 4 one line inputs should be horizontal from heading