NON-OWNED/RENTAL INSURANCE QUOTE

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Pilot Information
Your Name
Address
City
State two letter code
Zip
Phone
Email
Age
Certificate  STD REC PVT CML ATP
Ratings
Instructor
Other
If other, describe
Total logged hours
Logged hrs. past 12 mos.
What type aircraft usually flown
Your hrs. in PIC in type
Do you have a:  CFI-Inst CFI-ME
Flight Instruction given last 12 mos.?  Yes No
Within last 36 months, have you:
Been involved in any accidents?  Yes No
Cited for any FAR violation?  Yes No
Had pilot's or driver's license suspended?  Yes No
Been convicted of any felony or DUI charge?  Yes No
If you answered “Yes” to any of the above, please contact your insurance agent.
Coverage underwritten by AIG Aviation Inc.
For more information,contact Hardy Aviation Insurance at:
1-800-721-6733.

Coverages
Liability Coverage – pays for bodily injury and property damage for
which you are legally liable arising out of your use of non-owned aircraft, but excluding physical damage to non-owned aircraft.
Personal Renter
Each Occurrence Passengers Premium Check Here
$250,000 $25,000 $95
$500,000 $50,000 $115
$500,000 $100,000 $180
$1,000,000 $100,000 $240
Flight Instructors
Each Occurrence Passengers Premium Check Here
$250,000 $25,000 $200
$500,000 $50,000 $350
$500,000 $100,000 $500
$1,000,000 $100,000 $600
Physical Damage to Your Non-Owned Aircraft – pays for physical damage to non-owned aircraft for which you are legally liable.This coverage is only available in conjunction with Liability Coverage.
 
Physical Damage Limit Premium Check Here
$5,000 $125
$10,000 $175
$20,000 $250
$40,000 $450
$60,000 $600
$80,000 $775
$100,000 $975
$150,000 $1,425
Decline Physical Damage Coverage

Optional Coverages
Description Premium Check
Add my employer as an additional insured ** $50
Name of Employer
Add the Civil Air Patrol Endorsement *** $50
Coverage for Acts of Terrorism under the Terrorism Risk Insurance Act of 2002 (TRIA) (MUST BE COMPLETED) - pays for bodily injury and property damage for which you are legally liable from certified acts of terrorism.
Add TRIA Coverage $50
  Decline TRIA Coverage
* Flight Instructors Liability now includes comprehensive CFI Liability coverage.

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