Spreadsheet: 07960ba5-07ae-44a8-8ce7-0f98800c60f9
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16
NON-OWNED AIRCRAFT USAGE                                                                                                            4-1-09 to 4-1-10 Aviation Insurance Renewal                                                                                                                  Beginning on row 5, review each column header and enter applicable data                           Email the completed template to [EMAIL]                                                                        BY JANUARY 14, 2009
 |  |  |  |  |  |  |  |  |  |  |  | ENTER AN "X" UNDER THE APPLICABLE COLUMN (choose only one)   The four tabs at bottom of this screen (Jan., April, July & October 2008 charter services)  will assist you in determining if the Charter Service was on file with Risk Management at the time of your usage.
AGENCY NAME:                  Fill down Agency Name for each  Aviation entry. | [NAME]:                                 If applicable, fill down for each Division's Aviation entry. | INSURANCE COORDINATOR NAME:               Only enter once. | INSURANCE COORDINATOR PHONE #:           Only enter once. | DATE THIS TEMPLATE COMPLETED & RETURNED TO RISK MANAGEMENT         Only enter once. | FISCAL YEAR BILLING PERIOD:     Enter 2010 and copy down for each entry | CALENDAR YEAR 2008 REPORT PERIOD FROM:          Enter 1-1-08 and copy down for each entry | CALENDAR YEAR 2008 REPORT PERIOD TO:          Enter 12-31-08 and copy down for each entry. | NOT APPLICABLE TO AGENCY:                                               If agency did not charter aircraft in calendar year 2008, Enter the number 1.                                                                   Then stop here and e-mail this template to [EMAIL] | NAME OF AVIATION CHARTER SERVICE OR EMPLOYEE PILOT | [NAME] (City/State) OF CHARTER SERVICE | DATE AIRPLANE WAS CHARTERED | AVIATION CHARTER SERVICE                                                                                                  (The Charter Certificate of Insurance is ON FILE with Risk Management) | PILOT                                                                                                 (The Charter Certificate of Insurance is ON FILE with Risk Management) | AVIATION CHARTER SERVICE                                                                                                  (The Charter Certificate of Insurance is NOT ON FILE with Risk Management) | PILOT                                                                                                 (The Charter Certificate of Insurance is NOT ON FILE with Risk Management) | TOTAL NUMBER OF HOURS USED:       (DO NOT INCLUDE STANDBY HOURS)
University of Idaho | Risk Management | [NAME] | 885-7177 | 2009-01-15 00:00:00 | 2010 | 2008-01-01 00:00:00 | 2008-12-31 00:00:00 |  | [NAME] | Cascade, ID | 2008-01-09 00:00:00 | X |  |  |  | 1
University of Idaho | Risk Management |  |  |  | 2010 | 2008-01-01 00:00:00 | 2008-12-31 00:00:00 |  | Interstate Aviation | Pullman, WA | 2008-09-12 00:00:00 | X |  |  |  | 9
University of Idaho | Risk Management |  |  |  | 2010 | 2008-01-01 00:00:00 | 2008-12-31 00:00:00 |  | Idaho Transportation Department | Boise, ID | 2008-05-01 00:00:00 |  |  | X |  | 1