Dd Form 2400 PDF Details

Navigating the complexities of civil aviation operations, especially those intersecting with military facilities, necessitates a thorough understanding of certain legal requirements, of which the DD Form 2400, or the Civil Aircraft Certificate of Insurance, is paramount. This form, essential for any civil aircraft operator needing access to military aviation facilities, acts as a certification of current third party insurance liability. It is meticulously structured to include critical details such as insurance policy data, specifics on aircraft liability coverage including bodily injury, property damage, and passenger amount insurance, as well as provisions for single limit and excess liability coverage. Furthermore, amendments or endorsements of the listed policy or policies, alongside a certification by an authorized insurance official, underscore the form’s comprehensive nature. Beyond the immediate data fields, the form requires an understanding of its background elements, such as its legal authority, principal purpose, and specific instructions for completion, ensuring that civil aircraft are operated within military installations both legally and safely. With its expiry and renewal contingent on strict adherence to the guidelines set forth by the Department of Defense, including notice requirements for policy changes, the DD Form 2400 symbolizes the critical intersection of military protocol and civil aviation insurance documentation, safeguarding both entities’ interests.

QuestionAnswer
Form NameDd Form 2400
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdd2400, Respondents, dd 2400 form, dd 2400

Form Preview Example

CIVIL AIRCRAFT CERTIFICATE OF INSURANCE

1. TODAY'S DATE

Form Approved

(YYYYMMDD)

(To be completed only by the insurer or an authorized representative.)

OMB No. 0701-0050

Please read Privacy Act Statement and Instructions on back before completing.

 

Expires Apr 30, 2007

 

 

 

The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services and Communications Directorate (0701-0050). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. SEND COMPLETED FORM TO THE ADDRESS IN NOTE 2 ON BACK.

2. INSURER

3. INSURED (User)

 

 

A. NAME

A. NAME

 

 

B. ADDRESS (Street, City, State and ZIP Code)

B. ADDRESS (Street, City, State and ZIP Code)

 

 

4. AIRCRAFT POLICY DATA

POLICY

EFFECTIVE

EXPIRATION

GEOGRAPHICAL AREA OR LIMIT OF

AIRCRAFT REGISTRATION

NUMBER(S)

DATE (YYYYMMDD)

DATE (YYYYMMDD)

POLICY COVERAGE

NUMBER(S)

A.

B.

C.

D.

E.

 

 

 

 

 

 

 

 

 

 

5. AIRCRAFT LIABILITY COVERAGE

 

 

BODILY INJURY

PROPERTY DAMAGE

PASSENGER

AMOUNT OF

 

A.

B.

C.

 

 

 

 

INSURANCE FOR

(1) EACH

 

 

 

(Must be stated

PERSON

 

 

 

in U.S. Dollars)

 

 

 

 

(2) EACH

 

 

 

 

 

 

 

 

ACCIDENT

 

 

 

 

 

 

 

 

6. SINGLE LIMIT (If the aircraft are insured with a single limit of liability, the amount of the single limit must be equal to or greater than the combined amount of

bodily injury, property damage, and passenger liability specified in applicable military regulations listed iin NOTE 1 on back.) (Must be stated in U.S. Dollars.)

7. EXCESS LIABILITY (If the aircraft are insured by a combination of primary and excess policies, the combined amounts of bodily injury, property damage, and passenger liability, respectively must be equal to or greater than those specified in applicable military regulations listed in NOTE 1 on reverse.) (NOTE: When this entry is completed, include primary policy numbers or amounts over which the excess applies. Show whether excess applies to bodily injury, property damage, or passenger liability.) (Must be stated in U.S. Dollars.)

8. PROVISIONS OF AMENDMENTS OR ENDORSEMENTS OF LISTED POLICY(IES)

a. The insurer waives any right of subrogation the

 

c. If the insurer cancels or reduces the amount of insurance afforded under the

 

insurer may have against the United States by reason

 

listed policy(ies), the insurer shall send written notice of the cancellations or

of any payment under the policy(ies) for damage or

 

reduction to the applicable address listed in NOTE 2 on reverse, by registered mail

injury which might arise out of or in connection with

 

at least thirty days in advance of the effective date of cancellation; the policy

the insured's use of any military installation or facility.

 

must state that any cancellation or reduction will not be effective until at least

b. The insurance afforded by the policy(ies)

 

thirty days after such notice is sent, regardless of the effective date specified

 

therein.

encompasses the liability assumed by the insured

 

 

under DD Form 2402, Hold Harmless Agreement,

 

d. If the insured requests cancellation or reduction, the insurer shall notify the

which is incorporated herein by reference.

 

applicable addressee listed in NOTE 2 on reverse immediately upon receipt of

 

 

such request.

9. CERTIFICATION (To be completed by Authorized Insurance Official)

I certify that insurance is in effect as stated in this certificate and that I have authorization to issue this certificate for and on behalf of the insurer. This certificate is valid until the expiration date(s) shown in item 4 unless canceled or superseded in writing, in accordance with items 8c and d.

A. TYPED NAME OF INSURER'S AUTHORIZED REPRESENTATIVE

B. SIGNATURE (Blue Ink)

 

 

 

 

C. TITLE

 

 

D. TELEPHONE NUMBER (Include Area Code)

 

 

 

DD FORM 2400, AUG 2004

PREVIOUS EDITION IS OBSOLETE.

PRIVACY ACT STATEMENT

AUTHORITY: 49 U.S. Code, Section 44502(d).

PRINCIPAL PURPOSE(S): Provides an insurance company's certification of current third party insurance liability for an individual or corporation that operates civil aircraft at military aviation facilities.

ROUTINE USE(S): None.

DISCLOSURE: Voluntary; however, failure to provide this information will result in an individual or corporation being unable to operate civil aircraft into military aviation facilities.

INSTRUCTIONS FOR COMPLETION OF DD FORM 2400

This form is to be completed only by the insurer or authorized representative.

1.Complete all applicable items. Continue below if additional space is required. Refer to item number(s).

2.Sign original of this form and send to the applicable address listed in NOTE 2 below. Send a copy to each approving authority to which a DD Form 2401 is submitted for approval. All copies of form must be signed with original signatures. Signature stamps, camera copied signatures, or any type facsimile signatures are unacceptable.

3.This form is available under DefenseLink, Publications.

4. All items are self-explanatory except:

Item 4d - List the geographical area or geographical limits within which the policy(ies) apply.

Item 4e - The statement "All aircraft owned or operated by the insured," is acceptable and preferred.

IF ADDITIONAL SPACE IS REQUIRED, CONTINUE HERE (Refer to item number)

ARMY

NAVY

AIR FORCE

 

 

 

NOTE 1

SECNAVINST 3770.1C

 

AR 95-2

AFI 10-1001

Can be viewed at: http://books.army.mil/

Can be viewed at: http://neds.nebt.daps.mil/

Can be viewed at: http://afpubs.hq.af.mil

cgi-bin/bookmgr/Shelves

Directives/dirindex.html

 

 

 

 

NOTE 2

COMMANDER

 

DIRECTOR

NAVAL FACILITIES

 

USAASA, ATTN: ATAS-AS

ENGINEERING COMMAND

HQ USAF/XOO-CA

BLDG 1466

CODE: REAT

1480 AIR FORCE PENTAGON RM 4D1010

9325 GUNSTON RD, SUITE N319

WASHINGTON NAVY YARD

WASHINGTON, DC 20330-1480

1322 PATTERSON AVE. S.E., SUITE 1000

FT BELVOIR, VA 22060-5582

(703) 697-5967

WASHINGTON, DC 20374-5065

(703) 806-4864

 

(202)685-9202

 

 

 

DD FORM 2400 (BACK), AUG 2004

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It will be simple to complete the document using this helpful guide! Here's what you need to do:

1. Before anything else, once filling in the 2004, beging with the part that features the next fields:

insurer conclusion process outlined (stage 1)

2. Given that the last array of fields is complete, it is time to include the necessary particulars in SINGLE LIMIT If the aircraft are, bodily injury property damage and, EXCESS LIABILITY If the aircraft, PROVISIONS OF AMENDMENTS OR, a The insurer waives any right of, b The insurance afforded by the, c If the insurer cancels or, d If the insured requests, CERTIFICATION To be completed by, I certify that insurance is in, a TYPED NAME OF INSURERS, and b SIGNATURE Blue Ink so you can go further.

Guidelines on how to prepare insurer part 2

It's simple to make a mistake when filling in your CERTIFICATION To be completed by, for that reason you'll want to reread it before you decide to submit it.

3. Completing c TITLE, d TELEPHONE NUMBER Include Area, DD FORM AUG, and PREVIOUS EDITION IS OBSOLETE is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

insurer writing process detailed (step 3)

4. Completing IF ADDITIONAL SPACE IS REQUIRED, ARMY, NAVY, AIR FORCE, NOTE, AR Can be viewed at, SECNAVINST C Can be viewed at, and AFI Can be viewed at is essential in the next stage - be sure to devote some time and be attentive with every single blank!

The right way to complete insurer part 4

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