Certificates of Insurance
USAIG Certificate of Insurance
I his IS to ct.'rut) 10'
i\1onroc Hoard of COllnt\ COlllmissloners
\\host: address is
Ilorida Keys Marathon :\irporl
q..h)O Overst':..!s Hi!..!,hw;.l\. Suite ~()O
Mamtholl. Fl. 33(J~O -
lhat"
MCS A vialiol1. 1.1 ,C
\\ hose addn.'ss is
:i00 I Fillmol't: Street
Ilolly\vood. I-I. 3J021
is at this date insured with the Several Participating C\)fnpanies ufthe United States Aircraft Insurance Gmup. for the Limits of
('(we-rage stated belo\v. at the following locations: the United States of America. its territories and possessions. Canada. Mexico. the
Bahamas and the islands of the West Indies or ""hill' enroute bet\\ieen these places.
Descriptive Sch,edule of Coveral:es
Kind of Insuram:e poli{.:) Numher
2005 Cessna 182T Skylane. N2068('
Policy ("erm
AIRCRAfT LIABILITY
Combined Liability Coverage for
bodily injuT) and property damage
Subject to a maximum of
360AC-686933
February 1.2007 -
February I, 2008
Each
Passenger
Limits of Coverage
Each Each
Persnn Occurrence
S I.OOO.UOO
$ 100.000
Medical Coverage
Only" ilh rcsrel:l hl tJpCralrlllls h). f{lf or lln hehalr {If the '.Ptllicyholder"
$ 3.000
Please see the attached Endorsement 16.
rhis \:ertificate or vt~rificalion of insurance is not an insurance policy and Joes nnt <lllll:nd, extend or <:liter the coverage afforded by the
policies listed herein. Notv.:ithstanding any requirement, teml or condition of any contract or other document, with respect to which
this certificate or verification of insurance may be issued or may pertain. the insurance afforded by the policies described herein is
subject to all terms. exclusions and conditions of such policies.
Ih~ A~'iulio" ,'U"naJ~ers of the USAl(J l United States Aircraft Insurancl.:': Group) agrce that in thc cvent of cancellation of the
policy(ies), they will endeavor to give the party to whom this certificate is issued 30 days advam:e notice of such cancellation. but the
".via/ion Managers shall not be liable in any way for failure to give such notice.
UNITED ST A TES A VIA nON UNDERWRITERS, INC., A,'iatinn MnnCllla'
Address: 301 North Main Stred, Suite 1450. Wit:hita. KS 67202
Il\
.~<:~ '::i~_LL ';_..
Oavid L. McKay, Preside
date: Fel;mli!(LJ3.2007
Q. e.- "
r~ "'-Q,.V\.eL
ffY'~.~V"-~1)-- .tQ1tu1L1W~+
-~QJ__
'{.
F-I08d-Cen 13 (Re\. 1 ().'()6)
USAIG All-Clear
(A Several Liability Combination Policy)
Additionallnsured(s)
The 'Who's covered" section of your policy. under "Your Liability Coverage," shall include Monroe Board of
County Comlmissloners, but only for claims of bodily injury, mental angUish or property damage and specifically
excluding claims for personal injury that result from your ownership, maintenance or use of airport premises
This endorsement does not change any of your coverage except as stated above. It IS effective on the date and
hour shown below, local Standard Time at the "Policyholder's" address
Policy Issued to
MCS Aviation, LLC
360AC-686933
Policy No
February 13, 2007 at 12:01 A.M.
Date and hour endorsement takes effect
16
Endorsement No
Approved. United States Aviation Underwriters, Inc., Aviation Managers
By _"~~. ~4..) '::i uL l ~
328-0306 - ~
i 360/400 I
USAIG All-Clear
(A Sever.11 Liability Combination Policy)
Additiomlllnsured(s)
The "Who's ",overed" section of your policy. under "Your Liability Coverage," shall include Monroe Board of
County Commissioners, but only for claims of bodily injury. mental anguish or property damage and specifically
excluding claims for personal Injury that result from your ownership, maintenance or use of airport premises
This endorsement does not change any of your coverage except as stated above It is effective on the date and
hour shown b"low, local Standard Time at the "Policyholder's" address
Policy Issued to
MCS Aviation, LLC
360AC-886933
Policy No
February 13, 2007 at 12:01 A.M.
Date and hour endorsement takes effect
16
Endorsement I~o.
Approved United States Aviation Underwriters, Inc., Aviation Managers
By_ ~(~,,() ':i uL.. ~____
328-0306 ~
(360/400)
Division of Corporations
Page 1 of2
Florida Limited Liability
MCS A VIA nON LLC
................................................
.".",...".".".".
PRINCIPAL ADDRESS
5001 FILLMORE ST
HOLLYWOOD FL 33021
Changed 02/20/2006
MAILING ADDRESS
5001 FILLMORE ST
HOLL YWOOD FL 33021
Changed 02/20/2006
Document Number
L05000119201
FEI Number
760809490
Date Filed
12114/2005
State
FL
Status
ACTIVE
Tota. Contribution
0.00
Re istered A ent
I
C
I
Name & Address
SClillL IE, MATTHEW C
5001 FULMORE ST
HOLLYWOOD FL 33021
Address Changed: 02/20/2006
anager em er eta!
I Name & Address II Title I
SCHULTE, MATlHEW C B
5001 FILLMORE 8T
HOLLYWOOD FL 33021 US
M
1M
b D
'I
http://www.sunbiz.orglscripts/cordetexe?al=DETFIL&n 1 =L05000119201&n2=NAMFWD&n3=0000&n.. 5/7/2007
Division of Corporations
Page 2 of 2
I Report Year II Filed Date I
I 2006 II 02120/2006 I
I 2007 II 02/23/2007 I
Annual Reports
Next Filing j
No Events
No Name History Information
Document Images
Listed below are the images available for this filing.
02/23/2007 -- ANNUAL REPORT
02/20/2006.-- ANNUAL REPORT
12/14/2005 -- Florida Limited Liabilitv
THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT
,~,_~',~_<cu~~w.w.'~__,,_w___wnnJnu.WJ_J.w.w~',_~',W.w,~_~_~_~<~<~_<~'.v'~nuJ_~_'_Y_'JUJU_W_'J'_'J.WJ_'J____CJ._~.._~__~_w._~_~~~,_~~~,_~y~w~~WNJ.Y~YJ_'_'_'_W_W_W_'J.'.w.wnJuu.wn.w_.'J.'.w.'J.'
. ... .- .......-.-...............-----......................
~111.11111111111111
~11I11..llitill!li!
http://www.sunbiz.org/scripts/cordet.exe?al=DETFIL&nl =L05000 11920 1 &n2=NAMFWD&n3=0000&n.. 5/7/2007
Im~
I NJPA.
INSURANCE AGENCY INC.
AOPA Insurance Agency, Inc.
P.O. Box 9170
Wichita, KS 67277
AIRCRAFT CERTIFICATE OF INSURANCE
Date: 05/14/2007
This Certificate is issued to
Monroe County Board of County Commissioners
Airport Business Office Key West International Airport
Key West FL 33040
DescriDtive Schedule
Named Insured and Address:
David P Rice Consulting Inc
133 MOCKINGBIRD LN
MARATHON. FL 33050
Company
Policy Number
Effective Date
Expiration Date
Aircraft Covered
Phoenix Aviation Ins. (West)
PND966852
06/18/2007
06/18/2008
N7379Q 1972 CESSNA 182P
COVERAGES
LIMITS OF LIABILITY
Single Limit Bodily Injury &
Property Damage Liability
IiSllncluding Passengers
or
o Including Passenger Sub-Limi!:
Each Occurrence:
$1,000.000 CSL
Each Passenger:
N/A - Combined Single Limit
Aircraft Physical Damage
IiSl Ground & Flight. or
o Not in Flight Only, or
o Not In Motion Only.
Deductible Not In Motion
Deductible In Motion
Agreed Value:
$77,500
$0
$200
The entity shown above is included under Aircraft Liability Coverage as an Additional Insured but only to the extent of liability
arising out of the Named Insured's ownership, maintenance or use of the Covered Aircraft. If the company cancels, the
company will send 30 day prior written notice to the above. The company shall not be held liable for failure to give such notice.
Notice is hereby given that AOPA Insurance Agency is not the Insurer hereunder and shall not be held liable
for any loss or damage nor for failure to provide Notice of Coverage Cancellation.
The above coverages are subject to all policy terms, conditions and exclusions.
r\l~~
S -c9-qro')
\[
r?',:. ~
~f/l~
~wcuf)
RP
CERTINS,DOGl CERTlFtCATE
c-c..:~~
PHOENIX
PHOENIX AVIATION MANAGERS (TEXAS), INe.
Certificate of Insurance
RI ->Ii
r.
This is to certify to
(Certificate Holder):
L..J
~';""";TY
"", , ,11". ;;,
;,'\,..'.,'; '.:;;n
\D-d6-b}
1-
Monroe County Board of County
Commissioners Airport Business Office
Key West International Airport
3491 S. Roosevelt Blvd., Key West, FL 33040
David P. Rice Consulting, Inc.
133 Mockingbird Lane
Marathon, FL 33050
"w......
~ffiQ
06-18'200~ 0uD
The following policy(ies)
have been issued to:
AIRCRAFT POLICY NO:
INSURANCE COMPA~IY:
LIABILITY COVERAGI:S:
A V090494 01
POLICY PERIOD: FROM: 06-18-2007
OLD REPUBLIC INSURANCE COMPANY
TO:
LIMITS OF LIABILITY
EACH PERSON EACH OCCURRENCE
o Bodily Injury
o Property Damage
o Passenger Bodily Injury
~ Single Limit l!lcluding Passengers,
o With Passenger Li,ability Limited To
DESCRIPTION OF AIRCRAFT
FAA
NUMBER YEAR
N7379Q 1972
$
$XXXX
$
$ XXXX
$
$
$
$
$1,000,000.
$ XXXX
PHYSICAL DAMAGE COVERAGE:
INSURED
VALUE
$
$
ALL RISKS GROUND AND IN-FLIGHT
DEDUCTIBLES
IN-MOTION
$
$
MAKE & MODEL
Cessna 182
NOT IN-MOTION
$
$
o As respects any Aircraft Owned and Operated by the Named Insured and covered under the above referenced Policy
AIRPORT POLICY NO:
INSURANCE COMPANY:
LIABILITY COVERAGES:
o Comprehensive Gllneral Liability
o Completed Operatiions / Products Liability
o Not Applicable
o Hangarkeepers Liability
o Premises Medical Payments
Deductibles: Hangarkeeper's Liability
Premises Liability
POLICY PERIOD: FROM:
OLD REPUBLIC INSURANCE COMPANY
LIMITS OF LIABILITY
$ each person $ each occurrence'
$ each person $ each occurrence'
$ property damage .
$ each person $ each occurrence'
$ property damage .
$ each aircraft $ each loss
$ each person $ each accident
$ each loss
$ each claim with respect to Property Damage
110 Refer to the Policy, an Annual Aggregate limit may apply to some coverages.
TO:
This Certificate Holder i..:
D Included as a Loss Payee for Aircraft Physical Damage Coverage.
D Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage not to exceed 90% of Ihe Insured Value.
(gJ Is included as an Adclitionallnsured, but only with respect to operations of the Named Insured.
D Is provided a Waiver of Subrogation, but only as respects Aircraft Physicai Damage Coverage.
OTHER COVERAGES/CONDITIONS/REMARKS:
Provision has been made tD give the Certificate Holder prompt notice of cancellation of any policy above, however, the Company assumes no
responsibility for the failure to provide such notice. This Certificate does not change in any way the actual coverages provided by the policy(ies) specified
above.
Phoenix Aviation Representative:
~~
Agency Name:
Agency Phone:
AOPA Insurance Agency, Inc. - Wichita, KS
800.622-1672
ce-: ;:;h cvn e..L-~
Date: 6/5/2007
15660 North Dallas Parkway, Suite 1000, Dallas, TX 75248. (972) 991-7223. Fax: (972) 490-7069
----------~_._,..
DATE ISSUED
NAMED INSURED
Aircraft Certificate of Insurr~~:EIV.~~.-, J
August 24, 2007 (REVISED) SEP 2 4 - .(),
MCS AVIATION, LLC AND ITS INDIVIDUAL
EXECUTIVE OFFICERS AND MEMBERS------
MONHOE COUNTY
RI~~~_,<\~!!~0X~~~.~!I_~_
5001 FILLMORE ST.
HOLLYWOOD, FL 33021
PHOENIX INDEMNITY INSURANCE COMPANY
GA99-2S3l16-OO
ADDRESS OF INSUR.ED
COVERAGE
DL. Single Wmitllodily Injury I Property Damage
Including Wmited Passenger Bodily Injury
LIMIT OF COVERAGE
0t~J~
q/~'f(:)l
~Ifi
Dlto- I U0$y
((.M
!k~lQ~ rr;;j)t;
INSURANCE COMPANY
POLICY NUMBER
POLICY EFFECTIVE IDA TE
POLICY EXPIRATION DATE
AIRCRAFT COVERE[)
08130III7
08130I08
N2068C - 2007 CESSNA T206H
Aircraft Liability Coverage
$
$
100,000 Each Passenger
1,000,000 Each Occurrence
This Certificate is iSlSUed to:
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
RISK MANAGEMENT
1100 SIMONSTON ST.
KEY WEST, FL 33040
With whom we agnse, if possible, to notify 30 days before the date of cancellation if the policy should be canceled by the
Company.
The coverage provided by the Policy is subject to all of the policy terms, conditions and exclusions.
SUBJECT TO TtIE FOREGOING, THE COMPANY AGREES TO EXTEND COVERAGE PROVIDED BY THE
REFERENCED POUCY TO MONROE COUNTY BOARD OF COUNTY COMMISSIONERS UNDER THE INSURED'S
UABILITY COVERAGE REFERENCED ABOVE FOR LIABIUTY ARISING OUT OF AN OCCURRENCE CAUSED BY THE
INSURED'S OWNERSHIP, MAINTENANCE OR USE OF THE AIRCRAFT DESCRIBED IN THIS CERTIFICATE.
AEROSPACE INSURANCE MANAGERS, INC.
Aviation Managers
6?/ ~/ ~
AU1lIOIUZBD REPRESENTATIVE
Cl-"~'
Fonn GA112 (I/OO) - Page 1
DC
PHOENIX
PHOENIX AVIATION MANAGERS, INC.
Certificate of Insurance
This is to certify to
(Certificate Holder):
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
RISK MANAGEMENT
1100 SIMONTON ST.
KEY WEST, FL 33040
'm.~
3-ctl-D6
'{
The following policy(ies)
have been issued to:
MCS AVIATION, LLC
5001 FILLMORE ST.
HOLLYWOOD, FL 33021
AIRCRAFT POLICY NO: AV9345401
THIS COVERAGE IS EFFECTIVE 12:01 AM
INSURANCE COMPANY:
LIABILITY COVERAGES:
t8I Single Limit Including Passengers,
t8I with Passenger Liability Limited to:
POLICY PERIOD:
FROM: 03-C3-2008
~ ~ ([}Jt
TO: 03.c3-2009 a ~ M
\1~ (UvJ?
OLD REPUBLIC INSURANCE COMPANY
LIMITS OF LIABILITY
EACH PERSON EACH OCCURRENCE
$XXXX $1,000,000.
$100,000. $XXXX
DESCRIPTION OF AIRCRAFT
FAA
NUMBER YEAR
N1425G 2008
MAKE & MODEL
CESSNA 182
PHYSICAL DAMAGE COVERAGE:
INSURED
VALUE
$398,500.
$
$
$
ALL RISKS GROUND AND IN-FLIGHT
DEDUCTIBLES
IN-MOnON
$200.
$
$
$
NOT IN-MOnON
$0.
$
$
$
o As respects any Aircraft Owned and Operated by the Named Insured and covered under the above referenced Policy
This Certificate Holder is:
o Included as a Loss Payee for Aircraft Physical Damage Coverage.
o Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage not to exceed 90% of the insured value or as their
interest may appear.
181 Is Included as an Additional Insured on Aircraft Liability Coverage but only with respect to
hangaring and tie-down of insured aircraft.
o Is provided a Waiver of Subrogation on Aircraft Physical Damage Coverage, but only INith respect to
OTHER COVERAGES/CONDITIONS/REMARKS:
Provision has been made to give the Certificate Holder prompt notice of cancellation of any policy above, however, the Company assumes no
responsibility for the failure to provide such notice. This Certificate of Insurance neither affirmatively nor negatively amends. extends. nor alters the
coverage afforded by the policy(ies) numbered in this certificate.
I Agency Name:
I Agency Phone:
I
FALCON INS.I MD
301-624-2471
1990 Vaughn Road, Suite 350, Kennesaw, GA 30144. (770) 590-4950. Fax: (770) 590-C599
"'----
~~.. '\-~~
PHOENIX
PHOENIX AVIATION MANAGERS, INC.
Certificate of Insurance
This is to certify to
(Certificate Holder):
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
RISK MANAGEMENT
1100 SIMONTON ST.
KEY WEST. FL 33040
'm..~.
3-<3J-06
'{
The following policy(ies)
have been issued to:
MCS AVIATION, LLC
5001 FILLMORE ST.
HOLLYWOOD, FL 33021
AIRCRAFT POLICY NO: AV9345401
THIS COVERAGE IS EFFECTIVE 12:01 AM
INSURANCE COMPANY:
LIABILITY COVERAGES:
IZI Single Limit Including Passengers,
IZI with Passenger liability Limited to:
POLICY PERIOD:
FROM: 03-03-2008
~cai1
TO: 03-03-2009 ~ M
\1~ QoJ)
OLD REPUBLIC INSURANCE COMPANY
LIMITS OF LIABILITY
EACH PERSON EACH OCCURRENCE
$XXXX $1,000,000.
$100,000. $XXXX
DESCRIPTION OF AIRCRAFT
FAA
NUMBER YEAR
N1425G 2008
MAKE & MODEL
CESSNA 182
PHYSICAL DAMAGE COVERAGE:
INSURED
VALUE
$398,500.
$
$
$
ALL RISKS GROUND AND IN-FLIGHT
DEDucnBlES
IN-MonON
$200.
$
$
$
NOT IN-MonON
$0.
$
$
$
o As respects any Aircraft Owned and Operated by Ihe Named Insured and covered under the above referenced Policy
This Certificate Holder Is:
o Included as a Loss Payee for Aircraft Physical Damage Coverage.
o Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage not to exceed 90% of the insured value or as their
interest may appear.
121 Is Included as an Additional Insured on Aircraft Liability Coverage but only with respect to
hangaring and tie-down of insured aircraft.
o Is provided a Waiver of Subrogation on Aircraft Physical Damage Coverage, but only with respect to
OTHER COVERAGES/CONDITIONS/REMARKS:
ProvIsion has been made to give the Certificate Holder prompt notice of cancellation of any policy above, however, the Company assumes no
responsibility for the failure to provide such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends. nor aiters the
coverage afforded by the pollcy(ies) numbered in this certificate.
I Agency Name:
I Agency Phone:
1
FALCON INSJ MD
301.624-2471
1990 Vaughn Road, Suite 350. Kennesaw, GA 30144. (770) 590-4950. Fax: (770) 590-0599
---
~e..'. >r~~
****
* *
: OLD REPUBLIC INSURANCECOMPANV
* *-
***
Evidence of Insurance
**.
*W*
*.. ..
*.
****
I"'UOENIX AVIATION
~I:'Il'>,.L"C.
This is to certify to
(Certificate Holder):
MONROE COUNTY BOARD OF COUNTY COMMI
AIRPORT BUSINESS OFFFICE, KEY WEST
3491 D ROOSEVELT BLVD
KEY WEST, FL 33040
The following policy(ies) DAVID P. RICE CONSULTING INC.
have been issued to: 133 MOCKINGBIRD LANE
MARATHON,FL330S0
AIRCRAFT POLICY NO: A V 09049403
THIS COVERAGE IS EFFECTIVE 12:01 AM
INSURANCE COMPANY:
LIABILITY COVERAGES:
POLICY PERIOD: FROM: 06/18/2009
TO: 06/18/2010
r&J Single Limit Including Passengers,
o with Passenger Liability Limited to:
OLD REPUBLIC INSURANCE COMPANY
LIMITS OF LIABILITY
EACH PERSON EACH OCCURRENCE
$1,000,000
DESCRIPTION OF AIRCRAFT
FAA
NUMBER YEAR MAKE & MODEL
N7379Q 1972 CESSNA 182
PHYSICAL DAMAGE COVERAGE:
INSURED
VALUE
$61,000
ALL RISKS GROUND AND IN-FLIGHT
DEDUCTIBLES
NOT '~~OT'ON IN-M~2'8~
This Certificate Holder is:
Included as an Additional Insured on aircraft Liability Coverage but only with respect to hangaring and/or
tie-down of the aircraft covered under this policy,
QQ, "
f"" \ V\wM~
1m [E @ [E Q \1] [E ~
Uti A:: ~ !1~09 ~
IBY~
~~
\.)\J J 5.5 "01
'f.
Dtl~
ut1fk
~ffl~.
Provision has been made to give the Certificate Holder thirty (30) days Notice of Cancellation _ ten (10) days for nonpayment of premiUm of any policy
above, however, the Company assumes no responsibility fer the failure to provide such no lice. This Certificate of Insurance neither affirmatively nor
negatively amends, extends, nor alters the coverage afforded by the pOlicy(ies) numbered in this certificate.
Agency Name:
Agency Phone:
316-942-2223
1990 VAUGHN ROAD, SUITE 350, KENNESAW, GA 30144. (770) 590-4950. Fax: (770) 590-0599
A MEMBER OF THE OLD REPUBLIC INSURANCE COMPANY
09