Certificates of Insurance
W. BROWN & ASSOCIATES 5885 Ridgeway Center Parkway
INSURANCE SERVICES Sui te 218
Memphis, TN 38120
(901) 374-0667
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO: Monroe County. Donna Perez, Risk Manaqement
,100 Colleae Road, Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
P~radiQ~ Avi~tinn. Tnr
p n Roy l?q. ~tpvpnRvillp. MD 21666
POLICY NO. NAF1998010
POLICY PERIOD FROM: April 1, 1998 TO: April 1, 1999
INSUR.c\NCE CO.: Reliance Nationa 1 Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
Airport Liability:
Single Limit Bodily Injury and Property Damage $ c:;. oon. 000 nn each occurrence
but aggregate as respects products/completed operations and personal injury including:
bd Premises
[~ Products/Completed Operations
[] Independent Contractors
[.,a Hangarkeeper's Liability:
[ ] Personal Injury
[] Contractual
$1.000.000 00 each aircraft
$3 , 000 , 000.00 each occurrence
$ 3,000.000.00 each loss
Additional Coverages:
The certificate holder is included as an Additional Insured
warranted no operational interest.
y"'~
'ATE '-ft.....,......
vrsL
Should any of the above described policy(ies) be cancelled before the expiration
date hereof, the issuing company will endeavor to give prompt notice to the certificate
holder named herein. However, failure to mail such notice shall not impose any
obligation nor any liability any kind upon the company, its representatives or agents.
Date of Issue March 24, 1998
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02/ 26/98 18: 29 FAX 7709850319
INSURAMERICA AVI
~10
MINIMUM STANDARDS RESOLUTION
Minimum Insurance Standards For Aeronautical Acdvities
REQUEST FOR WAIVER
OF
INSURANCE REQUIREMENTS
It is requested that the insurance requirements. as specified by the County, be waived or
modified for the following Applicant
Applicant
PARADISE AVIATION, INC.
Application for:
FSO
Address of Applicant:
9850 Overseas Highway
Marathon, FL 33050
Phone:
410-643-3611
Scope Of Work:
FSO
Reason for Waiver:
see attached
Policies Waiver
will apply to:
Hangerkeepers Liabi1ity_ J~ ~Ot1d,rf(J
Signature of Applicant:
~~~ ~
Approved X Not Approved
~9EY~
Risk Management
Date:
County Administrator appeal:
Approved:
Not Approved:
Date:
Board of County Commissioners appeal:
.j
Approved:
Not Approved;
Meeting Date:
Exhibit 1-14
We request a waiver on the insurance requirement for Hanger-
keepers Liability.
The present minimum standards require $5,000,000. We r-equest
a change to $1,000,000 per aircraft and $3,000,000 per occurance.
Presently there are 5 aircraft in the hanger that together do
not total over $1,000,000 in value. The size of the hanger does not
readily permit access for larger more expensive jet aircraft. The
limit I propose still more than adequately protects us and the
county against the potential risk.
SafeAir Underwriters
P.O. Box 870867
Stone Mountain GA 30087-0022
APR-03-1998 11:32 INSURAMERICA 770 985 0319 P.02
ACORD... CERTIFICATE OF LIABILII YIN~UKANt,.;t: ~M~l 04/03/98
l'IlOOUCB\ THIS CERTIFtCATlIS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFeRS NO RlGtfTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELow.
COMPANIES AFFORDING COVERAGe
Suei Jackson
N. ;:"1_0-736-3292_
IIlI8URI!D
Fool... 770-73.6-3293
I
I .
-t!~
. COMPANY
8
SAVBCO Insurance Company
Sareco Select Markets
Paradise Aviation, Inc
PO Box 129
Seevensvi118 MD 21666
COMPA.NY
C
COMPANY
o
COVER4_
THIS IS TO cElltTIFY THAT THE POLlen!S OF INSURANCE LISTED iiLOW HAVE BEEN IssueD TO THE INSURED NAMED ABove FOR THIi POLICY PeRIOD
INDICATED. NO'TWITHSTANDING ANY REQUII'lEMENT. TiRM O~ CONOITION 0,. ANY CONTRACT OR OTHER DOCUMeNT WITH ~UPECT TO WMIC~ THIS
CERTIFICATE MAY BE ISSUED Ollt MAY PiRTAIN. THe INSURANce AFFORDED BY THE POLICIES DESCRIBeO HEREIN IS SUBJECT TO ALL THE TERMS.
exelUSIONS AND CONDITIONS O~ SUCH .-oLICIES. LIMITS SHOWN MAY HAve BEEN R'Duao BY PAID CLAIMS.
co - ._, I' .. POUCY lWlCTIVE r;~CY IXMlTtON
LTIl ,.."E OF INSURANCE pouey 1iI""'.1!Jt DAYE (MMIODIYYI l"':,A'l'E IMMIOO/YY')
UMITS
GENaIoL UMIUTY
COMMERCIAL eeNEAAL UAIlIUTV
CLAIMS MADE 0 OCCUR
OWNfI\'; . CONTIIJIoCTOfrs PflOT
..,
~ENERAL AG~REGATE $
PflODUCT$ . COMPIOP AGG S
PEIl.SQNAl &. ADV INJURY $
EACH occuRRENCE
FIRE OAMAelO IAny _ fi,..) ,
~O EXP (Ivrt o.-e p_..n)
A
BA7764601
I 04/01/98
I
I
APPROVED BY RISK MAN GtMl~r
By0
04/01/99
COM8lNm SINGLE LIMIT
sl.OOO,OOO
AUTClMOIlLE u",urrv
~.
A~~ OWNED AUTOS
SCHEOUU;O AVTOS
MIllED AUTO S
NON-OWtIEO "'UTOS
BOOILV INJURY
tPet D.sonl
i
A ~":n."::~~Vf
Of'l'ICERS AIl(:
OTMElll
'.IINCL WC7764601
EXCL
8001~V INJURY
('If ...OMlcnt:
i
GARAGE UAIlIUTY
- I
ANY AlITO
PROPERTY DAMAGE
AUTO OIilL Y - fA ACCIDENT ~
OTHER T11AN AUTO ONL V:
,
nCli8& UABlUT"
UMBRELlA FORM
. OTHER THAN UMSRaI.A FORM
WOIIIUiJI& CCIM"",,"T1Ol11 AND
8IIPLDYER$' UAIlIUTY
EACH ACCIOiN" S
AGGREGATE $
EACH OCCU_NCIE
AGGREGATE
04/01/98
OTH-
ER ....._
f 1000000
04/0~/99 ELDlSEA$Il.POUC;VLlMIT slOOOOOO
ELDISEASE-EAEMPLOVU Is 1000000
B Property
ES71546U
$2,500 deductible
04/01/98
04/01/99
See Below
See Below
I)UCIIIPTlO" OF O_ATIONSIlOCAT1OIIlSIVEHlCl.E&ISHCIAL ITIMS
PROPERTY - Bang~ - $4',000, ODen Rongar - $15,000.
Off~ce/Term1nal - SSO 000, Line Shack - ~6,000
INLAND MARiNE - ~979 Avgas relue1er * 1'83 Jet-A refueler
C.rtificateholder is named .8 LOS. Payee and Add1t1onal Xn5ured
CEM'IFICATEHOLDst
Monroe County R.i.ek Mana!J8IIlent
S~OO College Road
~ey west PL 33040
CANCEUAllQN
MONROO 1 SHOUlD ANY OF THE ABOVE 0$iC1U8ED POUCIfS . CNlCl;lUD B~R( TIlE
EXfIIRATlOlll DATE THBlEOF. THE ISSUING COMPANY WILL ENOEAVOR TO MAIL
~ DAY$ WNTTEIlI NOTIeā¬ TO THE ~ATl! HOUIUl NAMID TO THE LIFT.
aUT FAllUllE TO MAIL SUCH NOTICE SHAll I\llI'OBE NO OIUGATION 011 "'_"TY
OF AlOIY I(IllIO UPON TIlE C~ANY. ITS ~ OlII........BlTATlVU.
AUTHOIIIZED IIIPRaINTAT1W
A~~a6o;$.llf9fH.
SuciJackson
,g) ",C()RD CORPOflA TI.Ql\I ,9U
TOTAL P.02
. ......".....----.- ."-"""""",,,.
ACORDN I.NSt.J.NCe.....SI.N.mER.... CSR>SR DATE (MMlDDNY)
. 04/02/98
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER I W8,N,;O. Extl: 770-736-3292 COMPANY I BINDER # 1779
r~,~. Ext): 770-736-3293 Safeco Select Markets
SafeAir Underwriters DATE TIME DATEEXPIRATION TIME
P.O. Box 870867 RAM -112:01 AM
Stone Mountain GA 30087-0022 04/01/98 PM 05/01/98 NOON
Suci Jackson xl THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
CODE: I SUB CODE: PER EXPIRING POLICY #: ES7154644
I ~S~~g~ER ID: &PARA01 DESCRIPTION OF OPERATIONSlVEHICLESlPROPERTY (Including Location)
INSURED FBO
Paradise Aviation, Inc
Ed Steiqarwald
PO Box 129
Stevensville MD 21666
COVERAGES ........ / > / >> ............ ........... ............ <> . ....... ...... <>
..".
TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS %
PROPERTY CAUSES OF LOSS Special form/ bldinq U 48,000 2500 90%
- D BROAD ~ SPEC
BASIC " 15,000 2500 90%
-
" """ " 56,000 2500 90%
GENERAL LIABILITY GENERAL AGGREGATE $
~
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $
I>. I CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
~
FIRE DAMAGE (Anyone fire) $
f--
RETRO DATE FOR CLAIMS MADE: MED EXP (Anyone person) $
AUTOMOBILE LIABILITY " q,IC,\i. ~l\':e.c]\ COMBINED SINGLE LIMIT $
-
ANY AUTO ~ot'\{0\JH! B . n J~- ... BODILY INJURY (Per person) $
-
ALL OWNED AUTOS ~ ~JV: BODILY INJURY (Per accident) $
- B'~
SCHEDULED AUTOS PROPERTY DAMAGE $
-
HIRED AUTOS MEDICAL PAYMENTS $
-
NON-OWNED AUTOS ':)f>.1t . ;I:- '(rS --- PERSONAL INJURY PROT $
- ""Po.
W~\\'nt UNINSURED MOTORIST $
-
$
AUTO PHYSICAL DAMAGE DEDUCTIBLE ~ ALL VEHICLES U SCHEDULED VEHICLES ACTUAL CASH VALUE
R COLLISION: STATED AMOUNT $
OTHER THAN COL: OTHER
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
-
ANY AUTO OTHER THAN AUTO ONLY: I................. ....
-
EACH ACCIDENT $
-
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
q UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $
STATUTORY LIMITS ..
WORKER'S COMPENSATION EACH ACCIDENT $
AND
EMPLOYER'S LIABILITY DISEASE - POLICY LIMIT $
DISEASE - EACH EMPLOYEE $
SPECIAL Monroe County is included as an additional insured and loss payee with
CONDITIONSI respects to operations of the named insured.
OTHER
COVERAGES
...... <X ... X// ,X>> ................ .... .> ......... .......... 7
..... ........ ~.. ADDITIONAL INSURED ......... ..........
H. MORTGAGEE
LOSS PAYEE
LOAN #
Monroe County Florida
9400 #200 AUTHORIZED REPRESENTATIVE
Overseas HWY,
Marathon FL 33050
Suci Jackson
.A9()RJ'.)7e-$(12ftl3) ..N()"l'e:..IM~9l'4...M1't~TATI:INFORIVIA'rl()N.ON.AT'rA9f1EI).PAue @ACORDCORPORATION1983
Paradise Aviation, Inc
PREMISE #
&PARA01
Schedule attached to Binder 1779
PAGE
2
YR BUilT
PART OCCUPIED
9400 Overseas Highway
Marathon FL 33050
X INSIDE OWNER
OUTSIDE X TENANT
1976
100%
NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS
FBO, storage hangars , office and general aviation termdnal
X INSIDE
OWNER
same
same same
OUTSIDE X TENANT
1976
100%
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
Open Aircraft Hangar for aircraft storage
X INSIDE OWNER
OUTSIDE X TENANT
1976
100%
same
same FL same
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
Office and general aviation termdnal.
office.
"Line shack" for line personnel
INSIDE
OUTSIDE
OWNER
TENANT
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS
INSIDE
OUTSIDE
OWNER
TENANT
NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS
INSIDE
OUTSIDE
OWNER
TENANT
NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS
INSIDE
OUTSIDE
OWNER
TENANT
NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS
SUBJECT OF INSURANCE
i
NO.
001
b
G
NO.
001
ADDITIONAL COVERAGES, RESTRICTIONS. ENDORSEMENTS, AND RATING INFORMATION
Hangar
48,000
90%
special
2500
CONSTRUCTION TYPE
cc3
BUILDING IMPROVEMENTS
WIRING, YR:
ROOFING, YR:
RIGHT EXPOSURE & DISTANCE
FIRE DISTRICT/CODE NUMBER
PROTo CL.# STORIES # BASM'TS YR. BUILT TOTAL AREA
1 1976 4800
PLUMBING, YR:
HEATING, YR:
OTHER
OTHER OCCUPANCIES
LEFT EXPOSURE & DISTANCE
REAR EXPOSURE & DISTANCE
BURGLAR ALARM TYPE
CERTIFICATE #
EXPIRATION DATE
EXTENT GRADE
CENTRAL STATION
WITH KEYS
CLOCK HOURLY
BURGLAR ALARM INSTALLED AND SERVICED BY
# GUARDSlWATCHMEN
FIRE PROTECTION (Sprinklers, Standpipes, C02IHalon Systems)
FIRE ALARM MANUFACTURER
CENTRAL STATION
NAME & ADDRESS
Monroe County Florida
9400 Overseas Highway
Marathon FL 33050
NAME & ADDRESS
INTEREST
x
CERTIFICATION
REQUIRED
INTEREST
SUBJECT OF INSURANCE
open hangar
CERTIFICATION
REQUIRED
P
~
M
NO.
001
B
b
G
NO.
002
ADDITIONAL COVERAGES, RESTRICTIONS, ENDORSEMENTS, AND RATING INFORMATION
DEDUCTIBLE
FORMS AND CONDITIONS TO APPLY
15,000
90%
special
2500
CONSTRUCTION TYPE
cc3
BUILDING IMPROVEMENTS
WIRING, YR:
ROOFING, YR:
RIGHT EXPOSURE & DISTANCE
FIRE DISTRICT/CODE NUMBER
PROTo CL.# STORIES # BASM'TS YR. BUILT TOTAl AREA
. 1 1976 3000
PLUMBING, YR:
HEATING, YR:
OTHER
OTHER OCCUPANCIES
LEFT EXPOSURE & DISTANCE
REAR EXPOSURE & DISTANCE
BURGLAR ALARM TYPE
CERTIFICATE #
EXPIRATION DATE
EXTENT GRADE
CENTRAL STATION
WITH KEYS
CLOCK HOURLY
BURGLAR ALARM INSTALLED AND SERVICED BY
# GUARDSlWATCHMEN
FIRE PROTECTION (Spnnkiers, Standpipes, C02lHalon Systems)
FIRE ALARM MANUFACTURER
CENTRAL STATION
NAME & ADDRESS
Monroe County Florida
9400 Overseas Highway
Marathon FL 33050
INTEREST
additional insured
INTEREST
PREMISES
SUBJECT OF INSURANCE
~
~
NO.
001
b
G
NO.
003
ADDITIONAL COVERAGES, RESTRICTIONS, ENDORSEMENTS, AND RATING INFORMATION
office ter.min 50,000
90%
special
special
2500
line shack 6,000
90%
2500
CONSTRUCTION TYPE
CC3
BUILDING IMPROVEMENTS
WIRING, YR:
ROOFING, YR:
RIGHT EXPOSURE & DISTANCE
FIRE DISTRICT/CODE NUMBER
PROTo CL.# STORIES # BASM'TS YR. BUILT TOTAL AREA
1 1985 3600
PLUMBING, YR:
HEATING, YR:
OTHER
OTHER OCCUPANCIES
LEFT EXPOSURE & DISTANCE
REAR EXPOSURE & DISTANCE
BURGLAR ALARM TYPE CERTIFICATE #
EXPIRATION DATE
EXTENT GRADE
CENTRAL STATION
WITH KEYS
CLOCK HOURLY
BURGLAR ALARM INSTALLED AND SERVICED BY
smoke and fire alarms installed
FIRE PROTECTION (Sprinklers, Standpipes, C02lHalon Systems)
# GUARDSlWATCHMEN
FIRE ALARM MANUFACTURER
CENTRAL STATION
NAME & ADDRESS
Monroe County Florida
9400 Overseas Highway
Marathon FL 33050
NAME & ADDRESS
INTEREST
additional insured
x
CERTIFICATION
REQUIRED
INTEREST
CERTIFICATION
REQUIRED
SUBJECT OF INSURANCE
AMOUNT
COINS %
i
NO.
90%
90%
special
special
2500
2500
~
NO.
ADDITIONAL COVERAGES, RESTRICTIONS, ENDORSEMENTS, AND RATING INFORMATION
CONSTRUCTION TYPE
FIRE DISTRICT/CODE NUMBER
PROTo CL.# STORIES # BASM'TS YR. BUILT TOTAL AREA
BUILDING IMPROVEMENTS
WIRING, YR:
ROOFING, YR:
RIGHT EXPOSURE & DISTANCE
PLUMBING, YR:
HEATING, YR:
OTHER
OTHER OCCUPANCIES
LEFT EXPOSURE & DISTANCE
REAR EXPOSURE & DISTANCE
BURGLAR ALARM TYPE
CERTIFICATE #
EXPIRATION DATE
EXTENT GRADE
CENTRAL STATION
WITH KEYS
CLOCK HOURLY
BURGLAR ALARM INSTALLED AND SERVICED BY
# GUARDSlWATCHMEN
FIRE PROTECTION (Sprinklers, Standpipes, C02IHalon Systems)
FIRE ALARM MANUFACTURER
CENTRAL STATION
INTEREST
INTEREST
CERTIFICATION
REQUIRED
..-- . I.NSl..J.NCe......SINI)ER
ACORDN CSRSR DATE (MM/DDIVY)
04/02/98
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER I Wgr:.;o, Extl: 770-736-3292 COMPANY I BINDER # 1791
r~,tj.?;, Ext): 770-736-3293 SAFECO Insurance Company
SafeAir Underwriters DATE TIME DATE TIME
P.O. Box 870867 HAM ~ 12:01 AM
stone Mountain GA 30087-0022 04/01/98 PM 05/01/98 NOON
Suci Jackson xl THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
CODE: I SUB CODE: PER EXPIRING POLICY #: BA7764601
~a~~8~ER ID: &PARA01 DESCRIPTION OF OPERATIONSNEHICLESlPROPERTY (Including Location)
INSURED
Paradise Aviation, Inc
Ed Steigarwald
PO Box 129
Stevensville MD 21666
COVERAGES ............ ........ >>>.. ......... / / / ............ > .............. i >I..I~............ >
.............
TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS %
PROPERTY CAUSES OF LOSS
- D BROAD D SPEC
BASIC
-
GENERAL LIABILITY GENERAL AGGREGATE $
f---
COMMERCIAL GENERAL LIABILITY PRODUCTS - COM PlOP AGG $
Ii I CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
f---
FIRE DAMAGE (Anyone fire) $
-
RETRO DATE FOR CLAIMS MADE: MED EXP (Anyone person) $
AUTOMOBILE LIABILITY flPPROVED BY RISK MANAGEMfN1 COMBINED SINGLE LIMIT $1,000,000
-
~ ANY AUTO cj I ell q r/ , --- BODILY INJURY (per person) $
ALL OWNED AUTOS BODILY INJURY (Per accident) $
-
SCHEDULED AUTOS BY C;i6~t ~/ _ PROPERTY DAMAGE $
-
HIRED AUTOS MEDICAL PAYMENTS $1000
f--- OAT\:
~ NON-OWNED AUTOS N/A ~ YES_- PERSONAL INJURY PROT $
WAIVf~: UNINSURED MOTORIST $50,000
f---
$
AUTO PHYSICAL DAMAGE DEDUCTIBLE U ALL VEHICLES U SCHEDULED VEHICLES ACTUAL CASH VALUE
~ COLLISION: STATED AMOUNT $
OTHER THAN COL: OTHER
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
- /< /// ...
ANY AUTO OTHER THAN AUTO ONLY:
-
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
R UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $
STATUTORY LIMITS //> / ... ....
WORKER'S COMPENSATION EACH ACCIDENT $
AND
EMPLOYER'S LIABILITY DISEASE - POLICY LIMIT $
DISEASE - EACH EMPLOYEE $
SPECIAL Inland Marine policK IM7764601 coverin~ ~h,sical damage (excluding wind
CONDITIONSI and flood with $100 deductible) for 1 7 50gal Avgas refueler
OTHER #T15DTY9V604525 and 1983 2000gal Jet-A refueler # 1HTAA1652DHA32617
COVERAGES
......> .................... ........i....> ....... ....... ........ iF! . .// ....... >>/
.....
H~ORTGAGEE ADDITIONAL INSURED
LOSS PAYEE
lOAN #
AUTHORIZED REPRESENTATIVE
Suci Jackson
AQ()RI)7<<i..s.021$3) .....N()TE:t..IMl>9R,tANT.$TAre.,NFORMAtlON ()N Att'ACHEO.PAGE ........@jA,(';()f{I)CQRPORATION19$3.
~. < ...... ..... ..... ...... ..... ......
VEHICUi'OESCRIP11ON..(Con't.)
VEH # I YEAR I MAKE: Dodge .f$~J MINIVAN I SYM/AGE I COST NEW
001 119911 MODEL: Minivan V.I.N.: 2B4FK51G7HR159478 I $ 15000
TERR GVW/GCW CLASS I SIC I FACTOR I SEAT CP/ ~~IUS I FARTHEST TERM
CITY, STATE, ZIP 7398
WHERE GARAGED I
DRIVE TO WORK/SCHOOL USE COMM'L ~~~ ADD'L PIP X ~~~~~s F LSP DEDUCTIB~IACV ~COMPU c?6~l
- - r-- TOWING f-- I-- ~ AA STAMT
=1 UNDER 15 MILES R PLEASURE RETAIL X L1AB MED PAY & LABOR FT COMP $
- - UNINS f-- SPEC I-- f--
15 MILES OR OVER FARM SERVICE PIP X MOTOR COFl FTW COLL $ $ COLL
VEH # I YEAR I MAKE: f~~El: I SYM/AGE COST NEW
I I MODEL: V.I.N.: 1 $
TERR GVW/GCW CLASS , SIC I FACTOR I SEAT CPj RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L A~~ ADD'L PIP ~~~~~::; F LSP DEDUCTIBLES I I ACV -.JCOMPU tb~l
- c-- I-- TOWING - f-- ~ AA U STAMT
=1 UNDER 15 MILES =i PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
I-- c-- UNINS f-- SPEC - I--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR I MAKE: fWJ: I SYM/AGE COST NEW
I MODEL: V.I.N.: I $
TERR GVW/GCW CLASS I SIC I FACTOR I SEAT CP/ RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L ~...~ ADD'L PIP ~~9~~S F LSP DEDUCTIBLES I I ACV U COMPU c?~~l
I--- I--- - TOWING f-- - tJ AA 0 STAMT
R UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
I-- f-- UNINS - SPEC I--- -
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR I MAKE: fWEl: I SYMlAGE COST NEW
I MODEL: V.I.N.: I $
TERR GVW/GCW CLASS I SIC I FACTOR I SEAT cpr RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L RG~ ADD'L PIP ~~~~~s F LSP DEDUCTIBCj-d, ACV ~ COMPU c?6~l
- - - TOWING f-- f-- tJ AA ST AMT
=1 UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
- - UNINS - SPEC I--- -
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR I MAKE: f$~J I SYM/AGE COST NEW
I MODEL: V.I.N.: I $
TERR GVW/GCW CLASS I SIC / FACTOR I SEAT C1 RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L I ~t1ECK ADD'L PIP I ~~9~~S F LSP DEDUCTlBLES I I ACV ~ COMPU tb~l
RERAGES
I--- I--- I--- TOWING I--- f-- o AA U STAMT
q UNDER 15 MILES ~ PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
I-- f-- UNINS I-- SPEC I-- I--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR I MAKE: fWEl: I SYM/AGE COST NEW
I MODEL: V.I.N.: I $
TERR GVW/GCW CLASS I SIC I FACTOR I SEAT CP/ RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L ~~ ADD'L PIP ~~9~~l F LSP DEDUCTlBLES I I ACV U COMPU tb~l
I-- f-- c-- TOWING - f-- o AA U STAMT
q UNDER 15 MILES ~ PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
I--- f-- UNINS c-- SPEC - I--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR 1 MAKE: W~E: I SYM/AGE COST NEW
I MODEL: V.I.N.: I $
TERR GVW/GCW CLASS I SIC I FACTOR I SEAT CP/ RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L I ~!:!~CK ADD'L PIP ~~9~WS F LSP DEDUCTIBLES I I ACV U COMPLJ tb~l
I-- LlERAGES
I--- ~ TOWING I-- f-- tJ AA U STAMT
R UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
I-- f-- UNINS - SPEC f-- f--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR I MAKE: f~~J: I SYM/AGE COST NEW
I MODEL: V.I.N.: I $
TERR GVW/GCW CLASS I SIC I FACTOR I SEAT Ci RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L ~"L~ ADD'L PIP ~~9~~S F LSP DEDUCTIB~ ACV U COMPU c?~~
I--- c-- - TOWING f-- - tJ AA ST AMT
R UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
I--- c-- UNINS - SPEC f-- -
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
..<< ..... < ... < .........ii /
...... .............
ACORD~ I NS.l.J.RANCrs.....SIN.EJER CSR<SR DATE (MMlDDIVY)
04/02/98
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER I W~,NN~, Extl: 770-736-3292 COMPANY I BINDER # 1778
F.M,"Wo', Ext): 770-736-3293 SAFE CO Insurance Company
SafeAir Underwriters DATE TIME DATE TIME
P.O. Box 870867 H AM ~ 12:01 AM
stone Mountain GA 30087-0022 04/01/98 PM 05/01/98 NOON
Suci Jackson xl THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
CODE: I SUB CODE: PER EXPIRING POLICY #: WC7764601
I ~~~~8~ER ID: &PARA01 DESCRIPTION OF OPERATIONSlVEHICLESlPROPERTY (Including Location)
INSURED FBO l.ocated at the Marathon Airport.
Paradise Aviation, Inc
Ed Steiqarwald
PO Box 129
Stevensville MD 21666
....... .<. ....... //< .. ...... <) ....... . ......................... . i
..... ..... .......................... .. .............. .
TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS %
PROPERTY CAUSES OF LOSS
- D D
BASIC BROAD SPEC
-
I----
GENERAL LIABILITY GENERAL AGGREGATE $
-
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $
I CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
-
FIRE DAMAGE (Anyone fire) $
-
RETRO DATE FOR CLAIMS MADE: MED EXP (Anyone person) $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
- APPROVED BY RISK MA~Ar.rM~MT
ANY AUTO BODILY INJURY (Per person) $
I-- u9:fJ~ iJ2
ALL OWNED AUTOS BY BODILY INJURY (Per accident) $
I----
SCHEDULED AUTOS PROPERTY DAMAGE $
f--
HIRED AUTOS n,nE MEDICAL PAYMENTS $
f--
NON-OWNED AUTOS L \{f~ PERSONAL INJURY PROT $
f-- 'R: M'A
UNINSURED MOTORIST $
f--
$
AUTO PHYSICAL DAMAGE DEDUCTIBLE ~ ALL VEHICLES U SCHEDULED VEHICLES ACTUAL CASH VALUE
=1 COLLISION: STATED AMOUNT $
OTHER THAN COL: OTHER
GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $
I---- .................> .
ANY AUTO OTHER THAN AUTO ONLY: ........
-
'----- EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
q UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $
STATUTORY LIMITS <>i
WORKER'S COMPENSATION EACH ACCIDENT $1000000
AND
EMPLOYER'S LIABILITY DISEASE - POLICY LIMIT $1000000
DISEASE - EACH EMPLOYEE $1000000
SPECIAL
CONDITIONS!
OTHER
COVERAGES
........ ......... ........... .><....... ......... ......... ...... ........ < ~i .... /, . ................ .>..\.<>
.
__{MORTGAGEE ADDITIONAL INSURED
LOSS PAYEE
LOAN #
AUTHORIZED REPRESENTATIVE
Suci Jackson
ACqlU.)7S..s..(12193) lSl(),.E;..IMP()Fl'tAlSlt..$'tArlS.'l\lf()~MAtlQN.9N.At"ACHE:I).PAq.E: ~.A,~()fij)..C()RJ:i()AAtl()l\l..19$3
Paradise Aviation, Inc
&PARA01
Schedule attached to Binder 1778
PAGE 2
# STREET, CITY, COUNTY, STATE, ZIP CODE
L
STATE 0
C.
CLASS CODE
COMPANY
USE
CATEGORIES, DUTIES, CLASSIFICATIONS
NO. OF
EM-
PLOYEES
ESTIMATED
ANNUAL
REMUNERATION
RATE
ESTIMATED
ANNUAL PREMIUM
1/7
W. BROWN & ASSOCIATES
INSURANCE SERVICES
5885 Ridgeway Center Pkwy., Ste, 218
Memphis, TN 38120
(901) 374-0667
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County BOCC 5100 College Road Key West. FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Paradise Aviation, Inc. P. O. Box 129 Stevensville. MD 21666
POLICY NO. NAF2046391
POLICY PERIOD FROM: April 1, 1999 TO April 1. 2000
INSURANCE CO.: Reliance National Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
Airport Liability:
Single Limit Bodily Injury and Property Damage $ 5.000.000. each occurrence
But aggregate as respects products/completed operations and personal injury including:
[x]
[x]
[ ]
[x]
Premises
Products/Completed Operations
Independent Contractors
Hangarkeeper's Liability:
[ ]
[ ]
Personal Injury
Contractual
Deductible:
$ 1.000.000.
$ 3.000.000.
$ 10,000.
each aircraft
each occurrence
each loss
Additional Coverages:
The above Certificate Holder is included as an Additional Insured but only to the extent of liability
vicariously imposed upon the Additional Insured solely as the result of an act or omission of the Named
Insured or its employees in connection with the Named Insured's Operations:
Subject to Y2K Endorsement
::AL ~
Should any of the above described policy(ies) be canceled before the expiration date hereof, the issuing company will
endeavor to give 30 days* notice to the certificate holder named herein. However, failure to mail such notice shall not
impose any obligation nor any liability of any kind upon the company, its representatives or agents.
,
By
Date ofIssue: July 21. 1992
Cert No,: 2
RELIANCE NATIONAL INSURANCE COMPANY
It is hereby understood and agreed that the following is included as an Additional Insured but only to
the extent of liability vicariously imposed upon the Additional Insured solely as the result of an act or
omission of the Named Insured or its employees in connection with the Named Insured's Operations:
Monroe County BOCC
51 00 College Road
Key West, FL 33040
.~...'t<('\rr[' Q\,~ "):< H~;.ll:,:'-..~ ir J-
..Y ^1~q;t,b
DATE-1l)~
Wr"VER: \'Ii,~~.. /' YFS
ar;: C!kD-
CL,~
~(naw
This endorsement is part of your Policy and takes effect on the effective date of your policy, unless another effective date is shown below,
May 10, 1999
Complete only when endorsement is Not prepared with the
policy or is not to be effective with the Policy.
Date Issued:
Policy Number:
NAF2046391
Issued To:
Paradise Aviation Inc,
Effective Date:
April 01, 1999
Endorsement No,:
6
W. Brown & Associates Insurance Services
Countersigned:
Countersigned Date:
V-H~
Aviation Managers
ACBRDN
,..qf2~;r;Il8lq~;r;f81~.fft:2I~!lf!t:2t~!~~!;i!~~ri;.lqf2;~~ D~~ 7;~~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
SafeAir Underwriters
P.O. Box 870867
Stone Mountain GA 30087-0022
Frank Jakes, Sr.
Phone No 770-736-3292 Fax No. 770-736-3293
INSURED
COMPANY
A
F. B. Beattie & Co., Inc.
COMPANY
B
Safeco Select Markets
Paradise Aviation, Inc
PO Box 129
Stevensville MD 21666
COMPANY
C
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COMPANY
o
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD1YY) DATE (MM/DD1YY)
LIMITS
GENERAL LIABILITY
f---
COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE
f--
PRODUCTS. COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
I---
AUTOMOBILE LIABILITY
I---
B X ANY AUTO
f--
BA7764601A
04/01/99
04/01/00
COMBINED SINGLE LIMIT
$1,000,000
I---
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
BODILY INJURY
(Per person)
$
f--
I---
-
BODILY INJURY
(Per accident)
$
I---
ANY AUTO
rnrOn)I:;~. 'l;:~;"'~(}
. ,. 'I. ""
; , '. ,:,\
V \ V n'-V
,"'. \ \q9
[1,~TE ~ lt~l
AUTO ONLY- EA ACCIDENT
$
-
\., n"f,
/vc~
~:
\
C!. ': \tJk
~ I.' itlolThSlb
--..--- ~ ,.....
...
'MrPROPERTY DAMAGE
$
GARAGE LIABILITY
f--
OTHER THAN AUTO ONLY:
EXCESS LIABILITY
I UMBRELLA FORM
I OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
" ....
11/' .
EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE
AGGREGATE
$
$
$
B i THE PROPRIETORI
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
RINCL
EXCL
WC7764601A
04/01/99
04/01/00
IWC STATU- I 10TH-
TORY LIMITS I ER
EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT
EL DISEASE. EA EMPLOYEE
.....
$ 1000000
$ 1000000
$ 1000000
A Property Section
ES7154644
04/01/99
04/01/00
DESCRIPTION OF OPERA TIONS/LOCA T10NSNEHICLESlSPECIAL ITEMS
1987 Dodae Minivan MINIVAN
1996 Fora Winds tar MINIVAN
2B4FK51G7HR159478
2FMDA5148TBC76387
.-
MONR001
.... ......
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
.:...:.
Monroe County Board
Commissioners
5100 College Road
Key West FL 33040
of County
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
'~ H~~,
-,
H'.......n'),. Jakes
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIOllli.. '- \, " _
........-
Sr.
'--. -
--- -.
HlRR
ADDITIONAL PREMISE INFORMATION
Paradise Aviation, Inc
&PARA01
Attach to Certificate of Insurance
PAGE
2
STREET, CITY, COUNTY, STATE, ZIP CODE
CITY LIMITS INTEREST
X INSIDE OWNER
OUTSIDE X TENANT
YR BUILT
PART OCCUPIED
9400 Overseas Highway
Marathon FL 33050
1976
100%
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
FBO, storage hangars , office and general aviation terminal
STREET, CITY, COUNTY, STATE, ZIP CODE
CITY LIMITS
X INSIDE
INTEREST
OWNER
YR BUILT
PART OCCUPIED
same
same same
OUTSIDE X TENANT
1976
100%
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
Open Aircraft Hangar for aircraft storage
STREET, CITY, COUNTY, STATE, ZIP CODE
CITY LIMITS
X INSIDE
INTEREST
OWNER
YR BUILT
PART OCCUPIED
same
same FL same
OUTSIDE X TENANT
1976
100%
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
Office and general aviation terminal.
office.
STREET, CITY, COUNTY, STATE, ZIP CODE
"Line shack" for line personnel
CITY LIMITS
INSIDE
OUTSIDE
INTEREST
OWNER
TENANT
YR BUILT
PART OCCUPIED
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS INTEREST YR BUILT PART OCCUPIED
INSIDE OWNER
OUTSIDE TENANT
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
PREMISE #
STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS INTEREST YR BUILT PART OCCUPIED
INSIDE OWNER
OUTSIDE TENANT
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
STREET, CITY, COUNTY, STATE, ZIP CODE
CITY LIMITS
INSIDE
OUTSIDE
INTEREST
OWNER
TENANT
YR BUILT
PART OCCUPIED
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
STREET, CITY, COUNTY, STATE, ZIP CODE
CITY LIMITS
INSIDE
OUTSIDE
INTEREST
OWNER
TENANT
YR BUILT
PART OCCUPIED
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS
Paradise Aviation, Inc
LOCATIONS
#
STREET, CITY, COUNTY, STATE, ZIP CODE
9850 Overseas Hwy
Marathon FL 33050
&PARA01
Attach to Certificate of Insurance
PAGE 3
1
L
STATE 0
C.
CLASS CODE
CATEGORIES, DUTIES, CLASSIFICATIONS
FL 1
7423
RATE
ESTIMATED
ANNUAL PREMIUM
Ground Crew
110000
FL 1
8810
Clerical
210000
VEH I C LE.. DES C R IPTION (con'!.)
~Ef.R I MAKE Dodge W~J MINIVAN I SYM/AGE I COST NEW
001 19871 MODEL Minivan V.lN: 2B4FK51G7HR159478 1 $ 15000
! TERR GVW/GCW I CLASS I SIC I FACTOR ISEATCi ~~IUST FARTHEST TERM
CITY, STATE, ZIP 7398
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L CHECK ADD'L PIP ~ UNDRINS F LSP DEDUCTIBCj-2 ACV U COMPU c?b~l
~ERAGES MOTOR
f-- f-- TOWING f---- - tJ AA ST AMT
R UNDER 15 MILES R PLEASURE RETAIL X L1AB MED PAY & LABOR FT COMP $
f---- f-- UNINS - SPEC I-- -
15 MILES OR OVER FARM SERVICE PIP X MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR I MAKE: Ford WRl MINIVAN 1 SYM/AGE COST NEW
002 19961 MODEL Winds tar VI.N.. 2FMDA5148TBC76387 l $ 16952
I TERR GVW/GCW I CLASS I SIC I FACTOR I SEAT CP! ~~IUS I FARTHEST TERM
CITY, STATE, ZIP 7398
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L ~~"~ ADD'L PIP ~ UNQRlNS F LSP DEDUCTIBLES I X I ACV WCOMPU~
MOTOR
I--- f-- TOWING I-- f-- tJ AA USTAMT
R UNDER 15 MILES R PLEASURE RETAIL X L1AB MED PAY & LABOR I--- FT COMP $ 250
f-- I-- UNINS f-- SPEC ~
15 MILES OR OVER FARM SERVICE PIP X MOTOR COFL FTW COLL $ $ 500 COLL
VEH # I YEAR 1 MAKE: W~J T SYM/AGE COST NEW
r MODEL V.LN.. l $
I TERR GVW/GCW T CLASS I SIC I FACTOR I SEAT CP! RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L CH~K ADD'L PIP UNDRINS F LSP DEDUCTIBLES I I ACV ~COMPU c?b~l
I-- LlERAGES I-- f-- MOTOR - I--
TOWING tJ AA D STAMT
R UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
f-- I-- UNINS I-- SPEC - f--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR 1 MAKE: W~ 1 SYM/AGE COST NEW
I MODEL: V.IN. I $
I TERR GVW/GCW I CLASS T SIC I FACTOR I SEAT Ci RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L CHECK ADD'L PIP ~~~~WS F LSP DEDUCTIBLES 1 T ACV SCOMPU c?6fl
RERAGES
I-- I-- f---- TOWING I-- f-- :J AA U STAMT
q UNDER 15 MILES =1 PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
~ I-- UNINS I-- SPEC I-- I--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR I MAKE IIDO'Y T SYM/AGE COST NEW
TYPE:
I MODEL: V.LN.: l $
I TERR GVW/GCW I CLASS I SIC I FACTOR I SEAT Ci RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L C;:IjECK ADD'L PIP ~~'?[WS F LSP DEDUCTIB~ ACV DCOMPO c?~
LlERAGES
I-- I-- - TOWING f-- f-- tJ AA ST AMT
q UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
f---- I-- UNINS - SPEC I-- -
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR 1 MAKE WRl T SYM/AGE COST NEW
r MODEL V.LN.: l $
T TERR GVW/GCW T CLASS T SIC, FACTOR TSEATCi RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L CHECK ADD'L PIP UNDRINS F LSP DEDUCTIBLES I J ACV o COMP[J c?b~l
RERAGES MOTOR
f---- I-- - TOWING I--- f-- bAA USTAMT
q UNDER 15 MILES R PLEASURE RETAIL L1AB MEDPAY & LABOR FT COMP $
f---- I-- UNINS I-- SPEC f-- f--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR 1 MAKE W~ r SYM/AGE COST NEW
r MODEL: V.LN.: l $
T TERR GVW/GCW T CLASS I SIC I FACTOR I SEAT CP! RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L C~CK ADD'L PIP ~~~s F LSP DEDUCTIBLES I I ACV U 'U SPEOC
RERAGES I-- COMP C OF L
f-- f-- TOWING - f-- tJ AA 0 STAMT
q UNDER 15 MILES q PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
f-- I-- UNINS I-- SPEC - I--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL
VEH # I YEAR I MAKE: WJ[ 1 SYM/AGE COST NEW
I MODEL: V.LN. l $
1 TERR GVW/GCW I CLASS I SIC I FACTOR )SEATCi RADIUS I FARTHEST TERM
CITY, STATE, ZIP
WHERE GARAGED
DRIVE TO WORK/SCHOOL USE COMM'L CHECK ADD'L PIP ~~9~WS F LSP DEDUCTIBLES 1 T ACV o COMPO tgfl
RERAGES
- - f-- TOWING I-- I-- o AA 0 STAMT
q UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $
- - UNINS f-- SPEC I-- I--
15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ CaLL
.
:.
NOTEPAD:
Additional Insured - Monroe County Board of County COmmissioners, 5100
College Road, Key West, FL 33040
- ACORD~
......--.-.,."""............ ...,.,.,-....".......----------..,.."."."""........-..........
C.E.~t.I..F=.I.<3.AX"t.fZ......q.F=.......llil~.m..I..~I........I..f\J.~._.._i..f\J..<4.IE~..l............ DA~7~/~~~
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW,
COMPANIES AFFORDING COVERAGE
PRODUCER
SafeAir Underwriters
P.O. Box 870867
stone Mountain GA 30087-0022
Frank Jakes, Sr.
Phone No. 770-736-3292 Fax No. 770-736-3293
INSURED
COMPANY
A
Safeco Insurance Company
COMPANY
B
Paradise Aviation, Inc
PO Box 129
Stevensville MD 21666
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD1YY) DATE (MMIDD1YY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE
$
PRODUCTS - COM PlOP AGG $
$
$
$
$
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
A
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
BA7764601A
04/01/99
04/01/00
COMBINED SINGLE LIMIT
$ 1,000,000
BODILY INJURY
(Per person)
$
GARAGE LIABILITY
ANY AUTO
vY
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
A THE PROPRIETOR!
PARTNERs/EXECUTIVE
OFFICERS ARE:
OTHER
INCL WC7764601A
X EXCL
04/01/99
$ 1000000
04/01/00 ELDISEASE-POLlCYLlMIT $ 1000000
EL DISEASE - EA EMPLOYEE $ 1000000
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
~ I jl ,,:
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONSILOCATlONSNEHICLES/SPECIAL ITEMS
Monroe County is an Additional Insured of the Business Auto policy but only
in resp~cts ~o t~e li~ility portio~ of the policy and while being'operated
by the 1n~ured, 1~cluding tne locat1on @ Marathon Airport. Workers'
Compensat1on app11es to ehe State of Florida only
Monroe County Board of County
Commissioners
5100 College Road
Key West FL 33040
MONROO 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATI~ ,~_~ \
:F:rCl.Illc.:rCl.kes,....sr~'--~~~....................................................................
..........J\cqRPG()RR()RA,.lq~1S813.
ACORD 25'S (1/95) ....
ACORD~
1E\1IIJIZNJGm~ffZ>_ft)~~_.IR~g_7-\f\J11Z9$R~<
DATE (MM/DDIYY)
09/23/99
THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER ~r?o~~) 770-736-3292770-736-329 COMPANY
SafeAir Underwriters
P.O. Box 870867
stone Mountain GA 30087-0022
Frank Jakes Sr.
CODE: SUB CODE:
~SS~O~ER ID # &PARAO 1
INSURED
Safeco Surplus Lines Ins. Co.
c/o SafeAir Underwriters
Paradise Aviation, Inc
Ed Steigarwald
PO Box 129
Stevensville MD 21666
EFFECTIVE DATE
ES7154644
EXPIRATION DATE
CONTINUED UNTIL
TERMINATED IF CHECKED
LOAN NUMBER
POLICY NUMBER
04/01/99 04/01/00
THIS REPLACES PRIOR EVIDENCE DATED:
LOCATION/DESCRIPTION
001
9400 Overseas Highway
Marathon FL 33050
COVERAGE/PERILs/FORMS
AMOUNT OF INSURANCE
DEDUCTIBLE
Hangar-
Special Form Cause of Loss
48,000
2500
Open Hangar-
Special Form Cause of Loss
15,000
2500
Office ter.minal- Special Form Cause of Loss
Line shack- Special Form Cause of Loss
50,000
6,000
2500
2500
Among other limitations Exclusions there is a
or Hail Exclusion and Flood Exclusion (See Certified
policy attached)
special Windstorm
Copy of the (~l.
"y::mD~~Cfl_ t~~
O~TE_- .
::. .. .'/ YES
THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS
WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
NAME AND ADDRESS
Monroe County Board Of County
Commissioners
5100 College Road
Key West FL 33040
MORTGAGEE
X LOSS PAYEE
LOAN #
X ADDITIONAL INSURED
X Lessor
~~
Frank Jakes Sr.
.=..
W. BROWN & ASSOCIATES
INSURANCE SERVICES
3121 Bartlett Corporate Dr., Ste. 102
Bart1ett,1N 38133
(901,266-0635
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
,//
Monroe County BOCC
Attn: Maria DelRio - Risk Management
502 Whitehead St., 3rd Floor
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Paradis Aviation, Inc. 9850 Overseas Hwy. Marathon, FL 33050
POLICY NO.
POLICY PERIOD FROM:
INSURANCE CO.:
NAF3001579
4/1/00 TO
Greenwich Insurance Company
4/1/01
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
Airport Liability:
Single Limit Bodily Injury and Property Damage $5,000,000.00
But aggregate as respects products/completed operations and personal injury including:
each occurrence
[X]
[X]
[ ]
[X]
Premises
Products/Completed Operations
Independent Contractors
Hangarkeeper's Liability:
[ ]
[ ]
Personal Injury
Contractual
Deductible:
$1 ,000,000.00
$3,000,000.00
$10,000.00
each aircraft
each occurrence
each loss
Additional Coverages:
The above Certificate Holder is included as an Additional Insured but only to the extent of liability vicariously
imposed upon the Additional Insured solely as the result of an act or omission of the Named Insured or its
employees in connection with the Named Insured's Operations:
Subject to Y2K Endorsement
Should any of the above described policy(ies) be canceled before the expiration date hereof, the issuing company will
endeavor to give 30 days* notice to the certificate holder named herein. However, failure to mail such notice shall not
impose any obligation nor any liability of any kind upon the company, its representatives or a e ts.
....." '0\/r, ,. ,,- ~'A"/:"-,,~';~~ f
* 10 days for non-payment
By:
ok
fJ~
Date of Issue:
'. "":-7, ~,~~ / v'S
Septen:ber 1';, 2~~;- ... ~~
W. Brown & Associates
Insurance Services
Cert No.:002
,
- ....... I
ACORDN CE.RTIFICATr: OF LIABILITY INSl.JRANC~~o~A DATE (MM/DD1YY)
04/19/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Falcon Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 92409 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Austin TX 78709-2409
Phone: 512-891-8473 INSURERS AFFORDING COVERAGE
--
INSURED I INSURER A: Safe co Insurance Company
i INSURER B: W. Brown & Associates
I ~-_. -...._---- - - -.-
Paradise Aviationh Inc. I INSURER C USAIG - Dallas
9850 Overseas Hig way ,
Marathon FL 3305 I INSURER 0: ----~-_._-----_._-- . -
, I INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
I
LTR
TYPE OF INSURANCE
GENERAL LIABILITY
B X COMMERCIAL GENERAL LIABILITY
~!~~~;~~:=,;:;;;
i AUTOMOBILE LIABILITY
A QD ANY AUTO
LJ ALL OWNED AUTOS
~I SCHEDULED AUTOS
HIRED AUTOS
r-- NON-OWNED AUTOS
r--- J _____ _.__ ________
, '
POLICY NUMBER
TBI
04/01/01
04/01/02
LIMITS
, EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) '$ 25 , 000
MED EXP (Anyone person) $ 1, 00 0/ ~LQQO
PERSONAL & ADV INJURY $
- --_.~-~--~-
GENERAL AGGREGATE $ 5,000 , 000
PRODUCTS - COMP/OP AGG i $ 5 , 000 , .()QQ...___
TBI
04/01/01
04/01/02
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
BODIL Y INJURY
(Per person)
$
v
w,
:r.;,~~o;,
BODILY INJURY
(Per accident)
I
'$
i
,
I PROPERTY DAMAGE
I (Per accident)
GARAGE LIABILITY
, ANY AUTO
UTO ONLY - EA ACCIDENT
OTHER THAN
AUTO ONLY.
EA ACC $
AGG ! $
EXCESS LIABILITY
OCCUR CLAIMS MADE
", ,.
-- ct' '~ ~::~:~~ERRENC~__, :--
~(I}oo~ -------~--- .------
i ~--------
, $
, DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TBI
04/01/01 i
04/01/02 $1,000,000
----______-'-$!LQ() OJO 0 0
E.L. DISEAS~ - POLICY LIMIT $ 1 , 000 , 000
C
OTHER
I TBI
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIDNS ADDED BY ENDORSEMENT/SPECIAL PROVISIDNS
Property - Hangar - $48,000, Open Hangar - $15,000,
Office Terminal - $50,000, Line Shack - $6,000
Certificate Holder is named as Loss Payee and Additional Insured.
A
Property
04/01/01
04/01/02 See Below
CERTIFICATE HOLDER
I Y I ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
MON001A
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Monroe County Board of
County Commissioners
5100 College Road
Key West FL 33040
i .
rl, / /n _
,lc~-1.. 'C< c) (.,-/0,,--_
ACORD 25-S (7/97)
{J..>!,,'
@ACORO CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s),
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-S (7/97)
NOTEPAD:.
. INSURED'S NAME Paradise Aviation, Inc.
PAR046A
OP 10 RM
PAGE 3
DATE 04/19/01
ACORD~ CERTIFICATE OF LIABILITY INSURANCeJM~l I DATE (MMIDD/YY)
07/16/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
~ . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
SafeAir Underwriters HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 870867 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
stone Mountain GA 30087-0022
Phone: 770-736-3292 Fax:770-736-3293 INSURERS AFFORDING COVERAGE
INSURED INSURER A: F. B. Beattie & Co., Inc.
INSURER B:
Paradise Aviationh Inc INSURER C
9850 Oversees Hig way INSURER D
Marathon FL 3305 --
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR TYPE OF INSURANCE POLICY NUMBER b2Hf~~b5WW POLI~i, EXP!~A WN LIMITS
LTR DATE MMIDD/YY
GENERAL LIABILITY EACH OCCURRENCE $
~MERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
-. CLAIMS MADE n OCCUR MED EXP (Anyone person) $
~-=-----. . -- I PERSONAL & ADV INJURY $
U GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $
II n PRO. nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f-- $ 1,000,000
~ ANY AUTO BA7764601 04/01/01 04/01/02 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
f---- $
SCHEDULED AUTOS (Per person)
f--
HIRED AUTOS BODILY INJURY
I---- $
NON.OWNED AUTOS (Per accident)
I----
I---- PROPERTY DAMAGE $
"r-;(I'A "Q~ "yl.".. ,r ~ (Per accident)
;.,~'. .".
GARAGE LIABILITY ~1 k 1 U /1';:. ') AUTO ONLY. EA ACCIDENT $
R AI,Y AUTO LIV -
-, /"'1 ;; I OTHER THAN EA ACC $
AUTO ONLY: AGG $
T~
~ESS LIABILITY -1- l"'- EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE \.,1fI1..r-~: -/ \/(\ ~.,-^---- AGGREGATE $
,', . --~_.._-
$
R DEDUCTIBLE 00: (fbW $
RETENTION $ $
WORKERS COMPENSATION AND (Lr.U~ eO I TORY LIMITS I 10~'
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
~ me l@n E.L. DISEASE. EA EMPLOYEE $
E.L. DISEASE. POLICY LIMIT $
'-"<....
OTHER
A Commercial Applica ES7154644 04/01/01 04/01/02 Buildings $119,000
A Property Section ES7154644 04/01/01 04/01/02
DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Property - Hangar $48,000, Open Hangar - $15,000, Office Terminal - $50,000,
Line Shack - $6,000, Certificate Holder is named as loss payee and
additional insured
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Monroe County Board of County -
Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
5100 College Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Key West FL 33040 REPRESEiNT A TIVES, J
I K~ 1\A .J-.. 11 ..... J).g k. /JJ~A JJJ,
ACORD 25-5 (7/97) J @ACO,O ~ORPORATION 1988
Certificate of Insurance
Falcon Insurance Agency, Inc.
P. O. Box 92409
Austin, Texas 78709-2409
512-891-8473
February 1,2002
This is to certify to: County of Monroe Board of Commissioners
1100 Simonton Street
Key West, Florida 33040
That insurance has been effected for: Paradise Aviation, Inc & South Florida Fighter Jet Association, Inc.
9850 Overseas Highway
Marathon, Florida 33050
Policy No. - SA00121899-01
Insurance Company - U. S. Specialty Insurance Company
Effective: 2/4/2002 Expiration: 2/4/2003
.
AIRCRAFT LIABILITY LIMITS OF LIABILITY AIRPORT LIABILITY LIMITS OF LIABILITY
Bodily Injury Each Person Bodily Injury Each Person
Each Occurrence Each Occurrence
Property Damage Each Occurrence Property Damage Each Accident
Passenger Each Person Single Limit Premises Each Occurrence
Each Occurrence Liability
Single Limit including Each Occurrence: $1,000,000 Products Liability Each Occurrence & Annual
Passenger but not to exceed Each Passenger; $100,000 * Aggregate;
Single Limit excluding Each Occurrence; Contractual Liability Each Occurrence
Passenger
Medical Payments * Passenger liability is excluded Hangarkeepers' Legal One Aircraft
for this aircraft Liability All Aircraft
Deductible
Aircraft Insured: 1. 1984 Aero L-39 N12076, $320,000 Insured value for ground and flight risks with $25,000
deductible for all losses
2. 1978 Aero L-39 N 151 SB, $200,000 Insured value for ground not in motion risks with
$20,000 deductible
County of Monroe and the Board of County Commissioners is included as additional insured for the liability
insurance coverage described above, but only with respect to their non-operational interest in the aviation
operations utilizing N 12076 and N 151 SB,
We will endeavor to notify the certificate holder 30
cancelled by the Company.
days before date of Cancellation, if policy should be
\.
~ ';
.--L-' (['2 -,..".,
-~~
',jj
~ (1]~
e'
. n ., C"'. '., f~AGi::.MEi,jr
."'. .:::"'nt'\ ..... f) n v 'I
J' \ I ~v
r.', " .
ACORDN CERTIFICATE OF LIABILITY INSl.JRANCI;AR8~J~ A~ DATE (MM/DD1YY)
04/23/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Falcon Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 92409 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Austin TX 78709-2409 INSURERS AFFORDING COVERAGE
Phone: 512-891-8473 Fax:512-891-8483
INSURED INSURER A: Travelers Property && Casual tv
INSURER B: XL Specialty Insurance
Paradise Aviationh Inc. al.-~~ INSURER C Old Republic Insurance Company
9850 Overseas Hig way INSURER D
Marathon FL 3305
I INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER b~~~iMift~~mYE P~l-f~~~~rJ~~?N LIMITS
LTR
GENERAL LIABILITY EACH OCCURRENCE $ 5, 000, 0000
f--
B X COMMERCIAL GENERAL LIABILITY TBI 04/01/02 04/01/03 FIRE DAMAGE (Anyone fire) $ 25,000
f-- I CLAIMS MADE [!] OCCUR
MED EXP (Anyone person) $1,000/5,000
HANGAlU<EEPERS LEGAL LIAll PERSONAL & ADV INJURY $
1,OOO,OOO/AC 3,OOO,OOO/OC GENERAL AGGREGATE $5,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $5,000,000
I .nPRO. n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $500,000
A ~ ANY AUTO TBI 04/01/02 04/01/03 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
HIRED AUTOS h BODILY INJURY
- r- $
NON-OWNED AUTOS ~~~~y. ~ ') ENl (Per accident)
- IS h-uJ
, ,
-. PROPERTY DAMAGE $
I . '"'\/ (Per accident)
GARAGE LIABILITY - L V, ,/ '1 Y/ -
AUTO ONLY - EA ACCIDENT $
=i ANY AUTO DAlE - N/AL _YES () ) OTHER THAN EA ACC $
,-- (f AUTO ONLY AGG $
EXCESS LIABILITY I c9J~ti (h \L..r EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE lCo AGGREGATE $
$
R DEDUCTIBLE ~l(~OA $
RETENTION $ \.. IIJ $
WORKERS COMPENSATION AND I fO~R~\~~YTS IO~.
ER
C EMPLOYERS' LIABILITY TBI 04/01/02 04/01/03
EL EACH ACCIDENT $1,000,000
E.L DISEASE. EA EMPLOYEE $1,000,000
E.L DISEASE. POLICY LIMIT: $ 1, 000 , 000
DTHER
A I Property TBI 04/01/02 04/01/03 SEE BELOW
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Property - Offices & Hangar - $200,000 Aircraft Storage Hangar - $75,000,
Line Shack - $15,000 *Deds $1000 -wind, wind driven rain excluded
*Certificate Holder is named as Loss Payee and Additional Insured
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MON001A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..3.0..-. DAYS WRITTEN
Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDE~TO THE LEFT, BUT FAILURE TO DO SO SHALL
Connnissioners IMPOSE NO OBLIGATION OR LIABILIT'I\ OJ-IIND UPON T11NSURER, ITS AGENTS OR
5100 College Road
Key West FL 33040 REPRESENTATIVES. /l
AUTHORIZED REPRESENTATIVE 1(/(;g1JJ I
i)( ~ ~~.
Jack Harrison .. ..
ACORD 25-S (7/97) V ~'t;O ~ CORPORATION 1988