Loading...
Certificates of InsuranceACORDT. CERTIFICATE OF LIABILITY INSURANCE D ' 03/09/20 9 PRODUCER 60._ 883-0033_ rTM0,iCrxRWICATE IS ISSUED AS A MATTER OF INFORMATION NATIONAIR 85 PERIMETER RD. NASHUA MUNICIPAL AIRPORT bL ZO-NFE NO RIGHTS UPON THE CERTIFICATE i� ER I ICATE DOES NOT AMEND, EXTEND OR ` ALTEii"THE--COE G AFFORDED BY THE POLICIES BELOW. NASHUA, NH 03063 INSURERS AFFORDING COVERAGE NAIC # INSURED HYANNIS AIR SERVICE, INC. D/B/A CAPE llI , D/B/A NANTUCKET AIRLINES & D/B/A KE STL_ INSURER A: CHUBS INDEMNITY IN U , ._ EXPRESS M 660 BARNSTABLE RD. 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONjj&INSRD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence $ MED EXP (Any one person) $ CLAIMS MADE F—IOCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO LOC POLICY JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY �� AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR F-ICLAIMS MADE $ $ DEDUCTIBLE C /�r $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC 9915-10-31 12/13/2008 12/13/2009 X WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - POLICY LIMITI $ 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS v—.%..n ■yA.L. .wVy<fA %.*^N%.CLLAIIVIV MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MONROE COUNTY RISK MANAGEMENT 1100 SIMONTON ST. KEY WEST, FL 33040 ACORD 25 (2001/081 C G SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 REPRESENTATIVES. AUTHORIZEDKEPRES Elizabeth Pinksten ACORD CORPORATION 1988 NATIONAIR A V I A T 1 0 N I N S U R A N C E i - - 85 Perimeter Road Nashua Municipal Airport Nashua, NH 03063 8&D-356,7075 • fax 603,883.1299 n tion com CERTIFICATE of INSURANCE ' CERTIFICATE NUMBER: FLA-EYW-01-91309 RE: Date of Issue: September 14, 2009 �P,M Board of County Commissioners of Monroe County Florida - Minimum Standards for Commercial Aeronautical Activities THIS IS TO CERTIFY: Monroe County BOCC CIO Monroe County Risk Management 1100 Simonton Street Key West FL 33041-1026 that insurers, EACH FOR HIS OWN PART AND NOT ONE FOR THE OTHER, are providing the following insurance NAMED INSURED: Hyannis Air Service, Inc. d/b/a Cape Air, d/b/a Nantucket Airlines, d/b/a Key West Express and any owned or controlled companies 2000 Post Road, Suite 34 T. F. Green Airport, Warwick RI 02886 PERIOD OF INSURANCE: September 13, 2009 to September 13, 2010 on both dates at 12.-01 A.M. Local Standard Time at the Address of the Named Insured GEOGRAPHICAL LIMITS: Worldwide AIRCRAFT INSURED: All Cessna 400 Series Aircraft owned and/or operated by the Named Insured SCHEDULE OF INSURER PARTICIPANTS: INSURER POLICY NO. Commerce and Industry Insurance Company FR 1855381-05 issued through AIG Aviation, Inc. Starr Indemnity and Liability Company SASICOM60002709 issued through Starr Aviation Agency, Inc. StarNet Insurance Company BA09A 1098S through Berkley Aviation, LLC Old Republic Insurance Company AVC00253203 through Phoenix Aviation Managers Catlin Insurance Company NQC4002947 through W. Brown & Associates Insurance Services SEVERAL LIABILITY NOTICE The subscribing insurers' obligation under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co -subscribing insurer who for any reason does not satisfy all or parts of its obligations. CHICAGO DALLAS - LINCOLN - MELBOURNE - MINNEAPOLIS NASHUA PITTSBURGH SEATTLE ST. LOUIS ��G NATIONAIR - ---------- ------ ­_­_11111­__ ......... . ­­.­..", ........... . A V I A T I O N I N S U R A N C E 85 Perimeter Road Nashua Muricipal Airport Nashua, NH 03063 800.356.7075 ` fax 603.883.1299 nationair.com CERTIFICATE NUMBER: FLA-EYW-01-91309 RE: Board of County Commissioners of Monroe County Florida - Minimum Standards for Commercial Aeronautical Activities DESCRIPTION OF COVERAGE: As respects Comprehensive Airline Liability Insurance including, but not limited to: Aircraft Liability and Comprehensive General Liability, Bodily Injury ( Including Passengers), Property Damage, Non -owned Aircraft Liability, Comprehensive General Liability including Premises, Products and Completed Operations (excluding Manufacturer's Products Liability), Contractual Liability, Personal Injury Liability, Hangarkeepers Liability, Baggage Liability LIMIT OF LIABILITY: Combined Single Limit Bodily Injury (including Passengers) and Property Liability $1,000,000 each occurrence. SPECIAL PROVISION(S) The insurance described herein is subject to the terms, limitations, exclusions and conditions APPLICABLE TO ADDRESSEE contained in the policies. The insurers have authorized NationAir Insurance Agencies to issue this Certificate on their behalf. NationAir Insurance Agencies is not an insurer and has no liability whatsoever under the above policy, nor as a result of issuance of this certificate. This certificate cancels and supercedes all previous certificates. NationAir Insurance Agencies, Inc. Nashua, New Hampshire Authorized Representative September 14, 2009 CHICAGO - DALLAS LINCOLN - MELBOURNE - MINNEAPOLIS - NASHUA • PITTSBURGH m SEATTLE a ST LOUIS NATIONAIR ... . . ............. A V I A T I O N I N S LJ R A N C E 85 Perimeter Road Nashua Municipal Airport Nashua, NH 03063 800.356.7075 ' fax 603.883,1299 nationair.com CERTIFICATE NUMBER: FLA-EYW-01-91309 RE: Board of County Commissioners of Monroe County Florida - Minimum Standards for Commercial Aeronautical Activities SPECIAL PROVISION(S) APPLICABLE TO ADDRESSEE Solely as respects Comprehensive Airline Liability Insurance, subject to policy terms, conditions, limitations, deductibles and exclusions the following provisions apply: It is agreed that: 1. This Certificate holder is included as an Additional Insured under the Liability Coverages specified above, but solely with respect to its Liability arising out of acts or omissions of the Named Insured at the Key West International Airport (EWY), and to the extent of indemnity obligations hereunder. 2. The Company will give 30 days (7 days or such lesser period with respect to war and allied perils, 10 days for nonpayment of premium) prior notice to the Certificate Holder in the event the policy is endorsed by an adverse material change or is canceled by the company. SPECIAL PROVISION(S) The insurance described herein is subject to the terms, limitations, exclusions and conditions APPLICABLE TO ADDRESSEE contained in the policies. The insurers have authorized NationAir Insurance Agencies to issue this Certificate on their behalf. NationAir Insurance Agencies is not an insurer and has no liability whatsoever under the above policy, nor as a result of issuance of this certificate. This certificate cancels and supercedes all previous certificates. NationAir Insurance Agencies, Inc. Nashua, New Hampshire, r 1 o'9c? U. Authorized Representative September 14, 2009 CHICAGO - DALLAS - LINCOLN - MELBOURNE - MINNEAPOLIS - NASHUA - PITTSBURGH - SEATTLE - ST. LOUIS ACORD 25 (2009/01 ) ACORL�' _ CERTIFICATE OF LIABILITY INSURANCE !PRODUCER NationAir Aviation Insurance 85 Perimeter Rd. Nashua Municipal Airport Nashua, NH 03063 'INSURED Hyannis Air Service Inc d/b/ C A' d dJbl (603) 883-0033 , a ape it an a Nantucket Airlines 660 Barnstable Rd. North Ramp Hyannis, MA 02601 HYANAIR-01 BPINKSTEN j DATE (MM/DO/YYYY) 112/16/2009 7:45 AM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR j ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE NAIC # INSURER A,,Chubb Insurance j INSURER 8: -- - --- --- -- --- - INSURER C, ! ! INSURER D� 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. f INSR DD17 — r �� POLICY EFFECTIVE POLICY EXPIRATION I,.._LRTR_ NSBI TYPE pF 1RtVRANCt;, , POLICY NUMBER DATE (MM1DO/YYYY OATEAMMIDQIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 15AMAGE TO RENTED COMMERCIAL GENERAL LIABILITY i PREMISES Ee occuronce� $ CLAIMS MADE I OCCUR } MED EXP (Any one person) - S_ PERSONAL 6 ADV INJURY S —.- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S +PRO- i I POLICY .�,J1 LOC ! AUTOMOBILE LIABILITY w COMBINED SINGLE LIMIT $ ANY AUTO �_ ! (Ea accident) ALL INJURY S i OWNED AUTOS SCHEDULED AUTOS ( (Per person) I HIRED AUTOS ! BODILY INJURY � NON -OWNED AUTOS + (Per accident) S t� ppI PROPERTY DAMAGE v (Per accident) f GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ 'ANY AUTO U � } OTHER THAN EA ACC $ —�-1 AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY - + EACH OCCURRENCE $ OCCUR 71 CLAIMS MADE I AGGREGATE ! IE $ ! DEDUCTIBLE I$ � — s -- 1 RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ITORYI ER A ' ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N 009 9151031 1 12/13/2009 ± 12/13/2010 I E.L. EACH ACCIDENT IS 19000, a OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 100009 It yes, describe under _— SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 19000, I OTHER I ' I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS I i _ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION I GATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3O DAYS WRITTEN Monroe County Board of County Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL Monroe County Risk Management 1100 Simonton St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West, L 33040 REPRESENTATIVES. AUTHORIZED REPRE TIVE © 88-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NATIONAI TCE A V I A T 1 0N I N S U R2 A N CERTIFI DATE OF ISSUE CERTIFICATE NUMBER 1 Garside Way RECEIVED Manchester -Boston Regional Airport Manchester, NH 03103 603-626-0398 1 fax 603-626-0397 nationair.com SEP2►2011 i AA i > ONROE COUMy RE: Board of County Commissioners of Monroe County Florida - Minimum Standards for Commercial Aeronautical Activities THIS IS TO CERTIFY: Monroe County BOCC 1 ^I C/O Monroe County Risk Management 1 100 Simonton Street L� Key West FL 33041-1026 September 15, 2011 FLA- EYW-01-9131 1 that insurers, EACH FOR HIS OWN PART AND NOT ONE FOR THE OTHER, are providing the following insurance NAMED INSURED: Hyannis Air Service, Inc. d/b/a Cape Air, d/b/a Nantucket Airlines, d/b/a Key West Express and any owned or controlled companies 2000 Post Road, Suite 34 T.F. Green Airport Warwick RI 02886 PERIOD OF INSURANCE: September 13, 201 1 to September 13, 2012 on both dates at 12:01A.M. Local Standard Time at the Address of the Named Insured GEOGRAPHICAL LIMITS: Worldwide AIRCRAFT INSURED: All Cessna 400 series aircraft owned and /or operated by the Named Insured SCHEDULE OF INSURER PARTICIPANTS: INSURER POLICY NO. Commerce and Industry Insurance Company FR 1855381-07 issued through Chartis Aerospace Insurance Services, Inc. Starr Indemnity and Liability Company SASICOM6000271 I issued through Starr Aviation Agency, Inc. StarNet Insurance Company BA- 1 1-09-00065 through Berkley Aviation, LLC Old Republic Insurance Company AVC00253205 through Phoenix Aviation Managers, Inc. Catlin Insurance Company NQC4014402 through W. Brown & Associates Insurance Services SEVERAL LIABILITY NOTICE The subscribing insurers' obligation under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co -subscribing insurer who for any reason does not satisfy all or parts of its obligation. CHICAGO — CARLSBAD — LINCOLN — MANCHESTER — MINNEAPOLIS — PITTSBURGH — PORTLAND — ST LOUIS - SEBASTIAN C�C / ' n NATIONAIR 1 G, NH 0 Way Manchester -Boston Regional Airport Manchester, NH 03103 603-626-0398 1 fax 603-626-0397 A V I A T 1 0 N I N S U R A N C E nationair.com DATE OF ISSUE: September IS, 201 1 CERTIFICATE NUMBER: FLA-EYW-01-9131 I RE:Board of County Commissioners of Monroe County Florida - Minimum Standards for Commercial Aeronautical Activities DESCRIPTION OF COVERAGE: As respects Comprehensive Airline Liability Insurance including, but not limited to: Aircraft Liability and Comprehensive General Liability, Bodily Injury (Including Passengers), Property Damage, Non -Owned Aircraft Liability, Comprehensive General Liability including Premises, Products and Completed Operations (excluding Manufacturer's Products Liability), Contractual Liability, Personal Injury Liability, Hangarkeepers Liability, Baggage Liability LIMIT OF LIABILITY: Combined Single Limit Bodily Injury (including Passengers) and Property Liability $1,000,000 each occurrence. SPECIAL PROVISION(S) APPLICABLE TO ADDRESSEE Solely as respects Comprehensive Airline Liability Insurance, subject to policy terms, conditions, limitations, deductibles and exclusions the following provisions apply: It is agreed that: 1.This Certificate holder is included as an Additional Insured under the Liability Coverages specified above, but solely with respect to its Liability arising out of acts or omissions of the Named Insured at the Key West International Airport (EWY), and to the extent of indemnity obligations hereunder. 2.The Company will give 30 days (7 days or such lesser period with respect to war and allied perils, 10 days for nonpayment of premium) prior notice to the Certificate Holder in the event the policy is endorsed by an adverse material change or is canceled by the company. The insurance described herein is subject to the terms, limitations, exclusions and conditions contained in the policies. The insurers have authorized Nation Air Aviation Insurance, to issue this Certificate on their behalf. NationAir Aviation Insurance is not an insurer and has no liability whatsoever under the above policy, nor as a result of issuance of this certificate. This certificate cancels and supercedes all previous certificates. NationAir Aviation Insurance Manchester, New Hampshire Authorized Representative CHICAGO — CARLSBAD — LINCOLN — MANCHESTER — MINNEAPOLIS — PITTSBURGH — PORTLAND — ST LOUIS - SEBASTIAN NJ/\TI O N/aI R 1GarsideWay Manchester-Boston Regional Airport Manchester, NH 03103 AVIATION INSURANCE 603-626-0398/ nationair.com CERTIFICATE OF INSURANCE DATE OF ISSUE: September 6, 2012 CERTIFICATE NUMBER: FLA-EWY-01-91312 RE: Board of County Commissioners of Monroe County Florida Minimum Standards for Commercial Peronautical Activities THIS IS TO CERTIFY TO: Monroe Bounty BOCC 3y R G�t C/O Monroe County Risk Management DA d 1100 Simonton Street NAP Key West FL 33401-1026 4-f tt rl� ^ } that insurers, EACH FOR HIS OWN PART AND NOT ONE FOR THE OTHER, are providing the following insurance NAMED INSURED: Hyannis Air Service, Inc. d/b/a Cape Air, d/b/a Nantucket Airlines, d/b/a Key West Express and any owned or controlled companies 2000 Post Road, Suite 34 , T.F. Green Airport, Warwick RI 02886 PERIOD OF INSURANCE: September 13, 2012 to September 13, 2013 on both dates at 12:01 a.m. Local Standard Time at the Address of the Named Insured GEOGRAPHICAL LIMITS: Worldwide AIRCRAFT INSURED: All Cessna 400 Series aircraft owned and/or operated by the Named Insured SCHEDULE OF INSURER PARTICIPANTS: INSURER POLICY NO. Commerce and Industry Insurance Company FR 001855381-08 issued through Charts Aerospace Insurance Services, Inc. 1175 Peachtree Street, NE, Atlanta GA 30361 Starr Indemnity and Liability Company SASICOM60002712-03 issued through Starr Aviation Agency, Inc. 3353 Peachtree Road NE, Atlanta GA 30326 - ------ - _ --StarNet Insurance Company BA-12-09-00052 through Berkley Aviation, LLC 1101 Anacapa Street, Santa Barbara CA 93101 Old Republic Insurance Company AVC00253206 through Phoenix Aviation Managers,Inc. 215 Shuman Blvd. Suite 208, Naperville IL 60563 Catlin Insurance Company, Inc. NQC4020424 through W. Brown&Associates Insurance Services 19000 MacArthur Blvd.,Irvine CA 92612 SEVERAL LIABILITY NOTICE The subscribing insurers obligation under contacts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co- subscnbing insurer who for any reason does not satisfy all or parts of its obligations. Page 2 CERTIFICATE NUMBER: FLA-EWY-01-91312 RE: Board of County Commissioners of Monroe County Florida Minimum Standards for Commercial Aeronautical Activities DESCRIPTION OF COVERAGE: As respects Comprehensive Airline Liability Insurance including but not limited to : Aircraft Liability and Comprehensive General Liability, Bodily Injury( Including Passengers), Property Damage, Non-Owned Aircraft Liability, Comprehensive General Liability Including Premises, Products and Completed Operations (excluding Manufacturer's Products Liability), Contractual Liability, Personal Injury Liability , Hangarkeepers' Liability, Baggage Liability. LIMIT OF LIABILITY: Combined Single Limit Bodily Injury( including Passengers)and Property Liability $1,000,000 each occurrence SPECIAL PROVISION(S) APPLICABLE TO ADDRESSEE Solely as respects Comprehensive Airline Liability Insurance, subject to policy terms, conditions, limitations, deductibles and exclusions the following provisions apply. It is agreed that: 1. This Certificate Holder is included as an Additional Insured under the Liability coverages specified above, but solely with respect to its Liability arising out of acts or omissions of the Named Insured at Premises)and to the extent of indemnity obligations hereunder. 2. The Company will give 30 Days (7 days or such letter period with respect to war and allied perils, 10 days for nonpayment of premium) prior notice to the Certificate Holder in the event the policy is endorsed by an adverse material change or is canceled by the company. Evidence of Coverage for On-Airport Premises Auto Coverage - Policy includes liability coverage for automobiles owned by, rented to or used by the Named Insured, but solely while vehicles are being used in the restricted airport access areas. The insurance described herein is subject to the terms, limitations,exclusions and conditions contained in the policies. The insurers have authorized NationAir Aviation Insurance to issue this Certificate on their behalf. NationAir Aviation Insurance is not an insurer and has no liability wharcarver under the above policy, nor as a result of issuance of this certificate. This certificate cancels and supersedes all previous certificates. NationAir Aviation Insurance, Inc. Manchester, New Hampshire Authorized Representative GG ( 1 £ 7 40_6_ CAPEAIR-01 BMANGLARISATE _ ACC o�Ro» CERTIFICATE OF LIABILITY INSURANCE D12/1420D NM ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE IMPORTANT: If the certificate holder is an DDITION licy(les) st be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certai policies may require an endorsement. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement( ). PRODUCER CONTACT MA ME: NationAirAviationlnsurance-DT DEC PHONE g 01356-7075 FAX 603 626-0397 1 Garside Way A/C IL ExJ _ - _ -_ --___ (A/C, No): Manchester. NH 03103 ADDRIESS: INSURED Hyannis Air Service, Inc. DBA Cape Air, DBA Nantucket Airlines 660 Barnstable Rd. Hyannis, MA 02601 INSURER(S) AFFORDING COVERAGE NAIC 0 P ific Indemnity Company COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR - - — POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE IN R POLICY NUMBER MM/DD/YYYY MM/DD/YYYY _ -_� GENERAL IA LIABILITY j EACH OCCURRENCE DAMAGE TO RFNTEIT COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence_ $ _ CLAIMS -MADE F7, OCCUR A� - MED EXP (Any one person) $ _ i --- - - - -- -- A PERSONAL & ADV INJURY I $ GEN'L AGGREGATE LIMIT APPLIES PER: - POLICY PRO E T - LOC AUTOMOBILE LIABILITY ANY AUTO ���� ALL OWNED I SCHEDULED AUTOS AUTOS __ NON -OWNED HIREDAUTOS AUTOS -- - UMBRELLA LIAB OCCUR -- {I EXCESS LIAB CLAIMS -MADE GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG $ a COMBINED SINGLE LIMIT (Ea accident) E $ i $ BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE tPER ACCIDENT) EACH OCCURRENCE $ AGGREGATE t$ I s WORKERS COMPENSATION vw a i a u- v' TORY LIMITS. ER A AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE I9915-1031-07 _ _ 12/13/2012 i 12/13/2013 �.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE EA EMPLOYEE--$- 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS belay j E.L.DISEASE POLICY LIMIT $- 1,000,000 -- I - ---- - l DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) i I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe CountyACCORDANCE Risk Management g WITH THE POLICY PROVISIONS. 11 Simonton St. - - - - -- ------ — -- _ . KeyWest, EL 33040 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1525 Kautz Road, Suite 100 NATIONAIR West Chicago, IL 60185 39584 7552 natlona - ir.com ....... 6 A V I A T 1 0 N I N S LI R A N G E CERTIFICATE OF INSURANCE DATE OF ISSUE: September 13, 2013 CERTIFICATE NUMBER: FLA-EWY-01-91313 RE: Board of County Commissioners of Monroe County Florida Minimum Standards for Commercial Aeronautical Activities! THIS IS TO CERTIFY TO: Monroe Bounty BOCC A BY R CA GEME C/O Monroe County Risk Management Q(� 1100 Simonton Street Key West FL 33401-1026 W - c-Gt`"tf that insurers, EACH FOR HIS OWN PART AND NOT ONE FOR THE OTHER, are providing the following insurance NAMED INSURED: Hyannis Air Service, Inc. d/b/a Cape Air, d/b/a Nantucket Airlines, d/b/a Key West Express and any owned or controlled companies 2000 Post Road, Suite 34, T.F. Green Airport, Warwick RI 02886 PERIOD OF INSURANCE: September 13, 2013 to September 13, 2014 on both dates at 12:01 a.m. Local Standard Time at the Address of the Named Insured GEOGRAPHICAL LIMITS: Worldwide AIRCRAFT INSURED: All Piston aircraft owned and/or operated by the Named Insured SCHEDULE OF INSURER PARTICIPANTS: INSURER POLICY NO. Commerce and Industry Insurance Company FR 001855381-09 issued through AIG Aerospace Insurance Services, Inc. 1175 Peachtree Street, NE, Atlanta GA 30361 Starr Indemnity and Liability Company SASICOM60002713-04 issued through Starr Aviation Agency, Inc. CR o 3353 Peachtree Road NE, Atlanta GA 30326 p w r= BA-13-09-00052 � rr— StarNet Insurance Company _� rrn -p through Berkley Aviation, LLC 1101 Anacapa Street, Santa Barbara CA 93101 - CIN a Old Republic Insurance Company AVC00253207 _ 3 rr"t through Phoenix Aviation Managers, Inc. C-) o 215 Shuman Blvd. Suite 208, Naperville IL 60563 Catlin Insurance Company, Inc. NQC4026839 4 through W. Brown & Associates Insurance Services 19000 MacArthur Blvd., Irvine CA 92612 SEVERAL LIABILITY NOTICE The subscribing insurers' obligation under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co - subscribing insurer who for any reason does not satisfy all or parts of its obligations. Page 2 CERTIFICATE NUMBER: FLA-EWY-01-91313 RE: Board of County Commissioners of Monroe County Florida Minimum Standards for Commercial Aeronautical Activities DESCRIPTION OF COVERAGE: As respects Comprehensive Airline Liability Insurance including but not limited to Aircraft Liability and Comprehensive General Liability, Bodily Injury ( Including Passengers), Property Damage, Non -Owned Aircraft Liability, Comprehensive General Liability Including Premises, Products and Completed Operations (excluding Manufacturer's Products Liability ), Contractual Liability, Personal Injury Liability , Hangarkeepers' Liability, Baggage Liability. LIMIT OF LIABILITY: Combined Single Limit Bodily Injury ( including Passengers) and Property Damage Liability $1,000,000 each occurrence SPECIAL PROVISION(S) APPLICABLE TO ADDRESSEE Solely as respects Comprehensive Airline Liability Insurance, subject to policy terms, conditions, limitations, deductibles and exclusions the following provisions apply. It is agreed that: 1. This Certificate Holder is included as an Additional Insured under the Liability coverages specified above, but solely with respect to its Liability arising out of acts or omissions of the Named Insured at Premises) and to the extent of indemnity obligations hereunder. 2. The Company will give 30 Days (7 days or such letter period with respect to war and allied perils, 10 days for nonpayment of premium) prior notice to the Certificate Holder in the event the policy is endorsed by an adverse material change or is canceled by the company. Evidence of Coverage for On -Airport Premises Auto Coverage - Policy includes liability coverage for vehicles owned by, rented to or used by the Named Insured, but solely while vehicles are being used in the restricted airport access areas. The insurance described herein is subject to the terms, limitations, exclusions and conditions contained in the policies. The insurers have authorized NationAir Aviation Insurance to issue this Certificate on their behalf. NationAir Aviation Insurance is not an insurer and has no liability whatsoever under the above policy, nor as a result of issuance of this certificate. This certificate cancels and supersedes all previous certificates. NationAir Aviation Insurance, Inc. Manchester, New Hampshire 4ZWV4117 Authorized Representative