Certificates of InsuranceNational Hangar Insurance Program
P.O Box 3142 Tulsa, Oklahoma 74101-3142 Phone 800-999-6447 Fax 918-584-8811
Evidence of Property Insurance Code Ke): 15.171 10-17-2008
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:
Issuing Company: Tra%elers Indemnith Coin
Aviation Insurance Agency - FL
Polic) Number: 7383M243
2580 S.E. Aviation Way, Ste.
Stuart FL 34996
Certificate Number: 15471
Certificate Issue Date: 10-17-2008
Insured Name:
Effective Date: 09-30-2008
Antique Aircraft Restoration, Inc.
Vipiring Date: 09-30-7OI)9
506 106th Street
Marathon FL 33050
Time: 12:01am
Property Information:
Marathon Airport
506 106th Street
Marathon FL 33050
Exposure Information
Loc Bldg Coverage
Value Deductible
1 1 BUILDING
$585,000 $1,000
1 1 TOOLS
$40, 000 $1, 000
1 1 YBPP-PARTS
$20, 000 $1, 000
iFull Name LP/AI Monroe County Board of County Commissions its Employees and Officials.
fhe Policy is subject to the premiums, forms and rules in effect for each policy period. Should the policy be
terminated, the compam will give the additional interest identified below 30 days written notice, and will send
notification of an} changes to the policy that would affect that interest, in accordance with the policy provisions or
as required by law.
Loss Pawe/AI
Authorized Representative:
Monroe Count%, Board of County Commissions. Its Emp
1100 Simonton Street. Rm 268
Q '
Kev West. FL 33040
Page 1 __._
---CERTIFICATE _ ....CERTIFICATE OF INSURANCE I
CERTIFICATE DATE: 10 01 2008 Revised CERTIFICAT T • - 'C _
CERTIFICATE HOLDER: POLICYHOL ; ER: `_ , �' " ,
Monroe County Board Of County Commissioners Antique Aircraft Res oratio .�. ` t
It's Employees and Officials 506 106th Street
1 100 Simonton Street, Room 268 'Marathon, FL 33050 j
Key W est, FL 33040 OCT L 1
-- i
This is to comfy that the followmg polic}(s), subject to the terms. conditions. limitations and endorsements contai d thcr :uadd�uu�g-their ,a#'#++rr prrrdd have can
issued by the company(s) indicated helow In the event of material change or cancellation of said licy(s) the cu o nolifi the temficate holde but
failure to do so shall impose no liability or obligation ofam kind upon the undersigned or the company(s) invol\c pan} ��ill endebOr t
Policy Type: WORKERS COMPENSATION
Insurance Company: United States Aviation Underwriters / Wausau
Policy Number: WCC-Z91-450563-018
Policy Period: October 1, 2008 to October 1, 2009
EMPLOYER'S LIABILITY - Bl BY ACCIDENT $1,000,000 Each Accident
EkIPLCYERS LIABILITY - BI BY DISEASE S1,000,00c) Es.;i� Policy Limit
WORKERS' COMPENSATION COVERAGE Statutory Limits
T HE FOREGOI.vG E t 7UE.vC'E OF ('OI'ERAGE IS ;VOT 6'ERBATIA-f OF POLICY ('O,,VDITIO,NS, LIa1ITA PIONS OR LAN'G1 'AGE; THE POLKJ(S) REPREsE:ITED
BY "1't11S CERTIFI('ATE ARE NOT AME.VL)ED /N' .9NY WAY UNLESS SO STATED ON TIIIS CERTIFICATE.
NOTICE OF CANCELLATION: IN THE EVENT OF MATERIAL CHANGE OR CANCEL I.AI ION OF SAID POLICY(St, FHE COMPANY(S) SHALI ENDFAV()R
FO (.DI VE all DAIS N RITTEN NOTI('E TO THE CERTIFICATE HOLDER WITH THE EXCEPTION OF A IO DAY NOTICE FOR NON-PAYMENT OF PRE:MWM.
Aviation Insurance Agency, Inc.
2580 S.E. Aviation Way, Suite 101
Stuart, FL 34996
\►%kw.avnins.com
Telephone (772) 286-0626 -- Facsimile (772) 286-1 108
Authorved Signature
POLICY NO.. NAF3050625
ATTACHED TO CERTIFICATE # -
CERTIFICATE OF INSURANC
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Offici
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
506 106th Street
Marathon, FL 33050
POLICY NUMBER: NAF3050625
POLICY PERIOD: From September 6, 2008 To September 6, 2009
INSURANCE COMPANY: XL Specialty Insurance Company
Is
RECEIVED
0 C ET2,,
P',"F r f,�
;1
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 9, 2008.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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 of Issue: October 17, 2008
W. Brown & Associates Insurance Services Certificate No.: _
Certificate #
Page 1 of 2
POLICY NO. NAF3050625 ATTACHED TO CERTIFICATE #
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
$2,000,000
Products -Completed Operations Aggregate Limit
$1,000,000
Personal Injury & Advertising Injury Aggregate Limit
$1,000,000
Each Occurrence Limit
$1,000,000
Fire Damage Limit (Any One Fire)
$50,000
Medical Expense Limit (Any One Person)
$1,000
Each Occurrence
$5,000
Hangarkeepers' Each Loss Limit
$1,000,000
Hangarkeepers' Each Aircraft Limit
$500,000
Hangarkeepers' Deductible Each Occurrence
See Below
Hangarkeepers' Deductible(s): $5,000. per aircraft/$10,000. as respects jet and turbine -powered aircraft
Property Damage Deductible(s): $5,000. per claim/$10,000. as respects jet and turbine -powered aircraft
Certificate # 3 Page 2 of 2
POLICY NO.: NAF4002809
ATTACHED TO CERTIFICATE # 1
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd.
Marathon, FL 33050
POLICY NUMBER: NAF4002809
POLICY PERIOD: From September 6, 2009 To September 6, 2010
INSURANCE COMPANY: Catlin Insurance Company, Inc.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of September 6, 2009.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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 of Issue: September 3, 2009
W. Brown & Associates Insurance Services Certificate No.: 1
Certificate 1 X t
of 2
POLICY NO.: NAF4002809
ATTACHED TO CERTIFICATE # 1
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Certificate # 1 Page 2 of 2
s
POLICY NO.: NAF4002809 ATTACHED TO CERTIFICATE # 1
. a oY e...
CERTIFICATE OF INSUR*N1(::;S
THIS IS TO CERTIFY TO:SEP 8
Monroe County Board of County Commissioners, its Employees d O cials
1100 Simonton Street, Room 268
Key West, FL 33040 g
a
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd.
Marathon, FL 33050
POLICY NUMBER: NAF4002809
POLICY PERIOD: From September 6, 2009 To September 6, 2010
INSURANCE COMPANY: Catlin Insurance Company, Inc.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of September 6, 2009.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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 of Issue: September 3, 2009
W. Brown & Associates Insurance Services Certificate No.: 1
Fr
Certificate # 1 � .. -
Page 1 of 2
z_
POLICY NO.: NAF4002809 ATTACHED TO CERTIFICATE # 1
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
$2,000,000
Products -Completed Operations Aggregate Limit
$1,000,000
Personal Injury & Advertising Injury Aggregate Limit
$1,000,000
Each Occurrence Limit
$1,000,000
Fire Damage Limit (Any One Fire)
$50 000
Medical Expense Limit (Any One Person)
$1 000
Each Occurrence
'
$5,000
Hangarkeepers' Each Loss Limit
$1,000 000
Hangarkeepers' Each Aircraft Limit
'
$ 0
Hangarkeepers' Deductible Each Occurrence
Seee Below
Hangarkeepers' Deductible(s): $5,000. per aircraft/$10,000. as respects jet and turbine -powered aircraft
Property Damage Deductible(s): $5,000. per claim/$10 000. a r p aft
p s respects het and turbine powered aircraft
Certificate # 1
—' Page 2 of 2
POLICY NO.: NAF4008873 ATTACHED TO CERTIFICATE # _L
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gullstream Blvd.
Marathon, FL 33050
POLICY NUMBER: NAF40OB873
POLICY PERIOD: From October 1, 2010 To October 1, 2011
INSURANCE COMPANY: Catlin Insurance Company, Inc.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder.
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 1, 2010.
This certificate of insurance is not an insurance policy and does not amend, extend or after the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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: ~rco"ro__- Date of issue: October 4, 2010
W. Brown & Associates Insurance Services Certificate No.: 1
Certificate # 1
of
cc
Page 1 of 2
POLICY NO.: NAF4008873 ATTACHED TO CERTIFICATE # i
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Marathon Airport, Marathon, FL
Type of Coverage:
LIMITS OF LIABILI
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
$2,000,000
Products -Completed Operations Aggregate Limit
$1,000,000
Personal Injury & Advertising Injury Aggregate Limit
$1,000,000
Each Occurrence Limit
$1,000,000
Fire Damage Limit (Any One Fire)
$50,000
Medical Expense Limit (Any One Person)
$1,000
Each Occurrence
$5,000
Hangarkeepers' Each Loss Limit
$1,000,000
Hangarkeepers' Each Aircraft Limit
$500,000
Hangarkeepers' Deductible Each Occurrence
See Below
Hangarkeepers' Deductible(s): $5,000. per aircratt/$10,000. as respects jet and turbine -powered aircraft
Property Damage Deductible(s): $5,000. per daim/$10,000. as respects jet and turbine -powered aircraft
Certificate # 1 Page 2 of 2
CERTIFICATE OF INSURANCE
CERTIFICATE DATE: 10/01/2010 CERTIFICATE NUMBER: to-olwc
CERTIFICATE HOLDER:
POLICYHOLDER:
Monroe County Board Of County Commissioners
Antique Aircraft Restoration, Inc.
It's Employees and Officials
7500 Gulfstream Boulevard
1100 Simonton Street, Room 268
Marathon, FL 33050
Key West, FL 33040
This is to certify that the following policy(s), subject to the terms, conditions, limitations and endorsements contained therein, and during their effective period, have been
issued by the company(s) indicated below. In the event of material change or cancellation of said policy(s), the company will endeavor to notify the certificate holder, but
failure to do so shall impose no liability or obligation of any kind upon the undersigned or the company(s) involved.
Policy Type: WORKERS COMPENSATION
Insurance Company: United States Aviation Underwriters / Employers Insurance Company of Wausau
Policy Number: WCC-Z91-450563-010
Policy Period: October 1, 2010 to October 1, 2011
EMPLOYER'S LIABILITY - BI BY ACCIDENT $1,000,000 Each Accident
EMPLOYERS LIABILITY - BI BY DISEASE $1,000,000 Each Employee / $1,000,000 Policy Limit
THE FOREGOING E VIDENCE OF CO VERA GE IS NOT VERBA TIM OF POLICY CONDITIONS, LIMITATIONS OR LANGUA GE; THE POLICY(S) REPRESENTED
BY THIS CERTIFICATE ARE NOT AMENDED IN ANY WAY UNLESS SO STATED ON THIS CERTIFICATE.
Aviation Insurance Agency, Inc.
2580 S.E. Aviation Way, Suite 101
Stuart, FL 34996 1.
www.avrims.com
Telephone (772) 286-0626 — Facsimile (772) 286-1108
Authorized Signature
0%,
W. BROWN & ASSOCIATES I I Itt�U
INSURANCE SERVICES t---� -CP
4675 MacArthur Court, Ste. 770
Newport Beach, CA 92660
(949) 851-2060 ,.p.A._
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO: Monroe County Board of County Commissioners, it's Employees
and Officials, 5100 College Road, Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd., Marathon, FL 33050
POLICY NO. NAF3003331
POLICY PERIOD FROM: September 6, 2000 TO: September 6, 2001
INSURANCE COMPANY: Greenwich Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
Airport Liability:
Single Limit Bodily Injury and Property Damage $ 1,000,000.00 each occurrence
But aggregate as respects products/completed operations and personal injury including:
®
Premises
❑
Personal Injury
®
Products/Completed Operations
❑
Contractual
❑
Independent Contractors
❑
®
Hangarkeeper's Liability:
$
200,000.00 each aircraft
$
1,000,000.00 each occurrence
Deductible:
$
5,000.00 each loss
Additional Coverages:
The above Certificate Holder is also provided with a Hold Harmless.
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 agents.
* 10 days for non-payment
By: t` Date of Issue: November 21, 2000
W. Brown & Asse 'ates
Insurance Services
Cert No.: 1
W. BROWN & ASSOCIATES 19000 MacArthur Blvd., Suite 700
INSURANCE SERVICES Irvine, CA 92612
(949) 851-2060
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO: Monroe County Board of County Commissioners, it's Employees
and Officials, 5100 College Road, Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd., Marathon, FL 33050
POLICY NO.
NAF3011080
POLICY PERIOD FROM: September 6, 2002 TO: September 6, 2003
INSURANCE COMPANY:
XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
Airport Liability:
83AIVM
— 31ti0
Ike
IN3VUENW6' : F9,C]3A0HddV
Single Limit Bodily Injury and Property Damage $ 1,000,000.00 each occurrence
But aggregate as respects products/completed operations and personal injury including:
® Premises ® Personal Injury
® Products/Completed Operations ❑ Contractual
❑ Independent Contractors ❑
® Hangarkeeper's Liability: $ 200,000.00 each aircraft
$ 1,000,000.00 each occurrence
Deductible: $ 5,000.00 each loss
Additional Coverages: AP AP
BY
The above Certificate Holder is also provided with a Hold Harmless. DATA -•- "'"�
liability
vicariously The above Certificate Holder is included as an Additional Insured but only to extent or.f liability
vicariously imposed upon the Additional Insured solely as the result of an act or omission of the f
Named Insured or its employees in connection with the Named Insured's Operations.1113
V
Cr
Subject to Y2K Endorsement
Should any of the above described policy(ies) be canceled before the expiration date hereof, the issuing conpany 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.
* 10 days for
i
: BY
W. Brown &
Insurance Se:
Date of Issue: September 4 2002
Cert No
GC
W. BROWN & ASSOCIATES 19000 MacArthur Blvd., Suite 700
INSURANCE SERVICES Irvine, CA 92612
(949) SS 1-2060
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO: Monroe County Board of County Commissioners, it's Employees
and OfHc1211, 5100 College Road, Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
POLICY NO. NAF3011050
POLICY PERIOD FROM: September 6, 2002 TO: September 6, 2003
INSURANCE COMPANY: XL SpectAlty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LLA.1Mn Y.
Airport Liability:
Single Limit Bodily Injury and property Damage S 1,000,000.00 each occurrence
But aggregate as respects products/completed operations and personal injury including:
®
Premises
®
Personal Injury
18)
Products/Completed Operations
❑
Contractual
❑
Independent Contractors
❑
®
Hangarkeeper's Liability:
$
200,000.00 each aircraft
$
1,000,000.00 each occurrence .
Deductible.
S
5.000.00 each loss
Additional Coverages:
The above Certificate Holder is also provided with a Hold Harmless.
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 tbo above described policy(ies) be canceled before the expiration date hereof, the Issuing company wiU
endeavor to give 30 days* notice to the cerdficate bolder earned berein. However, failure to mail such notice shall not
impose any obllgatien nor any lisbUtry of any kind upon the company, its rcpresentatives or agents.
010 days for nos-pgyment
4'cbs
DataofIssue: Sgetember4.2002
W. Browes
Insuranc
Cert No.:
c�-
,��B,oa cc") K
APP r4"26 ISK M AGEMENT
DATA ._.._._......--`
WAIVEfs N; --,---'YES
W. BROWN & ASSOCIATES 19000 MacArthur Blvd., Suite 700
INSURANCE SERVICES Irvine, CA 92612
(949) 851-2060 APP 411,KBY
CERTIFICATE OF INSURANCE DATE
VVA1VER _ .
THIS IS TO CERTIFY TO: Monroe County Board of County Commissioners, it's Employees
and Officials, 5100 College Road, Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd., Marathon, FL 33050
POLICY NO. NAF3016833_
POLICY PERIOD FROM: September 6, 2003 TO: September 6, 2004
INSURANCE COMPANY: ILL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
Airport Liability:
Single Limit Bodily Injury and Property Damage $ 1,000,000.00 each occurrence
But aggregate as respects products/completed operations and personal injury including:
®
Premises
®
Personal Injury
®
Products/Completed Operations
❑
Contractual
❑
Independent Contractors
❑
®
Hangarkeeper's Liability:
$
200,000.00 each aircraft
$
1,000,000.00 each occurrence
Deductible:
$
5,000.00 each loss
Additional Coverages:
The above Certificate Holder is also provided with a Hold Harmless.
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 agents.
*10 days fornon-paymentC-CD �'3•. �,y\Qk V C
By:
W. Bro Associates
Insurance Services
Date of Issue: September 30, 2003
Cert No.
W. BROWN & ASSOCIATES
INSURANCE SERVICES
19000 MacArthur Blvd., Suite 700
Irvine, CA 92612
(949) 851-2060 APB W ('n /� ,IAGDOE
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO: Monroe County Board of County Commissioners, it's Employees
and Officials, 5100 College Road, Key West, FL 33040
c
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd., Marathon, FL 33050
POLICY NO.
POLICY PERIOD FROM:
INSURANCE COMPANY:
NAF3022632
September 6, 2004 TO: September 6, 2005
XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
Airport Liability:
Single Limit Bodily Injury and Property Damage $ 1,000,000.00 each occurrence
But aggregate as respects products/completed operations and personal injury including:
®
Premises
®
Personal Injury
®
Products/Completed Operations
❑
Contractual
❑
Independent Contractors
❑
®
Hangarkeeper's Liability:
$
200,000.00 each aircraft
$
1,000,000.00 each occurrence
Deductible:
$
5,000.00 each loss
Additional Coverages:
The above Certificate Holder is also provided with a Hold Harmless.
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 agents.
* 10 days for non-payment
By:
W. Brown & Associates
Insurance Services
4f:0�J ��V,_an C3'G1
Date of Issue: September 27, 2004
Cert No.
W. BROWN & ASSOCIATES 19000 MacArthur Blvd., Suite 700
INSURANCE SERVICES Irvine, CA 92612
(949) 851-2060
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO: Monroe County Board of County Commissioners, its employees
and officials
5100 College Road, Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Boulevard, Marathon, FL 33050
POLICY NO.
NAF3029019
POLICY PERIOD FROM: September 6, 2005 TO: September 6, 2006
INSURANCE COMPANY: XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: DATE
Airport Liability: WAIVER
Single Limit Bodily Injury and Property Damage $ 1,000,000.00 each occurrence
But aggregate as respects products/completed operations and personal injury including:
®
Premises
®
Personal Injury
®
Products/Completed Operations
❑
Contractual
❑
Independent Contractors
❑
®
Hangarkeeper's Liability:
$
200,000.00 each aircraft
$
1,000,000.00 each loss
Deductible:
$
5,000.00 each loss
Additional Coverages:
Eh &41
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.
The above Certificate Holder is also provided with a Hold Harmless as respects the Operations of the
Named Insured.
Subject to Y2K Endorsement
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect
to which this certificate of insurance 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.
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.
* 10 days for non-payment
By:
W. Brown & Associates
Insurance Services
Date of Issue: August 24, 2005
CC : F h q IC e—
Cert No
CERTIFICATE OF INSURANCE,,
CERTIFICATE DATE: 10/04/2006 CERTIFICATE NUT
4B LI'i
CERTIFICATE HOLDER:
POLICYHOLDER:
Monroe County Board Of County
Antique Aircraft Restoration,
nc.
OCT 3 0
Commissioners, It's Employees and Officials
7500 Gulfstream Boulevard
5100 College Road
Marathon, FL 33050
MONROE COUNTY
EIS6 MANAGEMENT
Key West, FL 33040
This is to certify that the following policy(s), subject to the terms, conditions, limitations and endorsements contained therein, an unng etr a echve peso , ave been
issued by the company(s) indicated below. In the event of material change or cancellation of said policy(s), the company will endeavor to notify the certificate holder, but
failure to do so shall impose no liability or obligation of any kind upon the undersigned or the company(s) involved.
Policy Type: AIRPORT
Insurance Company: X L Specialty Insurance Company
Policy Number: NAF3036323
Policy Period: September 6, 2006 to September 6, 2007
PREMISES LIABILITY $1,000,000 Each Occurrence / $2,000,000 Aggregate
PRODUCTS / COMPLETED OPERATIONS $1,000,000 Aggregate
HANGAR KEEPERS LIABILITY $ 200,000 Any One Aircraft / $1,000,000 Any One Occurrence
Deductible: $5,000 Each And Every Loss / $10,000 Each Turbine, or Jet
THE FOREGOING EVIDENCE OF COVERAGE IS NOT VERBATIM OF POLICY CONDITIONS, LIMITATIONS OR LANGUAGE; THE POLICY(S) REPRESENTED
BY THIS CERTIFICATE ARE NOT AMENDED IN ANY WAY UNLESS SO STATED ON THIS CERTIFICATE.
ADDITIONAL AGREEMENTS:
Additional Insured Monroe County Board Of County Commissioners, It's Employees and Officials are 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.
The above Certificate Holder is also provided with a Hold Harmless as respects the Operations of
the Named Insured.
NOTICE OF CANCELLATION: IN THE EVENT OF MATERIAL CHANGE OR CANCELLATION OF SAID POLICY(SL THE COMPANY(S) SHALL ENDEAVOR
TO GIVE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER WITH THE EXCEPTION OF A 10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM.
Aviation Insurance Agency, Inc.
S. Federal Highway, Suite 309 /�
Stuart,C
StuFL 34994 `��
www.avnins.com
Telephone (772) 286-0626 — Facsimile (772) 286-1108
Authorized Signature
W. BROWN & ASSOCIATES 19000 MacArthur Blvd., Suite 700
INSURANCE SERVICES Irvine, CA 92612
(949)851-2060
CERTIFICATE OF INSURANCE
Monroe County Board of County Commissioners, its employees
THIS IS TO CERTIFY TO: and officials
5100 College Road, Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
POLICY NO.
POLICY PERIOD FROM:
INSURANCE COMPANY:
FL
NAF3043653
September 6, 2007 TO: September 6, 2008
XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
General Aggregate Limit
(Other than Products -Completed Operations)
Products -Completed Operations Aggregate Limit
Personal injury & Advertising Injury Aggregate Limit
Each Occurrence Limit'
Fire Damage Limit (Any One Fire)
Medical Expense Limit
Each Occurrence Limit
Hangarkeepers' Each Loss Limit
Hangarkeepers' Each Aircraft Limit
Hangarkeepers' Deductible
$2,000,000.00
$1,000,000.00 n/1
$1,000,000.00 Y
$1,000,000.00
$ 50,000.00
$ 1,000.00
$ 5,W0.00 --
$1,000,000.00'+
$ 200,000.00
$ 5,000.00 per aircraft/$10,000.00 as respects jet and turbine
powered aircraft &ive.-1.V?yZ
Property Damage Deductible - $5,000.09 per claim/$10,000.00 as respects jet and turbine powered aircraft �J
As respects the above Certificate Holder:
SECTION II — WHO IS AN INSURED is amended to include as an insured the person or organization,
but only with respect to liability arising out of the Named Insured's aviation operations.
The above Certificate Holder is included as an Additional Insured but only to the extent of liability 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.
The above Certificate Holder is also provided with indemnification and Hold Harmless as respects the Operations of
the Named Insured.
Subject to Y2K Endorsement
information contained herein valid
This certificate of insurance is not an insurance policy and does not amend, emend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, terry or condition of any contract or other document with respect
to which this certificate of insurance 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.
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.
* 10 days for non-paytno
Date of Issue: August 22, 2007
W. Brown & Asso,
/ Insurance Services
CG�
Cert No.
POLICY NO.: NAF3050625
ATTACHED TO CERTIFICATE # 1
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd.
Marathon, FL 33050
POLICY NUMBER: NAF3050625
POLICY PERIOD: From September 6, 2008 To September 6, 2009
INSURANCE COMPANY: XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also priovided with Hold Harmless and Indemnification provisions as respects the
operations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of September 6, 2008.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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: �J
W. Brown & Associates Insurance Services Date of Issue: September 24, 1
Certificate No.:.: 1
q-ay
Certificate # 1
Page 1 of 2
POLICY NO.: NAF3050625
ATTACHED TO CERTIFICATE # 1
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
en=eml OAFLrawegat�r-mLimit (Other than Products -Completed
Operations and Hangarkeepers')
Products -Completed Operations Aggregate Limit
$2,000,000
Personal Injury & Advertising Injury Aggregate Limit
$1,000,000
Each Occurrence Limit
$1,000,000
Fire Damage Limit(Any One Fire)
$1,000,000
Medical Expense Limit (Any One Person) $50, 000
Each Occurrence $1,000
Hangarkeepers' Each Loss Limit $5,000
Hangarkeepers' Each Aircraft Limit $1,000,000
Hangarkeepers' Deductible Each Occurrence $200,000
See Below
Hangarkeepers' Deductible(s): $5,000 per aircraft/$10,000 as respects jet and turbine -powered aircraft
Property Damage Deductible(s): $5,000 per claim/$10,000 as respects jet and turbine -powered aircraft
Certificate # 1
Page 2 of 2
POLICY NO.: NAF3050625 ATTACHED TO CERTIFICATE # 2
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc. Y-11(ftf
7500 Gulfstream Blvd.
Marathon, FL 33050 - --
POLICY NUMBER: NAF3050625 "
1
POLICY PERIOD: From September 6, 2008 To September 6, 2009
INSURANCE COMPANY: XL Specialty Insurance Company
L
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which n /
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of September 29, 2008.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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: — We J
W. Brown & Associates Insurance Services
CLM C--Q--
Date of Issue: September 29, 2008
Certificate No.: 2
Certificate # -2- Page 1 of 2
POLICY NO.: NAF3050625 ATTACHED TO CERTIFICATE # 2
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
100go Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
� �ti•ITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Page 2 of 2
Certificate # 2
POLICY NO.: NAF3043653
ATTACHED TO CERTIFICATE # 1
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd.
Marathon, FL 33050
POLICY NUMBER: NAF3043653
POLICY PERIOD: From September 6, 2007 To September 6, 2008
INSURANCE COMPANY: XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also priovided with Hold Harmless and Indemnification provisions as respects the
operations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of August 20, 2008.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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:
W. Brown & Associates Insurance Services
Date of Issue: August 21, 2008
Certificate No.: 1
Certificate # 1 CC
of 2
POLICY NO.: NAF3043653
ATTACHED TO CERTIFICATE # 1
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Certificate # 1 Page 2 of 2
POLICY NO.: NAF3050625
ATTACHED TO CERTIFICATE # 3
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
506 106th Street
Marathon, FL 33050
POLICY NUMBER: NAF3050625
POLICY PERIOD: From September 6, 2008 To September 6, 2009
INSURANCE COMPANY: XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 9, 2008.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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: ^^" 01 � Date of Issue: October 17, 2008
W. Brown & Associates Insurance Services Certificate No.: 3
ce C'n IJee
Certificate # 3 Page 1 of 2
POLICY NO.: NAF3050625 ATTACHED I o CEH i INUA i t rr AL
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Certificate # 3 Page 2 of 2
CERTIFICATE OF INSURANCE
CERTIFICATE DATE: 10/01/2008 Revised CERTIFICAT
CERTIFICATE HOLDER:
POLICYHOL
ER: RECEIVED
Monroe County Board Of County Commissioners
Antique Aircraft Res
oratio ,
It's Employees and Officials
506 106th Street
1100 Simonton Street, Room 268
Marathon, FL 33050
OCTLOu
Key West, FL 33040
This is to certify that the following policy(s), subject to the terms, conditions, limitations and endorsements contai
issued by the company(s) indicated below. In the event of material change or cancellation of said policy(s), the co
ther , have
pany will ende4k0NRO&DCQ1 Atertificate holde
, but
failure to do so shall impose no liability or obligation of any kind upon the undersigned or the company(s) involve
. RISK NIANAGEMENT
Policy Type: WORKERS COMPENSATION
Insurance Company: United States Aviation Underwriters / Wausau
Policy Number: WCC-Z91-450563-018
Policy Period: October 1, 2008 to October 1, 2009
EMPLOYER'S LIABILITY - BI BY ACCIDENT $1,000,000 Each Accident
EMPLOYERS LIABILITY - BI BY DISEASE $1,000,000 Each —Employee! $1,000,G3. Policy Limit
WORKERS' COMPENSATION COVERAGE Statutory Limits
THE FOREGOING EVIDENCE OF COVERAGE IS NOT VERBATIM OF POLICY CONDITIONS, LIMITATIONS OR LANGUAGE: THE POLICY(S) REPRESENTED
BY THIS CERTIFICATE ARE NOT AMENDED IN ANY WAY UNLESS SO STATED ON THIS CERTIFICATE.
1
NOTICE OF CANCELLATION: IN THE EVENT OF MATERIAL CHANGE OR CANCELLATION OF SAID POLICY(S), THE COMPANY(S) SHALL ENDEAVOR
TO GI VE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER WITH THE EXCEPTION OF A 10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM.
Aviation Insurance Agency, Inc.
2580 S.E. Aviation Way, Suite 101
Stuart, FL 34996
www.avnins.com
Telephone (772) 286-0626 — Facsimile (772) 286-1108
Authorized Signature
National Hangar Insurance Program
P.O.Box 3142 Tulsa, Oklahoma 74101-3142 Phone 800-999.6447 Fax 918-584-8811
Evidence of Property Insurance Code Key: 15471 10-17-2008
This is evidence that insurer= as identified below has been issued, is in force, and conveys all the rights and
privileges afforded under the policy.
Producer:
Issuing Company:
Travelers Indemnity Com
Aviation Insurance Agency - FL
Policy Number:
7383M243
2580 S.E. Aviation Way, Ste.
Certificate Number:
15471
Stuart FL
34996
Certificate Issue Date:
10-17-2008
Insured Name:
Effective Date:
09-30-2008
Antique Aircraft Restoration, Inc.
Expiring nate:
09-30-2009
506 106th Street
'ISme:
12:01am
Marathon FL
33050
Property Information:
Marathon Airport
506 106th Street
Marathon FL 33050
Exposure Information
Loc Bldg Coverage Value Deductible
1 1 BUILDING $585,000 $1,000
1 1 TOOLS $40,000 $1,000
1 1 YBPP-PARTS $20,000 $1,000
Frill Name LP/AI Monroe County Board of County Commissions, its Employees and Officials.
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 er
as required by law.
Loss Payee/AI
Monroe County Board of County Commissions, Its Emp
1100 Simonton Street, Rm 268
Key West, FL 33040
Authorized Representative:
(?Aae rs
X
r
"Yaw
Page r
66
POLICY NO.: NAF3050625
CERTIFICATE OF INSU
ATTACHED TO CERTIFICATE # a
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
506 106th Street
Marathon, FL 33050
POLICY NUMBER: NAF3050625
POLICY PERIOD: From September 6, 2008 To September 6, 2009
INSURANCE COMPANY: XL Specialty Insurance Company
RECEIVED
OCT 21 2cc-
MONROE COUNTY
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION It - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 9, 2008.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subjectxo all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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.
W. Brown & Associates Insurance Services
�iK-awn �
t
Certificate # 3 cr b
V
Date of Issue: October 17, 2008
Certificate No.: 3
Page 1 of 2
POLICY NO.: NAF3050625
ATTACHED TO CERTIFICATE # 3-
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
$2,000,000
Products -Completed Operations Aggregate Limit
$1,000,000
Personal Injury & Advertising Injury Aggregate Limit
$1,000,000
Each Occurrence Limit
$1,000,000
Fire Damage Limit (Any One Fire)
$50,000
Medical Expense Limit (Any One Person)
$1,000
Each Occurrence
$5,000
Hangarkeepers' Each Loss Limit
$1,000,000
Hangarkeepers' Each Aircraft Limit
$500,000
Hangarkeepers' Deductible Each Occurrence
See Below
Hangarkeepers' Deductible(s): $5,000. per aircraft/$10,000. as respects jet and turbine -powered aircraft
Property Damage Deductible(s): $5,000. per claim/$10,000. as respects jet and turbine -powered aircraft
Certificate # 3 Page 2 of 2
POLICY NO.: NAF3050625 ATTACHED TO CERTIFICATE # 2
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd.
Marathon, FL 33050
POLICY NUMBER: NAF3050625
POLICY PERIOD: From September 6, 2008 To September 6, 2009
INSURANCE COMPANY: XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of September 29, 2008.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage
afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or
other document with respect to which this certificate of insurance may be issued or may pertain, the
insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of
such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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:
W. Brown & Associates Insurance Services
Date of Issue: September 29, 2008
Certificate No.: 2
Certificate # 1 Page 1 of 2
POLICY NO.: NAF3050625
ATTACHED TO CERTIFICATE # 2-
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
$2,000,000
Products -Completed Operations Aggregate Limit
$1,000,000
Personal Injury & Advertising Injury Aggregate Limit
$1,000,000
Each Occurrence Limit
$1,000,000
Fire Damage Limit (Any One Fire)
$50,000
Medical Expense Limit (Any One Person)
$1,000
Each Occurrence
$5,000
Hangarkeepers' Each Loss Limit
$1,000,000
Hangarkeepers' Each Aircraft Limit
$500,000
Hangarkeepers' Deductible Each Occurrence
See Below
Hangarkeepers' Deductible(s): $5,000. per aircraft/$10,000. as respects jet and turbine -powered aircraft
Property Damage Deductible(s): $5,000. per claim/$10,000. as respects jet and turbine -powered
aircraft
Certificate # 2 Page 2 of 2
y
q(ALCO-N-
I N 5 Li R A N CE
Certificate of Insurance
Certificate Holder: Antique Aircraft Restorations, Inc.
10090 Overseas Highway
Marathon, FL 33050
Named Insured: Conch Air Corp.
11265 6th Ave. Gulf
Marathon, FL 33050
Aircraft: 1989 Waco YMF - N64JE
Insuring Company: Specialty Aviation Underwriters
Policy Term: December 18, 2008 to December 18, 2009 at 12:01 AM Local Time
Aircraft- Liability
Single Limit Bodily Injury / Property
Damage Limited Passengers
$100,0000. Each Passenger
$1,000,OOO.Each Occurrence
Certificate Holder is included as Additional Insured - See attached Form SAU-129-7-2005.
Date: February 28, 2009
Authorized Representative: DII�OCL rjct�
Falcon Insurance Agency of Florida, Inc
Specialty Aviation Underwriters, Inc.
Endorsement
ADDITIONAL INSURED
In addition to those already protected under Who Is Protected in PART THREE — LIABILITY TO OTHERS, we will
also protect those listed below while your aircraft is being used within the scope of your permission. The limits of
liability shown in Item 5 of your PSP do not increase regardless of the number of persons or organization protected.
However, we will not protect any of the following for any occurrence arising out of any of the following activities
performed by or on behalf of those named below:
• The manufacture, sale, repair or service of the aircraft or aircraft parts, components, or accessories used in
connection with the aircraft or aircraft engines;
• The operation of any commercial flying service, flying school, pilot service or any commercial piloting
activity;
• The operation of an airport, unless the occurrence arises out of the use of your aircraft; or
• The operation of any hangar activity.
Additional Insured: Antique Aircraft Restorations, Inc.
10090 Overseas Highway
Marathon FL 33050
NOTHING HEREIN CONTAINED SHALL BE HELD TO VARY, WAIVE, ALTER OR EXTEND ANY OF THE TERMS,
CONDITIONS OR AGREEMENTS OF THE POLICY OTHER THAN STATED ABOVE.
T. N. Delaware Air Corp. 11265 6th Avenue Gulf Marathon, FL 33950
Policy Issued to:
SA102518-01 December 18, 2008 at 12:01 AM
Endorsement No. Policy No. Date and hour endorsement takes effect
Approved: Specialty Aviation Underwriters, Inc.
Bv:
SAU-129-7-2005 Page 1
i
ALCIIXT
M
1 N S E R A CE
Certificate of Insurance
Certificate Holder: The Board of County Commissioners
Monroe County, Florida
5100 College Road
Key West, FL 33404
Named Insured: Conch Air Corp.
11265 6th Ave. Gulf
Marathon, FL 33050
Aircraft: 1989 Waco YMF - N64JE
Insuring Company: Specialty Aviation Underwriters
Policy Term: December 18, 2008 to December 18, 2009 at 12:01 AM Local Time
� i• � � * �, -. � k �7p�, h t E
Aircraft Liabll W�
& .e f�' 9ei*
Limits°of IJi spy
Single Limit Bodily Injury / Property
Damage Limited Passengers
$100,0000. Each Passenger
$1,000,OOO.Each Occurrence
Certificate Holder is included as Additional Lpsured - S attach orm SAU-109-7-205.
Date: February 28 2009
r�
Authorized Representative: Z'U&
Falcon Insurance Agency of Florida, Inc
Specialty Aviation Underwriters; Ind:
Endorsement <
ADDITIONAL INSURED FOR LIABILITY COVERAGE
FOR AIRPORT PREMISES
This endorsement applies to "LIABILITY COVERAGE FOR AIRPORT PREMISES" provided by Paragraph 1 under PART
THREE of yourpoIicy — COVERAGE B — LIABILITY TO OTHERS.
In addition to you, we will also protect the person or organization listed below for damages that person or organization is legally
obligated to pay for bodilyinjuryor property damage caused by an occurrence arising out of yourownership, maintenance, or use of
the aircrafton the premises at the airport shown in Item 3, AIRCRAFTLOCATION, of yourPSP. As used in this endorsement,
premises means such portions of airports as are designated and used for the parking or storage of aircraft. The COVERAGES AND
LIMITS shown in Item 5 of yourPSP do not increase regardless of the number of persons or organizations protected. However, we .
will not protect any of the following for an occurrence arising out of any of the following activities performed by or on behalf of
those named below:
• The manufacture, sale, repair or service of aircraft or aircraft parts, engines or accessories;
• The operation or performance of any commercial piloting services. As used in this paragraph, "commercial piloting
services" means the following services for which a charge is made or remuneration is expected or intended:
any pilotor crew instruction, training, or proficiency check services, or
any pilotor crewservices.
• The operation of any flying school, flying club or flying service.
• The operation of any airport or any aircraft hangar, parking or tie -down facility; unless the occurrence arises out of your
legal use of premises.
• The operation or moving of your aircraftwhether or not under its own power.
Person or Organization Protected.
The Board of County Commissioners
Monroe County, Florida
5100 College Road
Key West FL 33040
NOTHING HEREIN CONTAINED SHALL BE HELD TO VARY, WAIVE, ALTER OR EXTEND ANY OF THE TERMS
CONDITIONS OR AGREEMENTS OF THE POLICY OTHER THAN STATED ABOVE.
T. N. Delaware Air Corp. 11265 6th Avenue Gulf Marathon, FL 33950
Policy Issued to:
1 SA102518-01 December 18, 2008 at 12:01 AM
Endorsement No. Policy No. Date and hour endorsement takes effect
Approved: Specialty Aviation Underwriters, Inc.
B..
9
SAU-109-7-2005 Additional Insured For Liability Coverage Page 1
For Airport Premises
RECEIVED
POLICY NO.: NAF4014591
CERFIFI
TTACHED TO CERTIFICATE # 1
UR,ANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd.
Marathon, FL 33050
POLICY NUMBER: NAF4014591
POLICY PERIOD: From October 1, 2011 To October 1, 2012
INSURANCE COMPANY: Catlin Insurance Company, Inc.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 1, 2011.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the
coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition
of any contract or other document with respect to which this certificate of insurance may be
issued or may pertain, the insurance afforded by the policy described herein is subject to all the
terms, exclusions and conditions of such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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: li U Date of Issue: September 20, 2011
W. Brown & Associates Insurance Services Certificate No.: 1
Certificate # 1
Pa 1- of 2
POLICY NO.: NAF4014591 ATTACHED TO CERTIFICATE # 1
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Marathon Airport, Marathon, FL
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
$2,000,000
Products -Completed Operations Aggregate Limit
$1,000,000
Personal Injury & Advertising Injury Aggregate Limit
$1,000,000
Each Occurrence Limit
$1,000,000
Fire Damage Limit (Any One Fire)
$50,000
Medical Expense Limit (Any One Person)
$1,000
Each Occurrence
$5,000
Hangarkeepers' Each Loss Limit
$1,000,000
Hangarkeepers' Each Aircraft Limit
$500,000
Hangarkeepers' Deductible Each Occurrence
See Below
Hangarkeepers' Deductible(s): $5,000. per aircraft/$10,000. as respects jet and turbine -powered aircraft
Property Damage Deductible(s): $5,000. per claim/$10,000. as respects jet and turbine -powered aircraft
Certificate # 1 Page 2 of 2
POLICY NO.: NAF4020788 i mnvimp rniWTV ATTACHED TO CERTIFICATE # 1
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd. A,
Marathon, FL 33050 A V M C C
POLICY NUMBER: NAF4020788 WA . — -- �''
POLICY PERIOD: From October 1, 2012 To October 1, 2013
INSURANCE COMPANY: Catlin Insurance Company, Inc.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 1, 2012.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the
coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition
of any contract or other document with respect to which this certificate of insurance may be
issued or may pertain, the insurance afforded by the policy described herein is subject to all the
terms, exclusions and conditions of such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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:
W. Brown & Associates Insurance Services
Date of Issue: October 8, 2012
Certificate No.: 1
Certificate # 1 /
CG.
Page 1 of 2
POLICY NO.: NAF4020788 ATTACHED TO CERTIFICATE # 1
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10090 Overseas Highway, Marathon, FL
10600 Aviation Blvd., Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
Products -Completed Operations Aggregate Limit
Personal Injury & Advertising Injury Aggregate Limit
Each Occurrence Limit
Fire Damage Limit (Any One Fire)
Medical Expense Limit (Any One Person)
Each Occurrence
Hangarkeepers' Each Loss Limit
Hangarkeepers' Each Aircraft Limit
Hangarkeepers' Deductible Each Occurrence
Hangarkeepers' Deductible(s): $5,000. per aircraft/$10,000
Property Damage Deductible(s): $5,000. per claim/$10,000
aircraft
$2,000,000
$1,000,000
$1,000,000
$1,000,000
$50,000
$1,000
$5,000
$1,000,000
$500,000
See Below
as respects jet and turbine -powered aircraft
as respects jet and turbine -powered
Certificate # 1 Page 2 of 2
CERTIFI AIE OF INSURANCE
CERTIFICATE DATE: 01/07/201TE NUMBER: 12-01WC
TJFL3
CERTIFICATE HOLDER:
POLILDER:
Monroe County Board Of County Commissi
ers
Antiqueestoration,
Inc.
It's Employees and Officials
JA N -�
Goulevard
1100 Simonton Street, Room 2-268
Maratho50
Key West, FL 33040
This is to certi that the followin lic s , subject to th terms, con otained therein, and durin their effective riod, have been
� � � gy
issued b the com an s mdicat d below. In the eeno
p yO � g'OPt�d9et}I company will endeavor to notify the certificate holder, but
failure to do so shall impose no liability or obligation of any kind upon the undersigned or the company(s) involved.
Policy Type: WORKERS COMPENSATION
Insurance Company: United States Aviation Underwriters / Employers Insurance Company of Wausau
Policy Number: WCC-Z91-450563-012
Policy Period: October 1, 2012 to October 1, 2013
EMPLOYER'S LIABILITY - BI BY ACCIDENT $1,000,000 Each Accident
EMPLOYERS LIABILITY - BI BY DISEASE $1,000,000 Policy Limit
EMPLOYERS LIABILITY - BY BY BY DISEASE $1,000,000 Each Employee
THE FOREGOING EVIDENCE OF COVERAGE IS NOT VERBATIM OF POLICY CONDITIONS, LIMITATIONS OR LANGUAGE; THE POLICY(S) REPRESENTED
BY THIS CERTIFICATE ARE NOT AMENDED IN ANY WAY UNLESS SO STATED ON THIS CERTIFICATE.
APB K GEMEM
By
WA► 01'� ; GI8✓tG
Aviation Insurance Agency, Inc.
2580 S.E. Aviation Way, Suite 101
Stuart, FL 34996
www.avnins.com
Telephone (772) 2$6-0626 — Facsimile (772) 286-1108
Authorized Signature
CC'
AtTACHED TO CERTIFICATE # 1
THIS IS TO CERTIFY TO:
Monroe County Board of County Commissioners, its Employees and Officials
1100 Simonton Street, Room 268
Key West, FL 33040
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Antique Aircraft Restoration, Inc.
7500 Gulfstream Blvd,
Marathon, FL 33050
tV
_n
Co
�
W
i
C.
Z
r-
o
!
o
-
-fl
7V
M
c
POLICY NUMBER: NAF4027375
POLICY PERIOD: From October 1, 2013 To October 1, 2014
INSURANCE COMPANY: Catlin Insurance Company, Inc.
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which
is incorporated as a part hereof.
Coverage includes On -Premises Automobile Liability
As respects the above certificate holder:
SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization, but
only with respect to liability arising out of the Named Insured's aviation operations.
The certificate holder is also provided with a Hold Harmless and Indemnification provisions as respects
the oprations of the Named Insured.
Subject to Date Change Recognition Endorsement.
Data included in this Certificate valid as of October 1, 2013.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the
coverage afforded by the policy listed herein. Notwithstanding any requirement, tern or condition
of any contract or other document with respect to which this certificate of insurance may be
issued or may pertain, the insurance afforded by the policy described herein is subject to all the
terms, exclusions and conditions of such policies.
Should the described policy be cancelled before the expiration date hereof, the issuing company will
endeavor to give 30 days (10 days for non-payment) 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.
Date of Issue: October 2, 2013
By: Certificate No.: 1
W. Brown & Associates Insurance Services
IS r GvEMEM
q
Certificate # 1
Page 1 of 2
POLICY NO.: NAF4027375 ATTACHED TO CERTIFICATE # 1
SCHEDULE OF LOCATIONS
Location of Aviation premises owned, rented to or occupied by the Named Insured:
10600 Aviation Blvd., Marathon, FL
10090 Overseas Highway, Marathon, FL
Marathon Airport, Marathon, FL
Including those airport premises necessary and incidental to the Aviation Operations of the Named
Insured
Type of Coverage:
LIMITS OF LIABILITY
General Aggregate Limit (Other than Products -Completed
Operations and Hangarkeepers')
$2,000,000
$1,000,000
Products -Completed Operations Aggregate Limit
$1,000,000
Personal Injury & Advertising Injury Aggregate Limit
000,000
$1,000,000
Each Occurrence Limit
Fire Damage Limit (Any One Fire)
$1,000
Medical Expense Limit (Any One Person)
$5,000
Each Occurrence
Hangarkeepers' Each Loss Limit
$1,0$5
,000
Hangarkeepers' Each Aircraft Limit
$000,000
See Below
Hangarkeepers' Deductible Each Occurrence
Hangarkeepers' Deductible(s): $5,000. per aircraft/$10,000.
as respects jet and turbine -powered aircraft
Property Damage Deductible(s): $5,000. per claim/$10,000.
as respects jet and turbine -powered
aircraft
Page 2 of 2
Certificate # 1
AIG AEROSPACE INSURANCE SERVICES, INC.
CERTIFICATE OF COMMERCIAL LIABILITY INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been
issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage
provided by such policies. alteration of this certificate does not change the terms, exclusions or conditions of such policies.
Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any
other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided
at the policy inception. Subsequent paid claims may reduce these limits.
Producer:
TORELL INSURANCE AGENCY, INC.
18604 KITTY HAWK COURT
PORT SAINT LUCIE, FL 34987
Named Insured:
ANTIQUE AIRCRAFT RESTORATION, INC.
7500 GULFSTREAM BLVD.
MARATHON, FL 33050
General Liability
Insurer Name: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Policy Number: AP 023405298-01
Policy Effective Date: March 24, 2014 Policy Expiration Date: March 24, 2015
$ 1,000,000.
Each Occurrence Limit
$ 100 000.
Damage To Premises Rented To You Limit (any one remises
Limits
$ 5,000.
Medical Expense Limit (any oneperson)
1,000,000.
Personal & Advertising In'u Aggregate Limit
of
n/a
General Aggregate Limit
Insurance
$ 1,000,000.
Products/Com pleted Operations Aggregate Limit
Han arkee ers Limit
500 000.
Each Aircraft Limit
$ 1,000,000.
Each Loss Limit
$ 5,000.
Hangarkeepers Deductible (each aircraft)
General Aggregate Limit applies per: X❑ Policy ❑ Project ❑ Location
ADDITIONAL INSURED AS PER CGL191.
�GEMENT U�'e'�T�iCiim
Additional Insured Status YES
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.
Cancellation
In the event of cancellation of any policy described above, the insurer will attempt to mail 30 days written notice to the
certificate holder prior to the effective date of cancellation. However, failure to do so will not impose duty or liability upon the
insurer, its agents or representatives, nor will it delay cancellat%. ..-- , -, A q ;AMNA
Certificate Holder: THE MONROE COUNTY BOARD OF COUN7'81j *U-11 1
COMMISSIONERS, 1100 SIMONTON ST.
Certificate No.1
KEY WEST FL 33040
Authorized Representa'
0 t01 Wd I— 330 h101
�-t'380338
June 24, 2014 JC
Date of Issue
803 03113
CGL309 (3/05)
Includes copyrighted material of Insurance Services Office, Inc. with its permission
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name of Additional Insured Person(s) or Organization(s): I
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
1100 SIMONTON ST.
KEY WEST, FL 33040
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
SECTION II - WHO IS AN INSURED is amended to include as an additional Insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of
those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or rented to you.
All other provisions of this policy remain the same.
This endorsement becomes effective June 18, 2014 to be attached to and hereby made a part of
Policy No. AP 023405298-01 issued to ANTIQUE AIRCRAFT RESTORATION, INC.
By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
—j
Endorsement No. 11 ;k
Date of Issue June 24, 2014 JC By
(Authorized Representative)
CGL191 (3/05)
Includes copyrighted material of Insurance Services Office, Inc. with its permission
AIG AEROSPACE INSURANCE SERVICES, INC.
CERTIFICATE OF COMMERCIAL LIABILITY INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been
issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage
provided by such policies. alteration of this certificate does not change the terms, exclusions or conditions of such policies.
Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any
other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided
at the policy inception. Subsequent paid claims may reduce these limits.
Producer:
TORELL INSURANCE AGENCY, INC.
18604 KITTY HAWK COURT
PORT SAINT LUCIE, FL 34987
Named Insured:
ANTIQUE AIRCRAFT RESTORATION, INC.
7500 GULFSTREAM BLVD.
MARATHON, FL 33050
General Liability
Insurer Name: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Policy Number: AP 023405298-01
Policy Effective Date: March 24, 2014 Policy Expiration Date: March 24, 2015
$ 1,000,000.
Each Occurrence Limit
$ 100 000.
Dama a To Premises Rented To You Limit (any one remises
Limits
$ 5,000.
Medical Expense Limit (any oneperson)
1,000,000.
Personal & Advertising In'u Aggregate Limit
of
n/a
General Aggregate Limit
Insurance
$ 1,000,000.
Products/Com pleted Operations Aggregate Limit
Han arkee ers Limit
500 000.
Each Aircraft Limit
$ 1,000,000.
Each Loss Limit
$ 5,000.
Hangarkeepers Deductible (each aircraft)
General Aggregate Limit applies per: ❑X Policy ❑ Project ❑ Location
ADDITIONAL INSURED AS PER CGL191.
—_` CC P be
Ju I I e -JA'mr
Additional Insured Status YES
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.
Cancellation
In the event of cancellation of any policy described above, the insurer will attempt to mail 30 days written notice to the
certificate holder prior to the effective date of cancellation. However, failure to do so will not impose duty or liability upon the
insurer, its agents or representatives, nor will it delay cancellation}
Certificate Holder: THE MONROE COUNTY BOARD OF COUN7(y'813 'UT1
COMMISSIONERS, 1100 SIMONTON ST.
KEY WEST FL 33040
Certificate No.1
Authorized Representa' 00 ;01 WV 1- 330 a10Z
Jz-�-"'J60338
June 24, 2014 JC
Date of Issue
80J 0311A
CGL309 (3/05)
Includes copyrighted material of Insurance Services Office, Inc. with its permission
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name of Additional Insured Person(s) or Organization(s):
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
1100 SIMONTON ST.
KEY WEST, FL 33040
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
SECTION II - WHO IS AN INSURED is amended to include as an additional Insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of
those acting on your behalf: /
A. In the performance of your ongoing operations; or \/
B. In connection with your premises owned by or rented to you.
All other provisions of this policy remain the same.
This endorsement becomes effective June 18, 2014 to be attached to and hereby made a part of
Policy No. AP 023405298-01 issued to ANTIQUE AIRCRAFT RESTORATION, INC.
By NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Endorsement No. 11
Date of Issue June 24, 2014 JC By
(Authorized Representative)
CGL191 (3/05)
Includes copyrighted material of Insurance Services Office, Inc. with its permission
AIG AEROSPACE INSURANCE SERVICES, INC.
CERTIFICATE OF COMMERCIAL LIABILITY INSURANCE
This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been
issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage
provided by such policies. alteration of this certificate does not change the terms, exclusions or conditions of such policies.
Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any
other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided
at the policy inception. Subsequent paid claims may reduce these limits.
Producer:
TORELL INSURANCE AGENCY, INC.
18604 KITTY HAWK COURT
PORT SAINT LUCIE, FL 34987
Named Insured:
ANTIQUE AIRCRAFT RESTORATION, INC.
7500 GULFSTREAM BLVD.
MARATHON, FL 33050
General Liability
Insurer Name: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA
Policy Number: AP 023405298-02
Policy Effective Date: March 24, 2015 Policy Expiration Date: March 24, 2016
$ 1,000,000.
Each Occurrence Limit
$ 100,000.
Damage To Premises Rented To You Limit (any one premises
$ 5,000.
Medical Expense Limit an one person)
Limits
1,000,000.
Personal & Advertising Ineury Aggregate Limit
N/A
General Aggregate Limit
Insurance
n
$ 1,000,000.
Products/Completed Operations Aggregate Limit
Hangarkeepers Limit
500,000.
Each Aircraft Limit
$ 1,000,000.
Each Loss Limit
$ 5,000.
Hangarkeepers Deductible (each aircraft)
General Aggregate Limit applies per: ❑ Policy ❑ Project ❑ Location
Description of O erations/Locations/Endorsements/S ecial Provisions
ADDITIONAL INSURED(S) SUBJECT TO FORM CGL191 ATTACHED TO THIS OLIC .
PPR
Y 7b'-(1
w G&: -fib
I �I.
Additional Insured Status yes
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT
INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT.
Cancellation
In the event of cancellation of any policy described above, the insurer will attempt to mail 30 days written notice to the
certificate holder prior to the effective date of cancellation. However, failure to do so will not impose duty or liability upon the
insurer, its agents or representatives, nor will it delay cancellatiWnl-i "
r
Certificate Holder: THE MONROE COUNTY BOARD OF COUN
COMMISSIONERS
1100 SIMONTON ST., KEY WEST
Certificate No. 1
July 28, JP
Authorized Representa d3S p0Z
Dateate of Issue
41 *r
CGL309 (3/05)
Includes copyrighted material of Insurance Services Office, Inc. with its permission