Certificates of Insurance
APPROVED BY RISI< M~MAr,rMrNT Aero Insurance, Inc.
~ ~~I A T ION 5 U RAN C E
" ".', ... ,
~ ,
. k.
J. ",
BY __ ....~
DATE
.( l /
i I' l . . { I
This is to certify to:
County of Monro~
Monroe County Risk Management
5100 College ROdd
Key West, Florida 33040
c; -1.f.-7~
~.."
o fC:-.
WAlVER:
NIA .
YES
**** CERTIFICATE OF INSt~CE ****
that the following policies have been issued to:
Hyannis Air Service
d/b/a Cape Air 0: d/b/a Nantucket Airlines
Barnstable Municipal Airport
Hyannis, MA 021:501
POLICIES
AIRCRAFT LIABILITY Policy Number 87SP-603378 of One or More
Member CompanieB of Associated Aviation
Under\vr i ters
Policy Period: from 9/13/94 to 9/13/95
Coverages Limits of Liability
Single Limit Bodily Injury and
Property Damage Including Passengers *$25,000,000 ea. occurrence
Aircraft Make & Model
FAA Reqist..t'"ation #
1980 Ce:;sna 402C
N2748Y
AIRPOHT LIABILITY Policy Number 87SP-€03378 of One or More Member
Companies of Associa':ed Aviation Underwriters
Policy Period: from 9/13/94 to 9/13/95
Coverages
Limits of Liability
Premises Liability
Single Limit Bodily Injury and
Propert~T Damage
*$25,000,000 ea. occurrence
*Limit of Liability applies only with respect to Florida
Operatic)ns.
Additional Insured: County of Monroe, Key West, Florida
--~----_._------~-~~---~----------------~~-----------------------
This Cel:~tificate does not amend, extend C:lr otherwise alter the
~~ :;~::::~:_:Z;~:~;:_::::::::_::_::::~:~________
// . '.' .
By : / Da te : C\ ,q \ q 4--
Nashua Munici;a~iir~~u'1 ~ashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
f'flOnUCf:rt Aero Insurance, Inc. Ttil8 CERTIFICATE IS ISSUED AS A MA TTER OF INFORMATION ONLY AND CONFEns
Nashua Municipal Airport, 99 Pine Hill Rd. NO RIGtiTS UPON TUE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
Nashua, NH 03063 Received EXTEND OR ALTER THE COVERAGE AFFORDED 8YTHE POLICIES BELOW
Risk Mgmt. & Loss Control COMPANIES AFFORDING COVERAGE
-- / c / .~ "".
DATE ~. 7 / S
,
conE
s q ttHQtP Rt;
COMPANY A
LETTER
The Fidelity & Casualty Company of New York
IN SUR EO
Hyannis Air Service, Inc. d/b/a Cape Air
Barnstable Municip,al Airport
Hyannis, MA 02601
COMPANY B
LETTER
APPROVED BY RIS~~ M~Nt\GEMENT
COMPANY
c
BY
b~/~
CL&72-K-
L E TT E R
COMPANY 0
lETTER
COMPANY E
Df\TE
};~, '\'FR:
N/A
YES __
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TUE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, N01WITtiSTANDING ANY REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICti THIS
CERTIFICATE MAY BE ISSUED on MAY PERTAIN. TUE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TtiE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSURANCE
POLICY NUMBEA
POLICY EFFECTIVE POLICY EXPIRATIOt
DATE (MM/DDjYY DATE (MM/DDfYY
All UMITS IN TltOUSAND9
co
lfl
GENEnAlllADllIlY
COMMERCIAL GENERAL lIABllIT
CLAIMS MADC]OCCUR.
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE
PRODUCTS-COMP/OPS AGOR $
PERSONAL & ADVERTISING INJURY $
EACH OCCURRENCE
$
AUTOMOUllE lIAUllITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
FIRE DAMAGE (Anyone fire) $
MEDICAL EXPENSE (Any ono person $
COMBINED
SINGLE
LIMIT
wonKEn's COMPENSATION
AND
EMPlOYEnS.lIAOlllTY
1~/13/94 12/13/95
800lL Y
INJURY $
(per person)
80DIL Y
INJURY $
(Per ace)
PROPERTY
DAMAGE $
EXCESS lIADllITY
IOTHER TlJAN UMBREII 4 FORM
$
A
MU8896343 94L
STATUTORY
$
(EACH ACCIDENT)
(DISEASE - POLICY LIMIT)
(DISEASE - EACIt EMPLOYEE
$
(lI It.
~.~
() l: seluP liON OF OPEnA nONS/lOCA TIONSjVEIIIClES/AESTRICTlONS/SPECIAl nEUS
Covering Florida LC>e..ation - 574 Terminal Drive, Naples, FL 33942
County of Monroe Risk Management I~~!j SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
5100 College Road ~~I~i EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Key west, FL 33040 Ililll MAIL DAYS WRITTEN NOTICE TO TtiE CERTIFICATE HOLDER NAMED TO THE
CC !Y '-li~ ~ ~}~~~
· ~ ~~:t~
....: >:A . ,-
IN S \J n N ET 25" S (3/88)',': ,.::.' .:' : ::: .:<r:".::::;::::i::;:::'::i::t::::::: :::,; ::::'::':i::,:.;:i;: :;::"::::"::f=;::::::' :i;):::;':: :';",:;.: ..\::: .::; ::.: .'. '.::.:: ;'X: . . .: . :.,;.
;.:.;>~;~sLJflNET":.ft~c.. .'080
Aero Insurance, Inc.
AVIATION INSURANCE
inrn; :
-.. .'__d !~.:'d._(~.__:...~~2~__.___.
/
**** CERTIFICATE OF INSURANCE ****
i~ r ~-~ ')" f D 8 \ F i S r\ ~\'~ t~ NAG E MEN T
County of Monroe ~ ~A- ~/1
~~~~o~oi~~~~Y R~~~k Managemea't_ .IG~ >7~
· [' ""'E. ;? -;Lo ~
Key West, Flor1da 33040 }.q'
that the following policies have been issued to: i"!.."!ER: N/~. YES V .
Hyannis Air Service O~/C CL~~
d/b/a Cape Air & d/b/a Nantucket Airlines
Barnstable Municipal Airport
Hyannis, r~ 02501
This is to certify to:
POLICIES
AIRCRAFT LIABILITY Policy Number 93SP603853 of One or More
Member Companies of Associated Aviation
Underwriters
Policy Period: from 9/13/95 to 9/13/96
Coverages
Limits of Liability
Single Limit Bodily TIljury and
Property Damage Including Passengers
$25,000,000 ea. occurrence
Aircraft Make & Model
FAA Reqistration #
1980 Ces;sna 402C
N83PB
AIRPOHT LIABILITY Policy Number 93SP603853 of One or More Member
Companies of Associated Aviation Underwriters
Policy Period: from 9/13/95 to 9/13/96
Coverages
Limits of Liability
Premises Liability
Single Limit Bodily Injury and
Propert1l Damage
$25,000,000 ea. occurrence
Additional Insured: C()unty of Monroe, Key West, Florida
--------~------------~-------------------------------------------
This Certificate does not amend, extend or otherwise alter the
terms and conditions t-)f the policies referred to herein.
AERO INSURANCE, IN:~'~
--------~-------------------------------------------------------
....-
...
,{
II
,/
Date:
By : ~ .'t..4/~
~;,'..
J' '!"'"
C).13'9S
cc .' ~6'Y~B
Nashua Municipari~rt, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
.\pril 22. 199.1
I sl Printing
MONROE COUNTY, FLORIDA
Rcquc.~t For Wai,"cr
of
Insurance Requirements
Received
Risk Ivfgmr. & Loss Control
DATE 7/7/ t')' ~
INITIAL ~
It is requested thalthc insurance rcquircmcnts~ as specified in the County's Schedule of Insurance
Requirements, be \\'3ived or Inodificd on the: follo\ving contract
Contractor:
Hvannis Air Servic~ Tn~
n /~./l\ (";::Irt3 n ir
Contr3ct for:
Facil i ty T.~~~~- K~y W~~i- Tni-t3rn~t-:i 00.1 ~ irport
Address of Contractor:
Barnstable Municipal Airport
Hyannis, MA 02601
Phone:
(508) 775-8171
Scope of\Vork:
Scheduled Airline Service
Date
L~ \.._.l-/l~
. 1 /) '--f-
.. \.-., _ '- J _A..J<...' L,()
~ LA.) / /: / . /1' -I- r I
() () () I Q (J () I r; ;;}- 7 1 s-' Y:-IJ'''/U,/~CJ
I
;=:!J.ffi,( ,cz:X:G-cL;C...
Approved ~ Not Approved
O~~/\~ --~'-j ~t/l_~----
2-' 7/9\')-
R<::!son for Waiver:
Signature of Contractor:
Risk Managemenl
County Administrator appC31:
Apprpvcd:
Not Approved:
Dale:
Board of County COJnlnissioocrs appc.11:
Approvcd:
Nol Approvcd:
rvleeling Dale:
\VAIVER
"110IHI<;r:n
Aero Insurance~ Inc.
Nashua Munlci~l Airport, 99 Pine Hill Rd
Nashua, NH 03063
eonE
sun-COOE
",sun EU
Hyannis Air Service, Inc. d/b/a
Cape Air & d/b/a Nantucket Airlines
574 Terminal Dri\re
Naples, FL 33942
/
TUIS CERTIFICATE IS ISSUED AS A MA lTER OF INFORMA TlON ONl Y AND CONFEf1S
NO P.ICHIT9 UPON lUE CERTIFICATE tlOlDER. TUtS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY TilE POllCIE9 BELOW
COMPANIES AFFORDING COVERAGE
COMPANY A Fielit & Ca 1 Insurance
lETTER . Y sua ty Co. through
COMPANY B
tETTER
COMPANY
C
LETTER
COMPANY
D
lETTER
COMPANY E
lETTER
P ecep'</..'f'
f ! .",\ I
~v~ C 'I '
--'/ - >1 ;:/4'
. ../ "" / l _. '^ /,_, , . /
/;Jt.G/
.. . .",L~~"'._~_"."~''''___
1:"31'1'1 ~i
TtflS IS TO CERTIFY THAT TflE POLICIES OF INSURANCE LISTED DElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE Fon TUE POLICY PEnlOD
INDICATED, NOTWITttST ANDING ANY REQUIREMENT, TERM on CONDITION OF ANY CONTRACT OR OltiER DOCUMENT WITH RESPECT TO Wlflctt 1ttl9
~~~~~~ftJi k:fJ g5~t~}:g~~~fs'J6f~6~:gIJ~~I:~r:~R:~78~~r;Ir:.9ffEBBYETJ:rriJ'J0ca~~ ~~~~mBcl~:~~EIN IS SUBJECT TO All. TftE TERM9,
co
TYPE OF INsunANCE .
POLICY NUMBEn
1"
OENEnAl LlAOlllTY
COMMERCIAL GENERAIL lfABILlT
CLAIMS MADC]OCCUR.
OWNER'S & CONTRACTOR'S PROT
POLICY EFF ECTIVE POLICY EXPIAA llOf'
All UMITS IN TIIOtJ9AN09
DATE (MM/DDfN DATE (MM/DDfYY
GENERAL AGGREGATE $
pnODUCTS - COMP/OPS AGGR $
PERSONAL & ADVERTISING INJUn)' s
EACIt OCCURRENCE
$
FIRE DAMAGE (AnV one fho) $
MEDICAL EXPENSE (AnV ono person $
\ire:
~".'.'.'.'.'...'.'.','.".','.'..,'-'.'.'.'.'.
4..............,............,.....................
...... ......4............
....'.........'.......'...............'.... . ,.
I. ., ...... ........... .
......... -.,. ........
:: : :: :;::: : : : ~ : : : : : : : : : : : : : : :: : : : : : :: : : : ; : :: . : . : ~ : ~
!:i:,:::;:';::::::':'!::'::::::::;::;::':::
.:-:.:.:.:.:.:-:.:-:.:.:.:.;..,:.;.:.:.:.:.:.:.:.:.
::: :;::::: ~::~::::::::::::::: ::: :::: ::::::::::;:. :
;.:,:.:-:.:.:.:.:.:.:.:.:.:.:.:.:.:.:.;.:-:.:.:.:.
ji ~ ~ ~ ~ ~~:[ ~ ~i ~~ ~ ~~ ~ ~ ~j~f f~~~ m j Ji:::;,
f; ~ [\~ [i~ !1~!i~ij i!i~i!!;!;!~ !~)fi:? i\:
.:,:.:.:-:.:.;.:.:.: .:.:.:.:.:.:. ~ -:.: -:.:-:.:.:.:
~::i~:ii~ii:~ !i{ii:iiii!!imii~~) }m~;
~: i::~;: ~: r i!) i :i~ i:; ~i:; ~: ~ i~~: i: {::: ~ j ~:
:::::::>:::::::::~:;::;:;:::::::::::::::::::::::
~~~~: ~~ ~~)~~~,:~~ ~~~~/ ~{i ~r~~:~~f~{~;:::.::
Ii:::!::!::::::,::::::!::,::::::::::!: o~~cv~, [0 ~~~l'~~'~';;"""""
3Jttrfi)jittW S $
: ~i ~j ~i ~j (f!~ !~! i j~ 1! j ~ ~~ m: i ~r m
..:.:...:...:.:......,....................
..... .... .~. ~.~ T ~~~;!;!;!i:iiiji~;:!!!i!:~ii!~ii!I;i~i;i!i!!!!:i!i:i:;~!iij;i!i!:!i;i!:!i!:i:!;!i!ji;J:I:;i;;!t:i!!i~:i;'
1,000,000 (EActf ACCIDEN1)
. 1,000,000 (OISE^SF . POLICY LIMIT)
$ ,1,000,000 (DISEASE-EACIt EMPLOYEE
AUTOMOUIl.E lIAIJIlITY
ANY AUTO
All OWNED AUTOS
SCtfEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAOE LIABILITY
D,~TE
'''Tq: lJ"
EXGE8911AUllHY
OTttER TffAN UMOnEt. L~ FORM
A wonK En's courEN9A1ION
AND
EMl'lOYEnS'lIAfllurv
15MU 889634395
0111.
COMBINED
SINGI.E
LIMIT
$
800ll Y
~ ( ~ INJURY
t)~ (per person)
C~ 8001l.Y
INJURY
(Per ace)
s
s
PROPERTY
DAMAGE
12/13/95
12/13/96
Ul::9G"If'1 ION OF OPEnA TIONS/lOGA TlONS/VEIIIClES/AESTnICTlONS/SPECIAlITEU9
Policy covers operations in Florida and Massachusetts
Coun ty of Monroe, }{isk Man ag emen t 1I~~i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE lttE
Public Service Building, 5100 College Rd. ~~t~~ EXPlnATlON DATE THEREOF, TUE ISSUING COMPANY Wft.l ENDEAVOR TO
Key wes t, FL 33040 ~~~H MAil D^Y8 WITTEN NOTICE TO TttE CERTIF
.:~:.:.:
::::::::
1rm
::::=:::
:.:-:.:.
CC I, 6~/~ ~~
'"SIJ"NEr~5'S~~/~~).~:~~~;~~~J)j0G;1S~\t0~JS~~0(S0;;10;l~~~~~~~dll"E~Jc~
I
~
,,/
Aero Insurance, Inc. \'v
AVIATIO NSURANCE
**** CERTIFICATE OF INSURANCE ****
This is to certify to:
County of Monroe
Monroe County Risk Management
5100 College Road
Key West Florida 33040
that the following policies have been issued to:
Hyannis Air Service, Inc.
~d/b/a Cape Air & d/b/a Nantucket Airlines
~ 660 Barnstable Road North Ramp
Barnstable Municipal Airport
Hyannis, MA 02601
Policy No. 46SP 604261 of One or More Member Companies of Associated
Aviation Underwriters
POLICY PERIC)D: from September 13, 1996 to September 13, 1997
AIRCRAFT LIABILITY:
Single Limit
Passen~rers
Bodily Injury and Property
$25,000,000 each Occurrence
Damage
Including
Aircraft Make & Model
FAA Registration #
" All Aircralft Owned or Operated by the Named Insured"
APD!1(\\.'[f' RV P~~F. ~:u~,.lu~rrF~n
BY__~~~'c~~
0-:, ~
D/4.TE -~______~~~~Lk._..___.__ '
AIRPORT LIABILITY:
Premises Liability
Single Limit Bodily Injury and Property Damage
$25,000,000 each Occurrence
V" :\TP:
N'.~
vrr ___~_
It is agreed that:
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 operations of the Named Insured.
This Certificate does not amend, extend or otherwise alter the terms and
conditions of the policies referred to herein.
AERO INSURAN'CE, INC.
GaeL 1). ~~
BY:
DAT~: September 16, 1996
c c / yfj~)P/cJL&VL
/-/7;,;:,
Nashua Municipal ~~99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
. "II" 4o... "'.'
I~ IJrinling
MONROE COUNTY, FLORIDA
Rcquc.~t For Wai,'cr
of
Insurance Requirements
Received
Risk Ivlgmt. & Loss Control
DATE 7/7/ "i' ~
I
IN ITIAL Er
It is requcsted that the insurance rcquircmcn~ as specified in the County's Schedule of Insurnnce
Requirements, be "'3ived or modified on the follo\ving contract.
Contrnctor:
Hvannis Air Service Tn~ n /'R./n ("'~rl3 n ir
Contract for:
Facility T~~~p- ~~y W~~r Tnror"~~ional Airport
Address of Contractor:
Barnstab~e Municipal Airport
Hyannis, MA 02601
Phone:
_(508) 775-8171
Scope of\Vork:
Scheduled Airline Service
Signature of Contractor:
. A_. . l.J1--to
I) () a I Q ~ () wi '7 ~-::>- 2/1,~ '4~"Icv.du
I
~J.-tt.-( ,~-t:G-L-&~
Approved "-/:. Not Approved
O~/\__.^-/ YfYt, C~---
g-- 7/q~)-
Rc~son for Waiver:
Risk Management
Dillte
County Administrator nppcll:
Apprpvcd:
Not Approved:
D3tc:
Board of County COJnlnissioDCrs npJlCc,l:
Approved:
Not Approved:
M<:Cling Dale:
\V AIVER
I
\ .....-"\
Aero Insurance, Inc. ~~~~0\'~D~. qJSk '.U\I~rn,ni~
AVIATION 5 U RAN C E ' ('~\Ly v ~-"
pv --1.-!-~ j ~ J\ J.L__~_.. _.-
~1 ~,.--, 1.-
f '~ \, . \
".< - .." ?I. ( ·
t . ___
f\ [, T E
/
CERTI FICA TE OF I NSU RANCE W!I':n~: N/^ .~ VES_-
~,\ . U&{..-C.-
{ )() ~4 1
( . '. '~JJ, l.t.~(..t-\..
..~}.~.~~-z
Date of Issue: September 16, 1997
CERTIFICATE NUMBER:
91397-12
"~.
THIS IS TO CERTIFY:
Monroe County BOCC
C/O Monroe County Risk ManagelTlent
5100 College Road
Key West FL 33040
that insurers, EAC::H FOR HIS OWN PART AND NOT ONE FOR THE OTHER, are providing the
following insurance
NAMED I NSURE[):
Hyannis Air Service, Inc.
d/b/a Cape Ai r & d/b/a Nantucket Ai rI i nes
660 Barnstable Road, North Rarnp
Barnstable Municipal Airport
Hyannis, MA 02601
PERIOD OF INSlJRANCE:
September 13, 1997 to September 13, 1998 on both dates at
12:01 A.M. Local Standard Time at the Address of the Named Insured
GEOGRAPHICAL LIMITS:
Worldwide (however, in respect of Extended Aircraft Liabilities
AV,52C, the policy territory is worldwide excluding Iraq and any
other countries subject to l)nited Natic.rlS sanctions.'
AIRCRAFT INSURED:
All aircraft owned and lor operated by the Named Insured
INSURERS &
POLICY NU"'1BE~~S:
See Attached Schedule
{ ~'" r '''J
1 I, I /..' ,}--(---
'. ,ufl
(;-;~
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, Nfi 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATIO NSURANCE
CERTIFICATE NUMBER: 91397-12
DESCRIPTION OF COVERAGE: As respects Comprehensive Airline Liability Insurance ( including,
but not limited to: Comprehensive General Liability, Personal Injury
Liability, Contractual Liability, Premises, Products (excluding
Manufacturer's Products Liability), and Completed Operations
Liabilities, and Hangarkeepers Liability and the AAU equivalent
of AV.52C (War Risks Liability Clause).
LIMIT OF LIABILI"TY: Combined Single Limit Bodily Injury (including Passengers) and
Property Liability $25,000,000 each occurrence / aircraft.
As respects Products Liability or Completed Operations, the above
limit shall apply to anyone occurrence and in the aggregate.
Personal Injury is limited to $2,000,000 each offense and in the
aggregate.
SPECIAL PROVISION(S)
APPLICABLE TO I\DDRESSEE
This Certificate does not amend, extend or otherwise alter the terms,
conditions, limitations or exclusions of the policies referred to herein,
except as stated above. Each of the above Insurers, individually for
its policy only, has authorized the undersigned to issue this certificate
on behalf as a matter of convenience. The undersigned is not an
insurer and has no liability of any sort under the ab()ve policies nor as
result of this certification.
Aero Insurance, Inc. Nashua, New Hampshire
--, . ")
G f2a u ,'7. J,n~rJL
Authorized Representative
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATIO NSURANCE
CERTIFICATE NUMBER:
91397-12
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:
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.
The undersigned has been authorized by the above insurers to issue this certificate on their behalf. The
undersigned is nOlt an insurer and has no liability of any sort under the above policies nor as a result of
this certification. This certificate does not alter, extend or amend any policy terms, conditions,
limitations, deductibles, warranties or excl usions.
Aero Insurance, Inc. Nashua, New Hampshire
~~ ~
G"/20 [.t (-7 - cflrud!..
Authorized Representative
Nashua Municipal Airport, 99 Pine Hill Road, Nashuat NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATION NSURANCE
Hyannis Air Service, Inc.
d/b/a Cape Air & d/b/a Nantucket Airlines
Hyannis, MA 02601
Schedule of Insurer Participants
Aviation Hull and Liability Insurance
INSURER
POLICY NO.
PARTICIPATION
One or More Member Companies of
Associated Aviati()n Underwriters
500 Hills Drive Suite 105
Bedminster NJ 07921
22SP 604696
40.000/0
National Union Fire Insurance Company
of Pittsburgh, PA through AIG Aviation, Inc.
Raritan Plaza III
101 Fieldcrest Avenue
Edison NJ 08837
A V 338-6838
60.000/0
SEVERAL LIABILITY NOTICE
The subscribing insurers' notice 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.
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATION INSURANCE
"~TE
**** CERTIFICATE OF INSURANCE ****
\'~" 'q~: ~II~ _~ vr~
Th i s is to certify t():
Monroe County BOCC
C/O Monroe County Risk Management
5100 College Road
Key West FL 33040
01r . C~
~ ~. () -iH 'iY1 (f)(L
(( . ~-
~
that the following policies have been issued to:
Hyannis Air Service, Inc. d/b/a
Cape Air & d/b/a Nantucket Airlines
660 Barnstable Road, North Ramp
Barnstable Municipal Airport
Hyannis MA 02601
WORKERS COMPENSATION POLICY No. 5BH 038 169-00
of the American Manufacturers Mutual Insurance Company
POLICY PERIOD: December 13, 1997 to December 13, 1998
WORKERS COMPENSATION INSURANCE - PART ONE
applies to the Workers Compensation Law of: MASSACHUSETTS / FLORIDA
EMPlOYEJ~S LIABILITY INSURANCE - PART TWO
applies to 'Nork in each state listed: MASSACHUSETTS / FLORIDA
OTHER STATES INSURANCE - PART THREE applies to the states, if any, listed here:
All states except MAINE, NORTH DAKOTA, NEVADA, OHIO, RHODE ISLAND,
'v^v/AS:-II~~GTON, \VEST VIRGINIA Ai~D 'vVYOiv1Ii~G and MASSACHUSETTS /
FLORI DA
liMITS - Ernployers Liability Insurance Part Two:
Bodily Injury Accident
Bodily Injury by Disease
Bodily Injury by Disease
$1,000,000 each accident
$1,000,000 each employee
$1,000,000 policy limit
This Certificate does not amend, extend or otherwise alter the terms and conditions of the policies referred to herein.
AERO I NSURANC:E, INC.
BY: GZatU ~7 . &-ru~,
I:J/~;/ c,;J
! :~ DATE: December 16, 1997
-~r.~:~
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATION SURANCE
l.~
**** CERTIFICATE OF INSURANCE **** ~
T his is to c e rt i fy t~):
County of Monroe, Risk Management
Public Service Building
5100 College Road
Key West, FL 33040
BY
that the following policies have been issued to:
DATE
\-~\-q~
Nl~ L YES
~'.~
~ ~ ~ ffll&L
U
\'V~ '\,'fQ:
J-~yann~s I\ir Serv'ice, inc. d/b/a
Cape Air & d/b/a Nantucket Airlines
660 Barnstable Road, North Ramp
Barnstable Municipal Airport
Hyannis MA 02601
WORKERS COMPENSATION POLICY No. SBH 038 169-01
of the American Manufacturers Mutual Insurance Company
POLICY PERIOD: December 13, 1997 to December 13, 1998
WORKERS COMPENSATION INSURANCE - PART ONE
applies to the Workers Compensation Law of: MASSACHUSETTS / FLORIDA
EMPLOYERS LIABILITY INSURANCE - PART TWO
applies to lwork in each state listed: MASSACHUSETTS / FLORIDA
OTHER STATES INSURANCE - PART THREE applies to the states, if any, listed here:
All states except MAINE, NORTH DAKOTA, NEVADA, OHIO, RHODE ISLAND,
V'v/~SHil~C;TOi~, VVEST V'IRGINiA AND WYOMING and MASSACHUSETTS /
FLORIDA
LIMITS - Ernployers Liability Insurance Part Two:
Bodily Injury Accident
Bodily Injury by Disease
Bodily Injury by Disease
$1,000,000 each accident
$1,000,000 each employee
$1,000,000 policy limit
I 1 1"1 -
~. 7(.) }L...."'.~~.
f L - ,,--
" N~_
,~ ;
This Certificate does not amend, extend or otherwise alter the terms and conditions of the policies referred to herein.
AERO I NSURANC=E, INC.
BY: G1cu ,(]. cljru~
DATE: January 14, 1998
Nashua Municipal Ailrport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATION NSURANCE
**** CERTIFICATE OF INSURANCE ****
Th is is to certify t~):
Monroe County BOCC
c/o Monroe County Risk Management
51 00 College Road
Key West, FL 33040
that the following policies have been issued to:
Hyannis Air Service, Inc. d/b/a
Cape Air & d/b/a Nantucket Airlines
660 Barnstable Road, North Ramp
Barnstable Municipal Airport
Hyannis MA 02601
WORKERS COMPENSATION POLICY No. SBH 038 169-01
of the American Manufacturers Mutual Insurance Company
POLICY PERIOD: December 13, 1997 to December 13, 1998
WORKERS COMPENSATION INSURANCE - PART ONE
applies to the Workers Compensation Law of: MASSACHUSETTS / FLORIDA
EMPLOYERS LIABILITY INSURANCE - PART TWO
applies to 'work in each state listed: MASSACHUSETTS / FLORIDA
OTHER STATES INSURANCE - PART THREE applies to the states, if any, listed here:
All states except MAINE, NORTH DAKOTA, NEVADA, OHIO, RHODE ISLAND,
WASHINGTON, WEST VIRGINIA AND WYOMING and MASSACHUSETTS /
FLORIDA
LIMITS - Ernployers Liability Insurance Part Two:
Bodily Injury Accident
Bodily Injury by Disease
Bodily Injury by Disease
$1,000,000 each accident
$1,000,000 each employee
$1,000,000 policy limit
This Certificate does not amend, extend or otherwise alter the terms and conditions of the policies referred to herein.
AERO INSURANC:E, INC.
BY: G~7C((j ~7 "j;rud..
REVISED
J I cr' l7t;..;
i ,:.r c-
T" ......;
.,' ~I
~' ..H ...~.-
DATE: January 14, 1998
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATIO INSURANCE
**** CERTIFICATE OF INSURANCE ****
Th is is to certify t():
Monroe County BOCC
c/o Monroe County Risk Management
5100 College Road
Key West, FL 33040
that the followi ng pol icies have been issued to:
Hyannis Air Service, Inc. d/b/a
Cape Air & d/b/a Nantucket Airlines
660 Barnstable Road, North Ramp
Barnstable Municipal Airport
Hyannis MA 02601
WORKERS COMPENSATION POLICY No. SBH 038 169-01
of the American Manufacturers Mutual Insurance Company
POLICY PERIOD: December 13, 1997 to December 13, 1998
WORKERS COMPENSATION INSURANCE - PART ONE
applies to the Workers Compensation Law of: MASSACHUSETTS I FLORIDA
EMPLOYEI~S LIABILITY INSURANCE - PART TWO
applies to 'Nork in each state listed: MASSACHUSETTS I'FLORIDA
OTHER STATES INSURANCE - PART THREE applies to the states, if any, listed here:
All states except MAINE, NORTH DAKOTA, NEVADA, OHIO, RHODE ISLAND,
'v\lAS~1INGTOt~, WEST VIRGINIA A~~D WYOMING and MASSACHUSET-rs /
FLORIDA
LIMITS - Employers Liability Insurance Part Two:
Bodily Injury Accident
Bodily Injury by Disease
Bodily Injury by Disease
$1,000,000 each accident
$1,000,000 each employee
$1,000,000 policy limit
This Certificate does not amend, extend or otherwise alter the terms and conditions of the policies referred to herein.
AERO INSURANC=E, INC.
BY: 01 cur:} . :jhu~
DATE: January 14, 1998
Nashua Municipal Ailrport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
A v I A T ION INS U RAN C E.;, 'tin\TR'ri. r'7r~'.r;p,t. 'r
uL~~hMl
LAft._....__.qJi 7~-=
CERTIFICATE OF INSURANCE \", ~~:.'ffi.':{;'T')_-
/ .' ,-U't11
\ v' (( , &,v.efh m tf;U<.
Date of Issue: September 14, 1998
CERTIFICATE NUMBER:
91398-12A
THIS IS TO CERTIFY:
Monroe County BOCC
C/O ,\I1onroe County Risk Management
5100 College Road
Key West FL 33040
that insurers, EACH FOR HIS OWN PART AND NOT ONE FOR THE OTHER, are providing the
following insurance
NAMED INSURE[):
Hyannis Air Service, Inc.
d/b/a Cape Ai r & d/b/a Nantucket Ai rl i nes
660 Barnstable Road, North Ramp
Barnstable Municipal Airport
Hyannis, MA 02601
PERIOD OF INSURANCE:
September 13, 1998 to September 13, 1999 on both dates at
12:01 A.M. Local Standard Time at the Address of the Named Insured
GEOGRAPHICAL LIMITS:
Worldwide (however, in respect of Extended Aircraft Liabilities
AV,52C, the policy territory is worldwide excluding Iraq and any
other countries subject to United Nations sanctions.)
AIRCRAFT INSURED:
All aircraft owned and lor operated by the Named Insured
INSURERS &
POLICY NUMBERS:
See Attached Schedule
41,
DATE_.. -
fNITIAL
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATION INSURANCE
CERTIFICATE NUIMBER: 91398-12A
DESCRIPTION OF COVERAGE: As respects Comprehensive Airline Liability Insurance ( including,
but not limited to: Comprehensive General Liability, Personal Injury
Liability, Contractual Liability, Premises, Products (excluding
Manufacturer's Products Liability), and Completed Operations
Liabilities, and Hangarkeepers Liability and the AAU equivalent
of A V.52C (War Risks Liability Clause).
LIMIT OF LIABILrry: Combined Single Limit Bodily Injury (including Passengers) and
Property Liability $25,000,000 each occurrence / aircraft.
As respects Products Liabi I ity or Completed Operations, the above
Ii m it shall apply to anyone occu rrence and in the aggregate.
Personal Injury is limited to $2,000,000 each offense and in the
aggregate.
SPECIAL PROVISION(S)
APPLICABLE TO ;\DDRESSEE
This Certificate does not amend, extend or otherwise alter the terms,
conditions, limitations or exclusions of the policies referred to herein,
except as stated above. Each of the above Insurers, individually for
its policy only, has authorized the undersigned to issue this certificate
onbeha!f as a matter of conv'enience. The undersigned is not an
insurer and has no liability of any sort under the above policies nor as
result of this certification.
Aero Insurance, Inc. Nashua, New Hampshire
~~ vI. j)~
Authorized Representative 9/14/98
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATION INSURANCE
CERTIFICATE NUMBER:
91398-12A
SPECIAL PROVISION(S) APPLICABLE TO ADDRESSEE
Solely as respects Comprehensive Airline Liability Insurance, subject to policy terms, conditions,
limitations, deductibles and exclusions the follo\\'ing provisions apply:
It is agreed that:
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.
The undersigned has been authorized by the above insurers to issue this certificate on their behalf. The
undersigned is not an insurer and has no liability of any sort under the above policies nor as a result of
this certification. This certificate does not alter, extend or amend any policy terms, conditions,
limitations, deductibles, warranties or exclusions.
Aero Insurance, Inc. Nashua, New Hampshire
~~n.j)~
Authorized Representative 9/14/98
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
AVIATION INSURANCE
Hyannis Air Service, Inc.
d/b/a Cape Ai r & d/b/a Nantucket Ai rl i nes
Hyannis, MA 02601
Schedule of Insurer Participants
Aviation Hull and Liability Insurance
INSURER
POLICY NO.
PARTICIPATION
One or More Member Companies of
Associated Aviatic)n Underwriters
500 Hills Drive Su ite 105
Bedminster NJ 07921
SP 605115
40.000/0
National Union Fire Insurance Company
of Pittsburgh, PA through AIG Aviation, Inc.
104 Carnegie Center, Suite 214
Princeton NJ 08540
A V 338-6838-02
60.000/0
SEVERAL LIABILITY NOTICE
The subscribing insurers' notice 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 obi igations.
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883-0033 1-800-356-7075 FAX (603) 883-1299
Aero Insurance, Inc.
A VIATION INSURANCE te A. {�
0Y J1
PATE _A-10 --
" YFS
CERTIFICATE OF INSURANCE Oit,ajd2
• ,I 010.Q.
Date of Issue: September 9, 1999
CERTIFICATE NUMBER: 91399 -12B
THIS IS TO CERTIFY: Monroe County BOCC
CIO Monroe County Risk Management
5100 College Road
Key West FL 33040
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
660 Barnstable Road, North Ramp
Barnstable Municipal Airport
Hyannis, MA 02601
PERIOD OF INSURANCE: September 13, 1999 to September 13, 2000 on both dates at
12:01A.M. Local Standard Time at the Address of the Named Insured
GEOGRAPHICAL LIMITS: Worldwide (however, in respect of Extended Aircraft Liabilities
AV.52C, the policy territory is worldwide excluding Iraq and any
other countries subject to United Nations sanctions.)
AIRCRAFT INSURED: All aircraft owned and /or operated by the Named Insured
INSURERS &
POLICY NUMBERS: See Attached Schedule '
DATE "` r r
INITIAL
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883 -0033 1- 800 - 356 -7075 FAX (603) 883 -1299
Aero Insurance, Inc. c
A V I A T I O N I N S U R A N C E
CERTIFICATE NUMBER: 91399 -12B
DESCRIPTION OF COVERAGE: As respects Comprehensive Airline Liability Insurance ( including,
but not limited to: Comprehensive General Liability, Personal Injury
Liability, Contractual Liability, Premises, Products (excluding
Manufacturer's Products Liability), and Completed Operations
Liabilities, and Hangarkeepers Liability and the AAU equivalent
of AV.52C (War Risks Liability Clause).
LIMIT OF LIABILITY: Combined Single Limit Bodily Injury (including Passengers) and
Property Liability $25,000,000 each occurrence / aircraft.
As respects Products Liability or Completed Operations, the above
limit shall apply to any one occurrence and in the aggregate.
Personal Injury is limited to $2,000,000 each offense and in the
aggregate.
SPECIAL PROVISION(S) This Certificate does not amend, extend or otherwise alter the terms,
APPLICABLE TO ADDRESSEE conditions, limitations or exclusions of the policies referred to herein,
except as stated above. Each of the above Insurers, individually for
its policy only, has authorized the undersigned to issue this certificate
on behalf as a matter of convenience. The undersigned is not an
insurer and has no liability of any sort under the above policies nor as
result of this certification.
Aero Insurance, Inc. Nashua, New Hampshire
e - e -) 41“. 0. 1/4S)
Authorized Representative September 9, 1999
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883 -0033 1- 800 - 356 -7075 FAX (603) 883 -1299
Aero Insurance, Inc.
A V I A T I S U R A N C E
CERTIFICATE NUMBER: 91399 -12B
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:
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.
The undersigned has been authorized by the above insurers to issue this certificate on their behalf. The
undersigned is not an insurer and has no liability of any sort under the above policies nor as a result of
this certification. This certificate does not alter, extend or amend any policy terms, conditions,
limitations, deductibles, warranties or exclusions.
Aero Insurance, Inc. Nashua, New Hampshire
b
Authorized Representative September 9, 1999
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883 -0033 1- 800 - 356 -7075 FAX (603) 883 -1299
Aero Insurance Inc.
A V I A T I O N I N S U R A N C E
Hyannis Air Service, Inc.
d /b /a Cape Air & d /b /a Nantucket Airlines
Hyannis, MA 02601
Schedule of Insurer Participants
AIRLINE INSURANCE
INSURER POLICY NO. PARTICIPATION
One or More Member Companies of 50 REG 6445 40.00%
Associated Aviation Underwriters
51 John F. Kennedy Parkway
Short Hills NJ 07078
National Union Fire Insurance Company AV 338 - 6838 -03 60.00%
of Pittsburgh, PA through AIG Aviation, Inc.
104 Carnegie Center, Suite 214
Princeton NJ 08540
SEVERAL LIABILITY NOTICE
The subscribing insurers' notice 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.
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883 -0033 1- 800 - 356 -7075 FAX (603) 883 -1299
Aero Insurance Inc.
AVIATION INSURANCE
* * ** CERTIFICATE OF INSURANCE * * **
This is to certify to: Monroe County BOCC
C/O Monroe County Risk Managemerlt . R I. """
5100 College Road
Key West FL 33040 ,.Y - -�–
DATE —1":
that the following policies have been issued to: / YESS _--- --
Hyannis Air Service, Inc. d /b /a /86'E: ' - (GAL
Cape Air & d/ b/a Nantucket Airlines
660 Barnstable Road, North Ramp U ` d�-
Barnstable Municipal Airport a
Hyannis MA 02601 Q MaRQ
WORKERS COMPENSATION POLICY No. 5BH 038 169 -02 of the American Manufacturers Mutual
Insurance Company by Associated Aviation Underwriters Bedminster 500 Hills Drive, Suite 105
Bedminster NJ 07921
POLICY PERIOD: December 13, 1998 to December 13, 1999
WORKERS COMPENSATION INSURANCE - PART ONE
applies to the Workers Compensation Law of: MASSACHUSETTS / FLORIDA
EMPLOYERS LIABILITY INSURANCE - PART TWO
applies to work in each state listed: MASSACHUSETTS / FLORIDA
OTHER STATES INSURANCE - PART THREE applies to the states, if any, listed here:
All states except MAINE, NORTH DAKOTA, NEVADA, OHIO, RHODE ISLAND,
WASHINGTON, WEST VIRGINIA AND WYOMING and MASSACHUSETTS /
FLORIDA
LIMITS - Employers Liability Insurance Part Two:
Bodily Injury Accident $1,000,000 each accident
Bodily Injury by Disease $1,000,000 each employee
Bodily Injury by Disease $1,000,000 policy limit
This Certificate does not amend, extend or otherwise alter the terms and conditions of the policies referred to herein.
AERO INSURANCE, INC.
BY: aCt /7 DA / DATE: January 11, 1999
'TIAL -'�
Nashua Municipal Airport, 99 Pine Hill Road, Nashua, NH 03063 (603) 883 -0033 1- 800 - 356 -7075 FAX (603) 883 -1299