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Certificates of Insurance
CERTIFICATE OF INSURANCE FLORIDA Name: Marathon Aviation Associates, LLC Address: See Schedule Below Policy Number: 007511949 Endorsement: Not Applicable Period of Coverage: From 11/17/15 To 11/17/16 Name Of Insurer: Commerce and Industry Insurance Company Address Of Insurer: 175 Water Street New York, NY 10038 Name Of Insured: Marathon Aviation Associates, LLC Address Of Insured: 8800 Overseas Hwy Marathon, FL 33050 CERTIFICATION: 1. COMMERCE & INDUSTRY INSURANCE COMPANY, the Insurer, as identified above, hereby certifies that it has issued liability insurance covering the following underground and /or aboveground storage tank(s): See "Item 5. Covered Storage Tank System(s)" on policy referenced above, for taking corrective action and compensating third parties for bodily injury and property damage caused by accidental releases, in accordance with and subject to the limits of liability, exclusions, conditions and other terms of the policy arising from operating the underground and /or aboveground storage tank(s) identified above. The limits of liability are $ 1,000,000 each occurrence and $ 2,000,000 annual aggregate exclusive of legal defense costs which are subject to a separate limit under the policy. This coverage is provided under 007511949. The effective date of said policy is 11/17/15. 2. The Insurer further certifies the following with respect to the insurance described in Paragraph 1: a. Bankruptcy or insolvency of the Insured shall not relieve the Insurer of its obligations under the policy to which this certificate applies. b. The Insurer is liable for the payment of amounts within any deductible applicable to the policy to the provider of corrective action or a damaged third - party, with a right of reimbursement by the insured for any such payment made by the Insurer. This provision does not apply with respect to that amount of any deductible for which coverage is demonstrated under another mechanism or combination of mechanisms as specified in 40 CFR 280.95- 280.102. Y P "V ' ;' R i'• NAGEMENT'a 01 WAIV N/A ES_. C ( , f C 103111(10/09) 1 c. Whenever requested by a Director of an implementing agency, the Insurer agrees to furnish to the Director a signed duplicate original of the policy and all endorsements. d. Cancellation or any other termination of the insurance by the Insurer, except for non - payment of premium or misrepresentation by the Insured, will be effective only upon written notice and only after the expiration of sixty(60) days after a copy of such written notice is received by the Insured. Cancellation for non- payment of premium or misrepresentation by the Insured will be effective only upon written notice and only after expiration of a minimum of ten(10) days after a copy of such written notice is received by the Insured. e. The insurance covers claims otherwise covered by the policy that are reported to the Insurer within six months of the effective date of cancellation or non - renewal of the policy except where the new or renewed policy has the same retroactive date or a retroactive date earlier than that of the prior policy, and which arise out of any covered occurrence that commenced after the policy retroactive date, if applicable, and prior to such policy renewal or termination date. Claims reported during such extended reporting period are subject to the terms, conditions, limits, including limits of liability and exclusions of the policy. I hereby certify that the wording of this instrument is identical to the wording in 40 CFR 280.97(b) (2) and that the Insurer is licensed to transact the business of insurance in one or more states. Signature of Authorized Representative of Insurer Sean M. Pattwell The Director Authorized Representative of Commerce & Industry Insurance Company Policy Managers 103111(10/09) 2 ENDORSEMENT This endorsement, effective 12:01 AM, 11/17/15 Forms a part of Policy No: 007511949 Issued to: Marathon Aviation Associates, LLC By: Commerce and Industry Insurance Company AIG ENVIRONMENTAL STORRAGE TANK THIRD -PARTY LIABILITY AND CLEAN -UP COSTS POLICY SITE SCHEDULE Site# Facility Name /Address, City, State, Zip 1 Marathon Aviation Associates, LLC DBA Marathon Jet Center 8800 Overseas Hwy Marathon, FL 33050 2 Marathon Aviation Associates, LLC DBA Marathon General Aviation 9850 Overseas Hwy Marathon, FL 33050 All other terms, conditions, and exclusions shall remain the same. --0 - k 5 L' fil / &4;22 AUTHORIZED REPRESENTATIVE or countersignature(in states where applicable) 81029(02/13) CI5261 ENDORSEMENT This endorsement, effective 12:01 AM, 11/17/15 Forms a part of Policy No: 007511949 Issued to: Marathon Aviation Associates, LLC By: Commerce and Industry Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SCHEDULE OF COVERED STORAGE TANK SYSTEMS It is agreed that any previous Schedule of Coverage Storage Tank Systems is deleted in its entirety and replaced with the following: The following Storage Tank System(s) are included in Item 5. COVERED STORAGE TANK SYSTEM(S) of the Declarations, subject to all of the terms and conditions of the Policy and the Policy Period and Retroactive date indicated below. If no dates are indicated below for Policy Period for a subject Storage Tank System, the dates indicated in Item 2. Policy Period of the Declarations shall apply. If no date is indicated below for Retro Date for a subject Storage Tank System, the date indicated in Item 6. Retroactive Date of the Declarations shall apply. If a Policy Period is indicated below for a subject Storage Tank System, Item. 2 Policy Period of the Declarations is deleted in its entirety and replaced with the Policy Period, below, for such Storage Tank System. If a date is indicated below for Retro Date for a subject Storage Tank System, the date indicated in Item 6. Retroactive Date of the Declarations is deleted in its entirety and replaced with Retro Date, below, for such Storage Tank System. Site* Tank AST/ Install Capacity Tank Effective Expiration Retro # # UST Date (Gal.) Const. Date Date Date 1 1 AST 1999 10,000 11/17/15 11/17/16 11/17/99 1 2 AST 2002 12,000 11/17/15 11/17/16 1/01/02 2 1 AST 1981 12,000 11/17/15 11/17/16 9/17/09 2 2 AST 1981 12,000 11/17/15 11/17/16 9/17/09 2 3 AST 1981 7,500 11/17/15 11/17/16 9/17/09 *Site #, name and address are located within the Site Schedule attached to the Policy. All other terms, conditions, and exclusions shall remain the same. / AUTHORIZED REPRESENTATIVE or countersignature(in states where applicable) 81017(10/02) Cl2253 ENDORSEMENT This endorsement, effective 12:01 AM, 11/17/15 Forms a part of Policy No.: 007511949 Issued to: Marathon Aviation Associates, LLC By: Commerce and Industry Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSUREDS In consideration of the premium charged, it is hereby agreed that the following entity(s) is (are) included as additional Insured(s), for Coverage A and B, whichever is applicable, but solely as respects liabi- lity arising out of the Named Insured's ownership, operation, maintenance or use of the Storage Tank Systems designated in item 5 of the Declara- tions. Monroe County Board Of County Comm 1100 Simonton St Key West, FL 33040 Marathon Aviation Associates LLC 8800 Overseas Hwy Marathon, FL 33050 All other terms, conditions, and exclusions shall remain the same. 1 AUTHORIZED REPRESENTATIVE or countersignature(in states where applicable) 81002(10/02) CI1887 AcORD CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION TORELL AVIATION INSURANCE AGENCY, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 18604 KITTY HAWK COURT HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PORT SAINT LUCIE, FL 34987 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: PRAETORIAN INSURANCE COMPANY MARATHON AVIATION ASSOCIATES, LLC DBA MARATHON INSURERS: JET CENTER; MARATHON GENERAL AVIATION; COAST FBO, LLC.; GRANTAIR SERVICE, INC.; INSURER C. 9850 OVERSEAS HWY INSURER Cr. MARATHON, FL 33050 INSURER E: • COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD'L POUCYNUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD TYPE OF INSURANCE DATE(MMIDD/YY) DATE(MMIDD /YY) GENERAL UABIUTY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ACV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ n POLICY n ECT n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per acadent) PROPERTY DAMAGE (Per acddent) t f GARAGE LIABILITY AUTO ONLY - ACCIDENT 1 1 0 , 01 ANY AUTO OTHER THAN "J AACC $o d AUTO ONLY: m AGG d EXCESS /UMBRELLA LIABILITY EACHOCCURRENRS� $N 70 • OCCUR CLAIMS MADE AGGREGATE - $ ,, ^P• $ r n DEDUCTIBLE / .' $ . J RETENTION $ - 7H $ A WORKERS COMPENSATION AND AWCO500248 04/10/16 04/10/17 X li V IMITS ' OER CA, EMPLOYERS' LIABILITY E.L EACH ACCIDENT $1,000,000 ANY PROPRIETOR /PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS APP •• r = • GEMEM WAIVE • "A — G C: , f CERTIFICATE HOLDER CANCELLATION ` Monroe County Board of County Commissioners, its employees and SHOULD ANY OF THE ABOVE DESCRIBED POUCI ES BE CANCELLED BEFORE THE EXPIRAT1ON officers DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St 7 REPRESENTATIVES. FL Key West, 1 " 33040 AUTHORIZED REPRESENTATIVE . ACORD 25 (2001/08) o • CORD CORPORATION 1988 AcoRL" CERTIFICATE OF PROPERTY INSURANCE 04/13/2 D """) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER CONTACT NAME National Hangar Insurance Program PHONE FAX (A /C, No, Ext): (A /C, No): 1300 S. Main Street E -MAIL ADDRESS: PRODUCER Tulsa, OK 74119 CUSTOMER ID: .. - INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Travelers Indemnity Company (IND) Marathon Aviation Associates, LLC dba Marathon INSURERB: — Jet Center, INSURER 8800 Overseas Highway INSURERD: Marathon, FL 33050 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) (1/1) MARATHON AIRPORT, 8800 OVERSEAS HIGHWAY, MARATHON, FL 33050 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MM/DDTYYYY) DATE (MM /DD/YYYY) COVERED PROPERTY LIMITS X '. PROPERTY X BUILDING $ 405,000 CAUSES OF LOSS DEDUCTIBLES 9322A001 04/10/2016 04/10/2017 PERSONAL PROPERTY $ BASIC BUILDING BUSINESS INCOME $ BROAD CONTENTS EXTRA EXPENSE X SPECIAL RENTAL VALUE $ EARTHQUAKE BLANKET BUILDING $ WIND BLANKE"JPERS PROEM -T+ FLOOD BLANKVIIBLDG & PP F rn C7 INLAND MARINE TYPE OF POLICY CAUSES OF LOSS C_ ( ^ $ v NAMED PERILS POLICY NUMBER 4 3 g• CRIME TYPE OF POLICY BOILER & MACHINERY / — EQUIPMENT BREAKDOWN _ $ $ SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Loss Payable Provision, DX T3 79 11 12 • App tAr� �t AG,MENT BY ■- /!JI%. j Os c • Certificate Holder is added as LP as evidence by the form listed above. WAIVER N /A� • r : ( A ' V- CERTIFICATE HOLDER CANCELLATION I r i 1 Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 5100 College Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Loss Payee: //al #tur( © 1995 -2009 ACORD CORPORATION. All rights reserved. ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD ACORDs provided by Forms Boss. www.FormsBoss.com; (c) Impressive Publishing 800- 208 -1977 GRANSER -01 TDALVERS A 1/4.- OREP CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDYYYY) 3/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: National Hangar Insurance Program ONE 99 FAX Tulsa, OK 74119 (A PH /C, No, Ext): ( 800 ) 9 -6447 (A/C, No): (866) 891 -3881 E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Travelers Indemnity Company 25658 INSURED Marathon Aviation Associates, LLC, dba Marathon Jet Center, INSURER B dba Marathon General Aviation, Coast FBO INSURER C : Grantair Service, Inc. INSURER D : 8800 Overseas Highway Marathon, FL 33050 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR' LTR TYPE OF INSURANCE INSD MD POLICY NUMBER (MM/ I D/YYYY) (MM /DD //YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR •' !' • - • PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: - - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 (Ea accident) A X ANY AUTO X BA9278A68515HPR 04/10/2016 04/10/2017 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED f AUTOS AUTOS BODILY INJURY (Per accident;. HIRED AUTOS NON -OWNED PROPERTY AGE ..$ rn AUT (Per accident) G:7 hi, . ~ C 3 `� �- UMBRELLA LIAR EXCESS LIAB — OCCUR EACH OCCURIA g0 –n CLAIMS -MADE AGGREGATE ■ bV 'a DED RETENTION$ c":,- ........-- WORKERS COMPENSATION $-...0 PER -,,}' �UTH- AND EMPLOYERS' LIABILITY Y / N STATUTE - _„+ FAR n ANY PROPRIETOR /PARTNER/EXECUTIVE E.L. EACH ACCIDV4T+ $ 0 r'. OFFICER/MEMBER EXCLUDED? N / A NH) (Mandatory and E.L. DISEASE - EA F $ - „� If yes, , describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLJOY LIMIT $ ( DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder and /or Entities listed below are Additional Insured as required by written contract in accordance with Commercial Auto Additional Insured Endorsement CA T3 01 02 99. ' i ■ ' I 1 AGEMENT N/A E — C C :((� A1 9 rtI -m.A;f l CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of Commissioners its Employees & THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Officers ACCORDANCE WITH THE POLICY PROVISIONS. 5100 College Road Key West, FL 33040 AUTHORIZED REPRESENTATIVE ED © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD