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COI Expires 03/16/2018ACORO® CERTIFICATE OF AIRCRAFT INSURANCE DATE (MWDDNYYY) 03r2,/2017 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 endorseme s . PRODUCER CONTACT NAME: Parish -O'Neill & Assoc. Inc. PHONE FAx P. O. Box 349 ac No c No AC, E-MAIL ADDRESS: Mount Vernon, OH, 43050 PRODUCER CUSTOMERIDNo. INSURED Cabanas Aerobatics, Ina; Fred Cabanas and M&F Fying dba Key West Bi Planes and Island Aero Tours INSURER(S)AFFORDING COVERAGE % NAIC No. INSURERA: U.S. SPECIALTY INSURANCE COMPANY 100% INSURER B : 3 Parrott St. INSURER C : Key I/UBst, FL, 33040 INSURER D : INSURER E : INSURER F 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. rIJL ylmY "Mmm/ILIM /=Fw//Fr=Y/F M1 OI/ W- VFV/V/rlw NI/MRG�• POLICY TYPE LINE OF BUSINESS SUBCODE AD NON -OWNED PLEASURE& COMMERCIAL BUS ® AIRPLANE LIABILITY HELICOPTER HULL & LIABILnY MIXED FLEET HULL ONLY EXCESS QUOTA 1-1 SHARE I ® AIRCRAFT INFORMATION ACORD 333, Aircraft Schedule attached YEAR MAKE MODEL SERIAL NUMBER REGISTRATION NUMBER 1969 CESSNA 182M N68GS TEliRrrORY: AIRCRAFT COVERAGES INSURER LETTER POUCY NUMBER SA001 57001 -10 EFFECTIVE DATE 03/16/2017 EXPIRATION DATE 03/16/2018 ADDITIONAL INSURED? (Y/ N) Y SUBROGATION WANED? (Y / N) N COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPUESTO AIRCRAFT HULL ® ALL RISK GROUND AND FLIGHT ALL RISK GROUND ONLY 55,000 AGREED VALUE E $ 250 2,500 Ded. - Not in motion Ded. - In motion ❑ AIRCRAFT LIABILITY ® LIABILITY 1,000,000 100,000 EAOCC EA PASS $ EA PER AGGR MEDICAL PAYMENTS ® INCLUDING CREW EXCLUDING CREW 5,000 - EA PER 20,000 EA OCC ❑ COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIESTO CODE DESCRIPTION OF OPERATIONS / REMARKS (Atta er is included as an Additional Insured. 101. Additional Remarks Schedule. if a,v I CERTIFICATE HOLDER [HOULD NCELLATION WAIVER N/ -YES Monroe County Board of Commissioners ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE E1100 Simonton Street PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE Key West, FL 33040 H THE POLICY PROVISIONS. ACORD 21(2009/12) © 2009 ACORD CORPORATION. The ACORD name and logo are registered marks of ACORD ACURd® CERTIFICATE OF AVIATION LIABILITY INSURANCE oATE PMUDYY vl 0311511017 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 temps and conditions of the policy, certain policies may require an endomement A statement on this certificate does not confer rights to the certificate holder In lieu of such endomeme s . PRODUCER Parrish -O'Neill & Assoc. Inc. CONTACT NAME: PHONE FAx P. O. Box 349 No A/C NO): E-MAIL ADDRESS: Mount Vernon, OH 43050 RODUCER CUSTOMERIDNo. INSURED Cabanas Aerobatics, Inc.; Fred Cabanas and M & F Flying DBA Island Aero Tours INSURER(S) AFFORDING COVERAGE % NAIC No. INSURER A: U.S. SPECIALTY INSURANCE COMPANY 100% 3 Parrott Street INSURER B : Key West, FL 33040 INSURER C : INSURER D : INSURER E INSURER F 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. A m-%A%i Ot rGV umov I I T L uvcKAbGa Gr_K I IF`0.:A 1 In MUNW FK' RFVI_CIUMU NI IMRFR• INSURER LETTER POLICY NUMBER UA00177150-04 EFFECTIVE DATE 03/16/2017 EXPIRATION DATE 03/16/2018 ADDITIONAL INSURED? (Y / N) Y SUBROGATION WAIVED? (Y / N) N COVERAGE OPTIONS LIMIT APPLIESTO LIMIT APPLIES TO PREMISIS UABILTTY $ 100,000 $ 1,000,000 BI EA PER EA OCC $ $ 2,000,000 PD AGGR PREMISES MEDICAL PAYMENT $ 1,000 EA PER $ 5,000 EA OCC PRODUCTS LIABILITY EXTENDED $ $ 81 EA PER EA OCC $ AGGR COMPLETED OPERATIONS LIABILITY Ll EXTENDED $ $ BI EA PER EA OCC $ AGGR H GAL LIABILITY LEGAL LIABILITY INCLUDING TAXI IN FLIGHT $ 100,000 EA AIRCRAFT $ 100,000 EA OCC $ $ EA OCC $ AGGR $ EA OCC $ AGGR INCLUDED EXCLUDED COVERAGE OPTIONS LIMIT APPLIESTO LIMIT APPLIES TO CODE DESCRIPTION $ $ )ESCRIPTION OF OPERATIONS / REMARKS Attach ACORD 101, Additional Remarks Schedule, if more spacAis u KEY WEST INTL, KEY WEST, FL AIPRO K A ENT Certificate Holder is included as an Additional Insured. 3'r CERTIFICATE HOLDER ANCELLATION V r, OER N/A YES.. Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLIO ES BE CANCELLED ORE THE 1100 Simonton Street EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 2009 ACORD CORPORATION. All rights reserved. ACORD 20 (2009/12) The ACORD name and logo are registered marks of ACORD