Loading...
COI Expires 04/10/2018A`COR" CERTIFICATE OF LIABILITY INSURANCE IDD/YYYY) F��5'179/20117 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 have ADDITIONAL INSURED provisions or 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 AirSure Limited 25548 Genesee Trail Road Golden, CO 80401 CONTACT NAME: AIrSUre Limped PHONE FAx AIC, Ext : 303-526-5300 A/C No): 303-526-5303 Lo ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: QBE Insurance Corporation 39217 INSURED Marathon Aviation Associates, LLC dba Marathon Jet Center; Marathon General Aviation; Coast FBO, LLC; INSURER B INSURERC: INSURERD: & GrantAir Service, Inc. 9850 Overseas Hwy Marathon, FL 33050 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 35739882 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 LTR TYPE OF INSURANCE ADDL N SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YVYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1S(RENTED CLAIMS -MADE 11 OCCUR i DAMAGETO PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY ❑PRO JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY L PROPERTY DAMAGE Per accident $ $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDT1 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN AWC0500248 4/10/2017 4/10/2018 �/ STER JOT- ATUTE EERH E.L. EACH ACCIDENT S 1,000,000 OFFICERIMEMBEREXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 i I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Coverage wP u M GEMENT 13 A .— a-rJ� 4 G A WAl ce — CC14 - ri` I .-M. Al CERTIFICATE HOLDER CANCELLATION f Monroe Count Board Of Count Commissioners, y SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE its & its THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN employees officers a Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Tim Wanasek ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 35739882 1 17-18 Work Comp I Courtney Phillipy 1 5/19/2017 3:56:43 PM (MDT) I Page 1 of 1 ACoRo® CERTIFICATE OF LIABILITY INSURANCE /DD/YYYY) P�5171/2017 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 have ADDITIONAL INSURED provisions or 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 AirSure Limited 25548 Genesee Trail Road Golden, CO 80401 CONTACT NAME: AlrSure Limited PHONE IFAX A/c No Ext : 303-526-5300 AIc No): 303-526-5303 _ E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Travelers Indemnity Company 25658 INSURED Marathon Aviation Associates, LLC dba Marathon Jet INSURER B Center; Marathon General Aviation; Coast FBO, LLC; INSURERC: INSURER D : & GrantAir Service, Inc. 9850 Overseas Hwy Marathon, FL 33050 INSURERE: INSURER F : CnVFRAGFR CFRTIFICATF NIIMRFR• zs7'zaonr RFVIRION NIIMRFR- 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 LTR TYPE OF INSURANCE ADDL SUBR POLICYNUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGES(TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ HE'LAGGREGATELIMITAPPLIESPER: PRO - POLICY JECT LOC PRODUCTS - COMP/OP AGG $ I $ OTHER: A AUTOMOBILE LIABILITY BA9278A68517HPR 4/10/2017 14/10/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident). $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ Is UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIABH CLAIMS-MADE I DIED RETENTION $ $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/M EMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as an additional insured but only as respects operations of the Named Insured. APP V Y AGEMENT Y T .N WAI R A -- C AfIrl. - PAII L,r-m I IrmmIC r1VLUCR Monroe Count Board of Commissioners, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN its employees & officers ACCORDANCE WITH THE POLICY PROVISIONS. 5100 College Road Key West, FL 33040 / AUTHORIZED REPRESENTATIVE Tim Wanasek t� s ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 35739905 1 17-18 Auto I Courtney Phillipy 1 5/19/2017 3:57:22 PM (MDT) I Page 1 of 1 ,4caRvCERTIFICATE OF PROPERTY IN DATE(MM/DO/YYYY} INSURANCE RA N C E 05/18/2017 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. 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 — 1300 S. Main Street -` ��► __-_ __ ----- Lc�o�: _ E-MAIL -ADDRESS: _,_ PRODUCER Tulsa, OK 74119 - -- — -_ _ CUSIDM INSURED Marathon Aviation Associates, LLC dba Marathon Jet Center, 8800 Overseas Highway Marathon, FL 33050 __,_ - __I_NSURER-(S) AFFORDING.COVERAGE NAIC K INSURERA: _ Travelers Indemnity Company (IND) INSURER B : INSURER C : INSURER 0 : INSURER E : INSURER F : vVVCRAIiCS CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES f 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEINDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS REIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- ..- -- __ — NSR TYPE LTR F INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY DATE (MMlD0/YYYY) 'DATE (MM/DDIYYYY) ! LIMITS X PROPERTY CAUSES OF LOSS DEDUCTIBLES 9322AO01 BASIC BUILDING_-- - BROAD ---. — - - CONTENTS X ~SPECIAL EARTHQUAKE ---_-- WIND --_.. -- --_ FLOOD INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS POLICY NUMBER CRIME TYPE OF POLICY BOILER & MACHINERY 1 EQUIPMENT BREAKDOWN 04/10/2017 04/10/2018 BUILDING s X', BUILDING(112) $ 611,920 BUSINESS INCOME $ EXTRA EXPENSE $ RENTAL VALUE $ BLANKET BUILDING $ BLANKET PERS PROP $ BLANKET BLDG & PP $ SPECIAL CONDITIONS t OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: Loss Payable Provision, DX T3 79 11 12 Certificate Holder is added as LP as evidence by the form listed above. WAIVER -N/A _ ���� L ERTIFICATE HOLDER CANCELLATION — / 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. Loss Payee AUTHORIZED REPRESENTATIVE Ilair'�uort 01996-2009 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 FormcRncc rnm tr t Imnraeen,c o„tir h, onn no ,