Item G23
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
MEETING DATE: 11/20/02
DIVISION: COUNTY ADMINISTRATOR
BULK ITEM: YES
DEPARTMENT: AIRPORTS
AGENDA ITEM WORDING: Approval of Young Eagles Rally, at the Key West International Airport, November 30, 2002.
ITEM BACKGROUND: The event will take place at Island City Flying Service, from 9 am to 4 p.m. The Experimental
Aircraft Association, Inc. sponsors this event, and has provided proof of insurance.
PREVIOUS RELEVANT BOCC ACTION. None on this item
CONTRACVAGREEMENTCHANGES: N/A
STAFF RECOMMENDATION: Approval
TOTAL COST: None
BUDGETED: N/A
COST TO AIRPORT: None
COST TO PFC: None
COST TO COUNTY: None
REVENUE PRODUCING: No
AMOUNT PER MONTHIYEAR:
APPROVED BY: County Attorney N/A
OMB/Purchasing N/A
Risk Management X
KEY WEST AIRPORT DIRECTOR APPROVAL
~II
} pete~on
DOCUMENTATION: Included X
To Follow
Not Required
AGENDA ITEM #
~~-?
DISPOSITION:
/bev
APB
OUNG
AGLE
9-4 PM
~FREE FLIGHTS
FOR KIDS
KEY WEST AIRPORT
ISLAND CITY FHO
SATURDAY NOV 30
SPONSORED BY: EAA CHAPTER 1241
W'~l,V.lDidkeyseaal2il.coD1
INFO: CONTACI' ED @II 743-0835
MARK (ji) 923-0745
This is to certify to:
CERTIFICATE OF INSURANCE MARS H
An MMC Company
Monroe County & Mayor Charles Sonny McCoy & County
Supervisors, additional insured
Whose address is:
that the policies of insurance listed below have been issued to:
EAA CHAPTER #1241 c/o Edward Waldorf, 661 28th Street Ocean, Marathon, FL 33050
AS A CHAPTER IN GOOD STANDING OF THE EXPERIMENTAL AIRCRAFT ASSOCIATION, INC., AND
EAA A VIA TION FOUNDATION, INC., ET AL
And that the Insurers, each for his own part and not one for the other have issued the policies described below to the
Named Insured for the terms of April 2, 2002 to December 31,2002.
COVERAGE SECTION
Event Liability
Solely for the following date(s)
$1,000,000 anyone occurrence Bodily Injury and Property Damage
Combined Single Limit, including $1,000,000 Personal Injury Liability
anyone occurrence and in the aggregate; $1,000,000 Products and
Completed Operations any occurrence and in the aggregate and $5,000
each person Medical Payments Coverage
12:01 AM, 11130/02 to 12:01 AM, 12/2/02
QUOTA SHARE INSURERS
Associated Aviation Underwriters
SP-157695
POLICY NUMBERS
AP
8Y I
OATS
WAIVER
Underwriters at Lloyd's, London and Various other
companies
AW 8571-01
Old Republic Ins. Co. through Phoenix Aviation
Managers
AP 842201
N/A -.:::::: YES
XL Specialty Ins. Co. through Brockbank Ins.
Services, Inc.
PXLM37700030-0 1
Remarks: As respects the policies of insurance shown above, the Insurers agree that certificate holder shall be
included as an additional insured, for its respective rights and interests arising out of the activities of the
Named Insured with respect to the event solely on the dates shown above under the Coverage Section of
this certificate.
This certificate of insurance is issued subject to the terms and conditions of the policies of insurance noted above and
neither affirmatively or negatively amends, alters or extends the coverage afforded.
The Insurers have granted to Marsh USA Inc. authority to issue such Certificates of Insurance, but, Marsh USA Inc. is
not responsible for errors or omissions contained herein.
This Certificate of Insurance supersedes all previously issued Certificates of Insurance.
DATED:
August I, 2002
BY:
'Elaine 1<' 9ason
Marsh USA Inc.
500 West Monroe
Chicago, IL 60661
Certificate of Insurance-Additional Insured