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COI Expires 03/16/2019
ogre (MMrDD^/YYY! ACORO® CERTIFICATE OF AVIATION LIABILITY INSURANCE 03/16/2018 L 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 endorsements . CONTACT PRODUCER NAME: PHONE FAX Parrish -O'Neill & Assoc. Inc. P. 0. Box 349INC. ac No): Mount Vernon, OH 43050 E-MAIL ADDRESS: RODUCER CUSTOMERIDNa INSURED Cabanas Aerobatics, Inc.; Fred Cabanas and M & F Flying DBA Island Aero Tours INSURERS) AFFORDING COVERAGE % NAIC No. INSURERA: U.S. SPECIALTY INSURANCE COMPANY 100% INSURERB: 3 Parrott Street Key West, FL 33040 INSURERC: 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 CONTRACTOR 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. AIKF'OK I ?k I'BO LIABILI I Y GOVEKAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURER LETTER POLICY NUMBER UA00177150-05 EFFECTIVE DATE 03/16/2018 EXPIRATION DATE 03/16/2019 ADDITIONAL INSURED? (Y / N) Y SUBROGATION WAIVED? (Y / N) N COVERAGE OPTIONS LIMIT APPUESTO LIMIT APPUESTO PREMISIS LIABILITY$ 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 $ $ BI EA PER EA OCC $ AGGR COMPLETED OPERATIONS LIABILITY EXTENDED $ $ BI EA PER EA OCC $ AGGR HANGERKEEPERS 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 APPLIES TO LIMIT APPLIES TO CODE DESCRIPTION $ $ DESCRIPTION OF OPERATIONS / REMARKS ACORD 101 Additional Remarks Schedule may be attached If more space is required) KEY WEST INTL, KEY WEST, FL Certificate Holder is included as an Additional Insured. CERTIFICATE HOLDER CANCELLATION Monroe County Board of Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. UTHORZED REPRESENTATNE ACORD 20 (201 W03) ©2009, 2015 The ACORD name and logo aT registered marks of ACORD APP =BI AQFME � BY DAT._-.____�_._..- - WAIVER wA _J YEN_ I• e' - � e -I It � 1 PRIVATE HANGAR LIABILITY COVERAGES PRODUCER CUSTOMER ID: INSURER LETTER POLICY NUMBER EFFECTIVE DATE -]- EXPIRATION DATE ADDITIONAL INSURED? (Y I N) SUBROGATION WAIVED? (Y I N) COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO HANGARKEEPERS LEGAL LIABILITY IIN FLIGHT NCLUDING TAXI $ EA AIRCRAFT $ EA OCC COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO CODE DESCRIPTION is $ $ $ AVIATION PRODUCTS LIABILITY COVERAGES INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED? (Y I N) SUBROGATION WAIVED? (Y I N) COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO PRODUCTS LIABILITY INCL COMP OPS EXCL COMP OPS INCL SPACECRAFT EXCL SPACECRAFT $ EA OCC $ AGGR GROUNDING LIABILITY $ EA OCC $ AGGR FOREIGN MILITARY AIRCRAFT PRODUCTS INCLUDED COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO CODE DESCRIPTION $ $ $ 1 $ OTHER COVERAGES LINE OF BUSINESS INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED? (Y I N) SUBROGATION WAIVED? (Y/ N) COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO CODE DESCRIPTION $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ OTHER COVERAGES LINE OF BUSINESS INSURER LETTER 7PI"CYNUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED? (YIN) SUBROGATION WAIVED? (YIN) COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO CODE DESCRIPTION $ $ $ $ $ $ $ $ $ $ $ $ $ Is $ $ ACORD 20 (2016/03) /- STARR COMPANIES GLOBAL INSURANCE& INVESTMENTS 3353 Peachtree Road NE, Suite 1000 Atlanta, GA 30326 Certificate of Insurance Certificate Holder: MONROE COUNTY BOARD OF COMMISSIONERS 1100 SIMONTON STREET KEY WEST. FL 33040 Named Insured: M&F FLYING LLC 3 PARROTT STREET KEY WEST. FLORIDA 33040 Policy Period: From MARCH 16, 2018 To MARCH 16, 2019 Policy Number: 1000261876-01 Issuing Company: STARR INDEMNITY & LIABILITY COMPANY This is to certify that the policy ies) listed herein have been Issued providing coverage for the listed Insured as Curtner descnoea. finis certificate of insurance is not an Insurance policy and does not amend, extend, or alter the coverage afforded by the policy(ies) listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be concerned or may pertain, the Insurance afforded by the po[icy(ies) listed on this certificate is subject to all the terms, exclusions, Aircraft: Reg Year Make and Model No Insured Value 1969 CESSNA 182M SKYLANE N68GB $ 55,000. $ $ $ $ $ Deductibles NIM / IM NIL / NIL Passenger Liability Limit Sublimits $1,000,000. /$100,000. S /$ $ /$ THE CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED UNDER LIABILITY COVERAGES, BUT ONLY AS RESPECTS OPERATIONS OF THE NAMED INSURED. THE CERTIFICATE HOLDER WILL BE PROVIDED WITH THIRTY (30) DAYS [TEN (10) DAYS IF FOR NON-PAYMENT OF PREMIUM] NOTICE OF CANCELLATION OR MATERIAL CHANGE. APR X RIS GEMENIj GGIX.Ci BY 111V JI_ WAJVM Certificate Number: 2.1 Issued By and Date: SU 3/15/2018 Starr 10201 (6/06) By jet (Au orized Representative) ADDITIONAL INSURED ENDORSEMENT This policy is amended as follows: The provisions of this endorsement shall apply with respect to: 1969 CESSNA AIRCRAFT COMPANY 182M SKYLANE - N68GB (Only the clause(s) indicated by an "X" shall apply.) ❑ The scheduled persons or organizations are included as additional insured. ❑ The scheduled persons or organizations are the registered owner of and are included as additional insured. ❑ The scheduled persons or organizations are included as additional insured but only as respects liability coverages. ® The scheduled persons or organizations are included as additional insured under liability coverages, but only as respects operations of the named insured. ❑ The scheduled persons or organizations are included as additional insured but only as respects operations of the named insured. The insurance extended by this endorsement shall not apply to, and no person or organization named in the schedule shall be insured for bodily injury or property damage which arises from the design, manufacture, modification, repair, sale, or servicing of aircraft by that person or organization. Schedule: Name MONROE COUNTY BOARD OF COMMISSIONERS Address 1100 SIMONTON STREET KEY WEST, FL 33040 Name Address Name Address All other provisions of this policy remain the same. This endorsement becomes effective MARCH 16, 2018 to be attached to and hereby made a part of: Policy No. 1000261876-01 Issued to M&F FLYING LLC By STARR INDEMNITY & LIABILITY COMPAN Endorsement No. Date of Issue SU 3/15/2018 By — (Authorized Representative) Starr 10284 (3/06) -4 �® CERTIFICATE OF LIABILITY INSURANCE DATE"DD/YYYY) 03101/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERI"FIC'ATE 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 INSURERS(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 ACr AME Lockton Affinity, LLC P.O. Box 873401 HONE A/C No.EXt): 888-553-9002 AA A/C, No): DDRESS: Kansas City, MO 64187-3401E-MAIL INSURER(S) AFFORDING COVERAGE NAIC NSURER-A: ACE American Insurance Co. 22667 INSURED Habitat for Humanity of Key West and Lower Florida Keys, Inc. PO Box 5873, Key West, FL 33045 NSURER-B: NSURER-C: NSURER-D: NSURER-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. IN ADDL 5 uePOLICY EFF POLICY EXP SR INSR MMIDD/YYYY) MM/DD/YYYY) LT R TYPE OF INSURANCE NVD POLICY NUMBER LIMITS GL1064565-18 04/01/2018 04/01/2019 A GENERAL LIABILITY X EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED OMMERCIAL GENERAL LIABILITY iLAIMS MADE X OCCUR APP B K MA CEMENT PREMISES Ea occurrence $ 1,000,000 MED EXP (Any oneperson) $ 0 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS — COMP/OP AGG $ 2,000,000 X OLICYBY 17 $ r COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED ATE_ WAN —' X LL -.5 _ Ea accident $ W Y BODILY INJURY Per Person $ AUTOS AUTOS NON -OWNED BODILY INJURY Per accident $ PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ MBRELLA LIAR XCESS LIAR OCCUR CLAIMS MADE _ - , 2 EACH OCCURRENCE $ AGGREGATE $ ED I I RETENTION $ ORKERS COMPENSATION C STATU- TH- ND EMPLOYERS' LIABILITY CRY LIMITS R NY PROP RIETOR/PARTNER/EXECUTIVE YIN FFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ MANDATORY IN NH) f yes, describe under E.L. DISEASE — EA EMPLOYEE $ ESCRIPTION OF OPERATIONS below E.L. DISEASE — POLICY LIMIT $ Certificate Holder is named Additional Insured as respects to Landlord. CFRTIFICOTF HOI nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE / Monroe County Board of Commissioners 1100 Simonton St., Key West, FL 33040 Q �• ,n �. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD 1064565