COI Expires 05/01/2019 \ A VE Y RIS % , ' AGEMENT
STARR BYv ' ,
COMPANIES
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GLOBAL INSURANCE & INVESTMENTS
3353 Peachtree Road NE, Suite 1000 WAIVER Niod YES—
Atlanta, GA 30326
Certificate of Insurance
Certificate Holder: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
9400 OVERSEAS HIGHWAY, SUTIE #200
MARATHON, FL 33050
Named Insured: MARATHON FLYING CLUB
P.O. BOX 501514
MARATHON, FL 33050
Policy Period: From MAY 1, 2018 To MAY 1, 2019
Policy Number: 1000262760 -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 further described. This
certificate of insurance is not an insurance policy and does not amend, extend, or alter the coverage afforded by the polic . (ies) listed herein.
Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance
may condi be co tions oncerned f suc or h ma polic y pye(irtes). ain, the Insurance afforded by the policy(ies) listed on this certificate is subject to all the terms, exclusions,
a
Aviation Commercial General Liability Limits of Insurance
Each Occurrence Limit $ 1,000,000.
Damage to Premises Rented to You Limit $ NOT COVERED Any one premises
Medical Expense Limit $ 3,000. Any one person
Personal & Advertising Injury Aggregate Limit $ 1,000,000.
General Aggregate Limit $ NOT APPLICABLE
Products /Completed Operations Aggregate- Limit $ NOT COVERED
Hangarkeepers Limit
Each Aircraft Limit $ NOT COVERED
Each Loss Limit $ NOT COVERED
Hangarkeeper's Deductible $ NOT APPLICABLE Each Aircraft
THE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED, BUT ONLY WITH RESPECT TO LIABILITY
FOR "BODILY INJURY ", "PROPERTY DAMAGE" OR "PERSONAL AND ADVERTISING INJURY" CAUSED, IN
WHOLE OR IN PART, BY YOUR ACTS OR OMISSIONS OR THE ACTS OR OMISSIONS OF THOSE ACTING ON
YOUR BEHALF:
A. IN THE PERFORMANCE OF YOUR ONGOING OPERATIONS; OR
B. IN CONNECTION WITH YOUR PREMISES OWNED BY OR RENTED TO YOU.
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.
Certificate Number: 1.1
Issued By and Date: MAY 18, 2018 (AA)
By
Starr 100 8 (6/06) (Au orized Representative)
CL
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name of Additional Insured Person(s) or Organization(s):
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
9400 OVERSEAS HIGHWAY, SUTIE #200
MARATHON, FL 33050
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
SECTION II - WHO IS AN INSURED is amended to include as an additional Insured the person(s) or
organization(s) shown in the Schedule, but only with respect to liability for "bodily injury ", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions
of those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or rented to you.
All other provisions of this policy remain the same.
This endorsement becomes effective MAY 18, 2018 to be attached to and hereby made a part of:
Policy No. 1000262760 -01
Issued to MARATHON FLYING CLUB
By STARR INDEMNITY & LIABILITY COMPANY
Endorsement No. 16
Date of Issue MAY 18, 2018 (AA) By
(Authorized Representative)
Starr 10060 (2/06)