Loading...
COI Expires 07/01/2019 WillisTowersWatson 1.1'1'1.1 Willis of New York, Inc. dlbla Willis Aerospace 200 Liberty Street, 7th Floor CERTIFICATE OF INSURANCE New York, NY 10281 (212) 915 -7652 This is To Certify To: Monroe County P.O. Box 1026 Key West FL 33041 -1026 (Sometimes referred to herein as the Certificate Holder(s)) That the insurers listed, each for their own part, and not one for the other, are providing the following insurance: NAMED INSURED Air Methods Corporation, including: Air Methods International, Ltd. (Ireland), United Rotorcraft Solutions, LLC, Mercy Air Service, Inc., LifeNet., Inc., dba ARCH Air Medical Services Inc., Rocky Mountain Holdings, LLC, Air Methods Transport Company, Native American Air Ambulance, Inc. Native American Air Ambulance, LLC, Advantage, LLC, Air Methods Worldwide, Inc., Enchantment Aviation, Inc., Native Air Services, Inc., Air Methods Telemedicine, LLC, Tri -State Care Flight, LLC, American Securities Partners VII Funds, ASP AMC Investco I, LP, ASP AMC Investco II, LP, Members of Management, ASP AMC Holdings, Inc., ASP AMC Intermediate Holdings, Inc. and/or any associated subsidiary, affiliated, managed, owned or controlled companies or entities therof. ADDRESS 5500 S. Quebec St., Suite 300 Greenwood Village, CO 80111 COVERAGES Aircraft Hull and Liability and Aviation General Liability Insurance A".VE.: RIS TERRITORY Worldwide 11 r G F NT - riv', / , POLICY PERIOD July 1, 2018 to July 1, 2019 on both dates at 12:01 AM LST UAT WAIVER W Y8 EQUIPMENT Any and all aircraft operated by the Named Insured unless specifically listed on the 16 C v , Fleet and /or Equipment Schedule below U� INSURERS Allianz Global Risks US Insurance Company and other US and Lloyds Companies — 100% LIMITS OF LIABILITY Aircraft Liability and Aviation General Liability Combined Single Limit for Bodily Injury, USD $50,000,000 per occurrence. Personal Injury is sub limited to Personal Injury and /or Property Damage: USD $25,000,000 any offense and in the aggregate. including AVN52 (War Liability), USD $50,000,000 per occurrence and in the aggregate, except with the sublimit is: respect to passengers which the full policy limit to apply (this limit is included within the policy limit and not in addition to). Additional Coverages: NA Certificate No. 2018 -1024 CC : E Q ier V WillisTowersWatson 1.1'1'1.1 SPECIAL PROVISIONS Subject always to the scope of the policies noted above and all the policies' declarations, insuring agreements, definitions, terms, conditions, limitations, exclusions, deductibles, warranties and endorsements thereof remaining paramount: Solely as respects: (i) The Coverage(s) noted above; (ii) the Contract(s) (and then only to the extent of the Named Insured's obligation to provide insurance under the terms of the Contract(s)); and (iii) the operations of the Named Insured; the following provision(s) apply(ies): The use of the terms "Additional Insured" / "Additional Insureds ", when used in the context of coverages other than Liability Coverage(s), are solely for the purpose of identifying parties and does not, by virtue of the use of these terms, convey any benefits or rights not provided for under the policies. Solely as respects Liability Coverage(s) and Solely when Required by Contract: Certificate Holder(s) is/are included as Additional Insureds (collectively, the Additional Insureds, individually, an Additional Insured) as their respective interests may appear, warranted no operational interest. The insurance extended by this policy shall not apply to, and the Certificate Holder shall not be insured for bodily injury or property damage which arises from the design, manufacture, modification, repair, sale, handling or servicing of the aircraft by the Certificate Holder. Fleet and/or Equipment Schedule NA Additional Notes NA As respects each Certificate Holder(s) respective interests, this Certificate of Insurance shall automatically terminate upon the earlier of: (i) Policy expiration; (ii) Cancellation of the policies prior to policy expiration, as notified to the Certificate Holder(s) as required herein; (iii) agreed termination of the Contract(s); and /or in the case of physical damage insurance relating to those Certificate Holder(s) who have an insurable interest in the Equipment as of the date of issuance of this Certificate No. 2018 -1024 WillisTowersWatson I.1'I'1.1 Certificate of Insurance: agreed termination of the Named Insured's andlor the Certificate Holder(s) insurable interest in the Equipment This Certificate of Insurance is issued as summary of the insurances under the policies noted above and confers no rights upon the Certificate Holders as regards the insurances other than those provided by the policies. The undersigned has been authorized by the above insurers to issue this certificate on their behalf and is not an insurer and has no liability of any sort under the above policies as an insurer as a result of this certification. Date of Issue: July 1, 2018 Tom Klaus, Authorized Representative Willis of New York - Aerospace Certificate No. 2018 -1024 'WillisTowersWatson 1.1'1'1.1 Willis of New York, Inc. dlbla Willis Aerospace 200 Liberty Street, 7th Floor CERTIFICATE OF INSURANCE New York, NY 10281 (212) 915 -7652 This is To Certify To: Monroe County P.O. Box 1026 Key West FL 33041 -1026 (Sometimes referred to herein as the Certificate Holder(s)) That the insurers listed, each for their own part, and not one for the other, are providing the following insurance: NAMED INSURED Air Methods Corporation, including: Air Methods International, Ltd. (Ireland), United Rotorcraft Solutions, LLC, Mercy Air Service, Inc., LifeNet., Inc., dba ARCH Air Medical Services Inc., Rocky Mountain Holdings, LLC, Air Methods Transport Company, Native American Air Ambulance, Inc. Native American Air Ambulance, LLC, Advantage, LLC, Air Methods Worldwide, Inc., Enchantment Aviation, Inc., Native Air Services, Inc., Air Methods Telemedicine, LLC, Tri -State Care Flight, LLC, American Securities Partners VII Funds, ASP AMC Investco I, LP, ASP AMC Investco II, LP, Members of Management, ASP AMC Holdings, Inc., ASP AMC Intermediate Holdings, Inc. and /or any associated subsidiary, affiliated, managed, owned or controlled companies or entities therof. ADDRESS 5500 S. Quebec St., Suite 300 Greenwood Village, CO 80111 COVERAGES Aircraft Hull and Liability and Aviation General Liability Insurance APP- .VE . i3 RIS TERRITORY Worldwide BY At � -NT • POLICY PERIOD July 1, 2018 to July 1, 2019 on both dates at 12:01 AM LST DATE , WAIVER W YES EQUIPMENT Any and all aircraft operated by the Named Insured unless specifically listed on the / La, Fleet and /or Equipment Schedule below U_ INSURERS Allianz Global Risks US Insurance Company and other US and Lloyds Companies — 100% - LIMITS OF LIABILITY Aircraft Liability and Aviation General Liability Combined Single Limit for Bodily Injury, USD $50,000,000 per occurrence. Personal Injury is sub limited to Personal Injury and /or Property Damage: USD $25,000,000 any offense and in the aggregate. including AVN52 (War Liability), USD $50,000,000 per occurrence and in the aggregate, except with the sublimit is: respect to passengers which the full policy limit to apply (this limit is included within the policy limit and not in addition to). Additional Coverages: NA Certificate No. 2018 -1024 CC F v Will 1.I'1'I.1 SPECIAL PROVISIONS Subject always to the scope of the policies noted above and all the policies' declarations, insuring agreements, definitions, terms, conditions, limitations, exclusions, deductibles, warranties and endorsements thereof remaining paramount: Solely as respects: (i) The Coverage(s) noted above; (ii) the Contract(s) (and then only to the extent of the Named Insured's obligation to provide insurance under the terms of the Contract(s)); and (iii) the operations of the Named Insured; the following provision(s) apply(ies): The use of the terms "Additional Insured" / "Additional Insureds ", when used in the context of coverages other than Liability Coverage(s), are solely for the purpose of identifying parties and does not, by virtue of the use of these terms, convey any benefits or rights not provided for under the policies. Solely as respects Liability Coverage(s) and Solely when Required by Contract: Certificate Holder(s) is /are included as Additional Insureds (collectively, the Additional Insureds, individually, an Additional Insured) as their respective interests may appear, warranted no operational interest. The insurance extended by this policy shall not apply to, and the Certificate Holder shall not be insured for bodily injury or property damage which arises from the design, manufacture, modification, repair, sale, handling or servicing of the aircraft by the Certificate Holder. Fleet and /or Equipment Schedule NA Additional Notes NA As respects each Certificate Holder(s) respective interests, this Certificate of Insurance shall automatically terminate upon the earlier of: (i) Policy expiration; (ii) Cancellation of the policies prior to policy expiration, as notified to the Certificate Holder(s) as required herein; (iii) agreed termination of the Contract(s); and /or in the case of physical damage insurance relating to those Certificate Holder(s) who have an insurable interest in the Equipment as of the date of issuance of this Certificate No. 2018 -1024 " WillisTowers Watson WPM Certificate of Insurance: agreed termination of the Named Insured's and/or the Certificate Holder(s) insurable interest in the Equipment This Certificate of Insurance is issued as summary of the insurances under the policies noted above and confers no rights upon the Certificate Holders as regards the insurances other than those provided by the policies. The undersigned has been authorized by the above insurers to issue this certificate on their behalf and is not an insurer and has no liability of any sort under the above policies as an insurer as a result of this certification. Date of Issue: July 1, 2018 Tom Klaus, Authorized Representative Willis of New York - Aerospace Certificate No. 2018 -1024