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COI Expires 07/01/2019 Page 1 of 3 A�� DATE (MM/DDNYYY) ® CERTIFICATE OF LIABILITY INSURANCE 06/29/2018 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 CONTACT NAME: Willis of Arizona, Inc. PHONE FAX c/o 26 Century Blvd (A/C. No. Ext): 1- 877 - 945 -7378 (A/C No): 1 -888- 467 -2378 E -MAIL P.O. Box 305191 ADDRESS: certificatee@willis.com Nashville, TN 372305191 USA INSURER(S)AFFORDINGCOVERAGE NAIL* INSURER A: Insurance Company of the State of Penneyly 19429 INSURED INSURERB: New Hampshire Insurance Company 23841 American Airlines Group Inc., et al (see attached) 4333 Amon Carter Boulevard INSURER C: American Home Assurance Company 19380 Port Worth, TX 76155 INSURERD: National Union Fire Insurance Company of P 19445 INSURERE: Commerce & Industry Insurance Company 19410 INSURER F : , • COVERAGES CERTIFICATE NUMBER: W6767860 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DDNYYY) (MM/DDNYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO CLAIMS -MADE OCCUR PREMISES (Ea RENTE e nce) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS - COMP /OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ A OWNED NLY SCHEDULED y CA 7742330 07/01/2018 07/01/2019 BODILY INJURY(Peraccident) $ AUTOS HIRED NON -OWNED PROPERTY DAMAGE $ _ AUTOS ONLY — AUTOS ONLY (Per accident) _ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE 1 AGGREGATE $ DED RETENTION $ $ • WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY STATUTE ER Y / N B ANYPROPRIETOR/PARTNER /EXECUTIVE I E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? N/A WC 018177151 07/01/2018 07/01/2019 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Workers Compensation WC 018177146 07/01/2018 07/01/2019 Each accident: $1,000,000 and Employers Liability - CA Disease- policy limit $1,000,000 Per Statute Disease -each employee$1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Automobile Coverage applies only to vehicles off of the restricted airport premises. 01 SEE ATTACHED AFPFt BY • / SK A J!!I� __,/ W DATE_ ° — kdil �il�J WAIVEIR N /A_ YES CERTIFICATE HOLDER 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 County Commissioners /�' /� P.O.Box 1026 ILA._ ( Q Key West, FT., 330411026 �"" V © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 16370949 HATCH: 769938 AGENCY CUSTOMER ID: LOC #: ACRD ® ADDITIONAL REMARKS SCHEDULE Page 2 of 3 AGENCY NAMEDINSURED Willis of Arizona, Inc. American Airlines Group Inc., et al (see attached) 4333 Amon Carter Boulevard POLICY NUMBER Fort Worth, TX 76155 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Automobile Coverage applies only to vehicles off of the restricted airport premises. Monroe County Board of County Commissioners is included as an Additional Insured with respects to Auto Liability, as required by written contract. INSURER AFFORDING COVERAGE: Insurance Company of the State of Pennsylvania NAIC #: 19429 POLICY NUMBER: WC 018177147 EFF DATE: 07/01/2018 EXP DATE: 07/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation Each accident: $1,000,000 and Employers Liability - FL Disease- policy limit $1,000,000 Per Statute Disease -each employee $1,000,000 INSURER AFFORDING COVERAGE: New Hampshire Insurance Company NAIC #: 23841 POLICY NUMBER: WC 018177152 EFF DATE: 07/01/2018 EXP DATE: 07/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation Each accident: $1,000,000 and Employers Liability - NY Disease - policy limit $1,000,000 Per Statute Disease -each employee $1,000,000 INSURER AFFORDING COVERAGE: New Hampshire Insurance Company NAIC #: 23841 POLICY NUMBER: WC 018177148 EFF DATE: 07/01/2018 EXP DATE: 07/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation Each accident: $1,000,000 and Employers Liability - ME Disease - policy limit $1,000,000 Per Statute Disease -each employee $1,000,000 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 16370949 BATCH: 769938 CERT: W6767860 AGENCY CUSTOMER ID: LOC #: ACCORD ADDITIONAL REMARKS SCHEDULE Page 3 of 3 AGENCY NAMED INSURED Willis of Arizona, Inc. American Airlines Group Inc., et al (see attached) 4333 Amon Carter Boulevard POLICY NUMBER Fort Worth, TX 76155 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC #: 19445 POLICY NUMBER: WC 018177149 EFF DATE: 07/01/2018 EXP DATE: 07/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation Each accident: $1,000,000 and Employers Liability - MA,ND,OH,WA Disease - policy limit $1,000,000 WI,WY - Per Statute Disease -each employee $1,000,000 INSURER AFFORDING COVERAGE: New Hampshire Insurance Company NAIC #: 23841 POLICY NUMBER: WC 018177150 EFF DATE: 07/01/2018 EXP DATE: 07/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Workers Compensation Each accident: $1,000,000 and Employers Liability - AK,AZ,IL,KY,NC Disease - policy limit $1,000,000 NH,NJ,PA,UT,VA,VT -Per Statute Disease -each employee $1,000,000 INSURER AFFORDING COVERAGE: Insurance Company of the State of Pennsylvania NAIC #: 19429 POLICY NUMBER: CA 7742332 EFF DATE: 07/01/2018 EXP DATE: 07/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Automobile Liability - VA Combined Single Limit $1,000,000 Any Auto Ea accident INSURER AFFORDING COVERAGE: Commerce & Industry Insurance Company NAIC #: 19410 POLICY NUMBER: CA 7742331 EFF DATE: 07/01/2018 EXP DATE: 07/01/2019 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Automobile Liability - MA Combined Single Limit $1,000,000 Any Auto Ea accident ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 16370949 BATCH: 76 CERT W6767860 American Airlines Group Inc. Named Insureds American Airlines Group Inc. American Airlines, Inc. Americas Ground Services, Inc. Avion Assurance, Ltd. Envoy Aviation Group Inc. Eagle Aviation Services, Inc. Envoy Air Inc. (operates under the trade name "American Eagle ") Executive Airlines, Inc. Executive Ground Services, Inc. Piedmont Airlines, Inc. (operates under the trade name "American Eagle ") PMA Investment Subsidiary, Inc. PSA Airlines, Inc. (operates under the trade name "American Eagle ")