COI Expires 04/01/2019 •
AC® CERTIFICATE OF LIABILITY INSURANCE DATE
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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).
CONTACT
PRODUCER
AirSure Limited NAME: AirSure Limited .
25548 Genesee Trail Road PHONE FAX
Golden, CO 80401 E-MAILIioieo-
-M 303-526-5300 (AM..No): 303-526-5303
ADDRESS:
INSURER(S)AFFORDING COVERAGE NAIL IS
INSURER A: Starr Indemnity&Liability Company 38318
INSURED INSURERS: Travelers Indemnity Company__ I 25658
Marathon Aviation Associates, LLC, et al INSURERc: OBE Insurance Corporation i 39217
9850 Overseas Hwy
Marathon, FL 33050 INSURERD: Commerce and Industry Insurance Company 1 19410
INSURERE: _ I
INSURER F: I.
COVERAGES CERTIFICATE NUMBER: 41355630 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 -TADDL'SUBR POLICY EFF I POLICY EXP I
LTR TYPE OF INSURANCE INSD I WVD I POLICY NUMBER -IMMIDDIYYYY) IMMIDDIYYYYI LIMITS
A / COMMERCIAL GENERAL LIABILITY I`/ '100023116302 14/1/2018 4/1/2019 1 EACH OCCURRENCE $25,000,000
CLAIMS-MADE ./ OCCUR I PREMISSESO(E oc urrence) $
I MEo EXP(Any one person) $25,000
I PERSONAL 8 ADV INJURY S
GENT AGGREGATE LIMIT APPLIES PER: I I GENERAL AGGREGATE S
POLICY I l JECT f I LOC I } I PRODUCTS-COMP/OP AGG $
OTHER: • I I ( I $
B AUTOMOBILE LIABILITY j BA9278A68518HPR 4/10/2018 �4/10l2019 i COMBINED SINGLE LIMIT
Ea accident) $1,000,000 __,
ANY AUTO P l-R� nA AGBAE 1 I BODILY INJURY(Per person) S
— OWNED SCHEDULED Y IA1 rR7CMC^
I TBODILY INJURY(Per accident) S
AUTOS ONLY ✓ AUTOS __
HIRED NON-OWNED I BY �PROPERTY DAMAGE S
✓ AUTOS ONLY ✓ AUTOS ONLY '_(aer ncadent
UMBRELLA LIAR I i OCCUR I DATE 7I a' -�I (EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE WAI ry16_ I AGGREGATE I S
I I DED I I RETENTIONS ( I I '$
C WORKERS COMPENSATION IAWC0500248 4/10/2018 4/10/2019 I ,/ I PE'ATUTE I 10TH __ _AND EMPLOYERS'LIABILITY T�
ANYPROPRIETOR/PARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT I$1,000,000
OFFICERIMEMBEREXCLUDED? I N I A I ! ---
(Mandatory In NH) I I k,'. E.L.DISEASE-EA EMPLOYEE]S 1,000.000
If yes,describe under i ----
DESCRIPTION OF OPERATIONS below j 1 I Cr E.L.DISEASE-POLICY LIMIT.S 1,000,000
D Storage Tank Pollution Liability I✓ I IFPL007511949 l 111/17/2017 11/17/2018 61,000,000 Each Occurrence
I I $2,000,000 Annual Aggregate
/� $5,000 Deductible Each Loss
I I I fU15 �
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may h,attached If more space is required)
Except for Workers Compensation/Employers Liability,the Certificate Holder is included as Additional Insured but only as respects
operations of the Named Insured.
We won't cover the Certificate Holder for claims arising out of their liability as manufacturer,seller,handler,distributor or service
facility of any product or service sold,handled,distributed or provided.
CERTIFICATE HOLDER . . CANCELLATION
Monroe Coun Board of CountyCommissioners, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
its employeesty&officers THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
its Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS.
110Key West, FL 33040
AUTHORIZED REPRESENTATIVE .600 yy,,
I (CO)Karin Dodd
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
41355630 1 18-19 Work Comp / Auto / Property / GL I Courtney Phillipy 14/13/2018 4:27r15 PM NOT) I Page 1 of 1
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