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Certificates of Insurance W. BROWN & ASSOCIATES 5885 Ridgeway Center Parkway INSURANCE SERVICES Sui te 218 Memphis, TN 38120 (901) 374-0667 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: Monroe County. Donna Perez, Risk Manaqement ,100 Colleae Road, Key West, FL 33040 THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: P~radiQ~ Avi~tinn. Tnr p n Roy l?q. ~tpvpnRvillp. MD 21666 POLICY NO. NAF1998010 POLICY PERIOD FROM: April 1, 1998 TO: April 1, 1999 INSUR.c\NCE CO.: Reliance Nationa 1 Insurance Company DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Airport Liability: Single Limit Bodily Injury and Property Damage $ c:;. oon. 000 nn each occurrence but aggregate as respects products/completed operations and personal injury including: bd Premises [~ Products/Completed Operations [] Independent Contractors [.,a Hangarkeeper's Liability: [ ] Personal Injury [] Contractual $1.000.000 00 each aircraft $3 , 000 , 000.00 each occurrence $ 3,000.000.00 each loss Additional Coverages: The certificate holder is included as an Additional Insured warranted no operational interest. y"'~ 'ATE '-ft.....,...... vrsL Should any of the above described policy(ies) be cancelled before the expiration date hereof, the issuing company will endeavor to give prompt notice to the certificate holder named herein. However, failure to mail such notice shall not impose any obligation nor any liability any kind upon the company, its representatives or agents. Date of Issue March 24, 1998 ~1 . .- . , .... t .-, '1 1 j ., ~ -, .. .~ ...,] ..., ~ . I 02/ 26/98 18: 29 FAX 7709850319 INSURAMERICA AVI ~10 MINIMUM STANDARDS RESOLUTION Minimum Insurance Standards For Aeronautical Acdvities REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insurance requirements. as specified by the County, be waived or modified for the following Applicant Applicant PARADISE AVIATION, INC. Application for: FSO Address of Applicant: 9850 Overseas Highway Marathon, FL 33050 Phone: 410-643-3611 Scope Of Work: FSO Reason for Waiver: see attached Policies Waiver will apply to: Hangerkeepers Liabi1ity_ J~ ~Ot1d,rf(J Signature of Applicant: ~~~ ~ Approved X Not Approved ~9EY~ Risk Management Date: County Administrator appeal: Approved: Not Approved: Date: Board of County Commissioners appeal: .j Approved: Not Approved; Meeting Date: Exhibit 1-14 We request a waiver on the insurance requirement for Hanger- keepers Liability. The present minimum standards require $5,000,000. We r-equest a change to $1,000,000 per aircraft and $3,000,000 per occurance. Presently there are 5 aircraft in the hanger that together do not total over $1,000,000 in value. The size of the hanger does not readily permit access for larger more expensive jet aircraft. The limit I propose still more than adequately protects us and the county against the potential risk. SafeAir Underwriters P.O. Box 870867 Stone Mountain GA 30087-0022 APR-03-1998 11:32 INSURAMERICA 770 985 0319 P.02 ACORD... CERTIFICATE OF LIABILII YIN~UKANt,.;t: ~M~l 04/03/98 l'IlOOUCB\ THIS CERTIFtCATlIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFeRS NO RlGtfTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELow. COMPANIES AFFORDING COVERAGe Suei Jackson N. ;:"1_0-736-3292_ IIlI8URI!D Fool... 770-73.6-3293 I I . -t!~ . COMPANY 8 SAVBCO Insurance Company Sareco Select Markets Paradise Aviation, Inc PO Box 129 Seevensvi118 MD 21666 COMPA.NY C COMPANY o COVER4_ THIS IS TO cElltTIFY THAT THE POLlen!S OF INSURANCE LISTED iiLOW HAVE BEEN IssueD TO THE INSURED NAMED ABove FOR THIi POLICY PeRIOD INDICATED. NO'TWITHSTANDING ANY REQUII'lEMENT. TiRM O~ CONOITION 0,. ANY CONTRACT OR OTHER DOCUMeNT WITH ~UPECT TO WMIC~ THIS CERTIFICATE MAY BE ISSUED Ollt MAY PiRTAIN. THe INSURANce AFFORDED BY THE POLICIES DESCRIBeO HEREIN IS SUBJECT TO ALL THE TERMS. exelUSIONS AND CONDITIONS O~ SUCH .-oLICIES. LIMITS SHOWN MAY HAve BEEN R'Duao BY PAID CLAIMS. co - ._, I' .. POUCY lWlCTIVE r;~CY IXMlTtON LTIl ,.."E OF INSURANCE pouey 1iI""'.1!Jt DAYE (MMIODIYYI l"':,A'l'E IMMIOO/YY') UMITS GENaIoL UMIUTY COMMERCIAL eeNEAAL UAIlIUTV CLAIMS MADE 0 OCCUR OWNfI\'; . CONTIIJIoCTOfrs PflOT .., ~ENERAL AG~REGATE $ PflODUCT$ . COMPIOP AGG S PEIl.SQNAl &. ADV INJURY $ EACH occuRRENCE FIRE OAMAelO IAny _ fi,..) , ~O EXP (Ivrt o.-e p_..n) A BA7764601 I 04/01/98 I I APPROVED BY RISK MAN GtMl~r By0 04/01/99 COM8lNm SINGLE LIMIT sl.OOO,OOO AUTClMOIlLE u",urrv ~. A~~ OWNED AUTOS SCHEOUU;O AVTOS MIllED AUTO S NON-OWtIEO "'UTOS BOOILV INJURY tPet D.sonl i A ~":n."::~~Vf Of'l'ICERS AIl(: OTMElll '.IINCL WC7764601 EXCL 8001~V INJURY ('If ...OMlcnt: i GARAGE UAIlIUTY - I ANY AlITO PROPERTY DAMAGE AUTO OIilL Y - fA ACCIDENT ~ OTHER T11AN AUTO ONL V: , nCli8& UABlUT" UMBRELlA FORM . OTHER THAN UMSRaI.A FORM WOIIIUiJI& CCIM"",,"T1Ol11 AND 8IIPLDYER$' UAIlIUTY EACH ACCIOiN" S AGGREGATE $ EACH OCCU_NCIE AGGREGATE 04/01/98 OTH- ER ....._ f 1000000 04/0~/99 ELDlSEA$Il.POUC;VLlMIT slOOOOOO ELDISEASE-EAEMPLOVU Is 1000000 B Property ES71546U $2,500 deductible 04/01/98 04/01/99 See Below See Below I)UCIIIPTlO" OF O_ATIONSIlOCAT1OIIlSIVEHlCl.E&ISHCIAL ITIMS PROPERTY - Bang~ - $4',000, ODen Rongar - $15,000. Off~ce/Term1nal - SSO 000, Line Shack - ~6,000 INLAND MARiNE - ~979 Avgas relue1er * 1'83 Jet-A refueler C.rtificateholder is named .8 LOS. Payee and Add1t1onal Xn5ured CEM'IFICATEHOLDst Monroe County R.i.ek Mana!J8IIlent S~OO College Road ~ey west PL 33040 CANCEUAllQN MONROO 1 SHOUlD ANY OF THE ABOVE 0$iC1U8ED POUCIfS . CNlCl;lUD B~R( TIlE EXfIIRATlOlll DATE THBlEOF. THE ISSUING COMPANY WILL ENOEAVOR TO MAIL ~ DAY$ WNTTEIlI NOTIe€ TO THE ~ATl! HOUIUl NAMID TO THE LIFT. aUT FAllUllE TO MAIL SUCH NOTICE SHAll I\llI'OBE NO OIUGATION 011 "'_"TY OF AlOIY I(IllIO UPON TIlE C~ANY. ITS ~ OlII........BlTATlVU. AUTHOIIIZED IIIPRaINTAT1W A~~a6o;$.llf9fH. SuciJackson ,g) ",C()RD CORPOflA TI.Ql\I ,9U TOTAL P.02 . ......".....----.- ."-"""""",,,. ACORDN I.NSt.J.NCe.....SI.N.mER.... CSR>SR DATE (MMlDDNY) . 04/02/98 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER I W8,N,;O. Extl: 770-736-3292 COMPANY I BINDER # 1779 r~,~. Ext): 770-736-3293 Safeco Select Markets SafeAir Underwriters DATE TIME DATEEXPIRATION TIME P.O. Box 870867 RAM -112:01 AM Stone Mountain GA 30087-0022 04/01/98 PM 05/01/98 NOON Suci Jackson xl THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY CODE: I SUB CODE: PER EXPIRING POLICY #: ES7154644 I ~S~~g~ER ID: &PARA01 DESCRIPTION OF OPERATIONSlVEHICLESlPROPERTY (Including Location) INSURED FBO Paradise Aviation, Inc Ed Steiqarwald PO Box 129 Stevensville MD 21666 COVERAGES ........ / > / >> ............ ........... ............ <> . ....... ...... <> ..". TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS % PROPERTY CAUSES OF LOSS Special form/ bldinq U 48,000 2500 90% - D BROAD ~ SPEC BASIC " 15,000 2500 90% - " """ " 56,000 2500 90% GENERAL LIABILITY GENERAL AGGREGATE $ ~ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ I>. I CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ ~ FIRE DAMAGE (Anyone fire) $ f-- RETRO DATE FOR CLAIMS MADE: MED EXP (Anyone person) $ AUTOMOBILE LIABILITY " q,IC,\i. ~l\':e.c]\ COMBINED SINGLE LIMIT $ - ANY AUTO ~ot'\{0\JH! B . n J~- ... BODILY INJURY (Per person) $ - ALL OWNED AUTOS ~ ~JV: BODILY INJURY (Per accident) $ - B'~ SCHEDULED AUTOS PROPERTY DAMAGE $ - HIRED AUTOS MEDICAL PAYMENTS $ - NON-OWNED AUTOS ':)f>.1t . ;I:- '(rS --- PERSONAL INJURY PROT $ - ""Po. W~\\'nt UNINSURED MOTORIST $ - $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ~ ALL VEHICLES U SCHEDULED VEHICLES ACTUAL CASH VALUE R COLLISION: STATED AMOUNT $ OTHER THAN COL: OTHER GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ - ANY AUTO OTHER THAN AUTO ONLY: I................. .... - EACH ACCIDENT $ - AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ q UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ STATUTORY LIMITS .. WORKER'S COMPENSATION EACH ACCIDENT $ AND EMPLOYER'S LIABILITY DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ SPECIAL Monroe County is included as an additional insured and loss payee with CONDITIONSI respects to operations of the named insured. OTHER COVERAGES ...... <X ... X// ,X>> ................ .... .> ......... .......... 7 ..... ........ ~.. ADDITIONAL INSURED ......... .......... H. MORTGAGEE LOSS PAYEE LOAN # Monroe County Florida 9400 #200 AUTHORIZED REPRESENTATIVE Overseas HWY, Marathon FL 33050 Suci Jackson .A9()RJ'.)7e-$(12ftl3) ..N()"l'e:..IM~9l'4...M1't~TATI:INFORIVIA'rl()N.ON.AT'rA9f1EI).PAue @ACORDCORPORATION1983 Paradise Aviation, Inc PREMISE # &PARA01 Schedule attached to Binder 1779 PAGE 2 YR BUilT PART OCCUPIED 9400 Overseas Highway Marathon FL 33050 X INSIDE OWNER OUTSIDE X TENANT 1976 100% NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS FBO, storage hangars , office and general aviation termdnal X INSIDE OWNER same same same OUTSIDE X TENANT 1976 100% NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS Open Aircraft Hangar for aircraft storage X INSIDE OWNER OUTSIDE X TENANT 1976 100% same same FL same NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS Office and general aviation termdnal. office. "Line shack" for line personnel INSIDE OUTSIDE OWNER TENANT NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS INSIDE OUTSIDE OWNER TENANT NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS INSIDE OUTSIDE OWNER TENANT NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS INSIDE OUTSIDE OWNER TENANT NATURE OF BUSINESs/DESCRIPTION OF OPERATIONS SUBJECT OF INSURANCE i NO. 001 b G NO. 001 ADDITIONAL COVERAGES, RESTRICTIONS. ENDORSEMENTS, AND RATING INFORMATION Hangar 48,000 90% special 2500 CONSTRUCTION TYPE cc3 BUILDING IMPROVEMENTS WIRING, YR: ROOFING, YR: RIGHT EXPOSURE & DISTANCE FIRE DISTRICT/CODE NUMBER PROTo CL.# STORIES # BASM'TS YR. BUILT TOTAL AREA 1 1976 4800 PLUMBING, YR: HEATING, YR: OTHER OTHER OCCUPANCIES LEFT EXPOSURE & DISTANCE REAR EXPOSURE & DISTANCE BURGLAR ALARM TYPE CERTIFICATE # EXPIRATION DATE EXTENT GRADE CENTRAL STATION WITH KEYS CLOCK HOURLY BURGLAR ALARM INSTALLED AND SERVICED BY # GUARDSlWATCHMEN FIRE PROTECTION (Sprinklers, Standpipes, C02IHalon Systems) FIRE ALARM MANUFACTURER CENTRAL STATION NAME & ADDRESS Monroe County Florida 9400 Overseas Highway Marathon FL 33050 NAME & ADDRESS INTEREST x CERTIFICATION REQUIRED INTEREST SUBJECT OF INSURANCE open hangar CERTIFICATION REQUIRED P ~ M NO. 001 B b G NO. 002 ADDITIONAL COVERAGES, RESTRICTIONS, ENDORSEMENTS, AND RATING INFORMATION DEDUCTIBLE FORMS AND CONDITIONS TO APPLY 15,000 90% special 2500 CONSTRUCTION TYPE cc3 BUILDING IMPROVEMENTS WIRING, YR: ROOFING, YR: RIGHT EXPOSURE & DISTANCE FIRE DISTRICT/CODE NUMBER PROTo CL.# STORIES # BASM'TS YR. BUILT TOTAl AREA . 1 1976 3000 PLUMBING, YR: HEATING, YR: OTHER OTHER OCCUPANCIES LEFT EXPOSURE & DISTANCE REAR EXPOSURE & DISTANCE BURGLAR ALARM TYPE CERTIFICATE # EXPIRATION DATE EXTENT GRADE CENTRAL STATION WITH KEYS CLOCK HOURLY BURGLAR ALARM INSTALLED AND SERVICED BY # GUARDSlWATCHMEN FIRE PROTECTION (Spnnkiers, Standpipes, C02lHalon Systems) FIRE ALARM MANUFACTURER CENTRAL STATION NAME & ADDRESS Monroe County Florida 9400 Overseas Highway Marathon FL 33050 INTEREST additional insured INTEREST PREMISES SUBJECT OF INSURANCE ~ ~ NO. 001 b G NO. 003 ADDITIONAL COVERAGES, RESTRICTIONS, ENDORSEMENTS, AND RATING INFORMATION office ter.min 50,000 90% special special 2500 line shack 6,000 90% 2500 CONSTRUCTION TYPE CC3 BUILDING IMPROVEMENTS WIRING, YR: ROOFING, YR: RIGHT EXPOSURE & DISTANCE FIRE DISTRICT/CODE NUMBER PROTo CL.# STORIES # BASM'TS YR. BUILT TOTAL AREA 1 1985 3600 PLUMBING, YR: HEATING, YR: OTHER OTHER OCCUPANCIES LEFT EXPOSURE & DISTANCE REAR EXPOSURE & DISTANCE BURGLAR ALARM TYPE CERTIFICATE # EXPIRATION DATE EXTENT GRADE CENTRAL STATION WITH KEYS CLOCK HOURLY BURGLAR ALARM INSTALLED AND SERVICED BY smoke and fire alarms installed FIRE PROTECTION (Sprinklers, Standpipes, C02lHalon Systems) # GUARDSlWATCHMEN FIRE ALARM MANUFACTURER CENTRAL STATION NAME & ADDRESS Monroe County Florida 9400 Overseas Highway Marathon FL 33050 NAME & ADDRESS INTEREST additional insured x CERTIFICATION REQUIRED INTEREST CERTIFICATION REQUIRED SUBJECT OF INSURANCE AMOUNT COINS % i NO. 90% 90% special special 2500 2500 ~ NO. ADDITIONAL COVERAGES, RESTRICTIONS, ENDORSEMENTS, AND RATING INFORMATION CONSTRUCTION TYPE FIRE DISTRICT/CODE NUMBER PROTo CL.# STORIES # BASM'TS YR. BUILT TOTAL AREA BUILDING IMPROVEMENTS WIRING, YR: ROOFING, YR: RIGHT EXPOSURE & DISTANCE PLUMBING, YR: HEATING, YR: OTHER OTHER OCCUPANCIES LEFT EXPOSURE & DISTANCE REAR EXPOSURE & DISTANCE BURGLAR ALARM TYPE CERTIFICATE # EXPIRATION DATE EXTENT GRADE CENTRAL STATION WITH KEYS CLOCK HOURLY BURGLAR ALARM INSTALLED AND SERVICED BY # GUARDSlWATCHMEN FIRE PROTECTION (Sprinklers, Standpipes, C02IHalon Systems) FIRE ALARM MANUFACTURER CENTRAL STATION INTEREST INTEREST CERTIFICATION REQUIRED ..-- . I.NSl..J.NCe......SINI)ER ACORDN CSRSR DATE (MM/DDIVY) 04/02/98 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER I Wgr:.;o, Extl: 770-736-3292 COMPANY I BINDER # 1791 r~,tj.?;, Ext): 770-736-3293 SAFECO Insurance Company SafeAir Underwriters DATE TIME DATE TIME P.O. Box 870867 HAM ~ 12:01 AM stone Mountain GA 30087-0022 04/01/98 PM 05/01/98 NOON Suci Jackson xl THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY CODE: I SUB CODE: PER EXPIRING POLICY #: BA7764601 ~a~~8~ER ID: &PARA01 DESCRIPTION OF OPERATIONSNEHICLESlPROPERTY (Including Location) INSURED Paradise Aviation, Inc Ed Steigarwald PO Box 129 Stevensville MD 21666 COVERAGES ............ ........ >>>.. ......... / / / ............ > .............. i >I..I~............ > ............. TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS % PROPERTY CAUSES OF LOSS - D BROAD D SPEC BASIC - GENERAL LIABILITY GENERAL AGGREGATE $ f--- COMMERCIAL GENERAL LIABILITY PRODUCTS - COM PlOP AGG $ Ii I CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ f--- FIRE DAMAGE (Anyone fire) $ - RETRO DATE FOR CLAIMS MADE: MED EXP (Anyone person) $ AUTOMOBILE LIABILITY flPPROVED BY RISK MANAGEMfN1 COMBINED SINGLE LIMIT $1,000,000 - ~ ANY AUTO cj I ell q r/ , --- BODILY INJURY (per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ - SCHEDULED AUTOS BY C;i6~t ~/ _ PROPERTY DAMAGE $ - HIRED AUTOS MEDICAL PAYMENTS $1000 f--- OAT\: ~ NON-OWNED AUTOS N/A ~ YES_- PERSONAL INJURY PROT $ WAIVf~: UNINSURED MOTORIST $50,000 f--- $ AUTO PHYSICAL DAMAGE DEDUCTIBLE U ALL VEHICLES U SCHEDULED VEHICLES ACTUAL CASH VALUE ~ COLLISION: STATED AMOUNT $ OTHER THAN COL: OTHER GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ - /< /// ... ANY AUTO OTHER THAN AUTO ONLY: - EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ R UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ STATUTORY LIMITS //> / ... .... WORKER'S COMPENSATION EACH ACCIDENT $ AND EMPLOYER'S LIABILITY DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ SPECIAL Inland Marine policK IM7764601 coverin~ ~h,sical damage (excluding wind CONDITIONSI and flood with $100 deductible) for 1 7 50gal Avgas refueler OTHER #T15DTY9V604525 and 1983 2000gal Jet-A refueler # 1HTAA1652DHA32617 COVERAGES ......> .................... ........i....> ....... ....... ........ iF! . .// ....... >>/ ..... H~ORTGAGEE ADDITIONAL INSURED LOSS PAYEE lOAN # AUTHORIZED REPRESENTATIVE Suci Jackson AQ()RI)7<<i..s.021$3) .....N()TE:t..IMl>9R,tANT.$TAre.,NFORMAtlON ()N Att'ACHEO.PAGE ........@jA,(';()f{I)CQRPORATION19$3. ~. < ...... ..... ..... ...... ..... ...... VEHICUi'OESCRIP11ON..(Con't.) VEH # I YEAR I MAKE: Dodge .f$~J MINIVAN I SYM/AGE I COST NEW 001 119911 MODEL: Minivan V.I.N.: 2B4FK51G7HR159478 I $ 15000 TERR GVW/GCW CLASS I SIC I FACTOR I SEAT CP/ ~~IUS I FARTHEST TERM CITY, STATE, ZIP 7398 WHERE GARAGED I DRIVE TO WORK/SCHOOL USE COMM'L ~~~ ADD'L PIP X ~~~~~s F LSP DEDUCTIB~IACV ~COMPU c?6~l - - r-- TOWING f-- I-- ~ AA STAMT =1 UNDER 15 MILES R PLEASURE RETAIL X L1AB MED PAY & LABOR FT COMP $ - - UNINS f-- SPEC I-- f-- 15 MILES OR OVER FARM SERVICE PIP X MOTOR COFl FTW COLL $ $ COLL VEH # I YEAR I MAKE: f~~El: I SYM/AGE COST NEW I I MODEL: V.I.N.: 1 $ TERR GVW/GCW CLASS , SIC I FACTOR I SEAT CPj RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L A~~ ADD'L PIP ~~~~~::; F LSP DEDUCTIBLES I I ACV -.JCOMPU tb~l - c-- I-- TOWING - f-- ~ AA U STAMT =1 UNDER 15 MILES =i PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ I-- c-- UNINS f-- SPEC - I-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR I MAKE: fWJ: I SYM/AGE COST NEW I MODEL: V.I.N.: I $ TERR GVW/GCW CLASS I SIC I FACTOR I SEAT CP/ RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L ~...~ ADD'L PIP ~~9~~S F LSP DEDUCTIBLES I I ACV U COMPU c?~~l I--- I--- - TOWING f-- - tJ AA 0 STAMT R UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ I-- f-- UNINS - SPEC I--- - 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR I MAKE: fWEl: I SYMlAGE COST NEW I MODEL: V.I.N.: I $ TERR GVW/GCW CLASS I SIC I FACTOR I SEAT cpr RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L RG~ ADD'L PIP ~~~~~s F LSP DEDUCTIBCj-d, ACV ~ COMPU c?6~l - - - TOWING f-- f-- tJ AA ST AMT =1 UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ - - UNINS - SPEC I--- - 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR I MAKE: f$~J I SYM/AGE COST NEW I MODEL: V.I.N.: I $ TERR GVW/GCW CLASS I SIC / FACTOR I SEAT C1 RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L I ~t1ECK ADD'L PIP I ~~9~~S F LSP DEDUCTlBLES I I ACV ~ COMPU tb~l RERAGES I--- I--- I--- TOWING I--- f-- o AA U STAMT q UNDER 15 MILES ~ PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ I-- f-- UNINS I-- SPEC I-- I-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR I MAKE: fWEl: I SYM/AGE COST NEW I MODEL: V.I.N.: I $ TERR GVW/GCW CLASS I SIC I FACTOR I SEAT CP/ RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L ~~ ADD'L PIP ~~9~~l F LSP DEDUCTlBLES I I ACV U COMPU tb~l I-- f-- c-- TOWING - f-- o AA U STAMT q UNDER 15 MILES ~ PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ I--- f-- UNINS c-- SPEC - I-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR 1 MAKE: W~E: I SYM/AGE COST NEW I MODEL: V.I.N.: I $ TERR GVW/GCW CLASS I SIC I FACTOR I SEAT CP/ RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L I ~!:!~CK ADD'L PIP ~~9~WS F LSP DEDUCTIBLES I I ACV U COMPLJ tb~l I-- LlERAGES I--- ~ TOWING I-- f-- tJ AA U STAMT R UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ I-- f-- UNINS - SPEC f-- f-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR I MAKE: f~~J: I SYM/AGE COST NEW I MODEL: V.I.N.: I $ TERR GVW/GCW CLASS I SIC I FACTOR I SEAT Ci RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L ~"L~ ADD'L PIP ~~9~~S F LSP DEDUCTIB~ ACV U COMPU c?~~ I--- c-- - TOWING f-- - tJ AA ST AMT R UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ I--- c-- UNINS - SPEC f-- - 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL ..<< ..... < ... < .........ii / ...... ............. ACORD~ I NS.l.J.RANCrs.....SIN.EJER CSR<SR DATE (MMlDDIVY) 04/02/98 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. PRODUCER I W~,NN~, Extl: 770-736-3292 COMPANY I BINDER # 1778 F.M,"Wo', Ext): 770-736-3293 SAFE CO Insurance Company SafeAir Underwriters DATE TIME DATE TIME P.O. Box 870867 H AM ~ 12:01 AM stone Mountain GA 30087-0022 04/01/98 PM 05/01/98 NOON Suci Jackson xl THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY CODE: I SUB CODE: PER EXPIRING POLICY #: WC7764601 I ~~~~8~ER ID: &PARA01 DESCRIPTION OF OPERATIONSlVEHICLESlPROPERTY (Including Location) INSURED FBO l.ocated at the Marathon Airport. Paradise Aviation, Inc Ed Steiqarwald PO Box 129 Stevensville MD 21666 ....... .<. ....... //< .. ...... <) ....... . ......................... . i ..... ..... .......................... .. .............. . TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS % PROPERTY CAUSES OF LOSS - D D BASIC BROAD SPEC - I---- GENERAL LIABILITY GENERAL AGGREGATE $ - COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ I CLAIMS MADE D OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ - FIRE DAMAGE (Anyone fire) $ - RETRO DATE FOR CLAIMS MADE: MED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - APPROVED BY RISK MA~Ar.rM~MT ANY AUTO BODILY INJURY (Per person) $ I-- u9:fJ~ iJ2 ALL OWNED AUTOS BY BODILY INJURY (Per accident) $ I---- SCHEDULED AUTOS PROPERTY DAMAGE $ f-- HIRED AUTOS n,nE MEDICAL PAYMENTS $ f-- NON-OWNED AUTOS L \{f~ PERSONAL INJURY PROT $ f-- 'R: M'A UNINSURED MOTORIST $ f-- $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ~ ALL VEHICLES U SCHEDULED VEHICLES ACTUAL CASH VALUE =1 COLLISION: STATED AMOUNT $ OTHER THAN COL: OTHER GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ I---- .................> . ANY AUTO OTHER THAN AUTO ONLY: ........ - '----- EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ q UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: SELF-INSURED RETENTION $ STATUTORY LIMITS <>i WORKER'S COMPENSATION EACH ACCIDENT $1000000 AND EMPLOYER'S LIABILITY DISEASE - POLICY LIMIT $1000000 DISEASE - EACH EMPLOYEE $1000000 SPECIAL CONDITIONS! OTHER COVERAGES ........ ......... ........... .><....... ......... ......... ...... ........ < ~i .... /, . ................ .>..\.<> . __{MORTGAGEE ADDITIONAL INSURED LOSS PAYEE LOAN # AUTHORIZED REPRESENTATIVE Suci Jackson ACqlU.)7S..s..(12193) lSl(),.E;..IMP()Fl'tAlSlt..$'tArlS.'l\lf()~MAtlQN.9N.At"ACHE:I).PAq.E: ~.A,~()fij)..C()RJ:i()AAtl()l\l..19$3 Paradise Aviation, Inc &PARA01 Schedule attached to Binder 1778 PAGE 2 # STREET, CITY, COUNTY, STATE, ZIP CODE L STATE 0 C. CLASS CODE COMPANY USE CATEGORIES, DUTIES, CLASSIFICATIONS NO. OF EM- PLOYEES ESTIMATED ANNUAL REMUNERATION RATE ESTIMATED ANNUAL PREMIUM 1/7 W. BROWN & ASSOCIATES INSURANCE SERVICES 5885 Ridgeway Center Pkwy., Ste, 218 Memphis, TN 38120 (901) 374-0667 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: Monroe County BOCC 5100 College Road Key West. FL 33040 THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Paradise Aviation, Inc. P. O. Box 129 Stevensville. MD 21666 POLICY NO. NAF2046391 POLICY PERIOD FROM: April 1, 1999 TO April 1. 2000 INSURANCE CO.: Reliance National Insurance Company DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Airport Liability: Single Limit Bodily Injury and Property Damage $ 5.000.000. each occurrence But aggregate as respects products/completed operations and personal injury including: [x] [x] [ ] [x] Premises Products/Completed Operations Independent Contractors Hangarkeeper's Liability: [ ] [ ] Personal Injury Contractual Deductible: $ 1.000.000. $ 3.000.000. $ 10,000. each aircraft each occurrence each loss Additional Coverages: The above Certificate Holder is included as an Additional Insured but only to the extent of liability vicariously imposed upon the Additional Insured solely as the result of an act or omission of the Named Insured or its employees in connection with the Named Insured's Operations: Subject to Y2K Endorsement ::AL ~ Should any of the above described policy(ies) be canceled before the expiration date hereof, the issuing company will endeavor to give 30 days* notice to the certificate holder named herein. However, failure to mail such notice shall not impose any obligation nor any liability of any kind upon the company, its representatives or agents. , By Date ofIssue: July 21. 1992 Cert No,: 2 RELIANCE NATIONAL INSURANCE COMPANY It is hereby understood and agreed that the following is included as an Additional Insured but only to the extent of liability vicariously imposed upon the Additional Insured solely as the result of an act or omission of the Named Insured or its employees in connection with the Named Insured's Operations: Monroe County BOCC 51 00 College Road Key West, FL 33040 .~...'t<('\rr[' Q\,~ "):< H~;.ll:,:'-..~ ir J- ..Y ^1~q;t,b DATE-1l)~ Wr"VER: \'Ii,~~.. /' YFS ar;: C!kD- CL,~ ~(naw This endorsement is part of your Policy and takes effect on the effective date of your policy, unless another effective date is shown below, May 10, 1999 Complete only when endorsement is Not prepared with the policy or is not to be effective with the Policy. Date Issued: Policy Number: NAF2046391 Issued To: Paradise Aviation Inc, Effective Date: April 01, 1999 Endorsement No,: 6 W. Brown & Associates Insurance Services Countersigned: Countersigned Date: V-H~ Aviation Managers ACBRDN ,..qf2~;r;Il8lq~;r;f81~.fft:2I~!lf!t:2t~!~~!;i!~~ri;.lqf2;~~ D~~ 7;~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER SafeAir Underwriters P.O. Box 870867 Stone Mountain GA 30087-0022 Frank Jakes, Sr. Phone No 770-736-3292 Fax No. 770-736-3293 INSURED COMPANY A F. B. Beattie & Co., Inc. COMPANY B Safeco Select Markets Paradise Aviation, Inc PO Box 129 Stevensville MD 21666 COMPANY C COVERAGES 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. COMPANY o CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD1YY) DATE (MM/DD1YY) LIMITS GENERAL LIABILITY f--- COMMERCIAL GENERAL LIABILITY I CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE f-- PRODUCTS. COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ I--- AUTOMOBILE LIABILITY I--- B X ANY AUTO f-- BA7764601A 04/01/99 04/01/00 COMBINED SINGLE LIMIT $1,000,000 I--- ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BODILY INJURY (Per person) $ f-- I--- - BODILY INJURY (Per accident) $ I--- ANY AUTO rnrOn)I:;~. 'l;:~;"'~(} . ,. 'I. "" ; , '. ,:,\ V \ V n'-V ,"'. \ \q9 [1,~TE ~ lt~l AUTO ONLY- EA ACCIDENT $ - \., n"f, /vc~ ~: \ C!. ': \tJk ~ I.' itlolThSlb --..--- ~ ,..... ... 'MrPROPERTY DAMAGE $ GARAGE LIABILITY f-- OTHER THAN AUTO ONLY: EXCESS LIABILITY I UMBRELLA FORM I OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY " .... 11/' . EACH ACCIDENT $ AGGREGATE $ EACH OCCURRENCE AGGREGATE $ $ $ B i THE PROPRIETORI PARTNERS/EXECUTIVE OFFICERS ARE: OTHER RINCL EXCL WC7764601A 04/01/99 04/01/00 IWC STATU- I 10TH- TORY LIMITS I ER EL EACH ACCIDENT EL DISEASE - POLICY LIMIT EL DISEASE. EA EMPLOYEE ..... $ 1000000 $ 1000000 $ 1000000 A Property Section ES7154644 04/01/99 04/01/00 DESCRIPTION OF OPERA TIONS/LOCA T10NSNEHICLESlSPECIAL ITEMS 1987 Dodae Minivan MINIVAN 1996 Fora Winds tar MINIVAN 2B4FK51G7HR159478 2FMDA5148TBC76387 .- MONR001 .... ...... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE .:...:. Monroe County Board Commissioners 5100 College Road Key West FL 33040 of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY '~ H~~, -, H'.......n'),. Jakes OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIOllli.. '- \, " _ ........- Sr. '--. - --- -. HlRR ADDITIONAL PREMISE INFORMATION Paradise Aviation, Inc &PARA01 Attach to Certificate of Insurance PAGE 2 STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS INTEREST X INSIDE OWNER OUTSIDE X TENANT YR BUILT PART OCCUPIED 9400 Overseas Highway Marathon FL 33050 1976 100% NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS FBO, storage hangars , office and general aviation terminal STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS X INSIDE INTEREST OWNER YR BUILT PART OCCUPIED same same same OUTSIDE X TENANT 1976 100% NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS Open Aircraft Hangar for aircraft storage STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS X INSIDE INTEREST OWNER YR BUILT PART OCCUPIED same same FL same OUTSIDE X TENANT 1976 100% NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS Office and general aviation terminal. office. STREET, CITY, COUNTY, STATE, ZIP CODE "Line shack" for line personnel CITY LIMITS INSIDE OUTSIDE INTEREST OWNER TENANT YR BUILT PART OCCUPIED NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS INTEREST YR BUILT PART OCCUPIED INSIDE OWNER OUTSIDE TENANT NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS PREMISE # STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS INTEREST YR BUILT PART OCCUPIED INSIDE OWNER OUTSIDE TENANT NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS INSIDE OUTSIDE INTEREST OWNER TENANT YR BUILT PART OCCUPIED NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS STREET, CITY, COUNTY, STATE, ZIP CODE CITY LIMITS INSIDE OUTSIDE INTEREST OWNER TENANT YR BUILT PART OCCUPIED NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS Paradise Aviation, Inc LOCATIONS # STREET, CITY, COUNTY, STATE, ZIP CODE 9850 Overseas Hwy Marathon FL 33050 &PARA01 Attach to Certificate of Insurance PAGE 3 1 L STATE 0 C. CLASS CODE CATEGORIES, DUTIES, CLASSIFICATIONS FL 1 7423 RATE ESTIMATED ANNUAL PREMIUM Ground Crew 110000 FL 1 8810 Clerical 210000 VEH I C LE.. DES C R IPTION (con'!.) ~Ef.R I MAKE Dodge W~J MINIVAN I SYM/AGE I COST NEW 001 19871 MODEL Minivan V.lN: 2B4FK51G7HR159478 1 $ 15000 ! TERR GVW/GCW I CLASS I SIC I FACTOR ISEATCi ~~IUST FARTHEST TERM CITY, STATE, ZIP 7398 WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L CHECK ADD'L PIP ~ UNDRINS F LSP DEDUCTIBCj-2 ACV U COMPU c?b~l ~ERAGES MOTOR f-- f-- TOWING f---- - tJ AA ST AMT R UNDER 15 MILES R PLEASURE RETAIL X L1AB MED PAY & LABOR FT COMP $ f---- f-- UNINS - SPEC I-- - 15 MILES OR OVER FARM SERVICE PIP X MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR I MAKE: Ford WRl MINIVAN 1 SYM/AGE COST NEW 002 19961 MODEL Winds tar VI.N.. 2FMDA5148TBC76387 l $ 16952 I TERR GVW/GCW I CLASS I SIC I FACTOR I SEAT CP! ~~IUS I FARTHEST TERM CITY, STATE, ZIP 7398 WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L ~~"~ ADD'L PIP ~ UNQRlNS F LSP DEDUCTIBLES I X I ACV WCOMPU~ MOTOR I--- f-- TOWING I-- f-- tJ AA USTAMT R UNDER 15 MILES R PLEASURE RETAIL X L1AB MED PAY & LABOR I--- FT COMP $ 250 f-- I-- UNINS f-- SPEC ~ 15 MILES OR OVER FARM SERVICE PIP X MOTOR COFL FTW COLL $ $ 500 COLL VEH # I YEAR 1 MAKE: W~J T SYM/AGE COST NEW r MODEL V.LN.. l $ I TERR GVW/GCW T CLASS I SIC I FACTOR I SEAT CP! RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L CH~K ADD'L PIP UNDRINS F LSP DEDUCTIBLES I I ACV ~COMPU c?b~l I-- LlERAGES I-- f-- MOTOR - I-- TOWING tJ AA D STAMT R UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ f-- I-- UNINS I-- SPEC - f-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR 1 MAKE: W~ 1 SYM/AGE COST NEW I MODEL: V.IN. I $ I TERR GVW/GCW I CLASS T SIC I FACTOR I SEAT Ci RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L CHECK ADD'L PIP ~~~~WS F LSP DEDUCTIBLES 1 T ACV SCOMPU c?6fl RERAGES I-- I-- f---- TOWING I-- f-- :J AA U STAMT q UNDER 15 MILES =1 PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ ~ I-- UNINS I-- SPEC I-- I-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR I MAKE IIDO'Y T SYM/AGE COST NEW TYPE: I MODEL: V.LN.: l $ I TERR GVW/GCW I CLASS I SIC I FACTOR I SEAT Ci RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L C;:IjECK ADD'L PIP ~~'?[WS F LSP DEDUCTIB~ ACV DCOMPO c?~ LlERAGES I-- I-- - TOWING f-- f-- tJ AA ST AMT q UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ f---- I-- UNINS - SPEC I-- - 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR 1 MAKE WRl T SYM/AGE COST NEW r MODEL V.LN.: l $ T TERR GVW/GCW T CLASS T SIC, FACTOR TSEATCi RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L CHECK ADD'L PIP UNDRINS F LSP DEDUCTIBLES I J ACV o COMP[J c?b~l RERAGES MOTOR f---- I-- - TOWING I--- f-- bAA USTAMT q UNDER 15 MILES R PLEASURE RETAIL L1AB MEDPAY & LABOR FT COMP $ f---- I-- UNINS I-- SPEC f-- f-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR 1 MAKE W~ r SYM/AGE COST NEW r MODEL: V.LN.: l $ T TERR GVW/GCW T CLASS I SIC I FACTOR I SEAT CP! RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L C~CK ADD'L PIP ~~~s F LSP DEDUCTIBLES I I ACV U 'U SPEOC RERAGES I-- COMP C OF L f-- f-- TOWING - f-- tJ AA 0 STAMT q UNDER 15 MILES q PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ f-- I-- UNINS I-- SPEC - I-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ COLL VEH # I YEAR I MAKE: WJ[ 1 SYM/AGE COST NEW I MODEL: V.LN. l $ 1 TERR GVW/GCW I CLASS I SIC I FACTOR )SEATCi RADIUS I FARTHEST TERM CITY, STATE, ZIP WHERE GARAGED DRIVE TO WORK/SCHOOL USE COMM'L CHECK ADD'L PIP ~~9~WS F LSP DEDUCTIBLES 1 T ACV o COMPO tgfl RERAGES - - f-- TOWING I-- I-- o AA 0 STAMT q UNDER 15 MILES R PLEASURE RETAIL L1AB MED PAY & LABOR FT COMP $ - - UNINS f-- SPEC I-- I-- 15 MILES OR OVER FARM SERVICE PIP MOTOR COFL FTW COLL $ $ CaLL . :. NOTEPAD: Additional Insured - Monroe County Board of County COmmissioners, 5100 College Road, Key West, FL 33040 - ACORD~ ......--.-.,."""............ ...,.,.,-....".......----------..,.."."."""........-.......... C.E.~t.I..F=.I.<3.AX"t.fZ......q.F=.......llil~.m..I..~I........I..f\J.~._.._i..f\J..<4.IE~..l............ DA~7~/~~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, COMPANIES AFFORDING COVERAGE PRODUCER SafeAir Underwriters P.O. Box 870867 stone Mountain GA 30087-0022 Frank Jakes, Sr. Phone No. 770-736-3292 Fax No. 770-736-3293 INSURED COMPANY A Safeco Insurance Company COMPANY B Paradise Aviation, Inc PO Box 129 Stevensville MD 21666 COMPANY C COMPANY D 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD1YY) DATE (MMIDD1YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE $ PRODUCTS - COM PlOP AGG $ $ $ $ $ PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS BA7764601A 04/01/99 04/01/00 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ GARAGE LIABILITY ANY AUTO vY BODILY INJURY (Per accident) $ PROPERTY DAMAGE A THE PROPRIETOR! PARTNERs/EXECUTIVE OFFICERS ARE: OTHER INCL WC7764601A X EXCL 04/01/99 $ 1000000 04/01/00 ELDISEASE-POLlCYLlMIT $ 1000000 EL DISEASE - EA EMPLOYEE $ 1000000 AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE ~ I jl ,,: EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONSILOCATlONSNEHICLES/SPECIAL ITEMS Monroe County is an Additional Insured of the Business Auto policy but only in resp~cts ~o t~e li~ility portio~ of the policy and while being'operated by the 1n~ured, 1~cluding tne locat1on @ Marathon Airport. Workers' Compensat1on app11es to ehe State of Florida only Monroe County Board of County Commissioners 5100 College Road Key West FL 33040 MONROO 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI~ ,~_~ \ :F:rCl.Illc.:rCl.kes,....sr~'--~~~.................................................................... ..........J\cqRPG()RR()RA,.lq~1S813. ACORD 25'S (1/95) .... ACORD~ 1E\1IIJIZNJGm~ffZ>_ft)~~_.IR~g_7-\f\J11Z9$R~< DATE (MM/DDIYY) 09/23/99 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER ~r?o~~) 770-736-3292770-736-329 COMPANY SafeAir Underwriters P.O. Box 870867 stone Mountain GA 30087-0022 Frank Jakes Sr. CODE: SUB CODE: ~SS~O~ER ID # &PARAO 1 INSURED Safeco Surplus Lines Ins. Co. c/o SafeAir Underwriters Paradise Aviation, Inc Ed Steigarwald PO Box 129 Stevensville MD 21666 EFFECTIVE DATE ES7154644 EXPIRATION DATE CONTINUED UNTIL TERMINATED IF CHECKED LOAN NUMBER POLICY NUMBER 04/01/99 04/01/00 THIS REPLACES PRIOR EVIDENCE DATED: LOCATION/DESCRIPTION 001 9400 Overseas Highway Marathon FL 33050 COVERAGE/PERILs/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Hangar- Special Form Cause of Loss 48,000 2500 Open Hangar- Special Form Cause of Loss 15,000 2500 Office ter.minal- Special Form Cause of Loss Line shack- Special Form Cause of Loss 50,000 6,000 2500 2500 Among other limitations Exclusions there is a or Hail Exclusion and Flood Exclusion (See Certified policy attached) special Windstorm Copy of the (~l. "y::mD~~Cfl_ t~~ O~TE_- . ::. .. .'/ YES THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. NAME AND ADDRESS Monroe County Board Of County Commissioners 5100 College Road Key West FL 33040 MORTGAGEE X LOSS PAYEE LOAN # X ADDITIONAL INSURED X Lessor ~~ Frank Jakes Sr. .=.. W. BROWN & ASSOCIATES INSURANCE SERVICES 3121 Bartlett Corporate Dr., Ste. 102 Bart1ett,1N 38133 (901,266-0635 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: ,// Monroe County BOCC Attn: Maria DelRio - Risk Management 502 Whitehead St., 3rd Floor Key West, FL 33040 THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Paradis Aviation, Inc. 9850 Overseas Hwy. Marathon, FL 33050 POLICY NO. POLICY PERIOD FROM: INSURANCE CO.: NAF3001579 4/1/00 TO Greenwich Insurance Company 4/1/01 DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Airport Liability: Single Limit Bodily Injury and Property Damage $5,000,000.00 But aggregate as respects products/completed operations and personal injury including: each occurrence [X] [X] [ ] [X] Premises Products/Completed Operations Independent Contractors Hangarkeeper's Liability: [ ] [ ] Personal Injury Contractual Deductible: $1 ,000,000.00 $3,000,000.00 $10,000.00 each aircraft each occurrence each loss Additional Coverages: The above Certificate Holder is included as an Additional Insured but only to the extent of liability vicariously imposed upon the Additional Insured solely as the result of an act or omission of the Named Insured or its employees in connection with the Named Insured's Operations: Subject to Y2K Endorsement Should any of the above described policy(ies) be canceled before the expiration date hereof, the issuing company will endeavor to give 30 days* notice to the certificate holder named herein. However, failure to mail such notice shall not impose any obligation nor any liability of any kind upon the company, its representatives or a e ts. ....." '0\/r, ,. ,,- ~'A"/:"-,,~';~~ f * 10 days for non-payment By: ok fJ~ Date of Issue: '. "":-7, ~,~~ / v'S Septen:ber 1';, 2~~;- ... ~~ W. Brown & Associates Insurance Services Cert No.:002 , - ....... I ACORDN CE.RTIFICATr: OF LIABILITY INSl.JRANC~~o~A DATE (MM/DD1YY) 04/19/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Falcon Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 92409 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Austin TX 78709-2409 Phone: 512-891-8473 INSURERS AFFORDING COVERAGE -- INSURED I INSURER A: Safe co Insurance Company i INSURER B: W. Brown & Associates I ~-_. -...._---- - - -.- Paradise Aviationh Inc. I INSURER C USAIG - Dallas 9850 Overseas Hig way , Marathon FL 3305 I INSURER 0: ----~-_._-----_._-- . - , I INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS I LTR TYPE OF INSURANCE GENERAL LIABILITY B X COMMERCIAL GENERAL LIABILITY ~!~~~;~~:=,;:;;; i AUTOMOBILE LIABILITY A QD ANY AUTO LJ ALL OWNED AUTOS ~I SCHEDULED AUTOS HIRED AUTOS r-- NON-OWNED AUTOS r--- J _____ _.__ ________ , ' POLICY NUMBER TBI 04/01/01 04/01/02 LIMITS , EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) '$ 25 , 000 MED EXP (Anyone person) $ 1, 00 0/ ~LQQO PERSONAL & ADV INJURY $ - --_.~-~--~- GENERAL AGGREGATE $ 5,000 , 000 PRODUCTS - COMP/OP AGG i $ 5 , 000 , .()QQ...___ TBI 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODIL Y INJURY (Per person) $ v w, :r.;,~~o;, BODILY INJURY (Per accident) I '$ i , I PROPERTY DAMAGE I (Per accident) GARAGE LIABILITY , ANY AUTO UTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY. EA ACC $ AGG ! $ EXCESS LIABILITY OCCUR CLAIMS MADE ", ,. -- ct' '~ ~::~:~~ERRENC~__, :-- ~(I}oo~ -------~--- .------ i ~-------- , $ , DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TBI 04/01/01 i 04/01/02 $1,000,000 ----______-'-$!LQ() OJO 0 0 E.L. DISEAS~ - POLICY LIMIT $ 1 , 000 , 000 C OTHER I TBI DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIDNS ADDED BY ENDORSEMENT/SPECIAL PROVISIDNS Property - Hangar - $48,000, Open Hangar - $15,000, Office Terminal - $50,000, Line Shack - $6,000 Certificate Holder is named as Loss Payee and Additional Insured. A Property 04/01/01 04/01/02 See Below CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MON001A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Monroe County Board of County Commissioners 5100 College Road Key West FL 33040 i . rl, / /n _ ,lc~-1.. 'C< c) (.,-/0,,--_ ACORD 25-S (7/97) {J..>!,,' @ACORO CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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), DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (7/97) NOTEPAD:. . INSURED'S NAME Paradise Aviation, Inc. PAR046A OP 10 RM PAGE 3 DATE 04/19/01 ACORD~ CERTIFICATE OF LIABILITY INSURANCeJM~l I DATE (MMIDD/YY) 07/16/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ~ . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SafeAir Underwriters HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 870867 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. stone Mountain GA 30087-0022 Phone: 770-736-3292 Fax:770-736-3293 INSURERS AFFORDING COVERAGE INSURED INSURER A: F. B. Beattie & Co., Inc. INSURER B: Paradise Aviationh Inc INSURER C 9850 Oversees Hig way INSURER D Marathon FL 3305 -- I INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER b2Hf~~b5WW POLI~i, EXP!~A WN LIMITS LTR DATE MMIDD/YY GENERAL LIABILITY EACH OCCURRENCE $ ~MERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ -. CLAIMS MADE n OCCUR MED EXP (Anyone person) $ ~-=-----. . -- I PERSONAL & ADV INJURY $ U GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ II n PRO. nLOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f-- $ 1,000,000 ~ ANY AUTO BA7764601 04/01/01 04/01/02 (Ea accident) ALL OWNED AUTOS BODILY INJURY f---- $ SCHEDULED AUTOS (Per person) f-- HIRED AUTOS BODILY INJURY I---- $ NON.OWNED AUTOS (Per accident) I---- I---- PROPERTY DAMAGE $ "r-;(I'A "Q~ "yl.".. ,r ~ (Per accident) ;.,~'. .". GARAGE LIABILITY ~1 k 1 U /1';:. ') AUTO ONLY. EA ACCIDENT $ R AI,Y AUTO LIV - -, /"'1 ;; I OTHER THAN EA ACC $ AUTO ONLY: AGG $ T~ ~ESS LIABILITY -1- l"'- EACH OCCURRENCE $ tJ OCCUR D CLAIMS MADE \.,1fI1..r-~: -/ \/(\ ~.,-^---- AGGREGATE $ ,', . --~_.._- $ R DEDUCTIBLE 00: (fbW $ RETENTION $ $ WORKERS COMPENSATION AND (Lr.U~ eO I TORY LIMITS I 10~' EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ~ me l@n E.L. DISEASE. EA EMPLOYEE $ E.L. DISEASE. POLICY LIMIT $ '-"<.... OTHER A Commercial Applica ES7154644 04/01/01 04/01/02 Buildings $119,000 A Property Section ES7154644 04/01/01 04/01/02 DESCRIPTION OF OPERATlONS/LOCATlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Property - Hangar $48,000, Open Hangar - $15,000, Office Terminal - $50,000, Line Shack - $6,000, Certificate Holder is named as loss payee and additional insured CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County Board of County - Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5100 College Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESEiNT A TIVES, J I K~ 1\A .J-.. 11 ..... J).g k. /JJ~A JJJ, ACORD 25-5 (7/97) J @ACO,O ~ORPORATION 1988 Certificate of Insurance Falcon Insurance Agency, Inc. P. O. Box 92409 Austin, Texas 78709-2409 512-891-8473 February 1,2002 This is to certify to: County of Monroe Board of Commissioners 1100 Simonton Street Key West, Florida 33040 That insurance has been effected for: Paradise Aviation, Inc & South Florida Fighter Jet Association, Inc. 9850 Overseas Highway Marathon, Florida 33050 Policy No. - SA00121899-01 Insurance Company - U. S. Specialty Insurance Company Effective: 2/4/2002 Expiration: 2/4/2003 . AIRCRAFT LIABILITY LIMITS OF LIABILITY AIRPORT LIABILITY LIMITS OF LIABILITY Bodily Injury Each Person Bodily Injury Each Person Each Occurrence Each Occurrence Property Damage Each Occurrence Property Damage Each Accident Passenger Each Person Single Limit Premises Each Occurrence Each Occurrence Liability Single Limit including Each Occurrence: $1,000,000 Products Liability Each Occurrence & Annual Passenger but not to exceed Each Passenger; $100,000 * Aggregate; Single Limit excluding Each Occurrence; Contractual Liability Each Occurrence Passenger Medical Payments * Passenger liability is excluded Hangarkeepers' Legal One Aircraft for this aircraft Liability All Aircraft Deductible Aircraft Insured: 1. 1984 Aero L-39 N12076, $320,000 Insured value for ground and flight risks with $25,000 deductible for all losses 2. 1978 Aero L-39 N 151 SB, $200,000 Insured value for ground not in motion risks with $20,000 deductible County of Monroe and the Board of County Commissioners is included as additional insured for the liability insurance coverage described above, but only with respect to their non-operational interest in the aviation operations utilizing N 12076 and N 151 SB, We will endeavor to notify the certificate holder 30 cancelled by the Company. days before date of Cancellation, if policy should be \. ~ '; .--L-' (['2 -,.."., -~~ ',jj ~ (1]~ e' . n ., C"'. '., f~AGi::.MEi,jr ."'. .:::"'nt'\ ..... f) n v 'I J' \ I ~v r.', " . ACORDN CERTIFICATE OF LIABILITY INSl.JRANCI;AR8~J~ A~ DATE (MM/DD1YY) 04/23/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Falcon Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 92409 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Austin TX 78709-2409 INSURERS AFFORDING COVERAGE Phone: 512-891-8473 Fax:512-891-8483 INSURED INSURER A: Travelers Property && Casual tv INSURER B: XL Specialty Insurance Paradise Aviationh Inc. al.-~~ INSURER C Old Republic Insurance Company 9850 Overseas Hig way INSURER D Marathon FL 3305 I INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER b~~~iMift~~mYE P~l-f~~~~rJ~~?N LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 5, 000, 0000 f-- B X COMMERCIAL GENERAL LIABILITY TBI 04/01/02 04/01/03 FIRE DAMAGE (Anyone fire) $ 25,000 f-- I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $1,000/5,000 HANGAlU<EEPERS LEGAL LIAll PERSONAL & ADV INJURY $ 1,OOO,OOO/AC 3,OOO,OOO/OC GENERAL AGGREGATE $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $5,000,000 I .nPRO. n POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $500,000 A ~ ANY AUTO TBI 04/01/02 04/01/03 (Ea accident) ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - HIRED AUTOS h BODILY INJURY - r- $ NON-OWNED AUTOS ~~~~y. ~ ') ENl (Per accident) - IS h-uJ , , -. PROPERTY DAMAGE $ I . '"'\/ (Per accident) GARAGE LIABILITY - L V, ,/ '1 Y/ - AUTO ONLY - EA ACCIDENT $ =i ANY AUTO DAlE - N/AL _YES () ) OTHER THAN EA ACC $ ,-- (f AUTO ONLY AGG $ EXCESS LIABILITY I c9J~ti (h \L..r EACH OCCURRENCE $ tJ OCCUR D CLAIMS MADE lCo AGGREGATE $ $ R DEDUCTIBLE ~l(~OA $ RETENTION $ \.. IIJ $ WORKERS COMPENSATION AND I fO~R~\~~YTS IO~. ER C EMPLOYERS' LIABILITY TBI 04/01/02 04/01/03 EL EACH ACCIDENT $1,000,000 E.L DISEASE. EA EMPLOYEE $1,000,000 E.L DISEASE. POLICY LIMIT: $ 1, 000 , 000 DTHER A I Property TBI 04/01/02 04/01/03 SEE BELOW DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Property - Offices & Hangar - $200,000 Aircraft Storage Hangar - $75,000, Line Shack - $15,000 *Deds $1000 -wind, wind driven rain excluded *Certificate Holder is named as Loss Payee and Additional Insured CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MON001A SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..3.0..-. DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDE~TO THE LEFT, BUT FAILURE TO DO SO SHALL Connnissioners IMPOSE NO OBLIGATION OR LIABILIT'I\ OJ-IIND UPON T11NSURER, ITS AGENTS OR 5100 College Road Key West FL 33040 REPRESENTATIVES. /l AUTHORIZED REPRESENTATIVE 1(/(;g1JJ I i)( ~ ~~. Jack Harrison .. .. ACORD 25-S (7/97) V ~'t;O ~ CORPORATION 1988 ACORD,. CERTIFICA TE OF LIABILITY INSURANCE PRODUCER I DATE (MM/DO/YY) 08/21/2006 Serial # 100151 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SOUTHEAST INSURANCE BROKERAGE COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR _'h..__.._.. - -AH-ER--H-IE-E;OVERAGE AFFORDED BY THE POLICIES BELOW. ,'" . ;..' .' ~. "" I.' i . r---::':~< ~.: -~:_. JllSuRERS AFFORDING COVERAGE INSURER A~ XL SPECIALTY INSURER s'; ZENITH INSURANCE NAIC# 2 ALHAMBRA PLAZA SUITE 1200 CORAL GABLES, FLORIDA 33134 ! , INSURED L AUG24 INSURER C: INSURER d: CRISTAL CLEAR FBO, LLC / : DBA PARADISE JET SUPPORT' 9850 OVERSEAS HIGHWAY ) I MARATHON, FL. 33050 J ". _ COVERAGES ! ';-H;~""J'_;'" THE POLICIES OF INSURANCE LISTED BELOW HA'vi: CL:CI~ I":>":>vc~ I'U l~~ ;I:;;:-'-~ FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITJON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, Ir~ ~~~I: TYPE OF INSURANCE POLICY NUMBER Pg~'fJI~~lflCf,~1 Pg~!W,~tc~iAAN GENERAL LIABILITY - X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE 0 OCCUR X AVIATION LIABILITY LIMITS NAF3029487 09/20/05 EACH OCCURRENCE $ ~~~~~~JOE~E~cl~~nC6\ $ MED EXP (Anv one perron) $ PERSONAL &ADV INJURY $ 09/20/06 GENERAl. AGGREGATE $ PRODUCTS - COM PlOP AGG $ COMBINED SINGLE LIMIT $ (Eaacddent) 09/20/06 BODILY INJURY $ (Perperi!Dn) BODILY INJURY $ (Peracddent) r~?~~Rd1~t?AMAGE $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY AGG $ '5,000,000 A A GEN'L AGGREGATE LIMIT APPLIES PER J POLICY n jfB' nLOC ~TOMOBILE LIABILITY ~ ANY AUTO r ALL OWNED AUTOS r--- SCHEDULED AUroS f-- HIRED AUTOS NON--OVvNED AUTOS rx MOBILE EQUIPMENT 1,000,000 NAF3029487 5,000,000 09/20/05 ~RAGE LIABILITY I ANY AUTO ~ESSlUMBRELLA LIABILITY J.--J OCCUR 0 CLAIMS MADE h DEDUCTIBLE I RETENTION $ WORKER'S COMPENSA nON AND EMPLOYERS' LIABILITY 8 ~~~lt~~~~~1~~/~~~m~~/g;EcuTIVE ~~~~I~t~~b~~~~~S below OTHER 1I.'---e_ , ( , I \ \:'j (r ~~,/ 'I ~- EACH OCCURRENCE $ AGGREGATE $ $ $ $ X I T~{IfJNs I f',);H ER El EACH ACCIDENT $ 100,000 EL DISEASE - EA EMPLOYEE $ 500,000 EL DISEASE - POLICY LIMIT $ 100,000 Z065664402 02/25/06 02/25/07 (>-\,/ c- .c1 ( _ (\'~l( /l._ D.. A" Ur. q n , DESCRIPTION OF OPERATlONSfLOCATlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL ~<6ISl0NS COVERAGE INCLUDES: PRODUCTS & COMPLETED OPERATIONS AND HANGARKEEPERS _ LIMIT $1,000,000 CC:~a.,,~~ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~DAYS 'lvRITTEN NOTICE TO THE CER. TIFICATE HOLDER:zJ;MED 0 TH:E LEFT, BU'/JT FAILU,RE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF N PONl~E INS R,ITS AGENTS OR REPRESENTATIVES -.fLJ AUTHORIZED REPRESENTATIVE '~~-I./ , @ACORDCORPORATION1988 ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST. ROOM #268 FAX: 305-295-3179 KEY WEST, FL. 33040 ATTN:MARIA SLAVIK , ACORD 25 2001/08 ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNY) ill 1010312006 PRODUCER Serial # 100509 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SOUTHEAST INISURANCE BROKERAGE COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2 ALHAMBRA PLAZA SUITE 1200 ., T~O THE COVERAGE AFFORDED BY THE POLICIES BELOW CORAL GABLES, FLORIDA 331'4' "-"-.'-.-- HECEIVED I JII UREF AFFORDING COVERAGE NAIC# INSURED INS RER A" XL SPECIAL TV CRISTAL CLE,A.R FBO, LLC INS RER B: ZENITH INSURANCE DBA CRISTAL CLEAR AVIATI IN OCT 1 0 : 9850 OVERSEAS HIGHWAY INS RER C:' I MARATHON, FL 33050 INS RER 0: ""n ' ""TV INSURER E: COVERAGES , R"" ,;",~"r,FMFNT THE POLICIES OF INSURANCE LISTED BELOW AAV~ BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWfTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAt'lICE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ,,,.. ~~~ TYPE OF INSURANCE POLICY NUMBER Pgl!flIW~bW~E Pgk!fl/~b~,wN LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 10,000,000 -;-;- X COMMERCIAL GENERAL LIABILITY ~~~~~~JqlaE~~~n""\ $ 50,000 A I CLAIMS MADE 0 OCCUR MED EXP (Anv one person) $ 1,000 L. AVIATION L1AI3/L1TY PERSONAL & ADV INJURY $ NAF3036858 09120106 09120107 GENERAL AGGREGATE $ 20,000,000 r- GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 5,000,000 h POLICY n ~l8T n LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 10,000,000 ~ ANY AUTO (Eaaccident) A ALL OWNED AUTOS NAF3036858 09120106 09120107 BODILY INJURY f- (Per person) $ f- SCHEDULED AUTOS f- HIRED AUTOS BODILY INJURY $ ')( NON-OWNED AUTOS (Per accident) MOBILE EQUIPMENT PROPERTY DAMAGE (Per accident) $ ~~GE LU\.,UTY APPROVED ~ !~~;. , AUTO ONLY - EA ACCIDENT $ v' '.. ,,- ANY AUTO Vd'm, '-i' OTHER THAN EAACC $ AUTO ONLY AGG $ :=J~SSJUMBRELLA LIABILITY 0", ,: __LV_ ..c:L --- EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE :~. AGGREGATE $ WA~'ViER NI - , ,-t,' \UJ;'O; $ ~ ~EDUCTIBLE L>>2;: $ RETENTION $ r(' ~~ $ WORKER'S COMPENSATION ANI) X I T'(l~,9rilJi~s I",)'H' ER EMPLOYERS' LIABILITY 02125106 02/25107 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? Z065664402 IJ.. 0 500,000 " -' " ,v (J, EL DISEASE - EA EMPLOYEE $ ~~~tl~L~~~,JIS~bNS below nO,:) S~ DISEASE - POLICY LIMIT $ 100,000 OTHER f-J-' DESCRIPTION OF OPERATlONSILOCAT10NSNEHICLESJEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ADDITIONAL INSURED: DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL_..~~_DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOlDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY 7TNY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST ROOM #268 FAX 305-295-3179 REPRESENTATIVES, /1 KEY WEST, FL :330040 ATTN MARIA SLAVIK AUTHORIZED REPRESENTAT"'E 7 IW, ~ 1/,;, ~ I ACORD 25 (2001/08l1. . . D ACORD CORPORATION 1988 ec~ I DATE (MM/DDfYY) 03/05/2007 Serial # 101189 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SOUTHEAST INSURANCE BROKERAGE COMPANY g~~ Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE " THIS CERTIFICATE DOES NOT AMEND, EXTEND OR R' CC'\ir~~LTER T E COVERAGE AFFORDED BY THE POLICIES BELOW. t !~ll '- ---_._- - S RERS FFORDING COVERAGE NAIC# INSU ER A; L SPECIALTY CRISTAL CLEAR FBO, LLC MAR 1 3 200 INSU ER B: ENITH INSURANCE DBACRISTALCLEARAVIAl'lON I INSU ERe: 9850 OVERSEAS HiGHWAY;, 1"'0' ' I MARATHON, FL. 33050 1 L_~ MCi,,'RQ~-COI,_!;TY INSURER ~~ I COVERAGES K')! 'i'i'!!"li:~"' ',;h _J 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH I ~fAi~~~S' AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I ' TYPE OF INSURANCE POliCY NUMBER PB~lrl,i1"J'fb<6"WOr PBk'Fl,~~ LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ X COMMERC~L GENERAL LIABILITY ~~~*~JqfaE~~~nce\ $ A _P.CLAJMSMAOE [J OCCUR MEDEXP (Anv one person} $ X AVIATION LlA8Il~ PERSONAL &ADV INJURY $ NAF3036858 09/20/06 09/20/07 GENERAlAGGREGA1E , PRODUCTS - COMP/OP AGG $ ACORD" CERTIFICA TE OF LIABILITY INSURANCE PRODUCER 2 ALHAMBRA PLAZA SUITE 11'uU CORAL GABLES, FLORIDA 331134 I INSURED A ~'L AGGREGATE LIMIT APPLIES PER I POLICY n ~JWi II LOC ~TOMOBILE llABIUTY r2S. ANY AUTO f-- ALL OV\.1\lED AUTOS L-- SCHEDULED AUTOS ~ HIRED AUTOS _ NON-QIfltNED AUTOS X MOBILE EQUiPMENT 09/20/07 COMBINED SINGLE LIMIT , (Ea acciden~ BODILY INJURY , (Per person) BODILY INJURY , (Peracddent) PROPERTY DAMAGE , (Peracodent) AUTO ONLY - EA ACCIDENT , OTHER THAN EAACC , AUTO ONLY AGG , EACH OCCURRENCE , AGGREGATE , I I , X ir\2!iWiJJHsJ ro'!,\" EL EACH ACCIDENT , EL DISEASE. EA EMPLOYEE I EL DISEASE - POLICY LIMIT , NAF3036858 09/20/06 nRAGE LIABILITY H ANY AUTO ,rVI r", 011 . ,n 'UJ, .( hJ ;:<_m~ ,=,8LQJ V LV; ',(Q,-J.b.. C L ',]-< ( ~~SSlUMBRELLA LIABIUTY ~ OCCUR 0 CLAIMS MADE h DEDUCllBLE ~ RETENTION $ WORKER'S COMPENSATION AND EMPlOYERS'LIABIUTY 8 ~~~lb~~fM~~~~/~m5~XECUTIVE ~p~~llt~~~~~?~~s below OTHER Z065664403 02/25/07 02/25/08 .~br- , " 0.0 'C "-.) DESCRIPTION OF OPERATIONSJLOCATlONf"oNEHJCLESJEXClUSlONS ADDED BYENOORSEMENT/SPECJAL PROVISIONS CERTIFICATE HOLDER 10,000,000 50,000 1,000 20,000,000 5,000,000 10,000,000 100,000 500,000 100 000 ADDITIONAL INSUHED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST-KEY WEST FL. 33040 ATTN: MONIQUE DIAZ 305-292-4487 I ACORD 25 (2001/08) CANCELLATION SHOULD P.NY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER VV1LL ENDEAVOR TO MAIL~DAYS VvRITTEN NOTICE TO THE CERTIFICATE HOLDER NA\'I~nD T HE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO 08L1GATION OR LIABILITY OF ANY IN UPON THEINSURER:1T-S AGENTS OR REPRESENTATIVES. ;'1 / / AUTHOROZEDREPRESENTATIVE 13",/ It< eq/lf:jj,j/~" "I @ACeRrlCORPORATION1988 I ' C-c.:~~ AC1JBDN CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDIYV) 8/16/2007 PRODUCER Wells Fargo Insurance Services THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 3225 Aviation Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33133 (305) 443-4886 INSURERS AFFORDING COVERAGE INSURED INSURER A: General Star Indemnity Co CRISTAL CLEAR FBO, LLC INSURER B: INSURER c: 18167 US HWY 19 NORTH *500 INSURER 0: CLEARWA'l:ER FL 33133 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTeD BELOW HAVE BEEN ISSUEO 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO AU THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '~~: TYPE OF INSURANCE POLICY NUMBER ~.~:F~ PO ~ UMITS DATE MMID DATE MUll) ~NERAL UABUTY EACH OCCURRENCE . COfoWERClAL GENERAL lIABILITY FIRE DAMAGE (Any one fire) . I CLAIMS MADE [J OCCUR MEn EXP (Any one~) . PERSONAL & ADV INJURY . r- GENERAL AGGREGATE . GEN't AGG~nE lMIT Afp=~~t PER. PROCUCTS - COMPIOP AGG . n PRO- POLICY JECT Loe ~TOIIOBll.E UABlUTY COMBINED SINGlE LIMIT . ANY AUTO (Eilacc:ident) - - All OWNED AUTOS BODILY INJURY (P..J)el'8On) . - SCHEDULED AUTOS - HIRED AUTOS DY1 ~r ~ WlCi ':~~~/ JI. r~ILYINJURY WlICCiclenl) . NO~EO AUTOS .... lI.1lJu' - , -:7)< _ f !:!'OPERTY DAMAGE . rr-1)' (P8l"accldent) GARAGe LlASIUTY ~ AUTO ONLY -EAACCIOENT . R-ANY AUTO OTHER THAN EAACC . AUTO ONLY: AGe . eXCESS UABfUTY 5Y6: (C slL) EACH OCCURRENCE . ~ OCCUR 0 CLAIMS MACE AGGREGATE . 11'Qo . =i ~EOUCTIBLE (( . , . RETENTION . . WORKERS COMPENSATION AND , -i:{uD-€ rY~ I T~.STATU., I 10TH- EMPLOYERS' LIA8IUTY 9 TORY LIMITS "'ER E.L. EACH ACCIDENT . E.l. DISEASE-EAEMPLOYEE $ E_L. DISEASE - POLfCY LIMIT $ OTHER BUILDING n 500,000 A PROPERTY - REPL COST - IMA785020 4/4/2007 4/4/2008 CONTENTS-BLDG 30,000 90% COINS DEDUCTIBLE 2,500 DESCRlPTlON OF OPERATlONSlLOCATJONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS See Supplemental Information Page(s) CERTIFICATE HOLDER I I ADDmONAL INSURED; INSURER LETTER: CANCELLATION SHOULDAWf OFTHEABOVE DESCRIBED POllQES BECANCElLED SEfORETHE EXPlRAllON MONROE COUNTY BOCC DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRm'EN NOTIC!! TO THE CERTIFICATE HOLDER NAMED TO TlfE LEFT, BUT FAlWRE TO DO so SHAll 1100 SIMONTON ST. _.~--~~- .-~-~ SUITE *2-268 .......E8CNTATIVES. I KEY WEST / FL 33040 AllTl<OftIZEDREPRESENTA11VE J J I ~ , ACORD 25-S (7/97) c,c....: ~A_ ' . El ACORD CORPORATION 1988 lM: LPWV1.9.9aon8l16107 -13:32 by Uaer LP:lPWV1.9.9ilon8l16lO7_13;32b Uaer PFv1.03 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the POlicy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or atter the coverage afforded by the pOlicies listed thereon. ACORD 25-5 (7/97) LM: lPWv1.9.9a 0118116107 -13:32 by UMI( LP: lPWv1.9-9aon8l161D7 -13:32by UHr PFv1.03 PRODUCER PHONE (~,"'o.';,;t) APPLICANT (FlBt Nllmed lnIiuntdl DATE (MMlDDlYYf' ,,;!!Y 8/16/2007 '!~ Wells Fargo Insurance Southeast, Inc. 3225 Aviation Ave Suite 400 Miami PJiON. {~..,.,~,...~ Services CRISTAL CLEAR FBO, LLC FL 33133 18167 US HWY 19 NORTH *500 CLEARWATER FL 33133 CODE: AGENCY CUSTOMER 10 EFFECTIVE DATE EXPIRATION DATE COIPlAN SUB CODE: POUCY NUMBER: ACCOUNT NUMBER: PROPERTY - BUILDING *2 LIMIT: $100,000 - CONTENTS BLDG *2: $5,000 - DEDUCTIBLE: $2,500 9850 OVERSEAS HIGHWAY, MARATHON, FL 33050 BUILDING #: STORAGE HANGER - BUILDING *2: LINE SHACK CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED. .'!CH iO'iti:mi;f3ir~lli7l'" 1"'.ICI\"'..1QQ"......A/11\1117_1~.:\7""11_