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COI Expires 11/17/2019 ,----1 ® DATE(MM/DDIYYW) A�O CERTIFICATE OF LIABILITY INSURANCE 5(MrwDo9 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 AirSure Limited CONTNAME: AirSure AirSure Limited 25548 Genesee Trail Road PHONE ' FAX Golden, CO 80401 e MA Lo.Ext): 303-526-5300 (A/c,No): 303-526-5303 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Starr Indemnity&Liability Company 38318 INSURED INSURER B: Travelers Indemnity Company 25658 Marathon Aviation Associates, LLC, et al 9850 Overseas Hwy INSURER C: QBE Insurance Corporation 39217 Marathon, FL 33050 INSURERD: Commerce and Industry Insurance Company 19410 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 48538226 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 W /Y LIMITS LTR INSD VD POLICY NUMBER (MMIDD/YYYY) (MMIDDYYY) A i COMMERCIAL GENERAL LIABILITY ✓ 100023116303 4/1/2019 4/1/2020 EACH OCCURRENCE $25,000,000DAMAGE RENTE CLAIMS-MADE ,/ OCCUR PREMISESO(Ea occurrence) MED EXP(Any one person) $25,000 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ B AUTOMOBILE LIABILITY BA9278A68519HPR 4/10/2019 4/10/2020 CINEDS INGLELIMIT $ �/ (EaOMB accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY ✓ AUTOS P t ISK $ ✓ AUTOS ONLY HIRED ✓ AUTOS ONLY QY 3 10 (Per PROPERTY ridDAMAGE C( $ UMBRELLA LIAB OCCUR DATE 5 I 1 EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE WAIVER N/A__ VES_ AGGREGATE S DED RETENTIONS $ C WORKERS COMPENSATION AWC0500248 4/10/2019 4/10/2020 ,/ SEttz TATUTE OTH- ER AND EMPLOYERS'LIABILITY YIN A ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) Ue E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under C yf/ DESCRIPTION OF OPERATIONS below v" •' E.L.DISEASE-POLICY LIMIT $1,000,000 D Storage Tank Pollution Llability ✓ FPL007511949 11/17/2018 11/17/2019 $1,000,000 Each Occurrence $2,000,000 Annual Aggregate n( .4j).5 5,000 Deductible Each Loss DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached ifmore 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 I Monroe CountyBoard of CountyCommissioners, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN its employees &officers ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 Jim AUTHORIZED REPRESENTATIVE IKerin Dodd ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 48538226 119-20 Work Comp / Auto / Property / GL I Courtney Phillipy 15/6/2019 2:02:14 PM (MDT) 1 Page 1 of 1