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Certificates of Insurance -", MARAT-1 OP ID: MOMA '4coiRo. CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) �•� 12/29/2020 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 407-629-4825 CONTACT Peter Katauskas Alexander Insurance Agency PHONE FAX 541 S.Orlando Ave.,Suite 206 (A/C,No,Ext):407-629�825 (A/C,No):407-629-5407 Maitland,FL 32751 E-MAIL pkatauskas@alexfinancial.com Peter Katauskas ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:OLD REPUBLIC INSURANCE COMPANY 22667 INSURED INSURER B: Marathon Hangar Development LLC 11100 Overseas Highway INSURER 7 Marathon,FL 33050 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MWDD/YYYY MWDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR X P PREMI AP 01027208 01/03/2021 01/03/2022 E ( RENTED REMISESS Ea occurrence) $ X HANGAR KEEPERS LL MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JJECT LOC PRODUCTS-COMP/OPAGG $ OTHER El AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ �, Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED 1 4 -- --- -"""- PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY - Per accident $ WAW $ UMBRELLA LIAB OCCUR As to GL & Hangar Ke pers EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Pearson-April@monroecounty-fl.gov Monroe County Board of County Commissioners is Included as an Additional Insured on Airport Liability Coverage but only with respect to operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION MONRO-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count Board of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners Insurance Compliance PO Box 100085-FX AUTHORIZED REPRESENTATIVE Duluth,GA 30096 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MARATHON HANGAR DEVELOPMENT INC 11100 OVERSEAS HWY MARATHON, FL 33050 305-289-6486 i December 28, 2020 To whom it may concern, Marathon Hangar Development Inc. has no employees. Please contact Marvin Schindler with any questions at 305-393-0064. Sincerely, Marvin Schindler Marathon Hangar Development , Inc. Vice President & Director 2018 Edition MONROE COUNTY,FLORIDA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements,be waived or modified on the following contract. Contractor/Vendor.- Project or Service: Contractor/Vendor 4 Address&Phone ft- General Scope of Work: 4 Reason for Waiver or /,JC Modification., Policies Waiver or Modification will apply to: C v Signature of ContractorNendor: Date: 12-31-2020 Approved x Not Approved Risk Management Signature: Date: County Administrator appeal: Approved: Not Approved: Date: Board of County Commissioners appeal: Approved: Not Approved: Meeting Date- Administrativc Instruction 7500.7 t04 2018 Edition MONROE COUNTY, FLORIDA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insurance requirements,as specified in the County's Schedule of Insurance Requirements,be waived or modified on the following contract. Contractor/Vendor: Project or Service: i Contractor/Vendor Address&Phone#: gg �-;'fir° � ° i:�� `�� /�it�z. � ��.� d�`C:�°P�k�� General Scope of Work: ,rye Reason for Waiver or ' I ' f `" • , t � t t ;P" Modification: - - t _.o Policies Waiver or Modification will apply to: 1 L o L L Signature of ContractorNendor. 12 31-2020 Date: - Approved X Not Approved Risk Management Signature. Date: County Administrator appeal: Approved: Not Approved: Date: Hoard of County Commissioners appeal: Approved: Not Approved: Meeting Date: Administrative Instruction 7500.7 104