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Certificates of InsuranceAGQRQCERTIFICATE OF LIABILITY INSURANC IL =TT DA07/27 0 PRODUCER 7THIS CERTIFICATE IS ISSUEINFORMATIONThe Fullers, Inc ONLY AND CONFERS NO RIRTIFICATEHOLDER. THIS CERTIFICATD, EXTEND OR3600 Roosevelt Blvd. ALTER THE COVERAGE AFFLICIES BELOW. Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 INSURERS AFFORDING COVERAGE INSURED INSURER A: Progressive Commercial Div Island City Flying Service, In IINSURER B: Marsha Depoo INSURER C: 3471 S. Soosevelt Blvd. Key West FL 33040 INSURERD: 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. LTR TYPE OF INSURANCE POLICY NUMBER DATE MM ECTI E POLICY EXPIRATION LIMITS GENERAL LIABILITY r �,r; P, EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ` CLAIMS MADE OCCUR �' V — { n FIRE DAMAGE (Any one tire) $ � I ! _ �' ' /�j� MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AG GREGATE GEN'L AGGREGATE LIMIT APPLIES PER: C � $ POLICY PRO- c• `� "c PRODUCTS - COMP/OP AGG $ JECT LOC ^i _ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 08985995-6 07/29/00 I 07/29/01 COMBINED SINGLE LIMIT (Ea accident) $ X BODILY INJURY (Per person) $ 250000 BODILY INJURY (Per accident) $ SOOOOO -- PROPERTY DAMAGE (Per accident) $ 100000 GARAGE LIABILITY -� I � ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ 00 - CG EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER DATE INITIAI_ _ _ __...,.. __..... I TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Commercial auto policy. Certificate holder is also additional insured CERTIFICATE HOLDER y ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC Risk Management 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 REPRESENTATIVES. 25S 11 TION 1988 W,A l 200� OLD REPUBLIC INSURANCE COMPANY ?11Dr�nc`A,�+ CERTIFICATE OF INSURANCE Date: NOVEMBER 03, 2000 Eff: OCTOBER 19, 2000 This is to certify to: MONROE COUNTY BOARD OF COMMISSIONERS MONROE COUNTY RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST, FLORIDA 33040 That the following policies have been issued to: SEA PLANES OF KEY WEST, INC. (LESSOR) ISLAND CITY FLYING SERVICE, INC. (LESSEE) 3471 SOUTH ROOSEVELT BOULEVARD KEY WEST, FLORIDA 33040 ITEM 1. Aircraft Liability Policy No. AVC 906 01 of the OLD REPUBLIC INSURANCE COMPANY. Policy Period: from OCTOBER 19, 2000 to OCTOBER 19, 2001 COVERAGE Bodily Injury Passenger Bodily Injury Property Damage Single Limit Bodily Injury and LIMITS OF LIABILITY Each Person/Each Occurrence/Aggregate Property Damage Excluding Passenger _X_ Including Passenger $1,000,000. EACH OCCURRENCE, WITH PASSENGER LIABILITY LIMITED TO $100,000. EACH PERSON. ITEM 2. OTHER INSURANCE AS DESCRIBED: POLICY INCLUDES THE ABOVE CERTIFICATE HOLDER AS AN ADDITIONAL INSURED UNDER LIABILITY COVERAGES, BUT ONLY AS RESPECTS OPERATIONS OF THE NAMED INSURED. This Certificate of Insurance neither affirmatively nor negatively amends, alters, or extends the coverage(s) afforded by the policy(ies) described above. The Aviation Managers have made provision for prompt notice to you in the event of cancellation of the above described policies but, except as otherwise stated in this certificate, the Aviation Managers assume no legal responsibility for any failure to do so. Phoenix Aviatiq�Managers, Inc. CL ''r0 E" A',�' :' ;;ta By C �'51Viff og� oe�af��, _qne. DAVID RIGG • SCOT KENNEDY P.O. BOX 349 • 5 WEST GAMBIER STREET • MOUNT VERNON, OHIO 43050 TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 • EMAIL parrishoneill.com CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured :Fred Cabanas and M & F Flying dba Island Aero Plane Sightseeing Tours Address of Insured 13 Parrott Street, Key West, FL 33040 Insurance Company :Associated Aviation Underwriters Policy Number :FHL 157671 Effective Date :March 16, 2001 Expiration Date :March 16, 2002 Premises Coverage: $1,000,000 Single Limit Bodily Injury and Property D Aircraft Coverage: 1999 Pitts S-2C, N19FC 1941 Waco UPF-7, N32049 1967 Citabria, N157RF LIABILITY LIMIT: $1,000,000 combined single limit for bodily injury and property damage liability each occurrence, limited to $100,000 each passenger seat. Special Provisions: Monroe County Board of County Commissioners is added as an additional insured with repect to negligent operations by the named insured. This certificate is issued to: Monroe County Board of County Commissioners Risk Management Dept. 5100 College Road Key West, FL 33040 PAR SH-O'NEILL & ASSOCIATES, INC. March 9, 2001 David R. Rigg mkf Authorized Representative IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF POLICY OR POLICIES BY THE COMPANY, TEN (10) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNC FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: AAU - IL Insured File MAR 15 2001 COUNTY ADM_�STRATOR QTTI (2D �a, vzis�i DAVID RIGG • SCOTT KENNEDY v P.O. BOX 349 • MOUNT VERNON. OHIO 43050 n n/ pp TELEPHONE 740-397.6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 CJ'O YE(1L CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Island City Flying Service Attn: Paul dePoo Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 330,e Insurance Company : Old Republic Insurance Company Policy Number : AVC 141801 Effective Date : March 20, 2001 Expiration Date : March 20, 2002 IMAR 2 6 2��1 AIRCRAFT COVERAGE: '73 Beech Baron E55, N5WA and '00 Cessna 172R, N2435X Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: County Commissioners of Monroe County, Florida 3491 S. Roosevelt Blvd. Key West, FL 33040 Attn: A. R. Skelly, Director of Airport The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates David R. Rigg mkf Authorized Representative Date: March 19, 2001 IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Insured File (Pallhfi & ogiioeiate,1, ffrze. DAVID RIGG • SCOTT KENNEDY v P.O. BOX 349 • MOUNT VERNON, OHIO 43050 (9A/ � pp TELEPHONE 740-397.6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 1':I Y£t1L Descriptive Schedule: Named Insured: Address of Insured Insurance Company Policy Number Effective Date Expiration Date CERTIFICATE OF INSURANCE Seaplanes of Key West, Lessor Island City Flying Service, Lessee 3471 S. Roosevelt Blvd., Key West, FL Old Republic Insurance Company AVC 141901 March 20, 2001 March 20, 2002 MAR 2 6 2C01 I Ril AIRCRAFT COVERAGE: 1975 Cessna 206 Amphibian, N20OKW Insured Value $257,000 Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: County Commissioners of Monroe County, Florida 3491 S. Roosevelt Blvd. Key West, FL 33040 Attn: A. R. Skelly, Director of Airport The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. p�TF rule Date: March 19, 2001 Parrish -O'Neill & Associates David R. Rigg mkf Authorized Representative IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation Managers Insured File .acQ�v CERTIFICATE OF LIABILITY MURANC�ID NF DATE(MM/DD/YY) PRODUCER I+-2 04/26/O1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 INSURERS AFFORDING COVERAGE INSURED Island City Flying Service, In Marsha Depoo 3471 S. Soosevelt Blvd. Key West FL 33040 COVERAGES INSURERA: Progressive Commercial Div INSURER B: INSURER C: INSURER D: INSURER E: 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE n OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS -COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 08985995-6 07/29/00 , 07/29/01 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250000 X BODILY INJURY (Per accident) $ 500000 PROPERTY DAMAGE (Per accident) $ 10 0 0 0 0 GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ R`/ . J I.i . I j� r�l DATE flt'fh' - U�a /� 11�� EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER / 4r' �''"ER: + w G� S M I) s TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Commercial auto policy. Certificate holder is also additional insured CERTIFICATE HOLDER yl ADDITIONAL INSURED; INSURER LETTER: MONBOCC Monroe County BOCC Risk Management 5100 College Road Key West FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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 UP THE INSURER, ITS AGENTS OR REPRESENTATIVES. A 'I7� 25-S (7/97) 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 ACORD- CERTIFICATE OF LIABILITY INSURANCETO DATE(MMIDD/YY) 6-2 - 1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Parrish -O'Neill & Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Post Office Box 349 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Mount Vernon, OH 43050 INSURERS AFFORDING COVERAGE INSURED INSURERA: Old Republic Insurance Com an Island City Flying Service, Inc. 3471 S. Roosevelt Blvd. INSURERB: Key West, FL 33040 INSURERC: E: 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE El OCCUR FIRE DAMAGE (Anyone fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY ALTO COMBINED SINGLE LIMIT (Ea awdent) $ ALL OWNED AUTOS .., tir �`��' •- �. �" ..� :: SCHEDULED AUTOS BODILY INJURY (Per (Per person) HIRED AUTOS vX NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY . �•• ,' . AUTO ONLY - EA ACCIDENT $ ANY ALTO CQ4 b OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR El CLAIMS MADE Cc EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY C A V 018 0 0 6. 01 01- 01- 01 01- 01- 0 2 WC STATU- X OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ 1 0 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CFRTIFICATCunin=o I I ._-.--.--- ___-_-- VN ncn �c i r crc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County C o mm i s s. i o n e r s DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O DAYS WRITTEN 5100 College Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Key West, F L 33040 IMPOSE NO OBUSOTkN OR LIABILITY OF ANY KIND UP(ATHE INSURER ITS AGENTS OR AUTHORIZED 25-S 1988 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 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE INIM/MrM POLI CY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE DOCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ — GENERAL AGGREGATE $ EGE�'L AGGREGATE LIMIT APPLIES PER: POLICY D PROJECT LOC PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 08985995-7 07/29/01 07/29/02 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 2 5 0 0 0 0 X BODILY INJURY (Per accident) $ 500000 PROPERTY DAMAGE (Per accident) $ 100000 - GARAGE LIABILITY ANY AUTO EXCESS LIABILITY pOCCUR EICLAIMS MADE DEDUCTIBLE RETENTION $ 1i� ,.Y � 1 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO LY: AGG H CCURRENCE $ $ $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER „ �, CG. y . . — TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEAS E -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 2001 Ford e350 15pas VAN 1FBSS31L71HA05961 1998 GMC Pick Up PU 1GTCS19W8W8539805 CFRTIFICATF GIAI nGo I — I __ _ - '— - '— I i I 1I.VN^L INJUKCU; INbUKEK LETTER: A L;ANGELLATION Monroe County BOCC Risk Management 5100 College Road Key West FL 33040 MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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 REPRESENTATIVES. A A 25-S (7/97) _---- ©ACORD CORPORATION 1 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. QTTIi ( avtii� - C()�eiff DAVID RIGG • SCOTT KENNEDY v P.O. BOX 349 • MOUNT VERNON, OHIO 43050 n ^/ EILLpp TELEPHONE 740397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 (✓ r�J Y CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured : Seaplanes of Key West, Inc., Lessor; Island City Flying Services, Lessee Address of Insured : 3471 S. Roosevelt Blvd., Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AVC 90602 Effective Date : October 19, 2001 Expiration Date : March 20, 2002 AIRCRAFT COVERAGE: 1998 Cessna Caravan, N208KW; Insured Value $1,500,000. Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management 5100 College Road Key West, FL 33040 The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates David R. Rigg mkf Authorized Representative Date: 10/25/01 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation, Inc. Insured File ARP E B ffIRI GEMENTBY..DATE Cc . WAIVER N/A _.EYES AC ORD CERTIFICATE OF LIABILITY INSURANCID MS DATE(MM/DD/YY) LANC1 01/22/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Parrish -O'Neill & Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . 0. Box 349 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Mount Vernon OH 43050 Phone:740-397-6737 Fax:740-392-0752 INSURERS AFFORDING COVERAGE INSURED INSURER A: Old Republic Insurance Company Island City Flying Service INSURER B: Paul dePoo INSURERC: 3471 S Roosevelt Blvd INSURERD: Key West FL 33040 INSURER E: t%f%11C M A 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPRMABR BY SATE ENT COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO WAVER NIA.----'— ,� ('6 0— AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ t r EACH OCCURRENCE $ AGGREGATE $ X WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER OCAV01800602 01/01/02 01/01/03 X W TATI LIMITS IH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1, 0 0 0, 0 0 0 E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE Hnl nFR v Iwnn,T. .,., ,., .. _ ..._..___ . _—__ MONROE 1 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 REPRESENTATIVES. 25-S (7/97) 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 R22(i CID .._/ azz« - CQ �et,ff & ogi:ioeiafE_,, lqnc. DAVID RIGG • SCOTT KENNEDY P.O. BOX 349 • MOUNT VERNON, OHIO 43050 'G Y£(LL V,n n/ pp TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Seaplanes of Key West, Lessor Island City Flying Service, Lessee Address of Insured : 3471 S. Roosevelt Blvd., Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AVC 141902 Effective Date : March 20, 2002 Expiration Date : March 20, 2003 AIRCRAFT COVERAGE: 1975 Cessna 206 Amphibian, N20OKW Insured Value $257,000 and 1999 Cessna 206, N7270C Insured Value $385,000 Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: County Commissioners of Monroe County, Florida 3491 S. Roosevelt Blvd. Key West, FL 33040 Attn: A. R. Skelly, Director of Airport The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates } AP u Y 6R NAGEMENT BY )ATE David R. Rigg mss ''� 'R N/A v ES _ Authorized Representative Date: March 13, 2002 IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation Managers Insured File (PQSS(S J avtii. - CQ �Ei�� og� oeiafE�, qnc. DAVID RIGG • SOOTT KENNEDY VV P.O. BOX 349 • MOUNT VERNON, OHIO 43050 Lo ' , V£n/ TELEPHONE 740-397.6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 ViUpp CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Island City Flying Service Attn: Paul dePoo Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AVC 141802 Effective Date : March 20, 2002 Expiration Date : March 20, 2003 AIRCRAFT COVERAGE: '73 Beech Baron E55, N5WA and '00 Cessna 172R, N2435X and '01 Cessna 172, N35229 Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: County Commissioners of Monroe County, Florida 3491 S. Roosevelt Blvd. Key West, FL 33040 Attn: A. R. Skelly, Director of Airport The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. NIA -YES t Authorized Representative Date: March 13, 2002 IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Insured File alai az'z« - C� �E�� ' o¢1:.ociateil lqnc. DAVID RIGG • SCOTT KENNEDY 1�� J! P.O. BOX 349 • MOUNT VERNON. OHIO 43050 C n/£� TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 CERTIFICATE OF INSURANCE Descriptive Schedule: APM.Er NAGEMENT BY Named Insured : Seaplanes of Key West, Inc., Lessor; DATE 31 Ici oo, Island City Flying Services, Lessee Address of Insured : 3471 S. Roosevelt Blvd., Key West, FL 33040 WAIVER A YES Insurance Company : Old Republic Insurance Company Policy Number : AVC 90603L Effective Date : March 20, 2002 Expiration Date : March 20, 2003' AIRCRAFT COVERAGE: 1998 Cessna Caravan, N208KW; Insured Value $1,500,000. Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management 5100 College Road Key West, FL 33040 The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates • i/ `r � r David R. Rigg mss Authorized Representative Date: March 13, 2002 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation, Inc. Insured File J"QRTlSh Q'L'LC�.YL DAVID RIGG • SCOTT KENNEDY 6- P.O. BOX 349 • MOUNT VERNON, OHIO 43050 r�J YEtLIp /n �/ pTELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 V CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Island City Flying Service Attn: Paul dePoo Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AP 232717 Effective Date : March 20, 2002 Expiration Date : March 20, 2003 PREMISES COVERAGE: Premises: $5,000,000 Single Limit Bodily Injury and Property Damage Liability with Bodily Injury Liability limited to $200,000 each person Products: $1,000,000 Single Limit Bodily Injury and Property Damage Liability ($1,000,000 Level applies to gas, oil & parts not installed. Completed operations & repairs, the bodily injury is limited to $200,000 each person Ground Hangarkeepers: $500,000 Any One Aircraft, $500,000 Any One Occurrence This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management S100 College Road Key West, FL 33040 Attn: Kay Bahleda The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates ) a 1, t d - P. Q" t , " , ��, David R. Rigg mss Authorized Representative Date: March 13, 2002 IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Insured File 1 ' l §"Q-- EMENT APP M:�' BY r DATE__ --- WAIVER fiait' _.. AGORA CERTIFICATE OF LIABILITY INSURANCE OPDINE ATE(MM/DD/YY) LAN08/01/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 INSURERS AFFORDING COVERAGE INSURED Island City Flying Service, In Marsha Depoo 3471 S. Roosevelt Blvd. Key West FL 33040 cnvGDAnCQ INSURER A: Progressive Commercial Div INSURER B: INSURER C: INSURER D: INSURER E: 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMlDD1YY POLICY EXPIRATION DATE MM/DDlW LIMITS GENERAL qC7 LIABILITY OMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR '�._..i EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any on3 person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ kGE'N'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 08985995-8 07/29/02 07/29/03 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250000 X BODILY INJURY (Per accident) $ 5 0 0 0 O O PROPERTY DAMAGE (Per accident) $ l O O O O O - GARAGE LIABILITY ANY AUTO A7�7QnDTIGK m&&GEMENT Al U2� AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR C] CLAIMS MADE DEDUCTIBLE RETENTION $ DATE WAIVER N/A �YE v r EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS dG CFRTIFICOTP Flnl nDD Monroe County BOCC Risk Management 5100 College Road Key West FL 33040 I IVIN MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC 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 REPRESENTATIVES. /i i ACORD 25-S (7197) ©ACORD 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 (7197) 0.4411h 6 1 �j � J avzii. i - D �F_t'[[ & <:A:ioCiafF_:., JnC',. DAVID RIGG • SCOTT KENNEDY P.O. BOX 349 • MOUNT VERNON, OHIO 43050 (� p� pp TELEPHONE 740-397-6737 TOLL FREE 800-752-9705 • FAX 740392-0752 - lJ JY£f11 AR CERTIFICATE OF INSURANCE zG 4 2003 .y3 Descriptive Schedule: Named Insured: : Island City Flying Service Attn: Paul dePoo Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : CAV01800603 Effective Date : January 1, 2003 Expiration Date : January 1, 2004 Workers Compensation and Employers Liability Insurance Polic Bod�ly Injury by Accident $1,000,000 each Accident Bodily Injury by Disease $1,000,000 policy limit Bodily Injury by Disease $1,000,000 each employee This Certificate is issued to: County Commissioners of Monroe County, Florida 3491 S. Roosevelt Blvd. Key West, FL 33040 The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates David R. Rigg tm Authorized Representative Date: March 18, 2003 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Insured File APP B PViK MAlAGEMENT .1J BY DATE , WAIVER ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID N DATE(MM/DD/YYYY) ISLAN-2 I 19 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Progressive Commercial Div INSURER B: Island City Flying Service, In Marsha Depoo INSURER C: 3471 S . Roosevelt Blvd. INSURER D: Key West FL 33040 INSURER E: 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. LTR INSR TYPE OF INSURANCE POLICY NUMBER DATMM E /DD DATE MWDD EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES Ea occurence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ _ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROECT LOC J A X AUTOMOBILE LIABILITY ANY AUTO 08985995-8 07/29/02 07/29/03 COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ 250000 X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ 500000 PROPERTY DAMAGE (Per accident) $ 100000 GARAGE LIABILITY AUTO ONLY - FA ACCIDENT $ ANY AUTO H.r pp n V ,- � � z'' � �y � OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE BY-1 1 �_ EACH OCCURRENCE $ AGGREGATE $ DATE _ ..�-- _..,_ .. $ DEDUCTIBLE WAIVER�` "" $ RETENTION $ $ WORKERS COMPENSATION AND LIABILITY(� EMPLOYERS' LIABILITY TORY LIMITS ER .L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE o r OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below r E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS v` a. V%C.t,... �rvv�� c nv Ucm 6ANGtLLAIIUN MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria Slavik 1100 Simonton IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. �0 A Norman Fuller ACORD 25 (2001/08) © ACORD CORPORATION 1988 J ATTiSh f azz«.fi - CQ�E�� og�.�.oe�afE�,, —qne. DAVID RIGG • SCOTT KENNEDY P.O. BOX 349 • MOUNT VERNON, OHIO 43050 n/ pp TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 YECLL CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Seaplanes of Key West, Lessor Island City Flying Service, Lessee Address of Insured : 3471 S. Roosevelt Blvd., Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AVC-141903 Effective Date : March 20, 2003 Expiration Date : March 20, 2004 AIRCRAFT COVERAGE: 1975 Cessna 206 Amphibian, N20OKW Insured Value $257,000 1999 Cessna 206, N7270C Insured Value $385,000 Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: County Commissioners of Monroe County, Florida 3491 S. Roosevelt Blvd. Key West, FL 33040 Attn: Peter Horton, Director of Airport The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates David R. Rigg kjp Authorized Representative Date: March 20, 2003 IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Old Republic Insurance Company Insured : Qm�File432e .� MANA MENT �,►'PRC�V 8 By O J-z_J� DATE ---- WAIVER �Q421i/1 � ' � J azus�i DAVID RIGG • SCOTT KENNEDY II��VJJII P.O. BOX 349 • MOUNT VERNON. OHIO 43050 n n/ pp TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 VIGIVEU.L CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured : Seaplanes of Key West, Inc., Lessor; Island City Flying Services, Lessee Address of Insured : 3471 S. Roosevelt Blvd., Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AVC-90604 Effective Date : March 20, 2003 Expiration Date : March 20, 2004 AIRCRAFT COVERAGE: 1998 Cessna Caravan, N208KW; Insured Value $1,500,000. Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management 5100 College Road Key West, FL 33040 The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates a R R,6r_., David R. Rigg kjp Authorized Representative Date: March 20, 2003 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Old Republic Insurance Company Insured File APP V Y K MAN EMENT BY DATE WAIVER (� pp J"QTTiih ��/ C7 J avtiifii - LQ VEiLL ogi:ioeiatE:,, —qne. DAVID RIGG • SCOTT KENNEDY II��VJJll P.O. BOX 349 • MOUNT VERNON, OHIO 43050 nn N , f TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Island City Flying Service Attn: Paul dePoo Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AP-232718 Effective Date : March 20, 2003 Expiration Date : March 20, 2004 PREMISES COVERAGE: Premises: $5,000,000 Single Limit Bodily Injury and Property Damage Liability with Bodily Injury Liability limited to $200,000 each person Products: $1,000,000 Single Limit Bodily Injury and Property Damage Liability ($1,000,000 Level applies to gas, oil & parts not installed. Completed operations & repairs, the bodily injury is limited to $200,000 each person Ground HanaarkeeDers: $500,000 Any One Aircraft, $500,000 Any One Occurrence This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management 5100 College Road Key West, FL 33040 Attn: Kay Bahleda The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates k' David R. Rigg jp Authorized Representative Date: March 20, 2003 IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Old Republic Insurance Com any APPR K MA EMENT Insured , /�� _ d File (_ �% CCDAs_...,3. r05D-)e VVAIVEH NiAYES J'0.TTLSh � ' J az difii -�—Aioeiat&i, —qne. DAVID RIGG • SCOTT KENNEDY II��VJJII P.O. BOX 349 • MOUNT VERNON. OHIO 43050 n 1� f TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 v£r1L CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Island City Flying Service Attn: Marsha dePoo Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AVC-141803 Effective Date : March 20, 2003 Expiration Date : March 20, 2004 AIRCRAFT COVERAGE: 1973 Beech Baron, N5WA Insured Value $114,000 2000 Cessna Ce-172R, N2435X Insured Value $160,900 2001 Cessna Ce-172, N35229 Insured Value $175,000 Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: County Commissioners of Monroe County Attn: Peter Horton, Director 3491 S. Roosevelt Blvd. Key West, FL 33040 The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. rrish-O'Neill & Associates C PR David R. Rigg Qp Authorized Representative Date: March 20, 2003 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Old Republic Insurance Company Insured File G d 1 , -( ' ✓L a. r1 G APPOVA e`ftK MA)OOEMENT BY_11 !l. I DATE e �^-- WAIVER NIA YES /'i_ C RD CERTIFICATE OF LIABILITY INSURANCE OP ID N DATE(MM/DD/YYYY) ISLAN-2 08 16 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Progressive INSURER B: Island City Flying Service Inc INSURERC: 3471 S . Roosevelt Blvd. INSURER D: Key West FL 33040 INSURER E: I:U V EKAIiEJ 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DD IVE DATE MM/DD/YY N LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR EACH OCCURRENCE $ PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 08985995-9 07/29/03 07/29/04 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $250000 X BODILY INJURY (Per accident) $ 500000 PROPERTY DAMAGE (Per accident) $ 100000 GARAGE LIABILITY ANY AUTO AP NAA EMENT AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ DATE \,NANEF i EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below I TORY LIMTS ER E.L. EACH ACCIDENT $ DI E - EA EMPLOYEE $ L E - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County BO�CC is additional insured I,.CK I Iril,m i C nULUCK GANGELLATIDN MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPO THE INSURER, ITS AGENTS OR 1100 Simonton St. Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988 �QTTCSh J Q'L'd i — l:J 5J V e & Ogj:ioaiat e,1, J12C. DAVID RIGG • SCOTT KENNEDY P.O. BOX 349 • MOUNT VERNON, OHIO 43050 TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 l'Jr0 YELL CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Seaplanes of Key West, Lessor Island City Flying Service, Lessee Address of Insured : 3471 S. Roosevelt Blvd., Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AVC-141904 Effective Date : March 20, 2004 Expiration Date : March 20, 2005 AIRCRAFT COVERAGE: 1975 Cessna 206 Amphibian, N20OKW Insured Value $257,000 Not -in -motion deductible: NIL In -motion deductible: NIL 1999 Cessna 206, N7270C Insured Value $385,000 Not -in -motion deductible: NIL In -motion deductible: NIL Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. Phis Certificate is issued to: County Commissioners of Monroe County, Florida 3491 S. Roosevelt Blvd. Key West, FL 33040 Attn: Peter Horton, Director of Airport The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates c �[ ✓ David R. Rigg tcm Authorized Representative Date: March 19, 2003 IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Old Republic Insurance Company Insured File G G C`=� qDaeeu �/�� %�f� Davtii� - C0 �J V eLLL DAVID RIGG • SCOTT KENNEDY v P.O. BOX 349 • MOUNT VERNON, OHIO 43050 r1 n��p TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 ll r�J YEcU Descriptive Schedule: Named Insured: Address of Insured Insurance Company Policy Number Effective Date Expiration Date CERTIFICATE OF INSURANCE Island City Flying Service Attn: Marsha dePoo 3471 S Roosevelt Blvd, Key West, FL 33040 Old Republic Insurance Company AVC-141804 March 20, 2004 March 20, 2005 AIKGKAI T COVERAGE: 1973 Beech Baron, N5WA Insured Value $114,000 Not -in -motion deductible $100; In -motion deductible $500 2000 Cessna Ce-172R, N2435X Insured Value $160,900 Not -in -motion deductible $250; In -motion deductible $2500 2001 Cessna Ce-172, N35229 Insured Value $175,000 Not -in -motion deductible $250; In -motion deductible $2500 Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: County Commissioners of Monroe County Attn: Peter Horton, Director 3491 S. Roosevelt Blvd. Key West, FL 33040 The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. ill & Associates David R. Rigg Authorized Representative Date: March 19, 2004 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Old Republic Insurance Company Insured File DAVID RIW • SCOTT KENNEDY P.O. BOX 349 • MOUNT VERNON, OHIO 43050 TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: : Island City Flying Service Attn: Paul dePoo Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AP-232719 Effective Date : March 20, 2004 Expiration Date : March 20, 2005 AP U D Y' Sk M GEMENT BY \12 DATE PREMISES COVERAGE: Premises: $5,000,000 Single Limit Bodily Injury and Property Damage Liability with Bodily Injury Liability limited to $200,000 each person Products: $1,000,000 Single Limit Bodily Injury and Property Damage Liability ($1,000,000 Level applies to gas, oil & parts not installed. Completed operations & repairs, the bodily injury is limited to $200,000 each person Ground Hanaarkeeoers• $500,000 Any One Aircraft, $500,000 Any One Occurrence This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management S100 College Road Key West, FL 33040 Attn: Kay Bahleda The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates < David R. Rigg tcm Authorized Representative Date: March 19, 2003 IT IS THE INTENTION OF THE COMPANY THAT IN THE EVENT OF CANCELLATION OF THE POLICY OR POLICIES BY THE COMPANY, THIRTY (30) DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER AT THE ADDRESS STATED ABOVE EXCEPT IN THE CASE OF NON-PAYMENT OF PREMIUM, IN WHICH CASE (10) DAYS WRITTEN NOTICE WILL BE PROVIDED; HOWEVER, PARRISH-O'NEILL & ASSOCIATES SHALL NOT BE LIABLE IN ANY WAY FOR FAILURE TO GIVE SUCH NOTICE. OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Old Republic Insurance Company Insured File ME i I ME 0 1 RTTIi J avtLfiZ - CQ �ECLL o4i:ioeiafEi, _qne. DAVID RIGG • SCOTT KENNEDY P.O. BOX 349 • MOUNT VERNON, OHIO 43050 ,n lv£(LLf TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 V O CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured : Seaplanes of Key West, Inc., Lessor; Island City Flying Services, Lessee Address of Insured : 3471 S. Roosevelt Blvd., Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : AVC-90605 Effective Date : March 20, 2004 Expiration Date : March 20, 2005 AIRCRAFT COVERAGE: 1998 Cessna Caravan, N208KW; Insured Value $1,500,000. Not -in -motion deductible: $10,000 In -motion deductible: $25,000 Theft deductible: $10,000 AP , NAGEili"NT BY..Q.__ BATE iNA1i/Fca l� Limit of Liability: $1,000,000. Single Limit Bodily Injury including passengers and property Damage; Passenger bodily injury liability is limited to $100,000 each passenger seat. This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management 5100 College Road Key West, FL 33040 The certificate holder is added as an additional insured for liability with respect to negligent operations of the named insured. Parrish -O'Neill & Associates D vid R. Rigg tcm Authorized Representative Date: March 19, 2003 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Old Republic Insurance Company Insured File f��(� 'n / Jnat2is�e Q'L'ZLS YL - LJ �J V ELff 411.OG'LQtF � �YLG'. DAVID RIGG • SCOTT KENNEDY 6- P.O. BOX 349 • MOUNT VERNON. OHIO 43050 L,n n/ pp TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 V I G Y£CU CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured : Island City Flying Service Attn: Paul dePoo Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company Policy Number : CAV01800604 Effective Date : January 1, 2004 Expiration Date : January 1, 2005 Workers Compensation and Emplovers Liability Insurance Policy Bodily Injury by Accident $1,000,000 each Accident Bodily Injury by Disease $1,000,000 policy limit Bodily Injury by Disease $1,000,000 each employee This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management 5100 College Road Key West, FL 33040 Monroe County Board of Commissioners is added as an additional insured for liability with respect to negligent operations by the named insured. pry aEn Y Parrish -O'Neill &Associates NIA < < ' Scott A. Kennedy mkf Authorized Rep entative Date: June 8, 2004 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Insured File RD CERTIFICATE OF LIABILITY INSURANCE OP ID N DATE(MM/DDIYYY4) ISLAN-2 08 02 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone: 305-294-6677 Fax: 305-292-4641 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Progressive Commercial Div INSURER B: Island City Flying Serv. , Inc. INSURERC: 3471 S. Roosevelt Blvd. INSURERD: Key West FL 33040 INSURER E: GOVEKAGt5 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. LTR NSRrGENERAL NSURANCE POLICY NUMBER DATE MMIDDIYY E DATE MM/DD ON LIMBS Y GENERAL LIABILITY ADEEl OCCUR EACH OCCURRENCE $ PREMISES (Ea occurence)$ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: P PRO- PRO LOC JECT A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 08985995-6 07/29/04 07/29/05 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250000 X BODILY INJURY (Per accident) $ 500000 PROPERTY DAMAGE (Per accident) $ 100000 GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ BY 7 DATE _ WAIVER NI/A ---_..._._._.YES - EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below ' r Y ' (! IQ TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS certificate holder is additional insured :OR i f , /'1 1 at rl Gee. CERTIFICATE HOLDER 1v114 MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St. Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Norman Fuller ACORD 25 (2001/08) © ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE D ATE (MWDDNY) 01/262005 PRODUCER Serial # 100876 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 2 ALHAMBRA PLAZA SUITE 1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CORAL GABLES, FLORIDA 33134 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ZENITH INSURANCE ISLAND CITY FLYING SERVICE, INC. INSURER B: 3471 S. ROOSEVELT BLVD. INSURER C: KEY WEST, FL. 33040 INSURER D: 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 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. IN8R LTR Aoo•I. N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MI D/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurence $ MED EXP (Anyone person) $ CLAIMS MADE 0OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY F1PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO APP� ).;�'� �r�i;ll• LC'.JI�(d4. (Ea accident) $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS BY """'- (Par person) $ HIRED AUTOS DATE BODILY INJURY NON -OWNED AUTOS (Per accident) $ WAIVrR A PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO r $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE RETENTION $ $ WORKER'S COMPENSATION AND LIMI WC STATU- OTH- TORER A EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Z066846801 01/01/05 01/01/06 ACCIDS EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under EL DISEASE - POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS C.'v�� <�� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL RISK MANAGEMENT IMPOSE NO OBLIGATION OR LIABILITY OF AN UPON THE INSU R, ITS AGENTS OR 1200 SIMONTON ST. REPRESENTATIVES. ,Yj KEY WEST, FL. 33040 AUTHORIZED REPRESENTATIVE 73468 /��_� AL:UKU Z* (ZUU1/Utlj / © ACORD CORPORATION 1988 C:\FMPRO\CERTPROS.FP5 (/ ACORDM CERTIFICATE OF LIABILITY INSURANCE D ATE (MtvVDDIM 03/282005 PRODUCER Serial # 101171 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 2 ALHAMBRA PLAZA SUITE 1200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CORAL GABLES, FLORIDA 33134 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: W. BROWN / XL SPECIALTY ISLAND CITY FLYING SERVICE, INC. INSURER B: ZENITH INSURANCE 3471 S. ROOSEVELT BLVD. INSURER C: INSURER D: KEY WEST, FL. 33040 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 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. INSR LTR ADD'L NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 5,000,000 X COMMERCIAL GENERAL LIABILITY PREMISESOEa ocTcEurOence $ 50,000 CLAIMS MADE FX—I OCCUR MED EXP (Any one person) $ 1,000 A X AVIATION LIABILITY NAF3026155 03/20/05 03/20/06 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY PRO - POLICY LOC HANGARKEEPERS 750,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS P � APD�,js, (Per accident) �f�l�� Y PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY DATE ._._____.- �� AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO .. . � _ WAIVER r`i; v I-- CI . AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY I` EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ CC DEDUCTIBLE RETENTION $ $ WORKER'S COMPENSATION AND WC TAT TORER B ANY PROPRIETOR/PARTNER/EXECUTIVE Z066846801 01/01/05 01/01/06 EL E EACH ACCIDENT ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under EL DISEASE - POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below I OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL 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 30 DAYS WRITTEN MONROE COUNTY BOARD OF COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY RISK MANAGEMENT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 COLLEGE RD., KEY WEST, FL. 33040 REPRESENTATIVES. ATTN: KAY BAHLEDA AUTHORIZED REPRESENTATIVE 1345 ell4el, AUUKU 25 (2001103) b ACORD CORPORATION 1988 C C:\FMPRO\CERTPROS.FPS C ACJRD CERTIFICATE OF LIABILITY INSURANCE ISLAN-2 07 28 0OP ID N DATE(MMlDDm5 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1432 Kennedy Drive Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 Island City Flying Service 3471 S. Roosevelt Blvd. Key West FL 33040 COVERAGES INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Progressive Commercial Div INSURER B: INSURER C: INSURER D: INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MPOLICY M/DD DATE MM/DD POLICY EXPIRATION LIMBS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROCT LOC JE PRODUCTS - COMP/OP AGG $ A XrANY AUTOMOBILE LIABILITY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 8985995-7 08/11/05 08/11/06 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250000 BODILY INJURY (Per accident) $ 500000 PROPERTY DAMAGE (Per accident) $ 100000 GARAGE LIABILITY ANY AUTO L' ' EMEN ` AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR 17 CLAIMS MADE DEDUCTIBLE RETENTION $ _ WAIVER JiA YES. -AGGREGATE EACH OCCURRENCE $ $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below TORY LIMITS ER L. EACH ACCIDENT $ L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CFDTICICATF 41AI IIFD CANCELLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL to DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management 1100 Simonton St. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Norman Fuller ACORD 25 (20gn/08) / / vNVVRUVVRrVrw/IVR raoo QCORD ISLAN-CERTIFICATE OF LIABILITY INSURANCE OPID 2 N DATE 07 31 06 (MM/DDI/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 I Phone:305-294-6677 Fax:305-292f?m f'IN RERS AFFORDING COVERAGE NAIC# INSURED A: Pr ressive CommercialDiv INSURER B: - Island C 3471 S. Key West AUG INSURER D: v THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSU ERIOD 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER CY EFFECT! DATE MMIDD DATE MM/DD ON LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES occccu ence S COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE LJ OCCUR PERSONAL 3 ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP ADD $ POLICY PRO LOC JECf A X AUTOMOBILE LIABILITY ANY AUTO 8985995-8 08/11/06 08/11/07 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250000 ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) y500000 HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ 100000 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: ADS EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE IS OCCUR CLAIMS MADE $ $ DEDUCTIBLE _ D $ RETENTION $— /� WORKERS COMPENSATION AND �c TORV LIMITS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ' ` ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ I(yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ ECIAL PROWSIONS certificate holder is an additional insured CERTIFICATE HOLDER UAINOCLLAIIVIN MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St. Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CC aus 1 Event Ceifiwle This certificate is issued as a matter of information only and confers no rights upon the certificate holder of This certificate does not amend, extend or alter the coverage afforded by the pollicies Certificate Holder: Certificate Holder: Monroe County Board of County Island Cite FRO Commissioners .1471 Roosevelt Blvd. 1100 Simonton St. Key West, FL 33040 ]:cv VvesC 11, 33040 Named Experimental Aircraft Association and EAA Aviation Foundation, Inc., eta] Insured: LA A Chapter 1241, inc,, 11.0. Box 3167, Marathon Shores, FL 33052 Attn: Karen Kryzaniak, Director of Risk Management P.O. Box 3086 Oshkosh, WI54903-3086 RECEIVED LAPR 4 2006thanthe policy.;rbed Date: April 19,2006 Comprehensive General Liability Coveraee Limits of Insurance Carrier Global Aerospace, Inc. Various London Underwriters Old Republic Insurance Company Policy Number SP160058(20% of100%) AW857105 (44%of 100%) AP887804 (15% of 100%) XL Specialty Insurance Company PXLM37700030-05 (11%of 100%) Illinois National Insurance Company PL1853274-01 (10% of 100%) Each Occurrence Policy Effective Date 12-1-05 12-1-05 12-1-05 12-1-05 12-1-05 Policv Expiration Date 12-1-06 12-1-06 12-1-06 12-1-06 12-1-06 Coverage Part Limit of Liability 11 Products -Completed Operations Aggregate Personal & Advertising Injury Aggregate Medical Expense (Any one Person) $1,000,000 $1,000,000 $1,000,000 $5,000 Remarks: The above named certificate holder is included as an additional insured, but solely as respects the operations of the Named Insured and solely as respects the event being sponsored by the chapter on the following date(s): 05,113/2006- 0-5/14/2006, Comprehensive General Liability includes Coverage D— Air Show General Liability. The policies of insurance described herein have been issued to the Named Insured herein 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, conditions, limitations and exclusions of such policies. Limits may have been reduced by paid claims. It is further noted that the liability of these insurers is several and not joint and is specifically set out as above. Notice of cancellation will provided solely to the Experimental Aircraft Association at the above address. This certificate cancels and supersedes any previously issued certificate Marsh USA Inc. 500 West Monroe Street Chicago, IL 60661 312-627-6000 By: r 6 y�n/�p/�J avd:ifi - 0OVECLL & og:iioeiaiss, _qne. DAVID RIGG • SCOTT KENNEDY P.O. BOX 349 • MOUNT VERNON. OHIO 43050 TELEPHONE 74UM7.6737 • TOLL FREE B90d52-9705 • FM 740392-0752 CERTIFICATE OF INSURANCE Descriotive Schedule: Named Insured: : Island City Flying Service, Inc. Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company (Phoenix Aviation Managers) Policy Number : AVC141805 Effective Date March 20, 2007 Expiration Date March 20, 2008 Aircraft Physical Damage Coverage: 1973 Beech Baron E55, N5WA 2000 Cessna 172R, N2435X 2001 Cessna 172, N35229 N5WA Deductibles: $100 Not -in -Motion / $500 In -Motion N2435X and N35229 Deductibles: $250 Not -in -Motion / $2,500 In -Motion Limits of Liability: $1,000,000. Combined single limit each occurrence for bodily injury liability, including passengers, and property damage liability; Passenger bodily injury liability is limited to $100,000 each passenger. This Certificate is issued to: County Commissioners of Monroe County Attn: Peter Horton, Director 3491 S. Roosevelt Blvd. Key West, FL 33040 The certificate holder is included as an additional insured under the liability coverages with respect to negligent operations by the named insured. Parrish -O'Neill & Associates David R. Rigg / Authorized Representative Date: March 20, 2007 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation Managers Insured File C;C, \ I n,wvl C Q , ACORDM CERTIFICATE OF LIABILITY INSURANCE ° 07/ 0/2007' PRODUCER Serial # 102329 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SOUTHEAST INSURANCE GROUP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2665 SOUTH BAYSHORE DRIVE, STE 1001 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COCONUT GROVE, FL 33133 PHONE: (305) 432-1500 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: ISLAND CITY FLYING SERVICE, INC. INSURER B: ZENITH INSURANCE 3471 S. ROOSEVELT BLVD. INSURER C: KEY WEST, FL. 33040 INSURER D: 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 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. INBR LTR ADD'L N R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/ D/YY POLICY EXPIRATION DATE MM/ NY LIMITS GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED PREMISES Ea occurence $ COMMERCIAL GENERAL LIABILITY MED EXP (Anyone person) $ CLAIMS MADE OCCUR PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMITAPPLIES PER. PRODUCTS - COMP/OP AGO $ POLICY PRO- E T LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY $ •� (Per acdtlenq accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO A AUTO ONLY - EA ACCIDENT $NY OTHER THAN EA ACC $ $ AUTO ONLY: AGO E%CESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE '1 AGGREGATE $ '• / $ DEDUCTIBLE l- c Is RETENTION $ Is WORKER'S COMPENSATION AND WC STATU- TH- TIC LIMITS ER B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Z066846803 01/01/07 01/01/08 EL EACH ACCIDENT $ 1,000,000 ERIMEMBd EXCLUDED' OFFIIf R yes, ERIMEe under EL DISEASE EA EMPLOYEE $ 1,000,000 EL DISEASE POLICY LIMIT $ 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS 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 30 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 OF A VKIND UPON4 INSURER, ITS AGENTS OR MONROE COUNTY RISK MANAGEMENT REPRESENTATIVES. 1100 SIMONTON ST #268 KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE 17 ATTN: MARIA SLAVIK Awrw aD law v05) / I '© ACORD CORPORATION 1988 C.TMPRO\CERTPpRO•S.FP5- - � /gyp _ J azu�.�Z �ELLL & Og.iioelat SCOTT KENNEDV 1 DAVIDRIGG • OHOSj ^'�-,_L---` FVP.O. BOX 349 • MOUNT VERNON. OHO 43050 �' 4 TELEPHONE 74P397-6737 • TOLL FREE 600-752-9705 • FAX 740-392-0752 l/ O YL11! JUL 16 M7 CERTIFICATE OF INSURANCE MGNROE COUNTY Descriptive Schedule: RISK MANAGEMENT Named Insured Island City Flying Service, Inc. Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company (Phoenix Aviation Managers) Policy Number : AP232720 Effective Date March 20, 2007 Expiration Date March 20, 2008 Premises: $5,000,000 Combined single limit each occurrence for bodily injury and property damage liability; Bodily injury liability is limited to $200,000 each person Products: $1,000,000 Combined single limit each occurrence and in the aggregate for bodily injury and property damage liability. Ground Hanoarkeepers: $750,000 Any One Aircraft, $750,000 Any One Occurrence, subject to a $5,000 deductible. This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management Attn: Maria Slavik 1100 Simonton Street, Rm 268 Key West, FL 33040 Monroe County Board of Commissioners is included as an additional insured under the liability coverages with respect to negligent operations by the named insured. Parrish -O'Neill &Associates �tl11 Le.e.E�I�L' I ) , C David dRigg Authoriziz ed Representative Date: July 11, 2007 C le OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAIMG A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation Managers Insured File CC, .��ha,ri FULLERS INS AGCY 1432 KENNEDY DRIVE KEY WEST, FL 33040 MONROE COUNTY BOCC 1100 SIMONTON KEY WEST, FL 33040 001938 Ui_. i RiSrC IT inliariiliiuuinlllnuliiuuiiruiiiinriiariiarr(riri Additional insured endorsement rlrivc® cy number: 08985995-9 Underwritten by: Progressive Express Ins Company Insured: ISLAND CITYFLYING SRVC June 22, 2007 Policy Period: Aug 11, 2007 - Aug 11, 2008 Mailing Address Progressive Express Ins Company PO Box 94739 Cleveland, OH 44101 800-444-4487 For customer service, 24 hours a day, Name of Person or Organization 7 days a week MONROE COUNTY BOCC 1100 SIMONTON KEY WEST, FL 33040 The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. Limit of Liability Bodily injury $250,000 each person/$500,000 each accident Property Damage $100,000 each accident Combined Liability Not applicable All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 08985995-9 Issued to (Name of Insured): ISLAND CITYFLYING SRVC Effective date of endorsement: 08/11/2007 Policy expiration date: 08/11/2008 Form 1198(01/04) r} Cf- CC-: Ka h C AGORD,. CERTIFICATE OF LIABILITY INSURANCE oPiD W DATE(AIWDDRYYY) PRODUCER ISLAN-2 07 30 07 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Fullers, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1432 KennedyDrive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Key West FL 33040 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone:305-294-6677 Fax:305-292-4641 -- — - r� ��- UR kgAFFOR INSURED ING OVERAGE NAIC # yNSNhER n' - pr ea ve _ Island City Flying Service, In` RER B. { - — Marsha Depoo 3471 S. Roosevelt Blvd. r - — RERC: --- ±INSUREP Key West West FL 33040 D: _ +. _COVERAGES __ — THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO`ABOVEFOft THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH-THIS£ERTIFOtATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, POLICIES. EXCLUSIONS AND CONDITIONS OF SUCH AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER FE IV PO IC XP TI GAATETE ( MM/DDII'Y DATE MWDD/YY LIABILI GENERAL TY LIMITS EACH OCCURRENCE $ L. ICOMMERCIAL GENERAL LIABILITY I —.--- J CLAIMS MADE L_ OCCUR PREMISES(Eaaooccuurree) . I MED EXP (Any one Person) �$ — --- �PE'RSONAL S ADV NJURV I$ --- GEN ERAL AGGREGATE t$ GEN'L AGGREGATE LIM17 APPLIES PER: POLICY JECT LOC PRODUCTS - COMP/OP AGO $ AUTOMOBILE LIABILITY $ A X ANY AUTO 8985995-9 08/11/07 08/11/08 (Ea accdent)INGLE UNIT ALL OWNED AUTOS X BODILY INJURY (Per person) $250000 SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ 500000 NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ 100000 GARAGE LIABILITY ANYAUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN ACC $ _EA AUTO ONLY: EXCESSNMBRELLA LIABILRY AGO $ OCCUR El CLAIMS MADE �i' - •- EACH OCCURRENCE $ ..... AGGREGATE Q. .., — �_ _. $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY TORV LIMITS ER ANV PROPRIETOR/PART J E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED9 _ $ U yas, SPECdescribe under below C E.L. DISEASE - EA EMPLOYEE $ IAL PROVISIONS --_— OTHER E.L. DISEASE -POLICY LIMIT $ .SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 2004 Chevrolet Venture VAN 1GNDX03EX4D244779 2006 Chevrolet Express G3 CRGVN IGAHG39U461120224 - 2007 Chevrolet K1500 Silv PU 2GCEK13M771571715 ee- � i"in2hCe :111 WICATE HOLDER CANCELLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Risk Management _ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton St. Key West IMPOSE NO OBLIGATION OR LIABILITY OF A/yY KIND UPON THE INSURER, US AGENTS OR FL 33040 REPRESENTATIVES. / 25 1988 Pazzis Uv/ :::, VECL[ ssoeiatss, _qnc. DAVID I'M • SCOTT KENNEDY RO. BOX 349 • MOUNT VERNON, OHIO 43050 TELEPHONE 74P397E737 • TOLL FREE 800-752-9705 • FAX 740-392 0752 \/ CNttl! CERTIFICATE OF INSURANCE Descriptive Schedule: Named Insured: Island City Flying Service, Inc. Address of Insured 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company Old Republic Insurance Company (Phoenix Aviation Managers) Policy Number AVC141806 Effective Date March 20, 2008 Expiration Date March 20, 2009 1973 Beech Baron E55, N5V 2000 Cessna 172R, N2435X 2001 Cessna 172, N35229 N5WA Deductibles: $100 Not -in -Motion / $500 In -Motion N2435X and N35229 Deductibles: $250 Not -in -Motion / $2,500 In -Motion Limits of Liability: $1,000,000. Combined single limit each occurrence for bodily injury liability, including passengers, and property damage liability; Passenger bodily injury liability is limited to $100,000 each passenger. This Certificate is issued to: County Commissioners of Monroe County Attn: Peter Horton, Director 3491 S. Roosevelt Blvd. Key West, FL 33040 The certificate holder is included as an additional insured under the liability coverages with respect to negligent operations by the named insured. Parrish -O'Neill & Associates mod( DavidR. Rigg t Authorized Representative Date: March 13, 2008 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH IINTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE bR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation Managers Insured File ItiA1, ATVD. 6 J avd:ii - cof �zdf& 4�-Aisoalatei, _qnc. DAVIDRM • SCOTT KENNEDY P.O. BOX 349 -MOUNT VERNON, OHIO 43050 RECEIVED TELEPHONE 74P3W9737 • TOLL FREE W0452-9705 • FAX 740.3W-0752 IIOY CERTIFICATE OF INSURANCE MAR 19 2=U Descriptive Schedule: RISK mvnrcutMANA I Named Insured :Island City Flying Service, Inc. Address of Insured : 3471 S Roosevelt Blvd, Key West, FI. 33040 Insurance Company : Old Republic Insurance Company (Phoenix Aviation Managers) Policy Number AP232721 Effective Date March 20, 2008 Expiration Date : March 20, 2009 Premises: $5,000,000 Combined single limit each occurrence for bodily injury and property damage liability; Bodily injury liability is limited to $200,000 each person Products: $1,000,000 Combined single limit each occurrence and in the aggregate for bodily injury and property damage liability. Ground Hanaarkeepers: $750,000 Any One Aircraft, $750,000 Any One Occurrence, subject to a $5,000 deductible. This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management Attn: Maria Slavik 1100 Simonton Street, Rm 268 Key West, FL 33040 Monroe County Board of Commissioners is included as an additional insured under the liability coverages with respect to negligent operations by the named insured. Parrish -O'Neill & Associates David R. Rigg Am Authorized Representative Date: March 13, 2008 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation Managers Insured File ACORo. CERTIFICATE OF LIABILITY INSURANCE )DUCE—�� The Fullers, Inc 1432 Kennedy Drive Key West FL 33040 Phone:305-294-66-77 INSURED — Fax:305-292-4641 Island City Flying Serv., Inc 3471 S. Roosevelt Blvd. > Key West 1?L 33040 ONLY AND CONFERS N, HOLDER. THIS CERTIFY ALTER THE COVERAGE INSURERS AFFORDING COVERAGE wsuRERA: pro ressive INSURER B INSURER C: INSURER D: INSURER E: OP ID N DATE (MM/DJ)NM) ISIAAN-2 09/27/nM MATTER OFOF INFORMATION PON THE CERTIFICATE NOT AMEND, EXTEND OR BY THE POLICIES BELOW. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IINSURE NDIC ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT D NAMED ABOVE FOR THE POLICY PERIOD IATED, NOTWITHSTANDING TE OMITS SHOWN MAY HAVE BEEN REDUCED WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUBJECTS ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGA iRVpOM . BV PAID CLAIMS 'R NSRC TYPE OF INSURANCE GENERAL LIABILITY POLICY NUMBER COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER, rALL PRO- JECT LOC LIABILITY 08985995-6 ED AUTOSED AUTOSOSED AUTOS G BE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? �.2004 Chevrolet u3I Venture 2006 I Chevrolet Express G3 VAN VAN CRGVN 2007 Chevrolet K1500 Sily pU 25 LIMITS EACH OCCURRENCE e Ira occurence) $ ME' EXP (Any one person) $ PERSONAL BADV INJURY $ GENERAL AGGREGATE § PRODUCTS-COMP/OP ADS $ NAIC # 08/11/08 08/11/09 (Ea accidernt)wGLE LIMIT $ BODILY INJURY (Per Person) $ 250000 BODILY INJURY (Per accident) $ 500000 PROPERTY 'GE (Per accdent)A $ 100000 _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ - EACH OCCURRENCE $ AGGREGATE $ �s $ I` $ TO LIMITS I I -ER E.L. EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ DISEASE " POLICY LIMIT $ 1GNDX03EX4D244779 1GAHG39U461120224 2GCEK13M771571715 MONBOCC SHOULD AN y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO! Monroe County BOCC [DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 O Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO ORSHALL 1100 Simonton $ IMPOSE NO OR LUIBILITY OF ANY KIND UPON THE INSURER, RS AGENTS OR Key West FL 33,0 4 OBLIGATION 0 � REPRESENTATIVES. / (PQZZIih � <�{rILT ogi:ioeiatFi, _qne. DA 11D RIGG • SCC4kEkNEDY P.O BOX 34 @MDUNT'VERNON, OHIO 43050 ` nr TEL PHONE 740-397.6737 TOLL FREE 800-752-9705 • 'FAX 740-392-0752 V �J YECLL MAR S 4 2009 CERTIFIC#TE QF INSURANCE Y I. Descriptive Schedule: Named Insured: : Island City Flying Service, Inc. Address of Insured : 3471 S Roosevelt Blvd, Key West, FL 33040 Insurance Company : Old Republic Insurance Company (Phoenix Aviation Managers) Policy Number : AVC141807 Effective Date : March 20, 2009 Expiration Date : March 20, 2010 Aircraft Physical Damage Coverage: 1973 Beech Baron E55, N5WA 2000 Cessna 172R, N2435X 2001 Cessna 172, N35229 N5WA Deductibles: $100 Not -in -Motion / $500 In -Motion N2435X and N35229 Deductibles: $250 Not -in -Motion / $2,500 In -Motion Limits of Liability: $1,000,000. Combined single limit each occurrence for bodily injury liability, including passengers, and property damage liability; Passenger bodily injury liability is limited to $100,000 each passenger. This Certificate is issued to: County Commissioners of Monroe County Attn: Peter Horton, Director 3491 S. Roosevelt Blvd. Key West, FL 33040 The certificate holder is included as an additional insured under the liability coverages with respect to negligent operations by the named insured. Parrish -O'Neill & Associates r � David R. Rigg kf Authorized Representative Date: March 17, 2009 OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. �aztis� � /�FIVED — - DAVID RIGG • SCOTT KENNEDY P.O. BOX 349 • MOUNT VERNON, OHIO 43050 �� TELEPHONE 740-397-6737 • TOLL FREE 800-752-9705 • FAX 740-392-0752 6 2W9 CERTIFICATE OF INSURANCE PAONROE COUNTY RISK MAW-EMENT Descriptive Schedule: Named Insured Address of Insured Insurance Company Policy Number Effective Date Expiration Date Island City Flying Service, Inc. 3471 S Roosevelt Blvd, Key West, FL 33040 Old Republic Insurance Company AP232722 March 20, 2009 March 20, 2010 Premises: $5,000,000 Combined single limit each occurrence for bodily injury and property damage liability; Bodily injury liability is limited to $200,000 each person Products: $1,000,000 Combined single limit each occurrence and in the aggregate for bodily injury and property damage liability. Bodily Injury liability is limited to $200,000 each person Ground Hangarkeepers: $750,000 Any One Aircraft, $750,000 Any One Occurrence, subject to a $5,000 deductible This Certificate is issued to: Monroe County Board of Commissioners Monroe County Risk Management Attn: Kay Bahleda 5100 College Road Key West, FL 33040 Monroe County Board of Commissioners is included as an additional insured under the liability coverages with respect to negligent operations by the named insured. P rish-O'Neill & Associates r David R. Rigg I mkf Authorized Represent ve i Date: March 17, 2009CTL tiq f A GQ OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. cc: Phoenix Aviation Managers, Insured, File CC,: ACORDM CERTIFICATE OF LIABILITY INSURANCE D01/12/2009Y) PRODUCER Serial # 106951 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SOUTHEAST INSURANCE GROUP „ - --------- -- - 2665 SOUTH BAYSHORE DRIVE, STE 1001 x y. COCONUT GROVE, FL 33133 ---- - - PHONE: (305) 442-1500 -.-.-.Q.N.�.1! -_AND CONFERS NO RIGHTS UPON THE CERTIFICATE R. THIS- ERTIFICATE DOES NOT AMEND, EXTEND OR " _ m_ �THE COV RAGE AFFORDED BY THE POLICIES BELOW. -..-.. INSURERS A FOR NG COVERAGE NAIC# INSURED itouM Z NITH I SURANCE ISLAND CITY FLYING SERVICE, INC. INSURER B: I 3471 S. ROOSEVELT BLVD.___ Ita►suRFR r.: _. KEY WEST, FL. 33040 INQl1R D: 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 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. INSR LTR NSR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurence $ MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMI-I. APPLIES PER: POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY person) $(Per HIRED AUTOS NON -OWNED AUTOS-- r � BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ _ GARAGE LIABILITY - "` " AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE / EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below Z066846805 01 /01 /09 01 /01 !10 x TORY LIMITS OT ER EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE $ 1,000,000 EL DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY RISK MANAGEMENT IMPOSE NO OBLIGATION OR LIAB ITY OF ANY KIND PON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST #268 KEY WEST, FL 33040 REPRESENTATIVES. ATTN: MONIQUE DIAZ AUTHORIZED REPRESENTAT 9 1 MVVFNU 40 j4UU I/U8) / �/ © ACORD CORPORATION 1988 C:\FMPRO\CERTPROS.FP5 l ACORD CERTIFICATE OF LIABILITY OP ID N INSURANCE DATE (MM/DD/YYYY) .0 ISLAN-2 07 25 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Fullers, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone : 3 0 5- 2 9 4- 6 6 7 7 Fax : 3 0 5- 2 9 2- 4 6 41 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Progressive Commercial Div INSURER B: INSURER C: Island City Flying Service Inc 3471 S . Roosevelt Blvd. Key West FL 33040 INSURER D: 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. MR LTR ADO'L NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ ' CLAIMS MADE OCCUR 17 MED EXP (Any one person) I $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 7POLICYF—] PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ A X ANY AUTO 0 8 9 8 5 9 9 5— 7 0 8/ 11 / 0 9 0 8/ 11 10 (Ea accident) ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY (Per person) $ 250000 HIRED AUTOS BODILY INJURY $ 5 0 0 0 0 0 NON -OWNED AUTOS r (Per accident) PROPERTY DAMAGE $ 10 0 0 0 0 (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EA A OTHER THAN CC $ ANY AUTO look,*� $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 7 OCCUR F-1 CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ T $ RETENTION $ 00e WORKERS COMPENSATION AND r __ TORY LIMITS ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 2004 Chevrolet Venture VAN 1GNDX03EX4D244779 2006 Chevrolet Express G3 CRGVN 1GAHG39U461120224 2007 Chevrolet K1500 Silv PU 2GCEK13M771571715 lrtK 1 IrIC;A 1 L MULULK CANCELLATION MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board o f County CommissionersNOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key Wp s t 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATI . C. Norman Fuller ACORD 25 (2001/08) © ACORD CORPORATION 1988 parrii r 7 Sh AMON 16RAN(I" Siv:' MAR � 2010 CERTIFICATE OF INSURAN E s Named Insured: Island City-~-- �- Flying Services Address of Insured: 3471 South Roosevelt Blvd. Insurance Company: Phoenix Aviation Managers (Old Republic Insurance Company) Policy Number: AVC-001418-08 Effective Date: March 20, 2010 Expiration Date: March 20, 2011 Aircraft Phvsical Damage Coverage Beech Baron E55, N5WA Cessna 172R, N2435X Cessna 172, N35229 Aircraft Liability Coverage: N 5WA $1,000,000. Combined Single Limit Each Occurrence for Bodily Injury and Property D Passenger Bodily Injury Liability Limited to $100 000 Per Passenger P yama Damage Liability N2435X $19000,000. Combined Single Limit Each Occurrence for Bodily Injury and Property Damage Passenger Bodily Injury Liability Limited to $100 000 Per Passenger P yama g Liability N 35229 $1,000,000. Combined Single Limit Each Occurrence for Bodily Injury and Property Damage i Passenger Bodily Injury Liability Limited to $100 000 Per Passenger P yama 9 Lability This Certificate is issued to: County Commissioners of Monroe County, Florida 1100 Simonton Street Key West , FL 33040 Certificate holder is included as Additional Insured under Liability Coverage with respect to the operations of the Nam ed Insured. Date: March 17, 2010 Parrish -O'Neill & Associates, Inc. Kimia Pillow Authorized Representative OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. • rrish r)a ' 'T�q. •'.Ne r'y^ Y VLP 3 MAR S 3 2010 � CERTIFICATE OF INSURANCE } Named Insured: Island City Flying Services 9E Y Address of Insured: 3471 South Roosevelt Blvd. °' . ter_". 1 r _` '_t_w�� w Insurance Company: Phoenix Aviation Managers (Old Republic Insurance Company) Policy Number: AP-00232723 Effective Date: March 20, 2010 Expiration Date: March 20, 2011 Airport General Liability Coverage., $5,000,000 Combined Single Limit Each Occurrence for Bodily Injury and Property Damage Liability. Bodily Injury Liability Limited to $200,000 Each Person Aviation Products & Completed Operations Liability: $1,000,000 Combined Single Limit Each Occurrence for Bodily Injury and Property Damage Liability. Bodily Injury Liability Limited to $200,000 Each Person. $1,000,000 Annual Aggregate Ground Hangarkeepers' Liability: $750,000 Any One Aircraft $750,000 Any One Occurrence k This Certificate is issued to: Monroe County Board of Commissioners & Monroe County Risk Management Attn: Kay Bahleda 1100 Simonton Street Key West , FL 33040 Certificate holder is included as Additional Insured under Liability coverages as respects the operations of the Named Insured. Date: March 17, 2010 Parrish -O'Neill & Associates, Inc. Kimia Pillow Authorized Representative OHIO MANDATORY WARNING: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. . Co o 7 A CORD,,, CERTIFICATE OF LIABILITY INSURANCE OP ID N DATE (MM/DD/YYYY) ISLAN-2 07 27 l0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Fullers, Inc ONLY A RS NO RIGHTS UPON THE CERTIFICATE R. THIS C RTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive REC THE COV GE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 -----� - ----- Phone : 3 0 5- 2 9 4- 6 6 7 7 Fax : 3 0 5- 2 9 2- 4 6 1F INSURERS AFFORD n, „I u _, rog NG COVERAGE I es s lve NAIC # INSURED t OL INSURER B: Island City Flying Service Marsha Depoo nc� 3471 S. Roosevelt Blvd. M 0 N R �q� '� Key West FL 33040 AAa i�w A w-w r! �( i+.' VUVCKAl7t, 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. POLICY EFFECTIVE POLI Y EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ CLAIMS MADE F-IOCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECT LOC AUTOMOBILE LIABILITY A X ANY AUTO 0 8 9 8 5 9 9 5- 8 0 8/ 11 / 10 0 8/ 11 / 11 COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY (Per (Per person) 2 5 0 0 0 0 HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ 5 0 0 0 O O PROPERTY DAMAGE (Per accident) $ 1, O O O O O GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE A `r 7� 1 $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- I OTH- EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ' E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER C1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORIEMENT / SPECIAL PROVISIONS Certificate holder is an additional insured CERTIFICATE HOLDER CANCELLATION MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County Commiissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton Street Rm 268 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIV Norman Fuller ACORD 25 (2001 /08 ©ACORD CORPORATION 1988 OLD REPUBLIC-,,,,,.,, This is to certify to (Certificate Holder): The following policy(ies) have been issued to: Certifi Phoenix Monroe County Board of Commission Monroe County Risk Management 1100 Simonton Street Key West, FL r in OMD Managers, Inc. Island City Flying Service, Inc. and Sea Pi llile" 3471 S. Roosevelt Blvd Key West, FL 33040 MAR 2 2 2011 33040 MONROE COUNTY AIRCRAFT POLICY NO: AVC 1418 09 POLICY PERIOD: FROM: March 20, 2011 INSURANCE COMPANY: OLD REPUBLIC INSURANCE COMPANY THIS COVERAGE IS EFFECTIVE 12:01AM, March 20, 2011 LIABILITY COVERAGES: LIMITS OF LIABILITY EACH PERSON EACH OCCURRENCE Bodily Injury Property Damage $ XXXX Passenger Bodily Injury X Single Limit including Passengers, S XXXX $1 000 000 x With Passenger Liability Limited to: S100,000 $ XXXX DESCRIPTION OF AIRCRAFT PHYSICAL DAMAGE COVERAGE: FAA INSURED NUMER YEAR MAKE& MODEL VALUE TO: March 20, 2012 3o,3 All Risks Ground and In ` t DEDUCTIBLES X As respects any Aircraft Owned and Operated by the Named Insured and covered under the above referenced Policy AIRPORT POLICY NO: AP 232724 POLICY PERIOD: FROM: March 20, 2011 TO: March 20, 2012 INSURANCE COMPANY: OLD REPUBLIC INSURANCE COMPANY THIS COVERAGE IS EFFECTIVE 12:01AM March 20, 2011 LIABILITY COVERAGES: LIMITS OF LIABILITY X Comprehensive General Liability $ 200,000 each person $5.000,000 each occurrence X Completed Operations CSL each person S1,000 000 each occurrence " X Products Liability (Sale or Servicing of Fuel or Oil) X Hangarkeepers Liability X Premises Medical Payments Deductibles: X Hangarkeeper's Liability X Premises Liability ' Rehr to the Policy, an Annual Aggregate limit may apply to SOW coverages. property damage CSL each person $1.000.000 each occurrence " party damage " $750,000 each aircraft $750,000 each loss $1,000 each person $5.000 each accident S5,000 Piston Ded. S5,000 Turbine Ded. $10.000 Airliner Ded. $0 each claim with respect to Property Damage This Certificate Holder Is: Included as a Loss Payee for Aircraft Physical Damage Coverage and included as an additional insured Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage as their interest may appear not to exceed 90% of the Insured Value. X Is included as an Additional Insured on aviation operations liability coverages but only with respect to operations of the Named Insured. Is provided a Waiver of Subrogation, but only as respects Aircraft Physical Damage Coverage. OTHER COVERAGES(CONDITIONSlREMARKS: Provision has been made to give the Certificate Holder thirty (30) day notice of cancellation of any policy above, however, ten (10) days for Non -Payment of Premium of any policy above, however, the Company assumes no responsibility for the failure to provide such notice. This Certificate does not change in any way the actual coverages pravided by the poky(ies) specified above. Phoenix Aviation Representative: Agency Name: PARRISH-O'NEILL & ASSOCIATES Agency Phone: 740-397-6737 ENTER LOCATION IN CLIENT SLMMARY yi/i\l ii'1\..A 11J Vl' il�A7 \Jl \ViJ j��('r ��TT This catificaac is issued as a matter of information only and confers no rights upon the ce reate holder 9iole in the poli certificate does not amend, extend or alter the coverage afforded the policies described herein. Certificate Holder(s): J U N &4(Nibruary 4, Island City FBO, solely for use of Monroe County B C, solely for use of facility facility 500 Whitehead St. MONROE COUNTY 3471 S. Roosevelt Key West, Fl. 33040 RISK MANAGEMENT Key West, FL 33040 Named Insured: Experimental Aircraft Association and EAA Aviation Foundation, Inc., etal EAA Chapter 1241, Inc., South Roosevelt, Key West, FL Karen Kyrzaniak Director of Risk Management P. O. Box 3086 Oshkosh, WI 54903-3086 Carrier Global Aerospace, Inc. (20%) Various London Underwriters (30%) Old Republic Insurance Co. (20n/o) XL Specialty Insurance Co. (7.5%) National Union Fire Insurance Company of Pittsburgh (10%) Allianz Global Risks US Insurance Co. (12.5%) This Policy Number Policy Effective Date Policy Expiration Date 13000709 12-1-10 12-1-11 AP082210 12-1-10 12-1-11 AP887809 12-1-10 12-1-11 UA00001893AV10A 12-1-10 12-1-11 PL1853274-06 12-1-10 12-1-11 A4GA000209010AM 12-1-10 12-1-11 Aviation Operations Liability Insurance Coverage Part Bodily Injury & Property Damage Liability Each Occ Limit of Liability $1,000,000 Remarks: The above named certificate holders are included as additional insureds for use of facility but solely as repsects to the operations of the named insured and solely as respects the event the chapter is participating in on the following date(s): Saturday, February 5, 2011, Rain Date(s): Saturday, February 5, 2011. This insurance is not the primary event insurance for the SOAR Airport Open House. The policies of insurance described herein have been issued to Name Insured herein 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 terns, conditions, limitations and excursions of such policies. Limits may have been reduced by paid claims. It is find= noted that the liability of these insurers is several and not joint and is specifically set out as above. Notice of cancellation will be provided solely to the Experimental Aircraft Association at the above address. 'This certificate cancels or and supercedes any previously issued certificate Marsh USA Inc. 500 West Monroe Street Chicago, IL 60661 312-627-6000 By: MARSH. AC R ffi OP ID: NF `....-- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/28/11 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(iss) must 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 endnm&mantinl PRODUCER 305-294-6677 CONTACT The Fullers, Inc NAME: 305-292-4641 PHONE 1432 Kennedy Drive ac No Ext : EMAIL Key West, FL 33040 ADDRESS: Norman Fuller CROTUMERID#:ISLAN-2 INSUREF INSURED Island City Flying Service Inc INSURER A: Pro resSi Marsha Depoo INSURER B : 3471 S. Roosevelt Blvd. Key West, FL 33040 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER KEVISION 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 TR TYPE OF INSURANCE GENERAL LIABILITY WVDPOLICY NUMBER MM DDY� MM DDYiYYYY LIMITS COMMERCIAL GENERAL LIABILITY 7 EACH OCCURRENCE $ RENTED CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- F71LOC PRODUCTS -COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO X 08985995-9 08l11N 1 08/11l12 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250,00 ALL OWNED AUTOS X BODILY INJURY (Per accident) $ 500,00 SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $ 10or00 HIRED AUTOS NON -OWNED AUTOS $ $ UMBRELLA LIAB EXCESS LIAB OCCUR - - EACH OCCURRENCE $ HCLAIMIS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If es, descrbe under DESCRIPTION OF OPERATIONS below N / A $ WC STATU- OTH- $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ Ell E.L. DISEASE - POLICY LIMIT $ C-1 " . DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) certificate holder is an additional insured /, In roor�r�nwr� u.v� r.e-.. MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street Rim 268 AUTHORIZED EPRESE ATIV Key West, FL 33040 Norma I r Lz/ © 8-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are regis*red ' arks of ACORD St. Clair Street, Jacksonville, FL 32254 (904) 309-6405 —Fax (904) 359-0784 GROUP we make it easy NOTICE TO OWNER/NOTICE TO CONTRACTOR WARNING! FLORIDA'S CONSTRUCTION LIEN LAW ALLOWS SOME UNPAID CONTRACTORS, SUBCONTRACTORS, AND MATERIAL SUPPLIERS TO FILE LIENS AGAINST YOUR PROPERTY EVEN IF YOU HAVE MADE PAYMENT IN FULL. UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT WE ARE PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOUR PAYING TWICE. TO AVOID A LIEN AND PAYING TWICE. YOU MUST OBTAIN A WRITTEN RELEASE FROM TREMRON EVERY TIME YOU PAY YOUR CONTRACTOR. NTO# 600987 0100000603 TO CERTIFIED MAIL# OWNER: ISLAND CIYT FLYING SERVICE 3471 S ROOSEVELT BLVD KEY WEST, FL 33040 1/27/2012 71901018754000076738 -- T co 0 The undersigned herby informs you that he has furnished or is furnishing materials as follows: _PAVERSJOND'D RELATED PRODUCTS for the improvement of the real property identified as: NOC 1859944' BJC 254VPG o 2014 REC 11/30/11, PARCEL 00064810-00000, KW PT SALT POND LTS & LAND MARKED P Off THE SIDE�jF p FLAGLER AVE OR COUNTRY RD MEACHAM AIRPORT PT PARCEL 1 G85-396, 3471 S ROOSEVELT BLVD, KEY WEST, FL, MONROE COUNTY, FLORIDA Under an order given by: PAVER DAVE, INC. Florida law prescribes the serving of this notice and restricts your right to make payments under your contract in accordance with Section 713.06, Florida Statutes. IN THE EVENT THAT THE CONTRACT FOR IMPROVEMENTS IS BONDED, PURSUANT TO SECTION 713.23, FLORIDA STATUTES, SECTION 255.05, FLORIDA STATUTES, TITLE 40 U.S.C. SECTION 270, OR ANY OTHER FORM OF BOND, THE UNDERSIGNED INTENDS TO LOOK TO THAT BOND FOR PROTECTION AND PAYMENT. THIS NOTICE IS NOT A LIEN, CLOUD NOR ENCUMBRANCE UPON TITLE TO YOUR PROPERTY, NOR IS IT A MATTER OF PUBLIC RECORD. IMPORTANT INFORMATION FOR YOUR PROTECTION Under Florida's laws, those who work on your property or provide materials and are not paid; have a right to enforce their claim for payment against your property. This claim is known as a construction lien. If your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people who are owed money may look to your property for payment, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. PROTECT YOURSELF RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been paid. LEARN more about the Construction Lien Law, Chapter 713, Part I, Florida Statutes, and the meaning of this noticWcoa, an attorney or the Florida Department of Professional Regulation. BY: n Cif Tremron Group MONROE COUNTY FLORIDA 2885 St. Clair Street 500 WHITEHEAD ST C Jacksonville, FL 32254 KEY WEST, FL 33040 71901018754000077100 ** ** OLD REPUBLIC INSURANCE COMPANY ***** Certificate of Ins This is to certify to Monroe County Board of Commissioners (Certificate Holder): Monroe County Risk Management 1100 Simonton Street Key West, FL The following policy(ies) Island City Flying Service, Inc. have been issued to: 3471 S. Roosevelt Blvd Key West, FL 33040 RECEIVED APR 1 2012 MONROE COON M AIRCRAFT POLICY NO: AVC 141810 POLICY PERIOD: FROM: March 20, 2012 TO: INSURANCE COMPANY: OLD REPUBLIC INSURANCE COMPANY THIS COVERAGE IS EFFECTIVE 12:01AM, March 20, 2012 rNR Ep Y 91( 8� LIABILITY COVERAGES: LIMITS OF LIABILITY EACH PERSON EACH OCCURRENCIDA Bodily Injury W (fir ,-�t•""L Property Damage $ XXXX Passenger Bodily Injury x Single Limit including Passengers, $ XXXX $1,000,000 �f �o r, P-carseM x With Passenger Liability Limited to: $100,000 $ XXXX DESCRIPTION OF AIRCRAFT PHYSICAL DAMAGE COVERAGE: FAA INSURED NUMBEF YEAR MAKE & MODEL VALUE P110ENIx"INT ON %I A \ AU I:RS. INC. March 20, 2013 All Risks Ground and In -Flight DEDUCTIBLES (NIM/IM) x As respects any Aircraft Owned and Operated by the Named Insured and covered under the above referenced Policy AIRPORT POLICY NO: AP 2327 25 POLICY PERIOD: FROM: March 20, 2012 TO: March 20, 2013 INSURANCE COMPANY: OLD REPUBLIC INSURANCE COMPANY THIS COVERAGE IS EFFECTIVE 12:01AM March 20, 2012 LIABILITY COVERAGES: LIMITS OF LIABILITY x Comprehensive General Liability $ 200,000 each person $5,000,000 each occurrence " x Completed Operations CSL each person $1,000,000 each occurrence" property damage x Products Liability CSL each person $1,000,000 each occurrence" (Sale or Servicing of Fuel or Oil) property damage " x Hangarkeepers Liability $750,000 each aircraft $750,000 each loss x Premises Medical Payments x HangarkeeperIs Liability $1,000 each person $5,000 Piston Ded. $5,000 $5,000 Turbine Ded. each accident $10,000 Airliner Ded. Deductibles: Premises Liability each claim with respect to Property Damage " Refer to the Policy, an Annual Aggregate limit may apply to some coverages. This Certificate Holder is: Included as a Loss Payee for Aircraft Physical Damage Coverage and included as an additional insured Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage as their interest may appear not to exceed 90% of the Insured Value. x Is included as an Additional Insured on aviation operations liability coverages but only with respect to operations of the Named Insured. Is provided a Waiver of Subrogation, but only as respects Aircraft Physical Damage Coverage. OTHER COVERAGESICONDITIONS/REMARKS: Provision has been made to give the Certificate Holder thirty (30) day notice of cancellation of any policy above, ten (10) days for Non -Payment of Premium of any policy above, however, the Company assumes no responsibility for the failure to provide such 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, terms, exclusions, conditions, or other provisions afforded by the policies referenced herein nor does it constitute a contract between the Issuing insurer(*), authorize representative or producer. Phoenix Aviation Representative. Agency Name: PARR ISH-O'NEI LL & ASSOCIATES Agency Phone: 740-397-6737 9nata:*4 March �192012 OP ID: NF A1: R�� CERTIFICATE OF LIABILITY INSURANCE DATE 1261IYYYY) 07/28l12 THIS CERTIFICATE 13 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(les) must be endorsed. If SUBROGATION IS WAIVED, suboa 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 endorsem s . PRODUCER 305-294-6677 The Fullers, Inc 305-292-4641 1432 Kennedy Drive Key West, FL 33040 Norman Fuller PHONE All E-MAIL RIDISLAN-2 INSURER(S) AFFORDING COVERAGE NAIC INSURED Island City Flying Service Inc 3471 S. Roosevelt Blvd. Key West, FL 33040 _INSURER INSURER A; Pro ressive INSURER B : INSURER c INSURER D : INSURER E : P. COVERAGES CFRTIFICATF NIINIRFR- 0101naInu MI IIURCID. 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. IN TYPE OF INSURANCE AWL 5UIM POLICY NUMBER P T EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAW -MADE Fl OCCUR EACH OCCURRENCE S 3 LIED EXP (Any are Person) $ PERSONAL 3 ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMPIOP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X 11 08985"" quPP(1\/ L) ' ISK ANA D — WAIVER: 08111112 08/11113 COMBINED SINGLE LIMIT (Ea axldett) ant) $ BODILY L(Per Person) S 260, BODILY INJURY (Per axident) $ 500, X PROPERTY DAMAGE (Prseddent) $ 400,00 _ UMBRELLA LIAB EXCESS LIAB OCCUR f� T � EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE i DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE = OFRCERIMEMBER EXCLUDED? (Me wWM In NH) If yyvvss dowibe under DESG�RIPTION OF OPERATIONS below NIA I WC STATU- OTH• E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE 5 E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddltkwW RemrM Scho", N more space Is required) Certificate holder is an additional insured CFRTIFk^-ATF hlnl nFR CANCFI I ATIAM MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board County ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN of ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners It A 1100 Simonton Street AUTHORIZED REPRESENTA Key West, FL 33040 Norman Fuller 01888f2 A960EVVCORPORATION. All rights reserved. ACORD 26 (2D9) The ACORD name and logo are regiatered martcs f AC - Ge-. L' wt C OP ID: NF ACORC� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 07/26/12 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 IMPORTANT: If the certificate holder is an AD the terms and conditions of the policy, certain certificate holder in lieu of such endorsement s ITIONAL�Ia�cY(ies) m 0licies m `j rsement. . t be endorsed. If SUBROGATION IS WAIVED, subject to statement on this certificate does not confer rights to the PRODUCER 30 The Fullers, Inc 30 1432 Kennedy Drive Key West, FL 33040 Norman Fuller -294-6677U -292-46M�L d MONROE COLfl CONTACT ONE iCIC No Ext : FAX A/C No E-MAIL PRODUCER 4VOTOMERID#: SLAN-2 INSURERS AFFORDING COVERAGE NAIC # INSURED Island City Flying Service Inc 3471 S. Roosevelt Blvd. Key West, FL 33040 INSURER A: Progressive INSURER B : INSURER C : 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 LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MM/DD/YYYY MMPOLI LDD/YY ICY EXP Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1:1 OCCUR AP ( AGE BY ENT DAMAGE To RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ WAIV _ W GENERAL AGGREGATE $ ��, �• �' n Y � GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Li,• r �(i -illy $ POLICY PRO LOC A AUTOMOBILE LIABILITY ANY AUTO X 08985995-6 08/11/12 08/11/13 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250,00 BODILY INJURY (Per accident) $ 500,00 ALL OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ 10�,00 SCHEDULED AUTOS HIRED AUTOS $ NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE a $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A - WC STATU- OTHER TCRYI E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is an additional insured DER MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners If A 1100 Simonton Street AUTHORIZED REPRESENTAT Key West, FL 33040 Norman Fuller /l © 11988;2ad9 AC CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORb OP ID: NF AlRO' CERTIFICATE OF LIABILITY INSURANCE DATER 2 Wi 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 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 endorsements . PRODUCER 305-294-6677 The Fullers, Inc 305-292-4641 1432 Kennedy Drive Key West, FL 33040 Norman Fuller NTACT NAME: PHONE FAX IAIC. No. Ea11: IA1C, No): E-MAIL -Pwdl5v lR )SLAIN-2 INSURERS AFFORDING COVERAGE NAIC N INSURED Island City Flying Service Inc 3471 S. Roosevelt Blvd. Key West, FL 33040 INSURER A_ Progressive INSURER B :� _ INSURER C : INSURER D : INSURER E : INSURER F , rtnVCDAr_PA (FRTIFICATF MI)AIIRFR- RFVISlf7N 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. I� TYPE OF INSURANCE ADIN8OL SUeR I POLICY NUMBER MMf ICY EFF MM1D POLICY EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILI Y CLAIMS -MADE F OCCUR EACH OCCURRENCE f ARENTED pR MI E Ea o0tunerm S MED EXP (Any one person) f PERSONAL & ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY f7 PRO LOC PRODUCTS-COMPIOP AGG $ S A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X 08985995-6 081111112 08/11113 COMBINED SINGLE LIMIT (Ea accaerx) $ BODILY INJURY (Per person) — — S 250,00 BODILY INJURY (Per accident) S 500,00 PROPERTY DAMAGE (Per acciderd) S 100,00 S _ S UMBRELLA LIAB EXCESS LIAR CLAIMS -MADE A RISK MAMA BY W EACH OCCURRENCE $ HOCCUR AGGREGATE S DEDUCTIBLE RETENTION S $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE Y 1 N OFFICERASEMSER EXCLUDED? (Mandatory In NH) H yes, describe under DESCRIPTION OF OPERATIONS below NIA �rj , ^ gYTATU. OTH- - _._ ER_ E.L. EACH ACCIDENT f E.L DISEASE - EA EMPLOYE f E.L DISEASE -POLICY LIMIT f DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, If more space Is required) Certificate holder is an additional Insured MONRCON Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 TIO 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 REPRE Norman Fuller m 148200,9 ACORD CORPORATION. All rights reserved. ACORD 25 (2009 9) The ACORD name and logo are registered mark of ICORD LC: OP ID: NF A�R�' CERTIFICATE OF LIABILITY INSURANCE DATE /YYY) 07126112 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 IMPORTANT: If the certificate holdaD the terms and conditions of the polin certificate holder in lieu of such end IT NANAL cy(ies) m olicies m�` =rsement. . t be endorsed. If SUBROGATION IS WAIVED, subject to statement on this certificate does not confer rights to the PRODUCER 30 The Fullers, Inc 30 1432 Kennedy Drive Key West, FL 33040 Norman Fuller -294-667�j' -292-464/ L 3 2 MONROE CO CONTACT ME: ONE Ext : FAX aC No E-MAILo PRODUCER TOMER ID M: SLAN-2 INSURERS AFFORDING COVERAGE NAIC N INSURED Island City Flying Service Inc 3471 S. Roosevelt Blvd. Key West, FL 33040 INSURER A: Progressive INSURER B : INSURER C 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 LTR TYPE OF INSURANCE ADDL POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1:1 OCCUR �1AGE gyM WAPERSONAL &GlNiV it L fi' , ,1�jA �•) 1`/ ENT EACH OCCURRENCE $ DA AGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X 08985995-6 08/11/12 08/11/13 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250,00 BODILY INJURY (Per accident) $ 500,00 X PROPERTY DAMAGE (Per accident) $ 100,00 $ UMBRELLA LIAR EXCESS LIAB CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) H yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate holder is an additional insured MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTA Key West, FL 33040 Norman Fuller VP�� C 198 2 A CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks f ACbR * * * * Certificate of Inuu * OLD REPUBLIC INSURANCE COMPANY This is to certify to (Certificate Holder): The following policy(ies) have been issued to: Monroe County Board of Commissioners Monroe County Risk Management 1100 Simonton Street Key West FL Island City Flying Service, Inc. 3471 South Roosevelt Blvd. Key West RECEIVED 2013 MONROE COUNTS► FL 33040 POLICY INFORMATION: AIRCRAFT POLICY NO: AVC00141811 POLICY PERIOD: FROM: 3/20/13 TO: 3/20/14 THIS COVERAGE IS EFFECTIVE 12:01 A.M. 03/20/13 INSURANCE COMPANY: OLD REPUBLIC INSURANCE COMPANY LIABILITY COVERAGES: LIMITS OF LIABILITY EACH PERSON EACH OCCURRENCE Bodily Injury Property Damage Passenger Bodily Injury x Single Limit including Passengers, x With Passenger Liability Limited to: DESCRIPTION OF AIRCRAFT FAA NUMBER, YEAR, MAKE AND MODEL $XXXX $XXXX $100, 000 PHYSICAL DAMAGE COVERAGE INSURED VALUE $1,000,000 $XXXX + + * to * YHOF: NIX A% [At ION NWIVARS.01C'. ALL RISK GROUND & IN-FLIGHT NOT IN MOTION IN -MOTION x As respects any Aircraft Owned and Operated by the Named Insured and covered under the above referenced Policy Per the attached fleet list. This Certificate Holder is: Included as a loss Payee for Aircraft Physical Damage Coverage and included as an additional insured. Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage as their interest may appear not to exceed 90% of the Insured Valued. x Is included as an Additional Insured on aircraft liability coverage but only with respect to operations of the Named Insured. Is provided a Waiver of Subrogation, but only as respects Aircraft Physical Damage Coverage. OTHER COVERAGES/CONDITIONS/REMARKS: Provision has been made to give the Certificate holder Thirty (30) day notice of cancellation of any policy above, ten(10) days for Non -Payment of Premium of any policy above, however, the Company assumes no responsibility for the failure to provide such notice. 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, terms, exclusions, conditions, or other provisions afforded by the policies referenced herein nor does it constitute a contract between the issuing insurer(s), authorize representative or producer. Phoenix Aviation Representative: Agency Name: Parrish -O'Neill & Assoc. Agency Phone: 740-397-6737 Issuing Office: Date: March 18, 2013 216 Shuman Blvd., Suite 208, Naperville, IL 60563 1 PH: (630) 369-1076 1 FX: (630) 369-1221 Y E �t GEN�N>r DA ' W Awl - 01 K A MEMBER OF THE OLD REPUBLIC INSURANCE COMPANY Page 1 of 1 RECEIVED ttt t�tjk��]�p D ('� t OLD REP UBLI ..Ifl.l,.aCllMMVY ttt,t Certificate of Ins urand#P 2013 Phoenix Aviation Manage Inc. This is to certify to Monroe County Board of Commissioners MONROE COUNTY (Certificate Holder): Monroe County Risk Management 1100 Simonton Street RISK MANAGEMEN' Key West FL 33040 The following policy(ies) Island City Flying Service, Inc. have been issued to: 3471 South Roosevelt Blvd, Key West FL 33040 *JK ~* PHOENIX AVIATION AIRPORT POLICY NO: AP 00232726 POLICY PERIOD: FROM: March 20, 2013 TO: March 20, 2014 INSURANCE COMPANY: OLD REPUBLIC INSURANCE COMPANY THIS COVERAGE IS EFFECTIVE 12:01AM March 20, 2013 LIABILITY COVERAGES: LIMITS OF LIABILITY x Comprehensive General Liability $ 500,000 each person $5,000,000 each occurrence * x Completed Operations Liability no sublimit each person $1,000,000 each occurrence * x Products Liability (Sale or Servicing of Fuel or Oil) x Hangarkeepers Liability x Premises Medical Payments Deductibles: x Hangarkeeper's Liability Premises Liability * Refer to the Policy, an Annual Aggregate limit may apply to some coverages. no sublimit each person $1,000,000 $1,000,000 each aircraft $1,000,000 $5,000 each person $25,000 $5,000 Piston Ded. $5,000 Turbine Ded. each claim with respect to Property Damage property damage each occurrence property damage each loss each accident $10,000 Airliner Ded. This Certificate Holder is: Included as a Loss Payee for Aircraft Physical Damage Coverage and included as an additional insured Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage as their interest may appear not to exceed 90% of the Insured Value. x Is included as an Additional Insured on aviation operations liability coverages but only with respect to operations of the Named Insured. Is provided a Waiver of Subrogation, but only as respects Aircraft Physical Damage Coverage. OTHER COVERAGES/CONDITIONS/REMARKS: Provision has been made to give the Certificate Holder thirty (30) day notice of cancellation of any policy above, however, ten (10) days for Non -Payment of Premium of any policy above, however, the Company assumes no responsibility for the failure to provide such notice. This Certificate does not change in any way the actual coverages provided by the policy(ies) specified above. Phoenix Aviation Representative: Agency Name: Parrish -O'Neill & Assoc. Agency Phone: 740-397-6737 _ Date: March 18, 2013 215 Shuman Blvd., Suite 208, Naperville, IL 60563 PH: (630) 369-1076 FX: (630) 369-1221 BYDA�V R O �� U.Q•,/l4 WA /" )<u)1 k CG G�1.1,fAwce OP ID: NF ACORU" CERTIFICATE OF LIABILITY INSURANCE DATE7/30D/YYYY) 07130/13 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 poiicy(ies) must 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 endorsemen s . PRODUCER 305-294-6677 The Fullers, Inc 305-292-4641 1432 Kennedy Drive Key West, FL 33040 Norman Fuller CONTACT -NAME: PHONE Ffac No): E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: ISLAN-2 INSURE S AFFORDING COVERAGE NAIC # INSURED Island City Flying Service Inc INSURER A:Progressive INSURER B : Paul Depoo INSURER C 3471 S. Roosevelt Blvd. Key West, FL 33040 INSURER D INSURER E : INSURER F : d"C071CIt%ATC UI IaAQCG. RFVI-RION NIIMRIFR, vTHIS 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 TR TYpE OF INSURANCE POLICY NUMBER MM/D Y EFF EXP POLIMM/IDCD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR BYE —t-6!r W +� , 7��' (PERSONAL t EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ & ADV INJURY GENERAL AGGREGATE $ $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 1$ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X 08985995-7 08/11/13 08/11/14 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 250,0 BODILY INJURY (Per accident) $ 500,00 X PROPERTY DAMAGE (Per accident) $ 100,00 $ UMBRELLA LIAR EXCESS LU16 CLAIMS -MADE EACH OCCURRENCE $ HOCCUR AGGREGATE $ _ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatary in NH) Iyes describe under f DESCRIPTION OF OFbelow N / A - WC STATU- OTHTORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 MONRCON 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 Norman I © 913809'ACOR ACORD 25 (2009/09) The ACORD name and logo are registered arks f ACORD CORPORATION. All rights reserved. Named Insured. Address of lnsured: Insurance Company. Policy Number: Effective Date: Expiration Date: CERTIFICATE QF INSURANCE Island City Flying Service 3471 South Roosevelt Blvd. Phoenix Aviation Managers (Old Republic Insurance Company) CAV03385304 January 1. 2014 January 1. 2015 Bodily Injury by Accident - $1,000,000 Each Accident Bodily Injury by Disease - $1,000,000 Policy Limit Bodily Injury by Disease - $1,000,000 Each Employee dD M NT W of WAIVER *N/AYrES7!t-L CC kw A This Certificate is issued to: Monroe County Board of Commissioners and Monroe County Risk Management 1100 Simonton Street Key West, FL 33040 Certificate holder is included as Additional insured under Liability coverages as respects the negligent operations of the Named insured. Date:January 24, 2014 Paffish-O'Neill & Associates, Inc, David R. Rigg Authorized Representative OHIO MANDATORY WARNING, ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE =S FACILITATING A FRAUD AGAINST AN INSURER SUBMITS AN APPLICATION Oil FILES A CLAW CONTAINING A FALSE Oil DECEPTIVE STATEMENT IS GUILTY OF INSURANCES FRAUD. THIS CERTIFICATE IS PROVIDED FOR INFORMATIONAL PORPOSES ONLY 'THE INSURANCE AFF,'ORI)ED BY'THE POLICIES DESCRIBED Is SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND COND.TIONS OF SUCH POLICIES 'THIS CERTIFICATE DOES NOT AMEND. EXTEND OR OTHERWISE ALTER THE COVERGES AFFORDED BY THE POLICIES DESCRIBED ir Li 11:1 WV oc"Noz :.;.poi' * Certificate of Insurance OLD REPUBLIC INSURANCE; COMPANY ** This is to certify Monroe County Board of Commissioners (Certificate Holder): Monroe County Risk Management 1100 Simonton Street rbosNla AV1Ari0r Key West FL 33040 The following poficy(ies) Island CityFlying lying Service, Inc. have been issued to: 3471 South Roosevelt Blvd. Key West FL 33040 POLICY INFORMATION: AIRCRAFT POLICY NO: AVC00141812 POLICY PERIOD: FROM: 320/14 TO: THIS COVERAGE IS EFFECTIVE 12:01 A.M. 320/15 0320/14 INSURANCE COMPANY: OLD REPUBLIC INSURANCE COMPANY LIABILITY COVERAGES: Bodily Injury Property Damage Passenger Bodily Injury x Single Limit including Passengers, x With Passenger Liability Limited to: DESCRIPTION OF AIRCRAFT FAA NUMBER, YEAR, MAKE AND MODEL EACH PERSON LIMITS OF LIABILITY $XXXX $XXXX $100, 000 PHYSICAL DAMAGE COVERAGE: INSURED VALUE EACH OCCURRENCE $1,000,000 $XXXX ALL RISK GROUND & IN-FLIGHT NOT IN MOTION IN -MOTION x As respects any Aircraft Owned and Operated by the Named Insured and covered under the above referenced Policy Per the attached fleet list This Certificate Holder is: Included as a loss Paves rnr Air —ff Provided Breach of Warranty CoverageonAircraft Physical Damage Coverage as their iinterest sated. may appear not to exceed 90% of the Insured Valued. x Is included as an Additional Insured on aircraft liability coverage but only with respect to operations of the Named Insured. Is provided a Waiver of Subrogation, but only as respects Aircraft Physical Damage Coverage. OTHER COVERAGES/CONDITIONS/REMARKS: Provision has been made to give the Certificate holder ter(10) days for Non -Pa TFurty (30) day notice of cancellation of any policy above, yment of Premium of any policy above, however, the Company assumes no responsibility for the failure to provide such notice. 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, terms, exclusions, conditions, or other provisions afforded by the policies referenced herein nor does it constitute a contract between the issuing inaiirorr_t Agency Name: Parrish -O'Neill & Assoc. Agency Phone: 740-397-6737 150, Lisle, `J N -.� tS �l C-) U_ - N PH: (630) 369-1076 Phoenix Aviation Representative: 1011, • I tilt/.�j�LJIMENT CWJA- A MEMBER OF THE OLD REPUBLIC INSURANCE COMPANY Page 1 of 1 trtr r t OLD REPUBLIC,,.,, r t rt, Certificate of insurance This is to Certify to PhoeMonroe County Board of commissioners nix Aviation Managers, Inc. (Certificate Holder): Monroe County Risk Management 1100 Simonton Street Key West FL 33040 The following policy(ies) Island City Flying Service, Inc. have been issued to: 3471 South Roosevelt Blvd. Key West FL 33040 rarrcrvK I POLICY NO: AP 00232727 POLICY PERIOD: INSURANCE COMPANY: FROM: REPUBLIC INSURANCE COMPANY THIS COVERAGE IS EFFECTIVE 12:01AM March 20, 2014 LIABILITY COVERAGES: x Comprehensive General Liability LIMITS OF LIABILITY a Completed Operations Liability no sublimit each person no sublimit each person X Products Liability (Sale or Servicing of Fuel or Oil) a Hangarkeepers Liability x Premises Medical Payments Deductibles: X Hangarkeeper's Liability -Premises Liability Refer to the Policy, an Annuai Aggregate limit may apply to some coverages. no sublimit each person $5,000,000 $1,000,000 $1,000,000 $1,000,000 each aircraft $1,000,000 $5,000 each person $25,000 $5,000 Piston Ded. $5,000 Turbine Ded. --.each claim with respect to Property Damage PHOENIX AVJXIION 4.tNr,i:t N.,,,,., each occurrence * each occurrence * Property damage * each occurrence * Property damage * each loss each accident $10,000 Airliner Ded. This Certificate Holder is: Included as a Loss Payee for Aircraft Physical Damage Coverage and included as an additional insured Provided Breach of Warranty Coverage on Aircraft Physical Damage Coverage as their interest may appear not to exceed 90% of the Insured Value. X Is included as an Additional Insured on aviation operations liability coverages but only with respect to operations of the Named Insured. Is provided a Waiver of Subrogation, but only as respects Aircraft Physical Damage Coverage. OTHER COVERAGES/CONDITIONS/REMARKS: Provision has been made to give the Certificate Holder thirty (30) day notice of cancellation of any policy above, however, ten (10) days for Non -Payment of Premium of any policy above, however, the Company assumes no responsibility for the failure to provide such notice. This Certificate does not change in any way the actual coverages provided by the policy(ies) specified above. Agency Name: Parrish -O'Neill & Assoc. Agency Phone: 740-397-6737 - � "'u, Oulte i aU, Lisle, IL 60532 1 PH: (630) 369-1076 1 FX: (630) 369-1221 t. V P p .rs - N Phoenix Aviation Representative: 2014 OP ID: NF DATE (MM/DWYYYY) CERTIFICATE OF LIABILITY INSURANCE 07129114 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S 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: ff the certificate holder is an ADDITIONAL INSURED, the PoIlCy(ies) must be and orsed• 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 PRODUCER 305-294-6877 PHONE The Fullers, Inc 305-2924"1 1432 Kennedy Drive Mwl Key West, FL 33040 U E Norman Fuller INSURED Island City Flying Service Inc INSURERA: Paul Depoo INSURER e : 3471 S. Roosevelt Blvd. INSURER C : Key West, FL 33040 INSURER D : OVERAGES CERTIFICATE NUMBER: OF NTEBTEUMH FOR THE UR1 OD ISISTO CERTIFY THAT THE POLICIES OFANY CONTRACTT OR OHERDOCENTWITRESPECT TOWHICH HIS HNOTWITHSTANDING REQUIREMETERM OR CONDITION 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 PAIDCLLAIIMp - LIMITS URA TYPE OF INSNCE POLICY NUMBER EACH OCCURRENCE t OWERAL LIAMUTV TV Ht; E Es o torso _ rs COMMERCIAL GENERAL LIABILITY MED EXP IAn one peon) $ CLAIM84AADE OCCUR p�SO RADVINJURY = GENERAL AGGREGATE $ PRODUCTS -COMWOPAGG S GEI!L AGGREGATE LIMIT APPLIES PER: $ POLICY PRO- LOC COMBINED SINGLE LIMIT s AUTOMOBILE LIABILITY X 0898599" (Ea accident) 08111114 08111/15 BODILY INJURY (Per Parson) S 260,000 A ANY AUTO BODILY INJURY (Per aodderd) $ 600,000 ALL OWNED AUTOS PROPERTY DAMAGE $ 1100,00C X SCHEDULED AUTOS (Par acciderd) HIRED AUTOS $ NON -OWNED AUTOS $ EACH OCCURRENCE $ UMBRELLA LULB OCCUR EXCESS LMB CLAIMS -MADE MEM AGGREGATE i DEDUCTIBLE D IA Il P.S RETENTION WCSTATU- OTH- WORKERS COMPENSATION AND EMPLOYERS• LIABILITY YIN E.L EACH ACCIDENT i �— ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE S (Mandatory In NH) E.L. DISEASE - POLICY LIMIT S M describe under CRIPTION OF OPERATIONS Q � � N T (A n ACORD dot, Additional RamaM acheduIs' N more Wwe Is nquMed) DEaCRIPIM of OtIPA S I L certifN;dho js no insured. LLJ U ~ OC a- CANCELLATION CERTI AT LDER MONRCON ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE -JCD )w SHOULD THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN �!•% Mlanroe COur& Board of County ACCORDANCE WITH THE POLICY PROVISIONS. � C�misefonA>wl 1100 Simonton Street AMOwzED REPR A Key West, FL 33040 Norman Fuller P_::::7 ® SS- 009 ORATION. All rights reserved. The ACORD name and logo are registered ma of A ACORD 25 (2009l09) Named Insured- Address of Insured Insurance Company: Policy Number: Effective Oata- Expiration Oate- Ee- CERTIFICATE OF INSURANCE Island City Flying Service 3471 South Roosevelt Blvd. Phoenix Aviation Managers (Old Republic Insurance Gom pany) GAV03aaS305 January 1, 2015 January 1, 2016 Bodily Injury by Accident - $1 .000.000 Each Accident Bodily Injury by E3isease - $1 ,000,000 Policy Limit Bodily Injury by 01— a - $1,000,000 Each Employee This Certificate is issued to: Monroe County Board of Commissioners and Monroe County Risk Management 1100 Simonton Street Key West, FL 33040 Certificate holder is included as Additional Insured under Liability coverages as respects the negligent operations of the Named Insured_ E3ate: E:)--ber 24, 2014 Parrish -O'Neill S Associates, Inc_ C)avid R- Rigg Authorized Representative OH— MANOATORV WARNING_ ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUI, AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR pECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUp- THIS CERTIFICATE IS PROVIOEp FOR INFORMATIONAL PURPOSES ONLY. THE INSURANCE —P— E BV THE POLICIES DESCRIBE- IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. THIS CERTI FIGATE DOES NOT AMEND, EXTEND OR OTHERWISE ALTER THE COVERGES AFFORDED BV THE POLICIES DESCRIBED- IAl PRC> f-EMEN'f WAIVrv� N/A lYES