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Certificates of Insurance ACCO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) ''' 7/8/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Assured Partners Aerospace NAME: Spencer Dibble 25548 Genesee Trail Road FAX PHONE No o Ext: 7207463251 A/c No: 3035265303 Golden, CO 80401 E-MAIL ADDRESS: sdibble@airsure.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Starr Indemnity&Liability Company 38318 INSURED INSURER B: Travelers Indemnity Company 25658 Marathon Aviation Associates, LLC, et al INSURERC: QBE Insurance Corporation 39217 9850 Overseas Hwy Marathon FL 33050 INSURER D: Commerce and Industry Insurance Company 19410 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 62796039 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR Ill WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A ✓ COMMERCIAL GENERAL LIABILITY ✓ 100023116303 4/10/2021 4/10/2022 EACH OCCURRENCE $25,000,000 DAMAGE TO RENTED CLAIMS-MADE FV_1/1OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $25,000 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT POLICY❑ PRO- F LOC PRODUCTS-COMP/OP AGG $ OTHER: Aviation LiabilitV $25 000 000 B AUTOMOBILE LIABILITY ✓ BA9278A68520HPR 4/10/2021 4/10/2022 (Ea aBINEDtSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED �. �'! I� BODILY INJURY(Per accident) $ AUTOS ONLY ✓ AUTOS ' HIRED NON-OWNED �' PROPERTY DAMAGE $ ✓ AUTOS ONLY ✓ AUTOS ONLY Per accident � z . 8 . 2021 $ UMBRELLA LIAB OCCUR :��N JIM �a.��w��m EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE 4 AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION AWC0500248 4/10/2021 4/10/2022 ✓ SPER TATUTE EORH AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? H N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 D Storage Tank Pollution Liability ✓ FPL007511949 11/17/2020 11/17/2021 $1,000,000 Each Occurrence $2,000,000 Annual Aggregate $5,000 Deductible Each Loss DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Except for Workers Compensation/Employers Liability,the Certificate Holder is included as Additional Insured but only as respects operations of the Named Insured. We won't cover the Certificate Holder for claims arising out of their liability as manufacturer,seller, handler,distributor or service facility of any product or service sold, handled,distributed or provided. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Insurance Compliance ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 10085 - FX Duluth GA 30096 AUTHORIZED REPRESENTATIVE Keri n Dodd ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 62796039 120-21 Work Comp / Auto / Property / GL I Spencer Dibble 17/8/2021 1:02:23 PM (MDT) I Page 1 of 1