1. 07/21/2021 Agreement Kevin Mad* rpA
Clerk of the Circuit Court& Comptroller—Monroe County, Florida
DATE: January 31, 2022
TO: Chief Steve Hudson
Fire Rescue/EMS
Cheri Tamborski
Executive Administrator
FROM: Pamela G. Hanco(*k .
SUBJECT: July 21, 2021 BOCC Meeting
Attached is an electronic copy of the fbflm qiig item 1'()r your handling:
C 19 Air Ambulance Agreement between Monroe County and the Monroe County
Shen'll's Office for die provision of rabid air transport of critically injured or critically III patients
mth appropriate onboard medical support to medical facilities outside Monroe County for a
fifteen-year term, commencing on July 19, 2021, and terminating on.1tily 18, 2036.
Should you leave any questions please I'Cel free to contact nie at (305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 330-,
305-294-4641 305-289-6027 305-852-7145 305-852-7145
AIR AMBULANCE AGRE ENEENT
BETWEEN
COUNTYMONROE
MONROE COUNTY SHERIFFS OFFICE
THIS AMBULANCE AGREEMENT (hereinafter the Agreement) made and
entered into this 2_1st day of July 2021 by and between MONROE COUNTY a political
subdivision of the State of Florida, with principal offices located at] 100 Simonton Street, Key
Vest, Florida 33040 (hereinafter referred to as the "County") and MCINROE COUNTY
SHERIFF'S OFFICE, a legal subdivision of the State of Florida, with offices at 5525 College
Toad, Key West, Florida 33040 (hereinafter referred to as the "Sheriff") and GLOTEAT., SKY
AIRCHARTER CORPORATION,a Florida corporation with offices at 5525 College Toad, They
Jest, Florida 33040 (hereinafter referred to a "Global") (collectively hereinafter the County
heriff and Global shall be referred to as the"Parties").
'ITNSSTh
WHERE AS, County intends by and through this Agreement to eater into an arrangement
for the provision of rapid air transport of critically injured or critically ill patients with appropriate
on board medical support to medical facilities outside Monroe County (collectively "EMSe
Operation") a more detailed description of which is attached hereto as Exhibit A-- and
WHEREAS,the parties intend by and through this Agreement,to clarify certain economic
billing and collection procedures for the EMS Air Operation and related professional services
(collectively the"Economic Administration") between the Sheriff, Global and County; and
WIJEREAS, collectively the EMS Air Operation and the Economic Administration shall
be referred to as the Project; and
WHEREAS, in order to facilitate the Project the County and Sheriff` operates three-
Sikorsky model S-76C helicopter, manufacturer's serial numbers 760518, 760523, and 760534,
registered with the USA's Federal Aviation Administration ("FAA") as N 1 IFK, N 1 ILK, and
N 1 I R (the"helicopters"), which helicopters includes a full EMS Air Operation interior, and
their attached engines and rotors, hooks, logs, tags, maintenance records and loose equipment
ent
related thereto in the Sheriff s possession.(collectively the"Aircrafts"), and
WHE EA ,the .Aircraft is registered by the FAA to the Sheriff, and
WHEREAS, Global is wholly owned, operated and controlled by the Sheriff and Global
is fully licensed by the FAA.in order for Global and the Sheriff(collectively hereinafter the Sheriff
and Global shall be referred to as the"Contractor")to operate the Aircraft on an on demand charter
basis for said Project and EMS Air Operation pursuant to Title 14 of the Code of 'Federal
Regulations("CFR") at 14 CFR Part 135 (the"Part 135 Certificate-); and
WHEREAS,the Contractor represents that it is capable and prepared to provide such EMS
Air Operation and to facilitate the Project for the County by and through use of the Part 135
Certificate; and
WHEREAS, the County represents that it is capable and prepared to provide certain
Economic Administration as further defined in this Agreement.
NOW THEREFORE, in consideration of the promises contained herein the parties hereto
agree as follows:
ARTICLE I —RECITALS,TERM
1.1 The foregoing preliminary statements are true and correct and are incorporated herein
M
and rnade a part of this Agreement
1.2 The terin of this Agreement shall be fifteen(15) years corm-nencing July 1.9, 2021 and
terminating July 18, 2036.
1.3 County's performance and obligation to pay under this Agreement is contingent upon
an annual appropriation by the Board of County Commissioners.
ARTICLE 2 - SERVICES TO BE PERFORMED BY CONTRACTOR
2.1 Contractor will provide any and all services to County relative to EMS Air Operations
relative to this Project, in order that County residents and visitors within Monroe County may be
able to benefit from access to the Aircraft, and in order for County EMS Personnel (as defined in
paragraph 3.1 below) and Contractor to provide for both emergency relocation for medical
purposes and treatment, and inter facility transport of patients for medical purposes (collectively
the Contract Services).
2.2 Contractor will fully cooperate with County in order to establish and facilitate
Contractor Billing as defined in paragraph 3.2 below.
2.3 Additional work in excess of Contract Services and Contractor Billing may be issued
in the form of a work order ("Supplementary WO"), Each Supplementary WO will set forth a
specific scope of services, amount of compensation,deliverables and completion date and shall be
subject to,the approval of County.
2.4 Except for Contract Services and Contractor Billing, Contractor shall perform no
additional services until an applicable Supplementary WO is obtained from County and
countersigned by the Contractor.
2.5 County acknowledges that Global's Part 135 Certificate is subject to strict adherence
to the CFR's and other FAA rules and regulations relative to the Part 135 Certificate ("Part 135
Rules") and thus this Project, the Contract Services, and Supplementary WO's (if any) will at all
times be subject to these Part 135 Rules, and when the intent of this Agreement and the Project
contradict these Part 135 Rules, said Part 135 Rules, shall prevail.
2.6 County further acknowledges that Contract Services are subject to strict adherence to
the Florida Administrative Code("FAC")particularly Chapter 6413-2 of the FAC as relates to EMS
Air Operation ("FAC 64E-2 Rules") and thus this Project, the Contract Services, and
Supplementary WO's (if any) will at all times be subject to these FAC 64E 2 Rules and when the
intent of this Agreement and the Project contradict these PAC 64E 2 Rules,said PAC 64E 2 Rules
shall prevail.
2.7 County additionally acknowledges that, pursuant to the requirements of the FAA and
the CFR'& the Sheriff and Global shall enter into a lease by and between Sheriff as owner of the
Aircraft, and Global as operator of the Aircraft for this Project (the"FAA Lease").
2.8 The Parties acknowledge that the FAA Lease as well as other FAA documentation
issued pursuant to the Part 135 Certificate shall give full command and control of the Aircraft
during any and all operations thereof including all operations relative to the Project to the FAA
approved Global personnel and to Global itself("Global Comniand and Control").
2.9 Contractor shall furnish all flight crew and maintenance personnel (or coordinate third
party maintenance) as approved by the FAA in order to effect Global Command and Control and
in order to accomplish the EMS Air Operation.
ARTICLE 3 -COUNTY S RESPONSIBILITIES
3.1 County shall furnish,at its sole cost,as provided in the annual budget and amendments
thereto all emergency medical service personnel in order to facilitate the Project and in order to
accomplish the medical and medical transport aspects of the EMS Air Operation (the "County
EMS Personnel").
3.2 County shall maintain a billing and collection, procedure to users of the Contract
Services (andlor their medical insurance providers) in order that County can, to the maximum
extent possible, be reirnbursed in whole or in part for said Contract Services (the "Contractor
Billing"). Such Contractor Billing procedures are subject to certain requirements of the Part 135
Certificate,and thus the Parties will cooperate with one another in order to affect Contractor Billing
in compliance with the CFR's, Part 135 Rules and FAC 64E 2 Rules ("Billing Requirements"),
Notwithstanding these Billing Requirements, all revenue derived from said Billing Requirements
shall be deemed the property and entitlement of the County ("Part 13-5 Receivables').
3.3 The cost of the, EIVIS Air Operation and the cost of County EMS Personnel shall be
bome by County pursuant to the budget as provided in Section 3.1 above with credits devolving
from Part 135 Receivables credited thereto.
3.4 County shall, during the terror of this Agreement,provide all appropriate administrative
support including but not limited to the staffing and equipment and any independent contract
billing agency to provide for the billing of services to the Project and Contract Services as deemed
reasonable by the Parties.
3.5 County shall not enter into any other agreement for rapid air transport (air ambulance
services)of critically injured or critically ill patients to appropriate medical facilities without the
express written permission of the Contractor.
3.6 County shall be responsible for engaging any third party collection service for
uncollectible accounts for Pail 135 Receivables.
3.8 County shall comply and cooperate with Contractor in all matters to ensure proper
compliance with all Federal, State and local laws, vales, and regulations as applicable to the
Contract Services.
3.9 County shall take no action,which in any way interferes with the Federal requirements
relative to Global Conu-nand and Control.
3.10 As affirmed in paragraph 1.3 above,County s performance and obligation to meet the
requirements of this Section 3 is contingent upon an annual appropriation by the Board of County
Commissioners.
ARTICLE 4 -STANDARD OF CARE
Contractor shall exercise the saine degree of care, skill, and diligence in the performance of
Contract Services as is ordinarily provided by any provider of similar services for local
governments in South Florida.
ARTICLE 5 -CONTRACTOR STATUS
5.1 The Sheriff and the County are both sub-divisions of the State of Florida and are thus
subject to the same sovereign status afforded other Florida state entities,
5.2 Global, as an entity wholly owned by the Sheriff, is further subject to the same
sovereign status as a Florida state entity.
5.3 Contractor shall appoint County as authorized agent of the Contractor, to the extent
necessary, to fulfill Contractor Billing under this Agreement, to execute the following types of
standard fori-ris and correspondences: (a) Probate filings, (b) letters to patients or their
representatives relative to account payment,(c)forms verifying the tax exempt status of the Parties,
(d) insurance filings and related forms, and(d) any and all other documents necessary in order for
County to bill and collect Project services.
5.4 The Contractor shall retain full control over the employment,direction, compensation,
and discharge of all persons assisting in the perfon-nance of service by Global for the EMS Air
Operation, Contractor and Global shall be fully responsible for all matters relating to payment of
their employees, including compliance with Social Security, withholding tax and all other laws
and regulations governing such matters related to the EMS -Air Operation.
ARTICLE 6 - COMPLIANCE WITH LAWS
In performance of the Contract Services the Parties will comply with applicable CFR"s, FAC's,
regulatory and other applicable requirements including federal, state, and local laws, rules,
regulations, orders, codes, criteria and standards, particularly including Part 135 Rules and FAC
64E-2 Rule&
ARTICLE 7 -INSURANCE
During the performance of the Contract Services under this Agreement, Contractor shall procure
and maintain the following insurance policies, and provide originals or certified copies of all
policies, and such coverage shall be written by an insurance company authorized to do business in
Florida.
K 1 Aviati-oil Lia'biliy f
"l . The Contractor shall procure and maintain o of r the life this
Agreement aviation liability insurance.This coverage shall be on an"Occurrence"basis. Coverage
shall include all aviation liability coverage reasonably available to commercial aircraft operators
contemplated in these Contract Services. This policy sliall provide coverage for death, personal
inj'ury, or property damaore that could arise directly or indirectly from the, perforniance of dais
Agreement. The minitnum limits of coverage shall be$25,000,000 per occurrence cornbined single
limit for bodily injury,, liability and property darnage liability. Monroe County Board of County
Coininissioners niust be narned as an additional insured, Thirty (30) days written notice must be
provided to County in, the event ofcancellation.
8,2 Aviation hall.The Contractor shall procure and maintain,for the life,ofthe Agreement,
coverage for the value of the Aircraft, initially in the sum of$2,400,,000.00, with a deductible sum
not to exceed $1 00,000.K The loss payee for this coverage shall be the Sheriff. This policy shal I
be in the standard aviation form available in the industry for Part 135 Certificate holders and in
contemplation of the Contract Services, to include acciderytal damage, total destruction,theft, fire,
and ILelated casualties.
8.3 S ental Provisions.
UP-1(31n, -L-----
a. The insurance, coverage and conditions afl.-orded by the policies defined in this,
Section shall not be suspended, voided, canceled or ri-.todified, after thirty except p y (30) days prior-
written notice has been given to the County,
b. Certificates of Insurance meeting the specific required provision specii.ied within
this Agre�enient shall be forwarded to the County and approved prior to the start ofany work or tile
possession of any County property or the corrimencement of Contract Services, as applicable.
C. The Contractor shall require each of its subcontractors to take out and maintain
during the life of said subcontract the same insurarice cm era ge's required within this, Afp'ecment.
Each subcontractor shall furnish to the Contractor two copies of the Certificate of Insurance, and
Contractor shall furnish one copy of the certificate to County.
d, Nomithstanding the provisions of See, 768,28, Florida Statutes, the participation
of the County and the Contractor in this Agreement and the acquisition ofany commercial liability
insurance coverage, self-insurance coverage,or local government liability insurance pool coverage
shall not be deemed as waiver of Immunity to the extent of liability coverage, nor shall any contract
entered into by the County be required to contain any provision for waiver.
ARTICLE 9-FORCE INLUEURE
Neither County nor Contractor shall be considered to be in default of this Agreement if dclay,,s, in
or Failure of perforri-jance shall be due to uncontrcal table forces, or force imticure, the effect of
M"hich,by the exercise of reasonable diligence, any of the non-perfortiring Parties could not avoid,
`The term "Uricontrollable Forces" shall mean any, event, which results in the prevention, or delay
of perl'onnance by a party of its obligations under this Agreement and which is beyond the
reasonable control of the non-perforining party. It includes, but is not limited to fire, flood,
earthquakes, storms, lightning, epidemic, war, riot, civil disturbance., sabotage, Acts of God and
ooverrimental actions. Neither party shall, however, be excused firom performatice if non-
performance is due to forces which are,preventable, removable, or remediable and which the rion-
peif'orming party Could have, with the exercise of reasonable diligence.
Z� , prevented, rernoved, or
reinedied with reasonable dispatch. Die non-Perfon-ning party shall, within a reasonable time of
being prevenled or delayed from perftm-narice by an uncontrollabl ,e force
V , give written notice to
the other party describing the circurnstances and uncontrollable forces preventing continued
performance of the obligations of this Agreement.
ARTICLE 10 -GOVERNING LAW AND VENUE
This Agreement shall be governed by the laws of the State of Floi da, Any and all legal ,action
necessary to enforce the Agreement will be held In Monroe County and the Agreement will be
interpreted according to the laws of Flonida. In the event that any cause of action or administrative
proceeding is instituted for the enforcement or interpretation of this Agreement, the County and
Contractor agree that they will lie in the appropriate court or befbr�e the appropriate administrative
body in Monroe County, 171orida. The County and Contractor agree that,in the event of conflicting
interpretations of the terms or a, tenn of this Agreenient by or between any of flien-n the issue shall
be submitted to rriediation prior to the institution of any other adininistrative or legral proceeding,
ARTICLE I I — III EL U
ILI Non-waiver, A waiver by either County or Connactor of ally breach of this
Agreement shall not be binding upon the waiving party unless such waiver is in writing and duly
signed by the Parties to this Agreement. hi the event of a written waiver, such a waiver shall not
affect the wai-ving party's rights with respect to any other or further breach. The making or
acceptance of a payment by either party with knowledge of the existence ofa default or breach
shall not operate or be construed to operate as a waiver of any subsequent default or breach.
112 Severabilky. The invalidity, illegality, or unenforceabifity of any provision of this
Agreement, or the occurrence of any event rendering any portion or provision of this Agreeinent
void or voidable, shall in no way affect the validity or crif'orceabiliq, of' any other portion or
provision of the Agreernent. Any void or voidable provision shall be deemed severed from the
Agreement and the balance of the Agreement shall be construed and enforced as if the Agreement
did not contain the particular portion or provision held to be void. The Parties further agree to
reform the Agreement to replace any stricken provision with a valid provision that comes as close
as possible to the intent of the stricken provision. Tlie provisions of this section shall not prevent
the entire Agreement from being held void should a provision which is of the essence of the
Agreement be determined to be void by a court of competent.jurisdiction.
113 Contractor Records-., The Parties shall maintain all books, records, and documents
directly pertinent to performance under this Agreement in accordance with generally accepted
accounting principles consistently applied. Each of the Parties to this Agreernent or their
authorized representatives shall have reasonable and timely access to such records of any other of
the Parties to this Agreement for public records purposes during the to of the Agreement and
for four years following the termination of this Agreement, If an auditor employed by the County
or Clerk determines that monies paid to Contractor pursuant to this Agreement were -spent for
purposes not authorized by this Agreement, the Contractor shall repay the monies together with
interest calculated pursuant to Sec. 55,03, FS, running from the date the monies were paid to
Contractor.
11.4 Authority,? Each party represents and warrants to the other that the execution,
delivery and perform lance of this Agreement have been duly authorized by all necessary County,
Sheriff and corporate action, as required by law.
I1.5 Clair ns for Fe-deral 'or StIalt 'its. Contractor and County agree that each shall be,
and is, empowered to apply for, seek, and obtain federal and state funds,to further the purpose of
this Agreement; provided that all such applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission,
11"6 Adj judiqqtiQn crEp %, or Diqkgrpemp�pts, County and Contractor agree that all
j_ji pts I,_
disputes and disagreements shall be attempted to be resolved by meet and confer sessions,between
representatives of each of the Parties. If no resolution can be agreed upon within 30 days after the
first meet and confer session.,the issue or issues shall be discussed at a public rnecting of the Board
of County Commissioners. If the issue or issues are still not resolved to the satisfaction of the
parties, then any party shall have the right to seek such relief or remedy as may be provided by
this Agreement or by Florida law.
11.7 Binding, Effect. The terms, covenants, conditions, and provisions of this Agreement
shall bind and inure to the benefit of the County and Contractor and their respective legal
representatives, successors, and assigns,
11.8 Cq�rati�op, In the event any administrative or legal proceeding is instituted against
any of the Parties relating to the formation, execution,perforinance, or breach of this Agreement,
County and Contractor agree toparticipate, to the extent required by the other party, in all
proceedings, hearings, processes, meetings, and other activities related to the substance of this
Agreement or provision of the services under this Agreement. County and Contractor specifically
agree that none of the Parties to this Agreement shall be required to enter into any arbitration
proceedings related to this Agreement
11.9 Nondiscrimination. The parties agree that there will be no discrimination against any
person, and it is expressly understood that upon a determination by a court of competent
jurisdiction that discrimination has occurred,this Agreement automatically terminates without any
ftirther action on the part of any party, effective the date of the court order. The parties agree to
comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to
nondiscrimination. These include but are not limited to: 1) Title VII of the Civil Rights Act of
1964 (PI, 88-352), which prohibit discrimination in employment on the basis of race, color,
religion, sex, and national origin; 2) Title IX of the Education Amendment of 1972, as amended
(20 USC §§ 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex-, 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC § 794), which prohibits
discrimination on the basis of handicaps; 4)The Age Discrimination Act of 1975, as amended.(42
USC §§ 6101-6107),which prohibits discrin-iination on the basis of age;5)The Drug Abuse Office
and Treatment Act of 1972(PL 92-255),,as amended, relating to nondiscrimination on the basis of
drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970(PL 91 616), as amended,relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7)The Public Health Service Act of 1912, §§ 523 and 527 (42 LT
§§ 690dd-3 and 290ee-3), as amended,relating to confidentiality of alcohol and drug abuse patient
records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC §§ 3601 et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 199,0 (42 USC §§ 12101), as amended from time to time, relating to
nondiscrimination in employment on the basis of disability; 10)Monroe County Code Chapter 14,
Article 11, which prohibits discrimination on the basis of race, color, sex, religion, national origin,
ancestry,sexual orientation,gender identity or expression,familial status or age; and 11)any other
nondiscrimination provisions in any federal or state statutes which may apply to the parties to, or
the,subject matter of,this Agreement.
I LI 0 Covenant of No Interest. Except for the relationships defined in Article 5 above,
County and Contractor covenant that neither presently has any interest, and shall not acquire any
interest,which would conflict in any manner or degree with its performance under this Agreement,
and that only interest of each is to perform and receive benefits as recited in this Agreement,
11.11 C od e'q"Ethics County and Sheriff agree that officers and employees of the County
and Sheriff recognize and will be required to comply with the standards of conduct for public
officers and employees as delineated in Section '112.3-13, Florida Statutes, regarding, but not
limited to, solicitation or acceptance of gifts-, doing business with one's agency, unauthorized
compensation; misuse of public position, conflicting employment or contractual relationship; and
disclosure or use of certain information.
1,1.12 No Solicitation/Pavinent, "I'lle Sheriff entered into a professional fees arrangernent
...........
with the Aviation Prc)fessionals Group in Foil Lauderdale, Florida, and purchased the shares for
(31obal from the former shareholder thereof Other than these arrangements the County and
Contractor warrant that, in respectto itself, it has neither employed nor retained any company or
person, other than a bona fide employee working solely for it, to solicit or secure this Agreement
and that it has not paid or agreed, to pay any person, company, corporation, individual, or firm,
other than a bona fide employee working solely for it, any fee, commission, percentage, gift, or
other consideration contingent upon or resulting 1'roni,the award or making of this.Agreement. For
the breach or violation of the provision, the Contractor agrees that the Counly shall have the right
to teraiinate this Agrectnent without liability and, at its discretion, to offset from monies owed, or
othenvise recover, the full anioun't of such fee, conarnission,percentage,� gift, or consideration.
11.13 Privjlege,s and I nurluni ties. All of the privileges and irn.rilunities, from liability,
exemptions from laws, ordinances, Enid rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity, of officers, agents, or employees of
any Public agents or employees of the County, when perft'n-ming their respective mrictions and
this Agreernentwitl-,m the territorial firnits of the County shall apply to the same degree and extent
to the peti.orniance of such functions and duties of such officers,,, agents, volunteers, or employees
outside the territorial limits of the County,
I I 14 -1,
d jt c s-, l4ies: Nod-Delcoation o f Constitutional or
Statutory Duties. "I'llis Agreement is not intended to, nor shall It be construed as, relieving any
participating entity [turn any obligation or responsibility imposed upon the entity by law except to
the extent of actual and tim. ely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility, Further, this
Agreement is not intended to,, nor shall it be construed as, authorizing the delegation of the
constitutif,mal or statutory duties of the County, except to the extent permitted by the Florida
constitution, state srztute, and case law.
11.15 Non-Reliance ley`Non-Parties. No person err entity shall be entitled to rely upon the
terms, or arry of there, of this A,,p- -eement to enforce or attempt to enforce any third-party claim or
entitlement to or benefit of any service or program contemplated here-ander, and the County and
the Contractor agree that neither the Courity nor the Contractor or any agent, officer, or employee.
of either shall have the authority to inform, counsel, or otherwise indicate that any particular
individual or group of individuals, entity or entities, have entitlements or benefits under this
Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
H.16 Attestations. Contractor agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug-
Free Workplace Statement.
11.17 No Personal 1-JabiliLy, No covenant or agreement contained herein shall be deemed
to be a covenant or agreement of any member, officer, agent or employee of Monroe County in
his or her individual capacity,and no member, officer, agent or employee of Monroe County shall
be liable personally on this Agreement or be subject to any personal liability or accountability by
reason of the execution of this Agreement,
11.18 Execution in Counterliarts. This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute,this Agreement
by signing any such counterpart.
U.19 Section Head Section headings have been inserted in this Agreement as a
matter of convenience of reference only, and it is agreed that such section headings are not a part
of this Agreement and will not be used in the interpretation of any provision of t1-dS Agreement.
ARTICLE 12 -INTEGRATION AND MODIFICATION
Except for the FAA Lease to which the County is not a party), this Agreement is adopted by
County and Contractor as a final,complete and exclusive statement of the terms of the Agreement
between County and Contractor, This Agreement supersedes all prior agreements, contracts,
proposals, representations, negotiations, letters or other communications between County and
Contractor pertaining to file Contract Services, whether written or oral. The Agreement may not
be modified unless such modifications are evidenced by an amendment in writing signed by all
the Parties.
ARTICLE 13 -SUCCESSORS AND ASSIGNS
County and Contractor each binds itself and its director, officers, partners, successors, executors,
administrators, assigns and legal representatives to the other party to this Agreement. Any
assignment,sale,pledge or conveyance of this contract by Contractor must be previously approved
in writing by County,whose consent will not be unreasonably withheld.
ARTICLE 14- CONTINGENTFEES
Except as defined in paragraph 11.12 above, the Contractor warrants that it has not employed or
retained any company or person,other than a bona fide employee working solely for the Contractor
tO Solicit Or SCGUre,this Agreement and that it has not paid or agreed to pay any person, coinpany,
corporation,,individual Or finn, other than a bona fide employee working solely for the Contractor,
,any fee,commission, percentage,gift or any other consideration contingent upon or resulting from
the award or making of this Agreement,
ARTICLE 15 -TRUTH-IN-NEGOTIATIO,N CERTIFICATE
Execution of this Agreement,by the Contractor shall act as the execution of a truth-in-negotiation
certificate certifying that the fees and. costs used to dete attire e the compensation provided for in
this A-weernent are no higher than those charged to other custorners of Contractor for the, same or
substantially similar service, provided that the customer is of comparable size and demographic.
ARTICLE 16- ONVINERSHIP OF DOCUMENTS
Contractor shall be required to work in harmony with other Contractors relative to providing
iul'ormation requested in a timely manner and in the specified f`brm. Any and all documents,
records, disks, original drawings, or other itifiormation shall become the property of County upon
completion f,c)r its use and distribution as may be deemed appropriate by Couray, Failure to turn
over such documents within,seven('11)days of when requested may be carise R)r County to withlrold
any payrnents due Contractor Or to enforce tl-,Lis clause by legal remedies.
ARTICLE 17 - NOTICE
A,try notice,denrand,corn.mumcation,or request required or permitted hereunder sh all lac in writing
and delivered in person, or sent by certified nrail,postage prepaid,or overnight courier as fi.-.)1lows-
As To County:
Monroe Counly Fire/Rescue Services Department
490 63rd Street
Marathon, Florida 33050
Auention: ChierThornpson, Battalion Chief of Administration
And
Courity Attomey's Office
I I I I 121h Street, Suite 408
Key West, Florida 33040
Attentiom Pedro J. Mercado
,As To the Sheriff.
Monroe County. Sheriff's Office
55215 College Road
Key West, Florida 33040
Attention: Chief Michael Rice, Adininistration
As To Global,
Global Sky Aircharter Corporation
5525 College Road
Key West, Florida 3304.0
Attentiom Legal Department
Notices shall be effective when received at the add-ress specified above. Changes in the respective
addresses to which such notice inay be directed may be made froin time to time by any party by
written notice to the other party, Nothing coritained in thiskrticle shall be consti"ued to restrict the
transniission of routine communicatio'ns between representatives of Contractor and County.
Ari'rjCLE 18—E-VERIFY
The Contractor shall utilize the U.S. Departnieml of Homeland Security's E-Verify system to
verif�,,the ernploymerit elignbility of all new employees hired by the Contractor during the terra of
the Contract and shall expressly require any subcontractors performing Nvork or providing services
pursuant to the Contract to likewise utilize the U.S. Department of Hon-teland Security's E-Verify
system to verify the employment eligibility of all new employees hired by the subcontractor during
the Contract term,
ARTICLE 19—CERTIFICATION REGARDING SCRUTINIZED COM—PANIES
Section 287,135, Florida Statutes prohibits as company from bidding on, submitting as proposal for,
or entering into or renewing as contract for goods or services of any amount if, at the time of
contracting or renewal, the cornpany is, on the Scrutinized Corripanies that Boycott Israel List,
created pursuant to Section 215,47/25,Florida Statutes,or is engaged in a Boycott ol"Israel. Section
287,135,Florida Statutes,. also proltibits a company from bidding on, submitting a proposal for, or
entering into or renewing a contract for goods or services of$1}000,000 or ii-iore,that are on either
the Scrutinized Companies with Activities in Sudan List, or the Scrutinized Corirpanies with
Activities in the Iran Petroleurn Energy Sector Lists which were created PUrsuant to 9. 215.4731,
Fl(mida Statutes, or is engaged in business operations in Cuba or Syria.
By entering in to this Agreeirient Contractor certifies that. it is not listed on the Scrutinized
Companies that Boycott Israel 1.,ist or engaged in a boycott of I sra el and for Pr( j ects of$1,000,000
or more, is not listed on either the Scrutini7ed Compairies wiln Activities in Sudan List, the
Scrutinized Companies with Activities in the Iran Petroleran Energy Sector List, or engaged in
I usiness(,,)perations in Cuba or Syria.
Contractor understands that pursuant to Sechon 287,135,Florida Statutes,the submission of a false
certification inay su' ject company to civil penalties, attorney's fees, andior costs. Contractor
further understands that any contract with the County may be terininaux.1, at the o tion of the
County, if the company is found to have submitted a false certification or has been placed on the
Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel or placed on the
Scrutinized Companies with Activities M Sudan I Jst or the Scrutinized Companies with Activities
in the Iran Petroleuni Energy Sector List or been engaged in busIness operations in Cuba or Syria.
(SignatUres on the next.page)
IN' TNESS WREREOF, the parties hereto havee and executed this
termsthe and conditions above stated on the day and year first written above.
MONROECOUNTY BOARD OF
A Madok, Clerk of Court COUNTY C NER
1Z
a..._.... — _,.,._.. _. _.. _,. e
Deputyas Clerk Mayor/Chairperson
Date:� _ �9 u H MONROE COUNTY ATTORNEY
APPROVED AS TO FORM
y
Assistant County Attorney
Pedro J.Mercado
MONROE M
I"
Richard A.Ramsay, Sherniff
Date: /a Ar/W
GLOBAL [ CHARTER C RATION
gi
a
Y` Mmr
Richard A.Ramsay,Sheriff
Monroe
County Shwiffs Office
Approved as to
77
LLI� ,r
By:___ ...m .�a....4... ....,a...........�....................,.,..»
c ` k McCullah,General Counsel
Exhibit A
The "EMS Air Operation" is a joint operation of the Monroe County Board of County
Comrm'ssioners and the Monroe County Sheriff's Office.
'The Sheriff provides three S-76 helicopters equipped for air ambulance service,pilots,mechanics,
two aircraft hangars and living quarters, for air and medical crews at the Marathon base, and FAR
Part 135 compliant management of aviation operations.
The Monroe County Fire Rescue provides medical crews for air ambulance operations consisting
of properly trained and certified Paramedics, medical equipment and supplies, ground ambulance
operation coordination, professional management of emergency medical services and living
quarters for air and medical crews at the Key West base.
Flight nurses shall be provided by Monroe County Fire Rescue.
The Sheriff and County will base flight and medical personnel on a 24-hour basis at the Sheriff s
hangar in Marathon and the Lower Keys Medical Center. The "EIMS Air Operation" will provide
rapid air transport and appropriate on-board medical services for critically ill or injured patients
requiring transfer to out-of county medical facilities.
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
" _ Global Sky Aircharter Corporation "
(Company)
"...warrants that he/it has not employed, retained or otherwise had act on his/her behalf any
former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any
County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or
violation of this provision the County may, in its discretion, terminate this Agreement without
liability and may also, in its discretion, deduct from the Agreement or purchase price, or otherwise
recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the
former County officer or employee."
(Signature)
Date: _November 17, 2021
STATE OF: Florida
COUNTY OF: Monroe
Subscribed and sworn to (or affirmed) before me, by means of physical presence or ❑ online
notarization, on November 17, 2021
(date) by_Sheriff Richard Ramsay (name of affiant). He/She is personally
known to me or has produced (type of identification) as
identification.
N`O .f `FUBLIC
My Commission Expires: rr Tamara PeteCk r
MO COUNTY SHERIFF'S ftCE MAN060057
APPr6v AS TO FORM: 'Nov.23,2024
s..
ry{. ATHfCK J. Cl
GENE L
DATE: ._..
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for
public entity crime may not submit a bid on a contract to provide any goods or services to a public
entity, may not submit a bid on a contract with a public entity for the construction or repair of a
public building or public work, may not submit bids on leases of real property to public entity, may
not be awarded or perform work as a CONTRACTOR, supplier, subcontractor, or CONTRACTOR
under a contract with any public entity, and may not transact business with any public entity in
excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period
of 36 months from the date of being placed on the convicted vendor list."
have read the above and state that neither _Richard Ramsay (Respondent's
name) nor any Affiliate has been placed on the convicted vendor list within the last 36 months.
(Signature)
Date: "
STATE OF: Florida
COUNTY OF: Monroe
Subscribed and sworn to (or affirmed) before me, by means of physical presence or ❑ online
notarization, on_November 17, 2021 (date) by Sheriff Richard Ramsay
(name of affiant). He/She is personally known to me or has produced
(type of id R°ification)as identification.
r
NOTARY PUBLIC
i .
a:
My Commission Expires:
Y® Tamara Pelft-Snider
ga
Comm.#HH060057
Nov.23,2024
TMAaw NoWy
MONROE C 'Y SHERIFF'S OFMC
'ROU AS TO FORM:
;v ATHICK J. MCCULLAH
E L JSEL
VENDOR CERTIFICATION RE .RD1NG SCRUTINIZED COMPANIES LISTS
Project Description(s):
Respondent Vendor Name ....M }' w
Vendor FEIN: � ��
Vendor's Authorized Representative Name and Title: Sheriff Richard Ramsay m "m _ _m
Address: _5525 College Road
City: Key West,....m ........ ._._..._._....State: Florida—,......... Zip:®33040
Phone Number: 305-292-7001
Email Address: rramsay@keysso.net
Section 287.135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or
entering into or renewing a contract for goods or services of any amount if, at the time of contracting or
renewal,the company is on the Scrutinized Companies that Boycott Israel List,created pursuant to Section
215.4725, Florida Statutes, or is engaged in a Boycott of Israel. Section 287.135, Florida Statutes, also
prohibits a company from bidding on,submitting a proposal for,or entering into or renewing a contract for
goods or services of$1,000,000 or more, that are on either the Scrutinized Companies with Activities in
Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector Lists which
were created pursuant to s.215.473,Florida Statutes,or is engaged in business operations in Cuba or Syria.
As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified
above in the Section entitled"Respondent Vendor Name" is not listed on the Scrutinized Companies that
Boycott Israel List or engaged in a boycott of Israel and for Projects of$1,000,000 or more is not listed on
either the Scrutinized Companies with Activities in Sudan List,the Scrutinized Companies with Activities
in the Iran Petroleum Energy Sector List, or engaged in business operations in Cuba or Syria.
I understand that pursuant to Section 287.135,Florida Statutes,the submission of a false certification may
subject company to civil penalties,attorney's fees,and/or costs.I further understand that any contract with
the County may be terminated, at the option of the County, if the company is found to have submitted a
false certification or has been placed on the Scrutinized Companies that Boycott Israel List or engaged in a
boycott of Israel or placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized
Companies with Activities in the Iran Petroleum Energy Sector List or been engaged in business operations
in Cuba or Syria.
f..
Certified By: 1r = who is authorized
Authorized Signature: �re: d p an .to signon behalff the algn ture:
..� �....
Print Name: , "
Title:
Note:The List are available at the following Department of Management Services Site:
°,�a S
.}.a f�e.S
tst
CERTIFICATE OF AIRCRAFT INSURANCE F
-DATE
A 2/15/202rc1rr)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 endorsements).
PRODUCER CONTACT
NAME:
ALEXANDER AVIATION ASSOCIATES,INC PHONE 321-444-6577 FAXA/C No
845 SUNSHINE LANE E-MAIL
ADDRESS:
ALTAMONTE SPRINGS,FL 32714 PRODUCER
INSURERS AFFORDING COVERAGE % NAIC#
INSURED INSURERA: WESTCHESTER FIRE INS CO
MONROE COUNTY SHERIFF'S OFFICE INSURERB:
5525 COLLEGE RD INSURER C:
KEY WEST,FL 33040 INSURER D:
INSURER E:
INSURER F:
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.
POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER:
POLICY TYPE LINE OF BUSINESS SUBCODE
INDUSTRIAL AID PLEASURE&BUS X COMMERCIAL AIRPLANE HELICOPTER X MIXED FLEET EXCESS QUOTA SHARE
NON-OWNED LIABILITY ONLY Hx HULL&LIABILITY HULL ONLY rl
AIRCRAFT INFORMATION ACORD 333,Aircraft Schedule attached
YEAR I MAKE MODEL SERIAL NUMBER REGISTRATION NUMBER
ALL AIRCRAFT OPERATED BY THE INSURED
TERRITORY:
AIRCRAFT COVERAGES
INSURER LETTER I POLICY NUMBER _ EFFECTIVE DATE EXPIRATION DATE ADDITONAL INSURED?(Y(Nj SUBROGATtQN WAIVED?(Y f N)
A AAC N0561914014 10101/2021- 10/01/2022 Y
COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO
AIRCRAFT HULL X $25,000 DED X $25,000 DED $ 6,800,000 $ 25,000
IN MOTION NOT IN MOTION $
AIRCRAFT LIABILITY $ 25,000,000 EAOCC $ EA PER
$ EA PASS $ AGGR
INCLUDING CREW
MEDICAL PAYMENTS
EXCLUDING CREW $ EA PER
COVERAGE
CODE DESCRIPTION OPTIONS LIMIT APPLIES TO LIMIT APPLIESTO
$ $
$ $
$ $
$ $
$ $
$ I-Is
DESCRIPTION OF OPERATIONS/REMARKS ACORD 101 Additional Remarks Schedule may be attached if mores ace is required)
Approved Risk Management
r t
12-16-2021
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
GLOBAL SKY AIRCHARTERS CORP.,DBA TRAUMA STAR ACCORDANCE WITH THE POLICY PROVISIONS.
&MONROE COUNTY BOARD OF COUNTY COMMISSIONER;
5525 COLLEDGE RD AUTHORIZED REPRESENTATIVE
KEY WEST,FL 33040
�,...D a0 ,2015 ACORD CORPORATION. All rights reserved.
ACORD 21(2016/03) The ACORD name and logo are registered marks of ACORD
A�®® CERTIFICATE ®F AIRCRAFT INSURANCE FDATE
ov2o/2 )
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 WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME:
ALEXANDER AVIATION ASSOCIATES,INC PHONE 321-444-6577I a/c No
845 SUNSHINE LANE AIL
A DRESS:
ALTAMONTE SPRINGS,FL 32714 PRODUCER
CUSTOMER to P.
INSURERS AFFORDING COVERAGE % NAIC#
INSURED INSURER A: WESTCHESTER FIRE INS CO
APPROVED BY RISK MANAGEMENT INSURER B:
MONROE COUNTY SHERIFF'S OFFICE BY
INSURER C:
5525 COLLEGE RD DATE 1120/202
KEY WEST,FL 33040 INSURERD:
WAVER NtA_TES® INSURER E
INSURER F:
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.
POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER:
POLICY TYPE LINE OF BUSINESS SUBCODE
INDUSTRIAL AID PLEASURE&BUS X COMMERCIAL AIRPLANE HELICOPTER M
MIXED FLEET EXCESS QUOTA SHARE
NON-OWNED I d LIABILITY ONLY X HULL&LIABILITYHULL ONLY
AIRCRAFT INFORMATION 7T7FTC3RD 333,Aircraft Schedule attached
YEAR MAKE MODEL SERIAL NUMBER REGISTRATION NUMBER
ALL AIRCRAFT OPERATED BY THE INSURED
TERRITORY:
AIRCRAFT COVERAGES
INSURER LETTER POLICY NUMBER _ EFFECTIVE DATE EXPIRATION QATE ADDITIONAL INSURED?(Y 1 N)_ SUBROGATION WANED?(YIN) _
A I AAC N05619142013 10/01/20 10/01/2021 Y
COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO
AIRCRAFT HULL X $25,000 DED X $25,000 DED NC $ 8,009,000 $
IN MOTION $
AIRCRAFT LIABILITY $ 25,000,000 EAOCC $ EA PER
$ EA PASS $ AGGR
MEDICAL PAYMENTS INCLUDING CREW $ EA PER
EXCLUDING CREW
COVERAGE
CODE DESCRIPTION OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO
$ $
$ $
$ $
$ $
$ $
$ $
DESCRIPTION OF OPERATIONS/REMARKS ACORD 101 Additional Remarks Schedule may be attached if mores ace is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
GLOBAL SKY AIRCHARTERS CIRP.,TRAUMA STAR ACCORDANCE WITH THE POLICY PROVISIONS.
&MONROE COUNTY BORAD OF COUNTY COMMISSIONER
AUTHORIZED REPRESENTATIVE
5525 COLLEGE RD '
KEY WEST,FL 33040
(4 0 15 ACORD CORPORATION. All rights reserved.
ACORD 21(2016103) The ACORD name and logo are registered marks of ACORD
TE
ACoO i CERTIFICATE OF AIRCRAFT INSURANCE D 12J15Y2oD21m)
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 endorsements.
PRODUCER N CMONTACT
E:
ALEXANDER AVIATION ASSOCIATES,INC PHONE 321 444 6577 FAc No
845 SUNSHINE LANE A—MAIL
ALTAMONTE SPRINGS,FL 32714 PRODUCER
INSURERS AFFORDING COVERAGE % NAIC#
INSURED INSURER1: WESTCHESTER FIRE INS CO
MONROE COUNTY SHERIFF'S OFFICE INSURERS:
5525 COLLEGE RD INSURER C.-
KEY WEST,FL 33040 INSURER D:
INSURER E
INSURER F
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.
POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER:
POLICY TYPE LINE OF BUSINESS SUBCODE
INDUSTRIAL AD PLEASURE&BUS I X(I COMMERCIAL AIRPLANE HELICOPTER I X I MIXED FLEET HEXCESS QUOTA SHARE
NON-OWNED LIABILITY ONLY X HULL&LIABILITY HULL ONLY
AIRCRAFT INFORMATION ACORD 333,Aircraft Schedule attached
YEAR I MAKE MODEL SERIU.NUMBER REGISTRATION NUMBER
ALL AIRCRAFT OPERATED BY THE INSURED
TERRITORY:
AIRCRAFT COVERAGES
INSURER LETTER I POLICY NUMBER _ EFFECTIVE DATE I EXPIRATION DATE ADDmONAL INSURED?(Y N N) SUBROGATION WAIVED?(Y IN)
A AAC N0561914014 10/01/202T 10/01/2022 Y
COVERAGE - - OPTIONS LIMIT APPUESTO LIMrr APPUESTO
AIRCRAFTHULL x $25,000 DED x $25,000 DED $ 6,800,000 $ 25.000
IN MOTION NOT IN MOT101% $
AIRCRAFTLIABILRY $ 25,000,000 EAOCC $ EAPER
$ EAPASS $ AGGR
INCLUDING CREW
MEDICAL PAYMENTS
EXCLUDING CREW $ EA PER
COVERAGE
CODE DESCRIPTION OPTIONS LIMIT APPLIESTO LIMIT APPUESTO
$ $
$ $
$ $
$ $
$ $
$ $
DESCRIPTION OF OPERATIONS/REMARKS ACORD 101 Additional Remarks Schedule may be attached if mores ace is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
GLOBAL SKY.AIRCHARTERS CORP.,DBA TRAUMA STAR ACCORDANCE WITH THE POLICY PROVISIONS.
&MONROE COUNTY BOARD OF COUNTY COMMISSIONER:
5525 COLLEDGE RD AUTHORIZED REPRESENTATIVE
KEY WEST,FL 33040
i
,2015 ACORD CORPORATION. All rights reserved.
ACORD 21(2016103) The ACORD name and logo are registered marks of ACORD