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Certificates of Insurance f- nqsS y in( h` Customer No. 1001669 A.SSUredPartners Certificate No. A-000070385 /� STRATEGIC A®�� • PARTNER CERTIFICATE of INSURANCE This certificate is issued to Monroe County BOCC 1111 12th St.Suite 408 Key West, FL 33040 On behalf of Named Insured Thomas Operchal&Mary Ellen Operchal ,DA�C NAGEMENT Copa D Oro BYP Marathon, FL 33050-2402 WAIVER /A Insurer Old Republic Aerospace, Inc. Issuing Insurer Policy No. PB 20541804 Policy Period September 11,2019 to September 11, 2020 Insured Aircraft Coverage Limits of Liability 2005 DIAMOND DA-40-180,N524PS Single Limit Bodily Injury& $1,000,000 each occurrence limited to$200,000 per passenger Serial No.: 40.524 Property Damage Liability Aircraft Physical Damage $180,000 insured value Ground and Flight Deductibles: $0 in motion $0 not in motion Additional Coverages or Agreements 1. The Certificate Holder is included as an Additional Insured with respect to operations of the Named Insured. This certificate is issued for information purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used,in any way,to modify coverage provided by such policies. Alteration of this certificate does not change the terms,exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions,regardless of the provisions of any other contract,such as between the Certificate Holder and the Named Insured.Notice is hereby given that AOPA Insurance Agency is not the Insurer hereunder and shall not be held liable for any loss or damage. Should any of the above described policies be cancelled before the expiration date thereof,the Issuing Insurer will endeavor to provide thirty(30)days advance notice to the Certificate Holder,but failure to do so shall impose no obligation or liability of any kind upon the Insurer,its agents or representatives. • Date of Issue: September 4, 2019 By: Authorized Representative ASSUREDPARTNERS AEROSPACE CERT AL-AL-Col-o OFFICE 411 AVIATION WAY,FREDERICK,MD 21701. CM MAIL P.O.BOX 578,FREDERICK,MD 21705 P 800-622 AOPA(2672) www.ap-aerospace.com CONFIDENTIAL • OCERT-AL-AL-COI-O 2019-06-626942 1001669 Customer No. 569648 4 Assured'artners AOPA STRATEGIC Certificate No. A-000067756 AEROSPACE PARTNER CERTIFICATE of INSURANCE This certificate is issued to Monroe County Bd of County Commissioners&Monroe County Risk Management 1100 Simonton St. Key West, FL 33050 On behalf of Named Insured R Daniel Zieg 2460 Coco Plum Dr Sunward Manor - MARATHON, FL 33050-4056 APPR AGEMENT Insurer Global Aerospace BY . �� Issuing Insurer Policy No. 10248879 WAIVER N/A YES Policy Period July 20,2019 to July 20,2020 Insured Aircraft Coverage Limits of Liability 1968 CESSNA 1721,N5234Z Single Limit Bodily Injury& $1,000,000 each occurrence limited to$100,000 per passenger Serial No.: Property Damage Liability Aircraft Physical Damage $40,000 insured value Ground and Flight Deductibles: $0 in motion $0 not in motion Additional Coverages or Agreements 1. The Certificate Holder is included as an Additional Insured with respect to operations of the Named Insured. This certificate is issued for information purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used,in any way,to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions,regardless of the provisions of any other contract,such as between the Certificate Holder and the Named Insured. Notice is hereby given that AOPA Insurance Agency is not the Insurer hereunder and shall not be held liable for any loss or damage. Should any of the above described policies be cancelled before the expiration date thereof,the Issuing Insurer will endeavor to provide thirty(30)days advance notice to the Certificate Holder,but failure to do so shall impose noobligation or liability of any kind-upon-the-Insurer,its-agents-or representatives. — Date of Issue: July 1,2019 By: Authorized Representative ASSUREDPARTNERS AEROSPACE CERT AL-AL-COI-O OFFICE 411 AVIATION WAY,FREDERICK,MD 21701 SB MAIL P.O.BOX 578,FREDERICK,MD 21705 P 800-622 AOPA(2672) www.ap-aerospace.com CONFIDENTIAL OCERT-AL-AL-COI-O 2019-04-609352 569648 USAIG Certificate of Insurance This is to certify to: MCBOCC PP BY K MENT whose address is: 1111 12th Street, Suite 408 BY Q Key West, FL 33040 DATE that: Mark A. Pollaci NOM • Y1 whose address is: 141 Asharoken Avenue • Northport, NY 11768-1166 • is at this date insured with one or more of the several participating companies of the United States Aircraft I surance Group, for the Limits of Coverage stated below, at the following locations: the United States of America, its territories and possessions, Canada, Mexico, the Bahamas, the islands of the West Indies and Central America or while enroute between these places. Descriptive Schedule of Coverages 2016 Beechcraft Corp G58 Baron, N755AP Kind of Insurance Policy Number Policy Term Limits of Coverage AIRCRAFT LIABILITY 360AC-784016 December 22, 2018 Each Occurrence December 22, 2019 Combined Liability Coverage for bodily injury and property damage $1,000,000 Medical Coverage $5,000 AIRPORT LIABILITY 360AC-784016 December 22, 2018 Each Aircraft Each Occurrence December 22, 2019 Combined Liability Coverage for bodily injury and property damage $1,000,000 Only with respect to operations by,for or on behalf of the"Policyholder": The "Who's covered" section of your policy, under "Your Liability Coverage," shall include MCBOCC, but only for claims of bodily injury, mental anguish or property damage and specifically excluding claims for personal injury that result from your ownership, maintenance or use of airport premises. If we or the Aviation Managers cancel your policy for any reason other than nonpayment of premium, we agree to give thirty(30) days' notice before the cancellation date,to the following person(s) or organization(s): MCBOCC 1111 12th Street,Suite 408 Key West, FL 33040 However,the"Cancellation" provisions stated above shall not be less than the required statutory limits. This certificate or verification of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein regardless of any terms or conditions set forth in any other contract, document or agreement. UNITED STATES AVIATION UNDERWRITERS, INC.,Aviation Managers Address: 301 N. Main Street, Suite 1450, Wichita, KS 67202 By date: 01/18/2019 John T. Brogan, President F-108d-Cert 1 (Rev. 08/17) - USAIG All-Clear Additional Insured(s)/Notice of Cancellation The "Who's covered" section of your policy, under"Your Liability Coverage," shall include MCBOCC, but only for claims of bodily injury, mental anguish or property damage and specifically excluding claims for personal injury that result from your ownership, maintenance or use of airport premises. If we or the Aviation Managers cancel your policy for any reason other than nonpayment of premium,we agree to give thirty(30) days' notice before the'cancellation date, to the following person(s) or organization(s): MCBOCC 1111 12th Street,Suite 408 Key West, FL 33040 However, the"Cancellation" provisions stated above shall not be less than the required statutory limits. Additional premium for this endorsement is 0. This endorsement does not_change any of your coverage except as stated above. It is effective on the date and hour shown below, local Standard Time at the"Policyholder's"address. Policy Issued to: Mark A. Pollaci 16 360AC-784016 January 17, 2019 at 12:01 A.M. Endorsement No. Policy No. Date and hour endorsement takes effect Approved: United States Aviation Underwriters,Inc.,Aviation Managers By iNj 368-0817 ill (360) USAIG':All-Clear Aircraft Policy Policy No- 360A C-782737 Coverage Summary Page Former Policy No. 360AC-774486 The Coverage Summary Pages, along with your policy and any attached forms and endorsements you have,form your complete insurance policy. Name and Address of"Policyholder:" Jim Janda 320 30th Street Marathon,Florida 33050 Your Policy Period is from November 10, 2018 to November 10,2019 beginning and ending at 12:01 AM Local Standard Time at the address shown above. "Policyholder"is a(n):Individual. Your business is: Retired. You own the aircraft by yourself. Aircraft Use. You may not charge any person or organization for using your aircraft. However, you may be reimbursed for operating expenses. Aircraft. Airworthiness FAA Passenger Capacity Year,Make and Model . Type Certificate Identification Excluding.Crew 1998 Cessna 172R Skyhawk .Land Standard N9562Q 1 You keep your aircraft principally in the state of Florida. Pilots: Jim J.Janda,holding an FAA Commercial Pilot Certificate with FAA Instrument Rating. Patricia Janda, holding an FAA Private Pilot Certificate with FAA Instrument Rating. Any pilot holding an FAA Private or Commercial Pilot Certificate who has logged a minimum of 300 hours as Pilot in Command,at least 5 hours of which have been logged in a(n)Cessna 172 Aircraft. Whom We'll Pay. Payments for loss covered under"Your Aircraft Physical Damage Coverage"will be made to you. 6Y'r4Vr L____[;j, AGEMENT DATE QUQ 'v- • WAIVER N A ES (A)I atain' v en,+- Page 1 of 2 Pages ilaiM1111 dILI/ ////-CYId!//((1_[///U (360) 360AC CSP1-0518 USAIG:All-Clear Aircraft Policy Policy No. 360AC-782737 Coverage Summary Page Limits of Your Coverage. You are insured up to the Limits shown below.The limits may be altered by the policy or by any attached endorsements. Coverage Limits of Coverage _ _. � Combined Liability Coverage_for $ 1,000,000 Each Occurrence bodily injury and property damage $ 1,000,000 Each Occurrence and Aggregate Personal Injury (Part of and not in addition to Combined Liability Coverage) Medical Coverage $ 5,000 Each Person Voluntary Settlement $ 250,000 Each Passenger $ 250,000 i Excluding crew Each ofc seatsr h Occurrence Aircraft Physical Damage Coverage: Not In-Motion In-Motion FAA Identification Deductible Deductible Limit N9562Q Nil $ Nil $ 116,000 This policy contains the following Endorsements which are part of your policy: 1 through 15. Unless stated otherwise,all sums shown in your policy are expressed in United States currency. Premium $ 1,341 Endorsement Premium $Included Total Premium $ 1,341 This policy is written through the Aviation Managers on October 24,2018. Approved by: United States Aviation Underwriters,Inc. Aviation Managers S'e5L". \i1 IN WITNESS WHEREOF,the Company(ies) hereunder have caused this policy to be executed on their behalf by the Aviation Managers. SEE ATTACHED PARTICIPATING COMPANY SCHEDULE Page 2 of 2 Pages (360) 360AC CSP1-0518 H a- y evs O 1- s , I ✓1 G . 1 5? 1 IN AOPA INSURANCE AGENCY AIRCRAFT INSURANCE BINDER NAMED INSURED: R Daniel Zieg ADDRESS: 2460 Coco Plum Dr Sunward Manor, MARATHON, FL 33050 -4056 POUCY PERIOD: Jiilyr20 ;;201[8 ,,to,Ndu1y 20, 201 at 12 :01 A.M: local time at the Named Insured's address INSURANCE COMPANY: Global Aerospace POLICY NUMBER: 10229585 COVERAGE and LIMITS: Single Limit Bodily Injury & $1,000,000 each occurrence limited to $100,000 per passenger Property Damage Liability Medical Payments $5,000 per passenger including crew Territory US, Canada, Mexico, Bahamas and en route Including AK and HI. (excludes Belize) APPROVED AIRCRAFT: N5234Z, 1968 CESSNA 1721, Serial No.: Aircraft Hull Value $40,000 Ground and Fight Deductible $0 in motion $0 not in motion Approved Uses Pleasure and Business Additional Insured Interest Monroe'County -Bd of.County.Commissioners &= Monroe Islands Flying Club Lienholder Interest Not Applicable APPROVED PILOTS: R D Zieg Any Other Pilots: Any person holding a currently effective certificate issued by the Federal Aviation Administration designating him or her a private, commercial or airline transport pilot, airplane category, with a single engine land rating, who has a minimum of 300 total tagged ffyiral. hours of which not fess than 25 hours shall have been in this make and model aircraft. ANNUAL POLICY PREMIUM: $398.00 Annual State /Local Taxes Not Applicable TOTAL ANNUAL PREMIUM: $398.00 IMPORTANT COVERAGE PROVISIONS and LIMITATIONS: The Insurance Coverages are limited to all the policy agreements, conditions, and exclusions set forth in the policies and(or certificates which will be issued by the insurance company or management group. This binder is given on the above statements, and will be in effect the date upon which the Insurance takes effect and terminates upon issuance of the insurance policy. INSURANCE BROKER: DATE ISSUED: July 5, 2018 AOPA Insurance Agency P.O. Box 578 Frederick, MD 21705 C.,,V-c_.7/i-6(1,-- P: (800) 622 -AOPA (2672) or (316) 942 -2223 BY: Authorized Representative APPR" D NT DA E I�1PA11: 1,1. '- . `— ..1; ' WAIVER NI' —4-41* .V --1 I 1 ' , i ; CONFIDENTIAL Q BI NDOVN10 - - 0 2018-04-521795 569648 c c. , 4A44-4"14-1--C, Nam gevs 0"i l -t L . Customer No. 569648 Certificate No. A-000041435 INSURANCE SERVICES CERTIFICATE of INSURANCE This certificate is issued to Monroe County Bd of County Commissioners & Monroe County Risk Management 1100 Simonton St. Key West, FL 33050 On behalf of Named Insured Insurer Issuing Insurer Policy No Policy Period R Daniel Zieg 2460 Coco Plum Dr Sunward Manor MARATHON, FL 33050-4056 Old Republic Aerospace, Inc. PB 20471202 July 20, 2017 to July 20, 2018 ZAV aBl SK AGEMENT BY DATE WAIVER WkS, YES C'- `— Insured Aircraft Coverage Limits of Liability 1968 CESSNA 1721, N5234Z Single Limit Bodily Injury & $1,000,QOO each occurrence limited to $100,000 per passenger Serial No.: Property Damage Liability Aircraft Physical Damage $40,000 insured value Ground and Flight Deductibles: $0 in motion $0 not in motion Additional Coverages or Agreements 1. The Certificate Holder is included as an Additional Insured with respect to operations of the Named Insured. This certificate is issued for information purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the Certificate Holder and the Named Insured. Notice is hereby given that AOPA Insurance Services is not the Insurer hereunder and shall not be held liable for any loss or damage. Should any of the above described policies be cancelled before the expiration date thereof, the Issuing Insurer will endeavor to provide thirty (30) days advance notice to the Certificate Holder, but failure to do so shall impose no obligation or liability of any kind upon the Insurer, its agents or representatives. Date of Issue: CERT AL-AL-COI-O KK 19, 2017 G' OCERT-AL-AL-COI-O By: Authorized Repre tativ CONFIDENTIAL 2017-04-437770 AOPA INSURANCE SERVICES OFFICE 1995 MIDFIELD ROAD WICHITA, KS 67209 MAIL P.O. BOX 9170 WICHITA, KS 67277 P 800-622 AOPA[26721 F 316 942 0091 aopainsurance.org 569.648 '44 Weston I h ti 1, T, kN',.t 1, 0MPAPIY P. 0. Box 142057, Coral Gables, FL 33114-2057 For Policy Customer Service-1-800-262-1780 For Claims Customer Service - 1 -877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE Policy Number CFA 9000988 04 09 Policy Period From 0 6 / 18 /2 017 To 06 / 18 /2 018 ADD'L INSURED'S COPY at 12:01 AM Eastern Standard Time at your mailing address shown below. Transaction RENEWAL DECLARATION PAYPLAN: INSURED BILL DEDUCTIBLE TYPE: OCCURRENCE Named Insured and Mailing Address Agent FL Agent Lic # HANGERS ON, INC. REGAN INSURANCE AGENCY INC C/O MARK A. POLLACI 90144 OVERSEAS HWY 117 W 28TH STREET TAVERNIER FL 33070 NEW YORK NY 10001 Telephone: 3 0 5- 8 5 2- 3 2 3 4 Business Description Commercial Wind Only -- CNR IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. A 4% (FOUR PERCENT) SERVICE CHARGE WILL APPLY FOR INSTALLMENTS DUE SEMI-ANNUALLY OR QUARTERLY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENTS. BASE PREMIUM Commercial Property Coverage Limit of Liability Number of Units $ 2,927.00 Building $0 Contents $0 Special Class $68,656 Required Additional Charges: Emergency Management Preparedness and Assistance Trust Fund Fee $ 4.00 Managing General Agency Fee $ 25.00 ,e, Ov NAGEMENT � WAVERIN, i TOTAL: $ 2, 956.00 vvr�► I - /i,, �rr. Forms and Endorsements Applicable to this Policy Refer to attached Forms and Endorsements schedule. These declarations together with the common policy conditions, coverage part declarations, coverage part coverage form(s) and forms and endorsements, if any, issued to form a part thereof, complete the above numbered policy. Producer: 04/11/2017 COUNTERSIGNED o Agent #: 0900091 0 Agency Name: REGAN INSURANCE AGENCY INC Agent's Name: / Issued Date' 04/11/2017 C-<-' 4t,tll� BY 7�1 WIC FL W03 CL 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 5 with its permission. For Policy Customer Service: 1-800-262-1780 For Claims Customer Service: 1-877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE Policy Number: CFA 9000988 04 09 Effective Date: 06/18/2017 to 06/18/2018 ADD'L INSURED'S COPY Named Insured: ❑ "X" If Supplemental HANGERS ON, INC. Declarations Is Attached BUSINESS DESCRIPTION Commercial Wind Only -- CNR DESCRIPTION OF PREMISES Prem. Bldg. Location, Construction and Occupancy BCEGS Number No. No. 9400 OVERSEAS HWY Grade of Units 00001 00001 MARATHON FL 330SO3303 99 1 WINDSTORM MITIGATION FEATURES Terrain YOC/Verified Roof Cover Roof Deck Roof - Wall C 1999/No N/A N/A N/A BLDG Type Roof Shape Opening PROT Windstorm PROT Secondary Water Resistance Type I N/A N/A N/A N/A A premium adjustment of $0. 00 is included to reflect the building's wind loss mitigation features or construction techniques that exist. COVERAGES PROVIDED Insurance At The Described Premises Applies Only For Coverages For Which A Limit Of Insurance Is Shown BUILDING DESCRIPTION: 1 STORY OPEN SIDED STRUCTURE Prem. Bldg. Amount of Insurance Special Deductible % of Base No. No. Building Contents Class Hurr/Non-Hurr Co -ins TERR Premium 0001 0001 $68,656 396/36 8016 85 $2,927.00 MORTGAGEHOLDERS Prem. Bldg. Mortgageholder Name And Mailing Address No. No. Refer to attached Policy Interest schedule, if any. FORMS APPLICABLE To All Coverages: Refer to attached Forms and Endorsements schedule. To Specific Premises/Coverages: Prem. Bldg. No. No. Coverages Form Number These Declarations are part of the Policy Declarations containing the name of the Insured and the Policy Period. 0 ro 0 0 0 0 0 0 WIC FL W03 CL 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 5 with its permission. For Policy Customer Service: 1 -800-262-1780 For Claims Customer Service: 1 -877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE Policy Number: CFA 9000988 04 09 Effective Date: 06/18/2017 to 06/18/2018 ADD'L INSURED'S COPY NOTICE "COINSURANCE CONTRACT: THE RATE CHARGED IN THIS POLICY IS BASED UPON THE USE OF THE COINSURANCE CLAUSE ATTACHED TO THIS POLICY, WITH THE CONSENT OF THE INSURED." THIS IS YOUR POLICY DECLARATION PAGE. You may reduce your policy premium, if any premium credits for shutters, main structure features and other mitigation (loss prevention) devices are applicable for your structure. Contact your agent to request information that might allow for you to receive these discounts. This policy does not protect you against loss due to flood. Flood insurance is available through the Federal Government. Contact your insurance agent or broker to apply for coverage. Commercial Residential Wind Only policies contain a separate deductible for hurricane losses and a separate deductible for other windstorm or hail losses, insured against. Commercial Non -Residential Wind Only policies may contain a combined deductible or a separate deductible for hurricane losses and other windstorm or hail losses, insured against. The deductibles shown in your policy declaration page(s) are the deductibles that will apply as described in your policy in event of a covered loss. If you fail to select a deductible at the time of your application submission, or if this is a renewal with us, we may have selected the deductibles shown on your declaration page(s). Other deductibles may be available. Please contact your insurance agent or broker for additional information. Your Building Code Enforcement Grading Schedule adjustment is 99. The adjustments can range from a surcharge of 1 % to a discount of 10 % for structures built during or after 1995. WIC FL W03 CL 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 with its permission. 0 0 co 0 0 fM N In CO O 7t N O N � U d O n O I, c N OJ 00 N w N U U O O 0 U) N N N E E 0 o ul d U) U U 0 U w T (n O E a M F4 0 N a U d `0 LL LL N W 'W V Q a z o aU J O J y w } V C � ci Q LLI 0 a i/i U a v .s z W o f z W W F m a W �Wz „� z OC N E Z V � z �Z v 3 0 O z a m a J a Q o O O U U W c O V u u 0 ro N 0 U pm O E x O N a z z 0 w v 00 m o> > 0o c n O — Q d r Chi J + p Lo N CO UU0 �o y CU ..o m •E 0 U O Ez 9¢ 0 Z Z d a p Z w J O Ym N LL U_ 0o tQ �'> y N 0 0 0 0 For Policy Customer Service - 1-800-262-1780 For Claims Customer Service - 1-877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE FORMS AND ENDORSEMENTS SCHEDULE Policy Number: CFA 9000988 04 09 ADD'L INSURED'S COPY Named Insured: HANGERS ON, INC. Coverage Line Form Nbr. Ed Date Commercial WIC CNRW 01 10 12/2014 Commercial WES PRN 10/2013 Commercial WIC CP2 09/2012 Commercial WIC FL CWJ OS/201S Commercial WIC FL W03 06/201S Commercial WIC NCPT 06/201S Description SPECIAL PROVISIONS - FLORIDA PRIVACY NOTICE COMMERCIAL WIND ONLY POLICY COMMERCIAL WO POLICY JACKET CL DECLARATIONS PAGE NOTICE OF CHANGE IN POL TERMS Issued Date: 04/11/2017 WIC FL W03 CL 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 5 $ with its permission. g 0 r AIRPORT LIABILITY CERTIFICATE OF INSURANCE OCT 2 5 M MARATHON AIRPORT THIS IS TO CERTIFY, that Policy No. AP2556 issued by RANGER INSURANCE COMPANY was ISSUED TO: NAMEDHANGERS ON, INC. This certificate of insurance neither INSURED 7900 GULFSTREAM BLVD. affirmatively or negatively amends, extends AND MARATHON, FL 33050 or alters the coverage afforded by the ADDRESS Policy described herein. and is in force from 10-4-95 to 10-4-96. The insurance afforded by the policy is only with respect to the Coverages for which a limit is shown under the Limits of Liability column. LIMITS OF LIABILITY COVERAGES A. BODILY INJURY & PROPERTY DAMAGE LIABILITY DIVISION OF HAZARDS INSURED HEREUNDER by Coverage A where indicated by "XII below $ 500,000. Each Occurrence X Division 1 AIRPORT OPERATIONS $ Aggregate _ Division 2 PRODUCTS -COMPLETED OPERATIONS (applicable only to Hazard Division 3 CONSTRUCTION AND DEMOLITION Divisions 2 & 4) _ Division 4 CONTRACTUAL $ Each Aircraft APPROVER BY RISK MAhVC�c $ Each Occurrence B. HANGARREEPERIS LIABILITY$Y ' $ Deductible -Each DATE io -mod - Aircraft -Each Claim WAIVER: N/A ,--� YES - $ Each Person Aggregate C. PERSONAL INJURY LIABILITY General Aggregate In the event of cancellation of the above described Policy, the Company, if possible, will notify the addressee of this Certificate, shown below, 30 days prior to such cancellation. ADDITIONAL INSURED CERTIFICATE ISSUED TO: MONROE COUNTY BOARD OF —i CO Mp RANGER INSURANCE COMPANY COUNTY COMMISSIONERS Ex uted his 11TH day of OCTOBER 1995 C/O RISK MANAGEMENT 5100 JUNIOR COLLEGE ROAD KEY WEST, FL 33040 ]A By 4.n _Z %P='V AUTHORIZED S NATURE .,0/ This is a Memorandum of Insurance and not a Policy of Insurance and no action may be brought hereunder. It is furnished only as evidence that the Insurance Policy described herein has been issued by this Company. Nog !G To T4 SAU-2011 AP (1/94) AIRPORT LIABILITY CERTIFICATE OF INSURANCE THIS IS TO CERTIFY, that Policy No. AP2556 issued by RANGER INSURANCE COMPANY was ISSUED TO: NAMED FHANGERS ON, INC. This certificate of insurance neither INSURED 7900 GULFSTREAM BLVD. affirmatively or negatively amends, extends AND MARATHON, FL 33050 or alters the coverage afforded by the ADDRESS Policy described herein. and is in force from 10-4-95 to 10-4-96. The insurance afforded by the policy is only with respect to the Coverages for which a limit is shown under the Limits of Liability column. LIMITS OF LIABILITY COVERAGES A. BODILY INJURY & PROPERTY DAMAGE LIABILITY DIVISION OF HAZARDS INSURED HEREUNDER by Coverage A where indicated by °X" below $ 500,000. Each Occurrence X Division 1 AIRPORT OPERATIONS $ Aggregate _ Division 2 PRODUCTS -COMPLETED OPERATIONS (applicable only to Hazard _ Division 3 CONSTRUCTION AND DEMOLITION Divisions 2 & 4) Division 4 CONTRACTUAL $ Each Aircraft APPROVED BY RISK MAI!AORIFNT $ Each Occurrence $ Deductible -Each B . HANGARKEEPER' S LIAB7BtrITY-,`y�l DATE Aircraft -Each Claim rc $ Each Person Aggregate C. PERSONAL INJURY LIABILITY General Aggregate Tc C Icr� j r1:;1'r In the event of cancellation of the above described 'Policy, the Company, if possible, will notify the addressee of this Certificate, shown below, 30 days prior to such cancellation. ADDITIONAL INSURED CERTIFICATE ISSUED TO: r— ---I I MONROE COUNTY BOARD OF ( COMp RANGER INSURANCE COMPANY COUNTY COMMISSIONERS Ex uted his 11TH day of OCTOBER 19!jL C/O RISK MANAGEMENT 5100 JUNIOR COLLEGE ROAD KEY WEST, FL 33040 By AUTHORIZED S NATURE Received This is a Memorandum of Insurance and not a Policy of Insurance and no agA.Qq"i4I$1t L$ so4rof hereunder. It is furnished only as evidence that the Insurance Policy describe dj)herein has been issued by this Company. DATE_ / o� SAU-2011 AP(1/94) AIRPORT LIABILITY CERTIFICATE OF INSURANCE THIS IS TO CERTIFY, that Policy No.AP3060 issued by RANGER INSURANCE COMPANY was ISSUED TO: NAMED HANGERS ON, INC. '1 This certificate of insurance neither INSURED 7900 GULFSTREAM BLVD. affirmatively or negatively amends, extends AND MARATHON, FL 33050 or alters the coverage afforded by the ADDRESS Policy described herein. l_ — I and is in force from 10-4-96 to 10-4-97. The insurance afforded by the policy is only with respect to the Coverages for which a limit is shown under the Limits of Liability column. LIMITS OF LIABILITY COVERAGES A. BODILY INJURY a PROPERTY DAMAGE LIABILITY DIVISION OF HAZARDS INSURED HEREUNDER by Coverage A where indicated by "X" below S 500,000. Each Occurrence X Division 1 AIRPORT OPERATIONS # Aggregate _ Division 2 PRODUCTS -COMPLETED OPERATIONS (applicable only to Hazard Division 3 CONSTRUCTION AND DEMOLITION Divisions 2 & 4) _ Division 4 CONTRACTUAL A"r ROVE) B\ Each Aircraft- NT E— $ Each Occurrence B. HANGARREEPER'S LIABILITY $ Deductible -Each s ..--.. •v :., Aircraft -Each Claim _ , Lass "c— .. Each Person ,C f: Aggregate C. PERSONAL INJURYirWABILITY___..... General Aggregate In the event of cancellation of the above described Policy, the Company, if possible, will notify the addressee of this Certificate, shown below, 30 days prior to such cancellation. CERTIFICATE ISSUED TO: ADDITIONAL INSURED r-- ----1 MONROE COUNTY BOARD OF COMPANY RANGER INSURANCE COMPANY COUNTY COMMISSIONERS Execu s 4TH day of OCTORER 19Q0; C/O RISK MANAGEMENT 5100 JUNIOR COLLEGE ROAD KEY WEST, FFL.330�40� By _f ' �� ! AUTHORI ZEIT SIG TURE This is a Memorandum of Insurance and not Policy of Insurance and no action may be brought hereunder. It is furnished only as evidence that the Insurance Policy described herein has been issued by this Company. 0CT ' 6 t ' AIRPORT LIABILITY CERTIFICATE OF INSURANCE THIS IS TO CERTIFY, that Policy No.AP3060 issued by RANGER INSURANCE COMPANY was ISSUED TO: NAMED HANGERS ON, INC. INSURED 7900 GULFSTREAM BLVD. AND MARATHON, FL 33050 ADDRESS This certificate of insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the Policy described herein. L_ and is in force from 10-4-96 to 10-4-97. The insurance afforded by the policy is only with respect to the Coverages for which a limit is shown under the Limits of Liability column. LIMITS OF LIABILITY COVERAGES ji A. BODILY INJURY & PROPERTY DAMAGE LIABILITY DIVISION OF HAZARDS INSURED HEREUNDER by Coverage A where indicated by "X" below $ 500,000. Each Occurrence X Division 1 AIRPORT OPERATIONS $ Aggregate _ Division 2 PRODUCTS -COMPLETED OPERATIONS (applicable only to Hazard _ Division 3 CONSTRUCTION AND DEMOLITION Divisions 2 & 4) Division 4 CONTRACTUAL $ Each Aircraft $ Each Occurrence �� B. HANGARKEEPER' S LIABILITY6ROVF6 BY RISK, MANA17FIUFNT 6Y $ Deductible -Each Aircraft -Each Claim 0A"rF $ Each Person R: N/A 1'ES Aggregate C. PERSONAL INJURY LIABILITY General Aggregate In the event of cancellation of the above described Policy, the Company, if possible, will notify the addressee of this Certificate, shown below, 30 days prior to such cancellation. CERTIFICATE ISSUED TO: ADDITIONAL INSURED MONROE COUNTY BOARD OF COMPANY .RANGER INSURANCE COMPANY COUNTY COMMISSIONERS Execu s 4TH day of OCTOBER 19or- C/O RISK MANAGEMENT 5100 JUNIOR COLLEGE ROAD KEY WEST, FL 33040 By �c-C ' �� y� %�oo�� AUTHORIZE6_S!GbKTURE This is a Memorandum of Insurance and not a Policy of Insurance and no action may be brought hereunder. It is furnished only as evidence that the Insurance Policy described herein has been issued by this Company. SAU-2011 AP(1/94) THIS EatDORSEMUT CHANGES THE POLICY. PrZ= RIND IT CAR FUMT. This endorsement is part of policy airs AP3060 eadarse�eat amsber: 1 issued to (first Ns d Insured): effectives foss pro of $ (If no eatry appears above, infor—tion required to complets this endorsement is shwa in the Dealaratio=.) ADDITIONAL INSURED — AIRPORT OPERATIONS It is agreed that such insurance as is afforded by this policy shall also apply to: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS C/O RISK MANAGEMENT 5100 JUNIOR COLLEGE ROAD KEY WEST, FL 33040 but only vith respect to liability for damges because of bodily injury and/or property damage insured by this policy which is caused by the negligence of the Named Zasnred shown is Item 1 of the Declarations -part Two of the policy and which arises out of the ownership, maintenance, operation or use of the premises described in item 4 of the Declarations. The inclusion of the above additional insured shall not operate to increase the limits of the CcsQany•s liability as shown in Itam S of the Declarations. NOTHING HEREIN (: ITAINHD SHAD. BE HELD TO VARY, ALTER OR EXTEND ANY OF TES TIMM, CONDITIONS OR AGREEIGMTS OF THE POLICY OTSER TSAN AS STATED ABOVE. S W 2008 AP(01/91) CERTIFICATE OF INSURANCE 1a;. FALCON INSURANCE AGENCY, INC. P. 0. BOX 163450 AUSTIN, TEXAS 78716 512-328-1333 OCTOBER 5, 1998 This Is To Certify that AVIATION INSURANCE has been effected, covering as follows with the: AIG-LAD INSURED: Hangers On, Inc. ADDRESS OF INSURED: PO Box 522857, Marathon Shores, FL, 33052 & LOCATIONS COVERED: United States (excluding Alaska) Canada and Mexico. POLICY NO.(S) APB-7533450 EFFECTIVE: 12/10/97 EXPIRING: 12/10/98 AIRCRAFT LIABILITY -------------------------------- LIMITS OF LIABILITY ------------------------------ AIRPORT LIABILITY LIMITS OF LIABILITY Bodily Injury JEach Person $ ----------------------- IlBodily Injury ---------------------------- JEach Person $ Each Occurrence $ 11 lEach Occurrence $ Property Damage JEach Occurrence 1 $ IlProperty Damage JEach Accident $ Passenger JEach Person 1 $ 11 IlSingle Limit 1 JEach Accident $500,000 Single Limit incl. Passenger JEach Occurrence $ 11 IlProducts Liability 1 lAggregate $ but not to exceed lEach Passenger $ 11 1 IlContractual Liability ISee Below $ Single Limit excl. Passenger lEach Occurrence $ 11 1 inc. crew I IlHangarkeepers' Legal 10ne Aircraft $ Medical Payments _ exc. crew JEach Person $ 11 Liability JAll Aircraft $ This certificate is issued at the request of Monroe County Risk Managment, Attn: Maria Del Rio whose address is 5100 College Road, Key West, FL 33040 Whom we agree to notify 30 days before date of Cancellation, if policy should be cancelled by the Company. ADDITIONAL AGREEMENTS Monroe County Board of County Commissioners is named as Additional Insured as respects operations of the Named Insured. This Certificate of Insurance neither affirmatively nor negatively amends, alters or extends the coverage afforded by the above numbered policy. pc: AIG-LAD GF!4i; ..Y C, DATE INITIAL Conrad B. Geeslin CERTIFICATE OF INSURANCE FALCON INSURANCE AGENCY, INC. P. 0. BOX 163450 AUSTIN, TEXAS 78716 512-328-1333 OCTOBER 5, 1998 This Is To Certify that AVIATION INSURANCE has been effected, covering as follows with the: AIG-LAD INSURED: Hangers On, Inc.4^ V ADDRESS OF INSURED: PO Box 522857, Marathon Shores, FL, 33052 & LOCATIONS COVERED: United States (excluding Alaska) Canada and Mexico. POLICY NO.(S) APB-7533450 EFFECTIVE: 12/10/97 EXPIRING: 12/10/98 AIRCRAFT LIABILITY -------------------------------- I LIMITS OF LIABILITY AIRPORT LIABILITY LIMITS OF LIABILITY Bodily Injury ------------------------------ lEach Person $ ----------------------- IlBodily Injury ---------------------------- lEach Person $ Each Occurrence $ 11 JEach Occurrence $ Property Damage lEach Occurrence 1 $ IlProperty Damage lEach Accident $ Passenger lEach Person 1 $ 11 IlSingle Limit 1 lEach Accident $500,000 Single Limit incl. Passenger lEach Occurrence $ 11 IlProducts Liability 1 lAggregate $ but not to exceed lEach Passenger $ 11 licontractual Liability ISee Below $ Single Limit excl. Passenger lEach Occurrence $ 11 1 _ inc. crew I IlHangarkeepers' Legal lone Aircraft $ Medical Payments _ exc. crew lEach Person $ 11 Liability JA11 Aircraft $ This certificate is issued at the request of Monroe County Risk Managment, Attn: Maria Del Rio whose address is 5100 College Road, Key West, FL 33040 Whom we agree to notify 30 days before date of Cancellation, if policy should be cancelled by the Company. ADDITIONAL AGREEMENTS Monroe County Board of County Commissioners is named as Additional Insured as respects operations of the Named Insured. This Certificate of Insurance neither affirmatively nor negatively amends, alters or extends the coverage afforded by the above numbered policy. pc: AIG-LAD Conrad B. Geeslin rt p k � UATB oy INITIAL DATE �1��.�.c.s�._ a �d& tti'1?IIr7 ,4,`? �_ YES AIG AVIATION CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD KEY WEST, FLORIDA 33040 THAT THE FOLLOWING POLICY/IES OF INSURANCE HAVE BEEN ISSUED TO: HANGERS ON, INC. P.O. BOX 522857 MARATHON SHORES, FLORIDA 33052 AIRPORT LIABILITY POLICY NO. AP 3390971-02 POLICY PERIOD: From DECEMBER 10, 1999 to DECEMBER 10, 2000 INSURANCE COMPANY NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA Commercial General Liability Coverage Limits of Insurance General Aggregate Limit (other than Products/Completed Operations) $ NOT APPLICABLE Products/Completed Operations Aggregate Limit $ NOT COVERED Personal and Advertising Injury Aggregate Limit $ NOT COVERED Each Occurrence Limit $ 500,000. Fire Damage Limit (any one fire) $ NOT COVERED Medical Expense Limit (any one person) $ NOT COVERED Hangarkeeper's Liability Coverage Each Aircraft Limit $ NOT COVERED Each Loss Limit $ NOT COVERED Deductible (each aircraft) $ NOT APPLICABLE OTHER COVERAGES/CONDITIONS/REMARKS Coverage is subject to Aviation Millenium Endorsement Form No. 69718. IS INCLUDED AS AN ADDITIONAL INSURED ON AIRPORT LIABILITY COVERAGE, BUT ONLY WITH RESPECT TO OPERATIONS OF THE NAMED INSURED.A THE 1 �p The Aviation Managers have made provision to give the certificate holder prompt notice of cancellation of any policy above. But, the Aviation Managers assume no responsibility for failure to provide such notice. This certificate does not change in any way the actual coverages provided by the olic /ies specified above. Certificate No. Date of Issue 12/8/99 (dlj) By AV309B (1/99) Authorized Representative) AIG AVIATION 4 -,w4ta� - � - , , I I CERTIFICATE OF INSURANCE • ATLANTA • CHICAGO • DALLAS • PRINCETON, NJ • LOS ANGELES • NEW YORK, NY WO 3(' ::1� THIS IS TO CERTIFY TO: MONROE COUNTY BOCC 5100 COLLEGE ROAD, KEY WEST, FLORIDA 33040 THAT THE FOLLOWING POLICY/IES OF INSURANCE HAVE BEEN ISSUED TO: HANGERS ON, INC. P.O. BOX 522857, MARATHON SHORES, FLORIDA 33052 AIRCRAFT POLICY NO. POLICY PERIOD: From to INSURANCE COMPANY LIABILITY COVERAGES LIMITS OF LIABILITY EACH PERSON EACH OCCURRENCE ❑ Bodily Injury Excluding Passengers $ $ ❑ Property Damage $ XXXX $ ❑ Passenger Bodily Injury $ $ ❑ Single Limit cluding Passengers, $ XXXX $ El With Passenger Liability Limited To $ $ XXXX PHYSICAL DAMAGE COVERAGE: ALL RISKS, GROUND & IN-FLIGHT DEDUCTIBLES: IN -MOTION LIEN REGISTRATION YEAR MAKE & MODEL AGREED NOT INGESTION AMOUNT NUMBER VALUE IN -MOTION MOORED $ $ $ $ $ $ $ $ THIS CERTIFICATE HOLDER IS: ❑ INCLUDED AS A LOSS PAYEE FOR AIRCRAFT PHYSICAL DAMAGE COVERAGE ❑ PROVIDED BREACH OF WARRANTY COVERAGE ON AIRCRAFT PHYSICAL DAMAGE COVERAGE ❑ IS INCLUDED AS AN ADDITIONAL INSURED ON AIRCRAFT LIABILITY COVERAGE, BUT ONLY WITH RESPECT TO OPERATIONS OF THE POLICYHOLDER. AIRPORT LIABILITY POLICY NO. AP 3390971-01 POLICY PERIOD: From 12/10/98 to 12/10/99 INSURANCE COMPANY National Union Fire Insurance Company of Pittsburgh, PA COVERAGES PREMISES LIMITS OF LIABILITY ❑ Bodily Injury $ each person $ each occurrence * ❑ Property Damage $ each occurrence * ® Single Limit Bodily Injury & $ 500,000. each occurrence * Property Damage ❑ Hangarkeepers Liability $ each aircraft $ each loss DEDUCTIBLES: Hangarkeepers Liability $ each loss Premises Liability $ each claim with respect to Property Damage * REFER TO THE POLICY. AN ANNUAL AGGREGATE LIMIT APPLIES TO SOMF COVERAGES. WORKERS COMP. POLICY NO. POLICY PERIOD: From to INSURANCE COMPANY LIMITS OF LIABILITY: PART I: $ Statutory PART II: $ OTHER COVERAGES/CONDITIONS/REMARKS THE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED AS RESPECTS OPERATIONS OF THE NAMED INSURED. THE CERTIFICATE HOLDER IS PROVIDED 30 DAYS NOTICE OF CANCELLATION, 10 DAYS FOR NON-PAYMENT OF PREMIUM. The Aviation Managers have made provision to give the certificate holder prompt notice of cancellation of any policy above. But, the Aviation Managers assume no responsibility for failure to provide such notice. This certificate does not change in any way the actual coverages provided by the olic /ies specified above. ® AIG Aviation, Inc. ❑ AIG Aviation (Canada), Inc. ❑ AIG Aviation Insurance Services ❑ AIG Aviation (Illinois) Corporation ❑ I AIG Aviation (Texas), Inc. C By 03/01 /99 kbf (Authorized epresentative IT1AL (Today's Date) AV30(5/94) CERTIFICATE NO. AIG AVIATION CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD KEY WEST, FLORIDA 33040 THAT THE FOLLOWING POLICY/IES OF INSURANCE HAVE BEEN ISSUED TO: HANGERS ON, INC. P.O. BOX 522857 MARATHON SHORES, FLORIDA 33052 AIRPORT LIABILITY POLICY NO. AP 3390971-03 POLICY PERIOD: From DECEMBER 10, 2000 to DECEMBER 10, 2001 INSURANCE COMPANY NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA Commercial General Liability Coverage Limits of Insurance General Aggregate Limit (other than Products/Completed Operations) $ NOT APPLICABLE Products/Completed Operations Aggregate Limit $ NOT COVERED Personal and Advertising Injury Aggregate Limit $ NOT COVERED Each Occurrence Limit $ 500,000. Fire Damage Limit (any one fire) $ NOT COVERED Medical Expense Limit (any one person) $ NOT COVERED Hangarkeeper's Liability Coverage Each Aircraft Limit $ NOT COVERED Each Loss Limit $ NOT COVERED Deductible (each aircraft) $ NOT APPLICABLE OTHER COVERAGES/CONDITIONS/REMARKS Coverage is subject to Aviation Millennium Endorsement Form No. 69718. IS INCLUDED AS AN ADDITIONAL INSURED ON AIRPORT LIABILITY COVERAGE, BUT ONLY WITH RESPECT TO OPERATIONS OF THE NAMED INSURED. RECEIVED i . r DEC 1 2000 PURCHASING The Aviation Managers have made provision to give the certificate holder prompt notice of cancellation of any policy above. But, the Aviation Managers assume no responsibility for failure to provide such notice. This certificate does not change in any way the actual coverages provided by the olic /ies specified above. Certificate No. Date of Issue 11 /28/00 (dlj) By (Authorized Rep a ative) AV309B (1/99) AC0�4D,M CERTIFICATE OF LIABILITY INSURANCE 06/ /2003 PRODUCER (305)247-5121 FAX (305)248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 INSURERS AFFORDING COVERAGE Donna Trout INSURED Hangers On Inc. INSURER A: Mount Vernon Fire Ins Co 5996A Overseas Highway INSURERB: Marathon, FL 33050 INSURERC: 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 REQUREMENT, 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/DDlYY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY CL22OS362 03/20/2003 03/20/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included PRO LOC POLICY F1 JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO APP"IBY�'5,1 NiAN (VT $ EXCESS LIABILITY By— _ _, EACH OCCURRENCE $ OCCUR CLAIMS MADE DATE .-.___ AGGREGATE $ $ DEDUCTIBLE WAI!/ % °it:� ._ ,._._._YE $ $ RETENTION $ A WORKERS COMPENSATION AND In TATTH- TWOORY5 LIMITS ER EMPLOYERS' LIABILITY cc, r Ntn E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holde is additional insured with regards to general liability for Hangar Lease t Marathon Airport. yrzm I Irium 1 r_r1VLUCR I I ADDITIONAL INSURED; INSURER LETTER: Monroe County Board of County Commissioners Monroe County Risk Management Maria Slavik 1100 Simonton Street Key West, FL 33040 l Kr1I%,C LL k1IVIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILLENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Alan Lund/DS dd.D""�`~ PAY- r1nr.17Q7_drA& 36D ©ACORD CORPORATION SAC RP. CERTIFICATE OF LIABILITY INSURANCE 0DATE (MM/DDNY) 3/20/2003 PRODUCER (305)247-5121 FAX (305)248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 INSURERS AFFORDING COVERAGE Donna Trout INSURED Hangers On Inc. INSURER A: Mount Vernon Fire Ins Co 5996A Overseas Highway INSURERB: Marathon, FL 33050 INSURERC: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY T/BINDER/GL 03/20/2003 03/20/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PROECT LOC J AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO APp V MAN EMEN $ EXCESS LIABILITY By EACH OCCURRENCE $ OCCUR CLAIMS MADE E DAT- AGGREGATE $ $ DEDUCTIBLE WAIVER NIA YES $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 1 1 TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holde is additional insured with regards to general liability for Hangar Lease t Marathon Airport. %,CI[ 1 Iri%,m 1 C rIVLVCR I I ADDITIONAL INSURED; INSURER LETTER: Monroe County Board of County Commissioners Monroe County Risk Management Maria Slavik 1100 Simonton Street Key West , FL 33040 1,f11V ICL -MI IVIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE J Alan Lund/DS IX 1p4+- 25-S (7/97) Fox• rinsva),_&sti& ©ACORD CORPORATION ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) �, 03/20/2003 PRODUCER (305)247-5121 FAX (305) 248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 Donna Trout INSURERS AFFORDING COVERAGE INSURED Hangers On Inc. INSURERA: Mount Vernon Fire Ins Co 5996A Overseas Highway INSURERB: Marathon, FL 33050 INSURERC: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR T/BINDER/GL 03/20/2003 03/20/2004 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 51000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ARRR 1 y (DATE y + M N M NT \ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO WAVER ,NSA ES._.. _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ CG ,, EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificate Holde is additional insured with regards to general liability for Hangar Lease t Marathon Airport. Ce�'reS'. ��ckY\ C.e. VGM I Irlli/1I G IIVLVCR I I AUDI I ZONAL INSURED; INSURER LETTER: Monroe County Board of County Commissioners Monroe County Risk Management Maria Slavik 1100 Simonton Street Key West , FL 33040 1..H1V l..CLLX 1 IVIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 1 Alan Lund/DS ol. 144� 25-S (7/97) FAY - rinsvA?-asAA '�bD ACORD,,. CERTIFICATE OF LIABILITY INSURANCE D3 / 0/20/20/200 003 PRODUCER (305)247-5121 FAX (305)248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones &Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 INSURERS AFFORDING COVERAGE Donna Trout INSURED Hangers On Inc. INSURER A: Mount Vernon Fire Ins Co 5996A Overseas Highway INSURERB: Marathon, FL 33050 INSURERC: INSURER D: INSURER E: CAVFRAnFS 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 MMIDD POLICY EXPIRATION DATE MMIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FKOCCUR CL2205362 03/20/2003 03/20/2004 EACH OCCURRENCE $ 1,000,0001 FIRE DAMAGE (Any one fire) $ 50,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00C GENERAL AGGREGATE $ 2,000.00( GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE C LOC PRODUCTS - COMP/OP AGG $ Incl ude AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPROADRIR BY DATE WAIVER NIA.— Ux AGE ES " Q6�� COMBINED SINGLE LIMIT (Eaaccident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO / C C r AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: qGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I TORSLIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holde is additional insured with regards to general liability for Hangar Lease t Marathon Airport. ULK I INUA It MULUtK I I ADDITIONAL INSURED; INSURER LETTER: Monroe County Board of County Commissioners Monroe County Risk Management Maria Slavik 1100 Simonton Street Key West, FL 33040 I;ANLtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .� / Alan Lund/DS oldo^j" FAX! C31D512Q2-4564 Pan 2: 1111S AMENDED DEC'LARA PIONPAGEE, WI'P11 POI,I('Y PROVISIONS - P,VtT 1 ASD INDORSE MIeN,IS, II' ANY ISSIID 10 FORM AP R'l1'I1FRF(F.('()MP1,1.1171711?DIiLOWNI'MB'RED FLORIDA WINDS 'I'ORM1 NDFRWRI"IINGASSOCIA I]ON POLI('1'. 1'I t)RII)AWINDSTORM UNDERWRITING ASSOCIATION 1 �' `n f:�i ldpyji��d Koad Suit 5OO, I,ckaontillc, FI rid, )221GG0(1 j 1 ' ItiinRED'.S NAME PND AUDRE55 �+ITIZENS CHANGE NO. 11 HIS IS AN AD11':NDED HANGERS ON, INC I SEP 1 7 2001 `+� .:- 2460 COCO PLUM DR ' MARATHON, FL 33051 u j GENERAL BUSINESS �.., _J 1 ( CO — rY , THIS CHANGE IS EFFECTIVE 6/18/2007 POLICY TERM 6/18/2007 TO .0 h t ---6-f3-& '-QOg_I _tf ' 2+T Iz_01 A_.M. (EST) POLICY No. 1456961 INceexmN DATE exPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY ,:�„_.i - °L IDeduot4le PAGE 1 Contents Amount Territory Premium 8 * THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE(S). NO ADDITIONAL OR RETURN PREMIUM RESULTED FROM THIS CHANGE(S) 11* 50,000 0 80 1,500 ONE STORY MASONRY DETACHED OCEN-SIDED STRUCTURE AND/OR METAL HANGER BLDG LOC: 9400 OVERSEAS HWY MARATHON, MONROE FL 33050-3303 Premium An10a NI Tax Fxcmpt Smoharge 6 T-85 1, 031 $1, 031 I 2005 Florida IINITicane Catast)ophe Fuud Etnet'gency Assessment $16 Catastrophe Reinsurance Surcharge * MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST, FL 33040 L OAN# TBA I Producer: REGAN INSURANCE AGY INC 0002 90144 OVERSEAS HWY TAVERNIER, FL 33070-2298 ee Payor: Date INSURED CIT-W03 07 07 00021 Team 3 MoxxcaceE coPY -DI JLE 8033 4002 Pan 2: THIS AMENDED I)1ECLARATION PAGE, WITH A PART THEREOF] COMPLETE irpR BELOW N 7077 Bonneval Road NOV 13 ' -7 NS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A WINDSTORM UNDERWRITING ASSOCIATION POLICY. ERWRITING ASSOCIATION Jacksonville, Florida 32216-6064 INSURED's NAME AND ADDRESS I CHANGE NO. 1 THIS ISAN AMENDED HANGERS ON, INC _ CI IZENS 2460 COCO PLUM DR !4) -Y�-J GENERAL BUSINESS MARATHON, FL 3305Q __,.7 THIS CHANGE IS EFFECTIVE 6/18/2007 POLICY TERM 6/18/20071 TO 6/18/2008 AT 12:01 A.M. )EST) POLICY NO, 1456961 INCEPTION DATP EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY DDf_F I NMVuni' ue' I.l VRRNCE Percent of rcem Deductible No. Euildiug Contents poins^rFnce Amount Territory Premium $ $ $ $ $ * THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE(S). NO ADDITIONAL OR RETURN PREMIUM RESULTED FROM THIS CHANGE(S) 1 * 50,000 0 80 1, 500 ONE STORY MASONRY DETACHED OCEN-SIDED STRUCTURE AND/OR METAL HANGER BLDG LOC: 9400 OVERSEAS HWY MARATHON, MONROE FL 33050-3303 T-85 1.031 (—� . V �-t,.. , Total Coverage amomat: $50 000 Total Premium amount: $1 214 Premium Amount $1, 031 2005 Florida Hurricane Catastrophe Fund Emergency Assessment $10 Tax Exempt Surcharge $18 Catastrophe Reinsurance Surcharge $155 co Payee * MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST, FL 33040 LOAN# TBA Producer: REGAN INSURANCE AGY INC 0002 Payor: 90144 OVERSEAS HWY INSURED TAVERNIER, FL 33070-2298 Date: 9 10/2007 CIT-W03 07 07 00021 Team 3 PRODUCER COPY JLE 8033 4001 OUNTYo MONROE KEY WEST FLORIDA 33040 (30:5) 2944611 FLORIDA KEYS MARATHON A] James R. "Reggie" Paros, Manager Director, Housing and Community 9400 Overseas Highway, Suite 20 Marathon, Fl. 33050 Phone: (305) 289-6060 Fax: (305)289-6071 TO: Maria Slavik Administrator Risk Management FROM: Barbara J. Ward Sr. Office Assistant Florida Keys Marathon Airport SUBJECT: C.O.I. DATE: April 18, 2008 Enclosed find current Certificate of Insurance for Lisa Littlefield's Aircraft she hangars at Hangers -On, Inc. /bjw Eric: CGL' won nc rfu�N7y COMMISSIONERS Mayor Charles "Sonny" McCoy, District 3 �., Mayor Pro Tern Mario Di Gennaro, District 4 Dixie M. Spehar, District 1 George Neugent, District 2 Sylvia 1. Murphy, District 5 Page I of I (. I-Oi3AL Al.RC)SPAU i::; ter• •.�,; -.... GLOBAL AEROSPACE, INC. C E R T 1 F I C A T E O F I N S U R A N C E THIS CERTIFICATE Is GIVEN AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ADDRESSEE. Date: April 14, 2008 that the policies listed below have been issued to the following for the period This is to certify to: indicated by One or More Member Companies of Global Aerospace Pool through Global Aerospace, Inc: Monroe County Board of Commissioners 9600 Overseas Highway Marathon, FL 33050 Policy No: 10105400 COVERAGE: Aircraft Liability Single Limit Bodily Injury and Property Damage Liability Including Passengers AIRCRAFT: Year, Make and _Model _of Aircraft 1998 MAULE MXT-7-180A Lisa Littlefield P. O. Box 500875 MARATHON, FL 33050 Policy Period: from April 2, 2008 to April 2, 2009 Limits of Liability $1,000,000 Each Occurrence Identification No. o. N 1050R $100,000 Each Passenger It is agreed that only as respects any written agreement between the Named Insured and the certificate addressee and entered into as a prerequisite to the use of an airport by the Named Insured: I. Solely as respects liability arising out of acts or omissions of the Named Insured relating to aircraft storage or other use of the airport, the certificate addressee shall be included as an additional Insured under Liability Coverage D - Single Limit Bodily Injury and Property Damage Liability. 2. Unless otherwise indicated in this policy, the policy shall not apply to any assumption of the liability of the certificate addressee by the Named Insured for bodily injury or property damage caused by an occurrence arising out of any service performed by or on behalf of such governmental authority. 3. In the event the policy is cancelled by the Company, thirty (30) days prior written notice shall be given to the certificate addressee. 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. This certificate does not amend, extend or otherwise alter the coverages afforded by the policies described herein. Limits may have been reduced by paid claims. Global Aerospace, Inc. has made provision for prompt notice to the certificate addressee in the event of cancellation of the policies described herein, but except as otherwise stated in this certificate, Global Aerospace, InClassu o legal responsibility for any failure to do so. GLOBAL AEROSPACE, INC. BY: GW Z005 (Rev. 0 1/0 1/2003) I APR 1 8 2008 lY Close Window .dt 1. rn^ jL-. ,rr�� X https://www.pbo-online.com/aus/servleticom.wildbox.endorsements. ViewEndorsement?ENDTNO-1010... 4/14/2008 Put 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 INSURED NAME AND ADDRESS `CITIZENS THIS IS A HANGERS ON, INC C/O JAMES JANDA 320 30TH ST OCEAN MARATHON, FL 33050-4249 GENERAL BUSINESS POLICY TERM 6/18/2008 TO 6/18/2009 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1456961 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY Ztw Na. BuildingCoineura . Contents Pereent of DEDUCTIBLES ce „A 11vebQp rNVG 1 Tezritoz Y Premium S S a S 5 S 1 54,000 0 80 1,620 T-85 1,113 ONE STORY MASONRY DETACHED OCEN-SIDED STRUCTURE AND/OR METAL HANGER BLDG LOC: Non -Homestead Property 9400 OVERSEAS HWY MARATHON, MONROE FL 33050-3303 C( Total Coverage: S54 000 Payment Plan: Qu arly Total Premium: S1 66 Premium Amount $1,113 2005 Florida Hurricane Catastrophe Fund Emergency Assessment $11 Tax Exempt Surcharge $19 Catastrophe Reinsurance Surcharge $167 2005 Citizens Emergency Assessment $16 2007 Florida Insurance Guaranty Association Regular Assessment $17 2005 Market Equalization Surcharge $23 Subject to Fozm NO(e): CIT CP2 CIT-W06 Mortgagee/Lone Payee: MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST, FL 33040 LOAN# TBA Agent: - REGAN INSURANCE AGY INC 0002 90144 OVERSEAS HWY TAVERNIER, FI, 33070-2298 INSURED O (305) 852-32114 CIT W03-CNR 01 08 00021 Team 3 Date: 7/01/2008 MORTGAGEE COPY -01 QSY R 40111 3589 IONS - PART I IF ANY ISsuED To Policy PROv's Pat 2: THIS AMENDED F.OFDECLAII ,COMPLEfE THL'Bi?f.OBW 1NUMBERED FLOWDA p7ND TORM ENDOR9�lFMETdTB+SOCiAT1ON POLICY- Pat A PART FLO A WI T _ UNDERWRITING ASSOCIATION 6 �� gppy 1Jet}aobvilb, Florida 32216-8091 ��,�,�� CHANGE NO. 1THIS IS AN AMENDED ENSURED'S NAME AND ADORERS SEP 1 51tTliENS GENERAL BUSINESS * HANGERS ON INC C/O MOTH JANDA - 320 MOTH ST OCEAN �,,. - THIS CHANGE IS EFFECTIVE 9/08/2008 MARATHON, FL 33050-4249 _ __ — - POLICY NO. 1456961 AT 12:01 A.M. (EST) POLICY TERM 6/le/200820 6/lg/2009 Declaration page NOT PAY PAGE INCEPTION DATE EXPIRATION DATE Tllia is your Policy Peroent of Deductible Territory Premium raunding 0o i. ,anm Amount It..Content. lieeblawilzrica S SSNT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE(S). ADDITIONAL OR RETURN PREMIUM RESULTED FROM THIS CHANGE(S) 1 54 000 0 80 1,620 ONE STORY MASONRY DETACHED OCEN-SIDED STRUCTURE AND/OR METAL HANGER BLDG LOC: Non -Homestead Property 9400 OVERSEAS HWY MARATHON, MONROE FL 33050-3303 T-85 1,113 Iota Cover a amount: $1, 113 2005 Flotda Hwicare CataRlmphe Fund Hmergency AasoaemoM $11 pmmimn Ammunt o Smahatgo $161 Tax Exempt Sumhatge $19 2007Catalod Ingomwe pa tion Rogmlar ARaeeameta $17 e Asaeeament $16 2007 Florida Inat(mt(ce Guaranty 2005CitixeosEmetg wy $23 2005 Madtat Equdization Smchmge * MONROE COUNTY BOCC ` 1100 ESMONTON 33040 STREETKEY Peyox: Pxnduo.r: REGAN INSURANCE AGY INC 0002 INSURED 90144 OVERSEAS HWY TAVERNIER, FL 33070-2298 CIT W03-CNR 01 08 00021 Team 3 WWI 28968 4402 MORTGAGEE COPY -01 Z000 bZLE609 s3000011a 153 MONROE COUNTY BOCC 1100 SIMONTON STREET KEY NEST, FL 33040 86ZZ-OLOEE 'Id 1ZI3IffgaAYy Z000 ONI xOV 3j�gSNI m3u USAIG Certificate of Insurance This is to certify to: Monroe County Board of County CommissiorWs,. i p� (j whose address is: 3791 S. Roosevelt Blvd. U�ItX� Key West, Florida 33040 1 0q_q-vX'. that: Jim Janda X whose address is: 320 301h Street Marathon, Florida 33050 is at this date insured with the Several Participating Companies of the United States Aircraft Insurance Group, for the Limits of Coverage stated below, at the following locations: the United States of America, its territories and possessions, Canada, Mexico, the Bahamas and the islands of the West Indies or while enroute between these places. Descriptive Schedule of Coverages Kind of Insurance Policy Number Policy Term Limits of Coverage AIRCRAFT LIABILITY 360AC-706055 November 10, 2008 - Each Person Each Occurrence Combined Liability Coverage for November 10, 2009 bodily injury and property damage $ 1,000,000 Medical Coverage $ 5,000 AIRCRAFT PHYSICAL 360AC-706055 November 10, 2008 - DAMAGE - ALL RISKS November 10, 2009 Not In -Motion Deductible In -Motion Deductible Amount of Insurance 1998 Cessna 172R Skyhawk $ Nil $ Nil $ 125,000 FAA ID N9562Q The "Who's covered" section of your policy, under "Your Liability Coverage," shall include Monroe County Board of County Commissioners and Hangars On, Inc. a Florida Corporation, but only for claims of bodily injury, mental anguish or property damage and specifically excluding claims for personal injury that result from your ownership, maintenance or use of the insured aircraft. We won't cover Monroe County Board of County Commissioners and Hangars On, Inc. a Florida Corporation for claims arising out of their liability as a manufacturer, seller, handler, distributor or service facility of any product or service sold, handled, distributed or provided. This certificate or verification of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document, with respect to which this certificate or verification of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all terms, exclusions and conditions of such policies. The Aviation Managers of the USAIG (United States Aircraft Insurance Group) agree that in the event of cancellation of the policy(ies), they will endeavor to give the party to whom this certificate is issued 30 days advance notice of such cancellation, but the Aviation Managers shall not be liable in any way for failure to give such notice. UNITED STATES AVIATION UNDERWRITERS, INC., Aviation Managers Address: 3575 Piedmont Road, NE, Building 15, Suite 1200 Atlanta, GA 30305 By C C date: November 10, 2008 RECEIVED DEC 0 2 2C1,08 AIRPORT ADMIN. F-108d-Cert 1 (Rev. 10/06) Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY TSS13FD TO FORM A PART THEREOF, COMPT.FTF THE, RF.TOW Ni1MRF.RFD CITT7F.NS PROPERTY INSI TRANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, lackSvnville, Florida 32216.0973 TNStTFFD NAME; AND AnnFFSS CITIZENS .THTS TS A HANGERS ON INC C/O JAMES JANDA GENERAL BUSINESS 320 30TH ST OCEAN MARATHON, FL 33050-4249 Ft)LTCY TFFM 6/18/2009" 6/18/2010 AT 12:01 A.M. (EST) CTTTZF;NS PO TCY NO. T�7:'FFTTt)N n.ATf F,XFTRAT70N DATE This is 61 your Policy Declaration Page - This is not a Bill- DO NOT PAY Item AMt't?NT OF TNFITPANCF Fervent r- PAGE 1 Nt; . Hi t ri, na Ca T ti surance DEDUCTIBLES t'dn ton t s Appt icaht a Ter. r. i tart Premium S S it $ $ 1 I 60,000 0 80 1,800 ONE STORY MASONRY DETACHED OCEN--SIDED STRUCTURE AND/OR METAL HANGER BLDG LOC: 9400 OVERSEAS HWY MARATHON, MONROE FL 33050-3303 0- 0," ��, Total Coverage: $60 000 Premium Amount Tax Exempt Surcharge 2005 Citizens Emergency Assessment c"�j=^t to Form No(s): IT CP2 M^ttgygPo/T,naa P"yPP: Am-nt CIT-W06 s T-85 1,237 n: Semi -Annual Total Premium: $1 483 $1 , 2 3 7 2005 Florida Hurricane Catastrophe Find Emergency Assessment $12 $2 2 Catastrophe Reinsurance Surcharge $18 6 $17 2007 Florida Insurance Guaranty Association Regular Assessment $9 MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST, FL 33040 REGAN INSURANCE AGY INC 0002 90144 OVERSEAS HWY TAVERNIER, FL 33070-2298 Pmyor. INSURED (305) 852-3234 I Date: 4/30/2009 cTT wr,_-CNF 01 05 00021 Team 3 MORTGAGEE COPY -01 PH R 90000 52 6TTT 60TT0£T aDvos-dow 10 COUNTY BOCC 1100 SIMONTON STREET KEY WEST, FL 33040 9900-6ZTZ£ Z3 '399MI O�lOS ,13aulS lUZS'dZH S ZS T 6 T T T J ODy S NI x2iZNf1OO 9 NMOZ Part 2: THIIS DECLARATION PA6E, WITH 13OLIC;Y PROVISIONS - PAK'I I AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY INSURED NAME AND ADDRESS HANGERS ON INC C/O JAMES JANDA 320 30TH ST OCEAN MARATHON, FL 33050-4249 POLICY TERM 6/18/2010 TO 6/18/2011 orida 32216-0973 THIS IS A GENERAL BUSINESS ZENS POLICY NO. 1456961. INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PACE 1 6 76 CorporateCit cksonville, Fj ZE 1� 114"fltY iN5N1N$f C3if/$tift i f JUN i 2010 � 1 MrN`--x'0C 00!INTvt AT 1DI S6i K%'PIC F `(Wff) CIJT I tem AMOUNT OF INSURANCE Percent of DEDUCTIBLES Territory CoinsuranceNo. Premium Building Contents Applicable 1 60,000 0 80 11800 T-85 1, 237 ONE STORY MASONRY DETACHED OCEN—SIDED STRUCTURE AND/OR METAL HANGER BLDG LOC: 9400 OVERSEAS HWY MARATHON, MONROE FL 33050-3303 k Total Coverage: $60 000 Payment Plan: Full Pay Total Premium: $1 491 Premium Amount $1, 2 3 7 2005 Citizens Property Insurance Corporation Emergency Assessment $17 Tax Exempt Surcharge $ 2 2 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $12 Catastrophe Reinsurance Surcharge $18 6 2007 Florida Insurance Guaranty Association Regular Assessment $ 5 2009 Florida Insurance Guaranty Association Regular Assessment $12 Subj ec t to Form No (s) CIT CP2 01 10 CNRW 01 10 01 10 Mortgagee/Loss Payee: MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST, FL 33040 Agen t : REGAN INSURANCE AGY INC 0002 90144 OVERSEAS HWY TAVERNIER, FL 33070-2298 (305) 852-3234 CIT W03-CNR 01 10 00021 Team 3 Mayor: INSURED Date: 6/02/2010 MORTGAGEE COPY -01 QSY R 40111 66 0 ao 0 ao r 0 0 0 0 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 JNSURED NAME AND ADDRESS <"CITIZENS THIS IS A HANGERS ON INC C/0 JAMES JANDA GENERAL BUSINESS 320 30TH ST OCEAN MARATHON, FL 33050-4249 :POLICY TERM 6/18/2011 TO 6/18/2012 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1456961 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY Item AM UNT IN U CE Percent of PAGE No. Building Coinsurance DEDUCTIBLES Contents Applicable Territory Premium 1 60,000 0 80 1,800 ONE STORY MASONRY DETACHED OCEN—SIDED STRUCTURE AND/OR METAL HANGER BLDG LOC: 9400 OVERSEAS HWY MARATHON, MONROE FL 33050-3303 Premium Amount Tax Exempt Surcharge $1,237 $22 T-85 1,237 2005 Citizens Property Insurance Corporation Emergency Assessment $17 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $16 Catastrophe Reinsurance Surcharge $186 Subject to Form No(3): CIT CP2 01 10 CNRW 01 10 01 10 CIT 18 18 01 13 Kortgagee/Loss Payee: kgen t : MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST, FL 33040 REGAN INSURANCE AGY INC 0002 90144 OVERSEAS HWY TAVERNIER, FL 33070-2298 Payor: INSURED (305) 852-3234 I Date: 6/ 03/2011 CIT W03-CNR 01 10 00021 Team 3 MORTGAGEE COPY -01 1 0 0 00 0 IT 0 0 0 5 QSY R 40111 103 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURAN Y POLICY 6676 Corporate Cen Parkway, 32216-097 INSURED NAME AND ADDRESS SCR�„ N,,S THIS IS A ,..,iIUL � nn,1�f HANGERS ON INC fv�- GENERAL BUSINESS C/O MARK A POLLACI 117 W 2 8 T H S T 1VIONROB COUNTY NEW YORK, NY 10001 RISK MANAGEMENT POLICY TERM 6/18/2012 TO 6/18/2013 AT 12:01 A.M. (EST) CITIZENS POLICY No. 1456961 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 1 S S 1 61,000 0 80 1,830 ONE STORY MASONRY DETACHED OCEN—SIDED STRUCTURE AND/OR METAL HANGER BLDG LOC: 9400 OVERSEAS HWY MARATHON, MONROE FL 33050-3303 S T-85 1,383 APP ISl( M OIAEM MF W _ GG• Total Coverage: $61 000 Payment Plan: Full ay Total Premium: $1 648 Premium Amount $1, 3 8 3 2005 Citizens Property Insurance Corporation Emergency Assessment $14 Tax Exempt Surcharge $ 2 4 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $18 Catastrophe Reinsurance Surcharge $207 2009 Florida Insurance Guaranty Association Regular Assessment $ 2 Subject to Form No(s): CIT CP2 02 12 CNRW 01 10 01 10 Mortgagee/Loss Payee: MONROE COUNTY BOCC 1100 SIMONTON STREET s� KEY WEST, FL 33040 f E Agent: Payor: REGAN INSURANCE AGY INC 0002 INSURED 90144 OVERSEAS HWY TAVERNIER, FL 33070-2298 (305) 852-3234 Date: 6/28/2012 CIT W03-CNR 01 10 00021 Team 3 MORTGAGEE COPY -01 QSY R 40111 33 to Weston insurance company P.O. Box 971122, Coconut Creek, FL 33097 For Policy Customer Service-1-800-262-1780 For Claims Customer Service-1-877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE Policy Number CFA 9000988 00 Policy Period From 06/18/2013 To 06/18/2014 I NSU RED'S COPY at 12:01 AM Eastern Standard Time at your mailing address shown below. Transaction RENEWAL DECLARATION PAYPLAN: INSURED BILL Named Insured and Mailing Address Agent FL Agent Lic # HANGERS ON INC REGAN INSURANCE AGY INC C/O MARK A JPOLLACI 90144 OVERSEAS HWY 117 W 28TH STR TAVERNIER FL 33070-2298 NEW YORK FL 10001 Telephone: 3058523234 Business Description Commercial Wind Only -- CNR IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENTS. PREMIUM Commercial Property Coverage Limit of Liability Number of Units $ 1,521.00 Building $0 Contents $0 Special Class $61,000 Required Additional Charges: Citizens Property Insurance Corporation Emergency Assessment 2005 $ 15.00 Emergency Management Preparedness and Assistance Trust Fund Fee $ 4.00 Florida Hurricane Catastrophe Fund Assessment 2005 $ 20.00 Managing General Agency Fee $ 25.00 TOTAL: $ 1,585.00 I Forms and Endorsements Applicable to this Policv 1 Refer to attached Forms and Endorsements schedule. These declarations together with the common policy conditions, coverage part declarations, coverage part coverage form(s) and forms and endorsements, if any, issued to form a part thereof, complete the above numbered policy. COUNTERSIGNED 07/16/2013 BY 16 Issued Date: 07/16/2013 WIC W03 CNR 03 13 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 5 with its permission. For Policy Customer Service: 1-800-262-1780 For Claims Customer Service: 1-877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE Policy Number: CFA 9000988 00 Effective Date: 06/18/2013 to 06/18/2014 INSURED'S COPY Named Insured: ❑ "X" If Supplemental HANGERS ON INC Declarations Is Attached BUSINESS DESCRIPTION Commercial Wind Only -- CNR DESCRIPTION OF PREMISES Prem. Bldg. Location, Construction and Occupancy Wind BCEGS Number CSP No. No. 9400 OVERSEAS HWY Zone Grade of Units Code 00001 00001 MARATHON FL 330503303 01 99 1 1190 WINDSTORM MITIGATION FEATURES Terrain YOCNerified Roof Cover Roof Deck Roof - Wall SWR Internal Pressure 1999/ N/A N/A N/A N/A X BLDG Type Roof Shape Opening PROT FBC Wind Speed FBC Wind Design Design Exposure WBDR N/A N/A N/A N/A N/A N/A X A premium adjustment of $0 is included to reflect the building's wind loss mitigation features or construction techniques that exist. Credits range from 0% to 92%. COVERAGES PROVIDED Insurance At The Described Premises Applies Only For Coverages For Which A Limit Of Insurance Is Shown BUILDING DESCRIPTION: 1 STORY OPEN SIDED STRUCTURE Prem. Bldg. Amount of Insurance Special Deductible % of No. No. Building Contents Class Hurr/Non-Hurr Co -ins TERR Premium 0001 0001 $61,000 3%/3% 80% 85 $1,521.00 MORTGAGEHOLDERS Prem. Bldg. Mortgageholder Name And Mailing Address No. No. Refer to attached Policy Interest schedule, if any. FORMS APPLICABLE To All Coverages: Refer to attached Forms and Endorsements schedule. To Specific Premises/Coverages: Prem. Bldg. No. No. Coverages Form Number PREMIUM Premium for this Coverage: $ 1,521.00 These Declarations are part of the Policy Declarations containing the name of the Insured and the Policy Period. WIC W03 CNR 03 13 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 5 with its permission. For Policy Customer Service:1-800-262-1780 For Claims Customer Service: 1 -877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE Policy Number: CFA 9000988 00 Effective Date: 06/18/2013 to 06/18/2014 NOTICE "THIS POLICY CONTAINS A CO -PAY PROVISION THAT MAY RESULT IN HIGH OUT-OF-POCKET EXPENSES TO YOU" This policy does not protect you against loss due to flood. Flood insurance is available through the Federal Government. Contact your insurance agent or broker to apply for coverage. The deductible shown in your policy declaration page(s) are the deductibles that will apply as described in your policy in event of a covered loss. If you fail to select a deductible at the time of your application submission, or if this is a renewal with us, we may have selected the deductibles shown on your declaration page(s). Other deductibles may be available. Please contact your insurance agent or broker for additional information. WIC W03 CNR 03 13 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 For Policy Customer Service - 1-800-262-1780 For Claims Customer Service - 1-877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE POLICY INTEREST SCHEDULE Policy Number: CFA 9000988 00 The Legal Name of the Insured is: HANGERS ON INC Prem# ALL LOCATIONS ADDITIONAL INSURED MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST FL 33040 Issued Date: 07 / 16 / 2 013 WIC W03 CNR 03 13 INSURED'S COPY Page 4 of 5 For Policy Customer Service - 1-800-262-1780 For Claims Customer Service - 1-877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE FORMS AND ENDORSEMENTS SCHEDULE Policy Number: CFA 9000988 00 Named Insured: HANGERS ON INC Coverage Line Form Nbr. Ed. Date Description Commercial CNRW 01 10 09/2012 SPECIAL PROVISIONS - FLORIDA Commercial WES PRN 01/2013 PRIVACY NOTICE Commercial WIC CP2 09/2012 COMMERCIAL WIND ONLY POLICY Commercial WIC CWJ 03/2013 COMMERCIAL WO POLICY JACKET Commercial WIC W03CNR 03/2013 DECLARATIONS PAGE Issued Date: 07/16/2013 WIC W03 CNR 03 13 INSURED'S COPY Page 5 of 5 A`CQRD® CERTIFICATE OF AIRCRAFT INSURANCE DATE (MMIDDIYYYY) v 7/24/2013 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 terns 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 Willis (New York) One World Financial Center, 200 Liberty St., 7th Fl. New York, NY 10281 CONTACT NAME: Willis New York PHONE x 212 915.8204 plc No): 212.635.3589 E-MAIL ADDRESS: PRODUCER 13216 INSURERS AFFORDING COVERAGE % NAIC # INSURED INSURER A: StarNet Insurance Company 100 40045 INSURERB: Eclipse Vision Aircraft, LLC 4916 Caney Court Port Richey FL 34668 INSURERC: 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: 17088342 REVISION NUMBER: POLICY TYPE LINE OF BUSINESS SUBCODE INDUSTRIAL AID NON -OWNED PLEASURE 8 BUS HCOMMERCIAL AIRPLANE LIABILITY ONLY HHELICOPTER HULL 8 LIABILITY MIXED FLEET HULL ONLY EXCESS QUOTA SHARE AIRCRAFT INFORMATION YEAR 2012 I MAKE Eclipse MODEL 1500 SERIAL NUMBER 1 REGISTRATION NUMBER 1 N570EA TERRITORY: United States of America, Canada, Bahama Islands, Caribbean Islands or Mexico AIRCRAFT COVERAGES INSURER LETTER I POLICY NUMBER BA-12-10-00068 EFFECTIVE DATE 10/26/2012 EXPIRATION DATE 10/26/2013 ADDITIONAL INSURED? (Y IN) Y SUBROGATION WAIVED? (YIN) N COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO AIRCRAFT HULL $ 1,500,000 $ $ AIRCRAFT LIABILITY $ 5,000,000 $ Not Applicable EA OCC EA PASS $ $ EA PER AGGR MEDICAL PAYMENTS �/ INCLUDING CREW EXCLUDING CREW $ 10,000 EA PER COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO CODE DESCRIPTION $ $ $ $ $ $ $ $ $ $ $ $ 101. Additional ANT �...ua SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Board of County Commissioners, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Florida ACCORDANCE WITH THE POLICY PROVISIONS. Re: Airport Business AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West FL 33040 Lester Wenzel © 2009 ACORD CORPORATION. All rights reserved. ACORD 21 (2009/12) The ACORD name and logo are registered marks of ACORD CERT NO.: 17088342 CLIENT CODE: 13216 Dara Harrison 7/24/2013 1:33:45 PN Page 1 of 2 AGENCY CUSTOMER ID: 13216 LOC #: ACC) ADDITIONAL REMARKS SCHEDULE Page of AGENCY Willis (New York) NAMEEpDINSURED 4915 Caney Courttraft, LLC Port Richey FL 34668 POLICY NUMBER BA-12-10-00068 CARRIER NAIC CODE EFFECTIVE DATE: 10126/2012 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 21 FORM TITLE: Certificate of Aircraft (12/09) CERTIFICATE HOLDER: Board of County Commissioners, Monroe County, Florida Re: Airport Business ADDRESS: 1100 Simonton Street Key West FL 33040 Additional Insured Provision: It is agreed that the Certificate Holder is included as an Additional Insured under Aircraft Liability Coverages, but only with respects to the operations of the Named Insured. Notice of Cancellation Provision: 30 days (10 days for non-payment of premium) prior written notice to the Certificate Holder in the event of material change in the policy or in the event the policy is cancelled by the Company. Notwithstanding any requirements, terms or conditions of any contract or other document with respect to which the Certificate may be issued or may pertain, the Insurance afforded by the policy(ies) described herein is subject to all the terms, conditions, limits and exclusions of such policy. The Company has made the provision to give the Certificate Holder prompt notice of cancellation of any policy above. But, the Company assumes no responsibility for failure to provide such notice. This Certificate does not change in any way the actual coverages provided by the policy(ies) specified above. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM CERT NO.: 17088342 CLIENT CODE: 13216 Dara Harrison 7/24/2013 1:33:45 PM Page 2 of 2 StarNet Insurance Company This endorsement changes the policy please review carefully ADDITIONAL INSURED ENDORSEMENT - AIRCRAFT LIABILITY It is hereby understood and agreed that the policy is amended as follows: The following is included as an Additional Insured under Aircraft Liability coverages, but only with respect to the operations of the Named Insured. Schedule: Board of County Commissioners, Monroe County, Florida Re: Airport Business 1100 Simonton Street Key West, FL 33040 All other terms and conditions remain unchanged. This endorsement is part of your Policy and takes effect on the effective date of your Policy, unless another effective date is shown below. Date Issued: Policy Number: Issued To: Effective Date: Endorsement No. AL 74 246 04 10 July 24, 2013 BA-12-10-00068 Eclipse Vision Aircraft, LLC October 26, 2012 20 Authorized Signature © 2010 StarNet Insurance Company Page 1 of 1 Includes material copyrighted by Insurance Services Office, Inc., with its permission USAIG Certificate of Insurance This is to certify to: Monroe County Board of County Commissioners fir. :�or o whose address is: 3791 South Roosevelt Boulevard 3 rr Key West, FL 33040 `_� �, 77 7 that: Jim Janda th whose address is: 32030Street :..�-i ' w Marathon, FL 33050 w ,� is at this date insured with the Several Participating Companies of the United States Aircraft Insurance Group, for the Limits of Coverage stated below, at the following locations: the United States of America, its territories and possessions, Canada, Mexico, the Bahamas and the islands of the West Indies and Central America or while en -route between these places. Descriptive Schedule of Coverages 1998 Cessna 172R Skyhawk, N9562Q Kind of Insurance Policy Number Policy Term Limits of Coverage AIRCRAFT LIABILITY 360AC-747798 November 10, 2013 - Each Person Each Occurrence Combined Liability Coverage for November 10, 2014 bodily injury and property damage $ 1,000,000 Medical Coverage $ 5,000 AIRCRAFT PHYSICAL 360AC-747798 November 10, 2013 - DAMAGE - ALL RISKS November 10, 2014 Not In -Motion Deductible In -Motion Deductible Amount of Insurance $ NIL $ NIL $ 110,000 Only with respect to operations by, for or on behalf of the "Policyholder": The "Who's covered" section of your policy, under "Your Liability Coverage." shall include Monroe County Board of County Commissioners, but only for claims of bodily injury, mental anguish or property damage and specifically excluding claims for personal injury that result from your ownership, maintenance or use of airport premises. We won't cover Monroe County Board of County Commissioners for claims arising out of, their liability as a manufacturer, seller, handler, distributor or service facility of any product or service sold, handled, distributed or provided. "Aircraft goods or products" means an aircraft or goods or products, including services provided for an aircraft or its parts, which are part of an aircraft or furnished for an aircraft. If we or the Aviation Managers cancel your policy for any reason other than nonpayment of premium, we agree to give thirty (30) days notice before the cancellation date, to the following person(s) or organization(s): Monroe County Board of County Commissioners n PR^NA K P�GEM L 3791 South Roosevelt Boulevard VV�� VJANE Key west, FL 33040 However, the "Cancellation" provisions stated above shall not be less than the required statutory limits. This certificate or verification of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein regardless of any terms or conditions set forth in any other contract, document or agreement. UNITED STATES AVIATION UNDERWRITERS, INC., Aviation Managers Address: 301 North Main, Suite 1450, Wichita, KS 67202 NOV0 =� P201 ,BY: By _ --� _ date: October 15, 2013 David L. McKay, Presidea F-108d-Cert 1 (Rev. 10/06) 1 Weston nC INSURANCE COMPANY ��l,.Eo FOR ftEc1, P. O. Box 142057, Coral Gables, FL 33114-2057 For Policy Customer Service-1-800-262-1780 2,916 APR 26 PM 2' 01 For Claims Customer Service-1-877-505-3040 WIND ONLY POLICY COMMERCIAL INON43ESIDENTIAL DECLARATION PAGE Policy Number CFA 9000988 03 Policy Period From 06/18/2016 To 06/18/2017 AD D' L I N S U R ED' S COPY at 12:01 AM Eastern Standard Time at your mailing address shown below. Transaction RENEWAL DECLARATION PAYPLAN: INSURED BILL DEDUCTIBLE TYPE: OCCURRENCE Named Insured and Mailing Address Agent FL Agent Lic # HANGERS ON, INC. REGAN INSURANCE AGENCY INC C/O MARK A. POLLACI 90144 OVERSEAS HWY 117 W 28TH STREET TAVERNIER FL 33070 NEW YORK NY 10001 Telephone: 3 05 - 852 - 3234 Business Description Commercial Wind Only -- CNR IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. A 4% (FOUR PERCENT) SERVICE CHARGE WILL APPLY FOR INSTALLMENTS DUE SEMI-ANNUALLY OR QUARTERLY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENTS. BASE PREMIUM Commercial Property Coverage Limit of Liability Number of Units $ 2,583.00 Building $0 Contents $0 Special Class $66,656 Required Additional Charges: Emergency Management Preparedness and Assistance Trust Fund Fee $ 4.00 Managing General Agency Fee $ 25.00 B Pk ISK MENT 4 4II k WAN /A a� '' C L. fi lL TOTAL: (- µ_ Al,rp arm $ z , 612.0 0 Forms and Endorsements Applicable to this Policy Refer to attached Forms and Endorsements schedule. These declarations together with the common policy conditions, coverage part declarations, coverage part coverage form(s) and forms and endorsements, if any, issued to form a part thereof, complete the above numbered policy. 0 Producer: COUNTERSIGNED 04/15/2016 0 Agent #: 0900091 0 0 Agency Name: REGAN INSURANCE AGENCY INC Agent's Name: Issued Date: 04/15/2016 WIC FL W03 CL 06 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 5 For Policy Customer Service:1-800-262-1780 For Claims Customer Service:1-877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE Policy Number: CFA 9000988 03 ADD'L INSURED'S COPY NOTICE Effective Date: 06/18/2016 to 06/18/2017 "COINSURANCE CONTRACT: THE RATE CHARGED IN THIS POLICY IS BASED UPON THE USE OF THE COINSURANCE CLAUSE ATTACHED TO THIS POLICY, WITH THE CONSENT OF THE INSURED." THIS IS YOUR POLICY DECLARATION PAGE. You may reduce your policy premium, if any premium credits for shutters, main structure features and other mitigation (loss prevention) devices are applicable for your structure. Contact your agent to request information that might allow for you to receive these discounts. This policy does not protect you against loss due to flood. Flood insurance is available through the Federal Government. Contact your insurance agent or broker to apply for coverage. Commercial Residential Wind Only policies contain a separate deductible for hurricane losses and a separate deductible for other windstorm or hail losses, insured against. Commercial Non -Residential Wind Only policies may contain a combined deductible or a separate deductible for hurricane losses and other windstorm or hail losses, insured against. The deductibles shown in your policy declaration page(s) are the deductibles that will apply as described in your policy in event of a covered loss. If you fail to select a deductible at the time of your application submission, or if this is a renewal with us, we may have selected the deductibles shown on your declaration page(s). Other deductibles may be available. Please contact your insurance agent or broker for additional information. Your Building Code Enforcement Grading Schedule adjustment is 99 %. The adjustments can range from a surcharge of 1 % to a discount of 10 % for structures built during or after 1995. WIC FL W03 CL 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 with its permission. For Policy Customer Service - 1-800-262-1780 For Claims Customer Service - 1-877-505-3040 WIND ONLY POLICY COMMERCIAL NON-RESIDENTIAL DECLARATION PAGE FORMS AND ENDORSEMENTS SCHEDULE Policy Number: CFA 9000988 03 ADD'L INSURED'S COPY Named Insured: HANGERS ON, INC. Coverage Line Form Nbr. Ed. Date Description Commercial CNRW 01 10 12/2014 SPECIAL PROVISIONS - FLORIDA Commercial WES PRN 10/2013 PRIVACY NOTICE Commercial WIC CP2 09/2012 COMMERCIAL WIND ONLY POLICY Commercial WIC FL CWJ 05/2015 COMMERCIAL WO POLICY JACKET Commercial WIC FL W03 06/201S CL DECLARATIONS PAGE Issued Date: 04/15/2016 WIC FL W03 CL 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 5 with its permission. Customer No, 569648 Cedificate No, A-000008459 INSURANCE SERVICES CERTIFICATE of INSURANCE This certificate is issued to Monroe County Bd of County Commissioners & Monroe County Risk Management 1100 Simonton St. Key West, FL 33050 On behalf of Named Insured Insurer Issuing Insurer Policy No. Policy Period Insured Aircraft 1968 CESSNA 1721, N5234Z R Daniel Zieg 2460 Coco Plum Dr Sunward Manor MARATHON, FL 33050-4056 Global Aerospace 10166862 July 20, 2014 to July 20, 2015 Aircraft Liability Aircraft Physical Damage Deductibles: $250 in motion $50 not in motion Limits of Liability $1,000,000 each occurrence limited to $100,000 per passenger $40,000 insured value Ground and Flight Additional Coverages or Agreements 1. The Certificate Holder is included as an Additional Insured with respect to operations of the Named Insured. This certificate is issued for information purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the Certificate Holder and the Named Insured. Notice is hereby given that AOPA Insurance Services is not the Insurer hereunder and shall not be held liable for any loss or damage. Should any of the above described policies be cancelled before the expiration date thereof, the Issuing Insurer will endeavor to provide thirty (30) days advance notice to the Certificate Holder, but failure to do so shall impose no obligation or liability or any kind upon the Insurer, its agents or representatives. Date of Issue: June 24, 2014 bi XIN1110J WON 3 *813 '3111 CERT AL-AL-COI-0 JC 080038 803 0311S By: Authorized Repre� ,ntativ PPRO � G , ENT � WAIVER Ce J-Q lw -/� i AOPA INSURANCE SERVICES OFFICE 1995 MIDFIELD ROAD WICHITA, KS 67209 MAIL P.O. BOX 9170 WICHITA, KS 67277 P 800-622 AOPA[2672] F 316 942 0091 aopainsurance.org CONFIDENTIAL AOPA Insurance Agency, Inc. ' i P.O. Box 9170 Wichita, KS 67277 AOPA (800)622-AOPA(2672) KS(316)942-2223 INSURANCE AGENCY INC. Fax (316)942-0091 AIRCRAFT CERTIFICATE OF INSURANCE Date: 07/16/2013 This certificate is issued to Monroe County ed of County Commissioners & Monroe ' County Risk Management 1100 Simonton St. Key West, FL 33050 Descriptive Schedule • Named Insured and Address: R Daniel Zieg 2460 Coco Plum Dr Sunward Manor MARATHON, FL 33050-4056 - AP Company Global Aerospace, Inc. BY ,'/'�f`�'��M�-' r. Policy Number 10155367 W -PG C-"C:4/(,e Effective Date 07/20/2013 Expiration Date 07/20/2014 .fill,Air ' Aircraft Covered N5234Z 1968 CESSNA 1721 COVERAGES LIMITS OF LIABILITY Single Limit Bodily Injury& Each Occurrence. $1,000,000 Property Damage Liability Including Passenger Sub-Limit each passenger $100,000 Aircraft Physical Damage Agreed Value. $40.000 Full Ground 8 Flight Deductible In Motion $250 Deductible Not In Motion $50 The entity shown above is included under Aircraft Liability Coverage as an Additional Insured but only to the extent of liability arising out of the Named Insured's ownership, maintenance or use of the Covered Aircraft. If the company cancels, the company will send 30 day prior written notice to the above. The company shall not be held liable for failure to give such notice. Notice is hereby given that AOPA Insurance Agency is not the insurer hereunder and shall not be held liable for any loss or damage nor fur fa'liure to provide Notice of Coverage Cancellation. The above coverages are subject to all policy terms, conditions and exclusions. Approved By: � 1% V .1r iNS CL3 !I iCAn OMAI!N