HomeMy WebLinkAboutCertificate of Insurance 711/13/2024
E(MM/DDYYY)
ACCORD® /Y
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Certificate Unit
Edgewood Partners Insurance Center PHONE FAX
One State Street Plaza, 9th Floor A/C No Ext: 404-781-1700 A/C,No):
E-MNew York NY 10004 ADDRESS: certificate@epicbrokers.com
INSURER(S)AFFORDING COVERAGE NAIC#
License#:01329370 INSURERA: Starr Specialty Insurance Company 16109
INSURED REWINVE INSURERB:Allied World Insurance Company 22730
REW Investments, Inc INSURERC: Granite State Insurance Company 23809
7555 Ipswich Rd
Houston TX 77061 INSURERD:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:584517787 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MM/DD MM/DD
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $
POLICY❑ PRO-
❑
JECT LOC PRODUCTS-COMP/OP AGG $
OTHER: $
C AUTOMOBILE LIABILITY 02CA01904655813 11/1/2024 11/1/2025 COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIRED X NON-OWNED '.. -16 T' PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY ) J Per accident
BY $
DAT. 5.24
UMBRELLALIAB
OCCUR _ EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERS COMPENSATION 1000003895 11/1/2024 11/1/2025 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICE R/M EMBER EXCLUDED? FN] N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
B Pollution Liability 03125337 11/1/2023 11/1/2026 Each Incident 10,000,000
Policy Aggregate 10,000,000
Deductible 50,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
Named Insured includes Marathon Aviation Partners, LLC. Monroe County BOCC should be shown as additional insured on all policies,except WC.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS.
Marathon International Airport
9400 Overseas Highway, Suite#200 AUTHORIZED REPRESENTATIVE
Marathon FL 33050
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
711/13/2024
E(MM/DDYYY)
ACCORD® /Y
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Certificate Unit
Edgewood Partners Insurance Center PHONE FAX
One State Street Plaza, 9th Floor A/C No Ext: 404-781-1700 A/C,No):
E-MNew York NY 10004 ADDRESS: certificate@epicbrokers.com
INSURER(S)AFFORDING COVERAGE NAIC#
License#:01329370 INSURERA: Starr Specialty Insurance Company 16109
INSURED REWINVE INSURERB: Granite State Insurance Company 23809
REW Investments, Inc
7555 Ipswich Rd INSURERC:
Houston TX 77061 INSURERD:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:1579247146 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MM/DD MM/DD
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $
POLICY❑ PRO-
❑
JECT LOC PRODUCTS-COMP/OP AGG $
OTHER: $
B AUTOMOBILE LIABILITY 02CA01904655813 11/1/2024 11/1/2025 COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIRED X NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLALIAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERS COMPENSATION 1000003895 11/1/2024 11/1/2025 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICE R/M EMBER EXCLUDED? FN] N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
Marathon Aviation Associates, LLC.is a named insured.Monroe County BOCC,to the extent required by written contract,are additional insured with respect to
Auto Liability.
. :
172 24
CERTIFICATE HOLDER CANCELLATION
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS.
Marathon International Airport
9400 Overseas Highway, Suite#200 AUTHORIZED REPRESENTATIVE
Marathon FL 33050
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
711/13/2024
E(MM/DDYYY)
ACCORD® /Y
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: Certificate Unit
Edgewood Partners Insurance Center PHONE FAX
One State Street Plaza, 9th Floor A/C No Ext: 404-781-1700 A/C,No):
E-MNew York NY 10004 ADDRESS: certificate@epicbrokers.com
INSURER(S)AFFORDING COVERAGE NAIC#
License#:01329370 INSURERA:Allied World Insurance Company 22730
INSURED REWINVE INSURER B:
REW Investments, Inc
7555 Ipswich Rd INSURERC:
Houston TX 77061 INSURERD:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:324196444 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MM/DD MM/DD
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTE
$
CLAIMS-MADE OCCUR PREMISES(Ea occur ence) $
MED EXP(Any one person) $
1t4 PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $
POLICY PE� LOC q j aY - PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY 112524,,,,.. .... :gym, COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO WAW k BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLALIAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICE R/M EMBER EXCLUDED? ❑ N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
A Pollution Liability 03125337 11/1/2023 11/1/2026 Each Incident $10,000,000
Policy Aggregate $10,000,000
Deductible $50,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
Marathon Aviation Associates, LLC.is a named insured.Monroe County BOCC,to the extent required by written contract,are additional insured with respect to
Pollution Liability.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS.
Marathon International Airport
9400 Overseas Highway, Suite#200 AUTHORIZED REPRESENTATIVE
Marathon FL 33050
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
225 IlT] Azinci IlIfvd 611, If �
Ioca If:'atoin, II:
CERTIFICATE OF INSURANCE
This is to Certify to: Monroe County BOCC
Monroe County Risk Management
1111 12th Street, Suite 408
Key West, FL 33040
Named Insured: REW Investments, Inc., American Jet International
Corporation, Houston Aviation Partners, LLC dba Million Air
Houston, Roger Woolsey, individually, Million Air Interlink,
Inc.,American Jet International Corporation dba Million Air
Charter, Gulfport Aviation Partners, LLC dba Million Air
Gulfport Biloxi, Tallahassee Aviation Partners, LLC dba
Million Air Tallahassee, Indianapolis Aviation Partners, LLC
13y, � a .rvry dba Million Air Indianapolis, White Plains Aviation Partners
11 24 LLC DBA Million Air White Plains, Million Air One, LLC,
T E. 5 �- Tailwinds, LLC and Tailwinds II, LLC, Airjet Austin, LLC,
_
Austin FBO, LLC, Sita Partners, LLC-Monica Byram,
Marathon Aviation Associates, LLC, Jacksonville Jetport,
LLC and Cecil Field Aviation Partners, LLC, PGA Aviation
Partners, LLC, Bozeman Aviation Partners, LLC DBA Million
Air Bozeman
7555 Ipswich Road
Houston, TX 77061
as of this date, has arranged for the following insurance coverage(s) for the period and with underwriters
as identified on the attached Security Sheet.
RE: Lease agreement between Monroe County, Graintair Service, Inc. and
Marathon Aviation Associates, LLC
Description of Coverage: Aviation General Liability Coverage
Limits of Liability: Combined Single Limit of$5,000,000 each occurrence including but not
limited to: Bodily Injury, Property Damage to Third Parties, Premises
Liability, Contractual Liability, Personal Injury Liability, Ground
Hangarkeepers, In- Flight Hangarkeepers and Products and Completed
Operations Liability. Personal Injury and Products and Completed
Operations subject to aggregate limit.
*REFER TO THE POLICY. SUBJECT TO VARIOUS DEDUCTIBLES AND AN ANNUAL AGGREGATE LIMIT AND/OR SUB-LIMIT
MAY APPLY TO SOME COVERAGES.
Other Coverages/Conditions/Remarks:
Subject always to the scope of the attached policies and all the policies' declarations, insuring agreements,
terms, conditions, limitations, exclusions, deductibles, warranties and endorsements thereof remaining
paramount: Solely as respects: (i) The Coverage(s) noted above; (ii) the Contract(s) (and then only to the
extent of the Named Insured's obligation to provide insurance under the terms of the Contract(s)); and (iii)
the operations of the Named Insured; the policies are endorsed to include the following provisions(s):
Certificate Reference: Cert No. 51 Edgewood Partners Insurance Center CA License I OB29370
� 225 IIV.II Az net IIuV 6 11
The Certificate Holder is included as an Additional Insured with respect to the operations of the Named Insured
under the terms of the Agreement. However, no party shall be included as an Additional Insured as respects
its legal liability as manufacturer, repairer, supplier or servicing agent of the equipment or any part thereof.
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, unless other noted above. Notwithstanding any requirement,
term or condition of any contract or other document with respects to which this certificate or verification of
insurance may be issued or may pertain, the insurance afforded by the policies subscribed herein is subject to
all terms, exclusions and conditions of such policies.
Each of the above insurers, individually for its policy only, has authorized the undersigned to issue this certificate
of insurance on its behalf as a matter of convenience. The undersigned is not an insurer and has no liability as
an Insurer as a result of issuing this Certificate or under the above policies. This certificate does not alter,
extend or amend any policy terms, conditions, limitations, deductibles, warranties or exclusions, nor does it
confer any rights to the Certificate Holder.
If Certificates of Insurance have been issued prior to the Date of Issue of this Certificate, this Certificate cancels
and supersedes such Certificate.
a 10/29/2024
EPIC Insurance Brokers & Consultants Date
Authorized Representative
Certificate Reference: Cert No. 51 Edgewood Partners Insurance Center CA License I OB29370
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SECURITY SHEET
POLICY TERM: November 1, 2024 to November 1, 2025, on both dates at 12:01 A.M. Local
Standard Time at the address of the Named Insured.
INSURER/ADDRESS POLICY NUMBER
USAIG
c/o United States Aircraft Insurance Group ALO-36263
Commerce and Industry Insurance Company AP 001853617-21
c/o AIG Aviation, Inc.
Endurance Risk Solutions Assurance Co. NQF6063675
c/o W. Brown &Associates Ins. Services
Starr Indemnity & Liability Company 1000238052-07
c/o Starr Aviation Agency, Inc.
Continental Indemnity Company BAVQFGNTX011400_130489_03
through Applied Risk Services, Inc
dba Applied Underwriters Aviation
Air Centurion Insurance Services, Inc. SP0048204
SEVERAL LIABILITY NOTICE
The subscribing insurers' obligations under contracts of insurance to which they subscribe are
several and not joint and are limited solely to the extent of their individual subscriptions. The
subscribing insurers are not responsible for the subscription of any co-subscribing insurer who
for any reason does not satisfy all or part of its obligations.
LSW 1001 (Insurance)
Security Sheet Edgewood Partners Insurance Center CA License I OB29370