Okaloosa County BOCC — September 3, 2013 — Amendment & related documents — reading text

Cait 31,000,000) ° Automobt 1 ¢-A0S Hea abtiden —— - a Vx | anvauto CA 4884-22-17 12/01/2012/12/01/20},2 | BOOILY InvuRy (Per parson) 2 "7 ALL OWNED SCHEDULED Automebi le MA pons BODILY INJURY (Fer accident) g a L_Jautos CA 4838-22-16 12/01/2012) 12/01/2013 | pRapeRTy HANAGE 8 |_| mae® auras nono NeR Automobile va (Par arctan) E ' o UMBRELLA LIAB OCU EAGH OCCURRENCE o || exceste Lins CLAIMS-MADE AGGREGATE ‘ i | GO] [RETENTION = = —— Pica | ANY FROPRIETOR/ PARTNER / EXECUTIVE ELL. EACH ACCIDENT CUTIECRIMEMBER EXCLUDED? [| NIA . (Manaalory Sa EL. OSEASE-EA EMPLOYER \ | BeSGRIPTION GF OPERATIONS velow Bik. DIEEABE-POUIOY LINIT _— DESCRIPTION OF OPERATIONS / LOGATIONA / VER|GLES [Anson AGBRD 101, Addkional Hamarks Bchidude, I mann space Is Foquirad] Re; Northwest Florida Regional Airport Amended and Nescated Signatory Airline Operating Agreement and Terminal guilding Lease e : Note: Coverage Tor vehicles operated on resteieted access airport premises is provided by the Comprehensive Airline Liability |= policy. The auto policy includes a blanket automatic additional ingured endorsentent ya pravides additional insured status to j=e# the certifi cate holder only when there is a written contract between the named Tnaured and the cervificare holder that requires |2s sucn status, ' = a | = 1 . } CERTIFICATE HOLDER CANGELLATION ei | , ; ‘ SHOULD ANY GF THE ABOVE DESCRIBED POLICIES BE CANCELLED AEFORE THe i : | EXPRIATION DATE THEREOY, NOTICE WILL Of DELIVERED IN ACCORDANCE WITH THE : H | POLICY PROVISIONS, i Okaloosa County AUTHORIZED REPREBENTATIVE ! Sei Sa a ' STV i ew ys I | hr Kak Sorvies Seathewt Ina ! a I ©1988-2010 ACORD CORPORATION. All rights reserved, ACORD 26 (2070/05) The ACORD namo and logo aro rogistered marks of ACORD tS | 2-2 Certificate of Insurance No. 6319 Lease No. VPS3700 This certilicat is ssued.as a matter of information only and confars novights. upon the: certificate holder. This certificate does not amend, extend or alter the coverage afforded by the policies listed below. Ganeellation: Should any of the described policlds be cancelled before the expiration date thereof, notice will be delivered in scoordance with the polley provisions. ___NAMEAND-ADDRESSOPCERTINCATE HOLDER . no ___NAME AND ADDRESS OF INSURED : ; Okaloosa Gounty ; AMR Géfporation ahd ts subsidiaries including 602 CG. North Pearl Street ‘Arterican Airlines, Crestview, FL 32536 : PP, Box 8498 11 Dallas/Ft. Worth Airport, TX 75261 ve Cnnatya: : / LMS OFLIABILITY ©. dP ROUCHPERIOD .- “sentéranirt «eyes ipay Mv asitee |. : TYPE OF COVERAGE oe Laws SHOWN AREAS REQUESTER... CMWDDAY) Lo INSURANCE COMPANY AND:POLICY NUMBER A. AIRCRART LIABILITY. $200,000,000 07/04/2013 SUBSCRIBING INSURERS FOR 100% in respect of all aircraft owned, leased, or operated Bodily Injury & Property Damage O7/012014 PARTICIPATION by: the. Named Insured, worldwide Combined ALLIANZ GLOBAL RISKS US INSURANCE ~ t COMPANY ~~ * ATALOGO138719AM B. AIRCRAFT BULL INSURANCE COMMERCE SCOMPANY INSURANCE in respect of all aircraft owned, Igased, or operated per Chartis. Aviation, inc by the Nanied Insured, worldwide HL003387424-17 XL SPECIALTY INSURANCE COMPANY per XL Asraspace OMPRERENSIVE GENERAL LIABIEITS $200,000,000 UADOOOTISGAV ISA in respect af all Ground Operations-of the Named " ir including Qund Ope Operations, Bodily injury & Properly Damage SEE DIRECT PLACEMENT CERTIFICATE Contractual, Products and-Completed Operations, Combined Per Occurrence Hangarskeepers Liability in flight D. EXCESS LIABILITY $4,000,000 (par ocourrence-and: in the aggregate where the underlying policy Is:In the annual aggregate).in teéspectof all Owned, Hirad and Non-Owned Automobiles, worldwide; Commercial General ability, non-aviation operations; and Employers’ Liability EXC RGO LEG: BILL SHIEPERS INTEREST “Each of the above insurers has authorized Aor Risk Services Southwest, inc. to issue this certficate on its behalf: Aon Risk-Services is not an insurer and theraforeyhas no liability under the-above pollcles-as an Insurer, nor does Ihave any fiabllity under the policies as:an:insurer ae.a result of the issuance of this certificate, The policy: fe subject to ‘arrElectronic Date ‘Recognition Exclusion and Electronic Date Change Recognition Exciuslon Coverage Endotsemont, , TICE = The-subscribliig insurers’ obligations tinder contracts of Jhsurance to: which they subseribe ate-severet and not joint and are limited solaly-t6 the extant. | ofthefr individual subscriptions... The subscribing insurers are-notrésponsible for-the'subscription of any co-subsertbing ifsurat-who for-any-reason does not satlsfy-allor part of its-obligation. . Description of Operations Ret Northwest Florida Reglonal Airport Amendad and Restated Signatory Airline Operating Date Issued: 6/2612013 Agreement and Terminal Building Lease Note: Coverage for vehicles operated on restricted access airport premises is provided under Coverage C, Comprehensive General Liability. By: han &° Rabsiam Producer: ° ° Aon Risk Services Southwest, lina. Thana L. Robinson 2711 N. Haskell Avenues, Suite 800 Dallas, Texas 75204 Contact: T. Robinson - (214)989-2324 TAAING / Standard / 6318 CAL 06 12 Certificate of Insurance No. 6319-1 Lease No. VPS3700 This certificate is issued as a matter of Information only and confers no rights upon the certificate holder. ‘This certificate does not amend, extend or alter the coverage afforded by the policies listed below. Cancellation: Should any of the described policies be cancalled before the expiration date thereof, notice will be delivered In accordance with the policy provisions. NAME AND ADDRESS OF CERTIFICATE HOLDER _NAME-AND-ADDRESS:CF INSURED Okaloosa County AMR Corporation and Its subsidiaries including 602 C. North Paarl Strest American Airlines, Inc. Crestview, FL 32536 P.O. Box 619618 Dallas/Ft. Worth Airport, TX 76261 ag, ano . LMITS-OF LIABILITY 7 “PoucyPeroo. || , , ' _TYREOF-COVERAGE 4 Limrrs SHOWN ARE AS REQUESTED (MMIDDIYY) | “INSURANCE COMPANY AND-POLICY:.NUMBER A AIRCRAFT LIABILITY $200,000,000 07/01/2013- As Subscribing insurers for 100% in respect of all aircraft owned, leased, or operated Bod! Prope amag: 07/01/2014 articipation - 68% Order he ned or lly Injury & rty Di e Avion Assurance Limited AV1-1001-13 by the Named Insured, worldwide Combined B. AIRCRAFT HULL INSURANCE in respect of all aircraft owned, leased, or operated by the Named insured, worldwide $200,000,000 &. COMPREHENSIVE GENERAL LIABILITY. in respect of all Ground Operations of the Named inaured, including Premises Operations, Bodily Injury & Property Damage Contractual, Products and Completed Operations, Combined Per Occurrence Hangarskeepers Liability - in flight EX $4,000,000 D. EXCESS LIABILITY, (per occurrence and in the aggregate where the undertying policy is in the annual aggregate) in respact of all Owned, Hired and Non-Owned Automobiles, worldwide; Commarcial General nin non-aviation operations; and Employers’ ity E. EXCESS CARGO LEGAL LIABILITY & SHIPPERS INTEREST ‘Each of the above Insurers has authorized :Aon Insurance Managers (Bermuda) Ltd, to Tset this certificate on-its behalf..Aon insurance Managers (Bermuda) Lid, is notian ingurer and therefore has no Jlabliity undar the:above policies as an insurer, nor does It-have any’illability under the policies as.an Insurer.as-a result of the Issuance of this cartificate:. The policy is -subjact to an-Electronic Date Recognition Exclusion and Electronic Date Change Recognition Exciusion Coverage Endorsament. fo : «:The'subsoribing insurere’ obligations under-contracts of-insurance to which they subscribe are several and not joint and are limited solely fo the extent .of their individual subscriptions. The subscribing insurars are.notresponsible for the'subscription of any co-eubscribing Insurer wtio for any reason does not satisfy all or part of its Description of Operations Re: Northwest Florida Regional Alrport Amanded and Restated Signatory Airlina Operating Date Iseued: 26/2018 Agreement and Terminal Bullding Lanse . Note: Coverage for vehiclas operated on resticted access airport premises is provided under Coverage C, Comprehensive General Liability. P. 8 { <a . oe By: Gaptive Manager Aon Insurance Managers (Bermuda) Ltd. Captive & Insurance Management Aon House | 30 Woodbourne Avanue | Pembroke HM 08 | Bermuda t +1.441,295,2220 | f +1.441.292.0217 | aon.com TAAING / Standard / 6319 CAL 06 12 Attachment to Certificate No. 6319 and oo 2b. ADDITIONAL INSURED: "As required by contract, but subject to the tarms, conditions and exclusions of the policy, Okaloosa County and Its past, prasent and future officers, members, Alrports Director, employees and agents is (are) included as additional insured(s) as respects operations performed by or for the named insured for all coverages evidenced on this certificate.” 3b. CANCELLATION NOTICE: "In the event the Alroraft Liability, Aircraft Hull Insurance, Comprehensive General Liability, Excess Automobile Liability, Excess Employers Liability, or Excess Cargo Legal Liability & Shipper's interest insurance described on this certificate of Insurance is cancelled, non-renawed or there Is a reduction In coverage/material change which affects the Interest of Okaloosa County, or if this insurance ts allowed to lapse for non-payment of premium, the insurers agree to provide thirty (30) days prior written notice of such cancellation, change or lapse to Okaloosa County.” Sa. CONTRIBUTING INSURANCE: “As required by contract, but subject to the terms, conditions, and exclusions of the palicy, the policies described on this certificate are primary without right of contribution from any other insurance which Is carried by Okaloosa County.”