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Okaloosa County BOCC — August 24, 2013 — American Airlines Amendment No. 1_Internal Coordination Sheet_Certificates of Insurance — reading text
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Agreement") under which they have agreed to a merger of American
Merger Sub with and into US Airways. As a result of the merger, US Airways will become the
surviving corporation and a wholly-owned subsidiary of American. County acknowledges that if
closing occurs pursuant to the Merger Agreement, American and US Airways may wish to
consolidate their operations and agreements at the Airport. Therefore, County agrees that for the
period commencing with closing of the transaction contemplated by the Merger Agreement until
September 30, 2014, it will cooperate with American and US Airways in good faith to modify
this Agreement, as amended, and any comparable agreement between County and American and
County and US Airways, and to grant permissions and consents necessary to accomplish the
consolidation of such operations in accordance with the wishes of American and US Airways,
which may include the following:
- Relocation of Leased Premises to contiguous available locations;
- Consolidation of Leased Premises and relinquishment of excess or duplicative space,
provided that relinquished space is tendered as a useable, functional unit of space;
- Consolidation of agreements;
- Construction or modification of tenant improvements; ~
- Rebranding and new signage in the combined premises
Any construction or modification of tenant improvements or new signage requested by
Airline shall be at their sole cost and expense.
02/04/2013 MON 13:33 FAX 005/005
DATE(MM/DDIYYYY)
——y
eal CERTIFICATE OF LIABILITY INSURANCE rwvaaraon2
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.
DESCRIPTION OF OPERATIONS / LOCATIONA / VEHICLES (Anach ACORD 101, Addidianal Ramarks Schadulo, If more space Is raquirad)
Re: Northwest Florida Regional Airport Amended and Restated Signatory Airline Operating Agreement and Terminal Building Lease
Note: Coverage for vehicles operated on restricted aecess airport premises is provided by the Comprehensive Airline Liability
policy. The auto paltey includes a blanket automatic additional insured endorsement that provides additional insured status to
Si Rare Ohne holder only when there is a written contract between the named insured and the certificate holder that requires
such status.
CREPE Pierre am I|
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE GANGELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
Okaloosa County AUTHORIZED REPREBENTATIVE
602 ¢, North Pearl Street
Crestview AL 32536 USA Shes Boule Lowires i ee
©1988-2010 ACORD CORPORATION. All rights reserved,
ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, aublect to L
the terms and conditions of the policy, certaln pollcles may require an endorsement, A statement an this certificate does not confer rights to the Ps
certificate holder In lieu of such endorsement(s). 2
PRODUCER CONTAGT 3
Aon Risk Services Southwest, Inc. PRONE 93 be
pallas TX Office (AG, No. Ew: (866) 283-7122 | {Ne Na): 6847) 953-5390 3
CityPlace Center East EMAL a
2741 North Haskell Avenue ADDRESS: =x
Suite 800
ballas Tx 75204 USA INSURER(S) AFFORDING COVERAGE NAIC a
INSURED j J ivsuR@AaA: = National Union Fire Ins Co of Pittsburgh }19445
AMR Corporation and its subsidiaries mae:
jacluding American_Airlines,_Iac -
P.O. Box 619616 INBURER C;
Dallas/Ft. Worth.Airport. TX 75261 USA.. . = - sce -[yBURERD; oO" Oe : i _
INSURER BE:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 570048243605 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 AY PAID CLAIMS. Limits shown are a4 requested
Wes TYPE OF INSURANCE Neel WED POLICY NUMBER TOE | (MRD LIMITs
GENERAL LIABILITY EACH OCCURRENCE
| DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES (En occurrence)
CLAIMS-MADE [ OCCUR MED EXP (Any ona parson)
PERSONAL & ADV INJURY a
GENERAL AGGREGATE 9
4 nN
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - GOMP/OF AGG =
P jeoucr [ie [dice 8
A | AUTOMOBILE LIABILITY Ca 48-22-18 L2/0L/20L2] 26/01/4043) COMBINED SINGLE LIMIT $1,000,000 Ls
Autamobi }e-A0s Ea wecidan) =
a {x ]anvauto CA 488-22-17 12/01/2012|12/02,/201,3| BODILY INJURY ( Per person) 2
[— ALLOWNED [7 SCHEDULED Automobile MA BODILY INJURY (Per accident) o
A |_J Autos |__| AUTOS CA 488-22-16 12/01/2012] 12/01/2013 GRopERTy DAMAGE 7
|_| HIREO AUTOS |_| ee Automobile va (Par #
§ °
UMBRELLA LIAB occUuR EACH OCCURRENCE Oo
| | excess iaa CLAIMS-MADE AGGREGATE ;
p&O] [RETENTION
WORKERS COMPENBATION AND | WC TATU | OTH:
EMPLOYERS' LIABILITY YIN TORY LIMITS. ER
ANY PROPRIETOR/ PARTNER/ EXECUTIVE E.L. EACH ACCIDENT
OfM|C@R/MEMBER EXCLUDRO? NIA
(Mandatory In NH) E,L. DISEASB-EA EMPLOYEE ;
Iyes, describe under
DESCRIPTION OF OPERATIONS below E.l. DISEABE-POLICY LIMIT
he 3
Certificate of Insurance No. 6319
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 cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions.
NAME AND ADDRESS OF:CERTIFICATE HOLDER NAME-AND ADDRESS OF INSURED
Okaloosa County A RCo! orporation and.jits subsidiaries including
602 C. North Pearl Street American Airlines, Inc:
Crestview, FL 32536 I~P.O. Box.619616
Dallas/Ft. Worth Airport, TX 75261
LIMITS OF LIABILITY Pouicy: PERIOD
TYPE OF COVERAGE Limits SHOWN ARE AS REQUESTED (MM/DD/YY) INSURANCE COMPANY AND POLICY NUMBER
A. AIRCRAFT LIABILITY $200,000,000 07/01/2013- SUBSCRIBING INSURERS FOR 100%
in respect of all aircraft owned, leased, or operated Bodily Injury & Property Damage 07/01/2014 PARTICIPATION
by the Named Insured, worldwide Hl
¥ Combined ALLIANZ GLOBAL RISKS US INSURANCE
COMPANY
A1AL000136713AM
B. AIRCRAFT HULL INSURANCE CER ES
in respect of all aircraft owned, leased, or operated . att
by the N d 4 idwid per Chartis Aviation, Inc.
y the Named Insured, worldwide HL003387434-17
XL SPECIALTY INSURANCE COMPANY per XL
Aerospace
UA00001 136AV13A
C. COMPREHENSIVE GENERAL LIABILITY $200,000,000
in respect of all Ground Operations of the Named SEE DIRECT PLACEMENT CERTIFICATE
Bodily injury & Property Damage
“includi ; ions:
Insured, including Premises Operations Combined Par Oséuirands
Contractual, Products and Completed Operations,
Hangarskeepers Liability - in flight
D. EXCESS LIABILITY $4,000,000
(per occurrence and in the aggregate where the
underlying policy is in the annual aggregate) in
respect of all Owned, Hired and Non-Owned
Automoblles, worldwide; Commercial General
Liability, non-aviation operations; and Employers'
Liability
E. EXCESS CARGO LEGAL LIABILITY &
SHIPPERS INTEREST
Each of the above Insurers has authorized Aon Risk Services Southwest, Inc. to issue this certificate on its behalf. Aon Risk Services is not an insurer and therefore ‘has no
liability under the above policies as an insurer, nor does it have any liability under the policies as an-insurer as.a result of the issuance of this certificate. The policy is subject to
an Electronic Date Recognition Exclusion and Electronic Date Change Recognition Exclusion Coverage Endorsement.
SEVERABILITY 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 obligation.
Description of Operations
Re: Northwest Florida Regional Airport Amended and Restated Signatory Airline Operating Date Issued:
Agreement and Terminal Building Lease
Note: Coverage for vehicles operated on restricted access airport premises is provided under
Coverage C, Comprehensive General Liability.
By: them ft Lalaaan
Producer: 7
Aon Risk Services Southwest, Inc. Thana L. Robinson
2711 N. Haskell Avenue, Suite 800
Dallas, Texas 75204
Contact: T. Robinson - (214)989-2321
6/26/2013
4AAINC / Standard / 6319 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 cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions.
NAME AND ADDRESS OF. CERTIFICATE HOLDER NAME AND-ADDRESS:OF INSURED
Okaloosa County AMR Corporation and its subsidiaries including
602 C. North Pearl Street American Airlines, Inc.
P.O. Box 619616
Crestview, FL 32536
Dallas/Ft. Worth Airport, TX 75261
LIMITS OF LIABILITY -Poticy PERIOD
TYPE.OF COVERAGE Limits SHOWN ARE AS REQUESTED (MM/DD/YY) 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 Bodily Injury & Property Damage 07/01/2014 ___ Participation - 69% Order
by the Named Insured, worldwide Combined Avion Assurance Limited AV1-1001-13
B. AIRCRAFT HULL INSURANCE
in respect of all aircraft owned, leased, or operated
by the Named Insured, worldwide
C. COMPREHENSIVE GENERAL LIABILITY $200,000,000
in respect of all Ground Operations of the Named .
insured, including Premises Operations, Bodily Injury & Property Damage
Contractual, Products and Completed Operations, Combined Per Occurrence
Hangarskeepers Liability - in flight
D. EXCESS LIABILITY $4,000,000
(per occurrence and in the aggregate where the
underlying policy is in the annual aggregate) in
respect of all Owned, Hired and Non-Owned
Automobiles, worldwide; Commercial General
Liability, non-aviation operations; and Employers’
Liabllity
E. EXCESS CARGO LEGAL LIABILITY &
PERS INTEREST
Each of the above Insurers has authorized Aon Insurance Managers (Bermuda) Ltd. to issue this certificate on its behalf. Aon Insurance Managers (Bermuda) Ltd. is not an
insurer and therefore has no liability under the above policies as an insurer, nor does it have any liability under the policies as an insurer.as.a result of the issuance of this
certificate. The policy is subject to an Electronic Date Recognition Exclusion and Electronic Date Change Recognition Exclusion Coverage Endorsement.
SEVERABILITY 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
cof 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
obligation.
Description of Operations
Re: Northwest Florida Regional Airport Amended and Restated Signatory Airline Operating Date Issued:
Agreement and Terminal Bullding Lease :
Note: Coverage for vehicles operated on restricted access airport premises is provided under
