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CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY INFORMATION
CERTIFICATE NUMBER: 20707546
REVISION NUMBER:
POLICY TYPE
LINE OF BUSINESS SUBCODE
INDUSTRIAL AID PLEASURE & BUS | / | COMMERCIAL AIRPLANE HELICOPTER / | MIXED FLEET EXCESS | / | QUOTA SHARE
NON-OWNED LIABILITY ONLY Y | HULL & LIABILITY HULL ONLY
AIRCRAFT INFORMATION
YEAR | MAKE MODEL SERIAL NUMBER REGISTRATION NUMBER
TERRITORY; Worldwide
AIRCRAFT COVERAGES
INSURER LETTER | POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED? (Y/N) | SUBROGATION WAIVED? (Y / N)
A A2GA000137614AM 7/1/2014 7/1/2015 Y N
COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO
AIRCRAFT HULL |_¥ | Including Hull War ; As Agreed $
AIRCRAFT LIABILITY |v | Combined Single Limi $ 50,000,000 | FA0ce $ EAPER
$ EA PASS $ AGGR
MEDICAL PAYMENTS |v | INCLUDING CREW $ 50,000 | EAPER
EXCLUDING CREW ’
COVERAGE
CODE DESCRIPTION OPTIONS LIMIT APPLIES TO | LIMIT APPLIES TO
War Liability |_| |_| $ 50,000,000 | AGGR $
$ $
|__| |_| $ $
$ $
|_| $ $
$ $
DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
~ SEE ADDITIONAL REMARKS SCHEDULE -
CERTIFICATE HOLDER
CANCELLATION
Hangar Lease
Okaloosa Count fuirport f Authority
1701 State Roa
Eglin AFB FL 32542- 198
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
WIM. 5 Kopp
Bill Kingsley
ACORD 21 (2009/12)
CERT NO.: 20707546 CLIENT CODE: AIRMETH-01
© 2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
(TX) Patti Ann Rogers 6/27/2014 3:53:21 PM (CDT) Page 1 of 2
AGENCY CUSTOMER ID: AIRML -01
LOC #:
—_— @
ACORD ADDITIONAL REMARKS SCHEDULE Page Of
AGENCY NAMED INSURED
AirSure Limited #304 South Pooks ‘Sree
POLICY NUMBER
A2GA000137614AM
CARRIER
Allianz Global Risks US Insurance Company
NAIC CODE
Englewood CO 80112-4113
EFFECTIVE DATE: 7/1/2014
ADDITIONAL REMARKS
FORM NUMBER:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
21 FORM TITLE: Certificate of Aircraft (12/09)
CERTIFICATE HOLDER: Okaloosa County Airport Authority
ADDRESS: 1701 State Road 85 North Eglin AFB FL. 32542-1498
Inc.,
Florida,
LLC, OTS
LLC aka LifeSaver,
Med Evac,
whichever is less,
passengers,
within the full policy limit (s)
insuring agreements,
and endorsements remaining paramount:
manufacture,
Certificate Holder.
FSS Airholdings, Inc.,
Systems Inc.,
Inc,.,
Rotorcraft Solutions,
Omniflight Helicopter Services, Inc. dba Fleet Management Resources,
Aeromedical dba Air Rescue 1, Air Medical Partners, LLC, Omni Transport Systems, Alabama,
LLC, Omni Transport Systems, Charleston, LLC aka Meducare,
Air Services, Inc., Native American Air Ambulance, Inc., Native American Air Ambulance,
dba Southwest Air Ambulance dba Southwest
CJ Systems Aviation Group,
(SUB), LLC, Enchantment Aviation,
American Jets,
to whom the full policy limit (s)
The insurance extended by this policy shall not apply to,
not be insured for bodily injury or property damage which arises from the design,
modification, repair, sale, handling or servicing of the aircraft by the
Inc.
Inc., and/or any associated,
owned or controlled companies or entities thereof.
Subject always to the scope of the policies noted above and the policies!
definitions, terms, limitations, exclusions,
Solely as respects the Operations of the Named
Insured the Certificate Holder is included as an Additional Insured under Section Two
Coverage C - Aircraft Liability.
deductibles,
The Named Insured includes the following: Air Methods Corporation, Mercy Air Service,
LifeNet., Inc., dba ARCH Air Medical Services Inc., Rocky Mountain Holdings, LLC,
Inc., Cd Critical Care Transportation
Special Jet Services, Inc., CJ Critical Care Transportation Systems of
CJ Critical Care Transportation Systems of Kentucky,
LLC, OF Air Holdings Corporation, Omniflight Helicopters,
Georgia
United
Inc.
LLC, Native
subsidiary, affiliated, managed,
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
any co-subscribing insurer who for any reason does not satisfy all or part of its
obligation.
War Liability - The limit of Insurer’s liability in respect of the coverage provided by
this endorsement shall be a gub-limit of $50,000,000,
any one occurrence and in the annual aggregate except with respect to
shall apply. This sub-limit shall apply
and not in addition hereto.
or the applicable policy limit,
declarations,
warranties
and the Certificate Holder shali
,
ACORD 101 (2008/01)
CERT NO.: 20707546
CLIENT CODE: AIRMETH-01
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
(TX) Patti Ann Rogers 6/27/2014 3:53:21 PM (CDT) Page 2 of 2
ATTACHMENT
Okaloosa County Airports
State of Florida
June 13, 2014
Air Methods
Larry Hall
215 Midfield Drive
Griffin, GA 30224
Re: Lease Renewal
Dear Mr. Hall:
Your lease agreement with Okaloosa County will expire on November 30, 2014.
According to your lease you must notify us in writing providing not less than ninety (90)
days notice prior to expiration. The lease also states rent for the additional term will be
established by an independent appraisal. The current appraisal rate for CEW is $.75 per
square foot.
Please let us know if you would like to renew this lease and thank you for your continued
interest in the Bob Sikes Airport.
Sincerely,
David E. Miner
Airports Administration
1701 State Road 85 N
Eglin Air Force Base, Florida 32542-1498
(850) 651-7160 FAX: (850) 651-7164
Dave Miner
From: Dave Miner
Sent: Wednesday, July 30, 2014 11:47 AM
To: ‘Aaron.Brown@airmethods.com'
Ce: Mike Stenson; Jon Morris
Subject: Lease Renewal
Attachments: Air Methods Letter.pdf; Air Methods Lease.pdf
Importance: High
Mr. Brown:
A letter was mailed to Air Methods, Larry Hall, on June 13, 2014 and | have not received a response. Mr. Stenson
suggested | contact you.
Air Methods lease agreement (attached) with Okaloosa County will expire on November 30, 2014. The lease has an
option to renew for one additional three year period by providing not less than ninety days written notice to us. The
lease also states that rent for the additional term shall be established by an independent appraisal. The current
appraisal rate for Bob Sikes Airport (CEW) is $.75 per square foot.
Please let me know as soon as possible if Air Methods will exercise the option to renew or terminate the lease.
Thank you and if you-have any questions let me know.
David E. Miner
Properties and Leases
Okaloosa County Airports
(850) 651-7160 Ext. 4
www.flyvps.com
"Please note: Due to Florida's very broad public records laws, most written communication to or from County
employees regarding County business are public records, available to the public upon request. Therefore, this written e-
mail communication, including your e-mail address, may be subject to public disclosure."
Dave Miner
From: Harris, Jerrod [Jerrod.Harris@airmethods.com]
Sent: Thursday, August 21, 2014 12:00 PM
To: Dave Miner; Brown, Aaron
Cc: Mike Stenson
Subject: RE: Air Methods Lease Extension
Waiting on our legal to write our letter.
Please put our corporate office address:
Air Methods Corp
7211 South Peoria
Englewood, CO 80112
Jerrod Harris
Air Methods Corp,
jharris@airmethods.com
Regional Logistics Manager
Region &
256-509-9658-Celk
ENDERS of TOMDRRGVE-
Confidentiality Notice: The information transmitted is intended only for the person or entity to which tt is addressed and may
contain confidential and/or privileged material. If you are not the intended recipient, be aware that any disclosure, copying,
distribution or use of the content of this information is prohibited. If you receive this communication in error, please notify me
immediately by email and delete the original message.
From: Dave Miner [mailto:dminer@co.okaloosa.fl.us]
Sent: Thursday, August 21, 2014 11:53 AM
To: Harris, Jerrod; Brown, Aaron
Cc: Mike Stenson
Subject: FW: Air Methods Lease Extension
Importance: High
Mr. Harris:
| need your letter of intent, your address and Mr. Boullion’s address.
David Miner
Airports Administration
From: Dave Miner ;
Sent: Monday, August 18, 2014 2:44 PM
To: ‘Harris, Jerrod’
Cc: Mike Stenson
Subject: FW: Air Methods Lease Extension
Importance: High
Please send me your address.
From: Dave Miner
Sent: Friday, August 15, 2014 12:21 PM
To: ‘Harris, Jerrod!’
Subject: RE: Air Methods Lease Extension
Importance: High
Please send me your address and | will also need Mr. Boullion’s address.
From: Harris, Jerrod [mailto:Jerrod.Harris@airmethods.com]
Sent: Friday, August 15, 2014 7:52 AM
To: Dave Miner
Subject: RE: Air Methods Lease Extension
| arm working with my contracts team to draft a letter of intent.
Jerrod Harris
Air Methods Corp.
jharris@airmethods,com
Regional Logistics Manager
Region 8
256-509-9658-Cell
NDERS. of TOMORROW"
Confidentiality Notice: The information transmitted is intended only for the person or entity to which it is addressed and may
contain confidential and/or privileged material. If you are not the intended recipient, be aware that any disclosure, copying,
distribution or use of the content of this information ts prohibited. [f you receive this communication in error, please notify me
immediately by email and delete the original message.
From: Dave Miner [mailto:dminer@co.okaloosa.fl.us]
Sent: Friday, August 15, 2014 7:51 AM
To: Harris, Jerrod
Subject: RE: Air Methods Lease Extension
Thank you.
| will start the renewal process.
From: Harris, Jerrod [mailto:Jerrod.Harris@airmethods.com]
Sent: Friday, August 15, 2014 7:30 AM
To: Dave Miner
Subject: RE: Air Methods Lease Extension
Gary Boullion-Regional Vice President.
Jerrod Harris
Air Methods Corp.
jharris@airmethods.com
Regional Logistics Manager
Region &
256-509-9658-Coll
=== AirMethods' ae ENDERS of TOMORROW"
Confidentiality Notice: The information transmitted is intended only for the person or entity to which it is addressed and may
contain confidential and/or privileged material. If you are not the intended recipient, be aware that any disclosure, copying,
distribution or use of the content of this information is prohibited. If you recetve this communication in error, please notify me
immediately by email and delete the original message.
From: Dave Miner [mailto:dminer@co.okaloosa.fl.us]
Sent: Thursday, August 14, 2014 2:15 PM
To: Harris, Jerrod
Subject: RE: Air Methods Lease Extension
Mr. Harris:
| will add you for the POC. Please send me something in writing stating your company would like to renew the lease.
Once the lease extension is completed | will send it to you for review.
Please let me know the person’s name and title that will be signing the lease.
Thank you.
David Miner
Airports Administration
From: Harris, Jerrod [mailto:Jerrod.Harris@airmethods.com]
Sent: Thursday, August 14, 2014 9:44 AM
To: Dave Miner
Subject: RE: Air Methods Lease Extension
| will be the POC for the lease renewal. Can you send me a copy of the draft, or do you just need a letter of intent to
renew?
Jerrod Harris
Air Methods Corp.
jharris@airmethods.com
Regional Logistics Manager
Region 8
256-509-9658-Cell
ENDERS oF TOMORROW”
Confidentiality Notice: The information transmitted is intended only for the person or entity to which it is addressed and may
contain confidential and/or privileged material, If you are not the intended recipient, be aware that any disclosure, copying,
distribution or use of the content of this information is prohibited. If you recetve this communication in error, please notify me .
immediately
