Okaloosa County BOCC — July 2, 2013 — Delta Certificate of Insurance — reading text

: MARSH & MCLENNAN . 121 River Street Waterfront Corporate Center Hoboken, NJ 07030 Phone: 201-284-6137 Fax: 201-284-4909 E-Mail: Robert.J. Watkins@marsh.com AE. CO) Oe Marsh & McLennan Companies CERTIFICATE OF INSURANCE | (Sometimes referred to herein as “this Certificate”) Subject to all of the below referenced Policy(ies)’ declarations, insuring agreements, conditions and exclusions (including but not limited to limits of liability, deductibles, warranties and/or endorsements contained therein) (hereinafter, the “Policy(ies)’ Terms”), this is to certify to: Okaloosa County Attn: Mr. David E. Miner 602C North Pearl Street . Crestview, FL 32536 (Sometimes referred to herein as “the Certificate Holder(s)”) that the Insurers referred to below, each for their own part and not one for the other, are providing the following insurance: ; a . NAMED INSURED(S): 3 {ne.;. Comair, Inc.; DAL Global Services, Lec; Regional Elite Airline Services, LLC; Epsilon Trading LLC (hereinafter, the "Named Insured(s 3) NAMED INSURED(S)’ ADDRESS: clo Delta: Air ‘Lines, Inc., Risk Management Department 858, 1030 Delta Boulevard, Atlanta, GA 30320 (hereinafter, the “Named insured(s)’ Address") POLICY PERIOD: December 21, 2012'to-Decer 013° on both dates at 12:01 AM local time in effect at the Named Insured(s)’ Address (hereinafter, the “Policy Period”) ” : POLICY (IES) (hereinafter, the “Policy(ies)”)/INSURERS (hereinafter, “Insurers”)POLICY NUMBERS: - A Schedule of Policy(ies), Insurers and Policy Numbers is available on the web at: https://connectv7.mercer.com/eRoom/MarshNA/AviationExt Then, when prompted, please enter (please note “Name” and “Password” are case-sensitive): - Name: DELTA-COMAIR; Password DLCANWA8GA " FOR INFORMATIONAL PURPOSES ONLY: This site also contains the Named Insured(s)' most current certificate of ‘insurance from- the FAA regarding the Named Insured(s)’ war risks insurance. Any renewal thereof will be posted to the: . site as soon as we receive same from the Named Insured(s). SEVERAL LIABILITY NOTICE | — | oe The subscribing Insurers’ obligations under contracts of insurance to which they subscribe are several and not joint and is 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 ce (Insurance) GEOGRAPHICAL LIMITS: Worldwide. ’ DESCRIPTION OF ‘CONTRACT(S) TO WHICH THIS CERTIFICATE APPLIES: Lease Agreernent L01-0175-AP1 -49 between Okaloosa County and Delta Air Lines, Inc. (hereinafter; the “Contract(s s)"). 7 ; a DESCRIPTION OF EQUIPMENT TO WHICH THIS CERTIFICATE APPLIES:, Any aircraft owned or operated by the ; Named Insured. (hereinafter, the “Equipment”). 1 CERTIFICATE NO. DAL_APT_09_10_257 12-27-12A11:214 RCVD Summary of some of the more significant insurance coverage Policy(ies) (s), limit(s) of liability and deductible(s) of the LIMIT(S) OF LIABILITY — INSURANCE COVERAGE(S) NOTE: AGGREGATE LIMITS WILL BE DEDUCTIBLE(S) _ REDUCED DUE TO PAID CLAIMS WITHOUT FURTHER NOTICE TO THE > CERTIFICATE HOLDER(S) | __ Airline Liability Insurance including, | Combined . single limit (bodily injury, | US$3,000. (or tariff, inter alia, bodily injury liability, property | property . “damage, personal | injury | whichever is greater) each ] : and every claim as respects damage liability, passenger liability, baggage liability, contractual liability,personal injury liability, products. and completed operations _ liability, hangarkeepers’ liability, | grounding liability, premises liability, dram shop liability/liquor liability, cargo liability (excess of a US$5,000,000 per occurrence primary limit) and excess public automobile liability. Coverage includes liability arising out of the use by the Named Insured(s) of any _premises owned, leased or occupied by -| the Named Insured(s) which relate to ‘| the. .Named . _ Insured(s)’ _. airline | operations. ee Coverage includes liability arising ‘out of the use by the Named Insured(s) of any automobile or mobile equipment operated by the Named Insured(s) while on restricted airport premises. . Jegal’} (passenger only) US$200,000,000 - . the annual aggregate; : _- Occurrence, . any one occurrence/offense and in the annual aggregate as respects products and completed operations liability and personal injury liability (passengers only), subject to the following sublimits which are included within and not in addition to the limit set forth apove: Grounding liability: US$235, 000, 000 any one occurrence, any one offense, and in the annual aggregate; Personal injury liability (to third ‘parties | . —_ other than passengers): US$25,000,000 one occurrence, any one offense, and in Excess public automobile. liability: US$25,000,000 ‘any one occurrence and in the annual aggregate where applicable excess of underlying primary limits of rot less than... _ USS, 000,000... any ...one | baggage liability. CERTIFICATE No, DAL_APT_09_10_257 y MARSH & MCLENNAN COMPANIES SPECIAL PROVISION(S) The following Special Provision(s) only apply(ies) to: . (i) the Insurance Coverage(s) noted above, (ii) the Contract(s) and only to the extent of the insurance requirements and/or the. Named Insured(s)’ indemnity obligations under the Contract(s), subject to all of the Policy(ies)’ Terms applying, (iii) the Equipment (if applicable) and (iv) the operations of the Named Insured(s): Solely as respects airline liability insurance: Okaloosa County is/are included as additional insured(s) (the "Additional Insured(s)”) as their respective interests may appear, warranted no operational interest. Solely as respects airline liability insurance: In the event of cancelaltion of the Policy(ies) (for any reason whatsoever, including non payment of premium) by Insurers or adverse material change of the Policy(ies) by Insurers, Insurers agree that such cancellation or change shall not be effectve as to the Additional Insured(s) until thirty (30) days after issuance of notice to the Certificate Holder(s) (through Marsh & McLennan Companies ) at the address(es) shown on.the first page of this Certificate. a if this Certificate (which for the purposes of this and the next paragraph only also includes any Broker Letter issued in connection with this Certificate) contain(s) provision(s) to give notice of certain events (as undertaken by us in this Certificate) (“Events”) . to the Certificate Holder(s) and if those Events occur with respect to the Policy(ies), said notice(s) will be sent to the Certificate Holder(s) at the address(es) shown on the first page of this Certificate. Because this Certificate initially may be transmitted via electronic mail or means other than the U.S. Postal Service, if there is/are no address(es) shown above or if the address(es) shown above is/are incomplete, out of date or incorrect, it is incumbent upon the applicable Certificate Holder(s) to notify Marsh & McLennan Companies (in writing, at the above address) of the correct address(es) of said Certificate Holder(s). | Failure to do so will relieve Marsh & McLennan Companies of any obligation to notify the applicable Certificate Holder(s) of any Events relating to the Policy(ies) other than to the Certificate Holder(s)’ address(es) (to the extent they are complete) shown on the first page of this Certificate UNLESS, prior to the Events occurring, the applicable Certificate Holder(s) provide(s) Marsh & McLennan Companies (in writing, at the above address) with the correct Certificate Holder(s)’ address(es); in which case Marsh & McLennan Companies will be obligated to provide notice of Events to the applicable Certificate Holder(s) as undertaken by us in this Certificate. This Certificate (and unless otherwise noted herein, the coverage(s) afforded the Certificate Holder(s) (and/or those designated as additional insured(s) and/or loss payee(s) and/or otherwise) under this Certificate and/or the Policy(ies)) shall automatically terminate, without further notice, upon the earliest of (i) natural expiration of the Policy(ies) on the date shown above; (ii) cancellation of the Policy(ies) prior to the natural expiration date (as notified to the Certificate Holder(s) in accordance with the provisions of this Certificate); (iii) termination of the Contract(s), except with respect to airline liability insurance required to be maintained after contract termination, in accordance with the provisions of the Contract(s); (iv) (solely with respect to this Certificate and not with respect to the coverage(s) afforded the Certificate Holder(s) (and/or those designated as additional insured(s) and/or loss payee(s) and/or otherwise) under this Certificate and/or the Policy(ies}) our ceasing to be the insurance broker for the Named Insured(s) in respect of the Policy(ies); and/or (v) in the case of aircraft hull insurance and/or aireraft spare parts insurance, termination of either the Named Insured(s)’ or the Certificate Holder(s)’ (and/or those designated as additional insured(s) and/or loss payee(s) and/or otherwise) under this Certificate and/or the Policy(ies) insurable interest(s) in the Equipment (and in the latter cases, only with respect to those particular Certificate Holder(s) (and/or those designated as additional insured(s) and/or loss payee(s) and/or otherwise) under this Certificate and/or the Policy(ies)). 3 CERTIFICATE No. DAL_APT_09_10_257 MARSH & MCLENNAN: MOMPARTES This Certificate: (i) is issued as a summary of the Policy(ies) referred to herein; (ii) is issued as a matter of information only; (iii) confers no rights upon the Certificate Holder(s) (and/or any other party that may be named in this Certificate as additional insured(s), loss payee(s), contract party(ies) or otherwise) other than those provided. by the Policy(ies); (iv) neither affirmatively nor negatively alters, extends or amends any. of the Policy(ies)’ Terms; and, (v) notwithstanding any requirement, term or condition of any contract, agreement or other document with respect to which this Certificate may be issued or may pertain, is subject always to the Policy(ies)’ Terms. The undersigned has been authorized by the above Insurers to issue this Certificate on their behalf and is not an insurer and has no liability of any sort under the Policy(ies) as an insurer as a result of this. certification. = DATE OF ISSUE: - December 21; 2012 Never oe Marsh & McLennan Companies CERTIFICATE NO. DAL_APT_09_10_257 a) @ ACORD all CERTIF:VATE OF LIABILITY INSU ‘ANCE DATE (MM/DDIYYYY) 12/27/2012 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 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 “Marsh USA, Inc. mien FAX Two Alliance Center (A/C, No, Ext): (AIC, No}: — 3560 Lenox Road, Suite 2400 SMALL a. Atlanta, GA 30326 ° INSURER(S) AFFORDING COVERAGE NAIC # J07890-DEL.TA-endor-13-14 AUTO iNsuRER a; ACE American Insurance Company 22667 INSURED . Indemnity Ins Co Of North America 43575 DELTA AIR LINES, INC. INSURER B DEPARTMENT 858 INSURER c ; United States Aviation Underwriters 1030 DELTA BOULEVARD : ATLANTA, GA 30320-6001 INSURER 0: INSURER E + INSURER F : REVISION NUMBER: 5 COVERAGES CERTIFICATE NUMBER: ATL-002745727-28 THIS IS TO CERTIFY THAT THE POLICIES