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Okaloosa County BOCC — April 5, 2016 — Tmberview Helicopter Lease Renewal — reading text
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Tmberview Helicopter Lease Renewal — extracted reading text
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03} g™ = 1 SHARE
NON-OWNED | ) LasiLTY HULL & LIABILITY HULL ONLY
. D ONLY g D
AIRCRAFTINFORMATION | | ACORD 333, Alfcraft Schedule attached
YEAR MAKE MODEL SERIAt NUMBER REGISTRATION NUMBER
2004 ROBINSON R44 11 N7512N
TERRITORY:
AIRCRAFT COVERAGES
NSURERTETTER BOLIGY FUMBER EFFECTIVE DATE EAPIATIONDATE | ADDITIONAL WSUREDT(Y/N] | SUBROGATION WAVEDT (V7 1)
RWD0181830-02 O1/01/2016 Q1012017 Y N
COVERAGIEE OPTIONS I LMIT APPLIES TO LIMIT APPLIESTO
5 | ALL RISK GROUND AND FLIGHT 150,000 3 1,000 Ded. - Not in motion
AIRCRAFT HULL "3 | ALL RISK GROUND ONLY AGREEDVALUE ) 45 000 Dad. - In metion
o | CRBITTY P 1,000,000 EAOCT i EAPER
ARGRAFT LABILITY Bl s 100,000 cApASS AGER
MEDICAL PAYMENTS B | NCLUDING CRew d 3,000 EAPER % 20,000 EAOCC
0] EXCLUDING CREW )
COYERAGE
COBE DESCRIPTION OPTIONS LMIT APPLIES TO LIMIT APPLIESTO
DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 101, Additional Remarks Schedule, if more spaca is required)
Certificate Holder is Included as an Additional Insured.
CERTIFICATE HOLDER |CANCELLAT!ON
Okaloosa County SHOULD ANY OF THE ABOVE DESCRIBED ROLICIES BE CANCELLED BEFGRE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AGGORDANGE
1001 Aliport Boulevard [WITH THE POLICY PROVISIONS.
Destin, FL. 32641
AUTHORIZED REFRESENTATIVE
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ACORD 21 (2009112) The ACORD name and logo are registered marks of ACORD