Okaloosa County BOCC — April 27, 2013 — AA Amendment 4 — reading text

1AAINC 1 Standard 16319 CAL 0612  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. Crestview, FL 32536 P.O. Sox 619616 Dallas/Ft. Worth Airport, TX 75261 liMITS OF liABILITY POLICY PERIOD TYPE OF COVERAGE INSURANCE COMPANY AND POLICY NUMBER llMITS SHO'Ml ME AS REQUESTED {I\A4lOOlY'O A. AIRCRAFT LIABILITY $200,000,000 07/01/2012­ As Subscribing insurers for 100% in respect of all aircraft owned, leased, or operated Bodily Injury & Property Damage 0710112013 Participation - 66% Order by the Named Insured, worldwide Avion Assurance Limited AV1-1001-12 Combined D, AIRCRAFT HULL INSURANCE in respect of all insured aircraft owned or leased by the Named Insured, worldWide. C. COMPREm;NSIVE GENERAL LIABILITY $200,000,000 in respect of all Ground Operations of the Named Bodily Injury & Property Damage Insured, including Premises Operations, Combined Per Occurrence Contractual, Products and Completed Operations, Hangarskeepers Liability - in flight [). 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' Liability E.,.. EXCESS CARGO LEGA,L LIABILITY & ~HlPPERS INTEREST I 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 I 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 NOnCE 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 nol satisfy all or part of its obligation. Description of Operations 2/4/2013 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. r ')1 ( 1 ..' /\..~~......,;;;; ,c.."-~ By: Captive Manager Aon Insurance Managers tBennuda) Ltd. Captive & Insurance Management Aon House I 30 Woodbourne Avenue I Pembroke HM 081 Bermuda t +1.-1-11.£O~.222Q I f +1.-'1.<f1.;aQ2.Q217 j ~Qru:.om 1AAINC 1Standard 16319 CAL 0612  Attachment to Certificate No. 6319 and 6319-1 2b. ADDITIONAL INSURED "As required by contract, but subject to the terms, conditions and exclusions of the policy, Okaloosa County and its past, present and future officers, members, Airports 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 Aircraft 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-renewed or there is a reduction in coverage/material change which affects the interest of Okaloosa County, or if this insurance is 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 policy, the policies described on this certificate are primary without right of contribution from any other insurance which is carried by Okaloosa County."