Okaloosa County BOCC — November 16, 2013 — Timberview Helicopter Lease — reading text

category aircraft that has a special training program approved under Sec. 21.24 of NFPA 409 subchapter; or (3) issued by another entity that has a course approved by the Administrator; and (ii) The inspections and maintenance tasks are performed in accordance with instructions contained by the special inspection and preventive maintenance program approved as part of the aircraft’s type design or supplemental type design. x. Removing and replacing self-contained, front instrument panel- mounted navigation and communication devices that employ tray- mounted connectors that connect the unit when the unit is installed into the instrument panel, (excluding automatic flight control systems, transponders, and microwave frequency distance measuring equipment (DME)). The approved unit must be designed to be readily and repeatedly removed and replaced, and pertinent instructions must be provided. Prior to the unit’s intended use, and operational check must be performed in accordance with the applicable sections of part 91 of NFPA 409. y. Updating self-contained, front instrument panel-mounted Air Traffic Control (ATC) navigational software data bases (excluding those of automatic flight control systems, transponders, and microwave frequency distance measuring equipment (DME)) provided no disassembly of the unit is required and pertinent instructions are provided. Prior to the unit’s intended use, and operational check must be performed in accordance with applicable sections of part 91 of this chapter. 3. Owners of aircraft and/or their employees who do not have a hangar lease with Okaloosa County are permitted to perform these maintenance activities on the paved apron, provided however, the Airports Director determines that the area is safe and will not interfere with airport operations. The type of maintenance activity and duration will determine the location after review with the aircraft owner. 4. No personal refueling of aircraft is permitted. 5. Any maintenance or fueling operations performed by persons other than owners and/or their employees are considered to be performing a commercial operation and requires a fully executed lease agreement with the Board of County Commissioners. The term “EMPLOYEE” shall be defined as an individual who is on the payroll of the aircraft owner and is receiving compensation on a regular basis with federal income tax and social security taxes being deducted from his/her salary. Services provided by contract are considered to be a commercial activity and requires a fully executed agreement between the Board of County Commissioners and the Contractor. 8/28/2013 3 6. No person or persons, except airmen, duly authorized personnel, passengers going to or from aircraft, or persons being personally conducted by the airport attendants shall be permitted to enter the landing area proper, taxi space or aprons. However, this does not give any person or persons so accepted the privilege of unrestricted use of the Airport. The privileges are confined to the necessary use of these spaces in connection with the flights, inspections and routine duties. 7. Airport Operating Restrictions: a) All banner towing by fixed, rotary or any other type of aircraft, to include pick-up and drop-off is prohibited at the Destin/Ft. Walton Beach Airport (DTS). b) As DTS and CEW do not have designated heliports, all rotary wing aircraft are required to operate in compliance with non-air traffic control tower procedures. fhe Sunil Harman, A.A.E., [AP Airports Director 8/28/2013 4 DATE (MM/DD/YYYY) ACORD CERTIFICATE OF AIRCRAFT INSURANCE 08/27/2013 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). CONTACT PRODUCER NAME: AIRCRAFT & MARINE ASSURANCE AGENCY, INC. PHONE FAX 2306 EAST EVERGREEN BLVD. #1 (AC, No, Ext): (NC, Noy: VANCOUVER, WA 98661 E-MAIL ADDRESS: PRODUCER CUSTOMERID No. INSURED INSURER(S) AFFORDING COVERAGE % NAIC No. TIMBERVIEW HELICOPTERS SEE FORM 1060 2142 N. 300 ROAD INSURER A: U.S. SPECIALTY INSURANCE COMPANY 100% WELLSVILLE, KS 66092 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: 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 BY PAID CLAIMS. POLICY INFORMATION CERTIFICATE NUMBER: REVISION NUMBER: POLICY TYPE LINE OF BUSINESS SUBCODE INDUSTRIAL PLEASURE & *] COMMERCIAL AIRPLANE X] HEUCOPTER MIXED FLEET EXCESS QUOTA AID BUS SHARE | | NON-OWNED | | LIABILITY [ X| HULL & LIABILITY HULL ONLY ONLY AIRCRAFT INFORMATION | | ACORD 333, Aircraft Schedule attached YEAR MAKE MODEL SERIAL NUMBER REGISTRATION NUMBER 2010 ROBINSON R44 N211TB TERRITORY: AIRCRAFT COVERAGES ; INSURER LETTER POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE ADDITIONAL INSURED? (Y/N) SUBROGATION WAIVED? (Y7 N) RW0017 1508-02 08/27/2013 08/05/20 14 Y N COVERAGE OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO x |All Risk Ground and $ 300,000 $ 1,000 | Ded. - Not in motion IRCRA\ Lt fj — AIRCRAFT HULL Flight AGREED VALUE | ¢ 30,000 | Ded. - in motion x | Including Passengers $ 1,000,000 EA OCG $ EAPER AIRCRAFT LIABILITY | | $ {00,000 | EAPASsS $ AGGR X | INCLUDING CREW MEDIC. ENTS — AL PAYMEN EXCLUDING CREW $ 5,000 | EAPER $ 10,000 |EAOCcC COVERAGE CODE DESCRIPTION OPTIONS LIMIT APPLIES TO LIMIT APPLIES TO S i$ $ S |__| 8 S $ iS $ > $ 5 DESCRIPTION OF OPERATIONS / REMARKS (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is included as an Additional Insured. CERTIFICATE HOLDER CANCELLATION OKALOOSA COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 802-C NORTH PEARL EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CRESTVIEW, FL 32536 AUTHORIZED REPRESENTATIVE SO POT FD) em © 2009 ACORD CORPORATION. All rights reserved. ACORD 21 (2009/12) The ACORD name and logo are registered marks of ACORD