CERTIFICATE OF INSURANCE # 00-21
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CERTIFICA TE DA TE: 04/10/2001
CERTIFICATE HOLDER:
CERTll\CATE OF INS1~RANCE
CERTIFICATE NUMBER: 00-21
POLICYHOLDER:
City of Clearwater
Gordie Wills. Aviation Manager
Clearwater Municipal Marina
25 Causeway Boulevard
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This is to c~rtify that the follo....ing policy(s), subject to the terms, conditions. limitations and endorsements contained ther~in. and during their effective period, have t.een
issued by the company(s) indicated below, In the event of material change or cancellation of said policy(s). the company will endeavor to notify the certificate holder, but
failure to do so shall impose no liability or obligation of any kind upon the undersigned or the company(s) involved
Suncoast Flying Services, Inc., Suncost Flight S.:hool, Inc.,
Clearwater Airpark, Inc. and David King
1000 N. Hercules Avenue
Clearwater, FL 33765
Policy Type:
Insurance Company:
Policy Number:
Policy Period:
A VIA TION GENERAL LIABILITY
Old Republic Insurance Company
AP 716404
October 1,2000 to October 1,2001
PREMISES LIABILITY
$1,000,000 Each Occurrence
PRODUCTS/COMPLETED OPERATIONS
$1,000,000 Each Occurrence / Aggregate / $100,000 Each Person
HANGARKEEPERS LIABILITY
$100,000 Each Aircraft / $500,000 Each Occurrence
Deductible: $1,000 Each and Every Loss
NEGLIGENT INSTRUCTION LIABILITY
$1,000,000 Each Occurrence / $100,000 Each Person
THE FOREGOING EVIDENCE OF COVERAGE IS NOT VERBATIM OF POUCYCONDfflONS, UMITAT/ONS OR LANGUAGE; THE POUCY(S) REPRESENTED
BY THIS CERTIFICATE ARE NOT AMENDED IN ANY WAY UNLESS SO STATED O/v THIS CERTIFICATE.
ADDITIONAL AGREEMENTS:
Additional Insured
City of Clearwater is included as an Additional Insured for Liability Coverages, but solely with
respect to operations of the Named Insured, subject to all policy terms and conditions.
NOTICE OF CANCELLATION: IN THE EVENT OF MATERIAL CHANGE OR CANCELLATION OF SAID POLICY(S), THE COMPANYrS., SHALL ENDEA\OR
TO GIVE 30 DAYS WRITTEN JliOTlCE TO THE CERTIFICATE HOLDER WITH THE EXCEPTION OF A 10 DA Y NOTICE FOR NON-PA YMENT OF PREMIUM,
Aviation Insurance Agency. Inc.
901 S,W, Martin Downs Boulevard ~~~ ' '" () ^. _
P.O. Box 2260 LA- 0 VJI.. ~
Palm City, FL 34991
Telephone (561) 286-0626 - Facsimile (561) 286-1108
Authorized Signature
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CERTIFICA TE DATE: 04/10/2001
CERTIFICA TE HOLDER:
City of Clearwater
Gordie Wills, Aviation Manager
Clearwater Municipal Marina
25 Causeway Boulevard
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CERTItICATE OF INStJRANCE
CERTIFICA TE NUMBER: 00-19
POLICYHOLDER:
Suncoast Flying Services, Inc. and
Suncoast Flight School, Inc.
1000 N, Hercules Avenue
Clearwater, FL 34625
This is to certify that the following policy(s). subject to the terms, conditions. limitations and endorsements contained lherein. and during their effective period, have been
issued by the company(s) indicated below, In lhe evenl of material change or cancellation of said policy(s), lhe company will endeavor to notify lhe certificate holder, but
failure to do so shall impose no liability or obligation of any kind upon the undersigned or the company(s) involved,
Policy Type:
Insurance Company:
Policy Number:
Policy Period:
WORKERS' COMPENSATION
Old Republic Insurance Company
OCA VOl751602
February 1,2001 to February 1,2002
Employer's Liability: Bodily Injury by Accident $1,000,000 Each Occurrence
Bodily Injury by Disease $1,000,000 Each Employee
Bodily Injury by Disease $1,000,000 Policy Limit
THE FOREGOING EWDENCE OF Cm'ERAGE IS NOT VERBATIM OF POLICY CONDITIONS, LIMITATIONS OR LANGUAGE; THE POLlCY(S) REPRESENTED
BY THIS CERTIFICATE ARE NOT AMENDED IN ANY WAY UNLESS SO STATED ON THIS CERTIFICATE.
NOTICE OF CANCELLATION: L"i THE EVENT OF MATERIAL CHANGE OR CANCELLATION OF SAID POL/CY(S). THE COMPANY(S) SHALL ENDEAVOR
TO GIVE 30 DAYS WRIITEN NOTICE TO THE CERTIFICATE HOLDER WITH THE EXCEPTION OF A 10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM,
Aviation Insurance Agency, Inc.
901 S,W. Martin Downs Boulevard ~~ ' ~ 11 ^ _
P.O. Box 2260 LA- ;....) fAJ/..~
Palm City, FL 34991
Telephone (561) 286-0626 - Facsimile (561) 286-1108
Authorized Signature
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CERTIFICATE DATE: 04/10/2001
CERTIFICATE HOLDER:
CERTIIJICATE OF INSiuRANCE
CERTIFICATE NUMBER: 00-20
POLICYHOLDER:
City of Clearwater
Gordie Wills, Aviation Manager
Clearwater Municipal Marina
25 Causeway Boulevard
("'I. r;; 7.7.7"'7
Suncoast Flying Services, Inc. and
Suncoast Flight School, Inc.
1000 N. Hercules Avenue
Clearwater, FL 33765
This is to certify that the following policy(s), subject to the terms, conditions. limitations and endorsements contained therein, and during their effective period, have been
issued by the company(s) indicated below, In the event of material change or cancellation of said policy(s), the company will endeavor to notify the certificate holder. but
failure to do so shall impose no liability or obligation of any kind upon the undersigned or the company(s) involved,
Poliq Type:
Insurance Company:
Poliq Number:
Policy Period:
AIRCRAFT
Old Republic Insurance Company
A VC 83301
October 1, 2000 to October 1, 200 1
AIRCRAFT:
Any aircraft owned and/or operated by the Named Insured
AIRCRAFT LIABILITY:
$1,000,000 Each Occurrence
$ 100,000 Each Person
THE FOREGOING EVIDENCE OF COVERAGE IS NOT VERBATIM OF POUCYCONDfflONS, UMITATlOSS OR LANGUAGE; THE POUCY(S) REPRESENTED
BY THIS CERTIFICATE ARE NOT AMESDED IN ANYWAY UNLESS SO STATED ON THIS CERTIFICATE.
NOTICE OF CANCELLATION: IN THE EVEl'iT OF MATERIAL CHANGE OR CANCELLATION OF SAID POLlCY(S), THE COMPANY(S) SHALL ENDEAVOR
TO GIVE 30 DA YS WRITIEN NOTICE TO THE CERTIFICATE HOLDER \'.TIH THE EXCEPTION OF A 10 DA Y ~OTICE FOR NON-PAYMENT OF PREMIUM,
Aviation Insurance Agency, Inc.
901 S,W. Martin Downs Boulevard ~Q~ ' . 11 ^ _
P.O. Box 2260 LA- 0 &.JI.. ~
Palm City, FL 34991
Telephone (561) 286-0626 - Facsimile (561) 286-1108
Authorized Signature