CERTIFICATE OF INSURANCE # A322-27-39
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City of Clearwater
P. O. Box 4748
Clearwater, Florida
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Aviation Insurance Agency
INCORPORATED
4440 P.G.A. Boulevard
Palm Beach Gardens, Florida 33410-6575
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\ CnvCLERKDEPT
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Facsimile (4071 626-1977
Palm Beach (4071 694-2626
June 29, 1992
33618-4748
Re: Suncoast Aviation, Inc.
Tampa, Florida
Gentlemen:
We have enclosed a Certificate of Insurance evidencing the existence of
Airport Liability Insurance coverages for the captioned.
We trust that you will find this in order. Please feel free to contact
us if you have questions.
Sincerely,
AVIATION INSURANCE AGENCY, INC.
M~ :) &.Q~
Mary D'Alauro
MD/rc
Enclosures
cc: Suncoast Aviation, Inc.
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AIt#iA'fION
. ATLANTA
,'1- · CHICAGO I
. DALLAS
. EDISON, NJ
. LOS ANGELES
. NEW YORK, NY
CERTIFICATE OF INSURANCE
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THIS IS TO CERTIFY TO: City of Clearwater
P.O. Box 4748. Clearwater. FL 34618-4748
THAT THE FOLLOWING POLlCYIIES OF INSURANCE HAVE BEEN ISSUED TO:
Suncoast Aviation. Inc. d/b/a Suncoast Air Center
Tampa Int'l. Airport. 4630 Douglas St.. Tampa, FL 33614
AIRCRAFT POLICY NO, POLICY PERIOD: FROM TO
INSURANCE COMPANY
LIABILITY COVERAGES LIMITS OF LIABILITY
EACH PERSON EACH OCCURRENCE
o Bodily Injury Excluding Passengers $ $
o Property Damage $ XXXX $
o Passenger Bodily Injury $ $
o Single Limit _cluding Passengers. $ XXXX $
o With Passenger Liability Limited To $ $ xxx X
PHYSICAL DAMAGE COVERAGE: ALL RISKS, GROUND & IN-FLIGHT IN,MOTION
REGISTRATION AGREED DEDUCTIBLES: INGESTION LIEN
NUMBER YEAR MAKE & MODEL VALUE NOT IN.MOTION MOORED AMOUNT
$ $ $ $
$ $ $ $
THIS CERTIFICATE HOLDER I~:
o INCLUDED AS A LOSS PAYEE FOR AIRCRAFT PHYSICAL DAMAGE COVERAGE
o PROVIDED BREACH OF WARRANTY COVERAGE ON AIRCRAFT PHYSICAL DAMAGE COVERAGE
o IS INCLUDED AS AN ADDITIONAL INSURED ON AIRCRAFT LIABILITY COVERAGE, BUT ONLY WITH RESPECT
TO OPERATIONS OF THE POLICYHOLDER,
AIRPORT LIABILITY POLICY NO, A322-27-39 POLICY PERIOD: FROM 06/15/92 TO 06/15/93
INSURANCE COMPANY National Union Fire Insurance Company of Pittsburgh, PA
COVERAGES Pranises. Proclds/Carpleted cperati<n<;. JndEpendent Contractors. Pranises !'vk:riical Pavrrent5.
Contractual, l-Iar'garkeepers, Personal hjLry LIMITS OF LIABILITY
o Bodily Injury $ each person $ each occurrence *
o Property Damage $ each occurrence *
~ Single Limit Bodily Injury &. $ 5,000,000. each occurrence *
Property Damage
~ Hangarkeepers Liability $ 1,000,000. each aircraft $ 5,000,000. each loss
DEDUCTIBLES: Hangarkeepers Liability $ 2,500. each loss
Premises Liability $ each claim with respect to Property Damage
'REFER TO THE POLICY AN ANNUAL AGGREGATE LIMIT APPLIES TO SOME COVERAGES
WORKERS COMPo POLICY NO, POLICY PERIOD: FROM TO
INSURANCE COMPANY
LIMITS OF LIABILITY: PART I: $ Statutory PART II: $
OTHER COVERAGES/CON DITIONS/REMARKS
The certificate holder is hereby included as an additional Insured, but only as respects .
operations of the Named Insured.
THE AVIATION MANAGERS HAVE MADE PROVISION TO GIVE THE CERTIFICATE HOLDER PROMFT NOTICE OF CANCELLATION OF ANY POLICY ABOVE, BUT, THE AVIATION MANAGERS ASSUMF
NO RESPONSIBILITY FOR FAILURE TO PROVIDE SUCH NOTICE THIS CERTIFICATE DOES NOT CHANGE IN ANY WAY THE ACTUAL COVERAGES PROVIDED BY THE POLlCYIIES SPECIFIED ABOVE
)Q(AIG Aviation, Inc, o AIG Aviation (Canada), Inc,
o AIG Aviation Insurance Services o AIG Aviation (Illinois) Corporation
0 ~ o AIGAviation (Texas), Inc,
By ( 1 ~ ~ 06/15/92(ast)
"'-- AV-37 A 13~ lAviatlon Managersl CERTIFICATE NO, (Today's Datel
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