CERTIFICATE OF INSURANCE (3)
I I
Aviation Insurance Agency
INCORPORATED
Palm Beach (407) 8M-2828
4440 P .G.A. Boulevard
Palm Beach Gardens, Florida 334l0-6575
Facsimile (407) 626-1977
July 25, 1991
City of Clearwater
P. o. Box 4748
Clearwater, Florida 34618-4748
Re: SuncoastAviation. Inc.
D/B/A Suncoast Air Center
Gentlemen:
We have enclosed a Certificate of Insurance as evidence of the
existence of Airport Premises Liability Insurance coverages for
the captioned.
The City of Clearwater is included as an Additional Insured.
We trust you will find this in order. Please feel free to contact
us if you have any questions.
Sincerely,
AVIATION INSURANCE AGENCY
M~~cJ~
Mary D'Alauro
Enc.
cc: Suncoast Aviation, Inc.
RECEIVED
JUt 3 0 1991
CITY CLFJ~K
'~#ij\'fION
I
. ATLANTA
. CHICAGO
. DALLAS
. EDISON, NJ
. LOS ANGELES
. NEW YORK, NY
CERTIFICATE OF INSURANCE
I
r '"'"
THIS IS TO CERTIFY TO: City of Clearwater
P. O. Box 4748, Clearwater. Florida 34618-4748
THAT THE FOLLOWING POLlCYIIES OF INSURANCE HAVE BEEN ISSUED TO
Suncoast Aviation, Inc. d/b/a Suncoast Air Center
Tampa International Airport, 4630 Douglas Street. Tampa. Florida 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 $ $ XXXX
PHYSICAL DAMAGE COVERAGE: ALL RISKS, GROUND & IN-FLIGHT IN,MOTlON
REGISTRATION AGREED DEDUCTIBLES: INGESTION LIEN
NUMBER YEAR MAKE & MODEL VALUE NOT IN.MOTION MOORED AMOLJNl
$ $ $ $
$ $ $ $
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, AP 479-7470 POLICY PERIOD: FROM 06/15/91 TO 06/15/92
INSURANCE COMPANY National Union Fire Insurance Company of Pittsburgh, P A
COVERAGES PrEmises, Products/Ccrrpletecl ~a1:icns, h:1ependent Contractors, Premises M2di.cal Payrrents
Contractual, Hangarkeepers, Persmal hjlry LIMITS OF LIABILITY
o Bodily Injury $ each person $ each occurrence *
o Property Damage $ each occurrence *
XXJ Single Limit Bodily Injury & $ 5.000.000. each occurrence *
Property Damage
XIX 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/CONDITIONS/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
XXAIG Aviation, Inc, o AIG Aviation (Canada), Inc,
o AIG Aviation Insurance Services o AIG Aviation (Illinois) Corporation
0 o AIGAviation (Texas), Inc, 07/03/91 (pc)
By ( 1. e,~
(Today's Date)
\... AV-37~3/B91 (Aviation Managersl CERTIFICATE NO,
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