CERTIFICATE OF INSURANCE (8)
~ 7/30/2002 12:43
Aviation Insurance Agency. Inc
Mary D'alauro-+Catherine Yellin
1/1
CERTIFICATE OF INSURANCE
CERTIFICATE DATE: 07/30/2002 CERTIFICATE NUMBER: 02-01\PR)
CERTIFICA TE HOLDER: POLICYHOLDER:
Clearwater Airpark, Inc, and David King
1000 N, Hercules Avenue
Clearwater, FL 33765
City of Clearwater
Attn: Catherine YeUin
25 Causeway Boulevard
Clearwater, FL 33767
This is to certify that the following policy(s), subject to Ihe terms, conditions, limitations and endorsements contained therein, and diJrir@ their elfective period, have been
issued by the company(s) indicated below. In the evClt of material chaJ1ge 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.
Policy T)-pe:
Insurance Company:
Policy ~umber:
Policy Period:
PROPERTY
The Travelers
KTJ 63023 7T860- '7 -01
August 3, 2002 to August 3, 2003
Location:
Clearwater Air Park, Clearwater, FL
Property Covered: Terminal Building, Insured Value $100,000
Maintenance Hangar, Insured Value $200,000
Shade Hangars, Insured Value $200,000
T-Hangars, Insured Value $270,000
Deductibles:
$1,000.00 Each and Every Loss with the following exceptions: A deductible of 3% of the total insured value is
applicable to losses caused by Wind, Wind Driven Rain, Hail, Tornado or Hurricane
THE FOREGOING EVIDENCE OF Cm/ERAGE IS NOT VERBATIMOF POUCY CONDmoNs, LIMlTAI'IONS OR lANGUAGE; THE POUCY(S) REPRESENI'ED
BY 11l1S CERTIFICATE ARE NOT AMENDED IN ANY WAY UNLESS SO STATED ON THIS CERTIFICATE.
ADDITIONAL AGREEMENTS:
Loss Payable
Payments for loss covered under the Aircraft Physical Damage coverage will be made payable to
Clearwater Airpark, Inc,; David King and City of Clearwater in an amount not to exceed the
Insured Value,
NOTICE OF CANCELLATION: IN TIlE EVENT OF MATERIAL CHANGE OR CANCELIATION OF SAID POllCY(S), THE COMPAl-'Y(S) SHAlL ENDFAVOR
TO GIVE 30 DAYS WRITTEN NOTICE TO lHE CERTIFICATE HOIDER WIrnlHE EXCEPTION OF A 10 DAY NOTICE FOR NON-PAYMENT OF PREMIUM.
Aviation Insurance Agency, Inc,
901 S,W. Martin Downs Boulevard
P,O. Box 2260, Palm City, FL 34991
~o,~tL
www.avnms.com
Telephone (772) 286-0626 - Facsimile (772) 286-1108
Authorized Signature