CLEARWATER AIRPARK INC & DAVID KING
CERTIFICA TE DA TE: 04/10/2001
CERTIFICA TE HOLDER:
CERTIFICA TE OF INSURANCE
CERTIFICA TE NUMBER: 00-2]
POLICYHOLDER:
City of Clearwater
Gordie Wills. Aviation Manager
Clearwater Municipal Marina
25 Causeway Boulevard
" , m ':l':l7,<;7
This is to cenify that the follO\~ing policy(s), subject to the terms, conditions. limitations and endorsements contained therein, and during their effe..live 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 cenificate 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 School, 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 OPERA nONS
$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 POUCYCONDfIlONS, UMITATIONS OR lANGUAGE; THE POUOrs) REPRESE!v7ED
BY THIS CERTIFICATE ARE NOT AMENDED IN ANY WAY UNLESS SO STATED ON 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 COMPANY(S, SHALLENDEA\OR
TO GIVE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER WITH THE EXCEPTION OF A 10 DA Y 1'\OTICE FOR NON.PA YMENT OF PREMIUM,
Aviation Insurance Agency, Inc,
901 S,W. Martin Downs Boulevard Jf1~~ \ " () ^. _
P.O. Box 2260 ~ 0 UJ/. ~
Palm City, FL 34991
Telephone (561) 286-0626 - Facsimile (561) 286-1108
Authorized Signature
,;
CERTIFICATE OF INSURANCE
CERTIFICA TE DA TE: 04/10/2001 CERTIFICA TE NUMBER: 00-19
CERTIFICA TE HOLDER: POLICYHOLDER:
City of Clearwater
Gordie Wills, Aviation Manager
Clearwater Municipal Marina
25 Causeway Boulevard
,-" J::T 11.71';7
Suncoast Flying Services, Inc. and
Suncoast Flight School, Inc.
1000 N. Hercules Avenue
Clearwater, R 34625
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 ",ill 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 Type:
Insurance Company:
Policy Number:
Policy Period:
WORKERS' COMPENSATION
Old Republic Insurance Company
OCAVOl751602
February I, 200 1 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 EVIDENCE OF COVERAGE IS NOT VERBATIM OF POLICY CONDITIONS, LIMITATIONS OR lANGUAGE; THE POL/CY(S) REPRESENTED
BY THIS CERTlFICA TE ARE NOT AMENDED IN ANY WAY UNLESS SO STA TED ON THIS CERTlFlCA TE.
NOTICE OF CANCELLATION: L"i THE EVENT OF MATERIAL CHANGE OR CANCEUATION OF SAID POLICY(S), THE COMPANY(S) SHALL ENDEAVOR
TO GIVE 30 DAYS WRITTEN 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 l1a~' A f1 ^ _
P.O. Box 2260 LA.. ,..,J fAJI.. ~
Palm City, R 34991
Telephone (561) 286-0626 - Facsimile (561) 286-1108
Authorized Signature
..
,
\
CERTIFICA TE OF INSURANCE
CERTIFICA TE DATE: 04/10/2001 CERTIFICA TE NUMBER: 00-20
CERTIFICA TE HOLDER: POLICYHOLDER:
City of Clearwater
Gordie Wills, Aviation Manager
Clearwater Municipal Marina
25 Causeway Boulevard
,." , PI 1.1.7(;7
Suncoast Flying Services, Inc. and
Suncoast Flight School, Inc.
1000 N. Hercules Avenue
Clearwater. FL 33765
This is to certify that the following polic}(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 cenificate holder. but
failure to do so shall impose no liability or obligation of any kind upon the undersigned or the company(s) invoh'ed,
Po lie)' T)'pe:
Insurance Company:
Polie)' Number:
Poliq Period:
AIRCRAFf
Old Republic Insurance Company
Ave 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 VERBAnu OF POUCYCONDITIONS. L/MrrATlOYS OR LANGUAGE; THE POL/CY(S) REPRESENTED
BY THIS CERTIFICATE ARE NOT AME.\DED IN ANY WAY UNLESS SO STATED ON THIS CERTIFICATE.
NOTICE OF CANCELLATION: IN THE EVE:-', OF MATERIAL CHANGE OR CANCELLATION OF SAID POLICY(S), THE COMPANY(S) SHALL ENDEAVOR
TO GIVE 30 DA YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER WITH THE EXCEPTION OF A to DA Y ~OTlCE FOR NON-PAYMENT OF PREMIUM,
Aviation Insurance Agency, Inc.
901 S.W. Martin Downs Boulevard fi1a~ ' ^ () ^ _
P.O. Box 2260 LA- 0 u..JI.. ~
Palm City, FL 34991
Telephone (561) 286-0626 - Facsimile (561) 286-1108
Authorized Signature