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CERTIFICATE OF LIABILITY INSURANCE (8)a ACORD CERTIFICATE OF LIABILITY INSURANCE °09/18/ 0 s . 2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AirSure Limited ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 25548 Genesee Trail Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Golden, CO 80401 INSURERS AFFORDING COVERAGE NAIL # INSURED INSURERA Old Republic Insurance Company Civil Air Patrol INSURERS Old Republic Insurance Company Office of Corporate Counsel _ INSURER C: 105 S. Hansel St. 112 INSURERD: Maxwell AFB, AL 36 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT DD' POLICY NUMBER POLICY EFFECTIVE POLICY EXP RATION LIMITS GENERAL LIABILITY EACHOCCURRENCE S 1,000.000 A X AP690412 10/1/09 10/1/10 DAMA TCIR TFIT- 100 000 COMMERCIALGENERALLIABMITY SE , ; CLAIMS MADE n OCCUR MEDEXP(Anyonepemm) S 25,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER; PRODUCTS -COMPIOPAGG S 2,000,000 X POLICY PRO- LOC AUTOMOBILE LIABILITY ? _ --?- --- 1 COMBINED SINGLE LIMIT 3 ANY AUTO - • v^r n.. (f 1 I l I I (Ea mddenl) ALLOWNEDAUTOS I C ` IT- I BODILY INJURY $ SCHEOULEDAUTOS ' J 1 i (Perperaon) HIREDAUTOS ' IO 1 U` 13 0 1 I' BODILY INJURY 3 NON-OWNEDALTOS L?' t (Puarrldent) P DAMAGE Y OFF IAL REGOHD• ." ?.J (P eareedd ecrJdanl) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 3 ANYAUTO OTHERTHAN EAACC $ AUTOONLY: AGG 3 EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ 3 DEDUCTIBLE S RETENTION ; $ WORXERSCOMPENSpTIONAND X STA7U- OTH- . B EMPLOYERS' LIABILITY OCAW017797-09 10/1/09 10/1/10 000 000 1 EL EACH ACCIDENT , , S ANYPROPRIETORPARTN_RIEXECUTAE OFFICEWMEMBEREXCLUDED7 5,L.018 kSF• EA EMPLOYEE 1 ,000,000 $ 11yea, demlbe under SPECIAL PROVISIONS below E.L. DISEASE. - POLICY LIMIT 1,000,000 ; OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS "Certificate Holder " and "Special Provisions" are the same as the "Certificate Holder" and "Special Provisions" under the attached AHM Financial Group, LLC certificate. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 30 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2081/08) ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE 9/21/200 ' PRODUCER (314) 523-8800 FAX- (314) 453-7555 AHM Financial Group, LLC 11 973 Westline Industrial Dr THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Saint Louis MO 63146 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Charter Oak Fire Ins Co 25615 Civil Air Patrol INSURER B: Bldg 714, Maxwell Air Force Base INSURER C: INSURER D: Montgomery AL 36112-6332 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN Y H V B EN REDUCEQBXEA IDCjAjMS. INSR ADp'L TYPE OF INSURANCE - POLICY NUMBER POLICY EFFECTIVE D TE (MMIDOW) POLICY DATE MEXPIRATION DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISETO BErr nce $ CLAIMS MADE ? OCCUR MED EXP An one Person) S SON L Y $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/ OP A $ 1 1 7 POLICY F-IJPERCi LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT 1 000 000 X ANY AUTO (Ea accident) , , $ A ALL OWNED AUTOS P810750K8747COF09 AOS 10/1/2009 10/1/2010 BODILY INJURY SCHEDULED AUTOS P@10750K8759COF09 HI 10/1/2009 10/1/2010 (Per Person) $ X X HIRED AUTOS NON-OWNEDAUTOS BA75OK876009CAG TX & WA 10/1/2009 10/1/2010 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN FAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AG REGATE $ S DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND O STATURY O R EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDOR5EMENTISPECIAL PROVISIONS City of Clearwater is included as an additional insured in realtion to the general liability regarding the trailer at 1000 Hercules Ave. CERTIFICATE HOLDER CANCELLATION City of Clearwater Clearwater Municipal Marina 25 Causeway Blvd. Clearwater, FL 33767 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE ACORD 25 (2001108) -._-. 1- AUTHORIZED REPRESENTATIVE John Anderson/CRYSTA c ACORD CORPORATION 1981 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 26 (2001108) page 2 of 2 INS026 (oiospea