HomeMy WebLinkAboutInsurance CertificatesJardine Lloyd Thompson Canada Inc.
Suite 350, 4396 West Saanich Road
J LT Victoria 84 319
Main: 250 0 3888 4416
Facsimile: 250 388 9926
CERTIFICATE OF INSURANCE SAS -12 -001
This is to certify to: City of Sebastian
1225 Main St.
P. O. Box 025504
Sebastian, FL 32958
Email: itarbell0citvofsebastian.orn
That: Sebastian Aero Services, Inc.
300 Airport Drive W.
Sebastian, FL 32958 -3917
as of this date, has arranged for the following insurance coverage(s) for the period and with underwriters as identified on the attached Security Sheet.
COVERAGES:
COMPREHENSIVE AVIATION LIABILITY INSURANCE Combined Single Limit
Including, but not limited to: Comprehensive General Liability, Bodily Injury and Property Damage to Third Each Occurrence`
Parties and Premises Liability $1,000,000
`REFER TO THE POLICY. AN ANNUAL AGGREGATE LIMIT APPLIES TO SOME COVERAGES.
GEOGRAPHICAL LIMITS: Worldwide
CONTRACT(S): Airport Lease between City of Sebastian and Sebastian Aero Services, Inc. dated April 28, 2000
OTHER COVERAGES /CONDITIONS /REMARKS
Subject always to the scope of the attached policies and all the policies' declarations, insuring agreements, terms, conditions, limitations, exclusions,
deductibles, warranties and endorsements thereof remaining paramount: Solely as respects: (i) The Coverage(s) noted above; (ii) the Contract(s)
(and then only to the extent of the Named Insured's obligation to provide insurance under the terms of the Contract(s)); and (iii) the operations of the
Named Insured; the policies are endorsed to include the following provisions(s):
City of Sebastian is included as an Additional Insured ( "the Additional Insured ") as its respective rights and interests may appear, warranted no
operational interest; however, no party shall be included as an Additional Insured as respects its legal liability as manufacturer, repairer or servicing
agent of the Aircraft and /or Engines.
In the event of cancellation or material changes of the policies by insurers which would adversely affect the interests of the Additional Insureds,
Insurers agree to provide 30 days (ten (10) days in the event of cancellation for non - payment of premiums) prior written notice to the Certificate
Holder(s).
This Certificate of Insurance is issued as summary of the insurances under the policies noted above and confers no rights upon the
Certificate Holders as regards the insurances other than those provided by the policies. The undersigned has been authorized by the above
Insurers to issue this certificate on their behalf and is not an insurer and has no liability of any sort neither under the above policies nor as a
result of this certification.
This certificate or verification of insurance is not an Insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contact or other document with respect to which this
certificate or verification of Insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all
terms, exclusions, limitations and conditions of such policies (including, but not limited to an Electronic Date Recognition Exclusion Clause,
and a related Electronic Date Recognition Exclusion Limited Coverage Endorsement; copies of which will be made available on request).
June 25, 2013
Authorized Representative Date
Jardine Lloyd Thompson Canada Inc.
Suite 350, 4396 West Saanich Road
LT Victoria BC V8Z 3E9
Main: 250 388 4416
Facsimile: 250 388 9926
CERTIFICATE OF INSURANCE SAS -12 -001
SECURITY SHEET
POLICY TERM: July 26, 2012 to July 26, 2013, on both dates at 12:01 A.M. Local Standard Time at the address of the
Named Insured.
INSURER
Starr Indemnity & Liability Insurance Co
Per Starr Aviation Agency, Inc
XL Specialty Insurance Company
Catlin Insurance Company, Inc
Per W. Brown & Associates
Star Insurance Company
Per Meadowbrook
SEVERAL LIABILITY NOTICE
POLICY NUMBER
SASICOM60029312/
SASICOM60029412
UA00006172AV 12A
NQC4019738
ACQ 0752434/
ACQ 0752435
The subscribing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the
extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co- subscribing insurer who for any
reason does not satisfy all or part of its obligations.
LSW 1001 (Insurance)
Date /Time 09/30/2010 15:57
09- 30- 10;04:02PM;
CERTIFICATE OF INSURANCE
This certificate is given as a matter of information only and confers no rights upon the certificate addressee.
Date: September 30, 2010
Covcrapes
;i
This is to certify to:
That the following policy has been issued to:
The City of Sebastian
SEBASTiAN AERO SERVICES
1225 Main Street
300 W. AIRPORT DRIVE
Sebastian, Fl, 32978
SEBASTIAN, FL 32958
P.002
# 2/ 2
Policy No. 12000785 issued by one or more member companies of Global Aerospace Pool through Global Aerospace, Inc.
Policy Period: from October 1, 2010 to October 1, 2011
AVIATION GROUND OPERATIONS LIABILITY
Covcrapes
;i
Limit% of Liability
Each Occurrence Limit
Ii
$5,000,000
Damage to Premises Rented to You Limit
$100,000
Medical Expense Limit (Any One Person)
$5,000
Personal and Advertising Injury Aggregate Limit
$5,000,000
General Aggregate Limit (Other than
I I
Products - Completed Operations and Hangarkeepers)
$5,000,000
Products - Completed Operations Aggregate Limit
$5,000,000
I-langarkeepers' Each Accident Limit
$250,000
I- langarkeepers' Each Airerall Limit
$250,000
The WHO 1S AN INSURED section of the policy has been amended to include the certificate addressee as an insured, but only with respccl to
liabilit for inipr damape'or loss to which the insurance afforded by the policy applies caused by the Named Insured's acts or omissions.
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 ineuruncc afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. This certificate does not
amend, extend or otherwise alter the coverages afforded by the policies described herein. Limits may have been reduced by paid claims.
Global Aerospace, Inc. has made provision for prompt notice to the certificate addressee in the event of cancellation of the above described policies, but
except as otherwise stated in this certificate, Global Aerospace, Inc. assumes no legal responsibility for any failure to do so.
GLOBAL AEROSPACE, INC. GLOBAI,AEROSAACE
BY: —'r Certificate No. 2112676223
AGLZ001 July 2009 Page 1 of 1
W. BROWN & ASSOCIATES
INSURANCE SERVICES
Mv
19000 MacArthur Blvd., Suite 700
Irvine, CA 92612
(949) 851 -2060
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY TO: The City of Sebastian, 1225 Main Street, Sebastian, FL 32978
THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:
Sebastian Aero Services, Inc.
300 West Airport Drive, Sebastian, FL 32958
POLICY NO. NAF3036301
POLICY PERIOD FROM: August 23, 2006 TO: August 23, 2007
INSURANCE COMPANY: XL Specialty Insurance Company
DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY:
General Aggregate Limit
$2,000,000.00
(Other than Products - Completed Operations)
Products - Completed Operations Aggregate Limit
$1,000,000.00
Personal Injury & Advertising Injury Aggregate Limit
$1,000,000.00
Each Occurrence Limit*
$1,000,000.00
Fire Damage Limit (Any One Fire)
$ 50,000.00
Medical Expense Limit
$ 1,000.00
Hangarkeepers' Each Loss Limit
$ 100,000.00
Hangarkeepers' Each Aircraft Limit
$ 100,000.00
Hangarkeepers' Deductible
$ 2,500.00 per aircraft
* Property Damage Deductible - $2,500.00 per claim
As respects the above Certificate Holder:
SECTION II — WHO IS AN INSURED is amended to include as an insured the person or organization,
but only with respect to liability arising out of the Named Insured's aviation operations.
Subject to Y2K Endorsement
Information contained herein valid August 23, 2006
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the
policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect
to which this certificate of insurance 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.
Should any of the above described policy(ies) be canceled before the expiration date hereof, the issuing company will
endeavor to give 30 days* notice to the certificate holder named herein. However, failure to mail such notice shall not
impose any obligation nor any liability of any kind upon the company, its representatives or agents.
*10 days for non - payment
By :.,,�-
W. Brown & Associates
Insurance Services
Date of Issue: September 5, 2006
Cert No