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HomeMy WebLinkAboutInsurance Certificates - LoPresti2 Tower Center Blvd Suite 1605 East Brunswick, NJ 08816 To: The Certificate Holder is included as an Additional Insured, but only as respects operations of the Named Insured. The Company will provide 30 days (10 days for non-payment of premium) advance notice of cancelation or material change. Named Insured: LoPresti Speed Merchants, Inc., 210 Airport Drive East, Sebastian, FL 32958 Policy Period From: June 26, 2017 June 26, 2018 200,000$ 5,000,000$ 5,000,000$ Aviation General Liability Certificate of Insurance AV 11 01 (Ed. 04 14) Certificate Holder:City of Sebastian,Attn: Randy Moyer,1225 Main Street, Sebastian, FL 32958 Products and Completed Operations Aggregate Limit: Policy Number: APE218587-00 Issuing Company: Great American Insurance Company This is to certify that the policy(ies) listed herein have been issued providing coverage for the listed insured as further described. This certificate of insurance is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy(ies) listed herein. Notwithstanding any requirement, term or condition of any contract, or other document with respect to which this certificate of insurance may be concerned or may pertain, the Insurance afforded by the policy(ies) listed on this certificate is subject to all the terms, exclusions, and conditions of such policy(ies). Personal and Advertising Injury Aggregate Limit: Property Damage Deductible: Medical Expenses - Each Person Limit: Damage to Premises Rented to You Limit: AV 11 01 (Ed. 04 14) Coverage:Limit: Not Applicable 5,000,000$ 5,000$ 5,000$ Certificate Number: Date: 1 July 11, 2017 (Authorized Representative) Each Occurrence: Deductible - Each Aircraft: General Aggregate Limit: Each Occurrence Limit: 1,000,000$ 1,000,000$ 5,000$ Hangarkeepers Liability: Each Aircraft: POLICY NO.: NAF6002053 ATTACHED TO CERTIFICATE # 4 Certificate # 4 Page 1 of 2 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: City of Sebastian 1225 Main Street Sebastian, FL 32958 THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Lopresti Speed Merchants 210 Airport Drive East Sebastian, FL 32958 POLICY NUMBER:NAF6002053 POLICY PERIOD:From June 27, 2016 To June 27, 2017 INSURANCE COMPANY:American Alternative Insurance Corp. DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof. Designation of Premises is (Part Leased to You): That portion occupied by the Named Insured at the Sebastian Municipal Airport Name of Person or Organization (Additional Insured): City of Sebastian As respects the above certificate holder: Section II - Who is an Insured is amended to include as an insured the person(s) or organizations(s), but only with respect to liability arising out of the Named Insured's aviation operations or the maintenance or use of that part of the premises leased to the Named Insured and shown above. Subject to Date Change Recognition Endorsement. Data included in this Certificate valid as of June 27, 2016. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy 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 policy described herein is subject to all the terms, exclusions and conditions of such policies. Should the described policy be cancelled before the expiration date hereof, the issuing company will endeavor to give 30 days (10 days for non-payment) 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. By:______________________________________Date of Issue: June 27, 2016 W. Brown & Associates Insurance Services Certificate No.: 4 POLICY NO.: NAF6002053 ATTACHED TO CERTIFICATE # 4 Certificate # 4 Page 2 of 2 SCHEDULE OF LOCATIONS Location of Aviation premises owned, rented to or occupied by the Named Insured: Sebastian Municipal Airport, Sebastian, FL Type of Coverage: LIMITS OF LIABILITY General Aggregate Limit (Other than Products-Completed Operations and Hangarkeepers’)$10,000,000 Products-Completed Operations Aggregate Limit $5,000,000 Products/Completed Operations Occurrence Limit Not Covered Personal Injury & Advertising Injury Aggregate Limit $1,000,000 Each Occurrence Limit $5,000,000 Fire Damage Limit (Any One Fire)$200,000 Medical Expense Limit (Any One Person)$3,000 Each Occurrence $25,000 Hangarkeepers’ Each Loss Limit $1,000,000 Hangarkeepers’ Each Aircraft Limit $1,000,000 Hangarkeepers’ Deductible Each Occurrence See Below Hangarkeepers' Deductible(s): $2,500 per aircraft/$5,000 as respects jet and turbine-powered aircraft Property Damage Deductible(s): $2,500 per claim/$5,000 as respects jet and turbine-powered aircraft G" Arthur J. Gallagher & Co. August 5, 2016 City of Sebastian 1225 Main Street Sebastian, FL 32958 RE: Certificate Lopresti Speed Merchants Policy Number: NAF6002053 Enclosed, please find your copy of the item checked below: X A certificate of insurance. 1525 Kautz Road, Suite 100 West Chicago, IL 60185 (800) 456-02361 fax: (630) 584-2099 Please review the document for error and notify me if any changes are needed or if you have any questions. Sincerely, W, an Perry Client Service Manager POLICY NO.: NAF6002053 ATTACHED TO CERTIFICATE # 4 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: City of Sebastian 1225 Main Street Sebastian, FL 32958 THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Lopresti Speed Merchants 210 Airport Drive East Sebastian, FL 32958 POLICY NUMBER: NAF6002053 POLICY PERIOD: From June 27, 2016 To June 27, 2017 INSURANCE COMPANY: American Alternative Insurance Corp. DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof. Designation of Premises is (Part Leased to You): That portion occupied by the Named Insured at the Sebastian Municipal Airport Name of Person or Organization (Additional Insured): City of Sebastian As respects the above certificate holder: Section II - Who is an Insured is amended to include as an insured the person(s) or organizations(s), but only with respect to liability arising out of the Named Insured's aviation operations or the maintenance or use of that part of the premises leased to the Named Insured and shown above. Subject to Date Change Recognition Endorsement. Data included in this Certificate valid as of June 27, 2016. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy 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 policy described herein is subject to all the terms, exclusions and conditions of such policies. Should the described policy be cancelled before the expiration date hereof, the issuing company will endeavor to give 30 days (10 days for non-payment) 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. By: W. Brown & Associates Insurance Services Certificate # 4 Date of Issue: June 27, 2016 Certificate No.: 4 Page 1 of 2 POLICY NO.: NAF6002053 ATTACHED TO CERTIFICATE # 4 SCHEDULE OF LOCATIONS Location of Aviation premises owned, rented to or occupied by the Named Insured: Sebastian Municipal Airport, Sebastian, FL Type of Coverage: LIMITS OF LIABILITY General Aggregate Limit (Other than Products -Completed Operations and Hangarkeepers') $10,000,000 Products -Completed Operations Aggregate Limit $5,000,000 Products/Completed Operations Occurrence Limit Not Covered Personal Injury & Advertising Injury Aggregate Limit $1,000,000 Each Occurrence Limit _ _ $5,000,000 Fire Damage Limit (Any One Fire) $200,000 Medical Expense Limit (Any One Person) $3,000 Each Occurrence $25,000 Hangarkeepers' Each Loss Limit $1,000,000 Hangarkeepers' Each Aircraft Limit $1,000,000 Hangarkeepers' Deductible Each Occurrence See Below Hangarkeepers' Deductible(s): $2,500 per aircraft/$5,000 as respects jet and turbine -powered aircraft Property Damage Deductible(s): $2,500 per claim/$5,000 as respects jet and turbine -powered aircraft Certificate # 4 Page 2 of 2 115 JUN 12 PMa1:47:5( POLICY NO.: NAF4039426 ATTACHED TO CERTIFICATE # 2 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: City of Sebastian 1225 Main Street Sebastian, FL 32958 THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Lopresti Speed Merchants 210 Airport Drive East Sebastian, FL 32958 POLICY NUMBER: NAF4039426 POLICY PERIOD: From June 27, 2015 To June 27, 2016 INSURANCE COMPANY: Catlin Insurance Company, Inc. DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof. Designation of Premises is (Part Leased to You): That portion occupied by the Named Insured at the Sebastian Municipal Airport Name of Person or Organization (Additional Insured): City of Sebastian As respects the above certificate holder: Section II - Who is an Insured is amended to include as an insured the person(s) or organizations(s), but only with respect to liability arising out of the Named Insured's aviation operations or the maintenance or use of that part of the premises leased to the Named Insured and shown above. Subject to Date Change Recognition Endorsement. Data included in this Certificate valid as of June 27. 2015. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy 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 policy described herein is subject to all the terms, exclusions and conditions of such policies. Should the described policy be cancelled before the expiration date hereof, the issuing company will endeavor to give 30 days (10 days for non-payment) 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. By: W._O� W. Brown & Associates Insurance Services Date of Issue: June 8, 2015 Certificate No.: 2 Certificate # 2 Pagel of 2 POLICY NO.: NAF4039426 ATTACHED TO CERTIFICATE # 2 SCHEDULE OF LOCATIONS Location of Aviation premises owned, rented to or occupied by the Named Insured: Sebastian Municipal Airport, Sebastian, FL Type of Coverage: LIMITS OF LIABILITY General Aggregate Limit (Other than Products -Completed Operations and Hangarkeepers') $10,000,000 Products -Completed Operations Aggregate Limit $5,000,000 Products/Completed Operations Occurrence Limit Not Covered Personal Injury & Advertising Injury Aggregate Limit $1,000,000 Each Occurrence Limit $5,000,000 Fire Damage Limit (Any One Fire) $200,000 Medical Expense Limit (Any One Person) $3,000 Each Occurrence $25,000 Hangarkeepers' Each Loss Limit $1,000,000 Hangarkeepers' Each Aircraft Limit $1,000,000 Hangarkeepers' Deductible Each Occurrence See Below Hangarkeepers' Deductible(s): $2,500 per aircraft/$5,000 as respects jet and turbine -powered aircraft Property Damage Deductible(s): $2,500 per claim/$5,000 as respects jet and turbine -powered aircraft Certificate # 2 Page 2 of 2 NATIO NAI R A V I A T I O N I N S U R A N C E June 10, 2015 City of Sebastian 1225 Main Street Sebastian, FL 32958 RE: Account Name: Margaret Lopresti, Curt Lopresti Policy Number: NAF4039426 1525 Kautz Road, Suite 100 West Chicago, IL 60185 (800) 327-2222 1 fax: (866) 212-1654 www,nationair.com Enclosed, please find your copy of the item checked for the above insured: An insurance binder X A certificate of insurance. A copy of the current insurance policy. Endorsement # for the current insurance policy. Breach of Warranty Endorsement # Please review the document(s) for error and notify me if any changes are needed or if you have any questions. Sincerely, Joan Perry Account Executive RX Date/Time 03/17/2014 09,11 772 228 9750 P.001 Mar 17 14 10:21a LoPresti Aviation 772-228-9750 P.1 I npaFscunl JPERRY DATE (MM)DDIYYYY) A O CERTIFICATE OF LIABILITY INSURANCE 3/17/2014 OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED AS A MATTER CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. 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). PRODUCER NationAir Aviation Insurance CONTACT NAME: PHONE 800 327-2222 jarc No): (866) 212-1654 (AIc Ectl: 1525 Kautz Road, Suite 100 F EMAIL West Chicago, IL 60185 ADDRESS: . . INSURER(S) AFFORDING COVERAGE NAIL 0 INSURER A: Federal Insurance Company 20281 GENERAL AGGREGATE $ INSURED INSURER B.: INSURER C : Margaret Lopresti, Curt Loprestl OTHER: 210 Airport Drive, East INSURER D: Sebastian, FL 32958 INSURER E: INSURER F: Ia1r�Cff- ANY'AUTO COVERAGES % r_r_mI I�I�uwruur.. - - OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ACCORDANCE WITH THE POLICY PROVISIONS. INSR ADDL UBR POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY MM/DDIYYY LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _- CLAIMS -MADE E OCCUR R N $ DAMAZ,`E-T"(E PREMISES Ea call MED EXP (Any one person) $ PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO C LOC PRODUCTS - COMPIOP AGG $ JECT OTHER: COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITYaccident). A Ea accident BODILY INJURY (Per person) $ ANY'AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE S NON•OWNED HIRED AUTOS AUTOS Per accident -$" . UMBRELLA LIAR OCCUR EACH OCCURRENCE $ .. EXCESS LIAR ICLAIMS-MADE AGGREGATE _ $ $ OED RETENTION $ PER H- WORKERSCOMPENSATION STATUTE ER E.L. FACH ACCIDENT $ 1,000,00 AND EMPLOYERS' LIABILITY Y� 9915-2007 01/01!2014 O1IO1I2015 A ANY PROPRIETORIPARTNERIEXECU7IVE E.L. DISEASE - EA EMPLOYEE $ 1+000,00 OFFICERlMEMBER EXCLUDED? NIA (Mandatory in NH) 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I Additional Remarks Schedule, may be attached if more space is required) DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Proof of Insurance for City of Sebastian CER 111•II:A 1 t MULUCK --" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Sebastian ACCORDANCE WITH THE POLICY PROVISIONS. 1225 Main Street Roseland, FL 32957 A-UTHORIIZED REPR}E�SENTATIV/E �j•T%j �Jvr.P�'a� ' v� � . A�nr. nno�AO ATIA\I All .,nhic �nCnrvori ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD POLICY NO.: NAF4025684 ATTACHED TO CERTIFICATE # 2 CERTIFICATE OF INSURANCE THIS IS TO CERTIFY TO: City of Sebastian 1225 Main Street Sebastian, FL 32958 THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Lopresti Speed Merchants 210 Airport Drive East Sebastian, FL 32958 POLICY NUMBER: NAF4025684 POLICY PERIOD: From June 27, 2013 To June 27, 2014 INSURANCE COMPANY: Catlin Insurance Company, Inc. DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof. Designation of Premises is (Part Leased to You): That portion occupied by the Named Insured at the Sebastian Municipal Airport Name of Person or Organization (Additional Insured): City of Sebastian As respects the above certificate holder: Section II - Who is an Insured is amended to include as an insured the person(s) or organizations(s), but only with respect to liability arising out of the Named Insured's aviation operations or the maintenance or use of that part of the premises leased to the Named Insured and shown above. Subject to Date Change Recognition Endorsement. Data included in this Certificate valid as of June 27, 2013. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy 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 policy described herein is subject to all the terms, exclusions and conditions of such policies. Should the described policy be cancelled before the expiration date hereof, the issuing company will endeavor to give 30 days (10 days for non-payment) 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. By: W. Brown & Associates Insurance Services Date of Issue: June 26, 2013 Certificate No.: 2 Certificate # 2 Page 1 of 2 POLICY NO.: NAF4025684 ATTACHED TO CERTIFICATE # 2 SCHEDULE OF LOCATIONS Location of Aviation premises owned, rented to or occupied by the Named Insured: Vero Beach Municipal Airport, Vero Beach, FL including those airport locations necessary and incidental to the Aviation Operations of the Named Insured Sebastian Municipal Airport, Sebastian, FL Type of Coverage: LIMITS OF LIABILITY General Aggregate Limit (Other than Products -Completed Operations and Hangarkeepers') $2,000,000 Products -Completed Operations Aggregate Limit $1,000,000 Personal Injury & Advertising Injury Aggregate Limit $1,000,000 Each Occurrence Limit $1,000,000 Fire Damage Limit (Any One Fire) $200,000 Medical Expense Limit (Any One Person) $3,000 Each Occurrence $25,000 Hangarkeepers' Each Loss Limit $1,000,000 Hangarkeepers' Each Aircraft Limit $1,000,000 Hangarkeepers' Deductible Each Occurrence See Below Hangarkeepers' Deductible(s): $2,500 per aircraft/$5,000 as respects jet and turbine -powered aircraft Property Damage Deductible(s): $2,500 per claim/$5,000 as respects jet and turbine -powered aircraft Certificate # 2 Page 2 of 2 NAF END22 (0109) Page 1 of 1 ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES Policy Number: NAF4025684 Endorsement #: 8 Named Insured: Lopresti Speed Merchants Company: Catlin Insurance Company, Inc. Effective Date: 06/27/2013 Aviation Managers: Date Issued: 06/26/2013 This endorsement is part of your policy and takes effect on the effective date of your policy unless another effective date is shown above. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. It is hereby understood and agreed that this endorsement amends the policy as shown below: 1. Designation of Premises (Part Leased to You): That portion occupied by the Named Insured at the Sebastian Municipal Airport 2. Name of Person or Organization (Additional Insured): City of Sebastian 1225 Main Street Sebastian, FL 32958 Section II — Who is an Insured is amended to include as an insured the person(s) or organizations(s) shown in the schedule, but only with respect to liability arising out of your aviation operations or the maintenance or use of that part of the premises leased to you and shown in the schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any occurrence which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction and demolition operations performed by or for the person(s) or organization(s) shown in the Schedule. 3. Bodily injury arising out of the Additional Insured's providing or failing to provide professional health care services. All other terms and conditions of the policy remain unchanged. THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY End of Endorsement — NAF END22 (0109) NAF END22 (0109) Endorsement # 8 - Page 1 of 1 LOPRESCU01 JPERRY CERTIFICATE OF LIABILITY INSURANCE 1 DAT120/2D/YYYY) 5/20/2013 _ HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. 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). PRODUCER CONTACT NAME: NationAir Aviation Insurance IPHONE IFAX INSURED Margaret Lopresti, Curt Lopresti 210 Airport Drive, East Sebastian, FL 32958 COVERAGES CERTIFICATE NUMRER: INSURERS) AFFORDING C INSURER A: Federal Insurance Com INSURER B: INSURER C : INSURER E: RFVISInN !JI IRARFR- NAIC THIS IS TO- CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEADDLISUBR INSR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—I OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- F T LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS 1/1/2013 1/1/2014 Ea NEDISINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY Per accident $ ( ) PROPERTY DAMAGE $ PER ACCIDENT $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WC STATU- OTH- TORY LIMITSi ER A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE009 OFFICER/MEMBER EXCLUDED? NN (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below / A 9152007 E.L. EACH ACCIDENT $ 1,000,000 -- E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) VCR I Ir'IVA 1 C r1VLUCt'C CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Sebastian THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1225 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Sebastian, FL 32958 AUTHORIZED REPRESENTATIVE --- Al,1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 'NORI "ERS COMPENSATION APPLICATION - ADDITIONAL RATING INFORMATION I_nPRFR('l Inl IDFDDV ^M STATE LOC + CLASS CODE DESCR CODE - -- - CATEGORIES, DUTIES, CLASSIFICATIONS #EMPLOYEES FULL PART TIME TIME ESTIMATED ANNUAL REMUNERATION ESTIMATED ANNUAL PREMIUM 1 3826 Aircraft Engine, MFG and all other employees 150,440 1.43000 2,151 1 3826 Aircraft Engine, MFG and all other employees Sales Sales 201,304 1.55000 3,120 1 8742 79,000 0.53000 419 1 8742 64,333 0.53000 341 1F881 Clerical /Administration 164,454 0.27000 444 1 Clerical / Administration 203,118 0.27000 548 APPLIED 130ARI (2000/08) AGENCY CUSTOMER ID: LOPRESCU01 JPERRY ADDITIONAL PREMISES INFORMATION SCHEDULE Page 1 of 1 AGENCY CARRIER NAIC CODE NationAir Aviation Insurance SEE PAGE 1 SEE P 1 POLICY NUMBER EFFECTIVE DATE NAMED INSURED(S) SEE PAGE 1 _ SEE PAGE 1 PREMISES INFORMATION LOC # STREET CITY LIMITS INTEREST #FULL TIME EMPL ANNUAL REVENUES: $ INSIDE OWNER OCCUPIED AREA: SOFT BLD # CITY: STATE: OUTSIDE TENANT # PART TIME EMPL OPEN TO PUBLIC AREA: SO FT COUNTY: ZIP: TOTAL BUILDING AREA: SO FT DESCRIPTION OF OPERATIONS: ANY AREA LEASED TO OTHERS? Y / N: ANNUAL REVENUES: $ LOC # STREET CITY LIMITS INTEREST # FULL TIME EMPL INSIDE OWNER TENANT # PART TIME EMPL OCCUPIED AREA: So FT BLD # CITY: STATE: OUTSIDE OPEN TO PUBLIC AREA: SO FT COUNTY: ZIP: TOTAL BUILDING AREA: SO FT ANY AREA LEASED TO OTHERS? Y / N: DESCRIPTION OF OPERATIONS: INTEREST # FULL TIME EMPL LOC # STREET CITY LIMITS -ANNUAL REVENUES: $ -- -- — INSIDE OWNER TENANT # PART TIME EMPL OCCUPIED AREA: SOFT BLD # CITY: STATE: OUTSIDE OPEN TO PUBLIC AREA: SO FT COUNTY: ZIP: TOTAL BUILDING AREA: So FT ANY AREA LEASED TO OTHERS? Y / N: DESCRIPTION OF OPERATIONS: LOC # STREET CITY LIMITS INTEREST #FULL TIME EMPL ANNUAL REVENUES: $ INSIDE OWNER TENANT # PART TIME EMPL OCCUPIED AREA: SO FT BLD # CITY: STATE: OUTSIDE OPEN TO PUBLIC AREA: SO FT COUNTY: ZIP: TOTAL BUILDING AREA: SO FT DESCRIPTION OF OPERATIONS: ANY AREA LEASED TO OTHERS? Y / N: LOC # STREET CITY LIMITS INTEREST # FULL TIME EMPL ANNUAL REVENUES: $ INSIDE OWNER TENANT OCCUPIED AREA: SO FT BLD # CITY: STATE: OUTSIDE # PART TIME EMPL OPEN TO PUBLIC AREA: SO FT COUNTY: ZIP: TOTAL BUILDING AREA: SO FT DESCRIPTION OF OPERATIONS: ANY AREA LEASED TO OTHERS? Y / N: LOC # STREET CITY LIMITS INTEREST # FULL TIME EMPL ANNUAL REVENUES: $ INSIDE OUTSIDE OWNER TENANT OCCUPIED AREA: SO FT BLD # CITY: STATE: # PART TIME EMPL OPEN TO PUBLIC AREA: SO FT COUNTY: ZIP: TOTAL BUILDING AREA: SO FT ANY AREA LEASED TO OTHERS? Y I N: DESCRIPTION OF OPERATIONS: LOC # STREET CITY LIMITS INTEREST # FULL TIME EMPL ANNUAL REVENUES: $ INSIDEOWNER TENANT OCCUPIED AREA: SO FT BLD # CITY: STATE: OUTSIDE # PART TIME EMPL OPEN TO PUBLIC AREA: SO FT 7 COUNTY: ZIP: TOTAL BUILDING AREA: SO FT DESCRIPTION OF OPERATIONS: ANY AREA LEASED TO OTHERS? Y / N: LOC # STREET CITY LIMITS INTEREST # FULL TIME EMPL ANNUAL REVENUES: $ INSIDE OWNER TENANT OCCUPIED AREA: SO FT BLD # CITY: STATE: OUTSIDE # PART TIME EMPL OPEN TO PUBLIC AREA: SO FT COUNTY: ZIP: TOTAL BUILDING AREA. SO FT ANY AREA LEASED TO OTHERS? YIN: DESCRIPTION OF OPERATIONS: ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR ANOTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING INFORMATION CONCERNING ANY FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND [NY: SUBSTANTIAL] CIVIL PENALTIES. (Not applicable in CO, DC, FL, HI, MA, NE, OH, OK, OR, VT or WA; in LA, ME, TN and VA, insurance benefits may also be denied) IN THE DISTRICT OF COLUMBIA, WARNING: IT IS A CRIME TO PROVIDE FALSE OR MISLEADING INFORMATION TO AN INSURER FOR THE PURPOSE OF DEFRAUDING THE INSURER OR ANY OTHER PERSON. PENALTIES INCLUDE IMPRISONMENT AND/OR FINES. IN FLORIDA, ANY PERSON WHO KNOWINGLY AND WITH INTENT TO INJURE, DEFRAUD, OR DECEIVE ANY INSURER FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE THIRD DEGREE. IN MASSACHUSETTS, NEBRASKA, OREGON AND VERMONT, ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR ANOTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING INFORMATION CONCERNING ANY FACT MATERIAL THERETO, MAY BE COMMITTING A FRAUDULENT INSURANCE ACT, WHICH MAY BE A CRIME AND MAY SUBJECT THE PERSON TO CRIMINAL AND CIVIL PENALTIES. IN WASHINGTON, IT IS A CRIME TO KNOWINGLY PROVIDE FALSE, INCOMPLETE, OR MISLEADING INFORMATION TO AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING THE COMPANY. PENALTIES INCLUDE IMPRISONMENT, FINES, AND DENIAL OF INSURANCE BENEFITS. ACORD 823 (2009/09) Attach to ACORD 125 © 2006-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD N /-TI. .ON A V I A T I O N I N S U R A N C E May 20, 2013 City of Sebastian Attn. Jean Tarbell 1225 Main Street Sebastian, FL 32958 RE: Account Name: Margaret Lopresti, Curt Lopresti Policy Number: 009 9152007 200 Airport Drive East Sebastian, FL 32958 800.327.2222 1 fax 772.918.4347 nationair.com Enclosed, please find your copy of the item checked for the above insured: An insurance binder X A certificate of insurance. A copy of the current insurance policy. Endorsement # for the current insurance policy. Breach of Warranty Endorsement # Please review the document(s) for error and notify me if any changes are needed or if you have any questions. Sincerely, Joan Perry Account Executive LOPRESCU01 JPERRY ACORD`°' CERTIFICATE OF LIABILITY INSURANCE DATE 11/19/2012 11 /19/2012 � THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER CONTACT NAME: Joan Perry NationAir Aviation Insurance -SE PHONEFAX , No, Ext): (800) 327-2222 1Alc L (772)_ No918-4347 200 Airport Drive East E-MAIL Sebastian, FL 32958 ADDRESS: jperry@nationair.com T - INSURER(S) AFFORDING COVERAGE NAIC- INSURERA:Federal Insurance Company 20281 1 INSURED INSURER B: }I Lopresti Speed Merchants INSURER C: 210 Airport Drive INSURER D Sebastian, FL 32958 INSURER E: - - - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR -TYPE OF INSURANCE INSR WVD i POLICY. NUMBER _ (MM/DD/YYYY)_ (MM/DD/YYYY _- LIMITS INSR A f POLICY EFF POLICY EXP !I GENERAL LIABILITY !'I EACH OCCURRENCE �$ — LIAMALiEi0 KLN I �COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence_ $ _ CLAIMS -MADE I- OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: I I I PRO- P-OLICYu�-JECT - LOC i I I AUTOMOBILE LIABILITY !I ANY AUTO ALL OWNED 'AUTOS - � J HIRED AUTOS SCHEDULED AUTOS J NON -OWNED � I AUTOS SMED EXP II -ny one person) $ SONALA PE& ADV INJURY $- GENERAL AGGREGATE $ PRODUCTS COMP/OP AGG I $ COMBINED SINGLE LIMIT I (Ea accidentl $ ISI BODILY INJURY (Per accident) ', $ PROPERTY DAMAGE �_--- --- - (PER ACCIDENT)_ - _$ -� —----- - ,I $ UMBRELLA LIAB - 1 CLAIMS CCUR _Ti � EXCESS LIAR -MADE I �D RETENTION $_ WORKERS 4 f _ WOCOMPENSATION 4 AND EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N X 009 9152007 1/1/2012 1/1/2013 OFFICER/MEMBER EXCLUDED? N I N/ A I (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Yorkers Compensation Evidence of Insurance i CERTIFICATE HOLDER City of Sebastian 1225 Main Street Sebastian, FL 32958 ACORD 25 (2010/05) EACH OCCURRENCE $ AGGREGATE $ $ WC STATU- 0TH- I TORYI -LIMITS _ ER I_ E.L.-EACH ACCIDENT $ 1,000,001 E L DISEASE EA EMPLOYEE $ 1,000,001 EL DISEASE -POLICY LIMIT 1$ -. 1,000,001 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. _\ AUTHORtZ�O-k-EPR NTATIVE l 2 ©1988-2010 ACORD CORP RATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NO.: NAF4019289 THIS IS TO CERTIFY TO: City of Sebastian 1225 Main Street Sebastian, FL 32958 ATTACHED TO CERTIFICATE # 1 CERTIFICATE OF INSURANCE THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Lopresti Speed Merchants 210 Airport Drive East Sebastian, FL 32958 POLICY NUMBER: NAF4019289 POLICY PERIOD: From June 27, 2012 To June 27, 2013 INSURANCE COMPANY: Catlin Insurance Company, Inc. DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof. Designation of Premises is (Part Leased to You): That portion occupied by the Named Insured at the Sebastian Municipal Airport Name of Person or Organization (Additional Insured): City of Sebastian As respects the above certificate holder: Section II - Who is an Insured is amended to include as an insured the person(s) or organizations(s), but only with respect to liability arising out of the Named Insured's aviation operations or the maintenance or use of that part of the premises leased to the Named Insured and shown above. Subject to Date Change Recognition Endorsement. Data included in this Certificate valid as of June 27, 2012. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy 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 policy described herein is subject to all the terms, exclusions and conditions of such policies. Should the described policy be cancelled before the expiration date hereof, the issuing company will endeavor to give 30 days (10 days for non-payment) 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. By: '411_Date of Issue: June 27, 2012 W. Brown & Associates Insurance Services Certificate No.: 1 Certificate # 1 Page 1 of 2 46 POLICY NO.: NAF4019289 ATTACHED TO CERTIFICATE # 1 SCHEDULE OF LOCATIONS Location of Aviation premises owned, rented to or occupied by the Named Insured: Sebastian Municipal Airport, Sebastian, FL Vero Beach Municipal Airport, Vero Beach, FL including those airport locations necessary and incidental to the Aviation Operations of the Named Insured Type of Coverage: LIMITS OF LIABILITY General Aggregate Limit (Other than Products -Completed Operations and Hangarkeepers') $2,000,000 Products -Completed Operations Aggregate Limit $1,000,000 Personal Injury & Advertising Injury Aggregate Limit $1,000,000 Each Occurrence Limit $1,000,000 Fire Damage Limit (Any One Fire) $200,000 Medical Expense Limit (Any One Person) $3,000 Each Occurrence $25,000 Hangarkeepers' Each Loss Limit $1,000,000 Hangarkeepers' Each Aircraft Limit $1,000,000 Hangarkeepers' Deductible Each Occurrence See Below Hangarkeepers' Deductible(s): $2,500 per aircraft/$5,000 as respects jet and turbine -powered aircraft Property Damage Deductible(s): $2,500 per claim/$5,000 as respects jet and turbine -powered aircraft Certificate # 1 Page 2 of 2 POLICY NO.: NAF4019289 THIS IS TO CERTIFY TO: City of Sebastian 1225 Main Street Sebastian, FL 32958 ATTACHED TO CERTIFICATE # _L CERTIFICATE OF INSURANCE THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Lopresti Speed Merchants 210 Airport Drive East Sebastian, FL 32958 POLICY NUMBER: NAF4019289 POLICY PERIOD: From June 27, 2012 To June 27, 2013 INSURANCE COMPANY: Catlin Insurance Company, Inc. DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof. Designation of Premises is (Part Leased to You): That portion occupied by the Named Insured at the Sebastian Municipal Airport Name of Person or Organization (Additional Insured): City of Sebastian As respects the above certificate holder: Section II - Who is an Insured is amended to include as an insured the person(s) or organizations(s), but only with respect to liability arising out of the Named Insured's aviation operations or the maintenance or use of that part of the premises leased to the Named Insured and shown above. Subject to Date Change Recognition Endorsement. Data included in this Certificate valid as of June 27, 2012. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy 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 policy described herein is subject to all the terms, exclusions and conditions of such policies. Should the described policy be cancelled before the expiration date hereof, the issuing company will endeavor to give 30 days (10 days for non-payment) 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. By: p�aDate of Issue: June 27, 2012 W. Brown & Associates Insurance Services Certificate No.: 1 Certificate # 1 Page 1 of 2 POLICY NO.: NAF4019289 ATTACHED TO CERTIFICATE # -I- SCHEDULE SCHEDULE OF LOCATIONS Location of Aviation premises owned, rented to or occupied by the Named Insured: Sebastian Municipal Airport, Sebastian, FL Vero Beach Municipal Airport, Vero Beach, FL including those airport locations necessary and incidental to the Aviation Operations of the Named Insured Type of Coverage: LIMITS OF LIABILITY General Aggregate Limit (Other than Products -Completed Operations and Hangarkeepers') $2,000,000 Products -Completed Operations Aggregate Limit $1,000,000 Personal Injury & Advertising Injury Aggregate Limit $1,000,000 Each Occurrence Limit $1,000,000 Fire Damage Limit (Any One Fire) $200,000 Medical Expense Limit (Any One Person) $3,000 Each Occurrence $25,000 Hangarkeepers' Each Loss Limit $1,000,000 Hangarkeepers' Each Aircraft Limit $1,000,000 Hangarkeepers' Deductible Each Occurrence See Below Hangarkeepers' Deductible(s): $2,500 per aircraft/$5,000 as respects jet and turbine -powered aircraft Property Damage Deductible(s): $2,500 per claim/$5,000 as respects jet and turbine -powered aircraft Certificate # 1 Page 2 of 2 RX Date/Time 03/22/2012 12,13 3212551471 From:NationAir FLA 3212551471 POLICY NO.: NAF4013238 THIS IS TO CERTIFY TO: City of Sebastian 1225 Main Street Sebastian, FL 32958 03/22/2012 13:11 P.002 #286 P.0021003 ATTACHED TO CERTIFICATE # 1 CERTIFICATE OF INSURANCE THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO: Lopresti Speed Merchants 210 Airport Drive East Sebastian, FL 32958 POLICY NUMBER: NAF4013238 POLICY PERIOD: From June 27, 2011 To June 27, 2012 INSURANCE COMPANY: Catlin Insurance Company, Inc. DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof. Designation of Premises is (Part Leased to You): That portion occupied by the Named Insured at the Sebastian Municipal Airport Name of Person or Organization (Additional Insured): City of Sebastian As respects the above certificate holder: Section 11 - Who is an Insured is amended to include as an insured the person(s) or organizations(s), but only with respect to liability arising out of the Named Insured's aviation operations or the maintenance or use of that part of the premises leased to the Named Insured and shown above. Subject to Date Change Recognition Endorsement. Data included in this Certificate valid as of March 16, 2012. This certificate of insurance Is not an Insurance policy and does not amend, extend or alter the coverage afforded by the policy 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 policy described herein Is subject to all the terms, exclusions and conditions of such policies. Should the described policy be cancelled before the expiration date hereof, the issuing company will endeavor to give 30 days (10 days for non-payment) 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. By: W. Brown & Associates Insurance Services Date of Issue: March 16, 2012 Certificate No.: 1 Certificate # 1 Page 1 of 2 RX Date/Time 03122/2012 12:13 3212551471 P,003 From:NationAir FLA 3212551471 03/22/2012 13:12 #286 P.003/003 POLICY NO.: NAF4013238 ATTACHED TO CERTIFICATE # 1 SCHEDULE OF LOCATIONS Location of Aviation premises owned, rented to or occupied by the Named Insured: Sebastian Municipal Airport, Sebastian, FL Vero Beach Municipal Airport, Vero Beach, FL including those airport locations necessary and incidental to the Aviation Operations of the Named Insured Type of Coverage: General Aggregate Limit (Other than Products -Completed Operations and Hangarkeepers') $2,000,000 Products -Completed Operations Aggregate Limit $1,000,000 Personal Injury & Advertising Injury Aggregate Limit $1,000,000 Each Occurrence Limit $1,000,000 Fire Damage Limit (Any One Fire) $200,000 Medical Expense Limit (Any One Person) $3,000 Each Occurrence $25,000 Hangarkeepers' Each Loss Limit $1,000,000 Hangarkeepers' Each Aircraft Limit $1,000,000 Hangarkeepers' Deductible Each Occurrence See Below Hangarkeepers' Deductible(s): $2,500 per aircraft/$5,000 as respects jet and turbine -powered aircraft Property Damage Deductible(s): $2,500 per claim/$5,000 as respects jet and turbine -powered aircraft Certificate # 1 Page 2 of 2 ACORDCERTIFICATE OF LIABILITY INSURANCE 115 20 0 ' PRODUCER (800) 794-0268 FAX: (772) 231-4413 Brown & Brown, formerly Felten/HBA Insurance 2911 Cardinal Drive PO Box 643488 Vero Beach FL 32964-3488 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. INSURERS AFFORDING COVERAGE NAIC # INSURED Lopresti Speed Merchants, Inc. 202 Airport Drive East Sebastian FL 32958 INSURERA:Catlin Insurance Company, 19518 INSURER B: Employers Insurance 21458 INSURER C: INSURER D: 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 LIMIT H WN MAY HAVE BEEN REDUCED BY PAIDD CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DDIYY LIMITS INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE GENERAL LIABILITY H INSURANCE GROUP/MAR "r- nnewTlnu eeoQ EACH OCCURRENCE $ 1,000,000 PREMISESRENTED occurrence $ 200,000 X COMMERCIAL GENERAL LIABILITY MED EXP An oneperson) $ 3,000 A CLAIMS MADE a OCCUR NAF4001597 6/27/2009 6/27/2010 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 X C LOC POLICY J AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA A $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR FICLAIMS MADE $ DEDUCTIBLE $ RETENTION B WORKERS COMPENSATION AND _ -NR Y LIMIT OER E.L. EACH ACCIDENT $ 500,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? WCCZ9143992 1/1/2010 1/1/2011 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE -POLICY LIMIT $ 500,000 If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The City of Sebastian is named as additional insured with respect to general liability. PA\1!`CI 1 ATIl1M t,rm I Irnom 1 c nvLUcrc - ---- _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Sebastian EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1225 Main Street 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Sebastian, FL 32958 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE H INSURANCE GROUP/MAR "r- nnewTlnu eeoQ ACORD 25 (2001108) Oona 1 of 7 Iu Cr17Sinsn nn., '4 u P CERTIFICATE OF PROPS PRODUCER pH (800) 794-0268 PROPERTY INSURANCE Brown & Brown FAx (772) 231-4413 DAA formerly Felten/HBA Insurance THIS CERTIFICATE IS ISSUED AS A MATTER 5/2010 OF INFORMATION 2911 Cardinal Drive ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE M PO Box 643488 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. HOLDER. Vero Beach FL 32964-3488 COMPANIES AFFORDING COVERAGE INSURED COMPANY A Underwriters At Lopresti Speed Merchantslo ds 2620 Airport InC Inc. COMPANY p N• Drive B Vero Beach COMPANY FL 32960 C COVERAGES COMPANY THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED D INDICATED, NOTWITHSTANDING ANY RE QUI QUIREM BELOW HAVE BE E MAY BE ISSUED ENT, TERM OR CO EN ISSUED TO TH OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED C PAID CLAIMS. CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INSURED NAMED ABOVE FOR THE POLICY PERIOD CO TYPE OF INSURANCE LTR POLICY NUMBER HE TERMS, X PROPERTY POLICY EFFECTIVE POLICY EXPIRATIONYY COVERED PROPERTY DATE MM/DD/YY DATE MM/DD/ CAUSES OF LOSS LIMITS BASIC BUILDING BROAD X PERSONAL PROPERTY $ 600,000 A X SPECIAL BUSINESS INCOME 39633 $ EARTHQUAKE 4/7/2009 4/7/2010 EXTRA EXPENSE $ FLOOD BLANKET BUILDING $ BLANKET PERS PROP $ BLANKET BLDG & PP $ INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS OTHER CRIME TYPE OF POLICY BOILER &MACHINERY $ OTHER 'ATION OF PREMISES/DESCRIPTION OF PROPERTY 2# 00001 Bldg# 00001: 2620 Airport N. Drive Vero Beach a Attached Overflow Pages FL 32960 IAL CONDITIONS/OTHER COVERAGES rIFICATE HOLDER CANCELLATION City Of Sebastian SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ebb Main Street EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Sebastian, FL 32958 1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. )88 AUTHORIZED REPRESENTATIVE c) 51 (1/95) H !119INSURANCE GROUP/DON © Arman Ref # Description ADDITIONAL COVERAGES 2 00001,210 Airport Drive E, Sebastian, FL 32958/Business Personal Pro Coverage Code Form No. Limit 7 p SPC Limit 2 Limit 3 Deductible Amount Deductible Type 110,000 (BPP) 2,500 Flat Premium Edition Date Ref # Description 2 00002,210 Airport Drive E, Sebastian, FL 32958/Business Personal Pro Coverage Code Form No. Limit 1 p SPC Limit 2 Limit 3 Deductible Amount 0 20,00(BPP) Deductible Type Premium 2,500 Flat Edition Date Ref # Description 2 00004,210 Airport Drive E, Sebastian, FL 32958/Business Personal Limit I Limit 2 Limit 3 20,000 (BPP) Deductible Amount 2, 500 Prop CoverageCode Form No. Deductible Type Premium Flat Edition Date Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc. JAN -11-201.1 1230 BROWN & BROWN INN - VERO 772 231 4413 P.001 jC Rj:> CERTIFICATE OF LIABILITY INSURANCE OP ID AT ! 01/11/11 O DAIS (MWDDIYYYY) ' 1 t1$ CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CER IFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. AN : If the cert) "e, hoi4er i8 an ADDITIONAL INSURED, the Poe s rnuSt be en orae , $000t to the terms and Conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the cerUtIcate holder in lieu of such endorsement(s). PRODUCER BROWS & BROWN - VERO OFFICE NAME; _ -- 2911 CARDINAL DRIVE 2911 AD : VERA BRACES FL 32963 PRODUCER cusroMERIDn LOPRE-1 { S 1, 000, 000 S 2,_000,000 INSURPR($) AFFORDING COVERAGE IN$URERA: C.t11n Inaux"e• Ca1WAnY, Ina 19518 INSURED t�i Seed Herchant.s, Inc. Lo re �r slLnINSURER-- Sebes r Drive East FL 32938 INSUREae; Amloyers Ins Co of Wausau 21458 -- C: S AUTOMOBILE LIA91LrrY jY ANY AUTO I AA%I!MAA� RIR ImmW W. RLYI.IiVM 1•UNIOfR. T THIS IS TO CL'RTIFY THAT THI: AOL CIES OF INSURANCE LISTED BELOW NAVE B EN ISSUED TO THE IN9URED NAM 0 ;.DOVE FOR THE POLICY PERIOD INDICA-rED. NOTWITHSTANDING ANY REOUIREMEN r, YEAH OR i.CIvDITION qF ANY CONTRACT OR OTHCR .DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TWE POLICE$ DESGRIB[D HCREIN 3 SUBJECT TO ALt. THE TERMS, EXCLUSIONS AND CONDITIONS OF SJC,H PQLICIC$, LIMITS SHCWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POC LTR YYPfi Of INSURANCE IINSR ylyp. PO:.K.Y NUMBER ., j (MWO rMY) I(MMID W) GHPERALUABILITY —�`�— 1 A X COMMERCIALOCNtERALLUIBILITY jE!! 74007561 1106/27/10 106/27/11 �_.._ ....... LIIMTS EACH�OCCURRENCE S 1, 000, 000 PREMISES(E�oca,rretroel 5200,0007.7 CLAIMS -MADE u =opt _MED EXP (Any one peraw) S 3,000 -- x PERSONAL 6 ADV INJURY GENERAL AGGREGATE { S 1, 000, 000 S 2,_000,000 1 GCKLAGGREOATEUMRAPPLIES PER, PRODIiCTS�COMP/QPAGG S 1,000,000 1-i7, POLICY j 1 T LOG ��— S AUTOMOBILE LIA91LrrY jY ANY AUTO I j ! COMBINED SINGLE LIMIT (Ea eCGdcnt) S BODILY INJURY (Per Perw) is ALL OWNED AUTOS— i BODILY INJURY Per W"dAt) S SCHEDULED AUTOS MIR M. AUTOS j PROPERTY DAMAGE (Per eccldsnl) $ - NQN.OWNCD ALTOS r--� UM$RELLALLIBOCCUR 1=33 LIAR p� i — EACHGI'CURRCNCC �------ S —� —I `AGCFIEGATE � S ..�..� OCOUCTOLL � S RETENTION S AND EMPLOYERS' UAS JTY AY / N WYPROPRIETOR/PARTNEWEXECUTI OF EXCLUDED? (aAaedala,ylnNil) rt ! OF OPERATtON3 below N l A WCCZ 701/Ol/il 101/01/12 1 X TCRYLIMT$ ! OR "—" , E.L .EIWHACCIDFNT -- E.L. DISEASE-EAEMPLOY6EI S 500000 S'500000 ! $ 900000 _ E.L. DISEASE - POLICY LIMIT OBSCRIPTION OF OPERATKWS I LOCATIONS I VEHICLES (Attach ACORD 101, AadWaMi R*Marka 300 WIC It Moro IlPiKe Is raglllrad) Era: x 772-388-8247 The Cit cf Sebastian is named as additional insured with respect to general liabiliy. GERTIFIGATL; HVL IybK "^'•"��"" ""• SHOULD ANY OF THE ABOVE DESCRIBED POLICIPIS 81 CANCELLED BEFORE THE EXR14AT104 DATE THEREOF, NOTICE WILL BE DELWEREOIN ACCORDANC! WITH THE POLICY PROVI$WNS. City Of Sebastian AUTHORIZED REPRESENTATIVE 1225 Main Street Sebastian FL 32958 All ACORD 2512009/09) The ACORD name and logo are registered marks of ACORD JAN -11-2011 12:39 BROWN & BROWN INS VERO 772 231 4413 P.002 J."", ;, 1�1, Ilii - � � ;I,!; I q.; h !"OT I': 1 1 1 1 dDi 112. AD, Re. 08qtr �I !N,0TEPAA',,J37,',,: "'.183 00 21,t,�,* GL Other Type ins. Rangarkeeper's Each LOSS Limit $1,000,000 Hangarkesper's Each Aircraft Limit $1,000,000 Xedical Exper.ses Limit - $3,000 per person / $25,000 Each occurrence. Additional Insured -- Managers or Lessors of Premises. TOTAL F,002