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� <br /> DATE(MM/DCWYI'1� <br /> .a►�o►�r�� CERTIFICATE OF AVIATION LIABILITY INSURANCE at�l�rs - � <br /> �—� <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED <br /> REPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to <br /> the terms and conditions of the pollc,y,certain pollcies may require an endorsement A s�tement on this certiftcate does not confer rights to the <br /> certiflcate holder In Ileu of such endorsemenb(s. <br /> CONTACT <br /> PRODUCER NAME. <br /> Falcon Insurance Agency,I�C. PHONE F� <br /> P O Box 291388 ac,No,e�a: ac,No. <br /> Kerrville,TX 78029 E-MAIL PLORESS: <br /> RODUCER CUSTOMERIDNo. <br /> INSURED INSURER(S)AFFORDING COVER.4GE % NAIC No <br /> Skydive City, Inc. <br /> INSURERA U.S.SPECIALTY INSURANCE COMPANY i00% <br /> 4241 Sky Dive Lane INSURER B <br /> Zephyrhills,FL 33542 INSURER C <br /> INSURER D <br /> INSURER E <br /> INSURER F <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> AIRPORT 8�F80 LIA8ILITY COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> INSURERLETTER POLICYNUMBER EFFECTIVEDATE EXPIRATIONDATE ADDITIOf�lALINSURED7(Y/N) SUBROGATIONWAIVED7(Y/N) <br /> UA00167344-06 02/18/2016 02/18/2017 Y N <br /> COVER.4GE OPTIONS LIMIT APPLIESTO LIMIT APPLIESTO <br /> $ 100,000 el ea,PER $ PD <br /> PREMISIS LIABILITY <br /> $ 1,000,000 6qOCC $ 2,000,000 AGGR <br /> I PREMISES MEDICAL PAYMENT $ EA PER $ EA OCC <br /> $ BIEAPER $ AGGR <br /> PRODUCTS LIABILITY EXTENDED <br /> $ FA OCC <br /> COMPLETED $ BIEAPER $ AGGR <br /> OPERATIONS �7ENDED <br /> LIABILITY $ EA OCC <br /> HANGERKEEPERS INCLUDING TAXI <br /> LEGALLIABILITY INFLIGHT $ EAAIRCR.4Ff $ EAOCC <br /> � <br /> $ EA OCC $ AGGR <br /> $ FA OCC $ AGGR <br /> INCLUDED EXCLUDED <br /> COVERAGE <br /> CODE DESCRIPTION OPTIONS LIMIT APPLIESTO LIMIT APPLIESTO <br />� $ $ <br /> DESCRIPTION OF OPERATIONS/REMARKS(Attach ACORD 101,Additlonal Remarks Schedule,if more space Is required) <br /> ZEPHYRHILLS MUNI,ZEPHYRHILLS, FL <br /> Certificate Holder is included as an Additionel Insured. <br /> CERTIFICATE HOLDER CANCELLATION <br /> Pasco County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br /> 8731 CIIIZe�S D�. EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN <br /> New Port Richey,FL 34654 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> ��� Ci'/�"—�'� <br /> O 2009 ACORD CORPORATION.All rlghts reserved. <br /> ACORD 20(2009/12) The ACORD name and logo are reglstered marks of ACORD <br />�I. J <br />