Air Methods Additional Insured.pdf

Certificate No. 2021-1973

Willis Towers Watson Northeast, Inc.

d/b/a Willis Aerospace

CERTIFICATE OF INSURANCE

200 Liberty Street, 7th Floor New York, NY 10281

Hilary.Giroux@willistowerswatson.com

This is To Certify To:

The State of Arizona and The Arizona Department of Health Services 150 N 18th Avenue, Suite 350 Phoenix, AZ 85007

(Sometimes referred to herein as the Certificate Holder(s))

That the insurers listed, each for their own part, and not one for the other, are providing the following insurance:

NAMED INSURED Air Methods Corporation, et al, and Enchantment Aviation, Inc., dba Southwest Air Ambulance dba

Southwest Med Evac, AmSec entities, Air Methods Telemedicine, LLC, AirMD, LLC dba LifeSave dba LifeSave Kupono and/or any associated, subsidiary, affiliated, managed, owned or controlled companies or entities appearing above, or any company or entity for whom the Insured has agreed to be responsible for.

ADDRESS 5500 S. Quebec St., Suite 300

Greenwood Village, CO 80111

COVERAGES Aircraft Hull and Liability and Aviation General Liability Insurance

TERRITORY Worldwide

POLICY PERIOD July 1, 2021 to July 1, 2022 on both dates at 12:01 AM LST

EQUIPMENT Any and all aircraft operated by the Named Insured including the aircraft specifically listed on the

Fleet and/or Equipment Schedule below.

INSURERS

Allianz Global Risks US Insurance Company and other US and Lloyds Companies – 100% (For more detailed SECURITY (the “Insurers”) information, please see Addendum 0001)

LIMITS OF LIABILITY

Aircraft Liability and Aviation General Liability

Combined Single Limit for Bodily Injury, Personal Injury and/or Property Damage:

USD $50,000,000 per occurrence. Personal Injury is sub limited to USD $25,000,000 any offense and in the aggregate.

including AVN52 (War Liability), the sublimit is:

USD $50,000,000 per occurrence and in the aggregate, except with respect to passengers which the full policy limit to apply (this limit is included within the policy limit and not in addition to).

Additional Coverages:

NA

mailto:Hilary.Giroux@willistowerswatson.com

SPECIAL PROVISIONS

Subject always to the scope of the policies noted above and all the policies’ declarations, insuring agreements, definitions, 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 following provision(s) apply(ies):

The use of the terms ''Additional Insured'' / ''Additional Insureds'', when used in the context of coverages other than Liability Coverage(s), are solely for the purpose of identifying parties and does not, by virtue of the use of these terms, convey any benefits or rights not provided for under the policies.

Solely as respects Liability Coverage(s) and Solely when Required by Contract: Certificate Holder(s), The State of Arizona, and its departments, agencies, boards, commissions, unversities, officers, officials, agents and employees is/are included as Additional Insureds (collectively, the Additional Insureds, individually, an Additional Insured) as their respective interests may appear, warranted no operational interest. The insurance extended by this policy shall not apply to, and the Certificate Holder shall not be insured for bodily injury or property damage which arises from the design, manufacture, modification, repair, sale, handling or servicing of the aircraft by the Certificate Holder.

Solely as respects Physical Damage Coverage(s): Insurers waive their rights of subrogation against the Additional Insureds but only to the same extent that the Named Insured has waived its rights of recovery against and/or indemnified the Additional Insureds in the Contract(s).

Solely as respects Liability Coverage(s) and Physical Damage Coverage(s): In the event of cancellation or adverse material change of the policies by Insurers, Insurers agree that such cancellation or change shall not be effective as to the Additional Insureds until thirty

(30) days / ten (10) days in the event of cancellation due to non-payment of premium) after issuance of notice by the Insurers to the Certificate Holder(s) at the addresses shown on page one of this Certificate of Insurance.

Solely as respects Liability Coverage(s) and Physical Damage Coverage(s): This insurance is primary and without right of contribution from any other insurance as may be carried by the Additional Insureds.

Fleet and/or Equipment Schedule

NA

Additional Notes

CONTRACT NO.: CTR053481

HRPP Emergency Air Transportation Services

As respects each Certificate Holder(s) respective interests, this Certificate of Insurance shall automatically terminate upon the earlier of: (i) Policy expiration; (ii) Cancellation of the policies prior to policy expiration, as notified to the Certificate Holder(s) as required herein; (iii) agreed termination of the Contract(s); and/or in the case of physical damage insurance relating to those Certificate Holder(s) who have an insurable interest in the Equipment as of the date of issuance of this Certificate of Insurance: agreed termination of the Named Insured’s and/or the Certificate Holder(s) insurable interest in the Equipment

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 under the above policies as an insurer as a result of this certification.

Date of Issue: September 8, 2021

Hilary Giroux, Authorized Representative Willis Towers Watson Northeast, Inc. - Aerospace