COI_1-1-24.pdf

PDF 68 KB Posted

Attached to
Master Agreement AZ|CTR057861
Contract number
CTR057861
Issued by
Arizona

About this file

This document is a Certificate of Insurance for Falcon Aviation Services, Inc., issued by Endurance American Insurance Co., with a policy period from January 1, 2023, to January 1, 2024. The certificate is addressed to the Arizona Department of Public Safety and covers Falcon Aviation Services' operations at Falcon Field Airport in Mesa, Arizona.

The insurance policy provides comprehensive coverage with various liability limits, including a $2,000,000 General Aggregate Limit, $1,000,000 Products-Completed Operations Aggregate Limit, and $1,000,000 Each Occurrence Limit. Additional coverage includes Hangarkeepers' insurance with a $1,000,000 Each Loss and Each Aircraft Limit, and specific deductibles of $10,000 per aircraft, with special provisions for jet and turbine-powered aircraft. The policy includes provisions for the State of Arizona and its departments, waiving subrogation rights and extending coverage to additional insureds related to the named insured's aviation operations.

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Text version

POLICY NO.: NAF6051982 ATTACHED TO CERTIFICATE # 2

Certificate # 2 Page 1 of 2

CERTIFICATE OF INSURANCE

THIS IS TO CERTIFY TO:

Arizona Department of Public Safety Attn: Melanie Guyette 2222 W. Encanto Blvd.

Phoenix, AZ 85009

THAT THE FOLLOWING POLICY OF INSURANCE HAS BEEN ISSUED TO:

Falcon Aviation Services, Inc.

4766 E. Falcon Drive Mesa, AZ 85215

POLICY NUMBER: NAF6051982

POLICY PERIOD: From January 1, 2023 To January 1, 2024 INSURANCE COMPANY: Endurance American Insurance Co.

DESCRIPTION OF COVERAGES AND LIMITS OF LIABILITY: Please refer to attached schedule which is incorporated as a part hereof.

As respects The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

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. In addition, notwithstanding any provision in the policy to the contrary, the Company waives its rights of subrogation against Additional Insured. This waiver shall not affect any of the Insured's own rights under this contract.

Subject to Date Change Recognition Endorsement.

Data included in this Certificate valid as of January 1, 2023.

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: January 5, 2023 W. Brown & Associates Insurance Services Certificate No.: 2

POLICY NO.: NAF6051982 ATTACHED TO CERTIFICATE # 2

Certificate # 2 Page 2 of 2

SCHEDULE OF LOCATIONS

Location of Aviation premises owned, rented to or occupied by the Named Insured:

Falcon Field Airport, Mesa, AZ, 85215

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) $100,000 Medical Expense Limit (Any One Person) $5,000 Hangarkeepers’ Each Loss Limit $1,000,000 Hangarkeepers’ Each Aircraft Limit $1,000,000 Hangarkeepers' Deductible(s): $10,000 per aircraft/$10,000 as respects jet and turbine-powered aircraft Property Damage Deductible(s): $10,000 per claim/$10,000 as respects jet and turbine-powered aircraft

File details come from the government source that posted it. Updated .