COI_4-23-24.pdf

Certificate of Insurance Certificate No. 139498

Rev. Date: 4/18/2023

This is to certify that the policy(ies) of insurance as described below have been issued to the Insured for whom this Certificate is executed and is/are in force at this time. This Certificate is issued for information only and confers no rights upon the holder. This Certificate neither affirmatively nor negatively amends, extends or alters the coverage afforded by such policy(ies) or binder(s) stated herein. This certificate cancels and supersedes all previously issued certificates.

Certificate Holder: Arizona Department of Public Safety Its Departments, Agencies, Boards, Commissions, Universities, Officers, Officials, Agents and Employees 2102 W Encanto Blvd Phoenix, AZ 85009

Named Insured: Priority 1 Air Rescue Operations AZ LP 1924 North Higley Road Mesa, AZ 85205

Policy Type: Aviation General Liability Policy

Policy Period: April 23, 2023 to April 23, 2024 both days at 12:01am Local Standard Time at the address of the Named Insured shown above

Insurer(s): Company Policy No(s).

Starr Indemnity & Liability Company through Starr Aviation SASICOM60174223-04

Premises Covered: All premises necessary and incidental to the aviation operations of the Named Insured.

Aviation General Liability Coverage Limit Each Occurrence Limit:

Damage to Premises Rented to You Limit:

Medical Expense Limit:

Personal & Advertising Injury Aggregate Limit:

General Aggregate Limit:

Products & Completed Operations Aggregate Limit:

$10,000,000 $500,000 $25,000 $10,000,000 Not Applicable $10,000,000

Coverage & Limits

Additional Insured SECTION II - WHO IS AN INSURED is amended to include as an additional Insured the person(s) or organization(s) shown in the Schedule (Certificate Holder), but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you.

2. As respects the above additional insured, this insurance does not apply to any claim or liability arising out of the use of any aircraft product manufactured, sold, handled, or distributed by the above additional insured.

Primary Insurers agree that this insurance shall be primary insurance without any right of contribution from any other insurance which may be carried by the Certificate Holder.

Certificate Provisions

3535 Factoria Blvd SE, Suite 510, Bellevue, WA 98006 Phone: (206) 232-9870 - Fax: (206) 232-9515

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Certificate No. 140110

Rev. Date: 5/9/2023

This is to certify that the policy(ies) of insurance as described below have been issued to the Insured for whom this Certificate is executed and is/are in force at this time. This Certificate is issued for information only and confers no rights upon the holder. This Certificate neither affirmatively nor negatively amends, extends or alters the coverage afforded by such policy(ies) or binder(s) stated herein. This certificate cancels and supersedes all previously issued certificates.

Certificate Holder: Arizona Department of Public Safety Its Departments, Agencies, Boards, Commissions, Universities, Officers, Officials, Agents and Employees 2102 W Encanto Blvd Phoenix, AZ 85009

Named Insured: Priority 1 Air Rescue Operations AZ LP 1924 North Higley Road Mesa, AZ 85205

Policy Type: Aircraft Hull & Liability Policy

Policy Period: April 23, 2023 to April 23, 2024 both days at 12:01am Local Standard Time at the address of the Named Insured shown above

Insurer(s): Company Policy No(s).

Starr Indemnity & Liability Company through Starr Aviation SASICOM601741-04

Non-Owned Aircraft Covered:

Any fixed wing or rotor wing aircraft having no more than thirty (30) total seats.

Non-Owned Aircraft Liability Coverage Limit Combined Single Limit Bodily Injury and Property Damage including Passengers

$10,000,000 each occurrence.

Coverage & Limits

3535 Factoria Blvd SE, Suite 510, Bellevue, WA 98006

Certificate No. 138567

Rev. Date: 3/14/2023

This is to certify that the policy(ies) of insurance as described below have been issued to the Insured for whom this Certificate is executed and is/are in force at this time. This Certificate is issued for information only and confers no rights upon the holder. This Certificate neither affirmatively nor negatively amends, extends or alters the coverage afforded by such policy(ies) or binder(s) stated herein. This certificate cancels and supersedes all previously issued certificates.

Certificate Holder: Arizona Department of Public Safety 2102 W Encanto Blvd Phoenix, AZ 85009

Named Insured: Priority 1 Air Rescue Operations AZ LP 1924 North Higley Road Mesa, AZ 85205

Policy Type: Workers' Compensation & Employers' Liability Policy

Policy Period: March 22, 2023 to March 22, 2024 both days at 12:01am Local Standard Time at the address of the Named Insured shown above

Insurer(s): Company Policy No(s).

Starr Indemnity & Liability Company through Starr Aviation 100 0002078

Workers' Compensation Insurance Coverage Limit State of Arizona, Hawaii, Louisiana, Texas Statutory

Other States Coverage Coverage Limit All States except ND, OH, WA, WY and states listed under Workers Compensation Insurance above

Statutory

Employer's Liability Coverage Limit $1,000,000 Bodily Injury by Disease, policy limit

$1,000,000 Bodily Injury by Disease, each employee $1,000,000 Bodily Injury by Accident, each accident

Coverage & Limits

Waiver of Subrogation The Company hereby waives its rights of Subrogation against The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, excluding gross negligence and/or willful misconduct by them.

Certificate Provisions

3535 Factoria Blvd SE, Suite 510, Bellevue, WA 98006

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.

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 have ADDITIONAL INSURED provisions or 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).

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

CERTIFICATE HOLDER

© 1988-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/03)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

OTHER:

LOCJECT

PRO-

POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

PREMISES (Ea occurrence) $

DAMAGE TO RENTED

EACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTIONDED

CLAIMS-MADE

OCCUR

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

INSR

LTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

PER

STATUTE

OTH-

ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe under DESCRIPTION OF OPERATIONS below

(Mandatory in NH)

OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTO

OWNED SCHEDULED

HIRED NON-OWNED

AUTOS ONLY AUTOS

AUTOS ONLY AUTOS ONLY

COMBINED SINGLE LIMIT

BODILY INJURY (Per person)

BODILY INJURY (Per accident)

PROPERTY DAMAGE $

INSD

ADDL

WVD

SUBR

N / A

(Ea accident)

(Per accident)

The ACORD name and logo are registered marks of ACORD

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE

(A/C, No, Ext):

PRODUCER

ADDRESS:

E-MAIL

FAX

(A/C, No):

CONTACT

NAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

V9RF2JXL

07/30/2023

Arizona Department of Public Safety Its Departments, Agencies, Boards, Commissions, Universities, Officers, Officials, Agents and Employees 2102 W Encanto Blvd Phoenix, AZ 85009

1,000,000

206-232-9870

New Hampshire Insurance Company 23841

A

McGriff Insurance Services, LLC 3535 Factoria Blvd SE, Suite 510 Bellevue, WA 98006

Priority 1 Air Rescue Operations AZ LP 1924 North Higley Road Mesa, AZ 85205

05/09/2023

07/30/2022

The State of Arizona, its Departments, Agencies, Boards, Commissions, Universities, Officers, Officials, Agents and Employees are included as Additional Insured and provided a Waiver of Subrogation as required by written contract.

01-CA-069970944-5

X X X