State_of_Arizona_and_Arizona_Game_and_Fish_Department_Certificate.pdf

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Attached to
Master Agreement AZ|CTR060178
Contract number
CTR060178
Issued by
Arizona

About this file

This document is a Certificate of Insurance issued by Starr Indemnity & Liability Company for Papillon Airways, Inc., with the Certificate Holder being the Arizona Game and Fish Department. The insurance policy covers Aircraft Hull & Liability and Aviation General Liability, effective from December 1, 2023, to December 1, 2024. The policy is worldwide in territory and includes all aircraft owned and/or operated by Papillon Airways, Inc.

The contract (CTR060178) is for Helicopter Flight Services, with substantial liability coverage limits of $50,000,000 for Aircraft Liability and Aviation General Liability. The policy includes additional insured status for the State of Arizona, the Arizona Game and Fish Department, and its associated entities. The insurance provides comprehensive coverage for bodily injury, property damage, passenger liability, premises liability, and includes provisions for waiver of subrogation and primary insurance status. The policy covers all premises necessary for the named insured's aviation operations and includes endorsements that extend additional protections to commercial aviation customers, landlords, and airports.

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Text version

Certificate of Insurance Certificate No. 145779

Rev. Date: 11/27/2023

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 Game and Fish Department Purchasing Office 5000 W. Carefree Highway Phoenix, AZ 85086

Named Insured: Papillon Airways, Inc.

1265 Airport Road Boulder City, NV 89005

Policy Type: Aircraft Hull & Liability and Aviation General Liability Policy

Policy Period: December 01, 2023 to December 01, 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 and following markets as on file.

SASICOM60004423-14 /

SASICOM60207823-01

Contract No.: CTR060178, Helicopter Flight Services

Aircraft Covered: All aircraft owned and/or operated by the Named Insured.

Territory: Worldwide

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

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

$50,000,000 each occurrence including Passenger Liability.

Aircraft Physical Damage Coverage Limit All Risks $As Agreed Per Schedule, Subject to applicable deductibles.

Aviation General Liability Coverage Limit Combined Single Limit Bodily Injury and Property Damage $50,000,000 Combined Single Limit Bodily Injury and Property

Damage each occurrence including Premises Liability, On Premises Automobile Liability, Contractual Liability and Mobile Equipment Liability. $25,00,000 each occurrence for Personal and Advertising Injury. In the aggregate as respects Personal and Advertising Injury and Contractual Liability.

Coverage & Limits

Additional Insured With respect to Liability, it is understood and agreed the State of Arizona, the Arizona Game and Fish Department, and its departments, agencies, boards, commission, universities, officer, officials, agents and employees shall be included as Additional Insured(s) hereunder solely with respect to the operations of the Named Insured. It is specifically agreed the inclusion of more than one Insured hereunder shall not operate to increase the Limits of Liability and is limited to those coverages provided by these policies.

Waiver of Subrogation With respect to coverage provided by this policy the Company hereby waives its rights of Subrogation against the State of Arizona, the Arizona Game and Fish Department, and its departments, agencies, boards, commission, universities, officer, officials, agents and employees, excluding gross negligence and/or willful misconduct bythe State of Arizona, the Arizona Game and Fish Department, and its departments, agencies, boards, commission, universities, officer, officials, agents and employees.

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 State of Arizona, the Arizona Game and Fish Department, and its departments, agencies, boards, commission, universities, officer, officials, agents and employees.

Certificate Provisions

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

Pg. 1 of 2

Notice of Cancellation The Insurer(s) listed above will provide for a 30 day notice to you, except ten (10) days as respects non-payment of premium and seven (7) days or less as respects war risks and other perils, in the even in the event of cancellation of the above described policies.

Except as otherwise stated in this certificate, the Insurer(s) assume(s) no legal responsibility for any failure to do so.

Manufacturers Exclusion The policy does not provide coverage for the Additional Insured(s) with respect to claims arising out of their legal liability as manufacturers, repairers, suppliers or servicing agents and shall not operate to prejudice Underwriters rights of recourse against the Additional Insured as manufacturers, repairers, suppliers or servicing agents where such rights of recourse would have existed had this endorsement not been effected under this policy.

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

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Starr 10686 (12/11)

BROAD ADDITIONAL INSURED ENDORSEMENT

This policy is amended as follows:

The provisions of this endorsement shall apply with respect to aircraft scheduled on this policy.

Any commercial aviation customer, landlord, or airport as evidenced by certificate of insurance issued by or held on file by Starr Aviation Agency, Inc. shall be included as additional insureds but only as respects operations of the named insured.

The insurance extended by this endorsement shall not apply to, and no person or organization named in the schedule shall be insured for bodily injury or property damage which arises from the design, manufacture, modification, repair, sale, or servicing of aircraft by that person or organization.

All other provisions of this policy remain the same.

This endorsement becomes effective DECEMBER 1, 2023 to be attached to and hereby made a part of:

SASICOM60004423-14

PAPILLON AIRWAYS, INC. AND AS ENDORSED

By STARR INDEMNITY & LIABILITY COMPANY

Endorsement No. 5 Date of Issue JANUARY 25, 2024 (VD) ⠀ By

(Authorized Representative)

Policy No.

Issued to

Starr 10687 (12/11)

BROAD WAIVER OF SUBROGATION ENDORSEMENT

This policy is amended as follows:

The Company hereby waives its right of subrogation against the following; provided, however, that this waiver shall not prejudice our right of recourse for damages arising from the design, manufacture, modification, repair, sale or servicing of the aircraft by the following:

Any commercial aviation customer, absentee landlord, or airport as evidenced by certificate of insurance issued by or held on file by Starr Aviation Agency, Inc.

All other provisions of this policy remain the same.

This endorsement becomes effective DECEMBER 1, 2023 to be attached to and hereby made a part of:

SASICOM60004423-14

PAPILLON AIRWAYS, INC. AND AS ENDORSED

By STARR INDEMNITY & LIABILITY COMPANY

Endorsement No. 7 Date of Issue JANUARY 25, 2024 (VD) ⠀ By

(Authorized Representative)

Starr 10815 (6/21)

BROAD PRIMARY AND NON-CONTRIUTORY ENDORSEMENT

This policy is amended as follows:

With the respect to the following scheduled persons or organizations, all coverages shall be primary and non-contributory with respect to any other insurance policies held by the following scheduled persons or organizations.

Schedule:

Any commercial aviation customer, landlord, or airport as evidenced by certificate of insurance issued by or held on file by Starr Aviation.

The insurance extended by this endorsement shall not apply to, and no person or organization named in the schedule shall be insured for bodily injury or property damage which arises from the design, manufacture, modification, repair, sale, or servicing of aircraft by that person or organization.

All other provisions of this policy remain the same.

This endorsement becomes effective DECEMBER 1, 2023 to be attached to and hereby made a part of:

SASICOM60004423-14

PAPILLON AIRWAYS, INC. AND AS ENDORSED

By STARR INDEMNITY & LIABILITY COMPANY

Endorsement No. 6 Date of Issue JANUARY 25, 2024 (VD) ⠀ By

(Authorized Representative)

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