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Backup Documents 03/25/2014 Item #16G3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNAT Print on pink paper. Attach to original document. 'The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office 4. BCC Office Board of County Commissioners / 1‘44_ 5. Minutes and Records Clerk of Court's Office °S. ` PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Debbie Brueggema , Admin,Airport Phone Number 642-7878 xt. 34 Contact/ Department Authority Agenda Date Item was March 25,2014 Agenda Item Number 16G3 Approved by the BCC Type of Document License Agreement—Van Wagner Aerial Number of Original 1 Attached Media Documents Attached PO number or account N/A number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? >� 2. Does the document need to be sent to another agency for additional signatures? If yes, provide the Contact Information (Name;Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney'si ` Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tall assee within a certain time frame or the BCC's actions are nullified. Be aware of yo deadlines! \ 8. The document was approved by the BCC on 3/2544., and all changes made during the meeting have been incorporated in the attached document. The County c Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by th .. b. BCC,all changes directed by the BCC have been made,and the document is ready fo the Chairman's signature. ^=� I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16 G3 Ann P. Jennejohn From: Ann P.Jennejohn Sent: Tuesday, April 29, 2014 4:25 PM To: Brueggeman, Debra Subject: March 25, 2014 Item#16G3 Attachments: Van Wagner Aerial Media License Agreement.pdf Hi Debbie, Attached is a copy of the Van Wagner Aerial Media Agreement (Item #1663) for banner towing at the Immokalee Airport approved during the March 25th BCC Meeting. Thnak you! Ann Jennejohn, Deputy Clerk Clerk of the Circuit Court Clerk of the Value Adjustment Board Collier County Minutes & Records Dept. 239-252-8406 239-252-8408 (Fax) 1 Collier County Airport Authority Commercial Aviation Operations License Agreement 6 G J COMMERCIAL AVIATION OPERATIONS LICENSE AGREEMENT +tgk COLLIER COUNTY AIRPORT AUTHORITY 2005 MAINSAIL DRIVE, SUITE 1 NAPLES,FLORIDA 34114 (239) 642-7878 LICENSEE: Van Wagner Aerial Media LICENSEE'S PHONE NUMBER: 954-989-2086 LICENSEE'S ADDRESS: 1600 East Airport Road,Pembroke Pines, FL 33023 1. Licensee/ Commercial Aviation Operator: The Collier County Airport Authority (Licensor) hereby licenses Van Wagner Aerial Media (Licensee) to conduct specific and limited commercial aviation operations at the Immokalee Regional Airport. This bare license with no interest attached, begins on , 2014 and continues from month to month or until written notice to terminate is given by one party to the other. 2. PREMISES: Immokalee Regional Airport located at 165 Airpark Boulevard, Immokalee, Florida. The premises consist of the airport air operations areas, common use areas and other public use areas on airport specifically designated for aviation use or as approved by the Airport Manager. 3. OPERATIONS: This license agreement allows for the specific commercial aviation operations as listed: Banner Towing 4. FEE: Licensee shall pay an annual commercial operating license fee of$200 plus applicable Florida Sales Tax. Any failure to pay the fee when due will result in the termination of this license agreement or suspension of the ability to conduct commercial aviation activities on or at the Immokalee Regional Airport. 5. MINIMUM STANDARD REQUIREMENTS: The Collier County Airport Authority Minimum Standards for Commercial Airport Acti vity and Service Providers requires for the licensed activities listed in paragraph 3. Operations (above), a minimum of 300 square feet of office space, restroom facilities and aircraft tie down or hanger space to accommodate each type of activity. For the terms of this license, the Licensor is allowing on a temporary basis, the minimum standards be met through use of the common area and restroom facilities in the airport terminal building. The aircraft tie down requirements must continue to meet the written requirements independently. The use of the terminal's common areas and restroom facilities are available to the licensee in the same manner as the general public and under the same terms and conditions as allowed to the general public and only during normal operating hours of the terminal building. C:\Documents and Settings\debrabrueggeman\Local Settings\Temporary Internet Files\Content.Outlook\4Q406NU0\VanWagner License Agreement.docx Page 1 of 2 16G3 Collier County Airport Authority Commercial Aviation Operations License Agreement 6. LIABILITIES; Licensee hereby waives all future claims against Licensor, its employees, agents and/or representatives for any and all liability for damage to aircraft and any other property on the premises except for physical damage caused by movement of aircraft solely by Licensor's employees, agents or representatives without any participation in such movement (or instructions to move same) from Licensee or Licensee's agents, employees or any other person with apparent authority on behalf of Licensee. Any act or use of the premises by Licensee not expressly authorized by this license or which is deemed unsafe by the airport manager or against the CCAA rules and regulations, policies and procedures or other regulation is unauthorized. 7. INDEMNIFICATION AND INSURANCE: a. Licensee agrees to indemnify fully and save and hold harmless Collier County, Authority, and their officers, agents,and employees from and against all losses,damages,claims,liabilities,and causes of action of every kind or character and nature as well as costs and fees, including reasonable attorney's fees connected therewith including any and all appeals, and the expense of the investigation thereof, based upon or arising out of damages or injuries to any and all third persons or their property. Authority shall give Licensee prompt and reasonable notice of any such claim or action. Licensee shall have the right to investigate, compromise, and defend the same to the extent of its own interest. b. During the entire term of this agreement,Licensee shall provide,pay for, and maintain the types of insurance required by the Collier County Risk Management Department as listed in exhibit A attached and made a part hereof for the commercial aeronautical activities to be conducted as listed in item 6 of this agreement. All insurance shall be from responsible companies duly authorized to conduct the respective insurance in the State of Florida and/or responsible risk retention group insurance companies registered with the State of Florida. All liability policies shall provide that the Authority and the County of Collier as additional insured as to the uses of the licensed premises under this agreement and shall also provide the Separation of Insured's Provision. Prior to the execution of this agreement by licensee,the specified insurance coverage and limits required must be evidenced by properly executed Certificates of Insurance on the forms which are deemed acceptable by Authority. 8. USE OF PREMISES: The premises shall be used only for those commercial operations listed in this agreement for aircraft owned by or leased to Licensee with a valid proof of insurance, in accordance with the Collier County Contract Insurance Requirements Form-1 attached and made a part hereof, on file with the CCAA. 9. TERMINATION FOR CAUSE: Licensor may terminate this license immediately for cause. Any breach of this agreement by Licensee is cause for such termination. 10. SECURITY AND SAFETY: Licensee agrees to always cooperate with Licensor in every respect to insure the security and safety on the premises. 11.EMERGENCY SITUATIONS: In the event of an emergency, (e.g. hurricane) access may be denied to the premises at the discretion of the Airport Manager or designee, provided such denial of access is to protect the public or airport from potential exposure to loss,damage or safety because of the emergency. \\bcc.colliergov.nct ldata\CPSHARECPWio\HistoryU40303 0001\7893.08 Page 2 of 2 16 (33 Collier County Airport Authority Commercial Aviation Operations License Agreement 12.AUTHORIZED AIRCRAFT: Any aircraft owned or leased to the Licensee,or approved by the Airport Manager or designee. Aircraft I. D.: . Aircraft Color: Aircraft Make: . Aircraft Model: . LICENSEE: VAN WAGNER AERIAL MEDIA By: � .,... ,_.. Date: 3 /2'-1l20,V Print Name: ATICCGq.� vte e Title: P,etett.0 LICENSOR: ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E.BROCK,CLERK COLLIER COUNTY, FLORIDA, IN ITS CAPACITY AS THE COLLIE CO / Y AIRPORT AUTHORITY By. � �,' . 6 44. C . ,, /- � i Clerk TOM HENNING, �f• IRMAN fittest a : ' signatureO y Ap• •v i I, to d legality 4411 k Jeffre' ' ow Coun ! . orney Item# 1(12-C2-5 Agenda 3.- ) Dete Date �LS�—)Li Recd �--�_- I�ri ► • \\bcc.colliergov.net\da ta\CPSHARE\CPWin\Hiriory\140303_0001\7893.08 Page 3 of 2 16G3 EXHIBIT A COLLIER COUNTY AIRPORT AUTHORITY CONTRACT INSURANCE REQUIREMENTS TYPE LIMITS(Check) X Workers'Compensation Statutory Limits of Florida Statutes 440 and Federal Government Statutory Limits and Requirements X Employer's Liability X $500,000 $1,000,000 Commercial General $500,000 per occurrence $1,000,000 per occurrence Liability(Occurrence Form) bodily injury and property bodily injury and property patterned after the current damage damage ISO form with no limiting endorsements. Airport Liability Insurance $500,000 per occurrence $1,000,000 per occurrence bodily injury and property bodily injury and property damage damage Hangarkeepers Liability j $500,000 per aircraft $1,000,000 per aircraft X Aircraft Liability Insurance $500,000 per occurrence X $1,000,000 per occurrence bodily injury and property bodily injury and property damage damage Business Automobile $500,000 per occurrence $1,000,000 per occurrence Insurance bodily injury and property bodily injury and property damage damage Pollution Liability Insurance $500,000 per occurrence $1,000,000 per occurrence bodily injury and property bodily injury and property damage damage Property Insurance Replacement Cost-All Risks of Loss I INDEMNIFICATION:To the maximum extent permitted by Florida law,the ContractorNendor/Consultant shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys'fees and paralegals'fees, to the extent caused by the negligence, recklessness,or intentionally wrongful conduct of the ContractorNendor/Consultant or anyone employed or utilized by the ContractorNendor/Consultant in the performance of this Agreement. This indemnification obligation shall not be construed to negate,abridge or reduce any other rights or remedies which otherwise may be available to an indemnified party or person described in this paragraph.This section does not pertain to any incident arising from the sole negligence of Collier County. Collier County Board of County Commissioners shall be named as the Certificate Holder. NOTE--The "Certificate Holder"should read as follows: Collier County Board of County Commissioners Naples, Florida No County Division, Department, or individual name should appear on the Certificate. No other format win be acceptable. Thirty(30)Days Cancellation Notice required on Agreements exceeding 6 months. The contract name and number shall be included on the certificate of insurance. Collier County shall be shown as an"ADDITIONAL NAMED INSURED"on property policies where an interest in improvements and betterments is made, as its interests may appear. Collier County must be named as"ADDITIONAL INSURED"on the Insurance Certificate for Commercial General Liability and/or Airport Liability where required. FORM 1- Commercial Activities License/Sublease of Land/Low Hazard or Short Term/Aviation Related Feb 11 2014 14;15 P�6 G 3 •a►cw' f CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YITY) I 10190/2013 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 111E 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 certiApte holder le en ADDITIONAL INSURED,the pollcy(Iee)must 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 Ileu of such endorsement(s). • PRDeucen =DIP'. IT T • Gayle L.Guest,Area Vice President Arthur J.Gallagher Risk Management Services,Inc. pAx 702. AIS Gallagher 908-9911 IA7C eN. ADDRESS: ge 9315 Hlllwood Drive yls_gueat(@ajg.com INSURERS)APPORDING C0VERAOE NAIL S Las Vegas NV 89134 INSURER A: North American Elite Insurance Company - INSURED INSURERS: • Van Wagner Aerial Media,LLC udsuRERCI • 1800 EastAlrport.Road INSURER 0: INSURER!: Pembroke Pines' FL 33023 INSURER F: • COVERAGES CERTIFICATE NUMBER: 027 REVISION NUMBER: . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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, t EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I TYPE OF INSURANCE mut wva POLICY NUMBER • j rai,'d '4 FI CMMIp • wan OU NaRAL LIAOAITY EACH OCCURRENCE a ZICOMMERCIAL GENERAL LIABILITY PRfiMIEES(EeRkee urlmoel S CLArMB•MADE WI OCCUR MtEO EXP(My me person) • b' 6,000 A On-AirpatAuto Llebility W Y FM 2000042-01 11/3/2013 12/91/2014 PeRSONALaADVINJURY S 1,000,000 GENERALAOGREGATE a GEN%AGGREOATE LIMIT APPLIE$PER: PRODUCT&•COMP/OP AOO S 7.POLICY n egi4r. 71.0c 5 I I +AUTOMOBILE UAIIUTY •• aCINED�IN0LE LIMIT 5 ANY AUTO SODILY INJURY(Per person) S -1 — ALL OWNED f"--" SCHEDULED - _ AUTOS AUTOS BODILY INJURY Mra 5 MIRED AUTOS A AWNED ,(Per eeela M 5 ' J UMBRELLA LIAR _ OCCUR • EACH OCCURRENCE 5 EXCESS LIAa CLAIMS-MADE AOOREDATE 5 DEEOOSI [RETENTIONS g {} p� $• E utteD R MERD"AN D YIN I TC YLIM TS I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OOFFIFICERIMEMEERMOLL/DEDT N/A H yya�ds$ofls I NH El.sissum•EABARI rE 5 • DESCRIPTION OF'OPERATIONS below E.L.DISEASE•POLICY LIMIT $. $25,000,000 Single Limit Bodily Injury end • A Aircraft Liability Y FGZ 0000043-00 11/3/2013 12/3112014 Property Damage with Passenger Liability limited to 31,000,oPo each passenger. DESCRIPTION OF OPERATIONS I LOCATIONS/VERIOJEmunch ACORD 101,ammonia Remade Schedule,If men apace M repulr* CERTIFICATE HOLDER • CANCELLATION SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • Collier County Airport Authority S Board Of County THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN COmmissIoners ACCORDANCE WITH THE POLICY PROVISIONS. 2005 Mainsail Drive,Suite 1 AUTNORO:ED REPR6gENTAOVE Naples FL 34114 Gayle L.Guest NetiOnSl Producer#584303 \ ( •ID 1993-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD • Feb 11 2014 14:15 P 2/ AC Rt7 Mn ,.. CERTIFICATE OF LIABILITY INSURANCE 10/3012013 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 POUCIES BELOW,THis CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. t IMPORTANT;If the certificate holder Is an ADDITIONAL INSURED,the policy(ius)must 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 doss not confer rights to the ' t rtlficate holder in lieu of such ondorsement(sl- • AMINO PRODUCER • NEWT Gayle L Guest,Area Vice President • Arthur J.Gallagher Risk Management Services,Inc, ' t;~ a aid. 702.988.3011 Mc.Mk AIS Gallagher. a, ADDR s: gayle_gue9teajp.com Nib HIIlwcod Drive INSURER(S)AFFOROw6 COVERAGE NAICS Lee Vegas y NV 89134 INSURER A: North American Else Insurance Company • SU INRED INSURER B: Van Wagner Aerial Media,LLC INSURER c: - 1500 East Airport Road INSURER D: INSURER 5: • Pembroke PInes FL 33025 INSURER F: --COVERAGES CERTIFICATE NUMBER: 026 REVISION NUMBER: • THIS IS TO CERTIFY THAT THE POUCIES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWM& . MTIPS OP INS rN R POLICY NUMBER URANCE y PO LIUI GENERALW:aILmr EACH OCCURRENCE 8 6,000,000 7 COMMERCIAL GENERAL LIABILITY • CLAIMS.MADE 7 OCCUR JEa eeeu:ers n) S MED EXP(My one Pesach) 8 6,000 A V On-Airport Auto Liability Y FGZ 0000043-01 11/3/2013 12/31/2014 PERSONAL aADVINJURY $ 1,000,000 GENERAL AGGREGATE 5 GENT AGGREGATE UMIT APPLIES PER PRODUCTS•COMP/OP AGO 8 • EN • POLICY n E 71 i.00 a AUTOMOBILE LiAseu Y Ge�7ESJEmGtiINGLE LIMIT 5 Ir ANY AUTO SCHEDULED �t ODII44L0YCCINJURY(Per parson)_I — AUTOSN� AUT BODILY INJURY(Per accident S .- ' HIRED AUTOS AUTO NED (perDaPEeerRden A 5 uNERELLA IJAB OCCUR EACH OCCURRENCE 5 EXCESSLIAB CLAIMS-MADE AGGREGATE 5 i DED I NAM RETENTION 5 8 NRSt MPPW 110"AND YIN , I TORrdMl%I 1° l ANY PROPRIETOR/PARTNER/EXECUTIVE� E.L EACH ACCIDENT 8 CFFICERMAEM BER EXCLUDED? N I A styyeese,,c ylbe uHr DISEASE EA Dolma S OEEGWPr10N OF OPERATIONS below E.L.DISEASE.POLICY UMIT S . , , ■■• , 526,000,000 Single Limit Bodily Injury and A Aircraft LlabIllty Y FGZ 0000043.01 11/3/2013 12/31/2014 Property Damage with Passenger Liability limited to S1,000,000 oath passenger. DSSCRtPTTON OP OPERATIONS I LOCATIONS r VEHICLES MOM MORO 101,Aemmrui Remarks Schedule,If mere epwa Is required) • - - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE . Collier County Aviation Authority THE EXPIRATION DATE TNEReor,NOTICE WILT,BE DELIVERED IN 2005 Mpinesll Drive ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENYATIV! r Naples FL 34114 Gayle L Guest National Producer#684303 t I 1 _ ®1988.2010 ACORD CORPORATION,All rights reserved ACORD 25(2010/06) The ACORD name and logo are registered marks of ACORD • Feb 11 2014 14;15 P0000o G 3• . . __ ° CERTIFICATE OF LIABILITY INSURANCE . I DATE(51 INKY Y) 10/30/2013 THIS CERTIFICATE IS,ISSUED AS A MATTER OF INFORMATION ONLY AND COFFERS 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 c REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER, - 'IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pclicy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms end conditions of the policy,Certain policies may require an endorsement.A statement on this certificate does not confer rights to the c.rtlfleate holder In lieu of such endorsement(s). , PRODUCEA - McAeT Gayle L.Guest,Area Vice President Arthur J.Gallagher Risk Management Services,Inc. 702.098.9011 pA7[ AIC,NOR AIS Gallagher : • gaY1o_9uest5sjg.cgm . • 0616 HIliwood Drive INaURER(S)AFFOROINO COVERAGE Naar L56 Vegas NV 89134 *Mumma,: North American Elite Insurance Oomparry . • INSURED INSURER Er • Van Wagner Aerial Media,LLC INSURER • 1600 East Airport Road INSURER D , INSURER 8: Pembroke Pines - FL 33023 INSURER F; • COVERAGES CERTIFICATE NUMBER: 020 REVISION NUMBER: THIS IS TO CERTIFY THAT.THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.,TERM OR COND)ION 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 POU IES,UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. c L IN RANCE INSR �• POLICY NUMBER i,1w,•� �i , _7..lADLYriYJ LIMITS GENERAL UABIUTY EACH OCCURRENCE, 5 5,000,000 7 COMMERCIAL GENERAL UA&UTY 7O RENTED l8(Ea ooeunenoe) $ CLAIMS-MADE ©OCCUR MED EXP(Any one person) 5 5,000 A On-Airport Auto Lability Y FGZ000004a-o1 11/3/2013 12/31/2014 PERgoNALSADVINJURY $ 1,000,000 • ' GENERALAGOREGATE 5 • GEN'LAGOREGATELLIIMIITAPPLIESPER: PRODUCTS•COMP/OR AGE 0 •7 POLICY 7 pap J- 7 LOC AUTOMOBILE UABIUTY v (E aoo D� a ( ANY AUTO - BODILY INJURY(Per person) 8 T ALL OWNED SCHEDULED AUTOS AUTOS BODILYINJURY(PsrseddenO $ HIRED AUTOS N4N•owNED PROPERTY DACE 8 AUTOS • UMBRELI1 LIAO _ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE 5 • 1 DED 1 III RREE�TSEaNTION $ yy T�•'0 ■ �'LIABUTY V/Nr ITORYLIMIT8 IOER�, ANY PR�EE OR PAAR NER/ CUTIVE— N/A E.L.EACH ACCIDENT a• (irMyea amanNk)der E.L.DIEM.PA EI4�tAYEE• $ DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY UNIT 5 , 525,000,000 Single Limit Bodily Ir(ury and -• • A Aircraft Liability Y . FGZ 0000043-01 11/3/2013 •12/31/2014 Property Demege with Passenger Liability • limited to$1,000,000 each passenger. . DESCRIPTION OF QPOeATION$/LOCATIONS I VEHICLES(Anon ACORo 101,Addl.onsi NADU Schedule,If mere apses Is malred) CERTIFICATE HOLDER • CANCELLATION SHOULD ANY or THE*Bova DESCRIBED FOLICIES BE CANCELLED BEFORE Collier County Board Of County Commissioners THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN . Attn: Bob Tweedle ACCORDANCE WITH THE POLICY PROVISIONS. 650 E.C.Airport Road AUTHORIZED REPRE96NTAnve Evergreen City • FL 34139 Gayle L.Guest NatlOnal PrOduoer#584303 8198E-2010 ACORD CORPORATION.All rights reserved. • ACORD 26(2010/06) The ACORD name and logo are registered marks of ACORD VANWAGN-02 16 JHRfS ACOIRO /Y x DATE(MM/DDYYY) �,- CERTIFICATE OF LIABILITY INSURANCE 2/11/2014 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 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). PRODUCER CONTACT NAME: Masters Coverage Corp. PHONE 845 352-9100 FAx 747 Chestnut Ridge Road IA/C,No.Ext):(845) (A/C,No):(945)352-9104 Chestnut Ridge,NY 10977 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Commerce and Industry INSURED INSURER B: Van Wagner Aerial Media,LLC INSURER C: 1600 E.Airport Road INSURER D: Pembroke Pines,FL 33023 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR J1 SR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCAL GENERAL LIABILITY PREMISES(Ea ocaurence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Eaacddent) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED I SCHEDULED BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE RE AUTOS $ AUTOS (PER ACCIDENT) UMBRELLA LIAB OCCUR j EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N WCO25072098 05/05/2013 05/05/2014 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Evidence of Insurance Certificate Holder is listed as an additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. Board of County Commissioners Naples,FL AUTHORIZED//, // REPRESENTATIVE REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD