Agenda 10/27/2015 Item #16E3 10/27/2015 16.E.3.
EXECUTIVE SUMMARY
Recommendation to approve Letters of Understanding authorizing the placement of excess Products
and Completed Operations Insurance through the Phillips 66 Branded Dealers Excess Liability
Insurance Program at no cost to the County.
OBJECTIVE: To protect the County against financial loss from casualty related claims and lawsuits
through the implementation of a cost effective,best value Casualty Insurance program.
CONSIDERATIONS: Pursuant to Section 768.28, Florida Statutes, the Risk Management Division
administers a partially self funded Casualty insurance program. The Casualty program, which includes
General/Airport Liability insurance (including products and completed operations coverage) renewed on
October 1, 2015. Products and Completed Operations insurance provides coverage for claims arising out of
the sale or use of the insured's products. The subject"product" of this recommendation is the sale of aircraft
fuel to customers of the County's airports. In instances of aircraft crashes related to engine failure, fuel quality
can be a factor contributing to the cause of a crash and thus, can become the subject of litigation. Therefore,
the need to purchase Products coverage as a seller of aircraft fuel is an important element of the County's risk
finance strategy.
The Airport Authority is a Phillips 66 Branded Dealer and sells fuels produced by Phillips 66 at the three
County Airports. In September, 2015, Airport staff was approached by Phillips 66 with an offer to enroll in
the Phillips 66 Branded Excess Liability Insurance Program. This program offers a $50,000,000 excess
Products and Completed Operations insurance limit to branded dealers who maintain an underlying products
insurance limit of$1,000,000 or greater. The County carries the appropriate underlying limit. The coverage is
provided at no cost to the County.
The Risk Management staff reviewed this offer and submitted it to the County's property and casualty
insurance broker, IRMS as well as the County's aviation insurance broker, Gallagher Aviation for review. It
is the recommendation of the parties that the Board approves the placement of this excess coverage. A Letter
of Understanding has been prepared for each of the airports. The attached Letters of Understanding have been
reviewed and approved by the County Attorney's Office, as well. The program will commence upon
acceptance by Phillips 66.
FISCAL IMPACT: There is no cost to the County to enroll in this program.
GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this item.
LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote
for Board approval. -JAB
RECOMMENDATION: That the Board of County Commissioners approves enrollment in the Phillips 66
Branded Dealers Excess Liability Insurance Program and authorizes the Chairman to execute the attached
Letters of Understanding.
PREPARED BY: Jeffrey A. Walker, CPCU, ARM, Division Director,Risk Management Division
Attachments:
P-66 Cover Letter for LOU
P-66 Letters of Understanding(3)
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10/27/2015 16.E.3.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.E.16.E.3.
Item Summary: Recommendation to approve Letters of Understanding authorizing the
placement of excess Products and Completed Operations Insurance through the Phillips 66
Branded Dealers Excess Liability Insurance Program at no cost to the County.
Meeting Date: 10/27/2015
Prepared By
Name: WalkerJeff
Title: Division Director-Risk Management,Administrative Services Department
9/29/2015 11:22:38 AM
Submitted by
Title: Division Director-Risk Management, Administrative Services Department
Name: WalkerJeff
9/29/2015 11:22:39 AM
Approved By
Name: pochopinpat
Title: Operations Coordinator, Administrative Services Department
Date: 9/29/2015 1:14:08 PM
Name: ShueGene
Title: Division Director-Operations Support, Growth Management Department
Date: 9/29/2015 3:34:51 PM
Name: BelpedioJennifer
Title: Assistant County Attorney,CAO General Services
Date: 9/29/2015 3:40:06 PM
Name: PriceLen
Title: Department Head-Administrative Svc,Administrative Services Department
Date: 10/9/2015 2:55:45 PM
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10/27/2015 16.E.3.
Name: KlatzkowJeff
Title: County Attorney,
Date: 10/9/2015 4:01:36 PM
Name: WellsLaura
Title: Management/Budget Analyst, Senior, Office of Management&Budget
Date: 10/13/2015 10:13:11 AM
Name: CasalanguidaNick
Title: Deputy County Manager, County Managers Office
Date: 10/15/2015 9:33:12 AM
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nxiwrs �
To: Phillips 66-Branded FBO
Subject: Invitation to Enroll in the
Phillips 66-Branded Airport Dealers Excess Liability Insurance Program
You are invited to enroll (free of charge) in the Phillips 66-Branded Airport Dealers Excess Liability Insurance Program
("Program"). Enclosed is the Letter of Understanding ("LOU")explaining the Program.
Once properly enrolled, you will be automatically re-enrolled in the Program effective April 1 of each year, from year to
year,provided you are a Phillips 66-branded FBO and continue to meet the Program requirements.
To enroll in the Program, please complete the LOU, sign it, date it, and return it by mail, email, or fax to the contract analyst
shown at the bottom of this page.
Providing that all of the Program requirements are met, your coverage in the Program will take effect when your fully
executed LOU is received by Phillips 66 Company. When we have confirmed your acceptance into the Program, we will
return a copy of your completed and verified LOU form to you for your files as confirmation that you are enrolled in the
Program.
Please feel free to share photocopies of this letter and the LOU with your insurance carrier in order to ensure that your
primary coverage meets the requirements for the Program. The LOU contains a detailed description of the Program
requirements that must be met to be enrolled in the Program. Below is a summary of the main Program requirements:
❑ Must be either (i) a Phillips 66 Branded FBO with a current, active, fully executed Phillips 66 branded aviation supply
agreement on file with Phillips 66 Company, or (ii) a Phillips 66-Branded FBO serviced through a Phillips 66 Company
marketer.
❑ Must maintain in effect primary liability insurance (which includes Products Liability and Completed Operations Liability)
of minimum limits of$1,000,000 any one occurrence.
❑ As respects Products Liability and Completed Operations coverage, a minimum of$1,000,000 in the aggregate should
be maintained.
❑ "Per person" or"per passenger" sub limits cannot be less than $1,000,000.
❑ Must complete, date, sign and return the LOU form to Phillips 66 Company.
In the event that Phillips 66 Company requests a Certificate of Insurance, the certificate should be a valid original. If a
Certificate is requested, the Certificate Holder must be shown as: Phillips 66 Company; Aviation Insurance; 970-02 Adams
Bldg.; 411 S. Keeler Ave.; Bartlesville, OK 74003-6670. (Please do not send a Certificate unless and until requested by
Phillips 66 Company.)
Once approved, you are enrolled in the Program as long as you meet all of the Program requirements. Your enrollment and
coverage in the Program will be changed without notice should your coverage expire or should you be in noncompliance with
any Program requirement at any time. Furthermore, the Program may be changed or modified at any time by Phillips 66
Company or it may be terminated by Phillips 66 Company at the end of any Program anniversary date for any reason at its
sole and absolute discretion. Written notice will be given of any such change, modification or termination.
Michelle Miller, Contract Analyst
970-02 Adams Bldg.
411 S. Keeler Ave
Bartlesville, OK 74003-6670
Michelle.d.miller @p66.com
Fax#: 918-977-7897
Cover Letter-Excess Liabilitylnsurance
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10/27/2015 16.E.3.
�,..rss
:177:
RETURN COMPLETED FORM TO: michelle.d.miller @p66.com
or Fax#: 918-977-7897
Phillips 66-Branded Airport Dealers Excess Liability Insurance Pro Eram-LETTER OF UNDERSTANDING
I hereby request to be included (free of charge) in the Phillips 66-Branded Airport Dealers Excess Liability Insurance Program
("Program"). Once properly enrolled, I will be automatically re-enrolled in the Program effective April 1 of each year.from year to
year thereafter.so long as:
(1) I am a Phillips 66-branded fixed base operator("FBO")pursuant to a Phillips 66 branded aviation supply agreement
directly with Phillips 66 Company(Phillips 66")or through a Phillips 66 marketer,and,
(2)I meet the Program requirements.
As of April 1, 2008, the Program provides excess liability coverage in the amount of $50,000,000 per occurrence and in the
aggregate for sums which I am legally obligated to pay due to a covered occurrence during the policy period when Phillips 66-
branded fuels and lubricants are used, and arising from the activities listed below. It should be understood that the Program is
specifically linked to and only meant to respond to Phillips 66' business as a supplier of branded aviation products, and is limited
to the following activities:
a. Aviation fuel into plane services relating to sale,service,storage and supply of Phillips 66-branded aviation fuel and lubricant
products, including fueling and defueling operations.
b. Aviation fuel tank facilities relating to the storage of fuel and operation of fuel tank facilities.
c. Operation of fueling trucks and other vehicles within airport premises.
I further understand that if I have a fuel supply agreement directly with Phillips 66 or with a Phillips 66 marketer, and if I carry
primary contractual liability insurance covering my liability under that agreement, then the Airport Dealers Excess Liability
Insurance will, in addition to the coverage explained above, also provide contractual liability coverage to the same extent,subject
to policy exclusions.
II. To participate in the Program, I understand that I must maintain in effect primary liability insurance(including Products
Liability and Completed Operations Liability)in the following amounts:
a. Not less than the amounts carried at the time I received knowledge of this excess liability coverage,but
b. In any event no less than $1,000,000 combined single limit for each occurrence and in the annual aggregate with
respect to Products Liability and Completed Operations coverage. Evidence of coverage must specifically include
limits of $1,000,000 in the aggregate for Products Liability and Completed Operations coverage. Any sublimits
below$1,000,000 on a"per person"or"per passenger"basis will disqualify me from the Program.
I understand that this excess liability coverage will be afforded to me only to the extent that I maintain insurance to
comply with the above primary insurance requirements. I further understand that the Phillips 66-Branded Airport
Dealers Excess Liability insurance coverage will change without notice should my coverage expire or should the
amounts of my primary liability insurance be reduced below $1,000,000 (except in the event of a claim depleting the
underlying limit).
A properly completed Letter of Understanding is required from me in order to be covered under the Program. Once I am
enrolled in the Program, I will be automatically re-enrolled thereafter for twelve month periods effective each April 1 pursuant to
the current terms and conditions of the Program. Phillips 66 will forward a revised Letter of Understanding if there are changes to
the Program (e.g. changes in the renewal dates or policy limits). Written notice will be given in the event the Program is
terminated.
I agree and am in compliance with the above primary insurance requirements.
III. Coverage Issues and Exclusions
a. It is important to understand that this Program is considered"following form"which means that the coverage provided under
the Program will follow the same policy terms, conditions, exclusions and limitations as my primary insurance affords to my
fuel/fueling related coverage. Coverage will not"follow form" and will be more restrictive if I no longer carry$1,000,000 of
commercial underlying insurance.
b. War Risks, Hijacking and other similar perils are specifically excluded under this Program, regardless of my primary policy
coverage.
Page 1 of 2 Phillips 66 Excess Liability LOU
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10/27/2015 16.E.3.
c. Regardless of the underlying coverage, Environmental Disturbance and Pollution are not covered.
d. No coverage is afforded to expenses related to a product recall.
e. No coverage is afforded for Nuclear, Date Recognition or Asbestos exposures.
f. No coverage is afforded if I have a Dealer Commingling Amendment.
g. The Program will not respond if I carry insurance limits of$250,000,000 or more.
h. The$50,000,000 aggregate limit is the total limit available to me. If there is a"catastrophic°loss that erodes the aggregate to
$0,there will be no further coverage for me under the Program. I will consider this possibility when deciding on the limits of
liability I purchase under my primary insurance program.
IV. I understand it is my responsibility to report any incident involving the use of Phillips 66-branded aviation fuels and/or lubricants
that involves bodily injury to third parties and/or damage to property of others, even if such a potential claim is not expected to
exceed the limits of my primary insurance. When an incident is reported, a copy of an accident report with the details of the
incident should be faxed to Phillips 66 General Aviation Technical Support at 918-662-6085 within 72 hours of the incident.
V. DIRECT DEALERS ONLY-I understand that as a direct dealer who is obtaining aviation fuel directly from Phillips 66(rather than
through a Phillips 66 marketer), I must have a current, active, and fully executed Phillips 66 branded aviation supply agreement
on file with Phillips 66 to be included in the Program.
VI. I UNDERSTAND THAT UPON RECEIPT BY PHILLIPS 66 OF THIS COMPLETED, SIGNED, AND DATED LETTER OF
UNDERSTANDING, MY COVERAGE UNDER THE PHILLIPS 66-BRANDED AIRPORT DEALERS EXCESS LIABILITY
INSURANCE PROGRAM WILL COMMENCE AND BE IN EFFECT THROUGH THE PREVIOUSLY IDENTIFIED POLICY
PERIOD, AND WILL BE AUTOMATICALLY RENEWED FROM YEAR TO YEAR THEREAFTER AS LONG AS I MEET THE
PROGRAM REQUIREMENTS. NO COVERAGE IS PROVIDED UNLESS A COMPLETED LETTER OF UNDERSTANDING
HAS BEEN RECEIVED AND CONFIRMED BY PHILLIPS 66,AND PROVIDED THE STATED REQUIREMENTS ARE MET.
(Please PRINT clearly):
FBO Name Collier County Airport Authority I Airport ID KX01
Mailing Address PO Box 689, 650 E.C.Airpark Rd j Airport Name Everglades Airpark
City, State,ZIP Everglades City, FL 34139 j Airport City, State Everglades City, FL
For Marketer-supplied FBOs: name of the Marketer who supplies my Phillips 66-branded aviation fuel:
Marketer Name World Fuel Services
As evidenced by my signature below,I understand,agree to,and am in compliance with this Letter of Understanding in order to
be included In the Phillips 66-Branded Aviation Airport Dealers Excess Liability Insurance Program:
FBO DEALER: Approved as to form and legality
Signed By: 1 ,.
(on behalf of the FBO) `/`Jam.' tOL ci`\G
Name Printed: T 1 M t3 AA Assistant County Attorney
Title: C N A R w14A
(This box to be completed by Phillips 66 Company)
Date ENROLLMENT CONFIRMATION
FBO's P66 Brand Date:
Date Enrollment Is Effective:
ATTEST: Enrollment Confirmed by:
DWIGHT E. BROCK, Clock
By: Page 2 of 2 Phillips 66 Excess Liability LOU
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10/27/2015 16.E.3.
RETURN COMPLETED FORM TO: michelle.d.miller@p66.com
or Fax#: 918-977-7897
Phillips 66-Branded Airport Dealers Excess Liability Insurance Program-LETTER OF UNDERSTANDING
I hereby request to be included (free of charge) in the Phillips 66-Branded Airport Dealers Excess Liability Insurance Program
("Program"). Once properly enrolled, I will be automatically re-enrolled in the Program effective April 1 of each year,from year to
year thereafter.so long as:
(1)I am a Phillips 66-branded fixed base operator("FBO") pursuant to a Phillips 66 branded aviation supply agreement
directly with Phillips 66 Company('Phillips 66")or through a Phillips 66 marketer,and,
(2)I meet the Program requirements.
As of April 1, 2008, the Program provides excess liability coverage in the amount of$50,000,000 per occurrence and in the
aggregate for sums which I am legally obligated to pay due to a covered occurrence during the policy period when Phillips 66-
branded fuels and lubricants are used, and arising from the activities listed below. It should be understood that the Program is
specifically linked to and only meant to respond to Phillips 66'business as a supplier of branded aviation products, and is limited
to the following activities:
a. Aviation fuel into plane services relating to sale,service, storage and supply of Phillips 66-branded aviation fuel and lubricant
products,including fueling and defueling operations.
b. Aviation fuel tank facilities relating to the storage of fuel and operation of fuel tank facilities.
c. Operation of fueling trucks and other vehicles within airport premises.
I further understand that if I have a fuel supply agreement directly with Phillips 66 or with a Phillips 66 marketer, and if I carry
primary contractual liability insurance covering my liability under that agreement, then the Airport Dealers Excess Liability
Insurance will, in addition to the coverage explained above, also provide contractual liability coverage to the same extent,subject
to policy exclusions.
II. To participate in the Program, I understand that I must maintain in effect primary liability insurance(including Products
Liability and Completed Operations Liability)in the following amounts:
a. Not less than the amounts carried at the time I received knowledge of this excess liability coverage,but
b. In any event no less than $1,000,000 combined single limit for each occurrence and in the annual aggregate with
respect to Products Liability and Completed Operations coverage. Evidence of coverage must specifically include
limits of $1,000,000 in the aggregate for Products Liability and Completed Operations coverage. Any sublimity
below$1,000,000 on a"per person"or"per passenger"basis will disqualify me from the Program.
I understand that this excess liability coverage will be afforded to me only to the extent that I maintain insurance to
comply with the above primary insurance requirements. I further understand that the Phillips 66-Branded Airport
Dealers Excess Liability insurance coverage will change without notice should my coverage expire or should the
amounts of my primary liability insurance be reduced below $1,000,000 (except in the event of a claim depleting the
underlying limit).
A properly completed Letter of Understanding is required from me in order to be covered under the Program. Once I am
enrolled in the Program, I will be automatically re-enrolled thereafter for twelve month periods effective each April 1 pursuant to
the current terms and conditions of the Program. Phillips 66 will forward a revised Letter of Understanding if there are changes to
the Program (e.g. changes in the renewal dates or policy limits). Written notice will be given in the event the Program is
terminated.
I agree and am in compliance with the above primary insurance requirements.
III. Coverage Issues and Exclusions
a. It is important to understand that this Program is considered"following form"which means that the coverage provided under
the Program will follow the same policy terms, conditions, exclusions and limitations as my primary insurance affords to my
fuel/fueling related coverage. Coverage will not "follow form° and will be more restrictive if I no longer carry $1,000,000 of
commercial underlying insurance.
b. War Risks, Hijacking and other similar perils are specifically excluded under this Program, regardless of my primary policy
coverage.
Page 1 of 2 Phillips 66 Excess Liability LOU
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10/27/2015 16.E.3.
c. Regardless of the underlying coverage, Environmental Disturbance and Pollution are not covered.
d. No coverage is afforded to expenses related to a product recall.
e. No coverage is afforded for Nuclear, Date Recognition or Asbestos exposures.
f. No coverage is afforded if I have a Dealer Commingling Amendment.
g. The Program will not respond if I carry insurance limits of$250,000,000 or more.
h. The$50,000,000 aggregate limit is the total limit available to me. If there is a"catastrophic"loss that erodes the aggregate to
$0,there will be no further coverage for me under the Program. I will consider this possibility when deciding on the limits of
liability I purchase under my primary insurance program.
IV. I understand it is my responsibility to report any incident involving the use of Phillips 66-branded aviation fuels and/or lubricants
that involves bodily injury to third parties and/or damage to property of others, even if such a potential claim is not expected to
exceed the limits of my primary insurance. When an incident is reported, a copy of an accident report with the details of the
incident should be faxed to Phillips 66 General Aviation Technical Support at 918-662-6085 within 72 hours of the incident.
V. DIRECT DEALERS ONLY-I understand that as a direct dealer who is obtaining aviation fuel directly from Phillips 66(rather than
through a Phillips 66 marketer), I must have a current, active, and fully executed Phillips 66 branded aviation supply agreement
on file with Phillips 66 to be included in the Program.
VI. I UNDERSTAND THAT UPON RECEIPT BY PHILLIPS 66 OF THIS COMPLETED, SIGNED, AND DATED LETTER OF
UNDERSTANDING, MY COVERAGE UNDER THE PHILLIPS 66-BRANDED AIRPORT DEALERS EXCESS LIABILITY
INSURANCE PROGRAM WILL COMMENCE AND BE IN EFFECT THROUGH THE PREVIOUSLY IDENTIFIED POLICY
PERIOD, AND WILL BE AUTOMATICALLY RENEWED FROM YEAR TO YEAR THEREAFTER AS LONG AS I MEET THE
PROGRAM REQUIREMENTS. NO COVERAGE IS PROVIDED UNLESS A COMPLETED LETTER OF UNDERSTANDING
HAS BEEN RECEIVED AND CONFIRMED BY PHILLIPS 66,AND PROVIDED THE STATED REQUIREMENTS ARE MET.
(Please PRINT clearly):
FBO Name Collier County Airport Authority I Airport ID KIMM
Airport
Air ional
Mailing Address 165 Airpark Blvd �Airport Name Immokalee Regional P
City,State,ZIP Immokalee, FL 34142 Airport City,State lmmokalee, FL
For Marketer-supplied FBOs: name of the Marketer who supplies my Phillips 66-branded aviation fuel:
Marketer Name World Fuel Services
As evidenced by my signature below, I understand,agree to,and am in compliance with this Letter of Understanding in order to
be included in the Phillips 66-Branded Aviation Airport Dealers Excess Liability Insurance Program:
FBO DEALER: Approved as to form and legality
Signed By:
(on behalf of the FBO) -- I
Assistant Coun ttornev o ,Ad\���
Name Printed: T A IJ A tJC
Title: CAA*,*, \Q_Yv 112 '
(This box to be completed by Phillips 66 Company)
Date ENROLLMENT CONFIRMATION
FBO's P66 Brand Date:
ATTEST:
DWIGHT E. BROCK, Clerk Date Enrollment Is Effective:
• Enrollment Confirmed by:
By:
Page 2 of 2 Phillips 66 Excess Liability LOU
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RETURN COMPLETED FORM TO: michelle.d.mlllera@p66.com
or Fax#: 918-977-7897
Phillips 66-Branded Airport Dealers Excess Liability Insurance Prosram-LETTER OF UNDERSTANDING
I hereby request to be included (free of charge) in the Phillips 66-Branded Airport Dealers Excess Liability Insurance Program
("Program"). Once properly enrolled, I will be automatically re-enrolled in the Program effective April 1 of each year.from year to
year thereafter,so lona as:
(1) I am a Phillips 66-branded fixed base operator("FBO") pursuant to a Phillips 66 branded aviation supply agreement
directly with Phillips 66 Company('Phillips 66")or through a Phillips 66 marketer,and,
(2)I meet the Program requirements.
As of April 1, 2008, the Program provides excess liability coverage in the amount of $50,000,000 per occurrence and in the
aggregate for sums which I am legally obligated to pay due to a covered occurrence during the policy period when Phillips 66-
branded fuels and lubricants are used, and arising from the activities listed below. It should be understood that the Program is
specifically linked to and only meant to respond to Phillips 66' business as a supplier of branded aviation products, and is limited
to the following activities:
a. Aviation fuel into plane services relating to sale,service, storage and supply of Phillips 66-branded aviation fuel and lubricant
products,including fueling and defueling operations.
b. Aviation fuel tank facilities relating to the storage of fuel and operation of fuel tank facilities.
c. Operation of fueling trucks and other vehicles within airport premises.
I further understand that if I have a fuel supply agreement directly with Phillips 66 or with a Phillips 66 marketer, and if I carry
primary contractual liability insurance covering my liability under that agreement, then the Airport Dealers Excess Liability
Insurance will, in addition to the coverage explained above, also provide contractual liability coverage to the same extent,subject
to policy exclusions.
II. To participate in the Program,I understand that I must maintain in effect primary liability insurance(including Products
Liability and Completed Operations Liability)in the following amounts:
a. Not less than the amounts carried at the time I received knowledge of this excess liability coverage, but
b. In any event no less than $1.000,000 combined single limit for each occurrence and in the annual aggregate with
respect to Products Liability and Completed Operations coverage. Evidence of coverage must specifically include
limits of $1,000,000 in the aggregate for Products Liability and Completed Operations coverage. Any sublimits
below$1,000,000 on a"per person"or"per passenger"basis will disqualify me from the Program.
I understand that this excess liability coverage will be afforded to me only to the extent that I maintain insurance to
comply with the above primary insurance requirements. I further understand that the Phillips 66-Branded Airport
Dealers Excess Liability insurance coverage will change without notice should my coverage expire or should the
amounts of my primary liability insurance be reduced below $1,000,000 (except in the event of a claim depleting the
underlying limit).
A properly completed Letter of Understanding is required from me in order to be covered under the Program. Once I am
enrolled in the Program, I will be automatically re-enrolled thereafter for twelve month periods effective each April 1 pursuant to
the current terms and conditions of the Program. Phillips 66 will forward a revised Letter of Understanding if there are changes to
the Program (e.g. changes in the renewal dates or policy limits). Written notice will be given in the event the Program is
terminated.
I agree and am in compliance with the above primary insurance requirements.
ill. Coverage Issues and Exclusions
a. It is important to understand that this Program is considered"following form"which means that the coverage provided under
the Program will follow the same policy terms, conditions, exclusions and limitations as my primary insurance affords to my
fuel/fueling related coverage. Coverage will not"follow form" and will be more restrictive if I no longer carry $1,000,000 of
commercial underlying insurance.
b. War Risks, Hijacking and other similar perils are specifically excluded under this Program, regardless of my primary policy
coverage.
Page 1 of 2 Phillips 66 Excess Liability LOU
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10/27/2015 16.E.3.
lZ ,
c. Regardless of the underlying coverage, Environmental Disturbance and Pollution are not covered.
d. No coverage is afforded to expenses related to a product recall.
e. No coverage is afforded for Nuclear, Date Recognition or Asbestos exposures.
f. No coverage is afforded if I have a Dealer Commingling Amendment.
g. The Program will not respond if I carry insurance limits of$250,000,000 or more.
h. The$50,000,000 aggregate limit is the total limit available to me. If there is a"catastrophic"loss that erodes the aggregate to
$0,there will be no further coverage for me under the Program. I will consider this possibility when deciding on the limits of
liability I purchase under my primary insurance program.
IV. I understand it is my responsibility to report any incident involving the use of Phillips 66-branded aviation fuels and/or lubricants
that involves bodily injury to third parties and/or damage to property of others, even if such a potential claim is not expected to
exceed the limits of my primary insurance. When an incident is reported, a copy of an accident report with the details of the
incident should be faxed to Phillips 66 General Aviation Technical Support at 918-662-6085 within 72 hours of the incident.
V. DIRECT DEALERS ONLY-I understand that as a direct dealer who is obtaining aviation fuel directly from Phillips 66(rather than
through a Phillips 66 marketer), I must have a current, active, and fully executed Phillips 66 branded aviation supply agreement
on file with Phillips 66 to be included in the Program.
VI. I UNDERSTAND THAT UPON RECEIPT BY PHILLIPS 66 OF THIS COMPLETED, SIGNED, AND DATED LETTER OF
UNDERSTANDING, MY COVERAGE UNDER THE PHILLIPS 66-BRANDED AIRPORT DEALERS EXCESS LIABILITY
INSURANCE PROGRAM WILL COMMENCE AND BE IN EFFECT THROUGH THE PREVIOUSLY IDENTIFIED POLICY
PERIOD, AND WILL BE AUTOMATICALLY RENEWED FROM YEAR TO YEAR THEREAFTER AS LONG AS I MEET THE
PROGRAM REQUIREMENTS. NO COVERAGE IS PROVIDED UNLESS A COMPLETED LETTER OF UNDERSTANDING
HAS BEEN RECEIVED AND CONFIRMED BY PHILLIPS 66,AND PROVIDED THE STATED REQUIREMENTS ARE MET.
JPlease PRINT clearly):
FBO Name Collier County Airport Authority I Airport ID KMKY
rp Marco Island Executive Airport
Mailing Address 2005 Mainsail Drive, Suite 1 Airport Name rP
City,State,ZIP Naples, FL 34113 j Airport City,State Naples, FL
For Marketer-supplied FBOs: name of the Marketer who supplies my Phillips 66-branded aviation fuel:
Marketer Name World Fuel Services
As evidenced by my signature below,I understand,agree to,and am in compliance with this Letter of Understanding in order to
be included in the Phillips 66-Branded Aviation Airport Dealers Excess Liability Insurance Program:
FBO DEALER: Approved as to form and legality
�
Signed By: Ct1 �, )
(on behalf of the FBO) Assistant County Attorney c tact 115
Name Printed: TIt*^ 'JAW G.F..
Title: CH A' vvv.a. 1.3
(This box to be completed by Phillips 66 Company)
Date ENROLLMENT CONFIRMATION
FBO's P66 Brand Date:
ATTEST:
DWIGHT E. BROCK, Clerk Date Enrollment Is Effective:
Enrollment Confirmed by:
By:
•
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