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USHILManaged by United States Aviation Underwriters, Inc.
; Home Office: 110 William St., New York, New York 10038 F-360 (1175;
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The Companies named on the face o f policy, herein collectively called the Comp in consideration of the payment of the
premium and in reliance upon the DeWlions, and subject to the Limits of Liability/ all of the either terms of this policy, do
jointly and severally agree with the Named Insured, as follows:
DEFINITIONS
Wherever used in this policy:
"aircraft" means the landplane, seaplane, amphibian or rotorcraft spe-
cifically described in this policy and shall include operating, navigating
and radio equipment usually attached thereon, including parts tempo-
rarily detached from the aircraft if not replaced by other similar parts,
and tools and repair equipment therein which are standard for the mike
and type of aircraft.
"Airport Contract" means a written agreement required by statute or
ordinance or by any rule or regulation promulgated by any Federal,
State, County or Municipal Authority as a condition to the use of an
airport or airport facility.
"Airworthiness Certificate" means the certificate so named in the Fed-
eral Aviation Act of 1958 with its amendments and under the Civil
Air Regulations or the Federal Aviation Regulations.
"Aviation Managers" means United States Aviation Underwriters, Inc.
"Federal Aviation Administration" or "F.A.A." means the duly con-
stituted authority of the United States of America having jurisdiction
over civil aviation.
"injury ", as respects any person, means bodily injury, sickness or dis-
ease, including mental anguish or death resulting therefrom; and, as
respects any property, means injury to or destruction of property in-
cluding the loss of use thereof.
"in flight" means the time commencing when the aircraft (other than
a rotorcraft) moves forward in attempting to take -off and continuing
thereafter until it has completed its landing run. A rotorcraft shall be
deemed to be "in flight' when the rotors are in motion as a result Of
engine power, the momentum generated therefrom, or autorotttion.
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"in motion" means all times when the aircraft is "in flight" and, in
addition, whenever the aircraft is moving under its own power nr the
momentum generated therefrom.
"Insured" means the Named Insurcd and, with respect only to the
Liability Coverages, also means illy person while using or riding in
the aircraft and any person or organization legally responsible for the
use thereof, provided the actual dsc of the aircraft is by the Named
Insured or with his permission; ;.nd further provided that, other than
the Named Insured, none of the following shall be an Insured:
(a) any person or organization, or any agent or employee thereof,
engaged in the manufacture or sale of aircraft, aircraft engines or
aircraft accessories or in the Operation of an aircraft repair shop,
aircraft sales agency, aircraft rental service, commercial flying
service or flying school with respect to imy occu!'rence arising Vitt
of such manufacture, sale or operations, but this provision does not
apply to any employee of the Named Insnrrd while acting in the
course of his employment by the Named Insured;
(b) any employee with respect to injury of another employee of the
same employer injured in the course of such employment.
"Named Insured" means the individual, partnership, corporation or
other entity whose name is stated in [ten t of the Declarations,
`occurrence" moms an accident, or a continuous or repealed exposure
to conditions, which results in injury during the policy period, pro-
vided the injury is neither cxpectcd nor intended from the standpoint
of the Insured. All damages arising out of such exposure to substan-
tially the same general conditions shall be deemed to arise out Of one
occurrence.
"passenger" metes any person in or enuring the aircraft for the
purpose of riding therein or alighting therefrom following a flight
or attempted flight therein.
INSURING AGREEMENTS
I. Liability Coverages
To pay on behalf of the Insured all sums which the Insured shall
become legally obligated to pay as damages because of:
Coverage A injury sustained by any person except a passenger,
Coverage B
injury to property,
Coverage C
injury sustained by any passenger,
Coverage D
injury sustained by any person, and injury to property,
Coverage E
injury sustained by any person, except a passenger,
and injury to property,
caused by an occurrence
and arising out of the ownership, maintenance
or use of the aircraft.
II. Medical Coverage
Coverage F To pay all reasonable expenses incurred witbin one
year from the date of accident, for necessary medical,
surgical, dental, ambulance, hospital, professional nursing and funeral
services, to or for each passenger who sustains injury caused by
accident, provided the aircraft is being used by the Named Insured or
with his permission. This Coverage shall not apply to any pilot, attend-
amt, or other crew member of the aircraft unless "crew" is expressly
specified as included in the Declinations.
III. Hull Coverages
To insure against:
Coverage G all risks of physical loss of or damage to the aircraft
while not in flight and
only such physical loss of or damage to the aircraft
while it, flight which is directly caused by theft, rob -
kin, vandalinn, lightning fire or explosion, excluding
fire or explosion caused by or resulting from crash or
collision of the ,aircraft with the ground, water or any
object,
Coverage H all risks of phis: cal loss of or damage to the aircraft.
The aircraft shall be presumed lost in flight if it dis
appears after take -off and is not located nor its where
abouts reported within sixty days thereafter.
IV. Policy Period and Territory
This policy applies only to o.currences, accident; nr losses which hap-
pen during the policy period wiai!e the aircraft is within the United
States of America, its territories or poeec mans, Canada or nlexico, or
eneoute between points within these places.
Aircraft Policy Page I F 360
• EXCLUSIONS
None of the Coverages applies:
(a) to any aircraft not registered under a "Standard" Category Air-
worthiness Certificate issued by the Federal Aviation Agency.
(b) while the aircraft is ( 1 ) owned, maintained or used for any pur-
pose other than as stated in the Declarations or (2) operated,
while in flight, by other than the pilot ca: pilots as stated in the
Declarations.
The Liability Coverages do not apply:
(c) to liability assumed by any Insured under any contract or agree-
ment except liability assumed by the Named Insured under an
Airport Contract.
(d) to injury to persons or property caused intentionally by or at the
direction of the Insured, except an injury to persons resulting
from an assault and battery committed for the purpose of prevent.
ing dangerous interference with the opera -ion of the aircraft.
(c) to any obligation for which the Insured or any company as his
insurer may be held liable under any workmen's compensation,
unemployment compensation or disability benefits law, or under
any similar law; or, except with respect to liability assumed by
the Named Insured under an Airport Contract, to injury to any
employee of the Insured arising out of and in the course of (1)
domestic employment by the Insured, if benefits therefor are in
whole or in part either payable or required to be provided under
any workmen's compensation law, or (2) other employment by
the Insured.
(f) to injury to any aircraft, the use of which is the subject of such
Coverages.
(g) to injury to property owned by, rented to, in charge of or trans-
ported by the Insured but this exclusion does not apply, as respects
the Named Insured, to:
(1) damages not exceeding $200.00 for injury to the personal
effects and baggage of any one guest passenger in any one
occurrence, or
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(2) damages not exceeding $I,000.00 in all during the policy
period for injury to hanga2s or contents thereof not owned
by the Insured.
The Medical Coverage does not apply:
(h) to any expense for services to or for any employee of the Insured,
to the extent that such services are required to be provided as
benefits ender any workmen's compensation law.
The Hull Coverages do not apply to loss or damage:
(i) while the aircraft is subject to any bailment lease, conditional sale,
mortgage or other encumbrance not specifically declared and de-
scribed in this policy, or if the interest of the Named Insured be
or become other than owner, or as stated in the Declarations.
(j) due to conversion, embezzlement, or secretion by any person in
lawful possession of the aircraft under a lease or rental agreement,
conditional sale, mortgage or other encumbrance.
(k) to tires, other than by theft, vandalism or malicious mischief, un-
less such loss or damage is the direct result of other physical dam-
age, covered by this policy, to the aircraft.
(1) due and confined to wear and tear or deterioration or to freezing
or mechanical or electrical breakdown or failure, unless such loss
or damage is the direct result of other physical damage, covered
by this policy, to the aircraft.
(m) resulting from ( 1 ) capture, seizure, arrest, restraint or detention
or the consequences thereof or of any attempt thereat, or any
taking of the property insured or damage to or destruction thereof
by any Government or governmental authority or agent (whether
secret or otherwise) or by any military, naval, or usurped power,
whether any of the foregoing be done by way of requisition or
otherwise and whether in time of peace or war and whether law-
ful or unlawful; (2) war, invasion, civil war, revolution, rebellion,
insurrection or warlike operations, whether there be a declaration
of war or not.
LIMIT OF THE COMPANY'S LIABILITY
With respect to Liability Coverages A and C:
the limit of liability stated in the Declarations as applicable to "each
person" is the limit of the Company's liability for all damages, includ.
ing damages for care and loss of .services, arising out of injury,
sustained by one person as the result of any one occurrence, and the
limit of such liability stated therein as applicable to "each occurrence"
is, subject to the above limitation respecting each person, the total
limit of the Company's liability for all damages, including damages
for care and loss of services, arising out of injury sustained by two
or more persons as a result of any one occurrence.
With respect to Liability Coverages
B, D and E:
the limit of liability stated in the Declarations is the limit of the
Company's liability for all damages arising out of any one occurrence.
With respect to the Medical Coverage:
the limit of liability stated in the Declarations as applicable to "each
person" is the limit of the Company's liability for all expenses incurred
by or on behalf of each person who sustains injury in any one accident.
The Company may pay the injured person or any person or organization
rendering the services and such payment shall reduce the amount pay-
able hereunder for any such injury. Payment hereunder shall not con.
stitute an admission of liability on the part of the Insured or the
Company.
With respect to the Hull Coverages:
A. The limit of the Company's liability for loss of or damage to the
aircraft shall be:
(1) in case of total loss, the Amount of Insurance applicable to
the aircraft, less the applicable deductible.
(2) in case of partial loss
(a) if repairs are made by a Named Insured, rile total of the
following items less the applicable deductible: (1) the
Named Insureds cost for necessary material and parts of
like kind and quality, (2) wages paid for labor at current
straight time rates at the place Of repair with no premium
for Overtime, plus 100'A of such wages as an allowance
for overhead and supervision, (3) transportation costs.
(b) if repairs are made by other than a Named Insured, the
net cost to the Named Insured, excluding all premium
charges for overtime, to repair the aircraft with material
and parts of like kind and quality, and transportation
costs, less the applicable deductible.
The "In Motion Deductible" as stated in the Declarations shall
apply to each loss Occulting while the aircraft is in motion.
The "Not In Motion Deductible" as stated in the Declarations
shall apply to each loss occurring while the aircraft is not in
motion except no deductible shall apply to any such loss caused
by fire, explosion, lightning, theft, robbery, vandalism or an
accident to the conveyance in or on which the aircraft, while
dismantled, is being transported.
"Transportation Costs" shall mean the cost of transporting, by the
least expensive reasonable means, (a) damaged parts from the site
of loss to and from the most practicable place for repair thereof,
OT (b) replacement parts from the nearest available source to the
site of loss, or (c) the aircraft to the most practicable place for
repair and, thence, to the site of loss or the Named Insured's home
airport, whichever is nearer.
13. Where the claim be for theft, conversion, embezzlement, secretion
or pilferage, if insured against herein, the return of the property
at any time before actual payment of such claim, together with
lender Of payment for the physical damage, if any, sustained there-
to, shall constitute full satisfaction of such claim.
C. Whenever the Company pays a claim in an amount equal to the
sum payable for it total loss, it shall at its option be entitled to all
remaining salvage value. There shall, however, be no abandonment
of the aircraft to the Company without its consent.
D. In the event Of payment of a total loss, the Company shall pay to
the Named insured, or his order, a sum equal to all unearned Hull
Coverage premiums with respect to such aircraft computed pro
rata and unless at the time of such loss payment, another aircraft is
described in the Declarations for a Hull Coverage, the date of such
payment shall become the end of the policy period with respect to
all Hull Coverages.
I., The liability of the Company shall in no event, for any purpose
hereunder, exceed the Amount Of Insurance applicable to the air.
craft, less the applicable deductible, plus any sum payable under
paragraph D, above.
Aircraft Policy Page 2 F 360
14. Subrogation
The Company, upon payment of any claim 10o.der, shall be subro-
gated to all the Insured's rights of recovery therefor against any per-
son or organization, and the Insured shall execute and deliver all in.
struments and papers and do whatever else is necessary to secure such
rights. The Insured shall do nothing after the physical happening of
the occurrence which gives rise to a claim hereunder to prejudice or
impair such rights of recovery. The Insured shall cooperate with the
Company and upon the Company's request shall attend hearings and
trials, and shall assist, except in a pecuniary way, in securing and giv.
ing evidence, obtaining the attendance of witnesses, and in the conduct
of suits for such recovery.
15. Other Insurance
Except with respect to insurance specifically purchased by the Named
Insured to apply in excess of this policy, if there is other insurance, in
the Insured's name or otherwise, against loss, liability or exvense cov-
ered by this policy, the Company shall not be liable under this policy
for a greater proportion of such loss, liability or expense than the
applicable limit of the Company's Liability (as stated on Page 2 of
this policy) bears to the total applicable limit of liability of all valid
and collectible insurance against such loss, liability or expense, pro.
vided, however, that with respect to the extensions of coverage afforded
by Conditions 3, 4 and 5, this insurance shall be excess insurance over
any other valid and collectible insurance available to the Insured,
either as an Insured under a policy applicable with respect. to the
aircraft or otherwise and, if such other insurance available to the
Insured shall have been written through the Aviation Managers, the
Limit of the Company's Liability applicable to such loss under this
policy shall be reduced by the applicable limit of liability under such
other available insurance.
16. Action on Policy
No suit or action on this policy for recovery of any loss or claim shall
be sustainable in a court of law or equity unless, as a condition prece.
dent thereto, the Insured shall have fully complied with all of the
terms of this policy, and,
(a) with respect to the Liability Coverages, until the amount of the
Insured's obligation to pay shall have been finally determined
either by judgment against the Insured after actual trial or by
written agreement of the Insured, the claimant and the Company.
Any person or organization or the legal representative thereof
who has secured such judgment or written agreement shall there-
after be entitled to recover under this policy to the extent of the
insurance afforded thereby. Nothing contained in this policy shall
give any person or organization a right to join the Company as
co- defendant in an action against the Insured to determine the
Insured's liability. Bankruptcy or insolvencv of the Insured or the
Insured's estate shall not relieve the Company of its obligations
herein.
(b) with respect to the Medical Coverage, until thirty days after the
required proof of claim has been filed with the Aviation Managers.
(c) with respect to the Hull Coverages, unless such action for recov.
ery is commenced within twelve months next after the physical
happening of the occurrence which gave rise to the loss or claim.
If any limitation of time stated herein is prohibited by the laws of
the State wherein this policy is issued, then, in that event, no suit
or action on this policy shall be sustainable unless commenced within
the shortest limitation permitted under the laws of such State.
17. Action Against the Named Insured
Any one of the Companies or the Aviation Managers shall have th@
power to institute and maintain suits in its own name against the
Named Insured for ayment of premiums or for breach of any other
obligation arising M or by reason of this insurance, and any
judgment so obtai0mWr release or receipt by any one of the Com-
panies or the Aviation.Managers shall be binding oh all of the Com-
panies and the Aviation Managers.
18. Assignment
Assignment of interest under this policy shall not bind the Company
until Its consent is endorsed hereon by the Aviation Managers; if,
however, the Named Insured shall die within the policy period, this
policy, unless canceled, shall, provided written notice be given to the
Aviation Managers within sixty days after the date of such death, apply
to his legal representatives as the Named Insured.
19. Changes
Notice to any agent or knowledge possessed by any agent or by any
other person shall not effect a waiver or change in any part of this
policy or estop the Company from asserting any right under the
terms of this policy; nor shall the terms of this policy be waived or
changed, except by endorsement issued to form a part hereof by the
Aviation Managers.
20. Cancelation
This policy may be canceled by any Named Insured by mailing to the
Aviation Managers written notice stating when thereafter such can-
celation shall be effective. This policy may be canceled by the Com-
pany or the Aviation Managers by mailing to the Named Insured at
the address shown in this policy written notice stating when not less
than ten days thereafter such cancelation shall be effective. The
mailing of notice as aforesaid shall be sufficient proof of notice and
the effective date and hour of cancelation stated in the notice shall
become the end of the policy period, Delivery of such written notice
either by the Named Insured, the Company or the Aviation Managers
shall be equivalent to mailing.
If a Named Insured cancels, earned premiums shall be computed in
accordance with the customary short rate table and procedure. If the
Company or the Aviaion Managers cancel, earned premiums shall be
computed pro rata. Premium adjustment may be made at the time
cancelation is effected and, if not then made, shall be made as soon
as practicable after cancelation becomes effective. The Aviation Man-
agers' check mailed or delivered as aforesaid shall be a sufficient tender
of any refund of premium due to the Named Insured.
21. Declarations
By acceptance of this policy, the Named Insured affirms that the con.
tents of the Declarations constitute his agreements and that this policy
embodies all agreements existing between himself and the Company,
the Aviation Managers or any of the Company's agents relating to this
insurance.
MUTUAL POLICY CONDITIONS: This polity is nonassessable. The
policy holder is a member of the Employers Mutual Liability Insurance
Company of Wisconsin and shall participate, to the extent and upon the
conditions fixed and determined by the Board of Directors in accordance
with the provisions of law, in the distribution of dividends so fixed and
determined.
NOTICE OF ANNUAL MEETING: The insured is hereby notified that
by virtue of this policy he is a member of the Employers Mutual Liabil.
ity Insurance Company of Wisconsin and is entitled to vote either in
person or by proxy at any and all meetings of the company. The annual
meetings are held at the home office at Wausau, Wisconsin, on the fourth
Friday of May in each year at t0:00 o'clock A.M.
IN WITNESS WHEREOF, each of the Companies named on the face of this policy has caused this polity to be executed on its behalf by the Aviation
Managers but this policy shall not be valid unless a Declarations Page, countersigned by an authorized representative and approved in writing by the
Aviation Managers, is attached hereto.
UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
Aviation Managers /
Preridm
Aircraft Policy Page 5 F 360
CONDITIONS •
1. Two or More Aircraft (2) to the liability of any Insured other than (i) such Named
the terms Insured, and (ii) any Insured who is a person designated in
When two or more aircraft are insured under this
policy, (a) above, or the employer of such person, or is a person
hereof shall apply separately to each aircraft. designated in (b) above.
2. Separate Insureds
(Liability Coverages)
The insurance afforded under the Liability Coverages applies separately
to each Insured against whom claim is made or suit is brought, but the
inclusion herein of more than one Insured shall not operate to increase
the applicable limits of the Company's liability.
3. Newly Acquired Aircraft
(Liability, Medical and Hull Coverages)
If the Named Insured who is the owner of the aircraft described in the
Declarations, shall acquire ownership of another aircraft during the
policy period and so notifies the Aviation Managers within thirty days
following the date of such acquisition, such insurance as is afforded
by this policy with respect to the described aircraft, applies to such
newly acquired aircraft as of its acquisition date provided that it either
replaces a described aircraft, or is an additional aircraft and the Com-
pany insures all aircraft owned by said Named Insured as of such
acquisition date.
Unless otherwise agreed in writing between such Named Insured and
the Aviation Managers, the Coverages, Limits of Liability and Amount
of Insurance pertaining to such newly acquired aircraft shall be as
follows:
(a) Liability and Medical Coverages
(1) Replacement Aircraft:
Such Coverages and Limits of Liability
as were applicable to the replaced aircraft.
(2) Additional Aircraft:
Such Coverages and Limits of Liability as are
applicable to the described aircraft having the
most similar passenger capacity excluding crew.
(b) Hull Coverages
(1) Coverage — Replacement Aircraft:
Such Coverage and deductibles as were
applicable to the replaced aircraft.
(2) Coverage — Additional Aircraft:
Such Coverage and deductibles as are ap.
plicable to the described aircraft having
the most similar Amount of insurance.
(3) Amount of Insurance — Replacement or Additional Aircraft:
The actual cost of the aircraft to the Named
Insured but not exceeding the highest Amount
of insurance upon any described aircraft.
The insurance afforded by this policy terminates upon the replaced
aircraft as of the acquisition date of the newly acquired aircraft. The
Named Insured shall pay any additional premium required because of
the application of the insurance to any newly acquired aircraft.
4. Use of Other Aircraft
(Liability and Medical Coverages)
If a Named Insured is the sole owner of the aircraft described in the
Declarations or, if an individual, is the co -owner thereof with his
spouse, any insurance under the Liability and Medical Coverages
applicable to the use of such aircraft shall also apply to the lawful use
of another aircraft;
(a) by or on behalf of such an individual Named Insured or his spouse
if residing in the same household, or
(b) by an executive officer of such a corporate Named Insured but
only while acting within the scope of his duties as such,
except that this insurance shall not apply:
(I) if Item 6 of the Declarations permits any use of the aircraft
for which a charge is made to others.
(3) to any aircraft owned by, hired as part of a frequent use of
hired aircraft by, or furnished for regular use to, (i) the
Named Insured or (ii) his employer, a member of his house-
hold nr such member's employer, if the Insured be an indi.
vidual or (iii) any of its executive officers, if the Named
Insured be a corporation.
(4) as respects Medical Coverage, unless the injury results from
the operation of the aircraft by a person designated in (a)
or (b) above, or on behalf of him by a pilot in his employ,
or results from the occupancy of the aircraft by such person.
5. Temporary Use of Substitute Aircraft
(Liability and Medical Coverages)
While an aircraft owned by the Named Insured is withdrawn from
normal use because of its breakdown, repair, servicing, loss or destruc-
tion, such insurance as is afforded under the Liability and Medical
Coverages with respect to such aircraft applies also with respect to
another aircraft not owned by the Named Insured while temporarily
and lawfully used as a substitute for such aircraft. This insurance shall
not apply, however, to the liability of any Insured who is the owner
of the substitute aircraft or is an agent or employee of such owner.
6. Defense, Settlement and Supplementary
Payments.
(Liability Coverages)
With respect to the insurance afforded under the Liability Coverages,
the Company shall:
(a) defend any suit against the Insured alleging such in'ury to person
or property and seeking damages on account thereotl, even if such
suit is groundless, false or fraudulent; but the Company shall have
-the right to make such investigation, negotiation and settlement
of any claim or suit as it deems expedient;
(b) pay all premiums on bonds to release attachments for an amount
not in excess of the applicable limit of liability of this policy, all
premiums on appeal bonds required in any such defended suit,
the cost of bail bonds required of the Insured in the event of an
occurrence or violation of a law or regulation for civil aviation
during the policy period, not to exceed $100 per bail bond, but
without any obligation to apply for or furnish any such bonds;
(c) pay all expenses incurred by the Company, all costs taxed against
the Insured in any such suit and all interest accruing after entry
of judgment until the Company has paid, tendered or deposited in
court such part of such judgment as does not exceed the limit
of the Company's liability thereon;
(d) pay expenses incurred by the Insured for such immediate medical
and surgical relief to others as shall be imperative at the time
of the occurrence;
(e) reimburse the Insured for all reasonable expenses incurred at the
Company's request, other than for loss of earnings or for wages
and salaries of employees of the Insured,
and the amounts so incurred, except for settlements of claims and suits,
are payable by the Company in addition to the applicable limit of
liability.
7. Automatic Reinstatement
(Hull Coverages)
In the event of loss or damage to the aircraft, whether or not insured
against by this policy, the Amount of Insurance with respect to the
aircraft shalt be reduced as of the date of loss by the amount thereof
and such reduced value shall continue until repairs are commenced.
The Amount of Insurance shall then be increased by the value of the
completed repairs until the Amount of Insurance is fully reinstated or
the policy has expired.
Aircraft Policy Page 3 F 360
ATTV DECLARATIONS PAGE AND ANY ENDORSI&NTS
S. Notice, Assistance and
Cooperation of the Insured,
and Protection of Salvage
(a) Notice In the event of accident, occurrence or loss, written notice
shall be given by or on behalf of the Insured, as soon thereafter as
possible, to the Aviation Managers at any of its offices whose address is
listed on the Declarations Page of the policy. Such notice shall contain
particulars sufficient to identify the Insured, the time, place and par-
ticulars of the accident, occurrence or loss, names and addresses of
the injured and of available witnesses. In the event of loss by theft or
conversion, the Insured shall also promptly notify the police. If claim
is made or suit is brought against the Insured, the Insured shall imme-
diately forward to the Aviation Managers every demand, notice, sum-
mons or other process received by him or his representative.
(b) Assistance and Cooperation of the Insured The Insured shall
cooperate with the Company and upon the Company's request, shall
attend hearings and trials and shall assist in effecting settlements,
securing and giving evidence, obtaining the attendance of witnesses
and in the conduct of suits. The Insured shall not, except at his own
cost, voluntarily make any payment, assume any obligation or incur
any expense other than for such immediate medical and surgical relief
to others as shall be imperative at the time of occurrence. In the event
of loss by theft or conversion, the Named Insured shall cooperate with
the Company including by replevin proceedings or otherwise, in and
about the recovery of the aircraft or parts thereof.
(c) Protection of Salvage In the event of any loss or damage to an
aircraft to which a Hull Coverage applies, whether such loss or damage
is insured against herein or not, the Named Insured shall protect the
aircraft from other or further loss or damage, and any such other or
further loss or damage due to the named Insured's failure to so protect,
shall not be recoverable under this policy. Where the loss or damage
incurred is subject to claim under a Hull Coverage, then all reasonable
expense thus incurred by the Named Insured in protecting the aircraft
from further loss or damage shall also constitute a claim under the
Hull Coverage.
9. Proof of Loss and Examinations
(a) Medical Coverage As soon as practicable, the injured person or
someone on his behalf shall give to the Company written proof of
claim, under oath if required, and shall, after each request from the
Company, execute authorizations to enable the Company to obtain
medical reports and copies of records. The injured person shall submit
to physical examinations by physicians selected by the Company when
and as often as it may reasonably require.
(b) Hull Coverages Within ninety days after the occurrence of the
loss or damage, the Named Insured shall execute and file with the
Aviation Managers sworn proof of interest and loss on its form there-
for, which form will be furnished on request and include such infor-
mation as the Aviation Managers may reasonably request. The Named
Insured shall further submit to examinations under oath by any person
or persons named by the Aviation Managers, exhibit the damaged
property, produce for the Aviation Managers' examination all- pertinent
records and invoices, permitting copies thereof to be made, all at such
reasonable times and places as the Aviation Managers shall designate.
Aircraft Policy
This policy is not valid or complete unless a
Declarations Page, approved by the Aviation
Managers and countersigned by an Authorized
Representative, is attached hereto.
The Company shall not be held to have waived any provision or con.
dition of this policy, or any forfeiture thereof, by any requirement,
act or proceeding on its part relating to appraisal, or any inspection,
investigation or examination under oath herein provided for.
10. When Loss Payable
(Hull Coverages)
The amount of loss for which the Company may be liable (the
amount of any premiums not paid by the Insured and any other
indebtedness of the Insured to the Company at the Company's option,
being first deducted) shall be payable thirty days after proof of loss,
as herein provided, is filed with the Aviation Managers and ascer-
tainment of the loss is made either by agreement between the Named
Insured and the Aviation Managers expressed in writing or by the
filing with the Aviation Managers of an award as hereinafter pro-
vided, and the compliance by the Named Insured with all of the other
requirements of this policy.
11. Appraisal
(Hull Coverages)
In case the Named Insured and the Company shall fail to agree as to
the amount of loss, then, on written demand of either, each shall
select a competent and disinterested appraiser and notify the other
of the appraiser so selected within twenty days of such demand. The
appraisers shall first select a competent and disinterested umpire, and
failing for fifteen days to agree upon such umpire, then on request of
the Named Insured, or the Company, such umpire shall be selected by
a judge of a court of record in the state in which the property cov-
ered is located. The appraisers shall then appraise the loss, stating
separately the amount of loss to each item, and failing to agree, shall
submit their differences, only, to the umpire. An award in writing, so
itemized, of any two when filed with the Aviation Managers shall
determine the amount of loss. Each appraiser shall be paid by the
party selecting him and the expenses of appraisal and the umpire shall
be paid by the parties equally.
12. Rights Against Third Parties
(Hull Coverages)
The Hull Coverage afforded under this policy shall not inure directly
or indirectly to the benefit of any third party. Any act or agreement by
the Named Insured whereby any right of the Named Insured to recover
the full value of, or amount of damage to, any property lost or damaged
and insured hereunder, from any third party liable therefor, is released,
impaired or lost, shall relieve the Company from any liability under
this policy for or on account of any such loss or damage, but the
Company's right to retain or recover the premium shall not be affected.
This Condition shall not apply to an Airport Contract.
13. Financial Responsibility Laws
(Liability Coverages)
When this policy is certified as proof of financial responsibility under
the provisions of any aircraft financial responsibility law, such insur-
ance as is afforded under the Liability Coverages for injury to person or
property shall comply with the provisions of such law to the extent
of the coverage and limits of liability required by such law, but in
no event in excess of the limits of liability stated in this policy. The
Insured agrees to reimburse the Company for any payment made by
the Company which it would not have been obligated to make under
the terms of this policy except for the agreement contained in this
paragraph.
Page 4 F 360
2c
Decl tions Page of USAIG Aircraft P91ic� A
' 4or attachment to USAIG Policy Form F36O) "
U9I4�G This Declarations Page and all Endorsements issued to form a part hereof, No. 360* — .571J4
together with your Policy Jacket, form your complete insurance policy.
- ��� —Qa• 360 -39113
Forma PeDq Numb.r
Declarations Items:
1. Name and address of Named Insured City of Newport Beach, California ,
City Hall
3300 Newport Boulevard
Newport Beach, California 92660
2. The policy period shall be From 02/01/76 to 02/01/79
beginning and ending at 12:01 A _ M_ Standard Time at the above address.
3. The Named Insured is an Eahose business is Municipality
4. Particulars of Aircraft (A) Individual (B) Corporation (C) Partnership (D) Other
Year, Ma .,M.d.1.nd Type I FAA Pass. Cap Airw rt iness
Id.ntiEcotion Exd. Crew Cxt. Category
See Endorsement Number One. Standard
S. Pilots. This policy shall not apply to an aircraft while in flight unless operated by the following pilot(s):
See Endorsement Number Three.
6. Purposes, This policy applies to any use of the aircraft except a use for which a charge is made to others, unless otherwise stated herein:
See Endorsement Number Three.
7. ownership. Named Insured is the sole and unconditional owner of the aircraft unless otherwise stated herein:
8. Loss, if any, under the Hull Coverages shall be payable as interest may appear, to the Named Insured and to:
9. The aircraft is principally based in the State of California
10. The insurance afforded herein is only with respect to such of the following Liability, Medical or Hull Coverages opposite which a specified Limit
of Liability or Amount of Insurance is stated. Each coverage is as defined in the Insuring Agreements and the Limits of the Company's Liability therefor
shall be as stated herein below, subject to all of the terms of this oolicv havine reference thereto.
Liability Coverages
Limits of Liability
Coverage A Bodily Injury Excluding Passengers
h i each
person occurrence
Coverage B Property Damage
g P Y g
each
occurrence
Coverage C Passenger Bodily Injury Z person = each
Coverage D Single Limit Bodily Injury and Property Damage
i See End. #JL . occurrence
Coverage E Sinele Limit Bodily Injury (excluding passengers) and Property Dama e
f each
oaurrenca
_
lCoverage F Medical Coverage Crew
I i — each
ner an
Hull Covera es
g
Coverage G All Risks while not in Flight, and
g Limited Risks while in Flight
Coverage H All Risks
Not tnMohon
Deductible
$ —
$
at,
Deductible
$ —
$
Amount of Insurance
i —
$
Form numbers of endorsements forming a part of this Policy on its effective date:
*Total premium for First Annual Period
(See Paragraph 2 of Endorsement
Number 3.)
Issued through the Aviation Managers on 02/1076
(Date)
Coun ign I at
by Authorized Rap .... r ativa
Premium $ See Below
Endorsement Premiums S Included
Total Premium $ 4,100.00 *
Approved: ITED STAT IATI U ' T S, INCORPORATED
via an c
b
,
1.
2.
3.
4.
5.
1.
2.
3.
4.
5.
In consideration of the additional premium stated below:
1. Item 4 of the Declarations shall include the following additional aircraft:
4. Particulars of Aircraft
Year, Make, Model and "e
70 Hughes 300C Helicopter
FAA
Identification
N -9626F
PosaiurgerC.accIP,
Excluding Crew
1
Airwoq ineaa
Certificate Category
Standard
70 Hughes 300C Helicopter
N -9627F
1
Standard
oars t $
occurrence
Coverage B
Standard
$
e
o<cacvh rrenm
Coverage C
Standard
each $
occurrence
Coverage D
Standard
2. With respect to the above described aircraft, Item 10 of the Declarations shall read as follows:
10. The insurance afforded herein with respect to each aircraft is:
A. only with respect to such of the following Liability or Medical Coverages opposite which a specified Limit of Liability is stated,
suoJect to a maximum timiti or "uu,uuu.uu per passengers
B. only with respect to such Hull Coverage as is indicated as applicable in the following schedule, subject to the Deductibles and Amount of
Insurance stated for the aircraft:
FAA
Identification
Liability Coverages
I
Limits of Liability
Amount of Insurance
Coverage A
Bodily Injury Excluding Passengers
S
oars t $
occurrence
Coverage B
property Damage
$
e
o<cacvh rrenm
Coverage C
Passenger Bodily Injury is
each $
occurrence
Coverage D
Single Limit Bodily Injury and Property Damage
_
$ s C)01J, 000
o
0n* eacwh ccrence
Coverage E
Single Limit Bodily Injury (excluding passengers) and Property Damage
$
each
ren
Coverage F
Medical Coverage Crew
_
I$
each
oarsan
suoJect to a maximum timiti or "uu,uuu.uu per passengers
B. only with respect to such Hull Coverage as is indicated as applicable in the following schedule, subject to the Deductibles and Amount of
Insurance stated for the aircraft:
FAA
Identification
Hull Coverages
g S
Not In Motion
Deductible
In Motion
Deductible
Amount of Insurance
$
$
Coverage _
$
$
$
_
Coverage _
$
$
$
_
Coverage _
$
$
$
_
Coverage _
_
$
$
$
Coverage
—
Each coverage is as defined in the Insuring Agreements and the Limits of the Company's Liability therefor shall be as stated herein above, subject
to all of the terms of this policy having reference thereto.
Additional Pternium $ ................ (111.(,r.1md a. ) ............................................. .............................._
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the polity, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach. California
02/01/76 12'01 A. Me_ Approved: UNITED STATES Av1ATION UNDERWRITERS, INCORPORATED
(Dale and Hour Endonomom Efteoivel Aviati n Managers
1- 360-57134
I Endoaement Number) (Policy Number) by
F -76dD
1. Particulars of Aircraft
Item 4 of the Declarations (Particulars of Aircraft) shall include Non -Owned Aircraft as defined herein.
Q. Definition of Non -Owned Aircraft
"Non -Owned Aircraft" means any aircraft which is used in the business of the Insured and registered under a "Standard Category Air- worthiness
Certificate" issued by the FAA, but the term "Non -Owned Aircraft" does not include any aircraft:
A. owned in fall or in part or registered in the name of
1. the Named Insured, or
2. any organization stated in Paragraph 3 below to be an Insured,
B. to which in the absence of this mdonement any of the liability Coverages of the policy applies,
C. if any charge for its use is [Dade to others by any Insured
$. The following Paragraphs A, B, C, D, E and F, apply ONLY WITH RESPECT TO NON -OWNED AIRCRAFT:
A. Definition of Insured
Under the Definitions section of the policy, definition of "Insured" is changed to read as follows:
"Insured" means ........ ... ......the.... Na Actd.... Y11833IEC1—•----_.. ..._.......... .........................
and any executive officer or director of the above while acting in his capacity as such provided that no person shall be an Insured as respects any
aircraft owned in full or in part by or registered in the name of such person or any member of his household.
B. Exclusions
Exclusion (g) of the policy is deleted in its entirety. The following exclusions (x) and (y) are added to the policy as follows:
(x) to liability arising out of the handling or use of, the existence of any condition in or a warranty of aircraft products manufactured, sold,
handled or distributed by the Insured.
(y) to injury to or destruction of property (1) owned, rented, or occupied by the Insured or (2) used by or in the rare, custody or control of
the Insured or (3) as to which the Insured is for any purpose exercising physical control or (4) carried by, in or on any aircraft with respect
to which insurance is afforded.
C. Pilots
Item 5 of the Declarations is changed to read as follows:
This policy shall not apply to an aircraft while in flight unless operated by an FAA Certificated Pilot.
D. Limits of Liability
Item 10 of the Declarations is changed to read as follows:
ID. The insurance afforded herein is only with respect to such of the following Liability Coverages opposite which a specified Limit of
Liability is stated. Each coverage is as defined in the Insuring Agreements and the Limits of the Company's Liability therefor shall be as stated
herein below, subject to all of the terms of this policy having reference thereto.
E. Reports* Subject to a maximum limit of $500,000.00 per passenger.
Whenever a non -owned aircraft is used for any period exceeding seven consecutive days, the Named Insured agrees to report such use, and the
particulars of the aircraft, to the Aviation Managers, as soon thereafter as may be practicable and to pay a premium thereon to be determined
by the Aviation Managers.
F. Other Insurance
The Policy Condition entitled Other Insurance is changed to read as follows:
Except with respect to insurance specifically purchased by the Named Insured to apply in excess of this policy, if there is other insurance in the
Insured's name or otherwise, against loss, liability or expense covered by this policy, this insurance shall be excess insurance over any other
valid and collectible insurance available to the Insured, either as an Insured under a policy applicable with respect to the aircraft or otherwise
and, if such other insurance available to the Insured shall have been written through the Aviation Managers, the Limit of the Company's
Liability applicable to such loss under this policy shall be reduced by the applicable limit of liability under such other available insurance.
Additional Premium for this Endorsement Ineluded)
$ ................................. ............................... _...... _
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
02/01/76 12: 01 A. M. _ Approved: UNITED s A ON UNDERWRITERS, INCORPORATED
(Dote and Hour Endorsement Effective) Av o Managers
2 360 -573.
(Endorwment Number) (Policy Number) by �` t
F -366
Fgp6
Liability Coverages
Limits of Liability
Coverage A
Bodily Injury Excluding Passengers
f
eacha„ $
each,,,ence
Coverage B
Property Damage
$
each
occurrence
Coverage C
Passenger Bodily Injury f
each $
e
each
occurrence
ccurrence
Coverage D
Single Limit Bodily Inium and Propertv Damage
L54000.000.00*
each
eacerrence
E
S
Single Limit Bodily Injury (excluding passengers) and Property Damage
each
—
E. Reports* Subject to a maximum limit of $500,000.00 per passenger.
Whenever a non -owned aircraft is used for any period exceeding seven consecutive days, the Named Insured agrees to report such use, and the
particulars of the aircraft, to the Aviation Managers, as soon thereafter as may be practicable and to pay a premium thereon to be determined
by the Aviation Managers.
F. Other Insurance
The Policy Condition entitled Other Insurance is changed to read as follows:
Except with respect to insurance specifically purchased by the Named Insured to apply in excess of this policy, if there is other insurance in the
Insured's name or otherwise, against loss, liability or expense covered by this policy, this insurance shall be excess insurance over any other
valid and collectible insurance available to the Insured, either as an Insured under a policy applicable with respect to the aircraft or otherwise
and, if such other insurance available to the Insured shall have been written through the Aviation Managers, the Limit of the Company's
Liability applicable to such loss under this policy shall be reduced by the applicable limit of liability under such other available insurance.
Additional Premium for this Endorsement Ineluded)
$ ................................. ............................... _...... _
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
02/01/76 12: 01 A. M. _ Approved: UNITED s A ON UNDERWRITERS, INCORPORATED
(Dote and Hour Endorsement Effective) Av o Managers
2 360 -573.
(Endorwment Number) (Policy Number) by �` t
F -366
Fgp6
It is agreed that:
1. Item 5 of the Declarations is changed to read as follows:
Item 5. Pilots.
Mechanics who are licensed by the FAA for
Rotorcraft Maintenance are permitted to
start and run engines for the purpose of
testing engines, rotor and instruments, but
this policy otherwise shall not apply to an
aircraft while in flight unless operated by
the following pilot (s):
A. James L. Golfos, Gregory L. Hein,
Charles G. Olmstead, Donald M. Anderson,
Tim A. Grundeman, or Harry W. Williams,
each holding an FAA Commercial Pilot
Certificate with Helicopter Rating.
B. Any pilot holding an FAA Commercial Pilot
Certificate with Rotorcraft Rating who has
flown a minimum of 1000 hours as Pilot In
Command of a rotary wing aircraft, at least
250 hours of which shall have been in
Hughes 300 Helicopters.
2. A. The policy period stated in the Declarations is comprised of
three consecutive annual periods with anniversary billing dates
of February 1, 1977 and February 1, 1978.
B. Within thirty (30) days prior to each anniversary date of this
policy the Named Insured and the Aviation Managers shall
negotiate the premium to apply for the following annual period.
In the event of failure to reach agreement thereon, the policy
will automatically terminate on such anniversary date.
3. The Named Insured may receive reimbursement for direct operating
expenses, or enter into reciprocal agreements with other muni-
cipalities, excluding any profit.
4. The number of days required for written notice of cancelation to
be mailed to the Named Insured b the Company or the Aviation
Managers is amended to sixty (60) days instead of ten (10) days
as required under the terms of Condition 20 of the policy.
5. A. The Company agrees that it will not use, either in the
adjustment of claim or in the defense of suit against
the Insured, the immunity of the Insured from tort
liability unless requested by the Insured to interpose
such defense.
B. The Insured agrees that the waiver of the defense of
immunity shall not subject the Company to liability
for any portion of a claim, verdict or judgment in
excess of the limits of liability stated in the policy.
End. #3. - 1
F -.2.
-.. ! �
_ ._
_ ..
i
..
,..._ ,
� _
-_
<<
�
_
,.
..
uuRic
• s
6. Insuring Agreement IV is changed to include the following:
Over water flights not greater than
twenty -five nautical miles from the
nearest land.
7. Such insurance as is afforded under this Policy shall not
apply to the carrying of FAA designated external rotoreraft
load combinations Class A. B, and C, fire patrol, fire
fighting, aerial application, and power and pipeline patrol.
However, the term nfire fighting" shall not be deemed to
include patrol, surveillance, rescue, and other uses
incidental to public work.
2
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and fortis a part of the below numbered policy issued to:
City of Newport Beach, California
02/01/76 12:01 A. M.
(Date and Hour Endorsement Effective)
3. 360 -57134
lEndcnement Numbrl (Policy Number)
F - %7
F�7
Approved: UN TEs AVIATION UNDERWRITERS, INCORPORATED
Avi n Managers
C
by '
USRIG 0 0
This policy does not apply to injury to persons or property
arising out of the 2nvirorunental disturbance hazard or to
sums claimed or awarded as damages to the extent that such
sums represent payment or compensation for the taking of or
exercise of rights with respect to the property of others.
Environmental disturbance hazard means:
1. Noise (whether audible to the human ear
or not) or vibration, including sonic
boom and similar phenomena associated
with trans -sonic and supersonic movement,
generated by the movement or operation
of aircraft or any part thereof;
2. pollutants released into earth, air, water
or any disposal system;
3. interference with the quiet enjoyment of
property by overflight or other operation
of aircraft in proximity thereto;
but the environmental disturbance hazard does not include such
noise, vibration, pollutants or interference resulting from
crash or collision of a vehicle or from an emergency causing
abnormal aircraft operations.
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
02/07./76 12:07 A. M.
— — (D.r..�d Nwr rnd.rr.m.nt WH div.?
4. 360 -57134
(E.d.R..1.M Numb.d (P•lie, N..Wrl
F -530 G/A - 3/71
Approved: UNITED STATES Av1ATION UNDERWRITERS, INCORPORATED
fAvi n Ma nagers
i IK�
I
• U45R/G
WARNING
Unless you have automobile or aircraft insurance written by a Mexican Insur-
ance company, you may spend many hours or days in jail, if you have an
accident in Mexico. Insurance coverage should be secured from a company
licensed under the laws of Mexico to write such insurance in order to avoid
complications and some other penalties possible under the laws of Mexico,
including the possible impoundment of your automobile or aircraft.
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the polity, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
02/01/76 12:01 A.M. Approved: UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
(Dote and Hour Endorsement Effective) /�� Avis n Manages
4 360 -5713A /���!✓��
(Endorsement Number) (Policy Number) by "
F -371
Date February 23, 1977
This Is to certify to City of Garden Grove
whose address is Garden Grave, California
that CITY OF NEWPORT BEACH, CALIFORNIA
whose address is City Hall, 3300 Newport Boulevard, Newport Beach, California 926
is at this date insured, only as per policy numbers indicated below, =
with one or more of the companies, Members of the USAIG: ,
Hughes 300C Helicopters, N9626F and N9627F
LIMITS OF LIABILITY NOT LESS THAN:
KIND OF INSURANCE POLICY NUMBER E%PIR. DATE
EACH PERSON EACH ACCIDENT
AIRCRAFT LIABILITY
Public Liability —
Passenger Liability_._. _
Property Damage 360 -57134 — 02/01/78 -- XXXXXXXXXXXXXXXXXX _ $
Single Limit
(PL, PD, Pass.) _ XXXXXXXXXXXXXXXXXX _ 5,000,000.00*
AIRPORT LIABILITY *Subject to a naximum limit of $500,000.00 per passenger.
Bodily Injury x _ _$ _$
Property Damage _ _ XXXXXXXXXXXXXXXXXX —$
HANGARICEEPERS X EACH AIRCRAFT
LIABILITY
WORKERS' COMP. X _ EMPLOYER'S LIAR. _ X
AIRCRAFT HULL x _
SEE RIE;VERSE
-. .,.
The Aviation Managers of the USAIG (United States Aircraft Insurance Group) agree that in the event of cancelatlon
of the policy(ies), they will endeavor to give the party to whom. this.Certificate is issued 10 days advance notice
of such cancelation, but the Aviation Managers shall not be liable in any way for failure to give such notice.
UNITED STATES AVIATION UNDERWRITERS, INC., Aviation Managers
address:
F-108 REV. 9/75
Glendale, California 91203
-qUzO;TTeO •9n03E) uapae0 ;0 A4TO 9q3 0; OTgeTTgna aouasnsuT 9TgT4o9TToo
Pug pTTeA iaggo .Cue nano aoursnsur ssaoxa aq TTegs aougsnsur 9-r Z
anoaD uapaeq ;o AjTD
aqq ;o ;Tegaq uo peansul pauieN aqq Aq pauuo ;aad suoT;eaado o; ;oadsaa
q- 4Tm-ATuv inq AaTTod srq-4 sapun pa.xnsu= ue sg-papnTour sr'eruzo;TTea
'.aADID uapze0 ;o A-4To aq; 'sabea9Aoo A4TTTgeTa aq4 04 ATuo gaadsaz g4TIA 'T
:smOTT09 sg gau.d uT pas.:opua st %£TLS -09£ AOTTOd
Date February 23, 1977 rs: f �A�as9
This is to certify to The Irvine Company Py1 �Z 1 7 1977
whose address is 550 Newport Center Drive, Newport Beach, California 92660
that CITY OF NEWPORT BEACH, CALIFORNIA
whose address is City Hall, 3300 Newport Boulevard, Newport Beach, California 92660
is at this date insured, only as per policy numbers indicated below, MPMMW
with one or more of the companies, Members of the USAIG:
Huahes
300C Helicooters *19626F and 7 6 7F
LIMITS OF LIABILITY NOT LESS THAN:
KIND OF INSURANCE
POLICY NUMBER
EXPIR. DATE EACH PERSON
EACH ACCIDENT
AIRCRAFT LIABILITY
Public Liability
_
_ $ 500, 000.00
_$ 1, 000, 000.00
Passenger Liability!
_
_$ 500, 000.00
_$ 500, 000.00
Property Damage
360 -57124 _
02/01/73_ XXXXXXXXXXXXXXXXXX
—$ 100, 000.00
Single Limit
(PL, PD, Pass.)
_
_ XXXXXXXXXXXXXXXXXX
_ –
AIRPORT LIABILITY
Bodily Injury _
x _
_ $
—$
Property Damage
_
_ XXXXXXXXXXXXXXXXXX
_$
HANGARKEEPERS
R
EACH AIRCRAFT
LIABILITY
_
_$
_$
WORKERS' COMP.
x _
EMPLOYER'S LIAR.
_ X
AIRCRAFT HULL
x _
SEE REVEMME
The Aviation Managers of the USAIG (United States Aircraft`Irisura`nce Group) 'agree- bit i6 the .event of cancelation
of the policy(ies), they will endeavor to give the party to whom this, Certificate, is issued 10 days advance notice
of such cancelation, but 'the Aviation' Managers shall not be liable in any way for failure to give such notice.
UNITED STATES AVIATION UNDERWRITERS, INC., Aviation Managers
a ress:5# North Brand Boulevard, Glendale, California 92103
8108 REV. 9/75
Policy 360 -57134 is endorsed in part as follows:
1. it is agreed tha Exclusion (c) shall riot apply to the
liability assumed.by the Named. T- nsured.under..the..License....
Agreement entered into between the City of Newport Beach
and the Irvine Company dated February 13, 1976, copy on
file with the Aviation Managers.
2. With respect only to the Liability Coverages, The Irvine
Company is included as an Insured under this policy but
Grl"y w4th respc..t to cperm.tion6 by or :i.n. the business of
the Named Insured.
0
-
THE AETNA CASUALTY AND SURETY COMPANY
Hartford, Connecticut
THE REINSURANCE CORPORATION OF NEW TONR
New York, New York
AETNA INSURANCE COMPANY
Hartford, Connecticut
RELIANCE INSURANCE COMPANY
Philadelphia, Pennsylvania
- _ -
CONTINENTAL CASUALTY COMPANY
ST. PAUL FIRE AND MARINE INSURANCE COMPANY'
-
Chicago, Illinois
St. Paul, Minnesota
EMPLOYERS COMMERCIAL UNION
SECURITY INSURANCE COMPANY OF HARTF080
INSURANCE COMPANY,-
Hartford, Connecticut
`
New York New Volk
THE TRAVELERS INDEMNITY COMPANY
.a
EMPLOYERS MUTUAL LIABILITY INSURANCE
Hartford, Connecticut
- -
.- COMPANY OF WISCONSIN
Wausau Wtscensin '
UNITED STATES FIDELITY AND GUARANTY COMPANY'
-
Baltimore, Maryland
.HARTFORD FIRE INSURANCE COMPANY
Hartford, Conneadoul
UNITED STATES FIRE INSURANCE COMPANY '
-
New York, New York
MARYLAND CASUALTY:GOISRANY
Baltimore Maryland'
ZURICH INSURANCE 00111UP"
n
. ,
GMCaSo,. Illinois
Managed by United States Aviation Underwriters, Inc.
iJ Home Office: 110 William St., New York, New York 10038 i
cmna srmrs arxnrae!nwxnnn cnonv
F -3600 IRev. 1.72)
The Companies masted on the face &is policy, herein collectively called the Coil y, in consideration of The payment of the
premium and in reliance upon the !h!Carattons, and subject to the Limits of Linbilit artd all of the other terms of This policy, do
jointly and severally agree teitb the Named Insured, as follows;
DEFINITIONS
Wherever used in Los policy:
"aircraft" means the landplane, seaplane, amphibian or rotor-raft spe-
cifically described in this policy and shrill include (operating, navigating
and radio equipment usually attached thereto, including parts tcmpo-
rarily detached from the aircraft if not replaced by other similar parts,
and tools and repair equipment therein which are standard for the make
and type of aircraft.
"Airport Contract" means a written agreement required by statute or
ordinance or by any rule or regulation promulgated by any Federal,
State, County or Municipal Authority as a condition to the use of an
airport or airport facility.
"Airwortbine.rr Certificate" means the certificate so named in the- Fed-
eral Aviation Act of 1958 with its amendments and under the Civil
Air Regulations or the Federal Aviation Regulations.
"Aviation Dfanagers" means United States Aviation Underwriters, Inc.
"Federal Aviation Administration" or "F A.AP means the duly con.
stituted authority of the United States of America having jurisdiction
over civil aviation.
"injury ", as respects any person, means bodily injury, sickness or dis-
ease, including mental anguish or death resulting therefrom; and, as
respects any property, means injury to or destruction of property in-
cluding the loss of use thereof.
"in flight" means the time commencing when the aircraft (other than
a rotorcraft) moves forward in attempting to take -off and continuing
thereafter until it has completed its landing run. A rotorcnaft shall be
deemed to be "in flight' when the rotors are in motion as a result of
engine power, the momentum generated therefrom, or autorotation.
REPORT ALL CLA;K,3
IMMEDIATELY TO
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"in motion" means all times when the aircraft is "in flight" and, in
addition, whenever the aircraft is moving under its own power or the
momentum generated therefrom.
"Insured" means the Named Insured -and, with respect only to the
Liability Coverages, :dso means -,-nv person while using or riding in
the aircraft and any person or orzanization Icgally responsible for the
use thereof, provided the actual ax of the aircraft is by the -Named
Insured or with his permission; and further provided that, other than
the Named Insured, none of the following shall be an Insured:
(a) any person or organization, or any agent or employee thereof,
engaged in the manufacture .hr sale of aircraft, aircraft engines or
aircraft accessories or in the operation of an aircraft repair shop,
aircraft sales agency, aircraft rental service, commercial flying
service or flying school with respect to any occurrence arising out
of such manufactw'c, sale or operations, but this provision does not
apply to any employee of the \amcd Insured while acting in the
course of his employment by the Named Insured;
(b) any employee with resped to injury of another employee of the
same employer injured in the course of such employment.
"Named Insured" means the individual, partnership, corporation or
other entity whose name is states in Item I of the Declarations.
'occurrence" means an accident, or a continuous or repeated exposure
to conditions, which results in injury during the policy period, pro.
vided the injury is neither expected nor intended from the standpoint
of the Insured. All damages arising out of such exposure to substan-
tially, the sanhe gcncral conditions shall be deemed to arise out of one
occurrence.
"passenger" means any person in or entering the aircraft for the
purpose of riding therein or alighting therefrom following a flight
or attempted flight therein.
INSURING AGREEMENTS
I. Liability Coverages ant, or other crew member of the aircraft, unless "crew" is expressly
To pay on behalf of the Insured all sums which the Insured shall specified as included in the Declarations.
become legally obligated to pay as damages because of: III. Hull Coverages
Coverage A injury sustained by any person except a passenger, To insure against
Coverage B irjury to property,
Coverage C injury sustained by any passenger,
Coverage D injury sustained by any person, and injury to property,
Coverage E injury sustained by any person, except a passenger,
and injury to property,
caused by an occurrence and arising out of the ownership, maintenance
or use of the aircraft.
II. Medical Coverage
Coverage F To pay all reasonable expenses incurred within one
year from the date of accident, for necessary medical,
surgical, dental, ambulance, hospital, professional nursing and funeral
services, to or for each passenger who sustains injury caused by
accident, provided the aircraft is being used by the Named Insured or
with his permission. This Coverage shall not apply to any pilot, attend-
Coverage G all risks of physical loss of or damage to the aircraft
while not in flight and
only such physical loss of or damage to the aircraft
while in flight which is directly caused by theft, rob-
bery, vandaiisna, lightning, fire ar explosion, excluding
lire or explosion caused by or resulting from crash or
collision of the aircraft with the ground, water or any
object.
Coverage H all risks of physical loss of or damage to the aircraft.
The aircraft shall be presumed lost in flight if it dis.
appears after take -off and is not located nor its where
abouts reported within sixty days thereafter.
IV. Policy Period and Territory
This policy applies only to occurrences, accidents or losses which hap.
pcn during the policy period while the aircraft is within the United
States of America, its territories of possessions, Canada or Mexico, or
Corning between points within these places.
Aircraft Policy Page 1 F 36o
00 EXCLUSIONS •,
None of the Coverages applies:
(a) to any aircraft not registered voider a "Standard" Category Air-
worthiness Certificate issued by the Federal Aviation Agency.
(b) while the aircraft is (1) owned, maintained or used for any put-
pose other than as stated in the Declarations or (2) operated,
while in flight, by other than the pilot or pilots as stated in the
Declarations.
The Liability Coverages do not apply:
(c) to liability assumed by any Insured under any contract or agree-
ment except liability assumed by the Named Insured under an
Airport Contract.
(d) to injury to persons or property caused intentionally by or at the
direction of the Insured, except an injury to persons resulting
from an assault and battery committed for the purpose of prevent-
ing dangerous interference with the operation of the aircraft.
(e) to any obligation for which the Insured or any company as his
insurer may be held liable under any workmen's compensation,
unemployment compensation or disability benefits law, or under
any similar law; or, except with respect to liability assumed by
the Named Insured under an Airport Contract, to injury to any'
employee of the Insured arising out of anc in the course of (1)
domestic employment by the Insured, if benefits therefor are m
whole or in part either payable or required to be provided under
any workmen's compensation law, or (2) other employment by
the Insured.
(f) to injury to any aircraft, the use of which is the subject of such
Coverages.
(g) to injury to property owned by, rented to, in charge of or trans-
ported by the Insured but this exclusion doe; not apply, as respects
the Named Insured, to:
(1) damages not exceeding $200.00 for injury to the personal
effects and baggage of any one guest passenger in any one
occurrence, or
(2) damages not exceeding $1,000.00 in all during the policy
period for injury to harigAs or contents thereof not owned
by the Insured.
The Medical Coverage does not apply:
(h) to any expense for services to or for any employee of the Insured,
to the extent that such services are required to be provided as
benefits under any workmen's compensation law.
The Hull Coverages do not apply to loss or damage:
(i) while the aircraft is subject to any bailment lease, conditional sale,
mortgage or other encumbrance not specifically declared and de-
scribed in this policy, or if the interest of the Named Insured be
or become other than owner, or as stated in the Declarations.
(j) due to conversion, embezzlement, or secretion by any person in
lawful possession of the aircraft under a lease or rental agreement,
conditional sale, mortgage or other encumbrance.
(k) to tires, other than by theft, vandalism or malicious mischief, un-
less such bass or damage is the direct result of other physical dam-
age, covered by this policy, to the aircraft.
(1) due and confined to wear and tear or deterioration or to freezing
or mechanical or electrical breakdown or failure, unless such loss
or damage is the direct result of other physical damage, covered
by this pokey, to the aircraft.
(in) resulting from ( I ) capture, seizure, arrest, restraint or detention
or the consequences thereof or of any attempt thereat, or any
taking of the property insured or damage to or destruction thereof
by any Government or governmental authority or agent (whether
secret or otherwise) or by any military, naval, or usurped power,
whether any of the foregoing be done by way of requisition or
otherwise and whether in time of peace or war and whether law-
ful or unlawful; (2) war, invasion, civil war, revolution, rebellion,
insurrection or warlike operations, whether there be a declaration
of war or not.
LIMIT OF THE COMPANY'S LIABILITY
With respect to Liability Coverages A and C:
the limit of liability stated in the Declarations as applicable to "each
person" is the limit of the Company's liability for all damages, includ.
ing damages for care and loss of services, arising out of injury,
sustained by one person as the result of any one occurrence, and the
limit of such liability stated therein as applicable to "each occurrence"
is, subject to the above limitation respecting each person, the total
limit of the Company's liability for all damages, including damages
for care and loss of services, arising out of injury sustained by two
or more persons as a result of any one occurrence.
With respect to Liability Coverages
B, D and E:
the limit of liability stated in the Declarations is the limit of the
Company's liability for all damages arising out of any one occurrence.
With respect to the Medical Coverage:
the limit of liability stated in the Declarations as applicable to "each
person" is the limit of the Company's liability for all expenses incurred
by or on behalf of each person who sustains injury in any one accident.
The Company may pay the injured person or any person or organization
rendering the services and such payment shall reduce the amount pay-
able hereunder for any such injury. Payment hereunder shall not con-
stitute an admission of liability on the port of the Insured or the
Company.
With respect to the Hull Coverages:
A. The limit of the Company's liability for loss of or damage to the
aircraft shall be:
(1) in case of total loss, the Amount of Insurance applicable to
the aircraft, less the applicable deductible.
(2) in case of partial loss
(a) if repairs are made by a Named Insured, the total of the
following items less the applicable deductible: (1) the
Named insured's cost fur necessary material and parts of
like kind and quality, (2) wages paid for labor at current
straight time rates at the place of repair with no premium
for overtime, plus 100lo of such wages as an allowance
for overhead and supervision, (3) transportation costs.
(b) if repairs are made by other than a Named Insured, the
net cost to the Named Insured, excluding all premium
charges for overtime, to repair the aircraft with material
and parts of like kind and quality, and transportation
costs, less the applicable deductible.
The "In Motion Deductible" as stated in the Declarations shall
apply to each loss occurring while the aircraft is in motion.
The "Not In Motion Deductible" as stated in the Declarations
shall apply to each loss occurring while the aircraft is not in
motion except no deductible shall apply to any such loss caused
by fire, explosion, lightning, theft, robbery, vandalism or an
accident to the conveyance in or on which the aircraft, while
dismantled, is being transported.
"Transportation Costs" shall mean the cost of transporting, by the
least expensive reasonable means, (a) damaged parts from the site
of loss to and from the most practicable place for repair thereof,
or (b) replacement parts from the nearest available source to the
site of loss; or (c) the aircraft to the most practicable place for
repair and, thence, to the site of loss or the Named Insured's home
airport, whichever is nearer.
B. Where the claim be for theft, conversion, embezzlement, secretion
or pilferage, if insured against herein, the return of the property
at any time before actual payment of such claim, together with
tender of payment for the physical damage, if any, sustained there-
to, shalt constitute full satisfaction of such claim.
C. Whenever the Company pays a claim in an amount equal to the
sum payable for a total loss, it shall at its option be entitled to all
remaining salvage value. There shall, however, be no abandonment
of the aircraft to the Company without its consent.
D. In the event of payment of a total loss, the Company shall pay to
the Named Insured, or his order, a sum equal to all unearned Hull
Coverage premiums with respect to such aircraft computed pro
rata and unless at the time of such loss payment, another aircraft is
described in the Declarations for a Hull Coverage, the date of such
payment shall become the end of the policy period with respect to
all Hull Coverages.
L. The liability of the Company shall in no event, for any purpose
hereunder, exceed the Amount of Insurance applicable to the air.
craft, less the applicable deductible, plus any sun payable under
paragraph D, above.
Aircraft Policy Page 2 F 360
14. Subrogation
The Company, upon payn,eor of any clavereunder, shall be subro
gated to all the Insured's rights of recovery therefor against any per
son or organization, and the Insured shall execute and deliver all in-
struments and papers and cio whatever else is necessary to secure such
rights. The Insured shall do nothing after the physical happening of
the occurrence which gives rise to a claim hereunder to prejudice or
impair such rights of recovery. The Insured shall cooperate with the
Company and upon the Company's request shall attend hearings and
trials, and shall assist, except in a pecuniary way, in securing and giv-
ing evidence, obtaining the attendance of witnesses, and in the conduct
of suits for such recovery.
15. Other Insurance
Except with respect to insurance specifically purchased by the Named
Insured to apply in excess of this policy, if there is other insurance, in
the Insured's name or otherwise, against loss, liability or expense cov-
ered by this policy, the Company shall not be liable under this policy
for a greater proportion of such loss, liability or expense than the
applicable Limit of the Company's Liability (as stated on Page 2 of
this policy) bears to the total applicable limit of liability of all valid
and collectible insurance against such loss, liability or expense, pro-
vided, however, that with respect to the extensions of coverage afforded
by Conditions 3, 4 and 5, this insurance shall be excess insurance over
any other valid and collectible insurance available to the Insured,
either as an Insured under a policy applicable with respect to the
aircraft or otherwise and, if such other insurance available to the
Insured shall have been written through the Aviation Managers, the
Limit of the Company's Liability applicable to such loss under this
policy shall be reduced by the applicable limit of liability under such
other available insurance.
16. Action on Policy
No suit or action on this policy for recovery of any loss or claim shall
be sustainable in a court of law or equity unless, as a condition prece-
dent thereto, the Insured shall have fully complied with all of the
terms of this policy, and,
(a) with respect to the Liability Coverages, until the amount of the
Insured's obligation to pay shall have been finally determined
either by judgment against the Insured after actual trial or by
written agreement of the Insured, the claimant and the Company.
Any person or organization or the legal representative thereof
who has secured such judgment or written agreement shall there-
after be entitled to recover under this policy to the extent of the
insurance afforded thereby. Nothing contained in this policy shall
give any persoc or organization a right to join the Company as
co- defendant in an action against the Insured to determine the
Insured's liability. Bankruptcy or insolvency of the Insured or the
insured 's estate shall not relieve the Company of its obligations
herein.
(b) with respect to the Medical Coverage, until thirty days after the
required proof of claim has been filed with the Aviation Managers.
(c) with respect to the Hull Coverages, unless such action for recov-
ery is commenced within twelve months next after the physical
happening of the occurrence which gave rise to the loss or claim.
If any limitation of time stated herein is prohibited by the laws of
the State wherein this policy is issued, then, in that event, no suit
or action on this policy shall be sustainable unless commenced within
the shortest limitation permitted under the laws of such State.
17. Action Against the Named Insured
Any one of the Companies or the Aviation Managers shall have the
power to institute and maintain suits in its own name against the
Named Insured�ayment of premiums or for breach of any other
obligation aris or by reason of this insurance, and any
judgment so obtame release car receipt by any one of the Com-
panies or the Aviation Managers shall he binding on all of the Com-
panies and the Aviation Managers.
18. Assignment
Assignment of interest under this policy shall not bind the Company
until its consent is endorsed hereon by the Aviation Managers; if,
however, the Named Insured shall die within the policy period, this
policy, unless canceled, shall, provided written notice be given to the
Aviation Managers within sixty days after the date of such death, apply
to his legal representatives as the Named Insured.
19, Changes
Notice to any agent or knowledge possessed by any agent or by any
other person shall not effect a waiver or change in any part of this
polity or estop the Company from asserting any right under the
terms of this policy; nor shall the terms of this policy be waived or
changed, except by endorsement issued to form a part hereof by the
Aviation Managers.
20, Cancelation
This policy may be canceled by any Named Insured by mailing to the
Aviation Managers written notice stating when thereafter such can-
celation shall be effective. This policy may be canceled by the Com-
pany or the Aviation Managers by mailing to the Named Insured at
the address shown in this policy written notice stating when not less
than ten days thereafter such cancelation shall be effective. The
mailing of notice as aforesaid shall he sufficient proof of notice and
the effective date and hour of cancelation stated in the notice shall
become the end of the policy period. Delivery of such written notice
either by the Named Insured, the Company or the Aviation Managers
shall be equivalent to mailing.
If a Named Insured cancels, earned premiums shall be computed in
accordance with the customary short rate table and procedure. If the
Company or the Aviaton Managers cancel, earned premiums shall be
computed pro rata. Premium adjustment may be made at the time
cancelation is effected and, if not then made, shall be made as soon
as practicable after cancelation becomes effective. The Aviation Man-
agers' check mailed or delivered as aforesaid shall be a sufficient tender
of any refund of premium due to the Named Insured.
21. Declarations
By acceptance of this policy, the Named Insured affirms that the con-
tents of the Declarations constitute his agreements and that this policy
embodies all agreements existing between himself and the Company,
the Aviation Managers or any of the Company's agents relating to this
insurance.
MUTUAL POLICY CONDITIONS: This policy is nonassessable. The
policy holder is a member of the Employers Mutual Liability Insurance
Company of Wisconsin and shall participate, to the extent and upon the
conditions fixed and determined by the Board of Directors in accordance
with the provisions of law, in the distribution of dividends so fixed and
determined.
NOTICE OF ANNUAL MEETING: The insured is hereby notified that
by virtue of this policy he is a member of the Employers Mutual Liabil-
ity Insurance Company of Wisconsin and is entitled to vote either in
person or by proxy at any and all meetings of the company. The annual
meetings are held at the home office at Wausau, Wisconsin, on the third
Friday of February in each year at 10:00 o'clock A.M.
IN WITNESS WHEREOF, each of the Companies named on the face of this policy has caused this policy to be executed on its behalf by the Aviation
Managers but this policy shall not be valid unless a Declarations Page, countersigned by an authorized representative and approved in writing by the
Aviation Managers, is attached hereto.
UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
Aviation Managers
President
Aircraft Policy Page 5 C:� F 360
0 CONDITIONS 4
1. Two or More Aircraft (2) to the liability of any Insured other than (i) such Named
Insured, and (ii) any Insured who is a person designated in
When two or more aircraft are insured under this policy, the terms (a) ahove, or the employer of such person, or is a person
hereof shall apply separately to each aircraft. designated in (b) above.
2. Separate Insureds
(Liability Coverages)
The insurance afforded under the Liability Coverages applies separately
to each Insured against whom claim is made or suit is brought, but the
inclusion herein of more than one Insured shall not operate to increase
the applicable limits of the Company's liability.
3. Newly Acquired Aircraft
(Liability, Medical and Hull Coverages)
If the Named Insured who is the owner of the aircraft described in the
Declarations, shall acquire ownership of another aircraft during the
policy period and so notifies the Aviation Managers within thirty days
following the date of such acquisition, such insurance as is afforded
by this policy with respect to the described aircraft, applies to such
newly acquired toter, ft as of its acquisition date provided that it either
replaces a described aircraft, or is an additional aircraft and the Com-
pany insures all aircraft owned by said Named Insured as of such
acquisition date.
Unless otherwise agreed in writing between such Named Insured and
the Aviation Managers, the Coverages, Limits of Liability and Amount
of Insurance pertaining to such newly acquired aircraft shall be as
follows:
(a) Liability and Medical Coverages
(1) Replacement Aircraft:
Such Coverages and Limits of Liability
as were applicable to the replaced aircraft.
(2) Additional Aircraft:
Such Coverages and Limits of Liability as are
applicable to the described aircraft having the
most similar passenger capacity excluding crew.
(b) Hull Coverages
(1) Coverage — Replacement Aircraft:
Such Coverage and deductibles as were
applicable to the replaced aircraft.
(2) Coverage — Additional Aircraft:
Such Coverage and deductibles as are ap-
plicable to the described aircraft having
the most similar Amount of Insurance.
(3) Amount of Insurance — Replacement or Additional Aircraft:
The actual cost of the aircraft to the Named
Insured but not exceeding the highest Amount
of Insurance upon any described aircraft.
The insurance afforded by this policy terminates upon the replaced
aircraft as of the acquisition date of the newly acquired aircraft. The
Named Insured shall pay any additional premium required because of
the application of the insurance to any newly acquired aircraft.
4. Use of Other Aircraft
(Liability and Medical Coverages)
If a Named Insured is the sole owner of the aircraft described in the
Declarations or, if an individual, is the co -owner thereof with his
spouse, any insurance under the Liability and Medial Coverages
applicable to the use of such aircraft shall also apply to the lawful use
of another aircraft;
(a) by or on behalf of such an individual Named Insured ur his spouse
if residing in the same household, or
(b) by an executive officer of such a corporate Named Insured but
only while acting within the scope of his duties as such,
except that this insurance shall not apply:
(I) if Item 6 of the Declarations permits any use of the aircraft
for which a charge is made to others.
(;) to any aircraft owned by, hired as part of a frequent use of
hired aircraft by, or furnished for regular use to, (i) the
Named Insured or (ii) his employer, a member of his house-
hold or such member's employer, if the Insured be an indi.
vidual or (iii) any of its executive officers, if the Named
Insured be a corporation.
(4) as respects Medical Coverage, unless the injury results from
the operation of the aircraft by a person designated in (a)
or (b) above, or on behalf of him by a pilot in his employ,
or results from the occupancy of the aircraft by such person.
5, Temporary Use of Substitute Aircraft
(Liability and Medical Coverages)
While an aircraft owned by the Named Insured is withdrawn from
normal use because of its breakdown, repair, servicing, loss or destruc-
tion, such insurance as is afforded under the Liability and Medical
Coverages with respect to such aircraft applies also with respect to
another aircraft not owned by the Named Insured while temporarily
and lawfully used as a substitute for such aircraft. This insurance sl:.dl
not apply, however, to the liability of any Insured who is the owner
of the substitute aircraft or is an agent or employee of such owner.
6, Defense, Settlement and Supplementary
Payments.
(Liability Coverages)
With respect to the insurance afforded under the Liability Coverages,
the Company shall:
(a) defend any suit against the Insured alleging such injury to person
or property and seeking damages on account thereof, even if such
suit is groundless, false or fraudulent, but the Company shall have
the right to make such investigation, negotiation and settlement
of any claim or suit as it deems expedient;
(b) pay all premiums on bonds to release attachments for an amount
not in excess of the applicable limit of liability of this policy, all
premiums on appeal bonds required in any such defended suit,
the cost of bail bonds required of the Insured in the event of an
occurrence or violation of a law or regulation for civil aviation
during the policy period, not to exceed $100 per bail bond, but
without any obligation to apply for or furnish any such bonds;
(c) pay all expenses incurred by the Company, all costs taxed against
the Insured in any such suit and all interest accruing after entry
of judgment until the Company has paid, tendered or deposited in
court such part of such judgment as does not exceed the limit
of the Company's liability thereon;
(d) pay expenses incurred by the Insured for such immediate medical
and surgical relief to others as shall be imperative at the time
of the occurrence;
(e) reimburse the Insured for all reasonable expenses incurred at the
Company's request, other than for loss of earnings or for wages
and salaries of employees of the Insured,
and the amounts .so incurred, except for settlements of claims and suits,
are payable by the Company in addition to the applicable limit of
liability.
7. Automatic Reinstatement
(Hull Coverages)
In the event of loss or damage to the aircraft, whether or not insured
against by this policy, the Amount of Insurance with respect to the
aircraft shall be reduced as of the date of loss by the amount thereof
and such reduced value shall continue until repairs are commenced.
The Amount of Insurance shall then be increased by the value of the
completed repairs until the Amount of Insurance is fully reinstated or
the policy has expired.
Aircraft Policy Page 3 F 360
ATTA *ECLARATIONS PAGE AND ANY ENDORSE *S
8. Notice, Assistance and
Cooperation of the Insured,
and Protection of Salvage
(a) Notice In the event of accident, occurrence or loss, written notice
shall be given by o- on behalf of the Insured, as soon thereafter as
possible, to the Aviation Managers at any of its offices whose address is
listed on the Declarations Page of the policy. Such notice shall contain
particulars sufficient to identify the Insured, the time, place and par-
ticulars of the accident, occurrence or loss, names and addresses of
the injured and of available witnesses. In the event of loss by theft or
conversion, the Insured shall also promptly notify the police. If claim
is made or suit is brought against the Insured, the Insured shall imme-
diately forward to the Aviation Managers every demand, notice, smn-
mons or other process received by him or his representative.
(b) Assistance and Cooperation of the Insured The Insured shall
cooperate with the Company and upon the Company's request, shall
attend hearings and trials and shall assist in effecting settlements,
securing and giving evidence, obtaining the attendance of witnesses
and in the conduct of suits. The Insured shall not, except at his own
cost, voluntarily make any payment, assume any obligation or incur
any expense other than for such immediate medical and surgical relief
to others as shall be imperative at the time of occurrence. In the event
of loss by theft or conversion, the Named Insured shall cooperate with
the Company including by replevin proceedings or otherwise, in and
about the recovery of the aircraft or parts thereof.
(c) Protection of Salvage In the event of any loss or damage to an
aircraft to which a Hull Coverage applies, whether such loss or damage
is insured against herein or not, the Named Insured shall protect the
aircraft from other or further loss or damage, and any such other or
further loss or damage due to the named Insured 'a failure to so protect,
shall not be recoverable under this policy. Where the loss or damage
incurred is subject to claim under a Hull Coverage, then all reasonable
expense thus incurred by the Named Insured in protecting the aircraft
from further loss or damage shall also constitute a claim under the
Hull Coverage.
9. Proof of Loss and Examinations
(a) Medical Coverage As soon as practicable, the injured person or
someone on his behalf shall give to the Company written proof of
claim, under oath if required, and shall, after each request from the
Company, execute authorizations to enable the Company to obtain
medical reports and copies of records. The injured person shall submit
to physical examinations by physicians selected by the Company when
and as often as it may reasonably require.
(b) Hull Coverages Within ninety days after the occurrence of the
loss or damage, the Named Insured shall execute and file with the
Aviation Managers sworn proof of interest and loss on its form there-
for, which form will be furnished on request and include such infor-
mation as the Aviation Managers may reasonably request. The Named
Insured shall further submit to examinations under oath by any person
or persons named by the Aviation Managers, exhibit the damaged
property, produce for the Aviation Managers examination all pertinent
records and invoices, permitting copies thereof to be made, all at such
reasonable times and places as the Aviation Managers shall designate.
This policy is not valid or complete unless a
Declarations Page, approved by the Aviation
Managers and countersigned by an Authorized
Representative, is attached hereto.
The Company shall not be held to have waived any provision or con-
dition of this policy, or any forfeiture thereof, by any requirement
act or proceeding on its part relating to appraisal, or any inspection,
investigation or examination under oath herein provided for.
10. When Loss Payable
(Hull Coverages)
The amount of loss for which the Company may be liable (the
amount of any premiums not paid by the Insured and any other
indebtedness of the Insured to the Company at the Company's option,
being first deducted) shall be payable thirty days after proof of loss,
as herein provided, is filed with the Aviation Managers and ascer-
tainment of the Toss is made either by agreement between the Named
Insured and the Aciatiun Managers expressed in writing or by the
filing with the Aviation Managers of an award as hereinafter pro-
vided, and the compliance by the Named Insured with all of the other
requirements of this policy.
1 1. Appraisal
(Hull Coverages)
In case the Named Insured and the Company shall fail to agree as to
the amount of loss, then, on written demand of either, each shall
select a competent and disinterested appraiser and notify the other
of the appraiser so selected within twenty days of such demand. The
appraisers shall first select a competent and disinterested umpire, and
failing for fifteen days to agree upon such umpire, then on request of
the Named Insured, or the Company, such umpire shall be selected by
a judge of a court of record in the state in which the property cov-
ered is located. The appraisers shall then appraise the loss, stating
separately the amount of loss to each item, and failing to agree, shall
submit their differences, only, to the umpire. An award in writing, so
itemized, of any two when filed with the Aviation Managers shall
determine the amount of loss. Each appraiser shall be paid by the
party selecting him and the expenses of appraisal and the umpire shall
be paid by the parties equally.
12. Rights Against Third Parties
(Hull Coverages)
The Hull Coverage afforded under this policy shall not inure directly
or indirectly to the benefit of any third party. Any act or agreement by
the Named Insured whereby any right of the Named Insured to recover
the full value of, or amount of damage to, any property lost or damaged
and insured hereunder, from any third party liable therefor, is released,
impaired or lost, shall relieve the Company from any liability under
this policy for or on account of any such loss or damage, but the
Company's right to retain or recover the premium shall not be affected.
This Condition shall not apply to an Airport Contract.
13. Financial Responsibility Laws
(Liability Coverages)
When this policy is certified as proof of financial responsibility under
the provisions of any aircraft financial responsibility law, such insure
ance as is afforded under the Liability Coverages for injury to person or
property shall comply with the provisions of such law to the extent
of the coverage and limits of liability required by such law, but in
no event in excess of the limits of liability stated in this policy. The
Insured agrees to reimburse the Company for any payment made by
the Company which it would not have been obligated to make under
the terms of this policy except for the agreement contained in this
paragraph.
Aircraft Policy Page 4
F 360
Declar ions Page of USAIG Aircraft Policy
r attachment to USAIG Policy Form F3KO) "P` .
MOW together Declarations Page and all Endorsements issued to form a part hereof, No. 360o-39113
together with your Policy jacket, form your complete insurance policy.
Declarations Items:
1. Name and address of Named Insured
Z. The policy period shall be
8. The Named Insured is an
4. Particulars of Aircraft
r
None
Farmer Policy Number
City of Newport Beach, California
City Hall
3300 Newport Boulevard
Newport Beach, California 92660
beginning and ending at
L> whose business is Municipality
(A) Individual (B) Corporation (C) Partnership (D) Other
Standard Time at the above address.
-I
Year, Make, Mo a cmd T,,.
FAA
Pass. Cvp
Airwort iness
Coverage A
Id.ntiemtion
Esd. Craw
Cert. Category
oeraon
I
Coverage B
g
Standar
See Endorsement Number One
each
occurrence
S. Pilots. This policy shall not apply to an aircraft while in flight unless operated by the following pilot(s):
See Endorsement Number Three
6. Purposes. This policy applies to any use of the aircraft except a use for which a charge is made to others, unless otherwise stated herem:
See Endorsement Number Three
7. Ownership. Named Insured is the sole and unconditional owner of the aircraft unless otherwise stated herein:
a. Loss, if any, under the Hull Coverages shall be payable as interest may appear, to the Named Insured and to:
9. The aircraft is principally based in the State of California
10. The insurance afforded herein is only with respect to such of the following Liability, Medical or Hull Coverages opposite which a specified Limit
of Liability or Amount of Insurance is stated. Each coverage is as defined in the Insuring Agreements and the Limits of the Company's Liability therefor
shall be as stated herein below, subject to all of the terms of this policy having reference thereto.
Liability Coverages
Limits of Liability
Coverage A
Bodily Injury Excluding Passengers
oeraon
'och
occurrence
Coverage B
g
Property Damage
P Y &
each
occurrence
Coverage C
Passenger Bodily Injury
S
Person S
occurrence
Coverage D
Single Limit Bodily Injury and Property Damage
i See End,
No. 1. occurrence
Coverage E
Single Limit Bodily Injury (excluding
passengers)
a m
<
each
occurrence
Coverage F
Medical Coverage
Crew
_
I ¢
— each
rs n
Hull Coverages
N °' " ti °"
Deductible
In
Deductible
M ° " °"
Amount of Insurance
Coverage G
All Risks while not in Flight, and
Limited Risks while in Flight
—
Coverage H
All Risks
i
$
3 —
Form numbers of endorsements forming a part of this Policy on its effective date:
*Total premium for first annual period
(See Paragraph 3. of Endorsement
Number 3.) q
Issued through the Aviation Managers on L-
(Date).
Countersigneclat Los Angeles, C:allfornla
by .
t" rsed Re nrentatW.
F -360 O
Premiurn $ 2, 150.00*
Endorsement Premiums $ Included
Total Premium $ 2, 1'50'00*
Approved: NITED SF/.TES A,vJATiON�tJN ERwRITERS, INCORPORATED
tatron Mana r
. --
M issurance ADDITION OF TWO OR MORE AIR RAFT
In consideration of the additional premium stated below:
1. Item 4 of the Declarations shall include the following additional aircraft:
2.
3.
4.
5.
1.
2.
3.
4.
5.
0. Particulars of Aircraft
Make, Model and Type
FAA
Identification
Passenger Capacity
Excluding Craw
Airworthiness
Certificate Category
Year
Model
Hughes 300C Helicopter
N9626F
1
Standard
70
Coverage B
Property Damage
I$ _
each
occurrence
Coverage C
Hughes 300C Helicopter
N9627F
1
Standard
70
_
$ 3,000,000.00*
Mhurrenro
Standard
Single Limit Bodily Injury (excluding passengers) and Property Damage
$
each
Standard
Medical Coverage Crew ❑ excluded
❑ included
$ _
each
person
Standard
—
2, With respect to the above described aircraft, Item 10 of the Declarations shall read as follows:
10. The insurance afforded herein with respect to each aircraft is:
A. only with respect to such of the following Liability or Medical Coverages opposite which a specified Limit of Liability is stated,
*Subject to a maximum of $500,000.00 per passenger seat.
B. only with respect to such Hull Coverage as is indicated as applicable in the following schedule, subject to the Deductibles and Amount of
Insurance stated for the aircraft:
FAA
Identification
Liability Coverages
I
Limits of Liability.
Amount of Insurance
Coverage A
Bodily Injury Excluding Passengers
$
$
eaartenro
Coverage B
Property Damage
I$ _
each
occurrence
Coverage C
Passenger Bodily Injury
each $ _
°«ur
Coverage D
Single Limit Bodily Injury and Property Damage
_
$ 3,000,000.00*
Mhurrenro
Coverage E
Single Limit Bodily Injury (excluding passengers) and Property Damage
$
each
Coverage P
Medical Coverage Crew ❑ excluded
❑ included
$ _
each
person
*Subject to a maximum of $500,000.00 per passenger seat.
B. only with respect to such Hull Coverage as is indicated as applicable in the following schedule, subject to the Deductibles and Amount of
Insurance stated for the aircraft:
FAA
Identification
Hull Coverages
g S
Not In Motion
Deductible
In Motion
Deductible
Amount of Insurance
$
$
$
_
Coverage
$
$
$
_
Coverage
$
$
$
_
Coverage
—
$
$
_
Coverage
_
$
$
$
Coverage
_
—
Each coverage is as defined in the Insuring Agreements and the Limits of the Company's Liability therefor shall be as stated herein above, subject
to all of the terms of this policy having reference thereto.
Additional Premium Included
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
911WF12.01 A_m- Approved: UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
(Date and Hour Endorsement Effective) viation Managers
1. 360 -39113
(Endorsement Number) (Policy Numberl by�� - -
F -364D
-3A
Only With Respect to the Liability Coverages, and in consideration of the additional premium stated below:
1, Particulars of Aircraft
Item 4 of the Declarations (Particulars of Aircraft) shall include Non -Owned Aircraft as defined herein.
2. Definition of Non-Owned Aircraft
"Non -Owned Aircraft" means any aircraft which is used in the business of the Insured and registered under a "Standard Category Air - worthiness
Certificate" issued by the FAA, but the term "Non -Owned Aircraft" does not include any aircraft:
A. owned in full or in part or registered in the name of
1. the Insured, or
2. any organization stated in Paragraph 3 below to be an Insured,
B. to which in the absence of this endorsement any of the Liability Coverages of the policy appliesi
C. if any charge for its use is made to others by any Insured.
3, The following Paragraphs A, B, C, D, E and F, apply ONLY WITH RESPECT TO NON -OWNED AIRCRAFT:
A. Definition of Insured
Under the Definitions section of the policy, definition of "Insured" is changed to read as follows:
..Insured° means _the Named Insured ----- . - -- -----....- - -- - -- - ......... - .... - ....................
- - -----_------------------ --- -- ------------ ----- --------............ ..... ....................... - ...... ... ----------...---- -.......------- .........- - ---- - -------- .._..- - - -
and any executive officer or director of the above while acting in his capacity as such provided that no person shall be an Insured as respects any
aircraft owned in full or in part by or registered in the name of such person or any member of his household.
B. Exclusions
Exclusion (g) of the policy is deleted in its entirety. The following exclusions (x) and (y) are added to the policy as follows:
(x) to liability arising out of the handling or use of, the existence of any condition in or a warranty of aircraft products manufactured, sold,
handled or distributed by the Insured.
(y) to injury to or destruction of property (1) owned, rented, or occupied by the Insured or (2) used by or in the tare, custody or control of
the Insured or (3) as to which the Insured is for any purpose exercising physical control or (4) carried by, in or on any aircraft with respect
to which insurance is afforded.
C. Pilots
Item 5 of the Declarations is changed to read as follows:
This policy shall not apply to an aircraft while in flight unless operated by an FAA Certificated Pilot.
D. Limits of Liability
Item 10 of the Declarations is changed to read as follows:
10. The insurance afforded herein is only with respect to such of the following Liability Coverages opposite which a specified Limit of
Liability is stated. Each coverage is as defined in the Insuring Agreements and the Limits of the Company's Liability therefor shall be as stated
herein below, subject to all of the terms of this policy having reference thereto.
E. Reports *Subject to a maximum of $500,000.00 per, passenger seat.
Whenever a non -owned aircraft is used for any period exceeding seven consecutive days, the Named Insured agrees to report such use, and the
Eof the aircraft, to the Aviation Managers, as soon thereafter as may be practicable and to pay a premium thereon to be determined
by the Aviation Managers.
F. Other insurance
The Policy Condition entitled Other Insurance is changed to read as follows:
Except with respect to insurance specifically purchased by the Named Insured to apply in excess of this policy, if there is other insurance in the
Insured's name or otherwise, against loss, liability or expense covered by this policy, this insurance shall be excess insurance over any other
valid and collectible insurance available to the Insured, either as an Insured under a policy applicable with respect to the aircraft or otherwise
and, if such other insurance available to the Insured shall have been written through the Aviation Managers, the Limit of the Company's
Liability applicable to such loss under this policy shall be reduced by the applicable limit of liability under such other available insurance.
Additional Premium for this Endorsement $ ...... 1A. Q1. uded . ........... ... ..... — ....... _._
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of -the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
Oi y of Newport Reach,_ (`al_i fornia
9/16/72 12:01 A.M. Approved: UNrTED STATES AVIATION UNDERWRITEILS, INCORPORATED
(Data and Hour Endorsement Effective) Aviation Men
_2. 360 -39113
(Endorsement Number) (Palic, Number) by
F468
F-tae
Liability Coverages
Limits of Liability
Coverage A
Bodily Injury Excluding Passmgcrs
$
oe:ian $
occurrence
Coverage 8
Property Damage
i
each
OC<arrenCO
Coverage C
Passenger Bodily Injury '$ _
each
versan
each
occurrence
Coverage D
Single Limit Bodily Iniury and Property Damage
$ 3.000.000.00*
each
accvrrence
COVera e E
Single Limit Bodily Inju ry (excluding passengers) and Property Damage
T
each
E. Reports *Subject to a maximum of $500,000.00 per, passenger seat.
Whenever a non -owned aircraft is used for any period exceeding seven consecutive days, the Named Insured agrees to report such use, and the
Eof the aircraft, to the Aviation Managers, as soon thereafter as may be practicable and to pay a premium thereon to be determined
by the Aviation Managers.
F. Other insurance
The Policy Condition entitled Other Insurance is changed to read as follows:
Except with respect to insurance specifically purchased by the Named Insured to apply in excess of this policy, if there is other insurance in the
Insured's name or otherwise, against loss, liability or expense covered by this policy, this insurance shall be excess insurance over any other
valid and collectible insurance available to the Insured, either as an Insured under a policy applicable with respect to the aircraft or otherwise
and, if such other insurance available to the Insured shall have been written through the Aviation Managers, the Limit of the Company's
Liability applicable to such loss under this policy shall be reduced by the applicable limit of liability under such other available insurance.
Additional Premium for this Endorsement $ ...... 1A. Q1. uded . ........... ... ..... — ....... _._
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of -the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
Oi y of Newport Reach,_ (`al_i fornia
9/16/72 12:01 A.M. Approved: UNrTED STATES AVIATION UNDERWRITEILS, INCORPORATED
(Data and Hour Endorsement Effective) Aviation Men
_2. 360 -39113
(Endorsement Number) (Palic, Number) by
F468
F-tae
-77
- --
It is agreed that:
1. The typewritten portion of Item 5. of the Declarations is changed to
read as follows:
Item 5. Pilots.
Kenneth McGregor, James Golfos, L)onald Anderson, and
Tim Grundeman, each holding an FAA Commercial Pilot
Certificate.
2. In the event of cancelation of the Policy by the Company or the
Aviation Managers, the Aviation Managers shall give thirty (30)
days prior written notice thereof to:
The City of Newport Beach, California
City Hall
3300 Newport Boulevard
Newport Beach, California 92660
3. The Named Insured may receive reimbursement for direct operating
expenses, or enter into reciprocal agreements with other muni-
cipalities, excluding any profit.
4.A. The Company agrees that it will not use, either in the adjustment of
claim or in the defense of suit against the Insured, the immunity of
the Insured from tort liability unless requested by the Insured to
interpose such defense.
B. The Insured agrees that the waiver of the defense of immunity shall
not subject the Company to liability for any portion of a claim,
verdict, or judgment in excess of the limits of liability stated in
the policy.
5. Such insurance as is afforded under this Policy shall not apply to
the carrying of FAA designated external rotorcraft load combination
Class A, B, and C, fire patrol, fire fighting, aerial application,
and power and pipeline patrol. However, the term "fire fighting"
shall not be deemed to include patrol, surveillance, rescue, and
other uses incidental to public work.
6.A. The Policy period stated in the Declarations is comprised of three
consecutive annual periods with anniversary billing dates of
9/16/73 and 9/16/74.
B. within thirty (30) days prior to each anniversary date of this Policy
the Named Insured and the Aviation Managers shall negotiate the premi-
um to apply for the following annual period. In the event of failure
to reach agreement thereon the Policy will automatically terminate on
each anniversary date.
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
9/16/72 12:01 A.M. Approved: UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
(Dale and Hour Endorsement Effective)
Aviation M eec _-
3. 360 -39113
(Endorsement Number) (Policy Number) by G "� ��- �' +�'•�
1'361
F40]
us"1
0 0
i J
It is agreed that Item 5 of the Declarations is changed to
read as follows:
Stem S. Mechanics who are licensed by the FAA for
Rotorcraft Maintenance are permitted to
start and run engines for the purpose of
testing engines, rotors and instruments,
but this policy otherwise shall not apply
to an aircraft while in flight unless
operated, by the following pilot(s).
James L. Golfos, Gregory L. Hein, Charles G. Olmstead,
Donald M. Anderson, Tim A. Grundeman, or Harry We
Williams, each holding an FAA commercial Pilot
Certificate with Helicopter Rating.
0'�N ' "ell
Nothing herein contained shall vary, waive., alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
05/01/75 12:01 A.M. _
(Dale and Hour Endorsement Effective)
10. 360 -39113
(Endorsement Number) (Policy Number)
F xa]
FZ7
Approved: UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
Avi ' Managers
,
by
1&.4111
It is agreed that:
1. Item 5 of the Declarations is changed to read as follows:
Item S. Mechanics who are licensed by the FAA for
Rotorcraft Maintenance are permitted to
start and run engines for the purpose of
testing engines, rotors and instruments,
but this policy otherwise shall not apply
to an aircraft while in flight unless
operated by the following pilot(s):
James L. Golfos, Gregory L. Hein, Donald M.
Anderson, Tim A. Grundeman, or Harry W.
Williams, each holding an FAA Commercial
Pilot Certificate with Helicopter Rating.
2. Paragraph 2 of Endorsement Number 8 is canceled and of
no effect.
RFU VED
1
Psis: �J.n
C!TY
NEWPORT BEACH, ,
CALIF.
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
05/01/75 12 :01 A.M. Approved: UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
(Dete and Hour Endorsement rReCi —) ,/ viation Managers
9. 360 -39113 r
(Endorsement Number) (Policy Numbe.) by
F -a8]
PIZ
9�3
,mrarmrs..an.stim ¢ a®.
PER SQN� ��
FEB 2 01975;a.
NEWp
CITY OF
ORT BEACH,
y CALIF, _,<�'
In consideration of an additional premium of $250.00, it is
agreed that:
1. Item 5 of the Declarations is changed to read as follows:
Item 5. Mechanics who are licensed by the FAA for
Rotorcraft Maintenance are permitted to
start and run engines for the purpose of
testing engines, rotors and instruments,
but this policy otherwise shall not apply
to an aircraft while in flight unless
operated by the following pilot(s):
A. James L. G0lf0S, Gregory L. Hein, Charles
G. Olmstead, Donald M. Anderson or Tim A.
Grundeman each holding an FAA Commercial
Pilot Certificate with Helicopter Rating.
B. Harry W. Williams holding an FAA Pilot Certi-
ficate. Each flight by Harry W. Williams
shall be under the direct supervision or
have the specific approval of James L. Golfos
or Gregory L. Hein until such time as he
obtains a Commercial Pilot Certificate with
Helicopter Rating and has flown a minimum of
200 hours in the Hughes 300C Helicopter.
2. While the Helicopter is being operated by Harry W. Williams
while holding an FAA Student Pilot Certificate, liability
coverages shall not apply to injuries sustained by any
passenger unless said student pilot is accompanied by a
pilot holding an FAA Helicopter Flight Instructor Rating.
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
Citv of Newport Beach, California
2/1/75 12:01 A.M. Approved: UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
(Dale and How lndoisamem EHecfive) Aviatio agers
B. 360 -39113
(Endouemem Numbed Policy Numbed by
P'"E
FAO)
3 (.0 391)3
__ _
�.
I
i
o
,
�. � i:.=
usArc
•
<., h t C_
•
7
3 (" D3C�IIy3
It is agreed that:
1. Item 2 of the Declarations is changed to read as follows:
Item 2. The policy period shall be from 9/16/72 to
2/1/76 beginning and ending at 12:01 A.M.
Standard Time at the above address.
2. Paragraph 6 of Endorsement No. 3 is changed to read as
follows:
6.A. The Policy period stated in the Declarations is
comprised of an initial annual period followed
by a period of 138 consecutive days followed
by two consecutive annual periods with period
billing dates of 9/16/72, 9/16/73, 2/1/74 and
2/1/75.
Be Within thirty (30) days prior to the expiration
date of each period of this Policy, the Named
Insured and the Aviation Managers shall negotiate
the premium to apply for the following period.
In the event of failure to reach agreement thereon,
the Policy will automatically terminate on such
expiration date.
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
,above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
2/1/74 12:01 A.M.
(Dale end Mow Emdonemenr Elleaivc)
7. 360 -39113
(En tlouemem Number) (Policy Number)
F -M7
F.07
Approved: UN1TE ES AVIATION UNDERWRITERS, INCORPORATED
Avian ana
E
by �
usA�c
snaasnaswxaeswnnee¢ moor
9
It is agreed that Insuring Agreement IV, is changed
to include the following:
Over water flights not greater than
twenty -five nautical miles from the
nearest land.
c�C°1 1
R�C�r
NOV 71172
MAP WL ef�t€N,
err
✓11F.VeNothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
rit_y nf Naumnrt Beach, f`alifnrnia
7 0/?��72 12:01 A M. Approved: UNITED STATES AVIATION UNDERWRITERS, INCORPORATED
to and Neur Endcrsemem .0.e) Aviation Ma
4 3ho_�gli �lj
)Endorsement Number) - -�<r Numbe�
,- 7
F;07
*
76TEDSTA O R P Uril1NDE1tVVRIT� VE T1 N �
INCORPORATED ,{�
MANAGERS •�
97] >
ROY L. COGGINS United States Aircraft Insurance Group Reed ZA
REGIONAL VICE PRESIDENT WESTERN DEPARTMENT
535 NO. BRAND BLVD., GLENDALE, CALIF. 91203
(213)240.7800 b
DATE:--- --.-- -- (17 977
Milum /Garvey...Insurance Brokers, Inc. INSURED:_- OF NEWPORT BEACH
..... .... .........
Renewal of Policy 360 -57134
3720 Campus.. -Drive
- ................ - - -- ------- - - - - --- - - -
(1) Hughes 300C, N9626F
Newport Beach, California 92660 AIRCRAFT :...(2) Hughes 30OC, N9627F
- - ---
Gentlemen:
This is to confirm #hat we are providing the following coverage effective February 1, 1977
A 7 •O ] A m on our policy form F- fiD ,
Subject to a maximum limit o
LIABILITY COVERAGES EACH PERSON LIMITS EACH OCCURRENCE
BODILY INJURY
EXCLUDING PASSENGERS
PROPERTY DAMAGE X X X X $
PASSENGER BODILY INJURY
SINGLE LIMIT BODILY INJURY 5 e t
AND PROPERTY DAMAGE X x X X $ . 000, 000. 00
Y(Non- Owned) CC cc
AND PROPERTY DAMAGE X X X X 7-x-5 OOO • OOO - OO *- OC)*
MEDICAL COVERAGE c —
CREW: ❑ $
EXCL. ❑ INCL. X X X x
f $500,000.00 per passengerANNUAL POLICY PREMIUMS
Hull----------- --- ------$ —
Liability---- ---- - - - - -- j 4.100.00
Medical --------------- -I
Total...... .-- .....$ 4,100.00
PURPOSES and PILOTS (Per Expiring Policy 360 - 57134)
❑ Any use of the aircraft except a use for which a Charge is made to others.
❑ Named pilots..- - -- --- -- --- ------ ----- . -_-- --- - --- - - - - -- .. - --' ---- -------- ...._----- --- - - - --
❑ Any Private or Commercial pilot with proper ratings and a minimum of ....................... ._. ........ ... _. -total hours as Pilot In
Command.. including..- - -- - ---- - ......- -' ....... --- ......... - hours in- ....... ------ - - -- ---------- ---- --- ---- -- ---- ....... --- -- ------- ----- ---- — -•
THE ABOVE COVERAGES WILL TERMINATE WITHOUT NOTICE ON
IF THE FOLLOWING INFORMATION IS NOT RECEIVED PRIOR TO THAT DATE:
COMFIRMING POLICY IS BEING ISSUED AND WILL FOLLOW SHORTLY.
ru. � NIJi
CCL
by ----°
..Vrl LCA.1{J
Do1110 i.ed employee
ALL PREMIUMS ARE DUE AND PAYABLE UPON DELIVERY OF THE POLICY. FLAT CANC[WTION MOT PIFRMITTKD, ,:.
NEW YORK ATLANTA CHICAGO LOB ANGKLKB DALLAS KODUTCN . BAN 1111ANCHICIS
ULL COVERAGE
ALL RISKS
AM UNT OF
INS ANCE
NOT IN TION
DEDUCfI E
1
IN MOTION
DEDUCTIBLE
$
ole owner
❑
The Insured is
wner under
m gage
❑
Loss, if any, ayable
to Insu d and Lien -
holder na d below.
Enclosed
❑
Lie older's Copy
Mailed to
lienholder
Subject to a maximum limit o
LIABILITY COVERAGES EACH PERSON LIMITS EACH OCCURRENCE
BODILY INJURY
EXCLUDING PASSENGERS
PROPERTY DAMAGE X X X X $
PASSENGER BODILY INJURY
SINGLE LIMIT BODILY INJURY 5 e t
AND PROPERTY DAMAGE X x X X $ . 000, 000. 00
Y(Non- Owned) CC cc
AND PROPERTY DAMAGE X X X X 7-x-5 OOO • OOO - OO *- OC)*
MEDICAL COVERAGE c —
CREW: ❑ $
EXCL. ❑ INCL. X X X x
f $500,000.00 per passengerANNUAL POLICY PREMIUMS
Hull----------- --- ------$ —
Liability---- ---- - - - - -- j 4.100.00
Medical --------------- -I
Total...... .-- .....$ 4,100.00
PURPOSES and PILOTS (Per Expiring Policy 360 - 57134)
❑ Any use of the aircraft except a use for which a Charge is made to others.
❑ Named pilots..- - -- --- -- --- ------ ----- . -_-- --- - --- - - - - -- .. - --' ---- -------- ...._----- --- - - - --
❑ Any Private or Commercial pilot with proper ratings and a minimum of ....................... ._. ........ ... _. -total hours as Pilot In
Command.. including..- - -- - ---- - ......- -' ....... --- ......... - hours in- ....... ------ - - -- ---------- ---- --- ---- -- ---- ....... --- -- ------- ----- ---- — -•
THE ABOVE COVERAGES WILL TERMINATE WITHOUT NOTICE ON
IF THE FOLLOWING INFORMATION IS NOT RECEIVED PRIOR TO THAT DATE:
COMFIRMING POLICY IS BEING ISSUED AND WILL FOLLOW SHORTLY.
ru. � NIJi
CCL
by ----°
..Vrl LCA.1{J
Do1110 i.ed employee
ALL PREMIUMS ARE DUE AND PAYABLE UPON DELIVERY OF THE POLICY. FLAT CANC[WTION MOT PIFRMITTKD, ,:.
NEW YORK ATLANTA CHICAGO LOB ANGKLKB DALLAS KODUTCN . BAN 1111ANCHICIS
I
CERTIFICATE OF I
W
Name: Police Department
ty o
r ewpopt eacl
Address: 870 Santa "Barbara Dr
¢,, (� Attn: B. Ja}Yxes Glavas, Chief of
(T.g to s is C��'kt11J, that insurance has been effected with
Underwriters at Lloyds of London and /or certain Insurance Companies
Covering as follows: , Tallmantz Aviation Incorporated and /or International Flight and
Space Museum and /or Movieland of the Air and /or Frank G. Ta
Name of Insured: Orange County Airport,
Address of Insured: Santa Ana, California
Certificate or Cover Note No.: 533
Expiration Date: August 20, 1976
Aircraft: Not .A pl' cable
Oraxigpe Glounty Airport, Santa Ana, California and any location
Locations Covered: incidental to the Assured's operations.
Each Person E
Bodily Injury — Excluding Passengers $ $
Property Damage $ XXXX $
Passenger Bodily Injury $ $
Single Limit — eluding Passengers $ XXXX $
Medical Payments — eluding Crew $ $
Airport Liabilitv CoveraLre
Bodily Injury $ $
Property Damage $See Attached. $
Single Limit $ XXXX $
Aircraft Hull Amount of Insurance
Ground Only
Ground & Flight
Southeastern Aviation (California), Inc. has made provision for (10) Ten Day notice to you in the event of cancella-
tion of the above described policies but, except as otherwise stated in this certificate, Southeastern Aviation
(California), Inc. assumes no legal responsibility for any failure to do so.
Southeastern Aviation (California), Inc. are not insurers hereunder and they shall not be held liable for any loss.
or damage.
For particulars concerning the limitations, conditions and terms of the coverage you are referred to the original
Policy or Policies in the possession of the Assured.
SOUTHEASTERN AVIATION (CALIFORNIA), INC.
f jay ,
(SPECIAL CONDITIONS, if any, on reverse) Countersigned by
12/9/75
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The amount of Indemnity shall not exceed:
SUM INSURED Section I
Bodily Injury and
Property Damage
Combined
Contractual Liability
Bodily Injury
Property Damage
Section II*'*
1
$1, 000, 000. any one occurrence
$ 500,000. anyone person
$1, 000, 000. any one person /accident/
occurrence
$ 500,000. any one accident /occurrence
$1, 000, 000, any one aircraft
$2, 000, 000. any one accident /occurrence
Excess $ 250. each and every loss
Including In Flight Hangarkeepers
Section III
Bodily Injury and
Property Damage $ 5, 000, 000, any one occurrence
Combined
13
CERTIFICATE OF INSURANCE
TO
Name: Cit of New Dort Beach
Newport
Address: Newport Beach, California
—Attn; Lty . er
V4is tl$l. fD C�Px, that insurance has been effected with
Underwriters at Lloyds of London and /or certain Insurance Companies
Covering as follows: Tallrnantz Aviation, Inc., and /or International Flight and Space
Museum and /or Movieland of the Air and /or Frank G. Tallman III
Name of Insured: Orange County Airport, Santa Ana, California
Address of Insured: 491
Certificate or Cover Note No.: 491
Expiration Date: June 1, 1976
Aircraft: Not Applicable
Orange County Airport, Santa Ana, California and any location
Locations Covered: incidental to the Assured's operations.
Aircraft Liability Coverage Limits of Liability
Each Person Each Occurrence
Bodily Injury — Excluding Passengers $ $
Property Damage $ XXXX $
Passenger Bodily Injury $ $
Single Limit — eluding Passengers $ XXXX $
Medical Payments — eluding Crew $ $
Airport Liability Coverage
Bodily Injury $ See Attached $
Property Damage $ $
Single Limit $ XXXX $
Aircraft Hull Amount of Insurance
Ground Only $
Ground R Flight $
Southeastern Aviation (California), Inc. has made provision or Day notice to you in tJthn ancella-
tion of the above described policies but, except as otherwise stated in this certificate, SoAviation
(California), Inc. assumes no legal respo ibility,fpr any failure to do so.
J� / �
Southeastern Aviation (California) not fn5dcerry reunder and they shall not be helany loss
or damage.
For particulars concerning the i atiorlel conditiorfl and s of the coverage you are ref original
Policy or Policies in the posses of the Assured.
n
��, UTHEASTERN AVIATION (CANC.
(SPECIAL CONDITIONS, if any, on reve ey , Count ersigned by
r,
ft
3p�
v mew AMP a. e � Z
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a
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Sum Insured Section 1
$
500, 060.
any "ne: 1;� - I'S on
Bodily Injury.
$1,
500, 000.
any one accident /occurrence
PropertDamag.e
$
250,000.
any one accident /occurrence
Contractual Liability
Bodily Injury
$
500, 000.
any one person
$1,000,000.
any one person /accident /occurrent
Pro Jerky Dainaxe
$
500, 0"; 0.
any one a- c ci d & a t /occurrence
Section II
$
100, 000.
any one aircraft.
$
200, 000,
any cne aed.dent /occurrence
Excess
$
"1.50,
each and every loss
Section III
$
100, 000.
any one person .
Fodi.ly Injury
$
300, 000.
any one accident /occurrence
Property Damage
$
100, 000.
any one acci dent and in aggregate
INVOICE
/insurance brokers
MILUM/GARVEY
gel& 1617 WFSTCLIFF DRIVE/ SUITE 2D41 NEWPORT BEACH, CALIFORNIA 92660
714/W.0800
F
7 CUSTOMER NO.
2740
CITY OF
NEWPORT BEACH
3300 NEWPORT BOULEVARD
NEWPORT
BEACH, CALIFORNIA
92660
NAMED
INSURED i
-- -- ---
INVOICE DATE � October 8, 1973
4835
PLEASE DETACH AND
TURN WITH PAYMENT EVIT"TEl)
E _Wj__
ro.
I NO. POLICY PERIOD
CL&TR POLICY NUMBER
AND DESCRIPTION
---- ---------
PREMIUM
- ---------- ------- - -T-- -- BALANCE
CHARGE I CREDIT
...... . ............ - ------ ---- . ...........
-----------
------ --- ---------- ------------ --- --- ---- -- --- ----
,80 !8/15/73-
1,45-5'Policy # 360-39113
i:$100.00 :-$lov.vvi -0-
19/16/73 Additional Premium
Adding Charles O. Olmstead
land Gergory L. Hein to
;,Helicopter Insurance I
as pilots. I
THANK YOU.
(PREMIUM PAID)
--------- --------
--PiEM�jM�S DUE AND PAYABLE ON EFFECTIVE DATE OF POLICY
MILUM/GARVEY
PREMIUM1PAID
'rsm,�,®rrmrm¢amn,
It is aC.reed that:
1. Effective Au ust 31 1973 @ 3:00 PM, the typewritten portion
of Item 5 of the Declarations is changed to include the fol-
lowing named pilot:
Item 5. Charles G. Olmstead holding an FAA Commercial Pilot
Certificate provided that he receives a check -out
in the Hughes 300C Helicopter from James Golos.
2, Effective August 15, 1973 @ 12 :01 AM and in consideration
of an additional premium of $100.00, it is agreed Lnat the
typewritten portion of Item 5 of the Declarations is changed
to include the following named pilot:
Item 5. Gregory L. Hein holding an FAA Commercial Pilot
Certificate provided that he obtains a Helicopter
Rating in the Hughes 300 C Helicopter from
James Golfos,
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
Various :? Various
(Daty and Hoer Endouomani Effective)
°:6 360 -39113
fEndorsemom Number) (Pat;., Number)
C.3O>
F,07
Approved: UNITE Es AvtATioMUND1RcW5Xe7, INCORPORATED
Aviatio anage s
by
6
it is agreed that the typewritten portion of Item 5 of the
Declarations is changed to read as follows:
Item 5. James Golfosr Donald Anderson and Tim Grundeman,
each holding an FAA Commercial Pilot Certificate.
Nothing herein contained shall vary, waive, alter, or extend any of the terms, conditions, agreements or representations of the policy, other than as
above stated. This endorsement is effective from the date and hour stated below, standard time at the address, as stated in the Declarations, of the
Named Insured and forms a part of the below numbered policy issued to:
City of Newport Beach, California
07/24/73 12:01 A.M. Approved: UN STATES AVIATION UNDERWRITERS, INCORPORATED
(D.I. end Hem FnJOnemenl ERetllvel Avi 'on Mana
f
5. 360 -39113
(Endbnemenl Numbeq (P.H, Numb.,( b
O>
PURCHASE ORDER No.
01500
INVOICE; A , r4 ift�*
C14 T Ba- CH 'YHIS ORDr Jill�
A
BOULEVARD
c/ flum f arvov
IE17 give
;,_c,v'prjrL sere Calif. 92660
NEWPOM.MW, CALIFORNIA 92660
PHONE (714) 673-2110
CRUDE UN7.
DATE
DER
'olice helic•pter insuranice. ldr-1975 as per contract
Jan,28,1974
C,
VENDOR
SHIP TO
(SAME; UNLESS
OTHERWISE
Aircraf+ Tnsurai�c�:
:-ro
c/ flum f arvov
IE17 give
;,_c,v'prjrL sere Calif. 92660
WAMEW M
24
50-4ii
'olice helic•pter insuranice. ldr-1975 as per contract
±.; JO
IMPORTANT
CITY OF NEWPORT BEACH
The Articles covered by this Purchase Order or Contract must con-
form with the Safety Orders of the State of California, Division
of Industrial Safety.
Show as a separate item any retail sales tax, use tax or Federal
tax applicable to this purchase.
This order subject to California sales lax.
D. W. MEANS
All allowable transportation charges must be prepaid and shown as
a separate item on the invoice. Do not include Federal transports-
PURCHASING AGENT
'i on tax.
WAMEW M
24
50-4ii
't .eF
TOM
All
r
CITY OF NEWPORT BEACH
CALIFORNIA
City Hall
3300 W. Newport Blvd.
Area Code 714
673 -2110
DATE January 14, 1974
TO: FINANCE DIRECTOR
FROM: City Clerk
SUBJECT: Contract No. c •463
Description of Contract Police Helicopter Insurace 1972 - 1975
Authorized by Resolution No. 7791 , adopted on 9 -17 -72
Effective date of Contract September 16, 1972
Contract with United States Airensft Insurance Group
Address c/o Milua S Garvey, 1617 Westcliff Drive
Is :f tAJY Y•
Amount of Contract Total premium $2,150.00
Note: Pblicy on file in City Clerk's offioe.
i
I, .. .�
.. 9{
..x.. .r. .. .....r _r.. -... 1 ... .. n .. n.. r ..._ '�.: ..��nkia'M'��x...o.:.. ... .- r . _. .. .. .. . nu.l .�F:+�✓.
4
,I
..
:w
..x.. .r. .. .....r _r.. -... 1 ... .. n .. n.. r ..._ '�.: ..��nkia'M'��x...o.:.. ... .- r . _. .. .. .. . nu.l .�F:+�✓.
RESOLUTION NO. 7 ^c
A RESOLUTION OF THE CITY COUNCIL OF THE CITY
OF NEWPORT BEACH ACCEPTING THE BID OF MILUM
AND GARVEY FOR HELICOPTER LIABILITY INSURANCE
COVERAGE RENEWAL FOR ONE YEAR
WHEREAS, pursuant to the notice inviting bids for
helicopter liability insurance and non -owned aircraft liability
insurance coverage, in accordance with the specifications prepared
by the City's risk management insurance analyst, Mund, McLaurin &
Company, bids were received, and opened on the 18th day of August,
1972; and
WHEREAS, it appears that the lowest responsible bidder
therefor is Milum and Garvey, insurance agents;
NOW, THEREFORE, BE IT RESOLVED by the City Council of
the City of Newport Beach that the bid of Milum and Garvey for
the above described insurance combined single limit for both bodily
injury and property damage coverage, in the amount of $3,000,000.00,
for an annual premium of $2,150.00, be accepted; said insurance is
to be placed with United States Aircraft Insurance Group.
BE IT FURTHER RESOLVED that the City Manager is hereby
authorized to execute the necessary documents to obtain the above
described helicopter liability insurance coverage, for a period of
one year, commencing on September 17 , 1972.
ADOPTED this 28th day of August, 1972.
Mayor
ATTEST:
City Clerk
t ,
DON:mh
8/30/72