USAIG Certificate of Insurance

Transcription

1 USAIG Certificate of Insurance This is to certify to: To Whom It May Concern and/or any Member State of the European Union (EU) that: whose address is: ExecuJet Charter Service, Inc. and Executive Aircraft Services, Inc. (Managing Operator) Carpau Corporation (Insured Owner) 4751 Jim Walter Blvd. Tampa, Florida is at this date insured with the Several Participating Companies of the United States Aircraft Insurance Group, for the Limits of Coverage stated below, at the following locations: Worldwide. Descriptive Schedule of Coverages Kind of Insurance Policy Number Policy Term Limits of Coverage AIRCRAFT LIABILITY SIHL1-704W July 1, Each Person Each Occurrence Combined Liability Coverage for July 1, 2015 bodily injury and property damage U.S. $ 150,000,000 Including Passengers and Third Parties Minimum Required SDR (1) 83,013,572 For both All Risk and War Risk Coverage BAGGAGE LIABILITY $ 2,000 AIRCRAFT COVERED PASSENGER SEATS MAXIMUM GROSS TAKE OFF WEIGHT 1996 Mystere Falcon 900, N544CM 12 20,638 kg (1) As of the date of this certificate, the U.S. dollar limit stated above is at least equal to or greater than the SDR required limits shown above for the aircraft scheduled on this certificate. The limits shown above are inclusive of Passenger Liability, Third Party Liability, Baggage Liability and Cargo Liability as required in Regulation (EC) number 785/2004. This certificate or verification of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein regardless of any terms or conditions set forth in any other contract, document or agreement. UNITED STATES AVIATION UNDERWRITERS, INC., Aviation Managers Address: 3575 Piedmont Road, NE, Building 15, Suite 1200, Atlanta, Georgia By date: June 26, 2014 David L. McKay, President F-108d-Cert EU (Rev. 06/13)

2 Insurance Certificate We, United States Aviation Underwriters, Incorporated, 3575 Piedmont Road, NE, Building 15, Suite 1200, Atlanta, Georgia Name and address of insurance company herewith certify that for ExecuJet Charter Service, Inc. and Executive Aircraft Services, Inc. Name of air carrier a liability insurance contract to cover bodily injury, damage to baggage and cargo and damage caused by delay has been concluded. It applies to all passengers carried aboard an aircraft owned or operated by the a.m. air carrier. The Insurance Coverage pursuant to Article 21 and 22 of Montreal Convention, the Regulation (EC) No. 785/2004 and 103 LuftVZO (air navigation certification order) combined with LuftVG (air navigation act) is as follows: special drawing rights per passenger for bodily injury special drawing rights per passenger for delayed carriage of passengers special drawing rights per passenger for damage to baggage and delayed carriage of baggage 19 special drawing rights per kilogram for damage to cargo The insurance coverage is valid from July 1, 2014 to July 1, 2015 We herewith declare that we are licensed to act as an insurer in the United States of America. Country June 26, 2014 Date of Issue Signature and Stamp of the insurance company or of the lead insurance company Cert. Germany (Rev. 06/12)

3 Certificate of Insurance We, United States Aviation Underwriters, Incorporated, 3575 Piedmont Road, NE, Building 15, Suite 1200, Atlanta, Georgia Name and address of insurance company herewith certify that for ExecuJet Charter Service, Inc. and Executive Aircraft Services, Inc. a third party liability Name of air carrier insurance to cover personal injury and damage to property arising during the operation of the aircraft 1996, Mystere Falcon 900, Serial Number 152, N544CM, 20,638 kg Type, serial number, registration mark and maximum take-off mass (MTOW) to third persons or property not carried aboard the aircraft has been concluded. The insurance sum per aircraft and occurrence of damage, in compliance with the Regulation (EC) No. 785/2004 of 21 April 2004, is 83,013,572 SDR. The insurance sum includes consequential damage caused by war and terrorism according to article 7 of the Regulation (EC) No. 785/2004. The insurance coverage is valid from July 1, 2014 to July 1, 2015 We declare that we are licensed as an insurer in the United States of America. Country June 26, 2014 Date of Issue Signature and Stamp of the insurance company or of the lead insurance company Cert. Germany (Rev. 06/12)

4 INSURANCE CERTIFICATE Air Carriers Aviation Liabilities pursuant to E.U. Regulation 785/2004 This is to certify we, United States Aviation Underwriters, Inc., have issued insurance policy nr(s) SIHL1-704W of aviation liability insurance in respect of passengers, baggage, cargo and third parties to the insured airline, when operating within, into and out of Italy, as follows: Insured Airline: ExecuJet Charter Service, Inc. and Executive Aircraft Services, Inc. Policy period: starting July 1, 2014 ending July 1, 2015 Geographical limitation: None - Worldwide Coverage Such Insurance is subject to a Combined Single Limit of Liability that is sufficient to cover the sum of the followings amounts: Minimum liability in respect of each passenger: SDR Minimum liability in respect of baggage per passenger: SDR Minimum liability in respect of each kg of cargo: SDR 19 Third party minimum liability for each and every aircraft, per accident covering also damages due to risks of war or terrorism: SDR covering all attached owned fleet of the carrier or SDR covering all attached fleet of the carrier both owned and operated or if the minimum amount coverage is related to the single aircraft: Aircraft Type Registration Third Party Minimum Insurance 1996 Mystere Falcon 900 N544CM SDR 83,013,571 SDR SDR SDR (additional aircraft to be detailed in attachment) All the minimum liability amounts stated above also cover damage due to the risks of war, terrorism, hi-jacking, acts of sabotage, unlawful seizure of aircraft and civil commotion as per Clause AVN52E. Third party cover under AVN52E is subject to an aggregate limit which may be placed over two separate policies as indicated by the policy numbers above. In case of insurance interruption or modification of the minimum liability amounts before the above expiry date, the insurer will have to notify ENAC of the cancellation or variation of the contract. It is further certified that no clause in the referred policy(ies) contains any term or condition limiting the provisions stated in the E.U. Regulation 785/2004 recognizing that, as stated, above cover under AVN52E may be provided by two separate policies to provide the required minimum liability amount. Signed on behalf of Subscribing Insurers (name) President and Chief Executive Officer (position) Cert. Italy (Rev. 06/12)

5 CIVIL AIRCRAFT CERTIFICATE OF INSURANCE 1. TODAY S DATE (To be completed only by the insurer or an authorized representative.) (YYYYMMDD) OMB No Please read Privacy Act Statement and Instructions on back before completing. 2014/06/26 The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC ( ). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. SEND COMPLETED FORM TO THE ADDRESS IN NOTE 2 ON BACK. 2. INSURER 3. INSURED (User) a. NAME a. NAME The Several Participating Companies of the United States Aircraft ExecuJet Charter Service, Inc. and Insurance Group; c/o United States Aviation Underwriters, Incorporated Executive Aircraft Services, Inc. b. ADDRESS (Street, City, State and ZIP Code) b. ADDRESS (Street, City, State and ZIP Code) 125 Broad Street 4751 Jim Walter Blvd. 6 th Floor Tampa, Florida New York, NY AIRCRAFT POLICY DATA POLICY EFFECTIVE EXPIRATION GEOGRAPHICAL AREA OR LIMIT OF AIRCRAFT REGISTRATION NUMBER(S) DATE (YYYYMMDD) DATE (YYYYMMDD) POLICY COVERAGE NUMBER(S) a. b. c. d. e. SIHL1-704W 2014/07/ /07/01 Worldwide All aircraft owned or operated by the insured 5. AIRCRAFT LIABILITY COVERAGE AMOUNT OF (1) EACH INSURANCE FOR PERSON BODILY INJURY PROPERTY DAMAGE PASSENGER a. b. c. (Must be stated in U.S. Dollars) (2) EACH ACCIDENT 6. SINGLE LIMIT (If the aircraft are insured with a single limit of liability, the amount of the single limit must be equal to or greater than the combined amount of bodily injury, property damage, and passenger liability specified in applicable military regulations listed in NOTE 1 on back.) (Must be stated in U.S. Dollars.) Single Limit Bodily Injury and Including Passengers and Property Damage Liability not less than $50,000, EXCESS LIABILITY (If the aircraft are insured by a combination of primary and excess policies, the combined amounts of bodily injury, property damage, and passenger liability, respectively must be equal to or greater than those specified in applicable military regulations listed in NOTE 1 on reverse.) (NOTE: When this entry is completed, include primary policy numbers or amounts over which the excess applies. Show whether excess applies to bodily injury, property damage, or passenger liability.) (Must be stated in U.S. Dollars.) 8. PROVISIONS OF AMENDMENTS OR ENDORSEMENTS OF LISTED POLICY(IES) a. The insurer waives any right of subrogation the insurer may have against the United States by reason of any payment under the policy(ies) for damage or injury which might arise out of or in connection with the insured's use of any military installation or facility. b. The insurance afforded by the policy(ies) encompasses the liability assumed by the insured under DD Form 2402, Hold Harmless Agreement, which is incorporated herein by reference. 9. CERTIFICATION (To be completed by Authorized lnsurance Official) c. If the insurer cancels or reduces the amount of insurance afforded under the listed policy(ies), the insurer shall send written notice of the cancellations or reduction to the applicable address listed in NOTE 2 on reverse, by registered mail at least thirty days in advance of the effective date of cancellation; the policy must state that any cancellation or reduction will not be effective until at least thirty days after such notice is sent, regardless of the effective date specified therein. d. If the insured requests cancellation or reduction, the insurer shall notify the applicable addressee listed in NOTE 2 on reverse immediately upon receipt of such request. I certify that insurance is in effect as stated in this certificate and that I have authorization to issue this certificate for and on behalf of the insurer. This certificate is valid until the expiration date(s) shown in item 4 unless canceled or superseded in writing, in accordance with items 8c and d. a. TYPED NAME OF INSURER'S AUTHORIZED REPRESENTATIVE b. SIGNATURE (Blue Ink) Scott R. Carter c. TITLE d. TELEPHONE NUMBER (Include Area Code) Vice-President (404) DD FORM 2400, JAN 2008 PREVIOUS EDITION IS OBSOLETE.

6 PRIVACY ACT STATEMENT AUTHORITY: 49 U.S. Code, Section 44502(d). PRINCIPAL PURPOSE(S): Provides an insurance company's certification of current third party insurance liability for an individual or corporation that operates civil aircraft at military aviation facilities. ROUTINE USE(S): None. DISCLOSURE: Voluntary; however, failure to provide this information will result in an individual or corporation being unable to operate civil aircraft into military aviation facilities. INSTRUCTIONS FOR COMPLETION OF DD FORM 2400 This form is to be completed only by the insurer or authorized representative. 1. Complete all applicable items. Continue below if additional space is required. Refer to item number(s). 2. Sign original of this form and send to the applicable address listed in NOTE 2 below. Send a copy to each approving authority to which a DD Form 2401 is submitted for approval. All copies of form must be signed with original signatures. Signature stamps, camera copied signatures, or any type facsimile signatures are unacceptable. 4. All items are self-explanatory except: Item 4d - List the geographical area or geographical limits within which the policy(ies) apply. Item 4e - The statement "All aircraft owned or operated by the insured, is acceptable and preferred. 3. This form is available under DefenseLink, Publications. IF ADDITIONAL SPACE IS REQUIRED, CONTINUE HERE (Refer to item number) ARMY NAVY AIR FORCE NOTE 1 AR 95-2 Can be viewed at: cgi-bin/bookmgr/shelves 32 CFR 766 Can be viewed at: AFI Can be viewed at: NOTE 2 COMMANDER COMMANDER NAVAL FACILITIES USAASA, ATTN: ATAS-AS ENGINEERING COMMAND HQ USAF/A30-BC BLDG 1466 CODE: REAT 112 LUKE AVE GUNSTON RD, SUITE N319 WASHINGTON NAVY YARD SUITE #340 FT BELVOIR, VA PATTERSON AVE. S.E., SUITE 1000 JBAB, D.C (703) WASHINGTON, DC (202) (202) DD FORM 2400 (BACK), JAN 2008

7 AGENCY DISPLAY OF ESTIMATED BURDEN The public reporting burden for this collection of information is estimated to average 30 minutes per response. If you wish to comment on the accuracy of the estimate or make suggestions for reducing this burden, please direct your comments to: U.S. Department of Transportation, Office of Aviation Analysis, X-56, th St., SW, Washington, D.C According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. Office of the Secretary of Transportation NOTE: For information on where to file completed copies of this form, see FILING INSTRUCTIONS below. OMB No Expires U.S. AIR CARRIERS - CERTIFICATE OF INSURANCE POLICIES OF INSURANCE FOR AIRCRAFT ACCIDENT BODILY INJURY AND PROPERTY DAMAGE LIABILITY FILING INSTRUCTIONS: File a signed original of this form with the Federal Aviation Administration, AFS-260, 800 Independence Ave., S.W., Washington, D.C (See EXCEPTIONS 1 and 2 below.) EXCEPTION 1: If Block 2B on the reverse is filled in because the insured is a commuter air carrier, file a signed original of this form with the Department of Transportation, Air Carrier Fitness Division, X-56, th St., SW, Washington, DC EXCEPTION 2: For any Insured that is located in the State of Alaska (regardless as to whether Block 2A, 2B, or 2C is filled in), file a signed original of this form with the Federal Aviation Administration, Alaskan Region Hq., AAL-230, 222 W. 7 th Ave., #14, Anchorage, Alaska (Please type information, except signatures.) THIS CERTIFIES THAT: The Several Participating Companies of the United States Aircraft Insurance Group c/o United States Aviation Underwriters, Incorporated (Name of Insurer) has issued a policy or policies of Aircraft Liability Insurance to ExecuJet Charter Service, Inc. and Executive Aircraft Services, Inc., 4751 Jim Walter Blvd., Tampa, Florida 33607, FAA Certificate Number EV7A434Y (Name, address and FAA Certificate number of Insured U.S. Air Carrier) effective from July 1, 2014 until ten (10) days after written notice from the insurer or carrier of the intent to terminate coverage is received by the Department of Transportation. NOTE: Part 205 of the Department's Regulations does not allow for a predetermined termination date, and a certificate showing such a date is unacceptable. 1. The Insurer (Check One): is licensed to issue aircraft insurance policies in the United States; is licensed or approved by the government of is an approved surplus line insurer in the State(s) of to issue aircraft insurance policies; or 2. The insurer assumes, under the policy or policies listed below, aircraft accident liability insured to minimums at least equal to the following during operation, maintenance, or use of aircraft in air transportation as that term is defined in 49 U.S.C (Complete applicable section(s) A, B, or C below): A. U.S. AIR TAXI OPERATORS (EXCLUDING U.S. COMMUTER AIR CARRIERS) WITH PART 298 AUTHORITY ONLY The aircraft covered by this policy are SMALL AIRCRAFT (i.e., with 60 or fewer passenger seats or with a maximum payload capacity of 18,000 pounds or less). (Complete separate or combined coverage as appropriate): Separate Coverages: Minimum Limit Policy No. Type of Liability Each Person Each Occurrence Bodily Injury Liability (Excluding Passengers) $ 75,000 $300,000 Passenger Bodily Injury $ 75,000 $75,000 x 75% of total number of passenger seats installed in aircraft Property Damage $100,000 X Combined Coverage: The amount of coverage set forth below is a single limit of liability for each occurrence at least equal to the required minimums stated above for bodily injury (excluding passengers), property damage, and passenger bodily injury. Policy No. SIHL1-704W Amount of Coverage $50,000,000 This policy covers CARGO operations only and excludes passenger liability insurance. OST Form 6410

8 B. U.S. COMMUTER AIR CARRIERS OR CERTIFICATED AIR CARRIERS OPERATING SMALL AIRCRAFT The aircraft covered by this policy are SMALL AIRCRAFT (i.e., with 60 or fewer passenger seats or with a maximum payload capacity of 18,000 pounds or less). (Complete separate or combined coverage as appropriate): Separate Coverages: Minimum Limit Policy No. Type of Liability Each Person Each Occurrence Combined Bodily Injury (Excluding Passengers other than cargo attendants) and Property Damage Liability $300,000 $2,000,000 Passenger Bodily Injury $300,000 $300,000 x 75% of total number of passenger seats installed in aircraft Combined Coverage: The amount of coverage set forth below is a single limit of liability for each occurrence at least equal to the required minimums stated above for bodily injury (excluding passengers), property damage, and passenger bodily injury. Policy No. Amount of Coverage This policy covers CARGO operations only and excludes passenger liability insurance. C. U.S. CERTIFICATED AIR CARRIERS OPERATING LARGE AIRCRAFT The aircraft covered by this policy are LARGE AIRCRAFT (i.e., with more than 60 passenger seats or with a maximum payload capacity of more than 18,000 pounds). (Complete separate or combined coverage as appropriate): Separate Coverages: Minimum Limit Policy No. Type of Liability Each Person Each Occurrence Combined Bodily Injury (Excluding Passengers other than cargo attendants) and Property Damage Liability $300,000 $20,000,000 Passenger Bodily Injury $300,000 $300,000 x 75% of total number of passenger seats installed in aircraft Combined Coverage: The amount of coverage set forth below is a single limit of liability for each occurrence at least equal to the required minimums stated above for bodily injury (excluding passengers), property damage, and passenger bodily injury. Policy No. Amount of Coverage This policy covers CARGO operations only and excludes passenger liability insurance. 3. The policy or policies listed in this certificate insure(s) (Check One): Make and Model FAA or Foreign Flag Registration No. X Operations conducted with all aircraft operated by the insured Operations conducted with the following types of aircraft: Operations with the following aircraft: (Use additional page if necessary) 4. Each policy listed in this certificate meets or exceeds the requirements in 14 CFR Part 205. United States Aircraft Insurance Group c/o United States Aviation Underwriters, Incorporated (Name of Insurer) (Name of Broker, if applicable) 3575 Piedmont Road, NE, Building 15, Suite 1200, (Address) (Address) Atlanta, Georgia (City, State, Zip Code) (City, State, Zip Code) Scott R. Carter Contact (person who can verify the effectiveness of the coverage) (Officer or authorized representative) (404) / (404) / (Area Code, Phone Number) (Area Code, Fax Number) (Area Code, Phone Number) (Area Code, Fax Number) (Signature, if applicable) June 26, 2014 (Date) (Signature, if applicable) (Date)

9 June 26, 2014 U ni t ed St at es Depar t ment of Transpor t at i on Federal Aviation Administration (AFS-260) 800 I ndependence Avenue, S.W. Washington, D.C Re: ExecuJet Char t er Ser vice, I nc. and Executive Ai r cr aft Ser vices, I nc. To Whom I t M ay Concer n: Pl ease be advised t hat cover age under Pol i cy N umber SI H L1-623Q expi r ed as of July 1, Cover age has been r enewed under Pol i cy N umber SI H L 1-704W effect i ve July 1, 2014 at 12:01 A.M. Very truly yours, David L. M ck ay, Pr esi dent Enclosure cc: Aviation Risk Consulting, Inc B N ew Gar den Road Gr eensbor o, N or t h Car ol i na 27410

10 ATTACHMENT V CERTIFICATE OF ENDORSEMENT TO: The Secretary FACSIMILE: (819) or (819) Canadian Transportation Agency Ottawa, Ontario, Canada Attention: Licensing and Charters Division K1A 0N9 This is to certify that AVN 57C (Canada) or equivalent endorsement has been attached to and forms part of liability insurance Policy No. SIHL1-704W (the Policy) of ExecuJet Charter Service, Inc. listed in its Certificate of Insurance issued by the below-noted insurance broker/insurer and filed with the Secretary of the Canadian Transportation Agency, Ottawa, Ontario, Canada. An equivalent endorsement is an endorsement which amends the Policy to provide coverage in compliance with the provisions of Section 7 of the Air Transportation Regulations, such that the terms, conditions, limitations and exclusions of the Policy shall apply to claims made under the Policy which (a) are in excess of the limits specified in Section 7 of the Air Transportation Regulations or (b) are not governed by the provisions of Section 7 of the Air Transportation Regulations. The undersigned undertakes to: (a) file with the Secretary of the Canadian Transportation Agency, Ottawa, Ontario, Canada, K1A 0N9, a renewal of this Certificate of Endorsement concurrently with the filing of the renewal of the above-noted Certificate of Insurance; and (b) notify the Secretary of the Canadian Transportation Agency forthwith in writing when there has been any change in the information contained in this Certificate of Endorsement, including a change in the Insurance Broker or Insurer and/or the removal of AVN 57C or equivalent endorsement from the Policy. This Certificate of Endorsement expires on 2015/07/01 the expiry date of the Policy. (yyyy/mm/dd) United States Aviation Underwriters, Inc. Name of Insurance Broker/ Insurer 3575 Piedmont Road, NE, Building 15, Suite 1200 Street Address Atlanta, Georgia, USA City/Province/State/Country Postal Code/Zip Code (404) Telephone Number (404) Facsimile Number On behalf of the Insurer: Signature of Authorized Signatory David L. McKay, President Name & Title of Authorized Signatory 2014/06/26 Date: (yyyy/mm/dd)

11 Canadian Transportation Agency Office des transports du Canada CERTIFICATE OF INSURANCE INSURANCE COVERING AIR CARRIER LIABILITY TO PASSENGER AND PUBLIC LIABILITY 1. This is to certify that The Several Participating Companies of the United States Aircraft Insurance Group c/o United States Aviation Underwriters, Inc. 125 Broad Street, 6 th Floor New York, NY % (Name, address and participation percentage of insurer or insurers) has/have issued the policies listed in this certificate covering risks of liability to passengers and public liability to (insurer) ExecuJet Charter Service, Inc Jim Walter Blvd. Tampa, Florida (Name and address of air carrier) (air carrier) effective from 01 (day) 07 (month) 2014 (year) to 01 (day) 07 (month) 2015 (year) 2. The insurer has assumed, under the policies listed in this certificate, liability insurance covering risks of injury to or death of passengers and insurance covering risks of public liability in accordance with the requirements of section 7 of the Air Transportation Regulations. 3. The air carrier has been insured against the risks described in section 2 for every incident or accident related to the operation of an international service in the following amounts: (a domestic, an international, or domestic and international) Type of Liability Amount Policy No. Passenger Public Single Limit Coverage See Addendum SIHL1-704W 4. The policies listed in this certificate insure (fill in the appropriate service in either (a) or (b)): (a) all aircraft operated by the air carrier in services; or (domestic, international, or domestic and international) (b) international services operated by the air carrier with the following aircraft: (domestic, international, or domestic and international) Registration Marking See Addendum Type and Model See Addendum 5. The insurer undertakes to notify the Secretary of the Canadian Transportation Agency forthwith in writing when (a) (b) (c) the air carrier s coverage has been cancelled or is intended to be cancelled; the air carrier s coverage has been altered or is intended to be altered in a manner that results in the failure by the air carrier to comply with section 7 of the Air Transportation Regulations; or the air carrier s operations have been changed or are intended to be changed in a manner that results in the failure by the air carrier to comply with section 7 of the Air Transportation Regulations. 6. The insurer (check (a) or (b)): (a) is registered and/or licensed in Canada to issue aircraft insurance policies; or (b) is licensed or approved by a foreign government to issue aircraft insurance policies. X Date On behalf of the insurer: United States Aviation Underwriters, Inc Piedmont Road, NE, Building 15, Suite 1200, Atlanta, Georgia June 26, 2014 David L. McKay, President (Signature, name and title of authorized person or agent) FILING DIRECTIONS: (1) An original of this certificate and any notification made pursuant to section 5 are to be filed with the Secretary, Canadian Transportation Agency, Ottawa, Ontario, Canada K1A 0N9. (2) An air carrier may file a certificate that contains one or more of the three conditions and the table set out in the attachment hereto. A001 (06/96)

12 ATTACHMENT NAME OF AIR CARRIER: The Air Carrier has been insured against the risks described in section 2 under Policy No. the following conditions: which is issued on one or more of (a) (b) (c) the aircraft are as described, and are insured for the amounts shown, in the table below; the number of passengers carried does not exceed the number of passenger seats insured for each aircraft as shown in the table below; and the aircraft will be used for the following purposes: TABLE Registration Marking Type and Model No. of Passenger Seats Insured Amount of Passenger Liability Amount of Public Liability A001 (06/96)

13 USAIG/CAIG Canadian Certificate of Insurance - Addendum Name of air carrier: ExecuJet Charter Service, Inc. Policy Number: SIHL1-704W Effective: 01 (day) 07 (month) 2014 (year) Expiration: 01 (day) 07 (month) 2015 (year) Schedule of Aircraft Registration Marking Type and Model No. of Passenger Seats Insured Single Limit Coverage N544CM 1996 Mystere Falcon $200,000,000 N377JC 1998 Hawker 800XP 8 $100,000,000 N438PM 2003 Hawker 800XP 8 $50,000,000 N705AC 1977 Israel 1124 Westwind 8 $50,000,000 N572M 1978 Beech King Air $50,000,000 N33BC 1996 Hawker 800XP 8 $50,000,000 Addendum to A001 (06/96) Schedule of Aircraft