UAS AVIATION INSURANCE BINDER. Sly Dog Production

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Barbara Gilmore
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UAS AVIATION INSURANCE BINDER Sly Dog Production 1087 Stoneridge, Suite 2A Bozeman, Montana 59718 THIS BINDER IS ONLY VALID FOR THE UAVS

1 UAS AVIATION INSURANCE BINDER Sly Dog Production 1087 Stoneridge, Suite 2A Bozeman, Montana THIS BINDER IS ONLY VALID FOR THE UAVS LISTED BELOW AND DOES NOT APPLY TO ANY OTHER UAVS YOU MAY OWN Presented by: Debbie Bartosewcz Big Timber Drive Conifer, CO

2 BROKER: Transport Risk Management, Inc. EFFECTIVE DATES: February 01, 2016 to February 01, 2017 At 12:01am Standard Time at the Address of the Named Insured CARRIER: Global Aerospace NAMED INSURED Sly Dog Production and all affiliated, owned, managed or controlled organizations or entities now in existence or hereafter formed. RISK DESCRIPTION Commercial aerial video and photography. All operations are conducted under principal supervision. Sly Dog Production and aerial photography is a unique video production company with decades of small business marketing experience. Our unique marketing strategy is unlike anything previously available for small and medium sized businesses. Get the quality of production that was once exclusive to only big businesses with big marketing budgets. MAINTENANCE Maintenance is conducted in house in most cases however the manufacturer and builders are available to assist for more complex repairs and maintenance. EXPOSURES Approximately 300 flight hours per year per aircraft with an average flight time of 15 minutes. Aircraft has Auto Land and Return To Home function. PILOTS All operations are conducted with Russell M. Squire acting as pilot in command. USE Aerial Photo and Filming For Hire Unless Otherwise Indicated In Application TERRITORY Worldwide

3 COVERAGE REQUESTED - AIRCRAFT 2015 DJI Inspire 1 SN TRM2038 Excluding Passengers Use: All Uses Physical Damage Coverage: $No Coverage Deductible: N/A Liability: $2,000,000 CSL BASE STATION, DOWNLINK, TRANSMITTER AND MISSION EQUIPMENT DJI C1 GL658B Physical Damage Coverage: $No Coverage Deductible: N/A SPECIAL EQUIPMENT / GIMBALS & CAMERAS N/A

4 AIRCRAFT LIABILITY arising out of the ownership, maintenance or use of any aircraft specifically scheduled and/or reported to the Insurance Company. CONTRACTUAL LIABILITY To pay on behalf of the Insured all sums the Insured should become legally obligated to pay by reason of liability assumed by the Insured under a written contract designated by the policy schedule or reported to the Insurance Company within 60 days after its formation and not rejected by the Insurance Company. FIRE LEGAL LIABILITY Property Damage caused by fire to the premises rented or leased to the Insured. $100,000 Each Occurrence PREMISES LIABILITY arising out of the aviation operations of the facility described in the policy and all aviation operations away from the premises which are necessary or incidental to such operations. PREMISES MEDICAL PAYMENTS To pay on behalf of the Insured all reasonable medical expense to persons who sustain Bodily Injury caused by an accident arising from a condition of the insured premises or aviation operations of the Insured. $5,000 Each Person

5 NON-OWNERSHIP LIABILITY Bodily Injury or Property Damage (EXCLUDING damage to the non-owned aircraft) arising from the use of any non-owned or non-leased/non-managed, UAS or UAV while being utilized by or on behalf of the Insured in its operations. *See attached spreadsheet for coverage by carrier NON-OWNERSHIP HULL PHYSICAL DAMAGE Bodily Injury or Property Damage to the non-owned aircraft arising from the use of any nonowned or non-leased/non-managed, UAS or UAV while being utilized by or on behalf of the Insured in its operations. See Spreadsheet for coverage by carrier AIRWORTHINESS EXCLUSION ENDORSEMENT Deleted PRODUCTS LIABILITY FOR THE SALE OF THE INSURED UAS To pay on behalf of the Insured all sums the Insured should become legally obligated to pay for arising out of insured aircraft that has relinquished to others and the accident occurs away from the premises of the Insured. The Limit of Liability with respect to this coverage is $ 2,000,000 each occurrence and aggregate and such limit is in addition to the limits for aircraft liability. ANNUAL PREMIUM: $1, INSURANCE DOES NOT COVER UNLAWFUL USES OR ACTIVITIES

Unmanned Aircraft Hull & Liability Insurance Application

Unmanned Aircraft Hull & Liability Insurance Application APPLICANT CONTACT INFORMATION Name: email: Phone: APPLICANT INFORMATION Business Name: FIRST LAST Address: Applicant's website: Business of Applicant: