Attached files
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Meadowbrook Insurance Group
|
Date | 3/17/2014 |
---|---|
Named Insured Address |
Baltia Air Lines, Inc. and Logistics Air, Inc. Building 151, Room 361, JFK International Airport, Jamaica, NY 11430 |
Effective Date Expiration Date |
4/1/2014 4/1/2015 12:01am standard time at the address stated above. 12:01am standard time at the address stated above. |
Producer Address |
10798 - Aviation Risk Management Associates |
Attention Underwriter |
Daniel Walker Mmarie Fini |
Aircraft Hull and Liability Binder - Renewal
Aircraft Information
Seats |
Deductible | |||||||
Registration |
Year |
Type |
Make |
Model |
Crew |
Passenger |
IM |
NIM |
N706BL | TBA | PW | Boeing | B747-200 | 2 | 0 | NA | $100,000 |
Physical Damage
Registration |
Hull Value |
Hull Rate |
Hull Premium |
Hull War Rate |
Hull War Premium |
N706BL | $ 5,000,000 | 2.296% | $ 114,800 | Included | Included |
Liability
Registration |
BI / PD Limit |
Passenger Limit |
Premium |
Liability War Limit |
Liability War Premium |
N706BL | $ 10,000,000 | Excluded | $20,000 | $10,000,000 | Included |
Additional Coverages
Coverage | Limit | "Per" |
---|---|---|
Medical Payments |
$ 5,000 |
Person |
Premises Liability |
$ 10,000,000 |
Occurrence |
Mobile Equipment Liability |
$ 10,000,000 |
Occurrence |
Products Liability |
$ 10,000,000 | Occurrence |
Contractual Liability |
$ 10,000,000 |
Occurrence |
Conditions
Purpose of Use | Ground, Not in Flight |
Cancellation | 30 days / 10 for non-payment of premium |
Territory | Worldwide |
Additional Insured / Waiver of Subrogation | |
Kalitta Equipment, LLC, Kalitta Maintenance, Boeing CSGTA, c/o Baltia Air Lines, Inc., Building 151, Room 361, JFK International Airport, Jamaica, NY 11430 | |
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| |
Premium Finance | |
Premium Assignment Corporation, PO Box 8800, Tallahassee, FL 32314-8800 | |
Pilots | |
Not Applicable |
Endorsements
Form Number | Description |
4871 AI 0713, Aircraft Insurance Policy Declarations - State National 4872 AI 0713, Aircraft Provisions SN 0915 IL 0713 SN Witness Clause 0985 IL 0108, Terrorism Disclosure IL P 001 0104 OFAC 49 07 AI 06 10, War, Hi-Jacking and Other Perils Exclusion (without terrorism) 54 33 AI 1211, Sanctions and Embargo Clause 54 31 AI 1211, Middle Eastern Sanctions Exclusion 54 32 AI 1211, Recording & Distribution of Material or Information in Violation of Law Exclusion 49 05 AI 04 10, Extended Coverage Ends - Certified Acts of Terrorism Coverage 49 20 AI 04 10, Fungus Exclusion Endorsement 49 23 AI 04 10, Asbestos Exclusion 49 24 AI 04 10, Nuclear Energy Liability Exclusion 49 25 AI 04 10, Noise, Pollution and Other Perils Exclusion Clause 5580 AI 0312, Contractual Liability Endorsment 49 00 AI 03 10, Policy Territory Endorsement 5599 AI 0312, Premises Liability Endorsment 49 09 AI 03 10, Extended Coverage Endorsement (Aircraft Physical Damage) 48 82 AI 03 10, Extended Coverage Endorsement (Aviation Liabilities) 49 45 AI 06 10, New York Changes - Cancellation 48 73 AI 03 10, Additional Insured Endorsement 5611 AI 0312, Waiver of Subrogation 48 88 AI 03 10, Lessor Endorsement 48 91 AI 03 10, Loss Payable Endorsement 5602 AI 0312, Products Liability Endorsment 5593 AI 0312, Mobile Equipment Liability Endorsment 48 65 GL 03 10, Financed Premium Endorsement | |
Issue | State National Insurance Company |
Policy Number | NDD0763844-02 |
Premium | $134,800 |
Payment Terms | Annual | >
A completed, signed application must be received by the Company within 30 days of the effective date of coverage. | |
Coverage is bound as outlined above. This document is not a policy, it is a summary of coverage. For actual terms and conditions, refer to your policy. | |
___[SIGNATURE]___ (authorized representative) |
___3/17/2014___ Date |
Please immediately report all claims directly to: Meadowbrook Service Center Phone: 1-800-825-9489 Fax: 1-800-832-8793 e-mail: calls.center@meadowbrook.com 11880 College Boulevard Suite 500 Overland Park, KS 66210-2035 |