Office of the Secretary of Transportation 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, 400 7 th St., SW., Washington, D.C. 20590. 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.

NOTE : For information on where to file completed copies of this form, see FILING INSTRUCTIONS below.

OMB No. 2106-0030 Expires 9-30-2007

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.,
Washi ngton, D.C. 20591. (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 Divis ion, X-56, 400 7 th St., SW, Washington, DC 20590.

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 Administrat ion, Alaskan Region Hq., AAL-230, 222 W. 7 th Ave., #14, Anchorage, Alaska 99513.

(Please type information, except signatures.)

THIS CERTIFIES THAT:

_______________________________________ has issued a policy or policies of Aircraft Liability Insurance to (Name of Insurer)

___
____________________________________________________________________________ FAA Certificate Number_______________ (Name, address of Insured U.S. Air Carrier)

effective from

_________________ 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 allo w for a predetermined termination date, and a certificate showing such a date is unacceptable.

1. The Insurer (Check One ) : X is licensed to issue aircraft insurance policies in the United States;

 is licensed or approved by the government of _______________________ to issue aircraft insurance policies; or

 is an approved surplus line insurer in the State(s) of _________________________

2. The insurer assumes, under t he policy or policies listed below, aircraft accide nt 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. 40102. (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 capa city of 18,000 pounds or less). (Complete separate or combined coverage as appropriate ) :

 Separate Coverages:

Minimum Limit

Policy Number 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

 Combined Coverage: The amount of coverage set forth below is a single limit of liability for each occurrence at least equal t o the required minimums stated above for bodily injury (excluding passengers), property damage, and passenger bodily injury.

Policy Number Amount of Coverage

 This policy covers CARGO operations only and excludes passenger liability insurance.

OST Form 6410 XL Specialty Insurance Company

City Wings, Inc., Cosmopolitan Broadcasting Corp. & Aguad illa Airline Service, Inc. 80 Riverside Drive, New York, NY 10024 

### 9CWA241M

February 6, 2012B. 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 Number 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

X Combined Coverage: The amount of coverage set forth below is a single limit of liability for each occurrence at least equal t o the required minimums stated above for bodily injury (excluding passengers), property damage, and passenger bodily injury.

Policy Number UA00004682AV12A Amount of Coverage $300,000 each passenger $5,000,000 each occurrence

 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 cap acity of more than 18,000 pounds). (Complete separate or combined coverage as appropriate ) :

 Separate Coverages:

Minimum Limit

Policy Number Type of Liability Each Person Each Occurrence

Combined Bodily Injury (Excluding Passengers other than cargo attendants) and Property D amage 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 t o the required minimums stated above for bodily injury (excluding passengers), property damage, and passenger bodily injury.

Policy Number 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.

 Operations conducted with all aircraft operated by the insured Cessna 208 Caravan N394SF

 Operations conducted with the following types of aircraft: Cessna 208 Caravan N404SF

X 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.

XL Specialty Insurance Company Aircraft & Marine Insurance Agency Inc.
(Name of Insurer) (Name of Broker)

190 South LaSalle S t., Suite 3900 101 W. Burnsville Parkway - Suite 215
(Address) (Address)

Chicago, IL 60603 Burnsville, MN 55337
(City, State, Zip Code) (City, State, Zip Code)

Brian Ackland
(Contact person who ca n verify the effectiv eness of the coverage) (Officer or authori zed representative)

312-444-6579 / 212-945 0829
(Area Code, Phone Number) / (Area Code, Fax Number) (Area Code, Phone Number) / (Area Code, Fax Number)

(Signature, if applicable) (Signature)

July 23, 2012 (Date) (Date)