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# j)tJf-tJST- zo/S-OCJ/I Initial Application for a Foreign Air Carrier Permit
on behalf of 

# Air Medical Limited

This application is made under the provisions of the U.S.-EU

Reciprocal Recognition Procedures

Foreign Air Carrier Submission December 2014 Page 1 of 18

# CONTENTS

1.0 The Organisation 3 2.0 Ai r Transport Autho rity .4 3.0 Services Proposed S 4.0 Insu ra nce 6 5.0 Op erat ing Authority 10 6.0 Agent for Noti ce 15 7.0 Ad ditiona I Info rmation 16 Appended: Verification

Foreign Air Carrier Submission Oecember 2014 Page 2 of 18

# ~1LY: I AirMed



# 1.0 The Organisation



# Air Medical limited Oxford Airport Kidlington axon United Kingdom OX51RA 

# Tel: +44 (0) 1865842887 Fax: +44 (0) 1865 370 642 Email: charters@airmed.co.uk

Foreign Air Carrier Submission December 2014 Page 3 of 18

# ~1LY= 

# .I AirMed



# 2.0 Air Transport Authority
Air Medical is a limited Company registered in the United Kingdom.

The Air Operators Certificate for Air Medical limited is issued by the:

UKCivil Aviation Authority Aviation House Gatwick Airport South West Sussex RH60YR 

# Tel:+44 (0) 1293567171

Foreign Air Carrier Submission December 2014 Page 4 of 18

# ~~ 

# ~~ed



# 3.0 Services Proposed
This application isfor the authority for Air Medical Ltd to carry out ad-hoc charter passenger services as required between a place in the United States and a place outside the United States.

Foreign Air Carrier Submission December 2014 Page 5 of 18

# ~1~fl= ~--.1UU

~ AirMed 

# 4.0 Insurance

r----------.''G;;EN ••• C;;y;;-;;D1 •• s~P"LA=Y~OF""E,;S"~="YE""D'.O';U.RD"EN=----------- Thepubic repof1Ing

burden Iofttl. collectionofiTformationtorthis toIIIdlon allnfotmItion IIl1f1tirMtBd to ~I 30 mute. pet l'Mpon••. 1f)'OU with til(ZMTfJJent

on tt...IOWIKYof'" MtiTwteOfrnaQ auggestIons b IWdudnglhiI bInen. pie•.., direct)'Our atn"I1'II:!tU 10:U.S. OepII~nt ofTranaportdon, 0f'I'I0ll ofAvlIitlon

Anlilysla,X-M. 400 7thSt., SW •.• Nutlington. D.C. 205SIO. Aocordlngtothe Pa,DCHWOrk ReductiOn.-.a of 18115,

nope~ Ire rtlqUnd to reapond to. c:olec1ionofInfomI.tion !WI •••• cliaplays. V111id

OMSQ:lI'Itrol

nun'tlef. NOTE:For InfomwtIononWheretoAle~ copIn ofttl. IIDrm,

_ ~ below.

B! INOINSTBUCTIONS'FlIt, signed 0fVlna1o!'thll formwlhlhe Fecl8falAYlatIon Aa'rWllJntIon, M Trel\lPOl1llUOll DIY .•AF>260, 800 Indepel'oOellCe AWl ••SW••Wuhlngton. DC 21)(5", (See EXCEPTlOHbolQw.) DCFPTlQH- JrSedlon LA IIMedin becallH thIIlnlured II. CMradianCh¥tw 1# 

### T ••/~tDr."..-a origiN! oftIUIfonnwiltltl'le U.S. eep.1rnerrt ofTr.nIportatIon, SpedIII AuthotIla. DHillon(X~l.400 7th SIrMt. rrN. WNhlngtOl'l,D.C.20"0 (PIeutJ ~ t1Ilbtmlruon, 11Coepf .-turn) THIS CERTIFIES THAT: AItIanl GioblIl Corpome &. Specldty Sf 50%, Swiss Re Intemetlonal SE 25% &. Bearley 

### 2623/623 25%. (HarM of IllIulM) tlIIlllIIi.ted • polk:yorpolclel ofAln;q" L&b/lity Inwranc:eto Ait MedicalLmled ofOxfordNrpor\, IOdlington, Oxfor'dWln, Engllnd 0X6 1M FAA c:er'llfic:aw Hurriler (Name.,t,ddrfl$,.1IdFAA

Certlftutl Numbftollnwftil kn9n 14

# u"*, eftec:tlyefrom 20 ....,.2014 untilten (10) cla)'I eftBrMbn notc:efromthe Nufer Of mm.r otthe Intent10 tennlnate CCIY8tagIltNoelveclbythe eep.1'lmenI.ofT"~n. NOTE:P-.t 205 01the Depam.nr. ReguI8tionl does not ,lltIwfof. pedebiiil,li.ed termn.tion 

## d., and I l;IIrtlIcatIl.~ Ir.dl. dlt. II unlC:lCeptlblt. 

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# o IsJbtnMd or ~ 

# by" gowrnmenl of 

# ~""'=.:lJn=:IIod=.:_::::!~::- 1olQue alfcnft If\IUf'lnoipoIcIet: 01 

# o Is In approo.oed IUl'pIuIllne NUfllr In the S18te(.) 01'

A. CANADIAN AIR TAXIOPERATORS Wl1H PAR12M AUTHORITY ON~Y ". Utnft ClOY'Intd

by II. JK*Y hbe: 

### I') 30 or •••••• P"Mf'Get' IUlIInd a mamum ~ capM:Iy r117,5ClCJ pound, 01 •••• :ancIIor(2) a mutnurn author'tnd t8keoII'-.ighI on~" 01no ~ tJan M,OOO PGIInda. 

## /CprookfI"""",,, «IJlIl1bt!-1CJ2lo'p!WP " 1fIFIfQIl'YNt: 

## 1)po"<-'" CombIned

BlldtJ I~ry (Emudlng

~ attw hn 

### carve altendlm.) ancr PItlpeIty o.m.g. LilbRy 175,000 176.000 II76% 01'total nurntlet of peaaengef 1UlI1n1tll-.d 1n.i'cra1l 

## U.s. QoIaq



# ----- o Con'tJlnecl~: ~ CIllntine<l CO'l'enlg.It I ~ IIfnI ofIIbllty (of •• d1 ooc:urmlOIlt ••• .at eq.-' totle req~1red'""mums ItnId lbove forbodiy -vury (exdldng pelleflgefl). property dam.Qe. and paIMl'lQeI'bcdtJ \nJl.wy. 

### _No. Anw:MnofCowf'lge



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## S20,ooo.ooo. OST FORM 1411



## Foreign Air Carrier Submission December 2014 Page 6 of 18B. FOREIGN AIR CARRIERS OPERA TINa SMALL ArRCRAFT The Iircnllt tull'ered byW. polley 11'11 SMAI...LAIRCRAFT (I.•.• wtth 60 01te-r puNnger _Is Of WIll. mu:lmlll"ll pIIy~ caplcity of 111.000 p<l'JOlh or leu). ICpmpIptr 

### """mil orrpmbjvtd t1t'MKWlIl'Iopgmpdftla': 

# o Sepll~eeoo-.gn:

Poley No. Corrlblr«I Bodily1M ~ P•••• ngen other tMll c.rgo ettendlnb) and Property DltrNIge L.blity Pluenger Boclly Injury $300,000

1300,000 12,000,000 $300,000)( 7i5~oftoQl I'M.ITlberof~ ...n n.tIIIId ~ Ncr.ll
o Coni>Ined eover.ge: TN. corI"IbiIwdooYI~ III IlngtIIm't vf "billy lor IIdlllClCUfl'lllOl at lellt eqlolllio lhll roquiNd rrillrnum. ltIted.boYI for bodily ~jul)' {exclUding p'uellgnl. PfOP8f1y dlmagll!Kl, Ind PI_nger bodily ~ry.

Elm 

## Pm9n $300.000 C. FORaGN AIR CARRfERS OPERATlNG LARGE AMCRAFT The lirgd ~ byIhlI poley Ire LARGEAIRCRAFT (I. •.• .." ~ the" eo peeeengor leall orwflIlI mut'nurn ~ capedty of more thin 111.000 pourm). /CqrnpIUo 4ftQAOIbtprmmOtmmw,.. U 'QD!'POdI"'t:

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### x 7'" 

### oflobI fllA'ft:W of~nger N•• lnatliled

## ~.wer.n. o CorrOned Covere;ge; TbIa 0Cl/Y'tlG'led CO'I'eragIII I lingle ImII of 1lIb111y Ior •• en oc:currenoe IlI111t equal to thI ~\ohd 

### "**"""-1tItltd .1:lcIn'Of bodly Injury

(ududlng ~I'I), property dlmlllltd. end~'nglr bodily

### rpy. 

## u.s. 00UI1'I o This polIc.y

00¥efS ~GO opeqtlone my and UdtDe, peIIIf'IOel"Dab.ttyNufWlOlt. 3. The poICJ'or poIdM IItBd billie ~ Ilmn(,) fGt!ec:t Ontt M,kO Irnf Mode' EMor"Rn ftIgrngjllrlllon No o Oper8Ilons

t:OflduQed

triIh.l.malt opI~ bythen&nd a 0pIraIl0M condudId with It. followingtJpn of Mtmt: 

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a"edln Itllsa:rtf'otl n-uort':lCftdl thitrwqunr-m ~ 1"aRhrt 205 • •••••nz. Swtu RI and Beule1 care ofHaywerd A'IIatlon ...,... AIiMz, SwIu Re end BI&$y ca,. ofHI)'WMl A.•••• tIonLinlted 

# em 01iiiiI'i1 (NiIN 01ililftI1 47151 G..- SuIf<*

8trMl: 47151 Grul Sutloll

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c.ronr. MQI.S 

## CCItii-« (perxtn ~ wn 'llfffyttJe effectNeMU 

### OIthe CIlI"IIngII) + •• 20 7902 7824 + 44 20 7R28 8040 

### (Ni, COde.

PhOIiiJ NiM7&I) fNH COCIi, Fii Miiibii,I SEl'" 

### --{s~iii-&-'- (Zip COdi)

+ •• 20

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### rAIN COOii,fii MNriIbiI1 Ste¥I Glllsrd 

### mtpiJl'iOtllll&i CIn

## WIiJI' 1bI./iadJ.Qm 

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iM) +44 20 7(1(127804 

### (Afii COdi,PtiOi'ii MiilbiI)

05 Sl>plltfTtJer 2014 SE10SS 

### (4it:iCidij ($Wi) 

### (CJ6')



## Foreign Air Carrier Submission December 2014 Page 7 of 18

# 'Yl

1 

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~ AirMed The insurance is compliant as AVN S7A USA is the clause which confirms compliance with part 205 within its content. Should the policy not respond to the minimum limits quoted in part 205 the clause provides cover so that the insured is legal. The only thing isthat the Insured would have to reimburse the Insurer for the difference between the policy limit and the amount paid by Insurers to comply with part 205. In practice this should not be an issue for air medical as the document attached mentioned liability of USD 300,000 per seat (based on 75% of passenger seats) plus USD 300,000 for injury or death to third parties and USD 100,000 for damage to property. This isjust under USD 2,000,000 for aircraft such as the Learjet 3SA's operated by Air Medical. When the sum insured for Liability is converted into US Dollars it is in excess of USD40 million and therefore there should not be a requirement for AVN S7A to be triggered. The wording of AVN S7A is shown below: DoT 14 CFRPART205 (HEREINAFTER CALLED"PART 205") AIRCRAFT ACCIDENT LIABILITY INSURANCE Attaching to and forming part of Policy No. Issued in the name of IT ISUNDERSTOOD AND AGREEDTHAT:- 1. The Policy to which this endorsement is attached is hereby amended to provide coverage in compliance with the provisions of Part 205. 2. Such coverage shall be within the limits of liability in the Policy and not in addition to or in excess thereof.
Foreign Air Carrier Submission December 2014 Page 8 of 18

# I

# "il

-



# -'uu AirMed 3. Such coverage shall continue until cancelled by Insurers or their authorised representative giving the appropriate notice. 4. Unless the Policy otherwise provides the following exclusions not prohibited by the provisions of Part 205 shall apply:- (i) War Exclusions Clause AVN 48B paragraphs (a) and (b) or equivalent c1ause(s). (Ii) Noise and Pollution and Other Perils Exclusion Clause AVN 4GBor equivalent clause(s). (iii) Nuclear Risks Exclusion Clause AVN 38B or equivalent clause(s). (iv) BOdily injury to or sickness disease or death of any employee arising out of and in the course of his/her employment. (v) Injury to or destruction of property owned rented leased or loaned to or occupied or used by the Insured. 5. If Insurers are called upon to provide coverage to the Insured in compliance with Part 205 including the defence and legal costs associated therewith and if by reason of the terms conditions limitations and exclusions of the Policy such coverage would not have been provided except for this endorsement then the Insured will reimburse Insurers for such payments made in providing coverage under Part 205. G. 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 Part 205 or (b) are not governed by the provisions of Part 205. AVN S7A (USA) 1.10.96 Foreign Air Carrier Submission December 2014 Page 9 of 18

# .••••.''In



# ~rJ'.J'= ~~L/U



# .., AirMed 

# 5.0 Operating Authority

AIR OPERATOR CERTIFICATE (Approval schedule for ail lransport operators) 

# UNITED KINGDOM CIVIL AVIATION AUTHORITY Types of oPeration Commercial Air Transport (CAT): Passengers ICargo Aoe number: 

## GB 1171
Valid unlll suspended Of revoked l3SUe No, 

### 9 AIR MEDICAL LIMITED

Operalar address Oxford AIrport

KidhnglOll axon OX51RA 

### Telephone •.:" (0)1865 842887 FOIl(: +44 {O)1865 370642 E-mail charters@aitmedcouk Opcralrona1 ponts of contac1 Contact detads at which operatooal management can be contacted Wl1hotJl undue delaV are Iisled 

### In Operahon'S Manual Part A, 

### SealOn 1 2 2

This certifalc 

### ccrtirlCs lhal AIR 

### MEDICAl LIMITED is 

### authorised to perform commercial air 

### Iranspor1 operahons, 85 defined in !he attached operations specificahons, in accordance with the Operations Manual. 

### Annex IV to Regulation lEe} No 216."2008 <andIts Implementll"lQ 

### Rules.
Date ollssue. 

### 28 October 2014

fASA Fern 138 Title 

### Flighl Oper8t10mi Manager Name: Caplalfl 0 Russell

M 33 OI~114



## Foreign Air Carrier Submission December 2014 Page 10 of 18

# .••••. ''In



# ~ 'J'./= ~-1UU



# ~ AirMed

OPERATIONS SPECIFICATIONS

(subject to the approved conditions in the Operations Manual) Issuing Authority Contact Details 

### Telephone: +44 (0)1293567171 Fax: +44 (0)1293 573991 Aoe No. GB 1171 AIR MEDICAL LIMITED 

### Ope","on5 Specifocaloon

# ~:V

Signature " E-mail: FOO.Admin@caa.co.uk


### Date: 28 October 2014

Name: Captain 0 Russell Aircraft model(s) Piper PA42, leSf)e135 

### Title: Flight Operations Manager
Registrations marXs: Piper PA42: G-GZRP, G.GMED learjel 35: G-JMEO. G-ZMED Commercial operations: Passengers I Cargo Areas of operation: Piper PA42: The area enclosed by rtlumb lines joining successively the following points: 68"OO'N 28'OOW, 68'OO'N OO'CO'Em, 73"OO'N 1S'OO'E, 73"OO'N 30'CO'E, 68"OO'N 4S"OO'E. 6S"OO'N 56'CO'E, JsoOO'N 56'CO'E. 10'OO'N 73"OO'E, 25'00'5 5O"OO'E. 40'00'5 10'OO'E. orOO'N OS'OO'E. 02"OO'N lO-00W, 1S.00'N 2S.00W, 55.CO'N 1S.00W, 6a-OO'N 2a-OOW, Learjet 35: That portion of the earth's surface betvreen the parallels of latitude 68.00'N and 55-00'5, plus the area eoclosed by the rhumb lines joining successively the following points: 58.00"N oo.OO'EiW, 73-oo"N 1S-00'E, 73-00"N JO-OO'E, 58.00'N 45.00'E, 58-00'N OO.OO'EIW". Special limitations: N' Specific Approvals Vos No SpecifICations Dangerous Goods 

## 0 

# ~ Low VISibility Operations: Approach and landing 

## 0 

# ~ Take-off 

# ~ 0 RVR 150m

EASA Form 139 Remarks

Lea~eI3S"

AIL 32 03107/13


## Foreign Air Carrier Submission December 2014 J 

## Page 11 of 18

# OPERATIONS SPECIFICATIONS

~ (subject to the approved conditions in the Operations Manual) AOe No. GB 1171 AIR MEDICAL LIMITED Operations Specification Issue No. 15 (continued) Specific Approyals 

### Ve, 

## No Specifications 

## Remar1<.s RVSM DN/A 

## 181 

## 0 learjet 35 ETOPS ON/A 

## 0 181 Navigabon Specifications IOf PBN 

## 181 

## 0 BRNAV Operations 

### PRNAV learjet 35 RNP10 Learjel35: G-JMED. Minimum Navigation Performance 

## 181 

## 0 Learjel35. Specification Cabin Crew Training 

## 0 181 Issue 01 CC attestations 

## 0 181 Othe" 

## 181 

## 0 Isolated aerodromes. Non-commercial operations by AOC aircraft. Continuing Airworthiness CAMO No. UKMG.OOO9 CAMO name: AIR MEOICAl 

### W.lITED

EASAForm 139



## Foreign Air Carrier Submission December 2014 M 32 OJJ07f13



## Page 12 of 18

# .,..... ,[, n


# ~ 'J'I,= ~-iUU



# ~ AirMed

COMMISSION REGULATION (EU) NO.965/2012 AIR NAVIGATION ORDER 2009
COMMERCIAL AIR TRANSPORT. AEROPLANES OPERATIONS APPROVAL - EASA-QPS
AIR MEDICAL LIMITED AOC No. GB 1171 Approval Issue No. 14 Page NO.1 of 2

1. The United Kingdom Civil Aviation Authority approves each of the specified matlers contained in the Operations Manual of AIR MEDICAL LIMITED (the operator). 2. In this approval, ~a specified matter" means a procedure, programme, scheme, list, arrangement or any other thing:. a) for which an approval is required 

## by the provisions of Commission Regulation (EU) NO.96512012 and the Air Navigation Order 2009; b) which is contained in the operator's Operations Manual; c) which is specified in Column 3 of the Schedule; and d) in respect of which an Operations Manual reference is specified in Column 2 

## of the Schedule. 3. Any amendment to a specified matler in the Operations Manual must be notified to the 

# eM in wrijing by the Operator before it is implemented. 4. This Approval is not transferable and is effective from the date of signature and 

## remains inforce unless varied, suspended or revoked.

Signed 

# L . for the Civil Aviation Authority Date: 28 October2014
File 

### ref: 2014102BAOCGB11710psApp



### M.35 01104/14


## Foreign Air Carrier Submission December 2014 Page 13 of 18

## COMMERCIAL AIR TRANSPORT. AEROPLANES OPERATIONS APPROVAL - EASA.OPS AIR MEDICAL LIMITED 

## AOC No. GB 1171 Approval Issue No. 14 Page No.2 of 2 

# SCHEDULE. THE SPECIFIED REQUIREMENTS Column 1 Column 2 Column 3 AJC T.pe Ops Man Ref Renulrements 

## PiperPM2 Part A. Section 7, dated AND 2009 Article 149: The scheme specified for night Learjet 35 04 September 2012 and duty time limitations and rest requirements Piper PA42 Part A 

### ORO.GEN.ll0U): Dangerous 

### Good. training Learjet 35 Part A programmes for personnel as required by the technical instructions. PiperPM2 

## Part A ORO.GEN.130(c): Procedure for implementing changes 

### learjet 35 Part A without prior approval. 

## PiperPM2 Part A 

### ORO.AOC.12S: Non-commercial operations 

### of AOC Learjet 35 Part A aircraft. Piper PA42 Part B 

### ORO.MLR.105(b): Minimum Equipment List 

## lea~et35 Part B Piper PM2 Part 0 ORO.FC.145(c): Flight crew training and checking 

### Leafjet 35 Part D programmes including syllabi. Piper PA42 Part 0 

### ORO.FC.240(a): Operation on more than one type or lea~et35 Part 0 variant lea~et 35 Part A CAT.OP.MPA.106(a): Use of isolated aerodromes. Piper PA42 Part A CAT.OP.MPA.145(b): Method for establishing learjet35 Part A minimum flight altitudes. Piper PA42 Part A- 

### CAT.OP.MPA.1SO(a): Operata •.• fuel policy. Learjet 35 Part A Piper PA42 Part A CAT.OP.MPA.270(b): Procedures for descending learjet35 Part A below minimum flight altitudes. Piper PA42 Part A SPA.PBN.100: Performance.based navigation Learjet35 Part A operations. lea~et35 Part A SPA.MNPS.100: Operations with specified minimum navigation performance. lea~et 35 Part B SPA.RVSM.100: Operations in airspace with reduced vertical separation minima. Piper PA42 Part A 

### SPA.LVO.l00(a): Low visibility take-off 

### (LVTO) learjet35 Part A operations. learjet35 Part A EASA AMC 20.25: use of an Electronic Flight Bag:~ Type: Portable Viewable stowage: N/A Software applications: Jeppview

AIl35 0110411-4 

## Foreign Air Carrier Submission December 2014 Page 14 of 18

# 6.0 Agent for Notice

Foreign Air Carrier Submission 

# Attention: Andrew Harakas Clyde & Co. US LLP The Chrysler Building 4005 Lexington Avenue New York NY 10174 Telephone: +1 212 710 3900

December 2014 Page 15 of 18

# ~~

~ AirMed 

# 7.0 Additional Information Air Medical Ltd has existing approval under the Visa Waiver Program

DEPARTMENT OF HOMElAND SECURITY 

### U.S. Customs and Border Protection VISA WAIVER PROGRAM AGREEMENT

AN AGREEMENT Between OMS No. 1651-0110 Expires 06-30-2013

A Carrier operating between foreign territory and the Untted States ot America 8nd The United Statea of Amerlca Entered into pursuant to Sections 103 and 217 Immigration and Nationality Ad WHEREAS, Scctior1 217 of the Immigration and Nationality Act of 1952. as amended, [TItle 8, United SlatM Code. Section 1'87)1 authorizes the establishment 01• VillaWaiver Program and requlree 8gr11ernontl;~n carrier. end the Cornmiuiooel' ofCu.lo"", end Border Protection', on behalf 01the United Stales at America, inconjunction wtththe transport 01certain nonimmigrant visitOt. to the UnNIId Stales and the waiver ofthe requnment ofnonimmigl1lnlvi,as 

### tot the IIdmiulon ofsuch nonimmigrant visitors Intothe United Slates under 8 VlS8Waiver Program; WHEREAS, the Secretary 'Ot the Department 01Homeland Securffy and the Secretary 01State have estab~sned IIVisa Waiver Program pursuant to section 217 ofthe Immlgrallon and Nationality Ad 011952, al amended; 1. 8. The camer willnot transport to the Unlled Slates any afien for admission 8S a nonimmigranl visitor IJI"Idef !he Viu Waiver Program unle" such arl8fl: (a) is a national ofand is in posaeuion ofa Y1Ifid passport is.sued by a oountry Ii5ted In5ec:tion 2172 of Tille 8 of the Code of Federal Regulations: (b) his been provided wllh a Visa Waiver Information Form: (e) seeQ admission Into !he United States lor ninety (90) CS8ys or less; (d) has a val:ld.rDlnltr1p. nontranslenlble. nonrefundable ticUb (except In !he countly oIlssual1Cll or nalionll!ityOfresidel1Cllorthe alien). thai • Y1Ilid forone year forpurposn ofdeportatlotl or exduslon, Issued by a carrior Signatoryon Form I-nS, VIsaWalolerPropram CarrierAgreement, or by authoriled agenl1 wtlo are sub-alntradol'l to sud'la carrier, and guaraoteelng tranlportation fromthe United States.; (e) agreelthat the return portion ofe&d'ltidr.elmay be used to effed his or her removallrom the United Slates based on Bfindingofall:dudabilityor deportability under 8 CFR 217.": (f)appears otherwise admissible tothe United States. b. TI'Iocarrier willunconditionally honor and trenapett fromthe United Stat•• any elian prIMntng e ticket as sal forth Insubparagraph (d) ofperagfBph 1 ofthll Agreement Ind 8 CFR 231 and 217 (I). 2. The carrier wigtranspor1lo the United Stales nonimmigrant eUene Intending 10trevel by air or sea under the VIN Walvot Program wtlo have receNod. priorto embaJ1dngon an alt or HI canier fortravel tothe United Stales es per 8 crn 217.7(b), B travel authortzallon via tha ESTA, So the tal1er his the capebilily to detem1ine ESTAstatus ofeach inlending 'W{P lnlveler. prior to the signing 

### at th1lI~ment by all partles to this egrnmer'K. the carrier wli be certifled by CBP u having met tho l'8qUirements forESTAcompl.ance. The carrier willcomply withthe ESTArequlr8ments. 3. Tho canier williSsue only tickets thai Ire rounclltlp, nontransferable, l"I()tV'ef\rdale (8ll:cepIIn the country of luuence or nationality or residence of the llien). that are Y1Ilid lor one year for purposes ofcIepo1ation Ind exdusion and guarsnteelng transportation from the United SteIIS 10alie". nelting trensportation to Ind admission Irltothe United Stales under the VISa Waiver Program: Untl such time thai CBP Form I-94WillutomIte<l. at the lime ofdepetlut8 fromthe United Stales. the carrier wlIlifl the Form •.94-W, Nonimmigrant VIsa Waiver Arrtval/OrepartureRecord of IB deperling pea&engers wtlo were edmitted to the Uniled SIaI8a under lhe V

•.• Wa!ver Program; ..,11aMOtale the required departln dala on each Form I-94-W: and VIIiIIlubmll. the oolleCl8dI-94W~Iy tothe U.s. Customs and Border ProIedion II the piece 

### at departl,n. .•. The carTierwillrelTlOY8 fromthe United States (on the first available meens 

### at IJBnepor1Bbon 10!he alien's point 01 departure to the United States) any alien transported by the carrier to !he United Stales for admission lIIdet the VISlI Waiver Program Inthe ••••nt thai the alien II determined by a U.S. Customs and Border Protec:tlonotrioeral the PeNtof Entry to be not edmiuible to !he United Stete, or ir;determned by a U.S. Customa and Border ProIeetion ollicer to hive remained unlawfullyIn !he Unllad States beyoncIttJe 9O-day period of lIdmiaaion under !ha V •• Waiver Progrem. The carrier willcarry ouI the responsibHllies under this paragraph In a manner that does nol Impose on the United States e~ related 10!he lnInspor1atlon 01 such allen fromthe point01arrival inthe U,S. 's.ctlon 101(.) ot Publiclaw 106-390.dal-.:lOc:tobtr30,2000.prtMded~ ~ .mend"*",, byremovlng"PlIorwtler •.••rthallefm appe.red. and by~II paragrephIf).IInd ~li'lg ~reph (g)" (I). • oo.p111'1l'r*l1

of~ ~ DeIeg.IIIion Number7010.3_In 1MComrnlnlonefofU.S.CUSIOmf; and Boro.rProIeetion••••authorlty \c)anfOlUl aod~ter Ihelmrnig<.1ion I.IIwI (including bull'lOllmtlldto, U.S.c. S 1187)flWIting 10IheVouW.lYer

ProgrIim. "Round tr'9lldcel"~I anyrel1mtripIraI1&pO<tlIlon IicIleliuued bya partidpillingcarrier,tOeclronle IicUlrwoord.

airlinearnployMpa_ ndIC.11t1ng ••tumpII •••• ge••.• lIivldual vouehal1llor

r.wm pa"'P' .• nc1

lll'Ol1P 'iOI.dlefIforreturnpuaape foreharv-Ilighll. CBP Form 1.715 (10110)



# ForeignAir CarrierSubmission December2014 Page 16 of 185. The carrier will reimburse within 30 da)'$ of nobce (not pay as a penalty) the Department of Homeland SeCtJrityfor any and all costs and expenses incurred In the transportation (from the polnt of arrival in the United States) of an alian described in paragraph 4 of this Agreemenl in the event that the carrier fails to abide by said paragraph". 6. The U.S. CustOlTl! and Border Protection will notify the carrier as qulddy as possible and within 24 hours following a determination that an alien is to be removed from the United States under paragraph 4 of this Agreement 7. The initial Iransporting carrier Is not reneved of any obligations or responsibllities should an alien admitled under the Visa Waiver Program depart temporarily for a visit to foreign contiguous territory or an adjacenl Island during his or her visit to the U.S. under the program. 8. The carrier will provide evidence demonstrating that all User Fee accounts are CtJrrBntwith U.S. Cu5toms and Border Protection and thai any administratively final penalties have been paid which was the !Mull 01 violations of the Immigration and Nationality Ad, or U.S. Cusloms laws. 9. A bond is required of the carrier signing this Visa Waiver Program Agreemenl sufficlent to cover the penally amounts imposed lor violations which the carrier incurred during the previou!: fiscal yeer. 10. This Agreement cancels and supersedes any prior agreements between the parties I'lereto with respect to the subject matter but does not eller or affect any rights and liabilities already accrued under any prior agreements between the parties. 11. This Agreement Is sub}ect to tarmination by the Seaelary 01 Homeland 5eCtJrttyon five (5) days written notica for failura 01 the carrier Ie abide by the provisions of this agreement, but such termination shall neither aller 00f affect any iabUitles or respoosibilities of the carrier that have already accrved under this Agreement 12. This Agreement will become null and void whenever the carrier ceases operations Into the United Stales and, if the cerTier intends Ie renew operations into the United Stales, the Carrier will need to obtain a new Agreement with U.S. Customs and Border Protaction prior to beginning such operations. 13. This Agreement shall be subject to cancellation by either party for any reason upon fifteen day's notice in writing to the other party, but such cancellallon shall not terminale any rights or 'lebl~lies already accrued under this Agraement. 14. This Agreement must be renewed B8V9l'lY8al'1after the affective date when this Agreement win become null and void.



### ) At.



## By: 

# .29J2:.. This Agreement shaD be effective upon the dale of execution hereof by the Commissioner of U.S. Customs and Border Protectlon. 

### 15. Signed this ~ day of 

# t11tte<.1(
At:

PlpetWCII1I

ReductionAct 5\l11\emen1; M aoerq rJIIYnot oonduc:l: 01'IportIOl' sn InIormItion coIediOnand I PlQOl'l Is not h1QvirecI,crespondIe this Information

lrlen Itdilpilys I eumtrltVIIIId Qt.AB controlrunber andan expQtIon~. ThecontnJIl'lUITOet fortNlI ccIedlon Is 1651.Q11O. Theestinaled

~ &ne IecompleIathis appllcltlon Is30tTWIutel.1f)'OU t\aYeany~1s ~.Idir'lg h ~ ntmIle youCMwriIeto U.S.Cu:IlomsIl'ld Botdar ProledkJn.0fI'ce ofRegulatiooa.nd Rulings.7999lh street, NW.,WUhlngtonDC20229. CBP Form 1-775(10/10)



## Foreign Air Carrier Submission December 2014 Page 17 of 18

# "Q. I Jdr ,--1l./U 

# AirMed

AGREEMENT 

# B"""" 

# A1f'Z-I'fa?/""'- 

# .L--rp ACarricc opc~ting between fon:ign IetTitoryor adjacent islands and the United StalC& on<! The United States ofAmerica Entered into pursuant to Section 233(.) Immigration andNllion&l.ityAct WHEREAS, by virtue of the .uthoril)' contained in Section 233(.) oftbc Immigration and NlliOll.llity Act and in Section 2]J.2 or Tille 8 of the Code of FedC1llIRegulations. the Executive AlSOCialCl Commiuioncr for Opc,.riOIlS of the Immigration and NatuRliu,tion Service i5 cmpo~ to enter into contractl with tnmIporIltion lines for the entry and inspection of aliens coming to the United Stales from foreign contiguous territory or adjlcenl islands, and whereas no ruch transportation line is permined to land any such alien in the United Stale5 until it has entered into ruch I COOlncl NOW. TIIEREFORE, the undersigned transporu.tion line, hereinafter called "'the linc" and the undcn;igned Executive A»o<:ialc: Commiuioner forOperations oflmmigntioll and Nltuflliution, hereinafter called "the Executive AlSOciateCommissioner for Oper.tion ••••hereby agree: I. That, regarding 'liens brO\lgbtby il from 

## lIr4"'f.8;J Je4iV"C-:PoFl to the United SUI«; the line shall submil10 and comply wilb til the requirements orme Immigration and Nationality Act, or IS INCh Act may be amended durinS the term o(lbis -.greement, and any Presidential Proclamations, Executive Orders, or regulalions prettribed punuanl thereto which arc or may be published in lhc Fcdcral RcJiatcr and compiled in the Code ofFcdcral Regulations. 2. Thatlhc line ahaIl, in aecordaoce with supplemental agm:mcnts to beentered into by itOfon itabehalf with lhc Execulive Auociale Commissioner forOpcn.liOlUl or I District Director o(tbc trmnignlion and Naturalization Service, actins on his behal(, provide and mainllin II itaown expense. and make IVlilloble 10the United Salea immigration officeR luitable landinS staliOlUl

II porU o(entry in the Uniled SUlea, providing adeqUlte aoceu to aliens and proper segfCSltion ofIUCh alicnll (rom the public unlil inJpection Ind other requircmenu o(lhe IIow and regulltions arc completed, Ind convenienl (acilitiea and office space_ 3. Thai whenever lliens broughl to the United SlIlea by the line are detained in the Uniled SIIICIpending completion o(lhcir inspection Ofother rcquiRmcnll o( the bw the cxpc:DIll o(their mainlCDlflCe

shall beborne by !.heline inaccordance with !be J.w and n:gul,lions appliClblc thereto. 4. Thai nothinS inIhillgreement shall be conslf\lCdIS altering. revoking. or in any wlY affecting or modifying the liability under the l.w o( either party (Ofthepayment ofextra tompellSltiOD (orovertime lctViecs ofofflCen and cmploycn o(lhe Irruniplion and Nlturaiiuolion Service.

,. Thai !hil Igrecmc:nt, which it i. undcrslOOdand mU1Ul11y Igreed by the parties hereto cancel. and aupcncdca any prior Igrocmcnl between thep.rtiea hereto with rnpect to the IUbjeec.awter bc:rcof(bul not II 10MYrights or liabilities alnady aecrucd under any prior 'gn:emcnl),ahaI111ke effect immediately upon approYllIby the Executive Asaocia.Le Commissioner forOperations orthc Immigration and N.turalization Service, or on 

## '{k7¥ ~( , /ZctJ"d.. . 6. nlllcrrement Iball be nbJect to uncellation by eltbcr party _pon lilt)' claY" notice In wrltinl to the other puty bit .lIcb uocdladon IbiD not termlnlte any rlr:latl or UabDfdes alrudy Ittr1Ied nder tbil II meaL



## j
t.OfTn1..c20()l3lm)



## Foreign Air Carrier Submission December 2014 Page 18 of 18

# Pursuant to Title 18 United States Code Section 1001, I Rupert Jocelyn Dent, in my individual capacity and asthe authorized representative of the pleader, have not in any manner knowingly and willfully falsified, concealed or failed to disclose any material fact or made any false, fictitious, or fraudulent statement or knowingly used any documents which contain such statements in connection with the preparation, filing or prosecution of the pleading. I understand that an individual who isfound to have violated thQovisions of 18 U.S.c. section 1001 shall be fined or imprisoned 

# :;:::'~'~ ~;£"'h D",L)l~~v.g?lJ; IS
Witnessed by: Signed: 

# WF. .

Foreign Carrier Permit Application 

# . 'fOlH 

# ee.a~ .\rC/v Name . 

# 1_ 0J.AA.. "....., 1.. <J7

# I:) (Commissioner f~ Oaths)

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