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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 Tra nsport Autho rity .4

3.0 Services Proposed S

4.0 Ins u ra nce 6

5.0 Op erat ing Authority 10

6.0 Agent for Noti ce 15

7.0 Ad d itiona 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 Decem ber 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:

UK Civil Aviation Authority

Aviation House

Gatwick Airport South

West Sussex

RH60YR

Tel: +44 (0) 1293567171

Foreign Air Carrier Submission December 2014 Page 4 of 18
~~

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3.0 Services Proposed

This application is for 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
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4.0 Insurance

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

The pubic repof1Ingburden Iofttl. collection of iTformationtor this toIIIdlon allnfotmItion IIl1f1tirMtBdto ~I 30

mute. pet l'Mpon••. 1f)'OUwith til (ZMTfJJent on tt... IOWIKY of'" MtiTwte OfrnaQ auggestIons b IWdudnglhiI bInen.

pie• .., direct)'Our atn"I1'II:!tU 10:U.S. OepII~nt of Tranaportdon, 0f'I'I0llofAvlIitlonAnlilysla,X-M. 400 7th St., SW•.•

Nutlington. D.C. 205SIO.Aocordlngto the Pa,DCHWOrk ReductiOn.-.a of 18115,no pe~ Ire rtlqUnd to reapond to.

c:olec1ionof InfomI.tion !WI•••• cliaplays. V111idOMS Q:lI'Itrolnun'tlef.

NOTE: For InfomwtIonon Where to Ale~ copIn of ttl. IIDrm,_ ~ below.

B! INO INSTBUCTIONS' FlIt, signed 0fVlna1o!'thll form wlhlhe Fecl8falAYlatIonAa'rWllJntIon, M Trel\lPOl1llUOllDIY.•AF>260, 800 Indepel'oOellCe

AWl••SW••Wuhlngton. DC 21)(5", (See EXCEPTlOHbolQw.)

DCFPTlQH- JrSedlon LA II Medin becallH thIIlnlured II. CMradianCh¥tw 1# T••/~tDr."..-a origiN! oftIUI fonnwiltltl'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:yor polclel of Aln;q" L&b/lityInwranc:e to Ait Medical Lmled of OxfordNrpor\, IOdlington,Oxfor'dWln, Engllnd 0X6 1M

FAA c:er'llfic:aw Hurriler

(Name.,t,ddrfl$,.1IdFAACertlftutl Numbft ollnwftil kn9n 14 u"*,

eftec:tlyefrom 20 ....,.2014 untilten (10) cla)'I eftBrMbn notc:e from the Nufer Ofmm.r ot the Intent 10

tennlnate CCIY8tagIltNoelvecl by the eep.1'lmenI. of T"~n.

NOTE: P-.t 205 01 the Depam.nr. ReguI8tionl does not ,lltIw fof. pedebiiil,li.ed termn.tion d., and I l;IIrtlIcatIl.~ Ir.dl. dlt. II

unlC:lCeptlblt.

~'-.TTho;;:-;';;;""'''~=-(''P-*;;:''''Qnct;;;;:;'I:--------------------------------

o Islicensed to In.- Inn. NlnnoB poticies In Itle Unle<l QMeI;

o Is JbtnMd or ~ by" gowrnmenl of ~""'=.:lJn=:IIod=.:_::::!~::- 1olQue alfcnft If\IUf'lnoi poIcIet: 01

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

A. CANADIAN AIR TAXI OPERATORS Wl1H PAR12M AUTHORITY ON~Y

". Utnft ClOY'Intdby 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,OOOPGIInda.

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

1)po"<-'"

CombInedBlldtJ I~ry (Emudlng

~ attw hn carve altendlm.)

ancr PItlpeIty o.m.g. LilbRy

175,000

176.000 II 76% 01'total

nurntlet of peaaengef

1UlI1n1tll-.d 1n.i'cra1l

U.s. QoIaq

-----

o Con'tJlnecl~: ~ CIllntine<lCO'l'enlg.It I ~ IIfnI of IIbllty (of •• d1 ooc:urmlOIlt •••.at eq.-' to tle req~1red' ""mums

ItnId lbove for bodiy -vury (exdldng pelleflgefl). property dam.Qe. and paIMl'lQeI'bcdtJ \nJl.wy.

_No. Anw:MnofCowf'lge

•••"O"""••..• , ••••-=-:.~_;:;;;,,_;;;;:;;;f'Id;;:;;"'''' ••''.''_;:;;;:;;; ••••• ;;;::''mo=~;;;•••="~30'"'••• ;;; ••=..•• =,~••••• ;;;;~,,;;;;mo;;;~;:-. •••;;;;"~.~"""""";:O==-:po;;;,;;;'loed=<;;;~"_::::;""""7~ .•••iM._=;;;.~•••••=-:""'=_:::

IImI:per oc:amenca aha. be S20,ooo.ooo.

OST FORM 1411

Foreign Air Carrier Submission December 2014 Page 6 of 18
B. FOREIGN AIR CARRIERS OPERA TINa SMALL ArRCRAFT

The Iircnllt tull'ered by W. polley 11'11SMAI...LAIRCRAFT (I.•.• wtth 60 01 te-r puNnger _Is OfWIll. 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. PfOP8f1ydlmagll!Kl, Ind PI_nger bodily ~ry.

Elm Pm9n

$300.000

C. FORaGN AIR CARRfERS OPERATlNG LARGE AMCRAFT

The lirgd ~ by IhlI poley Ire LARGEAIRCRAFT (I.•.• .." ~ the" eo peeeengor leall or wflIlI mut'nurn ~ capedty of

more thin 111.000 pourm). /CqrnpIUo 4ftQAOIbt prmmOtmmw,.. U 'QD!'POdI"'t:

1300.000

S3OO,DOOx 7'" of lobI

fllA'ft:W of~nger

N •• lnatliled ~.wer.n.

o CorrOned Covere;ge; TbIa 0Cl/Y'tlG'ledCO'I'eragIII I lingle ImII of 1lIb111yIor •• en oc:currenoe IlI111t equal to thI ~\ohd "**"""-1tItltd

.1:lcIn'Of bodly Injury(ududlng ~I'I), property dlmlllltd. end ~'nglr bodilyrpy.

u.s. 00UI1'I

o This polIc.y00¥efS ~GO opeqtlone my and UdtDe, peIIIf'IOel"Dab.tty NufWlOlt.

3. The poICJ'or poIdM IItBd billie ~ Ilmn(,) fGt!ec:t Ontt M,kO Irnf Mode' EM or"Rn ftIgrngjllrlllon No

o Oper8Ilonst:OflduQedtriIh.l.malt opI~ bythe n&nd

a 0pIraIl0M condudId with It. following tJpn of Mtmt:

m 0prfIti0ns wlU'i••• roIowlng .nntt (UII MklIIIonII p.gl • ~

4.bdl poleya"edln Itllsa:rtf'otl n-uort':lCftdl thitrwqunr-m ~ 1"aRhrt 205•

••••• nz. Swtu RI and Beule1 care of Haywerd A'IIatlon ...,... AIiMz, SwIu Re end BI&$y ca,. of HI)'WMl A.••••tIon Linlted

em 01iiiiI'i1 (NiIN 01ililftI1

47151 G..- SuIf<*8trMl: 47151Grul SutlollStrMt

---------- •••••• ~~U)---------- ---------lAddii--U)---------

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 me l!04D

rAIN COOii, fii MNriIbiI1

Ste¥I Glllsrd

mtpiJl'iOtllll&i CInWIiJI' 1bI./iadJ.Qm fJittli~)

iM)

+44 20 7(1(127804

(Afii COdi,PtiOi'ii MiilbiI)

05 Sl>plltfTtJer 2014

SE10SS

(CJ6') ($Wi) (4it:iCidij

Foreign Air Carrier Submission December 2014 Page 7 of 18
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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 is that 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 is just 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 USD 40 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 CFR PART 205

(HEREINAFTER CALLED "PART 205")

AIRCRAFT ACCIDENT LIABILITY INSURANCE

Attaching to and forming part of Policy No.

Issued in the name of

IT IS UNDERSTOOD 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

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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 4GB or 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
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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 I Cargo

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
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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
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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 in force unless varied, suspended or revoked.

Signed L .

for the Civil Aviation Authority

Date: 28 October 2014

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

Piper PM2 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~et 35 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
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~ 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 • Villa Waiver Program and requlree 8gr11ernontl;~n carrier. end the Cornmiuiooel' of Cu.lo"", end

Border Protection', on behalf 01the United Stales at America, in conjunction wtth the transport 01certain nonimmigrant visitOt. to the UnNIId

Stales and the waiver of the requnment of nonimmigl1lnlvi,as tot the IIdmiulon of such nonimmigrant visitors Into the United Slates under

8 VlS8 Waiver Program;

WHEREAS, the Secretary 'Ot the Department 01Homeland Securffy and the Secretary 01 State have estab~sned II Visa Waiver Program

pursuant to section 217 of the 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 of and is in posaeuion of a Y1Ifidpassport is.sued by a oountry Ii5ted In 5ec: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) CS8ysor less; (d) has a val:ld.rDlnltr1p. nontranslenlble. nonrefundable ticUb

(except In !he countly oIlssual1Cll or nalionll!ityOfresidel1Cllor the alien). thai • Y1Ilidfor one year for purposn of deportatlotl

or exduslon, Issued by a carrior Signatory on Form I-nS, VIsa WalolerPropram Carrier Agreement, or by authoriled agenl1 wtlo

are sub-alntradol'l to sud'la carrier, and guaraoteelng tranlportation from the United States.; (e) agreelthat the return portion

of e&d'l tidr.el may be used to effed his or her removallrom the United Slates based on Bfinding of all:dudability or deportability

under 8 CFR 217.": (f) appears otherwise admissible to the United States.

b. TI'Iocarrier willunconditionally honor and trenapett from the United Stat •• any elian prIMntng e ticket as sal forth In subparagraph (d) of peragfBph 1 of thll Agreement Ind 8 CFR 231 and 217 (I).

2. The carrier wig transpor1lo the United Stales nonimmigrant eUene Intending 10 trevel by air or sea under the VIN Walvot

Program wtlo have receNod. prior to embaJ1dng on an alt or HI canier for travel to the United Stales es per 8 crn 217.7(b), B

travel authortzallon via tha ESTA, So the tal1er his the capebilily to detem1ine ESTA status of each 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 for ESTAcompl.ance. The carrier willcomply with the ESTArequlr8ments.

3. Tho canier will iSsue 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 Y1Ilidlor one year for purposes of cIepo1ation Ind exdusion and guarsnteelng

transportation from the United SteIIS 10 alie". nelting trensportation to Ind admission Irlto the United Stales under the VISa

Waiver Program:

Untl such time thai CBP Form I-94W illutomIte<l. at the lime of depetlut8 from the United Stales. the carrier wlIlifl the Form

•.94-W, Nonimmigrant VIsa Waiver Arrtval/Oreparture Record 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

oolleCl8d I-94W ~Iy to the U.s. Customs and Border ProIedion II the piece at departl,n.

.•. The carTierwillrelTlOY8from the United States (on the first available meens at IJBnepor1Bbon10!he alien's point 01 departure to

the United States) any alien transported by the carrier to !he United Stales for admission lIIdet the VISlIWaiver Program In the

•••• nt thai the alien II determined by a U.S. Customs and Border Protec:tlon otrioer al 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 unlawfully In !he Unllad

States beyoncIttJe 9O-day period of lIdmiaaion under !ha V•• Waiver Progrem. The carrier will carry 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 from the point 01arrival in the U,S.

's.ctlon 101(.) ot Publiclaw 106-390.dal-.:lOc:tobtr30, 2000. prtMded ~ ~ .mend"*",, by removlng"PlIorwtler•.••rthallefm

appe.red. and by ~II paragreph If).IInd~li'lg ~reph (g)" (I). •

oo.p111'1l'r*l1of~ ~ DeIeg.IIIionNumber7010.3_In 1MComrnlnlonef ofU.S.CUSIOmf; and Boro.r ProIeetion••••authorlty\c)anfOlUl

aod ~ter Ihe lmrnig<.1ionI.IIwI(includingbull'lOllmtlld to, U.S. c. S 1187)flWIting10IheVou W.lYerProgrIim.

"Round tr'9lldcel" ~I any rel1mtripIraI1&pO<tlIlon IicIleliuued by a partidpillingcarrier,tOeclronleIicUl rwoord.airlinearnployMpa_ ndIC.11t1ng

••tum pII••••ge••.•lIivldualvouehal1llorr.wm pa"'P' .• nc1lll'Ol1P'iOI.dlefIforreturn puaape for eharv-Ilighll.

CBP Form 1.715 (10110)

Foreign Air Carrier Submission December 2014 Page 16 of 18
5. 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:

PlpetWCII1IReductionAct 5\l11\emen1; M aoerq rJIIYnot oonduc:l:01'IportIOl' sn InIormItion coIediOn and I PlQOl'l Is not h1QvirecI,crespondIe this

Informationlrlen It dilpilys I eumtrltVIIIIdQt.AB controlrunber andan expQtIon~. The contnJIl'lUITOetfor tNlI ccIedlon Is 1651.Q11O.Theestinaled

~ &ne Ie compleIathis appllcltlon Is 30 tTWIutel.1f)'OUt\aYeany~1s ~.Idir'lg h ~ ntmIle you CM wriIe to U.S.Cu:IlomsIl'ld Botdar

ProledkJn.0fI'ce of Regulatiooa.nd Rulings.7999lh street, NW.,WUhlngton DC20229.

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 A Carricc opc~ting between fon:ign IetTitory or adjacent islands and the United StalC&

on<!

The United States of America

Entered into pursuant to Section 233(.)

Immigration and Nllion&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 AlSOCialClCommiuioncr 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 for Operations oflmmigntioll and Nltuflliution, hereinafter called "the Executive AlSOciate Commissioner for

Oper.tion ••••hereby agree:

I. That, regarding 'liens brO\lgbt by 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 INChAct 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 be entered into by it Ofon ita behalf with lhc Execulive

Auociale Commissioner for Opcn.liOlUlor I District Director o(tbc trmnignlion and Naturalization Service, actins on his

behal(, provide and mainllin II ita own expense. and make IVlilloble 10the United Salea immigration officeR luitable

landinS staliOlUlII porU o( entry in the Uniled SUlea, providing adeqUlte aoceu to aliens and proper segfCSltion of IUCh

alicnll (rom the public unlil inJpection Ind other requircmenu o(lhe IIowand 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 SIIICI pending completion o(lhcir

inspection Ofother rcquiRmcnll o( the bw the cxpc:DIllo( their mainlCDlflCeshall be borne by !.heline in accordance with

!be J.w and n:gul,lions appliClblc thereto.

4. Thai nothinS in Ihillgreement shall be conslf\lCd IS altering. revoking. or in any wlY affecting or modifying the liability

under the l.w o( either party (Ofthe payment of extra tompellSltiOD (or overtime lctViecs of offlCen and cmploycn o(lhe

Irruniplion and Nlturaiiuolion Service.

,. Thai !hil Igrecmc:nt, which it i. undcrslOOdand mU1Ul11yIgreed by the parties hereto cancel. and aupcncdca any prior

Igrocmcnl between the p.rtiea hereto with rnpect to the IUbjeec.awter bc:rcof(bul not II 10MY rights or liabilities alnady

aecrucd under any prior 'gn:emcnl),ahaI111ke effect immediately upon approYllIby the Executive Asaocia.LeCommissioner

for Operations 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 as the 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 is found 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 e e.a ~ .\rC/v Name .

1_ 0J.AA.. "....., 1.. <J7I:)

(Commissioner f~ Oaths)

Page 1 of 1