# "

BEFORE THE DEPARTMENT OF TRANSPORTATION WASHINGTON, D.C.

Application of: ) ) 

## SERVICIOS AEREOS DENIM ) Docket OST-97-7698 S • A • 

### de C. V • ) ) 

### for a renewal of an exemption (MEXICO- ) US) under 49 U.S.C. Section 40109 )



## APPLICATION FOR A RENEWAL OF AN EXEMPTION FILED BY SERVICIOS AEREOS DENIM, S.A. de C.V. FOR A PERIOD OF TWO YEARS

We are relying on the automatic extension provisions of Federal Law Specifically 5 USC 558(c), as implemented by 14 CFR Part 377, to keep our exemption authority in effect, pending final department action on this renewal application.
It should be noted that any changes that have occurred in the company management, stock holders, their nationality, aircraft or aircraft crews, have been addressed in this document.
This carriers Ops Specs are managed at the Fort Worth, Tx, FAA/FSDO, and the aircraft have fewer than 30 seats.


### COMMUNICATIONS WITH RESPECT TO THIS DOCUMENT SHOULD BE ADDRESSED TO:
Mr. Eugene E. Smith 7717 Village Oak San Antonio, Tx. 78233 Tel (210) 590-1630 Fax (210) 653-9281 Agent for Service for: SERVICIOS AEREOS DENIM, S.A. de C.V.


### 10 March 2011

## BEFORE THE DEPARTMENT OF TRANSPORTATION WASHINGTON, D.C.

Application of:


### SERVICIOS AEREOS DENIM S.A. de C.V.

for a one year exemption (MEXICO-US) under 49 U.S.C. Section 40109 ) ) 

## ) 

## Docket OST-OO-7698

APPLICATION FOR A RENEWAL OF AN EXEMPTION FILED BY SERVICIOS AEREOS DENIM, S.A. de C.V. FOR A PERIOD OF TWO YEARS.


### Pursuant to 49 U.S.C. 40109 and Subpart D of the Department's Rules of Practice in Proceedings, SERVICIOS
AEREOS DENIM, S.A. de C.V. (DENIM), 

### A mexican air taxi operator of small aircraft, requests an exemption from 49
U.S.C 41301 to authorize DENIM to engage in charter foreign
air transportation of persons and their accompanying baggage
between Mexico and the United States. DENIM also requests stopover privileges and relief from the requirement to
obtain advance approval for each Mexico-U.S. flight. DENIM requests that this exemption be granted for a period of at
least two years.

1

### In support of this application, and pursuant to the Department's Procedural Regulations, DENIM states the following:
1. DENIM, incorporated In Mexico in 1990, is a privately held corporation that is 100% owned and controlled by Mexican
citizens. Name, citizenship and percentage of ownership of
DENIM are enumerated in Exhibit A.
The full name and corporate address of DENIM is:
SERVICIOS AEREOS DENIM, S.A. de C.V. Calzada Lazaro Cardenas # 

### 315 Parque Industrial Lagunero Gomez Palacaio, Durango 35070 MEXICO
2. The name and official address of the government air transport authority in Mexico having regulatory jurisdiction

over DENIM is:
Secretaria de Comunicaciones y Transportes Direccion General de Aeronautica civil ("DGAC") Av. Providencia No. 807, Piso 1-7 Colonia del Valle Delegacion Benito Juarez Mexico{ D.F. 03100 MEXICO
3. As noted above, DENIM is seeking transborder charter authority to engage in foreign air transportation of persons and their belongings without the need for prior Department

2

### approval of each flight, or series of flights. DENIM is also requesting stopover privileges.

4. DENIM is operationally and financially qualified to perform
the service for which authority is requested herein. As
evidence thereof:

(a) The Mexican DGAC has issued a permit authorizing
DENIM to conduct non-scheduled, international air taxi transportation of passengers in the North and South American
Continents. This permit is valid indefinitely and is attached

as Exhibit B.

(b) In 1999, DENIM received its DGAC permits and
commenced commercial flight operations. From its base in Gomez Palacio, Durango., DENIM provides air transportation to
domestic and international passengers, consisting of members of
the following institutions which form part of the governing body, owners, and stock holders of DENIM:

SERVICIOS AEREOS DENIM, S.A. de C.V.

3

### Future operations, including its proposed 

## u.s. service, are likely to be a continuation of this type of operation. DENIM
estimates that it will operate 20 to 25 round trip flights annually between Mexico and the United States with an average load of three passengers per flighti all of which will originate in Mexico.



### (c) DENIM owns and operates a Bombardier Challenger CL600, 12 passenge Jet aircraft with Mexican registration
XA-SADi and a Raytheon Hawker 800XP,
with Mexican registration XA-SJM. 9 passenge Jet aircraft

(d) DENIM maintains its aircraft pursuant to a maintenance service agreement with AVMAT, an aircraft repair
station in St Louis, Mo. and with Aero Alterno, an aircraft repair station in Monterrey, 

### Mexicoi and in accordance with an airworthiness program approved by the Mexican DGAC In compliance with ICAO Annexes 1,6 (Part I) and 7.

(e) DENIM has established a well qualified management

team with the necessary experience in providing domestic and
international air taxi services.
4

### Mr. 

### Rogelio Veyan Humphrey has served as General
Director of DENIM since 2005.

pilot Capt. Sergio Muniz Ramirez received his pilot's
License in 1979. Joined DENIM in 2002, received his Unlimited
Commercial pilot's License in 1983 and has accumulated over 8,100 hours of flight during his 20 years of aviation experience, with over 1600 hours in the Sabreliner. Capt.
Muniz is licensed to operate the company's Sabreliner and
attends annual training courses, at Flight Safety in St. Louis,
Missouri. Capt. Muniz also serves as Chief Pilot for DENIM.

Copilot Capt. Alberto Patino Avila received his Pilot's
License in 1981, received his Unlimited Commercial Pilot's
License in 1982, Joined DENIM in 2004 and has accumulated over 6000 hours of flight during his years of aviation experience,
with over 3000 hours in the Sabreliner. Capt. Patino is
licensed to operate the company's Sabreliner and attends annual training courses, at Flight Safety in St. Louis, Missouri. Capt. Patino serves as Chief of Operations for DENIM.

5

### A composite of DENIM's key personnel is shown in Exhibit 

## c.

(f) DENIM has been self-sufficient and fully capable

to continue providing transportation services to the companies
enumerated in Paragraph 4(b). (g) A copy of OST form 6411, Foreign Air Carriers
Certificate of Insurance, is attached as Exhibit E. As shown therein, DENIM complies with the limits of liability of the requirements of 14 CFR Part 205.

(h) DENIM has not been involved in any safety violations, tariff violations or fatal accidents since its inception.

(i) DENIM does not have any agreement or cooperative working arrangements with any 

## u.s. air carrier affecting its proposed services to the United States

5. 

### DENIM's proposed U.S. services are consistent with the public interest for the following reasons: (a) DENIM will be carrying executives to the U.S. on
6

### business, thereby fostering commerce between Mexico and the
United States consistent with the objectives of the North
American Free Trade Agreement (NAFTA). (b) DENIM's request for stopover privileges is
consistent with the need of the executives using its services will, from time to time, need to stop at two or more places in
the U.S. as part of their round trip itineraries. DENIM submits
that no regulatory purpose would be served by preventing DENIM
from responding to the stopover needs of its customers. WHEREFORE, DENIM respectfully requests exemption authority

to engage in charter foreign air transportation of persons and
their accompanying baggage with small aircraft as set forth herein, and such other relief as may be in the public interest.

10 March 2011 Aero Parts, Ltd Agent for Service for SERVICIOS AEREOS DENIM, S.A. de C.V.

7

# LIST OF KEY PERSONNEL**N~E** 

## POSITION CITIZENSHIP DENIM 

### EXHIBIT A



## TELEPHONE

===================================================================== 

## SR. ROGELIO V. HUMPHREY DIR. MANAGER MEXICAN 011-528-71727-8121 CAPT. SERGIO MUNIZ R. GEN. MANAGER MEXICAN 011-528-71719-0901 CAPT. JESUS A. PATINO CHIEF PILOT MEXICAN 011-528-71719-0901

COMPANY ADDRESS FOR ABOVE PERSONNEL IS:

AERO SERVICIOS DENIM, S.A. de C.V. CALZADA LAZARO CARDENAS No. 315 PARQUE INDUATRIAL LAGUNERO GOMEZ PALACIO, DGOS 35070 MEXICO

### D.G.A.C. INTERNATIONAL AIR TAXI PERMIT
of 

### AERO SERVICIOS DENIM/ S.A. de C.V. DENIM 

### EXHIBIT B

# II**JlI~O** 

# ' Vi;/VtRALADi '

.. I\VNAUTICA CIVIL

# ~V" I nOt AERONAUTlCO,UNTA Dc TRANSPOR'TE Y
SUBDIRECCI6N DE AVIACION GENERAL Y SERVICIOS AEREOS.


### 4. 

### i .1 02.306.· 

# 3984
Mexico, D.F, a 14 

### de enero del 2009.


### SERViCIOS AEREOS DENIM, S.A. DE 

### C.V. CALZADA LAzARO cARDEI-...1AS 3 

## is. PARQUE INDUSTRIAL 

### LAGUNERO. c.P. 35070, 

### GOMEZ PALACIO, DGO.


### En respuesta 

### a su escrito recibldo 

### el 

### 17 de didembre del 

### 2008, pOl' 

### el que esa empresa 

### en su caricter de permisionaria de 

### wn servido 

### publico para 

### operar TRANSPORTE NO REGULAR DE TAXJ

### ~ReO 

### tNT5RNAClONAl DE PASAjEROS, 

### desde su base de operaciones 

### en Torreon, Coah.,otorgado mediante 

### ofkio No. 10 1,42L-2288 

### de fecha 20 de 

### Junio del 2000, 

### solido dar 

# de baJa de suequipo de vueio !a aeronave SABREl!NER NA-265-60 MATRrCULA XA-SJM.
AI. respecto. 

### esta Direccion General, 

### con fundamento en 

### lesartfculos 

### 30., fracci6n VI, VIII, !X, XII Y XIII, 49, 51 Y 

### ! 20 de [a 

### Ley de Vias 

### Generales de 

### Comunicaci6n; 

### 10., 30., 40.] 50., fracci6n 

### " !, inciso a), 

### 60., fracciones IV, V, Xl Y Xl!, 

### 70., 

### ! 2, 14, 15, f 7, 

### 18, 24, 32, 35, 38, 42. 44, 47,



### fracciones 

### II, IVy V, 

### 61,70,74,76,84 y 

### demas aplicables 

### de la Ley 

### de Aviad6n; 

### 10 fracci6n 

### I, II del 

### Reglamento de 

### la Ley de Aviaci6n Civil 

### y en relad6n con el 

### artfculo "18 fracci6n VI, del 

### Reglamento Interior de 

### la Secretarfa 

### de Comunicaciones 

### y Transportes, 

### prcx:ede a 

### modificar fa c::ondici6n SEGUNDA del per-miso No. {O i 

### .42 I 

### .-2288 de 

### fecha 20 de junio del 2000, a 

### fin de 

### exdu:k ta aerona\i'e en**refe~'ellida.** 

### y quadar como 

### 3.continuaci6n 

### se detaHc:.: 

### EQUlPO AUTOR(ZADO A OPERAR**HAC~A** 

### TODO EL MUNDO (EXClUYENOO

. PARA LA COBERTURA 

# oe GUERRA Y OTROS RIESGOS LOS PArSES 

### DE lRAK E**iSRAel)~** 

### BOMBARDIER 

### Cl-600-2B 16 MATRICUlA! 

### XA-SAD.

Por otra 

### parte, se Ie rec:uerda ala. empresa SERYJC!OS AEREOS 

### DEN 

## EM, S.A. 

### DE 

### C.Y., que no ha cumplido con 10 

### dispuesto en el artk:ulo 23 de 

### la Ley 

### de Aviac:ion 

### CMI y condidon 

### XXIV de su permiso, relativo a la 

### verifitadon anual de 10$ anos 

### 2007. y 

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### .dtbe apE:gai-S& 

### a :0**&s~b:~'idc ~II**  $(.; 

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### ! 

### O!.42! .-2288 de**fe:::~~** 

### 20 de 

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### Para la operacion 

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### SERV!C!OS AEREOS.


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### DtRECCION GENERAL DE AERONAUTICA CIVIL OFlelO 

### No.1 01.421. 

### ASUNTO: Se concede permiso 

### para establecer y 

### explotar un servicio 

### publico de transporte no regular 

### de taxi aereo internacional de pasajeros. OPERAOOR MEXICANO. 

# 2288

111).- EI presente permiso

# debera**''; setJ:tnk** **r;~~{jl::~~gistr~~~~autico** Mexicano, 

## conforme al articulo 47 de la Ley de Aviaci6n Civil. ."

.**~** 

### IV).- La(s} aeronave(s) 

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### A SUBSECRET ARIA De TRANSPORTE -' DIRECCION GENERAL DE AERONAUTICA CIVIL



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### ¥{bs

### ""'**:, ~~~ttiei~**  densran solicitar 

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### las autoridades ' aeronauticas del (os) pais (es) citado (s) en la presente autorizaci6n 

### y , paralelamente, presentar en eata Dependencia eopia (s) de dicho (s) permiso (s) para acreditar que se cumpfi6 

### con este requisito, XV).- La Empresa no 

### podra ceder, hipotecar, gravar, transferir 0 

### enajenar el presente permiso, 0 

### los

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# 2288

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### SUBSECRETARIA DE TRANSPORTE 

### DIRECCION GENERAL DE AERONAUTICA CIVIL

- 4-



### XXIII).- EI permisionario debera presentar dentro de los quince (15) dias siguientes a 

### la fecha de inscripci6n de 

### este permiso una fianza a 

### favor de la 

### Tesoreria 

### de la 

### Federaci6n 

### par un monto equivalente a tres mil dias de salario mfnimQ

. a Ja · . fecha en que se contrate dicha fianza, 

### para garantizar 

### el cumplimiento de 

### las

## 09)~~~?f(>**~S ?lU~** **~I** 

## ni ' js '

rn ,

d Ie

## i~po9**;** con

## b~se en

## e~ articulo 1! de**I~** 

### Ley de 

### Vfa,s Generales de 

### coq;unl9btQP t. s:sta;1flanza\1ebera r**~~e t"** **e(la** 

### vigente 

### mlentras este 

### en vIgor el**permlso" ,~** **':)** J" '

. 

### ,r ,:"

. .. . . '. ., 

### XXIV).- EI

# permiSionalt;**d~ ;;** **a ~~eder** **': ;;";;:** **::~:~~:f';:; ::i;:::,<,,};;** **"** esta 

### Secreta ria de**ComunicaCione.s 'Y** **'Ft.gpsport~s,** 

### . . . . .**rl.:.rR~tf~<::c previstos**  

### en los articulos 159,

### fra~J6rf**j** II,

### (;**~** 

### ". las cantidades de 

### $8,132.00 M.N 

### $ f;.626.00 ';4 if&N: pci6n en el Registro Aero**MexicaAO~"" ;** **"\ ::** **11: ;'~** 

:.**(~ "**  ... :., .. "



### Vuelta

...

T0606 TL : 'ON X tj.:l WIN3G**S03~3tj ~3S:** **WO~.:l**

### FOREIGN AIR CARRIERS CERTIFICATE OF INSURANCE OST FORM 6411
of 

### AERO SERVICIOS DENIM, S.A. de C.V. DENIM EXHIBIT C--.-·--·-·-.- ....**·--·--:-A-:=G":=E':7NC""~Y~OI:-.:S-::-PLA:-:-:Y-:-O=F** ESTIMATED BUROEt-!

U.S. Departmt)ot of TransporfaUon TrHl' public rarlOrtlf'[l burden for 1111:; collectloll of in/ormation is ostirnSlte<:l to a
...**e~lJ;?** 3()**millute~** per**re~pv!lso.** If yOu wish to Clll'nment Olt (he accuracy -:::( the estimate. or r112Ke s<lggestlons (or redudng tll'$ DUfden pleas.;) dl1ect your comw"nll> to the OepRrtnlEmt of TrM$pOr\.atlOh at the followinQ**addre5~:),** Office ot the Secretary of Transportation U.S. Depatirnent o( l'ralispcrtall{)!1 Office cf Ayiallon Analysis. X·56 400 7th Street. Sw. Wasnlngto". DC 20590 

# -----_.-_._.--._ .. 

## __ .. 

# _-

.... 

## --.-
.. 

# _.--_._-_._
.... OMS No. 210'5-003C



# ---- ... 

# - .......**".~--.~-** 

### .. 

# - ...... .. FOREIGN AIR 

### CARRIERS CERTIFfCA TE OF INSURANCE POLICIES OF INSURANCE FOR AIRCRAfT ACCIDENT BODILY INJURY AND PROPERTY DAMAGE LIABILITY :?·2S-01

FlUNG (NSTRUCTIONS: File an origmal cllhj5 f\)ftTl with**tt~o** Spt!ciel Authclltle$ O'Y!$:On, X-57. Offtce o( Avk<t;cll Analys,:;. tJepl of rr3I1SpO!tatiorl, 400 '/th St. SW. Washington DC 20551. (Please type inform;:rIion. exc()pt si(Jna(lIfCS.) THIS CERTIFIES THAT:**.....AL.LMl:{L~gxlcO** CJA.S_EGt.J@.(5-<.?

...

A. DE C.V,

.....**~.** _____ ............ ___ _ (Nome of Insurer) has issued a policy or poliaes o( Aircraft**Liabl~ty** Insurance to SERVICIOS**AEREQ§.Q£~J!:.t..§!~.Q~.'£'L.falzada** Lazaro**~ardena$.** 315. Pargue Industrial Lagwlcro, CP 35070, GOmez PalaCio Du!,mgo**~** _____ ... ___ . (Nanl<! and address of Insvmd FOl6itJrI/lir Carrier) effective from _..§e..J? temJ2!!. 26"'. 201 Q until ten (10) days after written notice from the iflsurer or carrier of 

## tn" intent to terminate Covf::fage is reCeived by the Department of Transportation. NOTE: Part 205 of the Department's Regulations does 

### not allow fOf a predetermined termination date, and a certificate showing such a date Is unacceptable. 1. The Insurer (CfwcX Olle): 

# o is an approved surplus line insure. in the State(s; of**~** is licensed or approved by the govemment of MEXICO to issue

.. i(oaH lnsLifance policies: or 

# o is an I.lpprovoo surplus line Insurer In Ihe Slale(s) CJf 2. The**1Il$~lrar** assumes. under the policy or pOlicies listed below. aircraft aOOdenl lIabllily Inr.urcd to I11Jnlmum5 alluast equal to lha following during oJ)€ralion, maint{!nanc:e. or use of aircraft in "foreign afr Iranspartatiol1· as that term is defined in the Federal Aviation Act (Complete applicable sectfon(s) befCt.v): A. CANADIAN CHARTER AIR TAXI OPERA TORS WITH PART 294 AUTHORITY ONLY The aircraft covered by this policy have \1) 30 01 (ewer passenger S68tt> and i!\ maXitllll1ll pay land capacity 01 7.500 poLiMs**orte~s;** and/or (2) a m,l)dmllm auU10rized takeoff weight on wheels 

### Qr no mote than 35.000 pounds. (Check sepnmte orcombined 

### coverage 8S OPI)(UPljlJtO): 

# o Separate Coverages: Po/icyNo. Type of Uability

______ . _____ Comblned BOOBy Injury (El:cludiog Passengers other than cargo attendants) and Property Damage Uabilfty

___ ._ .... __**~.** __ ...... eassenger Bodily Injury Liability Mmimum Llmlr Each person

S 75.000 S 75.000 EBen Occummce

$2,000,000 (') see note $75.000 x 75% 01 lotal numb{J( of passenger seats**in${atf~d** in aircraft 

# o CombIned Coverage: This combined COVdlag8 Is 3 single Urn!! of liability tor each occurrooce at least e</ual to the required minimums stated above for bodily injury (axdl.lding passengers), property**datna~ed.** and passenger bodify injury. Policy No.

_____________ _ Amount of Coverage 

# o This policy collers CARGO operations only and oxcludes passenger liability insurance

.
• NOTE: If the airO'att covered by this policy have more than 30 passenger seats or mortl (Ilsn a**m~xlrnutn** payload capacity of 7,500 pounds, the minimum limit per**oc(;lIrtenc~** shall be S 20.000.000.
OST Fonn 6410

# r---------------------------------------------------- B, FOREIGN AIR CARRIERS OPERATING SMALL AIRCRAFT The aircraft covered by this policy are SMALL AIRCRAFT (I.e,. with 60 or fe'o'Je( passenger seals or with a maximum payload capability of 18,000 pounds or tess}. (elmo/( soparola or combined coverage 8S approprilJle): 

# o S<'pacole**Cov/}rag~s:** Minimum Limil

Comblned Bodily Injury (ExcIUdil)g Pa!>Stmgers other than cargo attendants) and Property Damage Liabilijy Passenger Bodily Injury $300,000 $300,000 !li2.oo0,OOO $300,000 x 75% of lolal number 01 passengor seats int>talled in <.Itrcrofl 

# o Combined Coverage: This combIned coverage Is a single limit o111abillty for e<Jch occurrence aliens! equ<:llio tlw required mil11mllms staled above fOI bodily Injury (excluding pAssengers), propHrty <Jam8ged, find pass\lnger bodily injury. Policy No A VUS 13Q Amount of COVOfllg8

.. USO,OQQ,OQ.Q

... 

### J,IAiJ2Q]@t9 

# o This policy covers CARGO**o~era!lons** only and t')xCftH/es passengel liability tn5l1raDC8. C, FOREIGN AIR CARRIERS OPERATING LARGE AIRCRAFT The aircraft covered by this policy are LARGE AIRCRAFT (La

.. with mOlo than 60 passenger scats or with a maximum**pr~yload** capaci1y of more Ihan 18,000 pounds), (Check sepamte or combined rXiverdge 8S appropliato): 

# o Separote Coverages: Minimum Umil

___**Po;..:;.:.II:.::;·cYo..:...;N:.::;o~,** ________ 3@ofLiabiIil1. Combined Bodily Injury (Excluding Passengcrs o1her than cargo attendants) and Property Damage L1abi§ly Passenger Bodily Injury SSOO,OOO 3:300,000 $20,000,000 $300,000 )( 75% of tofal number of**pass~nger seat~** **Install~d** In aircraft 

# o Combined Covmago: This C<lmblned cowHage is a sloole limit of liabilily for Ollch occurrence alless1 equal 10 the required minimums slated above for bodily injury (excluding passengers), properly danmged, and pas$enger bodily Injury. Policy No.

____ _ An)Qunt of Coverage

_______ _ 

# o This policy covers CARGO**opafa~ions** only and axe/odes passenger liability insurance. 3. The policy or policies listed in this certificate Insure(s} (Check One): Make ar.d Model FAA or foreigfl fJilg**~** 

# o Operatkins conducled with all aircraft operated by the insured 

# o Operations conducted with the following typos of aircraft: Challengor 604 CL-COO·2B1S, 

### 121 Operations wilh the following aircraft: {Use addilional page if necessary) SERIAL 5630 YEAR 2Q05 XA-SAO
4. Each policy Usled In this cer1if1cale meets or exceeds the 18qLllremenls in 14 CFR Part 205.

AlllANZ MEXICO CIA SEGUROS. SA DE C,V, Pf,(OTEC ?EGUROS Y FIANZAS (Name of Insurer} (Numt1 of 810kl)f, ;1 applicablo) Blvd

.. Manuel Avila Camacho 164 Cilltada Lazpro CardS'1l3l'l 540 (Addross) (Address) Col. Lomas de Barrilw M$xicQ D.F CP 110)""'0'--

__ _ (City Sia/o, Zip CorM)



# AviacionU.S, Department of Transportation Office of the Se-cret&'y 

### or Tran;;port3tion**---.~--------.----""-O·----A-G""'E~N""C""Y""'O-'S-P-LA-Y-'O-r-** ESTttAA TeO BUROEN 

# -----0----------- 

# 1 Th<' PUbilc (C'portinlt burden for this oollectlon of infortnatlon is eslimGltXl 10 averi!\je ::VJ mirllJtl1l& PN response If yOOJ wish to comment on the accurac)' o( tile estimate or**l11a~tt** suggestions for (educing IIlIs burden,**plea~e** dlieGi your**':"Jrnfr.tlnt~** ((j the P.epsrtmer>\ c,l Tro.ncpOl1aMI\ at tlte toliowiojl**3':ldres~:** U.S, Dep.altment 01 Ttallspmiatloll Office ()( Avis(i<Jn Analysis X·56 400 7th**Stre~** SW, 

# ! Wushirrgloll, DC 20590

____ ._ .. _____ •

___ ._ ••**~** ___ •

__________ 

## J

---------- 01.18 Nc 2io&'003C**na·o~** 

## ,-----,----- 

## .. _ 

### .... 

## __ .. 

# _-_._-----_. __ ... 

# _ ... 

# _ .. 

# ------- -,----_ .............. 

# _----- FOREIGN AIR CARRIERS CERTIFICATE OF INSURANCE POLICIES OF INSURANCE FOR AIRCRAFT ACCIDENT BODILY INJURY AND PROPERTY DAMAGE LIABILITY FILING INSTRUCTIONS: Flit) an or;ginal o( thts form will! the Specllll Authonties DiVision.**X~S·I.** OtTIc" of AviMion AllSI,!;;i!;. Dtpt of Tr;loopOrl;)(lon. 400 7Ul $!:,. SW

.. Washington, DC 20500. (PII?(}sa type information, except SigllDtUf'OS) THIS CERTIFIES THAT: ALlIANZ**¥EXJ~O** CI1..ps.G.UR_Q.$.i..$"jI.. DE C.V. (N<lme of InsUr€f) has issut?d a polley or policies of /l,jrcraft Liabaity Inslirance to**~!:=RVICIOS** AEREQ?...Q§tm!l!,**So~~QE** C. Y,._.<;:alzsda LaUlro**C?rd~!ll:1 ~15,**  Pargue Industrial LagunefO, CP 35070, G6mez Palacio**DlI~ngo** . ________________ . __

_**~N!)m()** Mnd :tVCf$$S of lnsufed Forf:ign Ail' Carrier) effeclivo from Segtem!?cr ?6!fl, 2019

.. until len (10, days after written notice from the In6Uff.lf or earlier of the iment to terminate coverage is received by the Department of Transportation. NOTE: Part 205 of the Departmenfs Regulations does not allow for a priXleterrnined termination date, and a certificate showing suetl a date is unacceptable, 1. Tha 100urcr (e/wek One): 

# o is an approved surplus lIne Ins.;rer in the SI811;1(S) of**~** is licensed or approve<! by the government of MEXICO to issue aircraft Insuraf)(·e polides; O( 

# o is all approved surplus Une Insurer in Ihe State(,,) of 2. The insurer assumes, under the policy or policies listed below, aircraft accident lIabllity insured to minimums at least equal to Ihe following during Opef8ti<m, maintenance, or use of aircraft In "foreign Air transportation' as that lerm is defined in ttl" Federal A'I:atjon Act. (Complete applicable section(s) below):
A. CANADIAN CHARTER AIR TAXI OPERATORS WITH PART 294 AUTHORITY ONLY The aircraft covered by tllis policy have (t) 30 or fewer passenger SMts and a maximum payload capacity of -I , SO(J p.Junds or**i<3~s:** andf(lt (2) a maximLim authorized ta'r<eoff weight on wheels of no more than 35,{)OO pounds, (ChfJck seplirafe or combined cOl/mage 88 appropliaw): 

# o Separate Coverages: Minimum Limil



# -------- Po/icy No. Type ofUabi/iry

______**~.** _____ Combined BOdily Injury (Excluding Passengers other than cargo attendflnts} and Propefiy Damage Liability**_~_.** ________ .Eassenger Bodily Injury Liability $ 75,0-3(1 $ 75,000 

### S2,ooo,ooo (') S% note S75,OOO x 75% of total number 

### or passenger seats Installed in aircraft 

# o Combined COIIerage. Thrs c()mblned coverage Is a slnglo limit of liability for each occurrence at !I)as\ equal to tM requjred minimums slated above fer bodily Injury (exduding passengers). property damaged. and passenger bodily injury. Policy No,

_____________ _ Amount of Coverage 

# o This policy covers CARGO operation!} only and**~)(cllldes** passenger liability insurance

.
• NOTE: tf the aircraft covered by this policy have more than 30 passenger seats or mere than a maximum payload capacity o! 7.500 pounds. the minimum limit per occurrence shall be $ 20,000.000.
OST Form 6410

# --- ..**-. -~.-**  

### .. 

## - .. 

## -.- .. 

# -. B FOREIGN AIR CARRIERS OPERATING SMALL AIRCRAFT The aircmft coveted by this pol i cy are SMALL**AIRCf~FT** (i.o , with 60 or fewer passenger S6DI S 01 with a maximum pay lo u d capability of 18.000 pounds or less). (Chock SfJ/>/lre/f! or com/lined coverage**a~** appropriore): 

# o Saparille Coveroges ; Min!mum /.irml



# ----- ... 

# _-- - -_
. . .. 

# _- - --- ...

__ .-:...P.::al:.:.:ic:.£y...:N.;.;O::.:

__________**T:..<y~p:,;:o~(~)f..::L::.:I{1::..:b:.:.: l::,** **ly'--- _._**  • ••

_____ _ .. . 313CII I?£!::f!.!!... EDell**0.E£!![!£:~~** Comblnod Bod i ly Injury (Excluding PassoogtJls other tha n cargo aUendanls) and Property Damage lial'>ilHy PaSGongBr Bodi l y Injury S300.0{lO
5300 , 000 $2.000.000 S300.0{)O x 75% oi lotal n u mber of**pas~anger** SOCIIs i nstalled U) liircrd'i 2) Combined CO'/eragf;}: Thi s combined coverage Is a single limit or li a bility fOf f!UCli occurrence at leas I e qual 10 the fEoqlJjwd minimums staled ubovo fOI bod i ly injury (oxcludll1g**pa~stlnyf.)rs).** property dam<lged, and pDs se nger boofiy injuw Policy No

. A VUS I 30 Amount of Covtitfaga .i1QQ,.QQ9

... Q.oO. V,S. 

### 1)..9.ltnm 

# o This pol i CY cov e rs CARGO operations onljl Hnd Hxdudos pa · ss(lnger IinblJ it y insurance.
C

. FOREIGN AIR CARRIERS OPERATING LARGE AIRCRAFT The aircraft covered by Ihls policy are LARGE AIRCRAFT (i.o., with 1:1ore Ihan 60 passenger seals or with 13**maxlm~lm** pllylomJ capacity of mOl'/) than 18,000 pounds}. (Chock sC!parate or combined covorage as appropriate;: 

# o Separate Coverages : Mininwll1 Umif



# ----- PO/ier No

. Type of Li8bi1ity _-,c;;;..;<1....;c_h P..'!!.:'>OIl E,ich Occwren c e Combined Bodily Injury iExr.luding Passell98rs olher than cargD attendants) and Proper1y Damage liability Passenger Bodily Injury $300,000 $300,000 $20,000,000 $300,000 :<**75~AI** of lotal nLlmber of passenger seats IIlSlallEtd in oi:craft 

# o Combined COllorage: Thill combined COVOfF}{)G )6 a slnol!) limil of liability tor each occu r rence €If least equal to the rEX/ulred minimums staled above for bodily iDjury (e x cluding passengers). property damaged

. and passenger bodily Injury. Policy No

. _______**~.** ______ _ Amount or Coverage 

# o This policy covers CARGO operations only and exc/IJdes passenger liability insurance

. 3

. The policy or policies listed in this certincate insure(s; (CheGk. OM) : Make ioli".d Model FAA or FOfE:igll Flag !\

. 

# o Operations conduded with 011 aircraft operated by Ihe insured 

# o Operations conducted with the follOWIng types of 8ircraR : Beechr..taft Hawkor 800 XP , 

### !ZI Operations wilh the following aircraft: (Use additional page if necessary} SERIAL 25B713 YEAR 2005 XA-SJM

4

. Each policy listed in Ihls cer1lf1cale meots or ClXceed$ Ihe rOQulraments ill 14 CFR Pan 205

AlLIANZ MEXICO CIA SEGUR OS, SA DE C.v

. PROTEC**SEGURO$_Y,-,F,-,I.."AN;..;;ZA~.S;........** ____ _ (Nw1'IB of Insuf'G(J (N()fM or Srokar

. i f appliclJble) Bllld

.. Manuel Avila Camacho 164 ColUlda ltizalO Ctl(denas 540 ( Addross) (Address) Col. Lomas de Barrllaco Mexico R,F CP 11010 (Cily Slmo, Zip COd<» Msnhe Vega COtJf<ict (Pftrson who**c~n** vorify the effe-::tiwmoss of the**(..'OVel~)**

5255-5201·3178 /5255-5201-3188 ext 3178 (Ar88 Coda , P1I\)(/8 NfimOOI) 

# t'/ Codg , Frrx Nu (Signature

. I 

# f/f,lcab'fJ)
1 

## 2 OCT 1010 

# Aviacion CQI, Parque IOO\.l$tr;al Lagunero CP 35070 (City. SIDlO

. i p Codo)**I~,I>""' ~"**  Fa)( NUn?oor)

, s,;..