### ALL CLAIMS SHOULD BE REPORTED TO OUR CLAIMS DEPARTMENT



## U.S. Specialty Insuran ce Company Attn: C l aims Department 

### 5601 Gran i te Parkway • S uite 1100 • Plano , TX 75024 (800) 467 -8731 ·F ax: (469) 633-7520 E - mai l : claims@uss i c.com

### e. Bond s Pa y premiums on bonds required to re le ase att ac hments and t o appeal from ju d gments w e e le ct t o a pp e a l , bu t we w ill not pa y for bond s cover in g a n y aggregate am ount more than the app li cab le l i m it 

### of li a b ility ; f. 

### Financial Responsibilit y Laws Co mpl y w ith th e prov i s ions of any aircraft financial responsibility statute if we certify your poli cy as proof of your future financial res ponsibility u nder that st at ute. We will not, however , pay more than th e limits of liability shown in Item 6 of th e Coverage I de ntifi cati o n P age . You must r eimb urse us for any amo unt we have to pay in com plying with the statute th at we wo u l d not oth erw i se h ave h a d to pay .

PART FOUR MEDICAL EXPENSES Review Item 6E of your Cove rag e Id e ntific ati o n Page to confirm th e M e dical E xpe n se li m its i ssued to you . 

### 1
. W hat W e W ill Pay We w i ll pay the reaso nable and neces sary med i ca l expe n se incurred within one year for injuri es to you and any passenger cause d by an occurrence while the aircraft was flown by you or anyone we protect Med ica l expe nse includ es the cost of surgical , denta l, hos pital , professional nursing, ambulance or funeral services
. The m ost we will pay fo r eac h person's medical ex pense is shown under Item 6E opposite "each person ". Th e mo st we will pay f or all medical expense is shown un der Item 6E opposite " eac h occ urrence". 

### 2. Who We Will Pay We will pay each injured person directly , the pe rso n responsib l e for pa yme nt , or the person o r organiza ti on that provided the service
. 3. W hat We Will Not Pay We will n ot pay any medical ex pense t o th e exten t pay m e nt i s required und er any worke r' s co mp e n sati o n o r di sa bility ben efit s law o r s i m ilar law
. 

### 4
. Eff ect of Paym e nt We are not admitting that you have any legal liability by ma k ing medical expense payme nts. 5. Proof of Claim The i njured person or so m eo n e acting for the person must give us written p roof of th e m ed i ca l ex pense and must help us obtain th e m ed ica l r ecords and reports we need. If we ask, the injured person mu s t submit to examination by any doctor we se l ect. 6. Legal A ction for Medical E xpen se A l egal action against us for medica l expense cannot be b rou ght unless you and anyone we protect have done eve ryth in g that you a nd anyone we protect are required to d o and at least 30 days mu s t h ave passed s ince th e pro of of c l a im has been g i ve n to us .
PART FIVE SPECIAL PROVISIONS AND CONDITIONS Th ese Special Provisions and Conditions do not a pply unle ss ( Item 

### 10) of the coverag e Identification Page sta te s u s e is limited to P l eas ure an d Busin ess. 1. Newly A cqu ired Aircraft If you not i fy us durin g t h e policy period and wi th in 

### 30 days after you acqu i re owne rship of a n ot he r aircra ft , a nd pay 

### th e add iti o nal prem ium, we will cover it and your use of it i f we in s ure a ll th e aircraft you own . 2
. T e mporary Use of S ubst it ute A i rc r aft If you are u nable to fl y your aircraft because o f its b reakdown , repai r, se rvi c i ng , l oss or de s truct i on we wi ll cover you a n d your use of t he s ub s titu te a i rcraft.

A l P 1 105 (08/ 10 ) 

### 9 3. Use of Another A ircraft I f you are an i ndi v idu a l or . a n in dividua l and s p o use, and us e a n othe r ai rcraft n ot owned in w hole o r i n pa rt by you 

### or furni shed fo r your regular use we will cover you and your use of anoth e r a i rc raft. 

### 4
. We w ill provide you w ith a . The sa m e L i ab il i ty t o O thers ( PA RT THREE) and Med i ca l E x pense s (P A RT FOUR ) coverage as we d o on the aircraft w ith th e g r eat est se ating ca pa ci t y on your Coverage I denti ficati on Pag e ;

### d
. Sll ow U s th e R eco rds Show us a ll re co rds you have t hat wo u l d p rove th e a m o u nt of l oss. 6. When We W ill Pay We will p a y f o r loss of or damage to your a ircr aft within 

### 30 days after you have given us a sworn Proof of Los s st atement and you and we a gree o n th e amount. 

### 7
. T heft If your airc raft or any part of it is stolen and recov e r e d b efore we h a ve paid for it, we may return it to you alo n g with payment for any physical damage to it. 8. D i s a p p e aran c e W e w ill cons ider your aircraft t o be lo st in f li gh t i f it di s app e ars and i ts w hereabouts is no t reported wi th i n 60 d ays . 9
. Re i nst at eme nt 

### of Coverag e I f yo ur aircraft is d a m aged. th e am oun t of coverage for the aircraft w i ll b e re d uce d by the a m ount of the damage
. T he co ve ra ge wi ll be au tom atic all y i n crea s ed, at no add itio na l premiu m , by t he c ost of repa irs comp l eted un til t he agreed value h as been resto red o r the policy ex p ires . If , h oweve r, we pay as much as t he agreed value, l e ss t h e ap pl icabl e dedu ct ibl e, we are entitled t o t he t ota l A irc r a ft P hy s i c a l D am age premium for 

### the aircraft o n 

### w h ich we mad e the pa y me n t.

PART THREE LIABILITY TO OTHERS R ev i ew Ite m 

### 6 of your Coverage Identification Pa ge to confirm the particular liabi li ty co v e rage s a nd li m it s is su e d t o you. 

### 1. What W e Cove r We wi ll p ay d a mages you , and anyone we protect , a r e leg a lly require d to pay for bodily injury or property damage c au se d by an o ccurrenc e during th e po licy pe ri o d
. a . Cove rage A covers bodily injury to p ersons ot her t h a n pass e ngers i n your aircraft. T h e m ost w e wi ll p ay f or bodily injury to a n y o n e p e rson is s h own und e r Ite m 6A oppo s ite "each pe rso n ". The most 

### we w ill p ay for bodily injury to all p er so ns is s h ow n in Item 6A oppo s ite "e ach oc c urren ce "
. W e w ill n ot p ay fo r bodily injury to pa ssengers un de r Cov era g e A. 

### b
. Co v e ra g e B covers bodily injury to passengers in your ai r c r aft
. Th e m ost we wil l p ay f o r bodily injury to a ny on e passenger i s shown und e r Ite m 6 B o pp os ite " eac h person". The mo st 

### we w i ll pa y f o r bodily injury t o a ll passengers i s sh own und e r Ite m 6 8 o p pos ite "e ach o c curren c e". We will n o t p a y f o r bodily i njury t o p e rso ns oth e r t han passengers under Cove rage B. c . Coverage 

### C covers property damage
. T he most we wi ll pay for p ro perty damage is show n under I tem 6C o p posite " eac h occ u rr ence ". d
. Coverage D c ov e rs bodily inju ry an d property 

### damage in 

### a c omb i n e d l imi t o f lia bi lit y fo r eac h o cc urre n c e . W h ere th e wor d "I N cludin g" i s shown in It e m 60, th e most we w i ll pa y for bodily injury to a ll pa ss engers a nd a ll ot he rs a nd p r operty 

### damage i s sh own unde r Item 

### 60 o pp os ite 

### "each A lP 110 5 ( 08/ 1 0) 7 occurren ce ... W he re t h e wo rd " E Xc ludi n g " is show n in Ite m 

### 60. t h e mo st we w i ll pa y for bodily injury to a ll p e rs o ns and p rop erty damage is shown und e r Ite m 60 op posit e "each occ urre nc e" , b ut w e wi ll n o t pa y fo r bodily injury to passengers. e. C ove rag e DL covers bodi ly injury t o passengers an d ot hers an d property damage i n a comb ine d l i mit of liability for e ach occu rre n ce which in cl ud es a low er limit f or each p assenge r . Th e most we will pay fo r b o dily injury t o e ach passenger is show n i n I t e m 6 D L o p p os it e "e ach p ers on"
. T he most we w i ll pay fo r all bodily injury and property damage is sh own in I t em 6 D L opposi te "ea c h o ccur re n ce". 

### 2
. Who Is P rotect ed Except for thos e list ed b e low u nder Who is N ot Protec ted , your bodily injury a nd prop e rty damage liabil ity c ov e ra g e pro te ct s you a nd anyone you permit to fly your aircraft. You incl ude s: a. Your partners if you are a partn ers h ip or jo i nt ven t u re ; b. Your members and managers i f you are 

### a l imite d liab il ity company (L L C): c. Your exec ut iv e offi cers and directors w h il e acti n g as suc h i f you are a corporatio n. You a n d anyon e yo u p ermit to fly yo ur airc raft a re protect e d se p arate l y, but th e li mits of liab i l ity shown i n9. O t her Cove ra g e If there i s other coverage protec ti ng you or anyone we protec t f or an acc ident or occ urren ce covered by thi s po li cy , we wi ll pay on l y t he percentage portion th at t h e applica b l e limit of coverage of this policy bears to the total o

f th e applicab l e limit o f coverage of all policie s. If th ere is a n acc ident or occurrence covered by your policy inv o lvi ng Temporary Use of Subst itute Aircraft or Use of Another A i rcraft, your policy will be excess over any other cove rage protecting you. If th e re i s other insurance covering the accident or occurrence issued through us , we will not pay more than the limits of liability of the policy having the greatest limits
. 10
. Transfer of Inte rest in Your Po l icy Neither you n or anyone we protect ca n transf e r an intere s t in thi s po l ic y without our wr itten con se nt. If you die during the po l icy peri od , your legal repres entati v e will have a ll o f your rights a nd dut i es under the policy whi l e sett l i ng your estate if we are noti f i ed within 

### 60 days of your death. 11. Our R i ght of Recovery If we make any payment, we will take over your right to recov er th e payment from anyone who is responsible for th e accide nt or occurrence. You and anyone we protect must do e ve rything n ece ssary t o transfer this right of recovery t o us , including allowing suit to be brought in th e na me of the person or organization protected
. Yo u and a n yone we prot ect m ust d o nothing th at will interfere w it h our efforts to recover . 

### 1 2
. State Sta tut es S ta tements i n th i s po li cy conflict ing with stat utes of the state sho wn i n I tem 

### 2 of t he Cove ra ge Id ent ifi ca t ion Page are here by ame nded by us to conform t o t he st at u tes
. 13. Legal Act ion Aga in s t Us 

### No legal act i o n sh a ll be brough t ag a in st us un t il t he po li cy provis io ns have been comp lied with fully. 

### No one s h all have any right t o: a. Join us as a party to any l ega l act ion against you or anyone we protect ; or b. Bring 

### us into any legal action to det e rm ine your liabi lity or the l i abi lity of anyone we protect. 14
. Concea l ment or Misrepres entation We do not provide cove rage for you or anyone who h as concealed or mi srepre se nt ed any ma terial fact or ci rcu m s tance rel ating to t h i s po li cy e ither befo r e o r after an accident or occurrence. 15. Insp ect i o n and Aud it W e sha ll h ave the rig h t, b ut sha ll have no o bliga t i on, to insp ect th e aircraft and reco rd s durin g and up to one yea r after the policy period
.

PART TWO 

### AIRCRAFT PHYSICAL DAMAG E Review I t e m 5 of your Coverage I dentification Page to confir m th e A irc raft Physica l D amage cove rage issued to you. P l eas e n ot e a l so th e agreed value of your a ircra ft and th e amount for which you are res ponsib le (deduct i b l e)
. Thi s covera ge i s fo r your b e nefit a nd n ot for t h e b e n efit of anyone e ls e in possession of your aircraft
. 1. What W e C ove r a . Co ve rag e F covers direct phys ica l l oss of or damage to your a irc ra ft ca u se d by an accident whil e the aircraft i s not in motion
. b
. Cov e rage G covers di rect physica l loss of o r da m age to yo ur a ircraft caused by an acc id e nt w h il e th e aircraft is in motion
. 2
. W h a t You Mu st Pay or Be ar (D e d u ct ibl e) a. No t In Motion Dedu ctib le Th e amo unt s hown i n I t em 

### 5 F of your C overag e Id e ntification Pag e mu s t be paid or bo rne by you when l oss or da mages are under Co ve rag e F. b. In M otion Deductib l e The amo unt sh own in Item SG of you r Co verage I dentifi ca tio n Page must be paid or borne by yo u when l o ss or damages are under Coverage G.
c. No Ded u cti bl e W e w i ll not s u btrac t e ith er ded u ct i b le amo unt if the W h en w e pay fo r lo ss of o r d ama g e t o your a ircraft, l os s o r damage i s ca u sed by : you m u st first pay o r bea r o ne of t h e follow ing amou nt s u n l ess no ded u cti ble a p pl ies (1 ) F i re , l i g htn i ng , ex p losion , the ft or vanda li sm; AlP 1 105 (08/1 0) 5

### PART ONE GENERAL PROVISIONS AND CONDITIONS 1. 

### Words and Phrases Th e following words and phrases have special m ea ning throughout the policy : a. You and your m eans the person(s) or organizat i on(s) named in Item 

### 1 of the Coverage Identi ficat ion Page under the heading " Named Insured." b
. 

### Anyone means any person or organization othe r than you ; c . We , our and us mean the insurance company n amed on t he Coverage I dentificat i on Page ; d. Air carrier means a person who und ertakes directly by leas e, or other a rrangement , to engage in air transportation ; e. Aircraft means th e airc raft show n in Item 5 of your Coverage Identifi cation Page or qualifying under PART FIV E of your pol i cy. I t inclu de s the airframe ; landi ng gear; propulsion system ( includin g engine(s), acc es sories and prope ller{s) or rotor(s)); f light and e ngine instruments ; co mmu nication/navigation system ; electrical system; flight control system; fuel system ; hyd rau lic sys tem; and pressurization system
. Parts u sually mounted o r attached to the aircraft are included wh ile temp o rarily removed as l ong as they are not rep l ace d by other parts ; f
. Agreed value m ea n s th e amount of mon ey shown in Ite m 5 of th e C o ve ra ge Id e ntific ation Page
. It i s t h e amount that you an d we have agreed your aircraft i s worth and the ma x imum amount of Aircraft Phy sica l Damage cove rag e we provide; g . In motion means w hen the airc raft is moving under its own powe r or th e res ulting m o m en tum ; h. In flight m eans wh e n the aircraft movement begins for tak eoff unt i l co m p leti on of t he landing r un ; i. 

### Passenger me a n s any person who is in th e aircraft or gett in g in or out of it ; j
. 

### Bodily injury m eans phy s ical i njury t o a person , in cl uding s ickn ess, di se ase o r de ath ; k
. Property damage m eans d a ma ge to or d est ru cti on of property in c l uding a ny re su lt ing loss o f u se of th e property
. It does n ot include damage to or destru ctio n o f the aircraft or any other property you or anyone we protect und e r your po l 1 c y own s; ha s c harge of o r transpo rts ; I. 

### Accid ent mean s a sudd e n even t during the policy peri od , neithe r expecte d nor intended by you . th at 

### A l P 1105 (08 / 10) 

### 3 involves your air c raft and cau s es physi cal damag e to or lo ss of the aircraft during the policy period;
m . Occurrence means a sudd en e ven t or repe ated exposu re to the same general cond ition s , involving the aircraft during th e policy p e riod, neith e r expected nor in tended by you , that causes bodily injury or property damage to oth ers during the po li cy period
. All bodily injury or property damage resu lt ing from the same general condi tion s wi ll be considered to 

### be caused by one occurrence; n . Student pilot means any pilot m eeting th e requirem ents of I tem 9 of your Cove ra ge Identi ficati on Page who is re ceiv in g instru ction, eith e r dua l or solo, under the direct supe rv ision of an FAA C ertificated Flight Instructor ; o. Renter pilot mean s any pilot meeting the requirements of Item 9 of your Coverage I dentifi cation Page who i s renting one of your aircraft fro m you ; p . Feder a l Aviation Administration (FAA) mean s the authority of the United States of Ame ri ca having juri sdiction over ci v il aviation or its co unterpart in ano th er country; q . Pleasure and Bu s iness means perso nal and bus i ne ss related purp os es where no charge i s m ade for s uch u se; r . Instruction and/or Rental m eans u se of the aircraft fo r i nstruct io n of, or rental to , ot h e rs for their Pleasure and Busin ess u se . You m a y a l so u se the aircraft for your Pleasure and Business u se; s . Charter/Air Taxi means u se of th e aircraft for tr

a nsp orti ng passengers and/or fre ig ht for hire. You may als o use the aircraft for your Pleasure a nd Business us e; 

### t. Comm e r c ial m ea n s us e of th e aircraft for Instruction and/or Rental u se, Charter/Air Taxi u se and your Pleasure and Business u se ; u . Flying Club means use of the a ircraft by y o ur me m be rs fo r their Pleasure and Busin ess u se. A member i s a n y person having a n ownership int ere st i n or owning stock in , th e organi za ti o n shown in ltem 

### 1 of the Coverage Ide nt i fi cation Page
. You m a y charge memb ers hip fe es a nd dues and you may also charge the members f ees for use of the aircraft ; 2
. Our O bli gat i ons and Your Du t ies W e ag ree to provide cove rage i n your po licy if you p a y the prem i um and comp l y fully with the poli cy requirement s , but if you d o n ot , then w e are not obligated to you or anyone . We ha ve t he ri ght to d educt any premium o r othe r

### T hi s Policy i s an Aircraft I nsura n ce Policy prov id ed by 

# U.S. SPECIAL TV INSURANCE COMPANY
AD M I N I ST RAT IVE O FFI C E S : 13403 NORTHWEST FREEWAY , HOUSTON , TEXAS 770 4 0



### Thi s policy i s writt e n in language that is eas i er t o und e rs tand th an language p re vi ously used
. Th e prov is i ons of you r policy are se t forth in detail in the Coverage Id e ntifi ca tion Page, Parts O n e t hrough Fi ve a nd the E ndorseme nts we i ss u ed, whi ch toget he r co mpris e your policy
. Th is policy may provide you with coverage f or Aircraft P hys i ca l Damage, Lia bil ity to Others and Medical Expense. Be s ure to review yo u r Co ve rage Id en tifi cat i on Page to co nfirm the coverages and l imits issued to yo u . Then read each Part of th e po l icy, and eac h End orsemen t we issued. This w ill enab l e you to better und e rstand your po l icy. Thi s po l icy i s a legal cont ract between you and t he Company , th e refo re, IT IS IMPOR TANT THAT YOU READ YO U R POLICY CAREF U L LY
. Th e n ext page provides a bri ef o ut li ne of w h e re yo u w ill find th e import a n t features of your pol icy.

A IP 1 10 5 (08/ 1 0)THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
. This e n d o r seme n t is issued by U .S. Specialty I nsurance Company Pol i cy nu m be r : AC3005376 - 00 End o rseme nt numb er: I ss u ed to (firs t Na me d I nsured): E ffe cti ve: CVT M a r keti n g a d b a of T i m F le ming 0 9/ 25/20 1 5 F o r : pr e mi u m of $ ( if no entry a ppears ab o ve , informa tio n req uire d t o com p le t e th i s endors eme nt wi ll be s h ow n in t h e Dec la rati o ns as a ppli ca bl e to this endorsement
. ) 

### EXCLUSION OF CERTIFIED ACTS OF TERRORISM AND EXCLUSION OF OTHER ACTS OF TERRORISM COMMITTED OUTSIDE THE UNITED STATES

A. U n d e r PA RT ON E - GE N E RA L PR OV I S I O N S AND CO ND IT I O N S - Ite m 1
. - Wo rds an d P hrases is amend ed t o inclu de: 1
. Certified act of terrorism m ea n s a n act t hat i s ce rtifi e d b y t h e Se c retary of th e T reas u ry, i n co ns ultation with the Sec r etar y of H o m e l a nd Se c urity a nd the Attorn e y General of th e Uni ted States to be an act of terrorism pur s u a nt t o th e f e d e ra l T e rrorism Risk Insuran ce Act. T h e c rit e r ia co ntained in th e T e rrori s m Ri s k In s u ra n ce A ct fo r 

### a certified act of terrorism includ e th e f o ll owing: a. T h e act re s u lte d in in s ured l oss e s in excess of $5,000,0 0 0 i n th e a g gregate , attribu t ab l e to a ll types of in s ura n ce s u bj e ct to t h e T erro ri sm Risk I ns ura n ce Act; b
. Th e act re s u lted i n d ama g e : ( 1 ) W ithin t h e Unit e d St at es ( in c l u di ng it s t erri tories a n d p ossess i ons an d Puerto R ico; or (2) Outs id e o f the United Sta te s i n th e case of : ( a) A n air carri e r (a s d e fi ned in Secti o n 4010 2 of T itl e 49, Unite d States Code) or United Stat es f l ag vesse l (or a vesse l based principa ll y in th e Un it e d St at es, on which Un it e d States i ncome t ax is paid and who s e in s ura n ce coverage is subject to regulat i on in th e U n ite d State s )
. rega rd l ess of where the l os s occ u rs ; o r (b ) T h e pre m i ses of an United State s mi ss i o n ; a n d c. T he a ct is v i o len t act or an a ct t h at is dang e ro u s to h u ma n life , p roperty, o r in f rastruct u re a nd i s comm i tte d by an i n di v idual o r in divid u al s as p art of an effort t o coerce t he ci v i lian po pul ation of the U nited St at es o r to in f lu ence t he po li cy o r affect t he co ndu ct of t he Unit e d States Gove rnm ent by coe rc i o n. 

### 2
. Other a ct of t e rrorism means a viole nt act o r a n act t hat i s dangero u s to h uman li fe, p roperty o r in f rastructure that i s committed by an individual o r in d ividuals and that appears to be pa rt of a n effort t o coerce 

### a civilian population or t o i n fluence the po li cy or affect the co n duct of any governmen t by c oe r ci on , a nd t h e act i s n ot a c e rtified 

### act of terrorism. Mul t ipl e i ncide nts of a n oth e r act of terrorism w hi ch occ ur w ithin a seve n ty- two ho u r p e ri o d and ap pe a r to b e c ar ri e d o ut i n co n cert o r to have a rela te d p u rpo se o r commo n leadership s h a ll b e consid ere d to b e o ne i n cide n t. B. If Airc r aft P hys i c a l Da m ag e cove ra g e i s in c lu ded in your po l icy, as evidence d by app li cab le prem ium shown on t he Coverage I d e ntificatio n Page , th e followi n g exclus i on is add e d to PART TWO - A I RCRA FT PHYSIC AL DAMAGE : 1
. Th i s insurance does not apply to :

NOTHING HEREIN CONTAINED SHALL BE HELD TO VARY , ALTER OR EXTEND ANY OF THE TERMS, CONDITIONS OR AGREEMENTS OF THE POLICY OTHER THAN AS STATED ABOVE
. 

### A l P 1 88 1 (0 1/1 5) Page 

### 1 of 

### 2THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ I T CAREFULLY. 

### STATE OF FLORIDA CANCELLATION AND NONRENEWAL AMENDATORY
This endorsement changes PART ONE - GENERAL PROV I SIO NS A N D CONDI TI ONS
- Paragraph 8 , " Cancelling Your Po li cy" , to read: 8. Cancelling Your Policy or Renewing Your Poli cy You may cancel your policy at any time by tell ing us in w riting in
. advan ce of the date you want your cove rage to end. We w ill compute the prem iums earned by us using the customary short rate table. We can cance l this po l icy as fo ll ows: a. The policy can be cancelled at a ny t im e for nonpayment of premium by mailing or de li vering a n otic e of ca ncellati on to th e f irst "N amed Insured " at lea st 1 0 days before the effectiv e date of the cancellation; or b
. If thi s policy ha s been i n effec t less th a n 

### 90 days it may b e cancelled at any time by ma iling or delivering a notice of cancellation to the first "Named Insured" at le ast 

### 20 d ays before the effective date of the cancellation ; o r c. If this policy has been in effect 90 days or more it m ay be cancelled at any time by mailing or deli ve ring a notice of ca ncell ation to the f i rst "Named Insured" at least 

### 4 5 days before t he effective date of the cancellation and only for one 

### of the following reasons : (1) T h e policy was issued be cause of material misrepresentation ; (2) A substanti a l change in th e risk which increas es the risk 

### of loss during th e po li cy period; (3) Your s ubstantial breach of contractual duties , con dition s or warran ti es; or (4} Our cance ll at i on of a ll po li cies for a given class of insured s. We wi ll compute th e premium earned by us ba s ed on t h e percentage of th e origi nal policy perio d th at w e provided coverage. If 

### we cance l your pol i cy 

### we w ill return any pre m i u m you have paid that 

### we have not earned 

### but m ak ing a r e

fund i s not a conditi o n of cance ll ation
. No not ice of no nre newa l o r re n ewa l with less favorable t erms s h all be effective unless mailed o r delivered 

### by us to you at least 

### 45 days prio r t o the date of the p rop osed action. An y notice w ill be m ailed or delivered to the first "Na med In s ured ' s " l as t m ai ling address kn own to us . I f notice is mailed , proof of mailing w ill be sufficient proof of not ice.

NOTHING HEREIN CONTAINED SHALL BE HELD TO VARY , ALTER OR EXTEND ANY OF T H E TERMS , CONDITIONS OR AGREEMENTS OF THE POLICY OTHER THAN AS STATED ABOVE. A lP 1 2 10 (08/10) Page 

### 1 of 

### 1

### PROTECTING THE PRIVACY OF INFORMATION U.S
. Specia lty I nsurance Co m pany ("USSIC ") is committed to protecting your privacy by keepi n g the no npublic persona l in fo rma t ion we collect f ro m yo u confid en t ial and sec u re. Th i s po li cy applies to our relati onshi ps with individual consumers w h o in quire abou t and/o r ob t a in p ro du cts o r serv i ces from USSIC fo r p ersona l , family and h ouseho ld purposes. P l e as e rea d t h i s P ri vacy Pol icy th at detail s U SS I C 's inf orm a tion use po li ci es a n d p ractices. 

### Strict Security Measures U SS I C takes t h e se curity of informat io n v ery ser io u s l y a n d has estab li s h e d se c u ri ty st and ard s and p roce d u res to preve n t un a uth o ri zed acces s to customer inform ati o n . Th ese st a n da rd s ex i st f o r b ot h our p h ysica l f aci lit ie s an d o ur online s erv i ces . We maintain physical, elect ro ni c a n d pr oced ura l safeguards that comp ly w i t h fe de r a l standa r ds to g u ard c o n s umer inf o rm ation. In addition, U SS I C ha s p o li c ies a n d proc edures to limit e m p l oyee access to i nf o rm at i o n to o nly th ose emp lo yees with business reason f o r access i ng s u c h i nfo rmation. U S S I C e ducates it s e mpl oyees abo u t the i mpo rt ance of co nfid e ntiality and customer pri vacy. W e t a ke a pp ro p riate di scip li nary m eas u res to en f orce emp loye e respo n s i bi li ties reg arding customer informati o n . 

### Why USSIC collects information USSIC collects info r m at ion about yo u to : • Acc u ra tely i dent i fy yo u ; • P rotect and ad m inist er yo u r re co rds , po l icies , and f u nds ; • H e l p us des i g n or im pr ove o ur prod ucts an d serv i ces; • Save yo u t i m e w h e n yo u apply for n ew produ ct s a n d se rv ices; • O ffe r yo u q u a lity prod u cts and se rv ic e s; a n d • Co m p l y wit h ce rt a in laws a nd regulati o n s. 

### Information We Collect U SS I C m ay co ll ect the fo l lowing nonpubli c p erso n a l in format io n fro m y o u and outside sou rces: • D at a you provide on your appli cation and other form s you provide USSI C, suc h as n ame, add r ess, date of bi rt h , occ u pat i on, 

### FAA C e rt ificate Number and othe r info rmati o n co mpiled by th e 

### FAA conce rn ing yo u , yo ur pl ane a n d your aviati o n r ecord; • Your t ra n sact ions w i th U SS IC , su c h as yo u r account balance, paym e nt h ist ory and c l ai m s history; • Driv i ng R e cord from th e Dep art men t of M o to r Vehic l es. USSIC has established proced u res so t hat the in f ormation we collect 1s accurate , current and complete. USSIC i s co mmi tted t o wo r ki n g wit h yo u to pro m pt ly co rrect a n y i n accurate i n fo r mati on . 

### Information We Share D epending on the t y p e o f r el at ionsh i p yo u h ave with USS I C , we may share o r d i sclose t h e in form ati on we co ll ect fro m you , s u c h as yo ur c laim s hist ory a n d payme nt hi sto ry , w it h U SS I C affili at es , as well as w it h unaffil iated th i rd part i es. This informatio n is sh ared t o t h e ext en t n ecessary t o service yo u and yo u r pol icy as comp l et e l y as poss i ble. U SS I C reserves t he ri g ht to s h a re a ll in fo r ma t ion we col lect as th i s pol i cy p rov i des. Un der th e l aw, USS I C is p e rm itted to s h are i de n t if i cati o n i nform ati on wi th U SS I C affi l iat es, as w ell as in fo r mati on re l ate d t o th e t ra n sactions a nd ex p e ri e n ces we h av e w ith ou r c u st o m e rs . By s h a rin g th is in fo rmation , USS I C i s able t o st ream li n e cla i ms processes to ens u re yo u re c e i ve t h e s e rvice you n eed
. W e also di sc l ose t h e in for m ati o n we co ll ect f rom yo u to complete t ra n sact i ons i ni t i ated by yo u when yo u req u est o r authori ze the di sc l osure, or if th e d i sclosure is requ i red by l aw. At times , it is n ecessary to disc l os e info r mat ion t o e n force or apply th e term s a n d con diti o n s of any agreement we h ave wi th yo u and to prote ct the righ t s, prop e rty, or safety of U SS I C , our customers, or othe rs . This inc lu des exc hangi n g i nformati on with ot h er companies and organizations, i nclud i ng governmen t a l l aw enforcement authorities , to detect or p revent f raud , criminal activity, mat erial m i s representat i ons or material non-disclosures in co n ne ct ion w it h i nsurance transactions. W e may also dis c lose t he in f ormat io n we collect from you to unaff i l i a ted th i rd parti es, as permitted by law. This includes unaffiliated t h i rd parties who provide market in g se rv i ces fo r U SS I C.

AlP 

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### THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
. This endorse m ent is issued by U.S
. Specia lty Insurance Company Policy num ber : AC3005376 - 00 Endo rsement number : I ss u ed to (f ir st Named Insure d): CVT Mark e ting a dba of Tim Fleming Effective : 09/25/2 01 5 For: premium of$ (if no entry appears above, informat ion required t o complete this endorsemen t will be s hown i n t he Dec larations as app li cab l e to this endorsement.) 

### HELICOPTER/ROTORCRAFT
In addition to the Words and Phrases in Paragraph 

### 1 of 

### PART O NE GENERAL PROVISIONS AND CONDITIONS , the following apply to your coverage fo r your h elicopte r or rotorc raft: 

### 1. In Motion means w hen a rotor of the aircraft is engag e d and turn i ng. 

### 2. In 

### Flight means when the aircraft is moving on the ground or in the air as a result of engine power or autorotation.



### NOTHING HEREIN CONTAINED SHALL BE HELD TO VARY , ALTER OR EXTEND ANY OF THE TERMS , CONDITIONS OR AGREEMENTS OF THE POLICY OTHER THAN AS STATED ABOVE. 

### AlP 1 441 (0 8/10} Page 

### 1 o f 

### 1THIS ENDORSEMENT CHANGES THE POLICY
. PLEASE READ IT CAREFULLY
. This end o rsem e nt is is sued by U.S. Specia lty Insurance Co mpany Pol i cy number : End orsement numb e r : I ss u ed to (firs t N a m ed I nsured): Effect ive: For : 

### AC30 05376-00 CVT Market ing 

### a db a of Ti m Fleming 

### 09/ 25/2015 premium of$ (if no entry app ears above, information re qui red to comp le te t his e n dorse m ent will be show n i n the Dec l arat ions as a ppli ca ble to thi s endo rse me nt.) 

### POLICY CHANGES

This endorse ment will not be used to decreas e coverages, increas e r ate s or deductibl es or a lter any te r ms or cond itions of coverage unless at the sole request of the insured. Th e f o ll ow in g item (s): I nsu r e d's N ame I ns ure d ' s Mai lin g Addr ess Po li c y Numb er Co mpa ny Effective/E xpiration Date Insured' s le ga l Status/Bus in ess of In sured Payment Plan Prem i um Determination A dditional Inter ested Pa rt i es X Cov erage F o rm s and En do rse m e n t s Limit s/ Expo su r es Deductibl es Cove red Property/ L ocated De sc ription Classif ication/Class Code s Rates Underl ying/ E xce ss Insurance U n der 

### Part One General P rovisions and Cond itions, Paragraph 

### 4 T he use 

### of t he A ircraft , item cis deleted. Und er Part Three Li abi l ity to Others, Paragraph 

### 4 i. 

### (3} Electrical and/or Electromagn et i c I nte rfer e n ce i s dele ted
.

NOTHING HEREIN CONTAINED SHALL BE HELD TO VARY , ALTER OR EXTEND ANY OF THE TERMS , CONDITIONS OR A G REEMENTS OF THE POLICY OTHER THAN AS STATED ABOVE. A lP 

### 1029 (08/ 10) Page 

### 1 of 

### 1

# AIRCRAFT INSURANCE POLICY COVERAGE IDENTIFICATION PAGE 

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A lP 1 1 06 (08/10) 

### Do c ume nt Nu mb er: 6937 1 6 Page 2 of 3

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