Attached files

file filename
10-Q - 2013 FIRST QUARTER 10-Q - BALTIA AIR LINES INC2013_10Q_1h.htm
EX-10 - PREMIUM FINANCE AGREEMENT - BALTIA AIR LINES INCex10_17_prem.htm
EX-10 - CERTIFICATE OF INSURANCE - BALTIA AIR LINES INCex10_18_arma.htm

EXHIBIT 10.19

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LOCKTON
713 LCI

AVIATION

Policy Number
AVNPE1200089

Insured
Baltia Airlines

Reinsured

File Name
Excess Aviation Liability Insurance


For LPSO use

  

  

  


For ILU use

  

  

  


For LIRMA use

  

  

  


1


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LOCKTON

Policy Number
    AVNPE1200089
Insured / account
    Baltia Airlines
Unique market reference number
    B0713AVNPE1200089

SUMS INSURED
CONTINUED:
SITUATION: As Primary Policy.
CONDITIONS: Excess Aviation Liability Form A VN37B except as amended herein.

As Primary Policy.

A VN38B Nuclear Risks Exclusion Clause or equivalent as Primary.

A VN46B Noise and Pollution And Other Perils Exclusion Clause and writebacks as Primary.

Additional Insureds, Hold Harmless Agreements and other

contractual provisions included hereunder as more fully set forth in the Primary Policy. Contracts (Rights of Third Parties) Act 1999 Exclusion Clause AVN72.

Date Recognition Exclusion Clause A VN2000A. Date Recognition Limited Coverage Clause A VN2001A. Asbestos Exclusion Clause 2488 AGM 00003. Severability of Interest Clause 713NHG00417 Sanctions and Embargo Clause A VN111 All reference in any wording or clause to ''Aircraft" is amended to read "aircraft". All reference in any wordings or clauses to 'Vnderwriters" is amended to read "Insurers" and "Assured" is amended to read "Insured".

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QRAVNPE120008900001000
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LOCKTON

Policy Number
    AVNPE1200089
Insured / account
    Baltia Airlines
Unique market reference number
    B0713AVNPE1200089

PREMIUM
(annual and pro-rata):

USD27,500 in full

TRIEA: APPLICABLE

Additional Premium in respect ofTRIEA:

Premium Allocation in respect of TRIEA coverage provided by AVN52E: %

Insurers hereon that are subject to TRIEA agree to allow the Slip Leader to quote premium and issue notice on their behalf if required

Cover Note/Policy to include U.S. Terrorism Risk Insurance Act of 2002 Not Purchased Clause LMA5092 in full ifTRIEA Not Purchased, or U.S. Terrorism Risk Insurance Act of2002 New and Renewal Business Endorsement LMA5091 in full if TRIEA Purchased

Final position if TRIEA applicable: NOT PURCHASED

NOTICE DATED ................................ .

Reporting and payment of US Federal Excise Tax in relation to this (re)insurance is the responsibility of each individual (re)insurer where PET is due for their share.

PAYMENT TERMS: Premium payable in Full with 60 days of inception.
TAXES PAYABLE BY
INSURED AND
ADMINISTERED BY
INSURERS:
None

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LOCKTON

Policy Number
    AVNPE1200089
Insured / account
    Baltia Airlines
Unique market reference number
    B0713AVNPE1200089


INFORMATION
Primary Policy Number:
Primary Insurers:
TBA
MeadowBrook

  

  

  

  

  

  

  

  

  

  

  

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LOCKTON

Policy Number
    AVNPE1200089
Insured / account
    Baltia Airlines
Unique market reference number
    B0713AVNPE1200089


INSURER'S LIABILITY
(CONTINUED):
Where this contract permits, written lines, or certain written lines, may be adjusted ("signed"). In that case a schedule is to be appended to this contract to show the definitive proportion of liability under this contract underwritten by each insurer (or, in the case of a Lloyd's syndicate, the total of the proportions underwritten by all the members of the syndicate taken together). A definitive proportion (or, in the case of a Lloyd's syndicate, the total of the proportions underwritten by all the members of a Lloyd's syndicate taken together) is referred to as a "signed line". The signed lines shown in the schedule will prevail over the written lines unless a proven error in calculation has occurred.

Although reference is made at various points in this clause to "this contract" in the singular, where the circumstances so require this should be read as a reference to contracts in the plural.

21/6/07
LMA3333

ORDER HEREON: 100% of Whole
BASIS OF
WRITTEN LINES:

Percentage of Whole
SIGNING
PROVISIONS:

In the event that the written lines hereon exceed 100% of the order, any lines written "to stand" will be allocated in full and all other lines will be signed down in equal proportions so that the aggregate signed lines are equal to 100% ofthe order without further agreement of any of the insurers However. (a) in the event that the placement of the order is not completed by the commencement date of the period of insurance then all lines written by that date will be signed in full; (b) the Insured may elect for the disproportionate signing ofinsurers' lines, without further specific agreement ofinsurers, provided that any such variation is made prior to the commencement date of the period ofinsurance, and that lines written "to standn may not be varied without the documented agreement of those insurers;

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LOCKTON

Policy Number
    AVNPE1200089
Insured / account
    Baltia Airlines
Unique market reference number
    B0713AVNPE1200089

  

  

  

  

Signed Line % Written Line%

  

  

  

Kiln Aviation (anchor) KLN 510

100/ 3 6 1 1 7 H 1 3

NNNNNANN (initials) 8    
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In a co-insurance placement, following (re)insurets may, but are not obliged to, follow the premium charged by the lead (re)insuret.

(Re)insurers tnay not seek to guarantee for themselves terms as favourable as those to which others subsequently achieve during the placement.

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LOCKTON

Policy Number
    AVNPE1200089
Insured / account
    Baltia Airlines
Unique market reference number
    B0713AVNPE1200089

Facultative Direct

CLAIMS AGREEMENT PARTIES (CONTINUED):

ii) Those companies that have specifically elected to agree claims in respect oftheir own participation.

. . . . . . . . . . . . . . . . .

iii) All other subscribing insurers that are not party to the Lloyd's/IUA claims agreement practices, each in respect oftheir own participation.

CLAIMS ADMINISTRATION:
Lockton Companies ILP and insurers agree that any claims hereunder (including any claims related costs/fees) will be notified and administered via the Electronic Claims File (ECF) with any payment(s) processed via CLASS, unless both parties agree to do otherwise.
RULES AND EXTENT OF ANY OTHER DELEGATED CLAIMS AUTHORITY: None unless otherwise stated herein.
EXPERT(S) FEES
COLLECTION:

In respect of Claims related experts Fees:

Broker to collect fees.

SETTLEMENT DUE
DATE:

60 days from inception.
BUREAUX ARRANGEMENTS:
Agree issue FDO signings hereon as required, but the Settlement Due Date shown above remain unaltered.

Where Settlement Due Date (SDD), Premium Payment Condition (PPC) OR Premium Payment Warranty falls on a weekend or public holiday, presentation to LPSO/XIS (Ins-Sure) or Insurer(s) hereon as applicable on the next working day will be deemed compliant with SDD, PPC or PPW. Where the PPC or PPW is later than the SDD, the SDD is automatically deemed updated to be the same as the PPC or PPW.

Insurers agree to accept/settle accounts at rate of exchange declared by

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LOCKTON

Policy Number
    AVNPE1200089
Insured / account
    Baltia Airlines
Unique market reference number
    B0713AVNPE1200089

Facultative Direct

FISCAL AND REGULATORY
TAX PAYABLE BY
INSURERS:

None
COUNTRY OF ORIGIN: United States of America
OVERSEAS BROKER: Aviation Risk Management Associates, Inc
377 W.Virginia Street
Crystal Lake
Illinois 60014
United States of America
U.S.
CLASSIFICATION:

Non Regulated - MAT Exemption
ALLOCATION OF
PREMIUM TO CODING:

L3
FSA CLIENT
CLASSIFICATION:

Large Risk

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