Okaloosa County BOCC — December 15, 2015 — Certificate Of Insurance

Printed By Carole L W o)l ACORD CERTIFICATE OF LIABILITY INSURANCE el PRODUCER ) Harris Insurance Services, Inc. 123 Miracle Strip Parkway S. E. Fort Walton Beach, FL 32548 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone - (850)244-2111 Fax - (850)243-5265 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Federated National (GL) Brandi Bingham's Dba Paradise Cleaning Svcs INSURER B: INSURER C: 706 Creekwood Rd INSURER D: Mary Esther, FL 32569 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY _l POLICY | |PROJECT | l LOC PAID CLAIMS. BlES TYPE OF INSURANCE POLICY NUMBER [0r ooy oATe tunibormy LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 X | COMMERCIAL GENERAL LIABILITY kA 130015 Lahz0la P s $ 100.000 Alx cLams MADE [_] occur MED EXP (Any one person) |$ 5,000 PERSONAL & ADV INJURY |8 1,000,000 =i GENERAL AGGREGATE $ 2,000,000 | GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ Incl AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY — (Ea person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE Tm— (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT |$ ANY AUTO OTHER THAN EAACC|$ — AUTO ONLY: TEE EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR I:I CLAIMS MADE ACOREGRIE s DEDUCTIBLE RETENTION § 2 WC STATU- 3 WORKER'S COMPENSATION AND Yoeours || oE, EMPLOYERS' LIABILITY E.L. DISEASE - EA ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EL DISEASE-EACMRLOYEE $ If yes, describe under $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER AND ADDITIONAL INSURED CANCELLATION Okaloosa Co Growth Management 1804 Lewis Turner Blvd Suite #2 Fort Walton Beach, FL 32547 Phone: Fax: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Carole Hooker ACORD 25 (2001/08)