Okaloosa County BOCC — April 27, 2013 — Certificate of Liability Ins — reading text

13/2013 4:12:01 PM Faxserver Faxserver0d3 Page 2 ACORD, CERTIFICATE OF LIABILITY INSURANCE Dale vou THIS CERTIFICATE IS {SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFARMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CEATIFICATE HOLDER. IMPORTANT: Hf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Contact Name; LORAIE MCNAUGHT. AON/ALBERT G. RUBEN INSURANCE SERVICES, INC. Phone: (818) 742-0821 |_Fax (A/C, No): (847) 953-2439 15303 VENTURA BOULEVARD, SUITE #1200 (AiG, No. Ext): DIRECT | SHERMAN OAKS, CA 91403 - 5817 Email Address: LORNIE MCHAUSHT@AGH.COM LICENSE # ogosoa4 Insurer's Affording Coverage NAICE INSURED NSUBEH A” NATIONAL UNION FIRE INS. CO. OF PA NSURER B: FIREMAN'S FUND INSURANCE CO, AUTHENTIC ENTERTAINMENT, LLC NSURER C: GENERAL STAR INDEMNITY 2360 NAOMI STREET ' BURBANK, CA 91504 NSURER B NSURER E- NSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO 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. LIVITS SHOWN MAY HAVE BEEN REDUCED BY PAIO CLAIMS. LIMITS SHOWN ARE AS REQUESTED. Hea TYPE OF INSURANCE ‘use | wwe POLICY RUMBER qaapovery. | gaapanyn tian Al GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 y | COMMERCIAL GENERAL LIASILITY DAVAGE TO RENTED PREMISES fy 100,000 | (Ea occurrence) " CLAIMS MADE OCCUR PERSONAL & ADV INJURY [| CANS NA x GL aay 14es oasis | ovoid B 1,000,000 GENERAL AGGREGATE iS 2,000,000 PRODUCTS — COMP/OP AGG iS 2,000,000 GENT AGGREGATE LIMIT APPLIES PER” i X | Poucy | PROJECT [Mme DEDUCTIBLE iS 25,000 B | AUTOMOBILE LIABILITY x XXA 80294895 02/13/13 ovorta | oe NEL i 1,000,000 ANY AUTO * MPT 07110804 BODILY INJURY (Per person) S |__| dures? eae INCLUDED INM.E BODILY INJUBY (Peracaden) X] NON-OWNED . = PROPERTY DAMAGE |X| HIRED AUTOS |__| Autos DED: 10% OF LOSS {Per acedent) p x PHYSICAL $ 6,000 MIN DAMAGE $10,000 MAX x URBRELLA x] occur EACH OCCURRENCE S 5,000,000 [x | l | 0100078933 X | EXCESS LIAB CLAINS-MADE x IxG410388C 02/13/13 O1O1/14 AGGREGATE S 5,000,000 p=oucTIBLE | [RETENTION § gl WORKERS COMPENSATION ANO HG Bestutery Totner EMPLOYERS! LIABILITY mts ANY PROPRIETORPARTNER/EXECUTIVE Y/N EL Each Acsdert B OFFICER/VEMBER EXCLUDED? (Mandatory in NH} ELL Dissase—EA Employee E it yes, describe under _ ae E DESGRIPT-ON OF OPERATIONS below EL Disease ~ Policy Limt F OTHER: PRODUCTION PACKAGE MPT 07110804 02/13/13 oroti4 LiMITS 7 DEOUCTIBLES B PROPS/SETS/AWARDROBE $ 5,000,000 LIMIT / § 5,000 DEDUCTIBLE THIRD PARTY PROP DAMAGE $ 5,000,000 LIMIT / $ 2,500 DEDUCTIBLE MISC. EQUIPMENT (M.E.) $ 5,000,000 LIMIT /$ 5,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS/_OCATIONS/VEHICLES (Atlach ACORD 101, Additional Remarks Schedute, if mare space is required) THE CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED UNDER THE GENERAL LIABILITY, AUTO LIABILITY AND EXCESS LIABILITY POLICIES & AS LOSS PAYEE UNDER THE PRODUCTION PACKAGE POLICY BUT ONLY AS RESPECTS THEIR AGREEMENT WITH THE NAMED INSURED FOR THE PRODUCTION ENTITLED “CHEER PERFECTION 1B". CERTIFICATE HOLDER Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Board of County Commissions 302 N. Wilson Street Crestview, FL 32536 AUTHORIZED REPRESENTATIVE he Cue. Lphugkt Aon/Albert G. Rubon {insurance Services, Inc. ACORD 25 (2010/05) 1988 — 2010 © ACORD CORPORATION Alt rights reserved.