Okaloosa County BOCC — September 16, 2014 — Certificate of Liability Insurance - As of 09112014 — reading text

— ECONDEV-01 MBALLOUGH ACCORD CERTIFICATE OF LIABILITY INSURANCE ——, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY 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 CERTIFICATE HOLDER. IMPORTANT: If 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 none! i FAX ener petra ingurance, Inc Cex: (800) 487-2978 [PAE no, (850) 438-4678 Pensacola, FL 32502 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Southern Owners Insurance Co 10190 INSURED INSURER B : The Economic Development INSURER C: Council of Okaloosa Co.FL Inc INSURER D : PO Box 4097 ~ Fort Walton Beach, FL 32549-4097 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR [ADDL SUBR} POLICY EFF POLICY EXP: TYPE OF INSURANCE INSD | WVD POLICY NUMBER (MMIDDIYYYY) | (MMIDDYYYY). LIMITS A | X | COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 r— DAMAGE TO RENTED CLAIMS-MADE occur 78249660 01/15/2014 | 01/15/2015 | Paemars(eaccanrence) | $ 300,000 | MED EXP (Any one person} $ 10,000} || PERSONAL & ADV INJURY | $ 1,000,000} GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000} POLICY | FRO: | Loc PRODUCTS - COMP/OP AGG | $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY (aaredenty TET $ ANY AUTO BODILY INJURY (Per person) | $ ALL OWNED SCHEDULED AUTOS SoToS BODILY INJURY (Per accident) | $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB occuR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED [ RETENTION $ $ WORKERS COMPENSATION PER OTH AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? | NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE] $ If yes, describe under DESCRIPTION OF OPERATIONS below. E.L. DISEASE - POLICY LIMIT _| $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Okaloosa County Purchasing Dept ACCORDANCE WITH THE POLICY PROVISIONS. 1804 Lewis Turner Blvd Fort Walton Beach, FL 32547 AUTHORIZED REPRESENTATIVE 4 ge. fun. i © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD