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Okaloosa County BOCC — February 17, 2015 — F15 Loan Renewal 2015 — reading text
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F15 Loan Renewal 2015 — extracted reading text
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4/1/2014 4 1
EQUIPMENT BREAKDOWN /1/20 /1/2015 $ 100,000,000
$
A | Terrorism - Certifed Acts UTS2512292.14 4/1/2014 4/1/2015 Sublimit $ 5,000, 000
Combined Liab $ 5,000, 000
SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required)
Certificate issued with respects to Loan Agreement for F-15A Aircraft, S/N#75-0044, Replacement
Value $21,000. Building/contents coverage are provided on a replacement cost basis & BI/EE is
actual loss sustained. No co-insurance penalty
except 5% named storm wind/hail, $100,000 min
applies. Deductible—ACP $50,000 per occurrence,
CERTIFICATE HOLDER
CANCELLATION
United States Air Force Heritage Program
National Museum of the U.S. Air Force
Attn: Patricia Ochos, Static Display Prog
1100 sSpaatz Street
Wright-Patterson AFB
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
OH 45433-7102 Paul Dawson/BRITT /“‘//;’{/CDW —
ACORD 24 (2009/09) © 1995-2009 ACORD CORPORATION. Allrights reserved.
INS024 (200909)
The ACORD name and logo are registered marks of ACORD
CONTRACT & LEASE INTERNAL COORDINATION SHEET
Contract/Lease Number: Tracking Number:__/ 2, fij - 25
Grant Funded: YES____ NO ___>_f
Contractor/Lessee Name: flw mwwhd% us A F
Purpose ) i~ rvf Er AWO
Date/Term:___3 -3 1-) |, 1. L] GREATER THAN $50,000
Amount.____AJ /v 2. [ ] GREATER THAN $25,000
Department;,____ A £ ‘ 3. [] $25,000 OR LESS
Dept. Monitor Name:
Document has been reviewed and includes any attachments or exhibits.
Purchasing Review
Date: /"/é"/'fl
Joanne Kublik
Risk Management Review
Approved as written:
%fi@%fi* Date: I’ 30-'!'5
Risk Mandger or designee Kay Godwin or Krystal King
County Attorney Review
Approved as written:
BV < oo L T O
f)t unty ttofinev Gregory T. Stewart or Lynn Moshihara
Following Okaloosa County approval:
Contracts & Gronts
Document has been received:
Date;
Contracts & Grants Manager