Okaloosa County BOCC — September 2, 2014 — SKYETECH INSURANCE CERTIFICATE — reading text

Ny DATE (MIIODINYYY ACORD CERTIFICATE OF LIABILITY INSURANCE 1/14/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND GONFERS 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(los) 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 confor rights to tha cartificate holder in lieu of such endorsement(s). PRODUGER Ba HARRIS INSURANCE INC PHONG [IAS nox 123 MIRACLE STRIP PKWY SE Fe os, FT WALTON BEACH FL 32548 INSURER(S) AFFORDING COVERAGE NAIC # (850)244-2111 (850)243-5265 surer a: FEDERATED NATIONAL 10790 INSURED INSURER 8: NATALIE HENDRICKS INSURER G: SKYETECH, LLC INSURER D: 306 SPENCER DR INSURER B: FT WALTON BEACH, FL 32547 INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANGE 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 DESCRISED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ne TYPE OF INSURANGH Rina POLICY NUMBER (iMoney LinRbon ty) unis | ¥_ | SeNeRAL Liaeitiry BACH OCCURRENCE 3 $300,000 ¥ | COMMERCIAL GENERAL LIABILITY [Paedees es oruroncs) [3 $4 00,000 ) oLAIMS-MADE [vy] OGGUR v GL-050601 1870-00 07/16/2014 | 07/15/2016 | wep Exp (any one person) _| $ $5,000 L_| PERSONAL & ADVINJURY | $ $300,000 | | GENERAL AGGREGATE | $ $600,000 GEN. AGGREGATE LIMIT APPLIES PER: pRooucTS -compiop age | ¢ INCLUDED poucy| | FBS Log 8 | AUTOMOBILE LIABILITY [ FOMBINED SINGLE TIMIT | « ANY AUTO BODILY INJURY (Par parson) | $ |_| aeouneo SCHEQULEO BODILY INJURY (Por aacident)| § HIRED AUTOS AurosNe? iperacetond $ $ UMBRELLA LIAB =| | occur BACH OCCURRENCE g EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO. | | RETENTION $ $ WoncensSopresaron ROLE ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFIGER/MEMBER EXCLUDED? | NIA (Mandatory in NH) E.L, DISEASE - EA EMPLOYEE $ OES AIBTION OF OPERATIONS polow E.L, DISEASE POLICY LIMIT | $ DESCRIPTION OF OPERATIONS /LOGATIONS / VEHICLES (Attach ACORD 104, Additonal Remarks Schedule, If more space ts raquired) THIS IS AN ADDITONAL INSURED HANDYMAN CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OKALOOSA COUNTY THE ROA ON We THEREOF, HoTice WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 1804 LEWIS TURNER BLVD " FT WALTON BEACH, FL 32547 AUTHORIZED REPRESENTATIVE ! call B é C © 1988-2010 ACORD CORPORATION. All rights reserved, ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD