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Okaloosa County BOCC — May 6, 2014 — Check List for At the Beach Weddings QBVC 2014 — reading text

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Revised: March 5, 2013 Qualified Beach Vendor Certificate Processing Check List New Applications √ Renewal Date Received: April 22, 2014 Company Name: At the Beach Weddings Contact Person: Robert Phillips Phone #: (850) 346-7286/ (515) 239-3950 Email: robert@atthebeachweddings.com NA Application form √ $500 Application fee √ Hold Harmless Agreement √ Statement of Acceptance of Ordinance 13-07 √ Copy of Liability Insurance for $1,000,000 naming BCC as insured √ Copy of O.C. Local Business Tax Receipt NA Copy of Workman’s Comp. Insurance policy BCC Approval: _______________________

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