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Okaloosa County BOCC — December 16, 2014 — Destin to Fish contract — reading text

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PHONE gun. (352) 489-1992 20156 E Pennsylvania Ave Gieaa: INSURER(S) AFFORDING COVERAGE NAIC # Dunnellon FL 34432 insuRERA:Hull & Co. Inc INSURED INSURER B : Jack &/or Dr. Cari Cole INSURERC: 1973 County Highway 280-A INSURER D : INSURER E Defuniak Springs FL 32435 INSURER F: COVERAGES CERTIFICATE NUMBER:CL14112103476 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. INSR ADDL |SUBR] POLICY EFF | POLICY ExP LIR TYPE OF INSURANCE INSR |WvD POLICY NUMBER. | {MNVYDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000) X_| commERCIAL GENERAL LIABILITY PALMISES (ex oeeurtence) | $ A CLAIMS-MADE OccUR IB5JH25660 /29/2014 |5/29/2015 | wep exe (Any one person) | § PERSONAL & ADVINJURY | $ GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ X | poucy FRO. Loc $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY COMBINED | : ANY AUTO. BODILY INJURY {Per person} | $ penne SEU EDULED BODILY INJURY {Per accident) $ NON-OWNED HIRED AUTOS AUTOS [ PROBERTY DAMAGE 3 $ UMBRELLA LIAB eccuR EACH OCCURRENCE $ EXCESS LIAB GLAIMS-MADE. AGGREGATE $ pep | [rerenrions $ WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS’ LIABILITY TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE (~ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NE) E.L. DISEASE - EA EMPLOYEE $ es, descr DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ Certificate holder is named as additional insured DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required} CERTIFICATE HOLDER CANCELLATION edunworth@co. okaloosa.fl.u Okaloosa County 601-A North Pearl Street Crestview, FL 32536 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 Hg ES ws Bethany Hatfield/BETH ACORD 25 (2010/05) INS$026 (201005).01 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD

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