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Okaloosa County BOCC — December 16, 2014 — Destin to Fish contract — reading text
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Machine-extracted text — 101-Destin to Fish contract.pdf
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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
