October 16, 2012

Okaloosa County BOCC — October 16, 2012 — Insurance Policy

Okaloosa County Board of County Commissioners insurance policy for the October 16, 2012 meeting. Official document preserved from the county IQM2 public portal, with a searchable OCR text layer.

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Insurance Policy from the Okaloosa County BOCC meeting of October 16, 2012 (IQM2 meeting #1099). Original portal label: Insurance Policy. Preserved as a historical public record; part of the meeting linked as a related source.

Original publication
Insurance Policy
Date
October 16, 2012
Reference collection
Okaloosa County Board of County Commissioners (IQM2 public portal)
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Insurance Policy (PDF)

Original PDF as published on the Okaloosa County IQM2 meeting portal.

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Machine-extracted text — 70-Insurance Policy.pdf

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Federated National Insurance C O M P A N Y A fully owned subsidiary of 21* Century Holding Company P.O. Box 407193 Ft. Lauderdale, FL 33340-7193 Claims or inquiries 1-800-808-1004 Florida Commercial General Liability Policy READ YOUR POLICY CAREFULLY. This is a legally binding contract between the policy owner and the Company. This policy consists of: Policy Declarations CS Coverage Forms/Parts (as applicable) CS Endorsements (as applicable) In Witness Whereof, this company has caused this policy to be signed, but if required by state law, this policy shall not be valid. unless countersigned by a duly authorized representative of the company. a FNIC GL4 (06 09) Page 1 of 1 Insurance provided by the Company designated below FEDERATED NATIONAL INSURANCE COMPANY COMMERCIAL LIABILITY POLICY POLICY DECLARATIONS POLICY NUMBER: GL-0506007066-00 Named Insured and Mailing Address: Producer Name and Address: SKYETECH, LLC HARRIS INSURANCE INC 123 MIRACLE STRIP PKWY SE 306 SPENCER DR FT WALTON BEACH FL 32548 FORT WALTON BEACH, FL 32547 (850)244-2111 (850)243-5265 (850)218-7221 Producer Code: 13268 Insured is: __¥___ Corporation Parinership Individual Association Business of Insured: HANDYMAN Policy Period: This policy is in force from __ 06/16/2012 to _ 06/16/2013 at _12:01:00A.M. at your mailing address shown above. These Declarations, together with the Common Policy Conditions, and the Genera! Liability Coverage Part (which consists of coverages forms and endorsements, if any, issued to form a part of it) complete the policy. LIMITS OF INSURANCE General Aggregate Limit (Other Than Products-Completed Operations) ..............:sssesseseeees $600,000 Products-Completed Operations Aggregate Limit................cesssecssssesseescessreresesesstennncecsssesenses $600,000 Personal & Advertising Injury Liability Limit... sscesessercerssessscesseacenseesertersaeeeeseocssateeeees $300,000 Each OGCUmrONCe: LUM ... csvcsscsssseicssssccscccsssvesvavsacssavsveveensswenssisucenssctes noveesesscarevoncteondooneedses sadn $300,000 Fire Damage Limit (Any One Fire) ...0....... ce cesccescessecneecsscencececsecsscssceereccstsenssensersessesensenseenaces $100,000 Medical Expense Limit (Any One Person)..........cssscssscsesscrssessseessesssesssesceseeessseesesssessescaescenees $5,000 Total Provisional Policy Premium.........csescsccscessccsesscecessssssseeseessereseussaesrassersasseansnearsteneaesrenesters $511.00 Fees and Inspection Costs (if applicable) MGA Fee... cssseesseseeneneesoserecsssessnaceasensoneees $25.00 Florida Insurance Guaranty Association 2006 Regular ASSCSSMENE..........:cccssssessserserserererss N/A Florida Insurance Guaranty Association 2006 Emergency AsseSSMent ............cccceseseeereeeeees N/A Florida Insurance Guaranty Association Fee 2007 Regular ASSeSSMENt ..............:eceeeeeeereeee N/A Florida Insurance Guaranty Association Fee 2009 Regular Assessment ...............:cecreeeeeeee N/A Florida Hurricane Catastrophe Fund Fee.............ccccsscsssccssecssescorsssessrencersnessecsesassesnenrensoenseses $6.97 Total Payable NOW .......:cccsccssssssscssssssscsesssssrssssesssesesessencasnescscssseoseesssesarscssenesesessetseneseeseseaveeseess $542.97 The policy is subject to audit Forms and endorsements attached to this policy at time of issue: FNIC 00 01 (05 09); FNIC 2g (10 09); FNIC 4g (05 09); FNIC Sg (05 09); FNIC 6 (05 08); FNIC 6g (05 09); FNIC 71s (05 09); FNIC 83g (05 09); FNIC 84s (05 09); FNIC 901 (04 03); FNIC 952 (05 09); FNIC 964 (05 09); FNIC 973 (05.09); FNIC 974 (05 09); FNIC 975 (05 09); FNIC 981 (05 09); FNIC 982 (05 09); FNIC 990 (02 12); FNIC 991 (01 09);FNIC 992 (01 09); FNIC 993 (01 09); FNIC 1002 (04 03); FNIC 1071 (04 03); FNIC 8000 (05 09), CG 03 00 (01 96); CG 21 36 (03 05); CG 21 37 (10 01); CG 21 39 (10 93); CG 21 46 (07 98); CG 21 47 (12 07); GG 21 67 (12 04); CG 21 86 (12 04); CG 21 96 (03 05); IL 00 17 (11 98); IL 00 21 (09 08); FNIC GL4 (06 09), CG 02 20 (04 11); CG 21 32 (05 09), CG 21 42 (12 04), ; CG 21 73 (01 08), FNICFL 995 (07 10); Countersigned by P, ES 2, at Florida Date:__ 6/15/2012 Authorized Representative seveyescuvecseceresenecanconnnznne nnsiipavs GixwissWausavsusu ts abusildsGusicetenn uacaveknes eevusunacavuneee rex vaxeuonseneneveesesunecevesstvereeneees FNIC 1071 (04 03) Insured’s Copy FEDERATED NATIONAL INSURANCE COMPANY Named Insured: SKYETECH, LLC POLICY: GL-0506007066-00 Commercial Liability Declarations Schedule (Continued) Hazards Premium Premium Classification Code Basis Rate Deposit HANDYPERSON 95625 46700 30.62 511 FLORIDA HURRICANE CATASTROPHE FUND FEE 1 6.97 6.97 TBD =To be determined at Audit (c) cost (c) per $1,000 (e) each (e) per each (p) payroll (p) per $1,000 (r) receipients (r) per $1,000 (s) sales , (s) per $1,000 (u) units (u) per each ea vaccacnccavcccusvncrporceevesepecerseseurecveersresscecsrepessuanssensnanseussescecsenssscssenoueerssenenasecseucerereesrscsereressrssenseses sane eeeee FNIC 1002 (04 03) insurance provided by the Company designated below _ FEDERATED NATIONAL INSURANCE COMPANY COMMERCIAL LIABILITY POLICY POLICY DECLARATIONS POLICY NUMBER; GL-0506007066-00 Named Insured and Mailing Address: me ani dress: SKYETECH, LLC HARRIS INSURANCE INC 123 MIRACLE STRIP PKWY SE 306 SPENCER DR FT WALTON BEACH FL 32548 FORT WALTON BEACH, FL 32547 (850)244-2 144 (850)243-5265 (850)218-7224 Producer Code; 13268 | Insured is: ¥ Corporation Partnership Individual Association Business of Insured: HANDYMAN Policy Period: This policy is in force fram __ 06/16/2012 to 06/16/2013 at _12:01:00A.M. at your mailing address shown above. These Declarations, together with the Common Policy Conditions, and the General Liability Coverage Part (which consists of coverages forms and endorsements, if any, issued to form a part of it) complete the policy, LUMITS OF INSURANCE General Aggregate Limit (Other Than Products-Completed Operations) .........scccccesesscrsecese $600,000 Products-Completed Operations Aggregate Limit . Personal & Advertising Injury Liability Limit........... . wa Each Occurrence LIME sssssicsassocccescssccsssnesncstssosoneosscsenssven vexsessceesusennecs tae ssnanvenesesvees Fire Damage Limit (Any One Fire) ........... — = Mecical Expense Limit (Amy One POrson)..........cccsecsesssserssessrenssecsessesvensiserenssesacasenesveensereuanes Total Provisional Policy Premium........ses Fees and Inspection Costs (if applicable) MGA Fee... ecscssesesseerrrererees Florida Insurance Guaranty Association 2006 Regular ASSGSSIMIENE ...,...,...sssecssssrocenrensereveee N/A Florida Insurance Guaranty Association 2006 Emergency Assessment ..... N/A Florida Insurance Guaranty Association Fee 2007 Regular Assessment ..., i N/A Florida Insurance Guaranty Association Fee 2009 Regular Assessment ........-:.sseesecsereeseeees N/A Florida Hurricane Catastrophe Fund Fee...........sssesssrerssessseersrsvesvesess $6.97 Total Payable NOW ......ssssssssssssssssnnsssesssesessissnesssnesnecssennsssnvessarsvesteessesavenussssienseesseeceees $542.97 The policy is subject to audit Forms and endorsements attached to this pa at time of issue: ; FNIG 00 01 (08 09); FNIC 2g (1D 08); FNIC 4g (05 09); FNIC 5g (05 09k FNIC 6 (05 09); FNIC 6g (05 09); FIG 715 (05 09); FNIC 83g (05 09); FINIC 84s (05 09}; FNIC 501 (04 03); FNIC 952 (05 09); FNIC 864 (05 09); FNIG 973 (05 08); FNIC 876 (05 09); FNIC B75 (05 09); FNIG 981 (05 09): FNIC 962 (05:09): FNIC 990 (02 12); PIC 901 (01 O9)-FNIC 992 (01 DB}: FNC 993 (01 09}- FNIG 1002 (04 03); FNIC 4074 (04 03}; FNIC 8000 (05 05}; CG 03 00 {01 98); CG 21 98 (03 05); CG 21 37 (1001); CG 21 39 (10 BS}; CG.21 48 (07 98), CG 21 47 {12 O7F CG 21 Gea 88 (12 04); CG 21 BG (03 05% LOD 17 (11 98}; 1.00 24 (09 08): FNIC GL4 (06 09): CG 02 20 (04 11); CG 24 32 (05 09), CG 21 42 (12 04 ; CG 21 73 (01 08); FINICFL 885 (07 10), Countersigned by y, KS 2) at Florida Date:__ 6/15/2012. Authorized Representative er re ee FNIC 1071 (04 03). Insured’s Copy

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Public record of Okaloosa County, Florida.

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