Okaloosa County BOCC — February 18, 2014 — Network Cabling Service — reading text

and all insurance requirements to be in compliance upon award of bid to Named Insured. CERTIFICATE HOLDER CANCELLATION Okaloosa County 602-C North Pear! 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 Gurl. Bow hdter ACORD 25 (2010/05) 1 of 1 #811372734/M10498561 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD MBDEQ Client#: 1009924 NETWOCAB ACORD. _ CERTIFICATE OF LIABILITY INSURANCE maT non 12/23/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 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(ies) 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 confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Michell O'Steen USI Insurance Services LLC | FHONG ex. 904 450-4716 [ (AS, No. 877 775-0285 101 Century 21 Drive, Suite 200 RAW 5, Michelle.Osteen@usi.biz Jacksonville, FL 32216 INSURER(S) AFFORDING COVERAGE NAIC # 904 450-4700 INSURER A: Travelers Indemnity Co. of Amer 25666 INSURED insuRERB: Travelers Property Cas. Co. of 25674 Network Cabling Services, Inc. insurer c ; Bridgefield Employers Insurance 10701 365 College Drive Ste 104 INSURER b: Charter Oak Fire Insurance Comp 25615 Middleburg, FL 32068 INSURER E; Charter Oak Fire Insurance Comp 25615 INSURER F : COVERAGES CERTIFICATE NUMBER: 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. Sr TYPE OF INSURANCE ApoL suBR POLICY NUMBER (HIDE LY) [MBN LIMITS A | GENERAL LIABILITY CO4A28628A 07/22/2013 | 07/22/2014, EACH OCCURRENCE $1,000,000 X| COMMERCIAL GENERAL LIABILITY PREMBES eR etccrence) | $300,000 | CLAIMS-MADE [x] OCCUR MED EXP (Any one person) $5,000 | X| Blkt Add'l Ins PERSONAL & ADVINJURY | $1,000,000 | X} Bikt Waiver of Subro GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $2,000,000 POLICY [| ORO: [| LOC $ E | AUTOMOBILE LIABILITY 8104A28628A 07/22/2013/ 07/22/2014 (a\scadenty S| 51,000,000 X! ANY AUTO BODILY INJURY (Per person) | $ |_| AToS Nee Sores BODILY INJURY (Per accident) | $ X) HiRED AUTOS RuTOs (Poraccdonty CE $ LA) AUTOS } XBikt Addl Ins § B |X| UMBRELLALIAB | X | occur CUP4A28628A 07/22/2013 | 07/22/2014 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED | x| RETENTION $10000 $ Coen etorete taney vin 83030808 12/23/2013] 12/23/2014 x [TGSviis | [Sh ANY SEO MBE S ENGL UE TOT ET ay| NIA E.L. EACH ACCIDENT $1,000,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE| $1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $1,000,000 D |instailation QT6603C780932COF13 07/22/2013)| 07/22/2014 140,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Low Voltage Electrical Contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Okaloosa County Information THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Systems ACCORDANCE WITH THE POLICY PROVISIONS. 1804 Lews Turner Blvd. Suite 402 AUTHORIZED REPRESENTATIVE Fort Walton Beach, FL 32547 . ‘ | Gusiloa_ Bow leder © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2010/05) 1 of 1 #811 ARA21Q0/M11A22044 MRNEN I T—_ESiSiO=~SOS~SCSer Ee