READ ALONGSIDE THE SOURCE

Okaloosa County BOCC — October 21, 2014 — Okaloosa County Cert of Liab Ins thru 01042015 — reading text

Part 1 of 1. These parts divide the reading text for browsing; they are not the source document's page numbers.

Machine-extracted text — 118-Okaloosa County Cert of Liab Ins thru 01042015.pdf

Machine-extracted OCR text · Review label: Machine produced / unreviewed

Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.

s Yo ACCORD es ee CERTIFICATE OF LIABILITY INSURANCE 08/27/14 | DATE (MM/DDIYY) | PRODUCER The Insurance Center | 315 E. Hollywood Blvd., Suite 4A Mary Esther, FL 32569-1996 Phone (850)244-3306 Fax (850)244-6537 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # | INSURED Emerald Coast Wildlife Refuge, Inc. | 105 Santa Rosa Boulevard Fort Walton Beach, FL 32548 INSURER A: Travelers LINSURER B: Auto-Owners INSURER c; Auto-Owners LINSURER D: INSURER E: COVERAGES | INSURER F: THE POLICIES OF INSURANCE LISTED 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. } "| | TIVE | INSR ADD'L | POLICY EFFECTIVE | POLICY EXPIRATION ‘CTR, Rens TYPE OF INSURANCE |___ POLICY NUMBER DATE (MM/DDIYY) DATE (MM/DDIYY) Limits | | | GENERAL LIABILITY | EACH OCCURRENCE $1,000,000 | a ‘DAMAGE TO RENTED RRA | Fa COMMERCIAL GENERAL LIABILITY g60.6C958049 01/04/14 01/04/15 _| PREMISES (Ea occurence) $100,000 | joo CLAIMS MADE [I occUR | MED EXP (Any one person) a $5,000 IA | CJ Ic PERSONAL & ADV INJURY $1,000,000) | oO oT | GENERAL AGGREGATE $2,000,000 | GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS =COMP/OP AGG | _ $1,000,000) Vi Poticy [| pRoJect [| Loc | AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT | [_] ANY auTo 4939836200 02/23/14 02/23/15 | (Ea accident) _ | _ ol ALLOWNED AUTOS BODILY INJURY $50,000 1B} [ SCHEDULED AUTOS | (Per person) | | | HIRED AUTOS | - BODILY INJURY | ‘{-] NON OWNED AUTOS | (Per accident) $100,000 | LJ sooo PROPERTY DAMAGE ; | | =o | (Per accident) - $50,000 | GARAGE LIABILITY | _AUTO ONLY -EA ACCIDENT | | } | CL) any auto | OTHER THAN -EAACC | | io : | | AUTO ONLY: AGG | I — } of EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE Ay | 4 [-} occur {| CLAIMS MADE | AGGREGATE — | a | ; vas na: ———= 4 —= (| DepucTIBLE : i _| | |__| RETENTION $ | WORKERS COMPENSATION AND iV _WC STATU- | OTH EMPLOYERS’ LIABILITY 78090907 02/25/14 ovasis «| MISWSSTARYs Ll gre C | any PROPRIETOR / PARTNER / EXECUTIVE | E.L.EACHACCIDENT _ $100,000, OFFICER / MEMBER EXCLUDED? -~y | E.L. DISEASE - EA EMPLOYEE $100,000 If yes, describe under | | re — | |__| SPECIAL PROVISIONS below | | EL.DISEASE-POLICY LIMIT $500,000. OTHER | | | | | | | | Certificate holder is named additional insured. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ~ CERTIFICATE HOLDER CANCELLATION Okaloosa County | 302 N. Wilson Street | Crestview, FL 32536 | SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ~ ACORD 25 (2001/08) QF PTS Oy orca © ACORD CORPORATION 1988 _

Download this text file with its original spacing ↓