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