Okaloosa County BOCC — December 16, 2014 — PARADISE CLEANING 1310E ODDFELLOW LEASE, COORDINATION SHEET & INSURANCE — reading text

President/Owner ACCORD Nanas CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 12/9/2014 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. certificate hoider in lieu of such endorsement(s). 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 PRODUCER NeMet HARRIS INSURANCE INC PHONE th | FAX wor: 123 MIRACLE STRIP PKWY SE GMAIL. FT WALTON BEACH FL 32548 INSURER(S) AFFORDING COVERAGE NAIC # (850)244-2111 (850)243-5265 insurer A: FEDERATED NATIONAL INSURED : BRANDI BINGHAMS Nounene. PARADISE CLEANING SER INSURER D : 1310 ODD FELLOW RD INSURER: FT WALTON BCH, FL 32547 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. INSR ADDL|SUBR] POLICY EFF | POLICY EXP LTR TYPE OF INSURANCE WYD. POLICY NUMBER (MMIDDIYYYY) | (MMIDDIYYYY) LIMITS |__| GENERAL LIABILITY EACH OCCURRENCE s $1,000,000 DAMAGE TO RENTED ¥_| COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurance) _| $ $100,000 —_] cuams-mave [¥_] occur HM-0506005779-00 — | 12/18/2014 | 12/16/2015 [Meo Exp (Any one person) | § $5,000 PERSONAL & ADV INJURY | $ $1,000,000 GENERAL AGGREGATE $ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - ComP/OP AGG | $ $2,000,000 ¥ | poicy FRO. Loc $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (eae ient) 3 ANY AUTO BODILY INJURY (Per parson) | $ ALL OWNED SCHEDULED ; ‘AUTOS AUTOS BODILY INJURY (Per accident)| $ r NON-OWNED PROPERTY DAMAGE r HIRED AUTOS AUTOS (Per accident) _ : $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ pep |__| ReTENTIONS $ WORKERS COMPENSATION WC STATU- OTH AND EMPLOYERS’ LIABILITY YI TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatary in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESGRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ JANITORIAL SERVICES DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION OKALOOSA COUNTY GROWTH MANAGMENT 1804 LEWIS TURNER BLVD SUITE 2 FT WALTON BEACH FL, 32547 ! 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 IEG Oe ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD