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Okaloosa County BOCC — January 30, 2013 — 2013 Check List for Island Sands Beach Srv QBVC — reading text

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Revised: March 12, 2013 Qualified Beach Vendor Certificate Processing Check List (Beach Chair/Umbrella Rentals) New Applications √ Renewal Date Received: ___March 18, 2013__ Company Name: Island Sands Beach Service of NW FL Contact Person: Brian Cox Phone #: (850) 259-4896/ (850) 685-9483 Email: briancox@yahoo.com NA Application form _√ $500 Application fee √_ Designated Beach Area Permit √ Upland Property Owners Approval √ QBV Beach Vehicle Permit √ Vehicle insurance √ Vehicle registration √ $500 QBV Beach Vehicle Permit fee √ Hold Harmless Agreement √ Statement of Acceptance of Ordinance 13-07 √ Copy of Liability Insurance for $1,000,000 naming BCC as insured √ Copy of O.C. Local Business Tax Receipt √_ Copy of Workman’s Comp. Insurance policy BCC Approval: _______________________

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