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Okaloosa County BOCC — August 5, 2014 — North Light License Agreement — reading text

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LIABILITY EACH OCCURRENCE $ 1,000,000) | crams-mave |X] occur x MCRD35057626 10/16/2013 | 10/16/2014 | DAMAGE TORENTED ce) [8 100,000 |_| MED EXP (Any one person) | 5,000 _ PERSONAL & ADV INJURY | $ 1,000,000; GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000) POLICY FRO Loc PRODUCTS - COMP/OP AGG | $ 2,000,000 X | omer MOLL MOLL $ 1,000,000 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (a accent) $ ANY AUTO BODILY INJURY (Perperson) | $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) | $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ $ X | umpreccaias | XT occur EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE NO7381219 003 40/16/2013 | 10/46/2014 | accREGATE $ veo | X | ReTENTIONS 25,000 Aggregate $ 5,000,000 WORKERS COMPENSATION PER OTH AND EMPLOYERS’ LIABILITY YIN | STATUTE | | ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? [| NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE] $ if yes, describe under DESGRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 1701 Florida 85 Eglin Afb, FL 32542 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Reg: Boat at North West Florida Regional Airport CERTIFICATE HOLDER CANCELLATION Okaloosa County Crestview, FL 32536 602-C North Pearl Street 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 lg al ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved. Dave Miner From: Sent: To: Subject: That looks fine. Gary R. Real Gary Real Friday, July 11, 2014 3:00 PM Dave Miner RE: Certificate of Insurance Risk Manager, Okaloosa County Florida 850-689-5979 Please note: Due to Florida's very broad public records laws, most written communications to or from County employees regarding County business are public records, available to the public and media upon request. Therefore, this written e-mail communication, including your e-mail address, may be subject to public disclosure. From: Dave Miner Sent: Friday, July 11, 2014 8:39 AM To: Gary Real Subject: Certificate of Insurance Importance: High Mr. Real: Please review the COI and let me know if it is OK. Thank you. Dave David E. Miner Properties and Leases Okaloosa County Airports (850) 651-7160 Ext. 4 www. flyvps.com "Please note: Due to Florida's very broad public records laws, most written communication to or from County employees regarding County business are public records, available to the public upon request. Therefore, this written e- mail communication, including your e-mail address, may be subject to public disclosure."

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