Fort Walton Beach Council agenda — 09-14-2010 Special-City Attorney Condidates — reading text

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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, 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 certificate holder in lieu of such endorsement(s). PRODUCER NAME: PHONE IFAX A/C No, Ext : ( A/ C, No): Gilmore Ins. & Bonding, Inc. P. O. Box 249 ADDRESS: PRODUCER Mary Esther FL 32569 CUSTOMER IDM MATTH- 1 Phone: 850- 244 - 3387 Fax: 850- 244- 2610 INSURER(S) AFFORDING COVERAGE NAIC# INSURED INSURER A: Zurich Ins Services Inc 09315 Matthews & Hawkins, P. A. INSURER B : 4475 Legendsrl Drive FL Destin 325 1 INSURER C INSURER D: INSURER E: 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. LTR TYPETYPE OFOF INSURANCEINSURANCE POLICY NUMBER MM/ DD/YYYY) MM /DD/ YYYY) LIMITS INSR WVD GENERAL LIABILITY EACH OCCURRENCE 1, 000, 000 IJAMALitz IQ RENTED- A COMMERCIAL GENERAL LIABILITY PAS 00619496 12/ 24/ 09 12/ 24/ 10 PREMISES ( Ea occurrence) 1r000, 000 CLAIMS -MADE Fil OCCUR MED EXP (Any one person) 10, 000 PERSONAL & ADV INJURY 1, 000, 000 GENERAL AGGREGATE s2,s2, 000,000, 000000 GEN' L AGGREGATE LIMIT APPLIES PER: PRODUCTSPRODUCTS - - COMPCOMP / / OPOP AGGAGG s2, 000, 000 PRO- X POLICY LOC AUTOMOBILEAUTOMOBILE LIABILITYLIABILITY COMBINED SINGLE LIMIT Ea accident) 1, 000, 000 ANYANY AUTOAUTO BODILY INJURY ( Per person) ALLALL OWNEDOWNED AUTOS AUTOS BODILY INJURY (Per accident) SCHEDULED SCHEDULED AUTOSAUTOS PROPERTY DAMAGE Per accident) A XX HIREDHIRED AUTOSAUTOS PASPAS 0061949600619496 12/12/ 24/24/ 0912/0912/ 24/24/ 1010 A XX NONNON - - OWNEDOWNED AUTOSAUTOS PASPAS 0061949600619496 12/12/ 24/24/ 0912/0912/ 24/24/ 1010 UMBRELLA LIAB EACH OCCURRENCE OCCUR EXCESS LIAB CLAIMS -MADE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN TORY LIMITS I ER ANY PROPRIETOR /PARTNER / E. L. EACH ACCIDENT OFFICER /MEMBER EXCLUDED? Mandatory In NH) EXECUTIVE A E. L. DISEASE - EA EMPLOYE If yes, describe under DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES ( Attach ACORD 101, Additional Remarks Schedule, If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITYFWl THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Ft Walton Beach AUTHORIZED REPRESENTATIVE P. O. Box 4009 Ft Walton FL 32549 CMCM AA TT JtDZRPJtDZRP rr ghtsghts reserved.reserved. ACORDACORD 2525 ( ( 2009/2009/ 09)09) TheThe ACORDACORD namename andand logologo areare registeredregistered marksmarks ofof ACORDACORD 1352 I D I PAS 00616496 I_ 1 02225316 1 1 N015840251- 001 - 00001 I NME I RENEWAL EFF 1 19 ZURICH PRECISION PORTFOLIO POLICY COMMERCIAL GENERAL LIABILITY DECLARATIONS PRECISION PREMIER