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

State: Florida Zip: 32541 Telephone: 850 650 -0599 Fax: 850 650 -4402 Email: jerry a,pleatperry.com Website Address: www.pleatperry.com Type of Business ( Corporation, Partnership, Other -Specify): Corporation Tax ID Number (EIN /SSN) 59- 3478525 Authorized Signature: Professional Rei-e 1. Crain Harker, 726 Beach Drive, Destin. Florida 32541 850) 376 -1400 craig_barker _,cox. net City of Destin Councilman 1997- 200% Mayor 2002 -2009 2. Matey Lou Reed, Executive Director: Workforce Development Board Okaloosa Walton Counties, Inc. 81" 109 Avenue, Shalimar, Florida 32579 :,(850) 651 - 8623 mireed a,iobsplus02. com 3. Mel fonder, 4 Welaka Court, Destin, Florida 32541 850) 865 -0816; mel@thebeachfla.com City of Destin Councilman 2002 -2006  CITY OF DESTIN CALENDAR OF EVENTS MONTHLY EVENING MEETINGS 1St & Yd Monday: City Council Meetings 3rd Thursday: Local Planning Agency Meetings St 1 Thursday as needed) 2nd Thursday: Code Enforcement Board Meeting Wednesday: Board of Adjustment Community Redevelopment Agency Board Meetings preceding City Council meetings as needed gAwp_ docsk4 of fort walton beach\ fortwaltonbeach .destincalendar.doc  CNA LAWYERS PROFESSIONAL LIABILITY POLICY DECLARATIONS Branch: Policv Number: A enc Insurance is provided by Continental Casualty Company, 700324 912 169705439 333 S. Wabash Ave. Chicago IL 60604 A Stock Insurance Company. 1A. NAMED INSURED AND ADDRESS: NOTICE TOPOLICYHOLDERS: Pleat & ferry, P. A. This is a Claims Made and Reported policy, It applies only to 4477 Legendary Drive, Suite 202 those claims that are both first made against the insured and Destin, FL 32541 reported in writing to the Company during the policy period. Please review the policy carefully and discuss this coverage with your insurance agent or broker. 1B. PREDECESSOR FIRM(S): See Declarations Addendum 2. POLICY PERIOD: Inception: 07/ 01/ 2010 Expiration: 07/ 01/ 2011 at 12: 01 A.M. Standard Tinte at the address shown above 3. LD41TS OF LIABILITY: Each Claim: S2,000,000 Inclusive of Claims Expenses Aggregate: $ 2,000, 000 Death or Disability and Non -Practicing Each Claim: 51, 000,000 Extended Reporting Period Limit of Liability: Aggregate: $ 2,000, 000 4. DEDUCTIBLES: Aggregate: S 10, 000 Inclusive of Claints Expenses 5. POLICY PRENT M: Annual Premium: $ 16, 346.00 Surcharges/Taxes: Amount: Florida Hurricane Catastrophe Fund $ 163. 46 Florida Insurance Guaranty Association Regular 2009 $ 171. 63 Total Amount: $ 16, 681. 09 Includes CNA Risk Management Seminar Credit of S- 155. 00 6. FORMS AND ENDORSEMENTS ATTACHED AT INCEPTION: G- 118011 -A ( Ed. 04/ 2008), G- 118012 -A (Ed. 03/ 1999), G- 118016 -A (Ed. 04/ 2008), G- 118024 -A ( Ed. 04/2008), G- 118039 -A09 ( Ed. 06/2008), G- 118065 -A09 (Ed. 09/ 2007), G- 145184 -A (Ed. 06/2003), GSL- 11512 -XX (Ed. 10/ 2005), GSL -12439 -XX (Ed. 03/ 2009) 7. WHO TO CONTACT: To report a claim: CNA Insurance Companies 333 S. Wabash, 39 South Chicago, IL 60685 Att: Regional Director, GSL Lawyers Claims Phone 312 -822 -6466 Fax 866 -419 -6308 www. cna. com /claims 1 07/ 12/ 2010 Authorized Representative Date G- 118012 -A ( Ed. 03/ 99) Page I  9 Declarations Page ZURICH Policy Number: EOC 9226966 -05 This is a Claims Made and Reported Policy. Please review the Policy carefully. THE POLICY IS LIMITED TO LIABILITY FOR ONLY THOSE CLAIMS THAT ARE FIRST MADE AND REPORTED TO THE COMPANY DURING THE POLICY PERIOD AND ANY EXTENDED REPORTING PERIOD. Item 1. Insured by the stock company below and hereinafter referred to as the Company. Steadfast Insurance Company Item 2. Named Insured and Address DUNE TITLE COMPANY LLC 4477 LEGENDARY DR # 202 DESTIN, FL 32641 Item 3. Policy Period Item 4. Limit of Liability 12:01 A.M. Standard Time at the address of the Named Insured as stated herein Each Claim $ 1, DOO, OOD From:. 7/ 1/ 2010 To: Aggregate $ 1, 000,000 7/ 1/ 2011 Item 5. Retroactive Date 7/25/2002 Item 6. Deductible $ 5,000. 00 Item 7. Premium: $ 2, 500.00 Surplus Lines Tax: $ 126. 76 FL Stamping Fee: $ 2.54 FHCF: $ 25. 36 Policy Issuance Fee: $ 36.00 Item B. Forms Attached at Issuance STF- GU- 645- A(08109), STF -TPL- 381- A- FL(01 110), STF -TPL -D- 300- A- CW(10 /08), STF -TPL -380 -A CW( 11/ 09), STF -TPL -304- B- CW(03/ 10), STF -TPL -382- A- FL( 01 /10), STF- TPL -300- A- CW(10 /08), STF -TPL -376- B- CW( 10 /08), STF - TPL- 377- 15- CW( 01/ 10), U- GU- 726-A- FL( 7 /06), U -GU- 279- D- FL(8/ 02), U- GU- 735- A- MU(D8 /06), STF -GU- 199- B( 01/ 09), U- RET -E- 402- A -CW( 11 / 06), U -UNV -0-402A CW ( 09106) Countersigned at: Issue Date 6/30/2010 Authorized Reprpyntative Countersign Date: THIS INSURANCE IS ISSUED PURSUANT TO THE FLORIDA SURPLUS LINES LAW, PERSONS INSURED BY SURPLUS LINES CARRIERS DO NOT HAVE THE PROTECTION OF THE FLORIDA INSURANCE GUARANTY ACT TO THE EXTENT OF ANY RIGHT OF RECOVERY FOR THE OBLIGATION OF AN INSOLVENT UNLICENSED INSURER. STF -TPL -D -300 -A CW ( 10/ 08) Page 1 of I  BBOP99. 001 1007 1007 First Community Insurance Company 4908953 St. Petersburg, Florida 33733 8/ 06/ 10 BANKERS 800- 627 - 0000 INSURANCK oaour 3000 00000 BBOP AMENDED DECLARATIONS PAGE Business Owners Policy EFFECTIVE: 8/ 02/ 10 Date of Issue Page, 1 of 3 8/ 06/ 10 PolZy:... Period :,..., .:'.,:. tT.erm — Ince tion Date A ent ti:; ' ent' s Phone From: 7/ 22/ 10To: 7/ 22/ 11 12: 01 Standard Time 12 mos 7/ 22/ 09 12: 01 AM 00- 0089479 850) 837 -6242 Agent ( 850) 837 - 6242 WATERFIELD & ASSOCIATES INC 4477 LEGENDARY DRIVE CONDOMINIUM A 127 HIGHWAY 98 E STE 10 SSOCIATION DESTIN FL 32541 4477 LEGENDARY DR STE 202 DESTIN FL 32541 --5332 In return for the payment of the premium, and subjeot to all the terms of this polioy, we agree with you to provide the Insuranoe as stated in this policy, a - .. t i :!< • ' z. •. p ..• ..• f - - '• t n•• •, ' Pohcy'°Lmuts.- CoYera ( •e , provided -a s ..•