Okaloosa County BOCC — June 17, 2014 — Michael Baker Lease for Office Space — reading text

holder in lieu of such endorsement(s). = PRODUCER CONTACT 3 Aon Risk Services Central, Inc. PHONE — FAX 7 he pittsburgh PA Office (AG. No. Ext); (866) 283-7122 iMG. No; (800) 363-0105 g Dominion Tower, 10th Floor E-MAIL re) 625 Liberty Avenue ADDRESS: x= Pittsburgh PA 15222-3110 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Liberty Mutual Fire Ins Co 23035 The LPA Group Incorporated INSURERB: Liberty Insurance Corporation 42404 Michael Baker Jr., Inc. - - - P.O. Box 5805 INSURER C: National Union Fire Ins Co of Pittsburgh }19445 Columbia SC 29250-5805 USA INSURERD, Lloyd's Syndicate No. 2623 AAL128623 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 570050493306 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 tS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR TYPE OF INSURANCE Ayaan POLICY NUMBER Toy) | CARIBE Rey) LIMITS A | GENERAL LIABILITY TB2681004145713 06/30/ 2015 972014) EACH OCCURRENCE $2,000,000 X | COMMERCIAL GENERAL LIABILITY PREMISES (ee oovurrence) $1,000,000 CLAIMS-MADE OCCUR MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $2,000,000] & GENERAL AGGREGATE $4,000,000 8 2 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000] & || POLICY [x ono X | Loc S A | AUTOMOBILE LIABILITY AS2-681-004145~-723 06/30/2013/06/30/2014| COMBINED SINGLE LIMIT $1, 000,000 © {Ea accident) ; , Ix | ANY AUTO BODILY INJURY ( Per person) 3 | ALL OWNED SCHEDULED BODILY INJURY (Per accident) o }—| AUTOS AUTOS PROPERTY DAMAGE q |__| HIRED AUTOS Wri (Per accident) = 5 ¢ | y | UMBRELLA LIAB x | occur BEO18085867 06/30/2013|06/30/2014| EACH OCCURRENCE $10,000,000] 9 I | excess LAB I cLais- MADE SIR applies per policy terms & conditions AGGREGATE $10,000,000 DED | X [RETENTION $10, 000 B | WORKERS COMPENSATION AND WA768D004145693 06/30/2013/06/30/2014] y | wc sae | [eat EMPLOYERS!’ LIABILITY YIN AQS TORY LIMITS ER p | ANY PROPRIETOR / PARTNER / EXECUTIVE NIA wC7681004145703 06/30/2013]06/30/2014 | =: EACH ACCIDENT $1,000, 000 (Mandatory in NH} wl EL. DISEASE-EA EMPLOYEE $1,000,000 if yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $1,000,000 D | E&O-PL-Primary QC1302675 06/30/2013/06/30/2014|per Claim $5,000,000 Professional & Pollution Aggregate $5,000,000 SIR applies per policy terms & conditions DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks RE: Master Agreement for Architectural, Engineering, Aviation officials, employees and volunteers are included as Additional Liability policy. Waiver of Subrogation included in favor of Okaloosa County. Schedule, if more space is required) Planning & Construction Services. Okaloosa County, its Insureds in accordance with the policy provisions of the General CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Okaloosa County Board of Commissioners ‘AUT Attn: Tracy Stage 602-cC North Pearl Street Crestview FL 32536 USA HORIZED REPRESENTATIVE hy Bea Services Central! Ine eee cidie bce t sl ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD