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Sherttt
_Larry Ashley, Okaloosa County Sheriff
Headquarters: 50 24 Street, Shalimar Florida 32579-1234
Phone: (850) 651-7410, Email: Sheriff@sheriff-okaloosa org
November 24, 2014
TO: Honorable Board of County Commissioners, Okaloosa County Florida
FROM: Sheriff Larry Ashley
RE: Agreement for Traffic Enforcement on Private Roads
Honorable Commissioners,
The Emerald Lakes Property Owners Association, Inc. have requested The Okaloosa County Sheriff's
Office to enforce traffic laws within the private gated community known as Emerald Lakes, said community
being located on and around Tequesta Drive in Destin Florida.
As you are aware, Florida State Statue 316.006(3}(b) provides that a county and sheriff may exercise
traffic control jurisdiction over any private road or roads if the county and the party owning such road or roads
provided for traffic control jurisdiction by a written agreement approved by the governing board of the county.
(See attached agreement)
The Emerald Lakes Property Owners Association, Inc. has fulfilled the requirements of 316.006, and is
requesting The Board of County Commissioners approval for said enforcement.
The Okaloosa County Sheriff’s Office supports The Emeraid Lakes Property Owners Association, Inc.
request, and will provide traffic enforcement via The Okaloosa County Sheriff's Office Off-Duty Deputy program.
Your consideration of the attached agreement is appreciated.
Sincerely,
Larry Ashley
Sheriff
The Okaloosa County Sheriff's Office is accredited by the
Commission for Florida Law Enforcement Accreditation
“The Okaloosa County Sheriff’s Office provides equal access and equal
opportunity in employment and services and does not discriminate”
EMERALD LAKES PROPERTY
OWNERS ASSOCIATION, INC.
10221 Emerald Coast Parkway West,
Suite 23. Miramar Beach, Florida 32550
Tel: (850) 654-8660 Fax: (850) 654-5590
E-Mail: assoc@ecam.net
November 24, 2014
County Administrator's Office
Mr. Rick Owen, Administrative Manager
1804 Lewis Turner Boulevard, Suite 400
Fort Walton Beach, FL 32547
RE: Traffic Enforcement on Private Roads
Dear Mr. Owen,
| am writing you on behalf of the Emerald Lakes Property Owners Association, Inc. and
its Board of Directors regarding a request to permit the Okaloosa Sheriff's Office to be
contracted under a fee-based agreement to enforce traffic control laws (specifically
speed/radar enforcement on Tequesta Drive) on the private roads located in the gated
community of Emerald Lakes.
Per the procedure required, the following measures have or will be taken upon approval
from your office;
e The Emerald Lakes Property Owners Association, Inc. Board of Directors
unanimously approved the measure to allow speeding enforcement to take place
in the private, gated community of Emerald Lakes on August 8, 2014 ata
properly noticed meeting.
e The signed “Agreement for Traffic Law Enforcement on Private Roads” is
attached.
e The Okaloosa County Sheriffs Office and the Okaloosa Board of County
Commissioners has been added to the Association’s liability insurance as
requested (certificates are attached).
e We have been working with the Department of Transportation to ensure the
signage in the community will comply with all documented regulations. Attached
you will find pictures of the existing speed limit signs in the Emerald Lakes
community. Below are details for next steps upon approval;
o All speed limit signs have been changed from 20 MPH fo 25 MPH per
ROT regulation (reflective inserts).
© The DOT agreed in writing that the decorative signs at 6: in ‘héight would
be acceptable with approval from the local jurisdiction... Sergeant Fulghum
(East District Sergeant) has agreed that this would be acceptable. «'
Please advise if this matter can be voted on/approved at the next: meeting:scheduled for
December 2, 2014 at 8:30am. Oak
Should you require any additional information or documentation, 1 please do not hesitate
to contact me at 850-654-8660, ext. 204. fees ere
Sincerely,
Erin Calkins, CAM
Community Association Manger
Enclosures/
cc: Emerald Lakes Board of Directors
Sergeant Joseph J. Fulghum, Okaloosa County Sheriff's Office
Mr. Roland Sims Jr., Executive Assistant, County Administrator's Office
AGREEMENT FOR TRAFFIC
LAW ENFORCEMENT ON PRIVATE ROADS
This agreement for enforcement of the traffic control laws of the state on private roads located in the
gated community of Emerald lakes is entered into by and between Okaloosa county, Florida,
(hereinafter “County”), a political subdivision of the State of Florida and Emerald Lakes Property Owners
Association, tnc. (hereinafter “Owner”), a Florida corporation organized under the laws of the State of
Florida.
WITNESSENTH:
WHEREAS, Owner owns fee simple title to Tequesta Drive, a private roadway lying within a gated
community known as Emerald Lakes (hereinafter “Private Roads”0, more specifically described in Exhibit
“A” which is attached hereto and incorporated herein; and
WHEREAS, pursuant to state statute, the County does not have traffic control jurisdiction over private
roads such as those owned by the Owner; and
WHEREAS, Florida Statute 316.006(3)(b) provides that a county and sheriff may exercise traffic control
jurisdiction over any private road or roads if the county and the party owning such road or roads
provided for traffic control jurisdiction by a written agreement approved by the governing board of the
county; and
WHEREAS, Florida Statue 316.006(3}(b}(2) further provides that before entering into an agreement for
traffic control jurisdiction over private road, the governing board of the county shall consult with the
Sheriff and
WHEREAS, the Owner wants the County and Sheriff to exercise traffic control jurisdiction upon the
Private Roads of said Owner; and
WHEREAS, pursuant to consultations between the parties and the Sheriff of Okaloosa County, Florida
(hereinafter “Sheriff}, the County and Sheriff are willing to exercise traffic control jurisdiction upon the
Private Roads; and
WHEREAS, pursuant to Florida Statue 30.2905, the Sheriff operates an off-duty employment program;
and
WHEREAS, Florida Statute 316.006(3)(b}(2) provides, inter alia, that no such agreement shall take effect
prior to October 1 unless that requirement is waived in writing by the Sheriff of the county; and
WHEREAS, the Sheriff has waived this provision as evidence by Exhibit “C.”
NOW, THEREFORE, in consideration of the covenants and conditions herein, County and the Owner
hereby agree as follows:
1. The above recitals are true and correct, and are incorporated herein by reference and forma
material part of the Agreement.
2. Jurisdiction. County agrees to exercise jurisdiction over enforcement of the traffic control laws
upon the Private Roads pursuant to the terms and conditions expressed in Florida Statute
316.006(3) (b) and subject to the terms and conditions specified in Exhibit “B.”
3. Signage. The Owner shail establish the speed limit for the Private Roads and shall be
responsible for posting the speed limit by appropriate FDOT approved signage along said road.
4. Authority in Addition to Existing Authority. The County's exercise of traffic control jurisdiction
pursuant to this Agreement shall be in addition to that authority presently exercised by the
County over the Private Roads, and nothing herein shall be construed to limit or remove any
such authority. The County Agrees to continue to provide such police and fire services as are
required by law.
5. Compensation. The Owner shall compensate the Sheriff for the services performed under this
Agreement at an hourly rate specified by the Sheriff, and in the manner specified in Exhibit “B”
of this Agreement, which exhibit is incorporated herein by reference.
6. County to Retain Revenues. All revenue from the fines, costs, and penalties imposed by the
traffic citations issued for violation of traffic laws on the Private Roads shall be apportioned in
the manner set forth in applicable statutes.
7. Liability not increased. Neither the existence of this Agreement nor anything contained herein
shall give rise to any greater liability on the part of the County or the Sheriff than that which the
County or the Sheriff would ordinarily be subjected to when providing its normal police services.
8. Indemnification. To the fullest extent permitted by law, the Owner shall indemnify, defend, and
hold the County and the Sheriff harmless from any loss, cost, damage or expense, including
attorneys’ fees, for any action arising out of, related to, or stemming from, either directly or
indirectly, the maintenance, repair and/or reconstruction of any roads, road drainage or
signage. To ensure its ability to fulfill its obligation under this paragraph, the Owner shall
maintain General Liability insurance and shall file with the County current certificates of the
required insurance providing a thirty (30) day advance written notice of cancellation. Such
insurance shall: (a) name the County and Sheriff as additional insured as it relates to activities
other than law enforcement activities or deputy sheriff duties conducted pursuant to this
contract; and (b) be issued by companies authorized to do business under the laws of the State
of Florida and acceptable to the County.
9. Road Maintenance. Neither the existence of this Agreement nor anything contained herein
shail impose any obligation or duty upon the County to provide maintenance on and/or
drainage of the Private Roads. The maintenance, repair and construction or reconstruction of all
Private Roads drainage and signage within the gated community of Emerald Lakes shall at all
times be solely and exclusively the responsibility of the Owner.
10. Term. The term of this Agreement shall be for one year, comimencing on the date of the
execution by the last of the two parties signing hereto, and this Agreement shall thereafter
automatically continue for successive one year terms unless terminated by any party by thirty
(30) days written notice to the other parties; provided, however, payments are made by the
Owner in accordance with paragraph 5 and Exhibit “B” hereof. The provisions of Paragraph 8
herein shall survive the termination of this Agreement.
11. Entire Agreement. This Agreement, including ail exhibits attached hereto, constitutes the entire
understanding and agreement between the parties and may not be changed, altered, or
otherwise modified except when reduced to writing and executed in the same manner with
approval by the Board of County Commissioners.
12. Notice. All notices to be given shall be in writing and sent by certified mail, return receipt
requested, to the following addresses:
As to County: Okaloosa County Administrator- Rick Owen
1804 Lewis Turner Blvd.
Ft. Walton Beach, Fl. 32547
850-651-7515
Okaloosa County Attorney- Greg Stweart
P.O. Box 404
Shalimar, Fl. 32579
850-651-1679
As to Sheriff:
As to the Owner:
Okaloosa county Sheriff's Office--Larry Ashley
50 2" Street
Shalimar, Fl. 32579
850-651-7410
Emerald Lakes Property Owners Association, Inc.
10221 Emerald coast Parkway West,
Suite 23 Miramar Beach, Florida 32550
850-654-8660
IN WITNESS WHEREOF, the parties have executed this Traffic Law Enforcement Agreement for Emerald
Lakes Property Owners Association, Inc., on the dates indicated below.
Dated this 24° Day of November 2014
Witness:
By:
Okaloosa County
| Ou ruk Diwrevwse go, Zeb
Okaloosa Codnty Sheriff's OFF
_ BS
Emerald Lakes Property Owners Assoc., Inc.
st OFFICIAL RECORDS ++
BK 1998 PG 1020
EXHIBIT “A”
LEGAL DESCRIPTION OF THE PROPERTY
A PORTION OF UNSECTIONALIZED TOWNSHIP 2 SOUTH, RANGE 22 WEST,
OKALOOSA COUNTY, FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS
FOLLOWS =
COMMENCING AT THE NORTHWEST CORNER OF SECTION 30, TOWNSHIP 2
SOUTH, RANGE 21 WEST, WALTON COUNTY, FLORIDA, THENCE RUN souvz O1
DEGREES 00 MINUTES 22 SECONDS WEST ALONG THE WEST BOUNDARY (ALSO
BEING THE EAST BOUNDARY OF UNSECTIONALIZED TOWNSHIP 2 SOUTH,
RANGE 22 WEST, OKALOOSA COUNTY, FLORIDA) THEREOF FOR 2325.16
FEET TO ITS INTERSECTION WITH THE NORTHERLY RIGHT OF WAY LINE OF
U.S. HIGHWAY NO. 98; THENCE DEPARTING THE EAST BOUNDARY OF SAID
TOWNSHIP 2 SOUTH, RANGE 22 WEST, OKALOOSA COUNTY, FLORIDA, RUN
WESTERLY ALONG THE NORTHERLY RIGHT OF WAY LINE OF U.S. HIGHWAY
NO. 98, BEING CURVED CONCAVE NORTHEASTERLY AND HAVING A RADIUS
OF 5639.58 FEET, AN ARC DISTANCE OF 531.40 FEET (CHORD = 531.21
FEET, CHORD BEARING = NORTH 80 DEGREES 22 MINUTES 33 SECONDS
WEST) TO THE POINT OF TANGENCY OF SAID CURVE; THENCE RUN NORTH 77
DEGREES 40 MINUTES 35 SECONDS WEST FOR 116.10 FEET; THENCE
DEPARTING SAID NORTHERLY RIGHT OF WAY LINE, RUN NORTH 05 DEGREES
35 MINUTES 41- SECONDS WEST (REFERENCE BEARING) FOR 472.94 FEET TO
THE POINT OF BEGINNING; THENCE RON NORTH 77 DEGREES 40 MINUTES 35
SECONDS WEST ALONG A LINE LYING 450.00 FEET NORTH OF AND
PARALLEL TO THE AFORESAID NORTHERLY RIGHT OF WAY LINE OF U.S.
HIGHWAY NO. 98 FOR 877.14 FEET; THENCE RUN NORTH 74 DEGREES 48
MINUTES 40 SECONDS WEST FOR 351.28 FEET; THENCE RUN NORTH 12
DEGREES 06 MINUTES 13 SECONDS WEST ALONG THE EAST LINE OF A
FIFTY FOOT WIDE GULF POWER EASEMENT FOR 2276.69 FEET; THENCE
DEPARTING SAID EAST LINE, RUN SOUTH 59 DEGREES 59 MINUTES 33
SECONDS EAST FOR 79.32 FEET; THENCE NORTH 38 DEGREES 40 MINUTES
20 SECONDS FAST FOR 125.74 FEET; THENCE NORTH 88 DEGREES 32
MINUTES 10 SECONDS EAST FOR 64.81 FEET; THENCE NORTH 29 DEGREES
27 MINUTES 46 SECONDS EAST FOR 31.94 FEET; THENCE NORTH 84
DEGREES 24 MINUTES 26 SECONDS EAST FOR 371.85 FEET TO THE
WESTERLY BOUNDARY OF PHASE 3 OF BAYWINDS GOLF ESTATES ACCORDING
TO THE PLAT THEREOF RECORDED IN PLAT BOOK 14, PAGE 10, PUBLIC
RECORDS OF OKALOOSA COUNTY, FLORIDA; THENCE RUN SOUTH 05 DEGREES
35 MINUTES 41 SECONDS EAST FOR 402.80 FEET TO THE SOUTHWEST
CORNER THEREOF; THENCE RUN SOUTH 70 DEGREES 20 MINUTES 36
SECONDS EAST ALONG THE SOUTHERLY BOUNDARY THEREOF FOR $00.00
FEET TO THE SOUTHEAST CORNER OF AFORESAID PHASE 3 OF BAYWINDS
GOLF ESTATES; THENCE RUN SOUTH 05 DEGREES 35 MINUTES 41 SECONDS
EAST FOR 338.50 FEET; THENCE SOUTH 84 DEGREES 24 MINUTES 19.
SECONDS WEST FOR 260.00 FEET; THENCE SOUTH 05 DEGREES 35 MINUTES ©
41 SECONDS EAST FOR 837.70 FEET; THENCE NORTH 84 DEGREES 24
MINUTES 19 SECONDS EAST FOR 260,00 FEET; ‘THENCE SOUTH 05 DEGREES
35 MINUTES 41 SECONDS EAST FOR 758.92 FEET TO THE POINT. OF
BEGINNING. MEL
EXHIBIT “B”
Emerald Lakes Property Owners Association, Inc. shall obtain traffic law enforcement by means of
employing deputies through the Sheriff's off-duty program.
{fa resident of Emerald Lakes wishes to make a traffic complaint orrequest a traffic law enforcement
detail pursuant to this Agreement, he or she shall contact the Owner for further actions. If a resident of
Emerald Lakes contacts the Sheriff directly with such a complaint or request, he or she will be directed
to the Owner.
The Owner hereby consents to the Sheriff conduction routine patrol and special details on the Private
Roads for law enforcement purp of criminal activity (e.g. special detail
to target persons committing cai . uraging crime by establishing a law
pos bly preank ho
enforcement presence,
he “c on ducting .
Sherttt
_Larry Ashley, Okaloosa County Sheriff
Headquarters: 50 2° Street, Shalimar Florida 32579-1234
Phone: (850) 651-7410, Email: Sheriff@sheviff-okaloosa.org
EXHIBIT “C”
November 24, 2014
TO: Honorable Board of County Commissioners, Okaloosa County Florida
FROM: Sheriff Larry Ashley
RE: Agreement for Traffic Enforcement on Private Roads
Honorable Commissioners,
t
As you are aware, Section 316.006(3)(b), F.S., reads in part: “No such agreement shall take effect prior
to October 1%, the beginning of the county fiscal year, unless this requirement is waived in writing by the
Sheriff.”
Please accept this letter as documentation of waiver of the 316.006(3)(b) October 1* requirement.
Sincerely,
Sa
Larry Ash
Sheriff
The Okaloosa County Sheriff's Office is accredited by the
Commission for Florida Law Enforcement Accreditation
“The Okaloosa County Sheriff’s Office provides equal access and equal
opportunity in employment and services and does not discriminate”
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ACORD CERTIFICATE OF LIABILITY INSURANCE [ Sunuvur
10/14/2074
THIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS-UPRON. 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. ASSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, *
the terms and conditions of the policy, certain policies may require an endorsément, .A statement on thiscertificate does not confer rights to the
certificate holder in lieu of such endorsement{s).
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the says must be endorsed. If SUBROGATION is WAIVED, STS to: :
PRODUCER fanz.) Connie Mormak
John M. Hunnicutt Insurance & Investments, FHONE ex, (850) 243-8112 FAR yoy, (850) 664-5627
P.O. Box 906 EMAL og. connie’ jmhunnicutt. com
29-B Miracle Strip Pkwy SW INSURER(S} AFFORDING COVERAGE. NAIC #
Fort Walton Beach FL 32549 wsursra Auto Owners Insurance Company L898
INSURED INSURER B
Emerald Lakes Property Owners Assoc., Inc. INSURER C:
c/o Emerald Coast Assoc., Mgmt INSURER D:
10221 Emerald Coast Pkwy W #23 INSURER E:
Miramar Beach FL 32550 INSURER Fs
COVERAGES CERTIFICATE NUMBER:14-15 MASTER CERTIFICATE 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 SE 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.
SR TYPE OF INSURANCE Geet POLICY NUMBER SRMDBN | MOBA YY) LiMiTs
| GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X_| COMMERGIAL GENERAL LIABILITY PRES ¢ a oreurence) 3 300,000
A CLAIMS-MADE occur x pscosze114 P/23/2014 2/23/2018 | en exp (any one person) | 8 10,000)
}-—4 PERSONAL & ADV INJURY | $ 1,000, 000;
— GENERAL AGGREGATE $ 2,000, 000)
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ 2,000,000
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DESERB TON Se GoeratiONs below E.L, DISEASE - POLICY LIMIT | $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required}
The certificate holder below is hereby Listed as Additional Insured with respects to the general
liability policy.
CERTIFICATE HOLDER CANCELLATION
(850) 651-7142 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Okaloosa Board of County Commissioners ACCORDANCE WITH THE POLICY. PROVISIONS.
1804 Lewis Turner Blvd Ste 400
Fort Walton Beach, FL. 32547 AUTHORIZED REPRESENTATIVE
Connie Mormak/CLM Cireniz Sho-ttn ake
ACORD 25 (2010/05)
© 1988-2010 ACORD CORPORATION. All rights reserved.
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ACORD CERTIFICATE OF LIABILITY INSURANCE | fovcarsore
10/14/2014
THIS CERTIFICATE 1S 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 CONTRA‘ T BETWEEN THE tsst ING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. : ;
IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the CS must be Shasteer If 7 SUBROGATION IS ‘WAIVED, 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 NAMED Connie Mormak
John M. Hunnicutt Insurance & Investments, PHONE exp, (850) 243-8112 [ FAX oy: (850) 664-5627
P.O Box 906 . EMAL ..connie@jmhunnicutt.com
29-B Miracle Strip Pkwy SW INSURER(S} AFFORDING COVERAGE NAIC #
Fort Walton Beach FL 32549 INsuRERA Auto Owners Insurance Company 148988
INSURED INSURER B :
Emerald Lakes Property Owners Assoc., Inc. INSURER C=
c/o Emerald Coast Assoc., Mgmt INSURER D:
10221 Emerald Coast Pkwy W #23 INSURER E :
Miramar Beach FL 32550 INSURER F :
COVERAGES CERTIFICATE NUMBER:14-15 MASTER CERTIFICATE 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 REQUCED BY PAID CLAIMS.
INSR ADDLISUBR} POUCY EFF i} POLICY EXP
LTR TYPE OF INSURANCE ins! wp. POLICY NUMBER (MMIDEIVYYY) | (MMDDNYYY), LIMITS.
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A ] cusms-mace occuR x [7869826114 2/23/2024 2/23/2015 | sep exp (any one person) | $ 10,000
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AUTOMOBILE LIABILITY FEMBINED SINGLE UI $ 1,000,000
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WORKERS COMPENSATION WO STATU- OTH
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ANY PROPRIETOR/PARTNER/EXECUTIVE ELL, BACH ACCIDENT. $
QFFICER/MEMBER EXCLUDED? NIA
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DESCRIPTION OF OPERATIONS below ELL, DISEASE - POLICY LIMIT | $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additlonal Remarks Schedule, if more space Is required)
The certificate holder below is hereby listed as Additional Insured with respects to the general
liability policy.
CERTIFICATE HOLDER CANCELLATION
(850) 609-3048 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
. A ACCORDANCE WITH THE POLICY PROVISIONS,
Okaloosa County Sheriff's Office
50 2nd Street
Shalimar, FL 32579 AUTHORIZED REPRESENTATIVE
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Connie Mormak/CLM Chute JH6-t1n ake
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ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved.
ENS025 foninnsy 4 Tha ACCORD nama and ann ara ranictarad marke nf ACORD