READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — May 15, 2013 — Joe Swales Coord Sheet — reading text
Part 2 of 2. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — 71-Joe Swales Coord Sheet.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
AUTO OTHER THAN = EAACG| $
- AUTO ONLY: aaa 1S
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE 53
occuR CI CLAIMS MADE AGGREGATE $
[ |pepucTIBLE
| |RETENTION §$
WORKER'S COMPENSATION AND eS ars [es
EMPLOYERS’ LIABILITY ET DREASE ES RCO ry
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFIGER/MEMBER EXCLUDED? JFL DISEASE EA EMPLOYEE
if yes, describe under
SPECIAL PROVISIONS below EL DISEASE « POLICY LIT
OTHER
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER AND ADDITIONAL INSURED
CANCELLATION
Okaloosa County Water & Sewer Dept
41804 Lewis Tumer Blvd, Ste 300
Ft Walton Bch, FL 32547
Phone: Fac
‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
_10_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
TEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE,
Bill Reh]
ACORD 25 (2001/08)