Okaloosa County BOCC — August 5, 2014 — AOL 1001 to Allied — reading text

LOAN NUMBER POLICY NUMBER Allied Global Ventures, LLC NN458591 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 2945 Pine Vailey Drive 07/25/2014 | 07/25/2015 = |[ _| terwinarep iF cHecKen Miramar Beach, FL 32550 THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATIONIDESGRIPTION Airplane hangar located 1004 Airport Road, Lot 3, Block 2, Destin, FL 32541 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE Buiiding Limit $305,000 $2,500 REMARKS (including Special Conditions) 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. ADDITIONAL INTEREST NAME AND ADDRESS Okaloosa County |_. NORTSAGEE | X_| ADDITIONAL INSURED 602 C North Pearl Street ieee Crestview, FL 32536 AUTHORIZED REPRESENTATIVE Ko A Mativ LFB ACORD 27 (2008/12) " © 1993-2009 ACORD CORPORATION, Ail rights reserved. The ACORD name and fogo are registered marks of ACORD Printed by LFB on July 28, 2014 at 04:29PM A Member Company of CG. Star & Ca., Inc. 3353 Peachtree Road NE, Suite 1000 Atlanta, GA 30326 Certificate of Insurance Certificate Holder: OKALOOSA COUNTY 602-C NORTH PEARL STREET CRESTVIEW, FL 32536 Named Insured: DESTIN EQUIPMENT LEASING, LLC AND BART RICE 2945 PINE VALLEY DRIVE MIRAMAR BEACH, FL 32550 Policy Period: From JULY 10, 2014 To JULY 10, 2015 Policy Number: 9958-2497-05 Issuing Company: FEDERAL INSURANCE COMPANY This is to certify that the policy(ies) listed herein have been issued providing coverage for the listed insured as further described. This certificate of insurance is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policy(ies) listed herein. Notwithstanding any requirement, term or condition of any contract, or other document with respect to which this certificate of insurance may be concerned or may pertain, the Insurance afforded by the policy(ies) listed on this certificate is subject to all the terms, exclusions, and conditions of such policy(ies). Aircraft: Reg Deductibles Year Make and Model No Insured Vaiue NIM / IM Liability Limit 2007 PIPER PA46-500TP MERIDIAN N3088X $1,500,000. NIL/NIL $2,000,000. CSL INCLUDING PAX $ $ $ $ $ $ $ § $ $ FOR FURTHER INFORMATION, PLEASE REFER TO THE STARR ENDORSEMENT FORM NUMBER 10284 THIS CERTIFICATE CANCELS AND SUPERSEDES THE CERTIFICATE NUMBER 5.1 Certificate Number: 5.2 Issued By and Date: JULY 29, 2014 (SK) UG oO By < Starr 10200 (6/06) ¥ (Atithorized Representative) NAMED INSURED ENDORSEMENT This policy is amended as follows: The Named Insured and/or Address set forth on the Declarations is DESTIN EQUIPMENT LEASING, LLC AND BART RICE 2945 PINE VALLEY DRIVE MIRAMAR BEACH, FL 32550 All other provisions of this policy remain the same. This endorsement becomes effective JULY 29, 2014 AMENDED _ as follows: Policy No. 9958-2497-05 Issued to DESTIN EQUIPMENT LEASING, LLC to be attached to and hereby made a part of: By FEDERAL INSURANCE COMPANY Endorsement No. 30 Date of Issue JULY 29, 2014 (SK) By Starr 10179 (2/06) uh ct CS) a (Authorized Representative)