Okaloosa County BOCC — November 1, 2016 — Tindale-Oliver Certificate of Insurance — reading text

ACORD... Client#· 1048400 CERTIFICATE OF LIABILITY INSURANCE TINDAOLl1 I DATE (MMIOO/YYYY) 02/24/2016 THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed . If 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 NAAii:'.''-' USI Insurance Services, LLC, ··-·a·--··-·----·----· r.;Jc~Jo,_~!!!): 813 32_1-7500 . I 1Ai2...t!9t.__. 1715 N. Westshore Blvd. Suite 700 E·MAIL Tampa , FL 33607 .AQP~'-- -· INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : Travelers Indemnity Company of 25682 INSURED · INSURER B : Commerce & Industry Insurance C 19410 Tindale-Oliver & Associates , Inc. 1NSURER c : Travelers Casualty and Surety C 31194 1000 N Ashley Dr., Suite 400 INSURER o : XL Specialty Insurance Company 37885 Tampa, FL 33602 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER : 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 REDUCED BY PAID CLAIMS. INSR _____ ,,___POLIC'i' 'E J=r '' poCJcvexp''' ,_., __ ..___ -- ·---- LTR TYPE OF INSURANCE l~°rl~.L ~'g POLICY NUMBER IMMIDO/YYYYl IMMIDOIYYYYI LIMITS A ~ERALLIAB1 L1TY X X 6808127L852 02/24/2016 02/24/2011 ~ocg_lJ.~~~~--- _!1, 000,1lQQ_ _ _ ~~~~H?Efa~P.nce\ =oX COMMERCIAL GENERAL LIABILITY CLAIMS-MADE ~OCCUR MEDEXP(An~eperson) S 1 000 000 s 10,000 -- PERSONAL & ADV INJURY GENERAL AGGREGATE S 1 000 000 s2,000,000 r1 GEN'L AGGREGATE LIMIT APPLIES PER: ~f\,Qf PRODUCTS ·COMP/OP AGG s2,000,000 A - POLICY ,__ ANY AUTO IX] AUTOMOBILE LIABILITY fl Loc I x I I x BA8130L506 Kl2/24/2016 02/24/2011 fi,~MBINEO SINGLE LIMIT accident! BOOILY INJURY (Per p<Jrson) s 5 1,000,000 $ - SCHEDULED -- ·-- I ALL OWNED AUTOS -x AUTOS II BOOIL Y INJURY (Per accident) S NON·OWNED -PROPERTY DAMAGE- - · $ X HIRED AUTOS - AUTOS I ~enrL____ •-H-•- --·-·· - - - - - -· ·-----·-·- '---1----- --~--·--·---·--·-·- ---·-· - - -- +-$-----·-···- B ~ UMBRELLA LIAB X OCCUR X X 8E058404608 KJ2/24/2016 02/24/201 i EACH OCCURRENCE S9 000 000 EXCESS LIAB CLAIMS -MADE AG_G_R_ __T_E______._s~9~ EGA 0Q.Q.LC , o~o~o'----I i -~ED r fuETENTI0;;-$0------ - $ c WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y IN X I UB7082Y317 0910112015 09/01/20H x 1 ~~~Y'~~ I 12IH· -- - ANY PROPRIETOR/PARTNERIEXECUTIVED E.L EACH ACCIDENT S1 000 000 OFFICER/MEMBER EXCLUDED'/ NIA -- (Mandatory In NH) ' EL DISEASE· EA EMPLOYEE s1 000 000 ~~re~~~ 'OtoPERATIONS below E.L DISEASE - POLICY LIMIT S1 ,000 ,000 D Professional DPR9722897 04/20/2015 04/20/201E $2,000,000 per claim Liability I $2,000,000 annl aggr. I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, AddiIlona I Rernarks Schedule, If moro space Is required) Professional Liability coverage is written on a claims-made basis . Project: Okaloosa County Transit Development Plan Description : RFP GM 45-15 , Contract C16-2334-GM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Okaloosa County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 602-C North Pearl Street ACCORDANCE WITH THE POLICY PROVISIONS. Crestview, FL 32536 AUTHORIZED REPRESENTATIVE I olb "")\. Q&...ot.., £). - © 1988-2010 ACORD CORPORATION. All rights reserved . ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of