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Okaloosa County BOCC — January 21, 2014 — Timberview Helicopters Lease_Minimum Standards_Certificate of Insurance_Internal Coordination Sheet — reading text
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AIRCRAFT UABILITY Lnnred — § 100,000 | gapass $ AGGR
CT RON CREW
MEDICAL AYMENTS pomene $ 5,000 | ga PuR $ 20,000 JéA OCG
EXOLUDING CRAY
COVERAGE
CODE. CRRCRIPTION OPTIONS . LIMIT APPLIES TO Mit APPUES TO
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DESCRIPTION OF OPERATIONS / REMARKS (Aitach AGORD 161, Additional Ramarks Schadule, ff more s pace la required)
Cerliicate holder ie mckidad as an Additonal ineured.
CERTIFICATE HOLDER ANGELL ATION
TATOOS CONT SOUL NY OF TIE AB OVE. ESO RIBED PUT ICIES GE OMITELCED BEF GRE THE
602-6 NORTH PEARL k:XPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
SUORDANGE WITH THE POLICY PROVISIONS,
CRESTVIEW, Fl. 32536 ‘
ATTCRIZED " REMTESEATATIVE
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@ 2009 ACORD CORPORATION, All rights reserved,
ACORD 21 (200912) The ACORD name and logo are reglstered marks of ACORD
RECEIVED Jan. <2 204
CONTRACT & LEASE INTERNAL COORDINATION SHEET 2
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Contract/Lease Number: Tracking Number: §33-) 4
Contractor/Lessee Name: a mbev eu” Hel ¢ “f feus Grant Funded: YES___NO_%~
Purpose: st qh tse aan ‘Torrs
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Date/term: Jew 31, 21S veweur sas [ GREATER THAN $50.000
Amount: 9 % 6, Gress 2. () GREATER THAN $25,000
Aiepets 3. C1 $25,000 OR LESS
Department:
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Dept. Monitor Name: f ( v
Document has been reviewed and Includes any attachments or exhibits.
Purchasing Review
Date: [P38 IAB
Risk Management Review
Date: / [ Z/ 1S
County Afforney Review
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Date: l 6
County Attorney
Following Okaloosa County approval:
Contract & Grant
Document has been received:
Dote:
Contracts & Grants Manager