Okaloosa County BOCC — April 15, 2014 — AMRI Certificate of Insurance — reading text

FROM : AMRI PHONE NO. : 724 643 4242 ACORD® CERTIFICATE OF LIABILITY INSURANCE APR. 89 2014 B1:21PM P2 DATE (aMODIYYYY) n4/o9/2014 THIS CERTIFICATE 1S ISSUED AG A MATTER OF INFORMATION ONLY AND CO MEND, EXTEND b NOT AFFIRMATIVELY OR NEGATIVELY A 1 ve | SENOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEE NFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS COVERAGE AFFORDED BY THE POLICIES Faact BETWEE ISSUING INSURER(S), AUTHORIZED ATE HOLDER. PRESENTATIVE OR PRODUCER, AND THE CERTIFIG. MeO: if the certificate holder is an ADDITIONAL INSURED, the polley(ies) must be endorsed. if SUBR the terms and conditions of the policy, certain policies may require an endorsement. A sta OGATION iS WAIVED, subject to tament on this certificate. does not confer rights to the certificate holder kn lieu of such endorsement(s). NIRCTSHAROND ENGEL a propuces PAT PROTZMAN ; PHONE 724-728-2702 j | FRR yay.724-728-9515 StateFarm +3495 DUTCH RIDGE RD ADDRESS — BEAVER, PA 15009 ____INSURERIS) AFFORDING COVERAGE wale Se. cure a State Farm Fira and Casually Company 26145 INSURED AIRFORT MANAGEMENT RESOURCES ING, INSURER B: m CIO JOHN TOMEC | MSURER Cs _ 446 RIDGEMONT DR [INSURER D INDUSTRY, PA 15052 INSURER E: INSURER F ; REVI NUMBER BER: SION : Cees Se VE BEEN I6SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD HIS IS TO GERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA INDIGATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION GF ANY CONT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE re Sees EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCE! : RACT OR OTHER DOCUMENT WITH RESPECT TO WAICH THIS {CIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS, ye, describe undart UESGRIPTION OF OPERATIONS below f K POLICY EFF | POLICY Ex Limits ie TYPE OF INSURANCE (NSDL WD POLIGY NUMBER (MRUDDVY YY) | (MMIDDIYY YY) 4,000,000 >¢ | COMMERCIAL GENERAL LIABILITY ¥ §8-84-J152-4 05/16/2013 | asl1G/2014 cA OO ED § HOO) -—] $ CLAIMS+MADE QCCUR | PREMISES (Ba oceairence) i | MED EXP (Any ane pergon) | & i PERSONAL ADV INJURY | 8 | |__| — 2,000,900 | GEN'L AGGREGATE LIMIT APPLIES FER: | GENERAL AGGREGATE $ | pouty | | 58% [- ] Loc PRODUCTS - COMP/OP AGG. : OTHER: COMEINED GINGLE LIMIT |g AUTOMOBILE LIABILITY | (Es accident} on i ECKY |__| ANY ALTO _ BODILY INJURY (Por parton) | 5 ALL OWNED | SCHEDULED BODILY INJURY (Per accident) | $ — “) NON-OWNED, PROPERTY DAMAGE |__| HIRED AUTOS AUTOS | (Per socideta) § $ WMBRELLALIAB =| | ocouR | EACH OGGURRENGE $ EXCESS LIAB ; CLAIMS-MADE AGGREGATE 5. BED | RETENTION $ $ WORKERS COMPENSATION eR TE | our ANO EMPLOYERS! LIABILITY YIN ve ANY PROPRIETOR/PARTNER/EXECLITTIVE ELL. EACH ACGIOENT $ OFFIGERIMEMBER EXGLWOED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYER: $ E.L. DISEASE » POLICY Lint | § DESCRIPTION OF OPERATIONS / LOCATIONG / VEHICLES (ACORD 101, Additional Retnarks Sehadule, may be attached If more apace ls raquined) CRESTVIEW, FL 32536 CERTIFICATE HOLDER CANCELLATION OKALOOSA COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE JACK ALLEN THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 602C NORTH PEARL STREET ACCORDANCE WITH THE POLICY PROvisON Parl a TTF — Fp we ACORD 26 (2014/01) The ACORD name and Iago are registered marks of ACORD © 1988-2014 ACORD CORPORATION, Allfighta reserved. 1001486 132840.9 02-04-2014