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Okaloosa County BOCC — May 17, 2013 — 2013 Check List for Coastal Beach Srv QBVC — reading text

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Revised February 11, 2013 Qualified Beach Vendor Certificate Processing Check List ___ New Applications __√_ Renewal Date Received: February 25, 2013 Company Name: Coastal Beach Service Contact Person: John Fitzgerald III Phone #: (850) 642-3288/ (850) 642-3289 Email: coastalbeach@gmail.net _NA Application form __√_ $500 Application fee __√_ Designated Beach Area Permit __√_ Upland Property Owners Approval __√_ Authorized Beach Vehicle Permit __√__Vehicle Insurance __√__Registration __√_ $500 Beach Vehicle Permit fee per vehicle __√_ Hold Harmless Agreement __√_ Statement of Acceptance of Ordinance 13-07 __√_ Copy of Liability Insurance for $1,000,000 Naming BOCC as insured. __√_ Copy of O.C. Local Business Tax Receipt for the State of Florida __√_ Copy of Workman’s Comp. Insurance Policy ___ BCC Approval: _______________________

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