Okaloosa County BOCC — September 2, 2014 — Agenda — reading text

s 1 I U!lBRELLA LIAB I i EXCE SS LIAB ; OCCUR i I I : I · EACH OCCURRENCE · AGGREGATE i S S I I CLAI...S· ...ADE i I OED i RE TENTION , I S 8 , WORKERS COMPENSA TlON ! I ~WC04)408898(AOS) 01/01/14 01/01/15 WC STA TU · X . TORY LIMITS ' OTH· ' AND EMPLOYERS' LIABILITY YIN I A I ANY PHOPRIETORiPARTNERiEXECUTIVE ~ i \ 'WC043408899ICA) I 01/01/11 01/01/15 E.L EACH ACC IDENT ER S 1,000,000 OFFICERlME,"BER EXCLUOED? A ('bndalory in NH) N :NIA I ,WC04H08906 (OR) I 01/01/1~ 01/01/15 E L DISEASE · EA E...PLOYEE S 1,000,000 II YC!:o . tJeSCSIOO undtH C DESCRIPTION OF OPERATIONS below i I I WC043408900 (FL) I 01/01/14 01/01/15 E L DISEASE · POLICY LI"',T S 1. 000, 000 B IWORK COMP/EMPLOYERS LIAB I I I ~C04)408904 (HE) I 01/01/14 01/01/15 SE:E ABOVE AMT OFINSURANCF I I I I, 8 WORK COMP/EMPLOYERS LIAB I WC04)408905(NJ/PA) 01/01/1~ 01/01/15 SE:E ABOVE AMT OFINSURANCE t C I WORK COMP IE:KPLOYERS LIAB ! WC04)40890)MA/ND/OH/WA/W~~1/01/1~ 01/01/15 SEE ABOVE AMT OFINSl1RANCe: OESCRIPTION o.f OPERA nONS I LOCA nONS I VEHICLES (ANiCh ACORD '01 , Additional Rllmarks Schedule, It morlt spice II required) COX COMMUNICATIONS GUL~ COAST, LLC , I CERTIFICATE HOLDER CANCELLA TlON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OKALOOSA COUNTY BOARD O~ THE E)(PIRA TlON DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS ATTN: JOKN CHRISTOPER COMMlSSIONRRS 101 E. JAMES LEE BLVD. AUTHORIZED REPRESENTATIVE CHESTVIeW, FL )25)6 USA jfiJ~ © 1988-2010 ACORD CORPORA TION. All Tights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD prabhaaatl )7~99171 c ~ Cox Account Rep: Business· Carol Kni ght Cox SV5tem Address: Commercial Services Agreement 7/21/2014 Phone Number: 855-637-1206 3405 ~lcLemo re Drive I fax N umber: 877-873-70 44 I Pensacola FL 32514 c:u.eon-I!'foi _dud AutIIorizM c..ta_ II1II... IIIt'ann811on Legal Com ,,-any Name: OKAL00 5 A COUNTY BCC Full Name : Randy Sims Street A ddr ess: 302 N WILSON ST Billing Contact: ( 850) 689- 5046 City/State/Zip: CRESTVIEW, Florida 32536 Fax: Billing Add ress: Contact Number: (850) 689-5914 City/State/Zip: Email A ddress: rSim s@co.okaloosa.n.us Cox Account #: 135-0132891-01 ,I Service Description Ta_ MMI , . . Not Included Prey New Unit Term Servi ce Charges QTY QTY Price (Months) Monthly Recurring One Time Activation lit Setup Fees Access Recovery Fee - Bulk Facility 1 1 $ 5.00 I'I-M $ 5.00 FCC Access Charge - Bulk Facility 1 1 $46.2 5 M-M $46.25 Cox Digital Trunk PRJ 1 1 $400 .00 36 $ 400.00 oro Block - 20 1 1 $3.20 36 $3 .20 Block Operator Assisted Calls 1 1 $0.00 36 $ 0.00 Account Change Fee 0 1 $ 0.00 $0.00 Total s: $454 .45 $0 .00 L ~ ] Desc r i ptio n I Quantity I Unit Price I Tota' Fee I 1f..fCIII­ I o.oc.t8d SenrIce hcIIItI-.. I I For Ded icated Service Facilities (e.g. Private Lin e Type Services, Ethernet Services). By initialing here and sign ing below, I I ..... No