Okaloosa County BOCC — November 5, 2013 — Resort Dev Renewal Package 12-6-13 — reading text

OF PREMIUM) NOTICE OF CANCELLATION. A certificate of insurance is issued as a matter of information only and confers no rights upon the certificate holder. A certificate of insurance does nat amend, extend, or alter the coverage, terms, exclusions, conditions, or other provisions afforded by the policies referenced therein. if the policy referenced above is cancelled before the expiration date, notice of cancellation shall be provided to the certificate holder if such notice of cancellation has been included within this policy and/or endorsements attached thereto. CAV30-ATT (06/12) aa ACORD EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DATE (MMIDDIYYYY) 9/6/2013 THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE GOVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. CONTACT PERSON AND ADDRESS | [AIG No, Ext), (850) 521-3075 COMPANY NAME AND ADDRESS NAIC NO: Southern Financial Insurance Group 2255 Killearn Center Boulevard Underwriter at Lloyds PO Box 15913 15950 Bay Vista Drive Clearwater FL 33760 Tallahassee FL 32317-5913 y, (888) 215-6450 | EMAIL og: info@southernfig.com FAX (AIC, No’ IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH cove: 16689102 | SUB CODE: CUSTOMER ip #, 00009399 POLICY TYPE Commercial Property NAMED INSURED AND ADDRESS Resort Development of Destin, Inc POLICY NUMBER AS25013 FLP00920 LOAN NUMBER 15000 Emerald Coast Pkwy Destin FL 32541 EFFECTIVE DATE EXPIRATION DATE 09/06/2013 09/06/2014 CONTINUED UNTIL TERMINATED IF CHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION (Use REMARKS on page 2, if more space is required) [| BUILDING OR C1 BUSINESS PERSONAL PROPERTY LOCATION/DESCRIPTION 100 Airport Rd Lot #2 Block #6 Destin, FL 32541 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 EVIDENCE OF PROPERTY INSURANCE 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. I special |x |W/H Excld COVERAGE INFORMATION PERILS INSURED | [Basic | |eRoad_| COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: §$ 136540.00 DED:1000 AOP YES| NO | NIA {([] BUSINESS INCOME [_] RENTAL VALUE If YES, LIMIT: | | Actual Loss Sustained; # of months: BLANKET COVERAGE If YES, indicate value(s) reported on property identified above: $ TERRORISM COVERAGE Attach Disclosure Notice / DEC IS THERE A TERRORISM-SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED? LIMITED FUNGUS COVERAGE if YES, LIMIT: DED: FUNGUS EXCLUSION (If "YES", specify organization's form used) REPLACEMENT COST x AGREED VALUE COINSURANCE x If YES, 80% EQUIPMENT BREAKDOWN (If Applicable) if YES, LIMIT: DED: ORDINANCE OR LAW _ - Coverage for loss to undamaged portion of bldg - Demolition Costs If YES, LIMIT: DED: - Incr, Cost of Construction if YES, LIMIT: DED: EARTH MOVEMENT (If Applicable) If YES, LIMIT: DED: FLOOD (If Applicable) EYES, LIMIT: DED: WIND / HAIL (If Subject to Different Provisions) If YES, LIMIT: DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST : MORTGAGEE CONTRACT OF SALE LENDERS LOSS PAYABLE NAME AND ADDRESS Okaloosa County 602 C North Pearl Street Crestview, FL 32536 LENDER SERVICING AGENT NAME AND ADDRESS AUTHORIZED REPRESENTATIVE Paula Barritt/PAULA <n eS Se ACORD 28 (2009/12) Page 1 of 2 © 2003-2009 ACORD CORPORATION. Allrights reserved. INSO28 ennsi21\ 04 Thea ACORD nama and lann are ranictarad marke af ACORN ACORDY ad CERTIFICATE OF LIABILITY INSURANCE DATE (MAUDDIYYYY} 10/30/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), 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 ta 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 PO Box 248 Hancock Insurance Agency PHONE 4, (850) 269-3643 CONTAGT HAME: Julie Morrill LEAS. nyo): (859) 269-3622 EME... julia. morrill@hanceckinsuranca. com INSURER(S) AFFORDING COVERAGE NAIC 4 Destin FL 32540 ingunena Hallmark Insurance Company 34037 INSURED INSURER B : DRB Development, LLC INSURER C: 15000 Emerald Coast Parkway INSURER 0: INSURER E: Destin FL 32541 INSURER F : COVERAGES GERTIFICATE NUMBER:CL13103013731 REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD INDICATED. NOTVWATHSTANDING 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 1S SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS AGOLISURR] POUCY EFF POLICY EXP HER LTR TYPE OF INSURANCE INSR Wyo POLICY HUMBER UAMDDINY YY) | paRDOR YY} LIMITS GENERAL LIAGILITY EACH OCCURRENCE $ 1,000,000 GRMAGE TO RERT COMMERCIAL GENERAL LIABILITY PREMISES (ea ponurence) 3 A | crams.suane |__| occur AP 990634706 6/24/2013 6/24/2014 | prep exe cay ona porsany | § PERSONAL & AOVINJURY | $ ] GENERAL AGGREGATE & GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG | § POLICY Ieee LOC 4 GUMBINED SINGLE LIMIT AUTOMOBILE LIABILITY | Ea teodants : ANY AUTO BODE Y INJURY (Por peraany | § rite AUTOR BOOILY INJURY (Per accidend)| $ . : PROPERTY DAMAGE HIRED AUTOS AUTOS [eer peeviont, Ge $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE 3 EXCESS LIAB CLAIMS MADE AGGREGATE $ OED | i RETENTION $ $ WORKERS COMPENSATION Wie STATU- | [Or AND EMPLOYERS" ABILITY vin FORY LIMITS ER ANY PROPRIETORIPAR TNER EXECUTIVE TEN 7 OPPICERMEMBER EXCLUDED? [| NtA EL_EACH ACCENT 5 iMandatory in NH} El OIREASE . EA EMPLOYER § " yes, dascnbe under DESCRIPTION OF OPERATIONS neow EL DISEASE - POLICY Limit | § DESCRIPTION OF OPERATIONS f LOCATIONS? VEHICLES {Attach ACORD 161, Additional Romarks Schedule, H more apace is required} With Respects to the Certifeate Holder Okaloosa County BOCC who is also listed as Additional Insured. CERTIFICATE HOLDER CANCELLATION David Minor Okaloosa County Bocc 601A North Pera Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Suite 204 Qk oo Crastview, FL 32536 é WS Jul orrill/JAM | ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION, All rights reserved. INSO25 i2o70041 31 The ACORD name and logo are registered marks of ACORD DATE (MMDONYY TY} ACORD® EVIDENCE OF PROPERTY INSURANCE 10/30/2013 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. PHONE AGENCY LAG, No, Ext}: (850) 269-3643 COMPANY Hanceck Insurance Agency Lexington Insurance Company PO Box 248 PO Box 6220 Destin FL 32540 Lakeland FL 33807 FAX 9-462 E-Mail, {AI Hap; 18991 269-3622 _ ADDRESS: cope: SUB CODE: AGEN cusTomer ip «, 00036842 ; . ; Le LOAN NUMGER POLICY NUMBER INSURED DRE Development, LIC 41LX%0199083280 15000 Emerald Coast Parkway SEFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 10/15/2013 16/15/2014 TERMINATED (F CHECKED Destin FL 32541 THIS REPLACES PRIGR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION Loc# 00001 15000 Emerald Coast Parkway Destin, FL 32541 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION COVERAGE / PERILS / FORMS AMGUNT OF INSURANCE = DEDUCTIBLE Building, Full Value Raplacemant Cost, Special form 300,000 2,50C REMARKS (including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST MORTGAGEE _ ADDITIONAL INSURED Okaloosa County BOCC X Loss PAYEE 601A North Paarl Street LOAN # Suite 204 Crestview, FL 32536 AU Pld Mews AC ORD 27 (2009/12) © 1993-2009 ACORD CORPORATION. Ail rights reserved. IMEI we. RECEIVED APR 0 42013 » | f~Aa-1F \ [ CONTRACT & LEASE INTERNAL COORDINA TION SHEET Contract/Lease Number:__208-¢3/8-4P? Tracking Number: O72-/F Contractor/Lessee Name:_ Resort” Dev of Maphs £ rong, Pac KP, brite 5 Purpose: Reareeal of Lease DatesTerm: B74 7-33 . #4 GREATER THAN $10,000 Amount: #s 259,00 nyoar P los ax (“} $10,000 OR LESS Department: Arbrper TS | Dept. Monitor Name: __Qavieed wale r Purchasing Review Procurement requirements are met: CZ Date: els | Cotftratts/Lease Coordinator | Risk Management Review WOME. pf LY Date: YY? Risk Management Director 7 ' County Attorney Review Date: of fs Cothty Attorney Following Okaloosa County Board of County Commissioners approval: Contract & Grant Review Document has been appropriately reviewed and is executable: Date: Contracts & Grants Manager REVISED BY BCC 3-21-00