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

BY THE POLICIES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the po certificate holder in lieu of such endorsement(s). the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the licy(ies) must be endorsed. if SUBROGATION IS WAIVED, subject to PRODUCER Daniels Commercial Insurance, LLC 310 N. Tarragona St NAME: Daniels Commercial Insurance, LLC ONTACT AX PRONE, Exn:850-308-7710 (AG, No):850-308-7716 E-MAIL ; : ADDRESS:Service@dcinsilc.com Pensacola FL 32501 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:Bituminous Fire and Marine Insuranc 0109 INSURED GULFCON-01 INSURER 8 ‘Bituminous Casualty Corporation 0095 Gulf-Atlantic Constructors, Inc. INSURER C ‘Great American Insurance Company 16691 650 West Oakfield Road INSURER D: Pensacola FL 32503 : INSURER E: INSURER E: COVERAGES CERTIFICATE NUMBER: 2053806719 REVISION NUMBER: THIS IS TO CERTIFY THAT 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 CERTIFICATE 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. INSR ADDL POLICY EXP POLICY EFF LTR TYPE OF INSURANCE VD POLICY NUMBER [MADDIYYYY) | (MMIDD/YVYY) LIMITS A GENERAL LIABILITY ICLP3597296 N/1/2014 HA/2015, EACH OCCURRENCE $1,000,000 a DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) _| $100,000 | CLAIMS-MADE OCCUR MED EXP (Anyone person) _|.$10,000 PERSONAL & ADV INJURY __| $1,000,000 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $2,000,000 | pouey [X | 5B. | Loc $ A | AUTOMOBILE LIABILITY CAP3597297 W/ieo14 _*i/i/2015 OE Ey NCTE CIMT T 51,000,000 X_| ANY AUTO BODILY INJURY (Par parson) | $ ALL OWNED SCHEDULED ae ee ee PROPERTY OMMAGE x HIRED AUTOS AUTOS (Per accident} $ X |PIP Included $ ic UMBRELLALIAB 1X | occur $BU033027105 4/4/2014 11/2015 EACH OCCURRENCE $1,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED |_| RETENTIONS 10,000 $ 8 | WORKERS COMPENSATION WC3597298 4/4/2014 W/1/2015 x | WOSTATU- O1n- AND EMPLOYERS’ LIABILITY vin roaviMirs| _|Ea ANY PROPRIETORPARTNERIEXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICERMMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE| $1,000,000 If yes, describe under DESGRIPTION OF OPERATIONS below E.L, DISEASE - POLICY LIMIT | $1,000,000 A Leased/Renled Equipment IGLP3597296 1/1/2014 4/1/2015 Max Per Hem $100,000 Marler Park Boat Ramp Parking & Exhibit Area. DESCRIPTION OF OPERATIONS LOCATIONS / VEHICLES (Aitach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Okaloosa County Board of County Commissioners 602-C North Pearl St. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Crestview FL 32526 AUTHORIZED REPRESENTATIVE . ay = co on Senna ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD