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Okaloosa County BOCC — June 17, 2014 — 2014 Check List for Island Sands Beach Srv QBVC & QBVBVP — reading text

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Machine-extracted text — 91-2014 Check List for Island Sands Beach Srv QBVC _ QBVBVP.pdf

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Revised: March 12, 2013 Qualified Beach Vendor Certificate Processing Check List New Applications √ Renewal Date Received: May 15, 2014 Company Name: Island Sands Beach Service of NW FL Contact Person: Brian Cox Phone #: (850) 259-4896/ (850) 685-9483 Email: briancox@yahoo.com NA Application form √ $500 Application fee √ Designated Beach Area Permit √ Upland Property Owners Approval √ QBV Beach Vehicle Permit √ Vehicle insurance √ Vehicle registration √ $500 QBV Beach Vehicle Permit fee √ Hold Harmless Agreement √ Statement of Acceptance of Ordinance 13-07 √ Copy of Liability Insurance for $1,000,000 naming BCC as insured √ Copy of O.C. Local Business Tax Receipt √ Copy of Workman’s Comp. Insurance policy BCC Approval: _______________________

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