About this source
Bob Murray 5 from the Okaloosa County BOCC meeting of November 4, 2012 (IQM2 meeting #1105). Original portal label: Bob Murray 5. Preserved as a historical public record; part of the meeting linked as a related source.
- Original publication
- Bob Murray 5
- Date
- November 4, 2012
- Reference collection
- Okaloosa County Board of County Commissioners (IQM2 public portal)
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Bob Murray 5 (PDF)
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CERTIFICATE OF LIABILITY INSURANCE
MBNSE-1
OP ID: DN
DATE (MMIDDIYYYY)
11/26/12
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 policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
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
ISU/Francis-Pinney Ins.
2266 Lava Ridge Court Ste 200
P.O.
Box 619050
Roseville, CA 95661-9050
Bruce Winning
916-773-3800
916-773-4484
CONTACT
NAME:
PHONE | FAX
{AIC, No, Ext}: (AIC, No):
-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Hartford Insurance Group 22357
INSURED MBN Services Inc. INSURER B : Philadelphia Insurance Compan
dba: Bob Murray & Associates INSURER C
1677 Eureka Rd Ste 202 ;
Roseville, CA 95661 INSURER D :
INSURER E:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 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.
ADDL/SUBR)
LICY EFF POLIC
INSR PO OLICY EXP
LTR TYPE OF INSURANCE INSR | WVD. POLICY NUMBER (MMIDDIYYYY) | (MMIDDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000
A | X | COMMERCIAL GENERAL LIABILITY X 57SBAUZ4977 07/20/12 | 07/20/13 PREMISES (Ea ovcurrence) $ 1,000,000
X | CLAIMS-MADE [| OCCUR MED EXP (Any one person) _| $ 10,000
B xX Professional E&O PHSD702920 02/27/12 02/27/13 PERSONAL & ADV INJURY $ 2,000,000)
Retro date2/27/01 GENERAL AGGREGATE $ 4,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP/OP AGG | $ 4,000,000)
X POLICY FBO: Loc E&O Liab $ 1,000,000
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY ee 5 1,000,000
A ANY AUTO X 57SBAUZ4977 07/20/12 07/20/13 | BODILY INJURY (Per person) | $
ALL OWNED | | AUTOS BODILY INJURY (Per accident) | $
X | HIRED AUTOS Ruros ee (Per accident), oe $ 50,000
Hired Phys $
UMBRELLA LIAB occur EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED | | RETENTION S$ $
WORKERS COMPENSATION X We STATU- OTH-
AND EMPLOYERS’ LIABILITY YIN TORY LIMITS ER
A | ANY PROPRIETORIPARTNER/EXECUTIVE 57WECFX9552 09/15/12 | 09/15/13 | EL. EACH ACCIDENT $ 1,000,000)
OFFICER/MEMBER EXCLUDED? NIA
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE] $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
RE:Recruitment Placement Services Contract # 1-12-C216 / The Metropolitan
Washington Airports Authority is included as additional insured as required
by written contract.
CERTIFICATE HOLDER
CANCELLATION
Metropolitan Washington
Airports Authority
METRO-2
Procurement & Contracts Dept
1 Aviation Circle
Washington, DC 20001-6000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
2 { .
at a Banag
ACORD 25 (2010/05)
The ACORD name and logo are registered marks of ACORD
© 1988-2010 ACORD CORPORATION. All rights reserved.