Okaloosa County BOCC — November 4, 2012 — Bob Murray 5 — reading text

| 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.