Okaloosa County BOCC — April 21, 2015 — NWFSC Okaloosa County Cerificate of Insurance

DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 2/25/2015 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). CONTACT PRODUCER NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 200 S. Orange Ave (A/C, No, Ext): 352-955-2190 (A/C, No): E-MAIL Suite 1350 ADDRESS: Orlando FL 32801 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Qualified Self Insurer INSURED INSURER B : Northwest Florida State College INSURER C : 100 College Blvd. INSURER D : Niceville, FL 32578-1347 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 604187264 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY RMC20150301 3/1/2015 3/1/2016 EACH OCCURRENCE $ 200,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR