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Okaloosa County BOCC — October 5, 2013 — EDC Certificate of Insurance — reading text
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——y
ACORE
ee
CERTIFICATE OF LIABILITY INSURANCE
ECONO-3 OP ID: KJ
DATE (MNUDDIVYYY}
02/06/13
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,
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
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 poticies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in fieu of such endorsement(s).
Fisher Bro Div, Pensacol 850-432-7474] fae
i wn Div, cola
1701 West Garden Street 850-438-4678] [nie Wo, ext: | FAS, Noy:
Pensacola, FL 32502 EMAIL
James R. Hurston, AAl ADDRESS:
iNSURER(S) AFFORDING COVERAGE NAIC #
wwsurera: Southern Owners Insurance Co
INSURED The Economic Development INSURER B: .
Council of Okaloosa Co.FL Inc INSURER:
PO Box 4097 :
Fort Walton Beach, FL 32549-4097 INSURER D :
. INSURER E:
INSURER FE:
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
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN |S SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIGH THIS
BEEN REDUCED BY PAID CLAIMS.
iNSR ADDL]SUBRY “POLICY EFF | POLICY EXP
LTR TYPE OF INSURANCE INSR| WYD- POLICY NUMBER (MMUDDIVYYY) | (MM/DDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE 3 4,000,000
AX | commerciat GENERAL LIABILITY x | x 10346227824966013 011513 | 01/15/14 | DAMAGE TORENTEO cel (8 300,000}
_ |] CLAIMS-MADE OCCUR MED EXP (Any one person) | $ 10,000}
PERSONAL & ADVINJURY | $ 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ 2,000,000
poucy| | FB: Loc $
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY COMBINED § $
ANY AUTO BODILY INJURY (Per person) | $
ALL OWNED AUTOS BODILY INJURY (Per accident) | $
OWNED PROPERTY DAMAGE
HIRED AUTOS: AUTOS (Per accident) §
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXGESS LIAB CLAIMS-MADE AGGREGATE $
pep |_| RETENTIONS $
WORKERS COMPENSATION WESTATE | [OI
AND EMPLOYERS! LIABILITY TORY LIMITS ER.
ANY PROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT 3
OFFICER/MEMBER EXCLUDED? NIA e
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE! $
ifyes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
Blanket Additional Insured
Blanket Waiver of Subrogation
CERTIFICATE HOLDER
CANCELLATION
‘OKAL001
County of Okaloosa FL
602-C N Peart 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 32536
AUTHORIZED REPRESENTATIVE
ACORD 25 (2010/05)
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The ACORD name and logo are registered marks of ACORD
