Okaloosa County BOCC — August 5, 2014 — Contract Renewal documentation — reading text

SUBROGATION IS WAIVED, subject to og the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate dacs not confer rights te the S certificate holder in lieu of such endorsement(s). = PRODUCER 1 CONTACT g Aon Risk Services Central, Inc. CHORE = ERS 7 ra philadelphia Pa office wo. HEN, ean; B66) 283-7222 [TAR no,, (800) 363-0105 g Qne Liberty Place E-MAIL, iat 3650 Market Straet ADORESS: = Ph rea phia PA 19103 USA INSURERIS) AFFORDING COVERAGE RACH INSURED wsureRa: Charter Qak Fire Ins Co 25615 SunGard Capital Corp. WSURERB: The Travelers Indemnity Co. 25658 as Companies & Subsidiaries INSURER C: Tha Phoenix Insurance Company 25623 Wwayne PA 19087 USA INSURER: Travelers Property Cas Co of America 25674 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570053625978 REVISION NUMBER: THIS 1S 16 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN [ISSUED TO THE INSUREQ NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOGUMENT 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, Limits shown are as requested| KS TYPE OF INSURANCE Roa POLICY NUMBER Toe ET Moe LIMITS 4 | X | COMMERCIAL GENERAL LIABILITY SEOODTZIATS ary aUSS] Eacit OCCURRENCE $1,000, G00} | cummsamoe [x | occur CRS e om nee $4,000,000 | X | Contrectsal Liabitty MED EXP (Any one parson} $10, 000} PERSONAL & ADV INJURY $1,000,000) 2 | GENL AGGREGATE LIMA APPLIES PER: GENERAL AGGREGATE $2,000,000, & D_ | pouey [Seer 10s PRODUCTS - COMPIOP AGG $2,000,000) OTHER: ‘Yotal Aggregate per policy $10,000,000) S B TI-CAP-BO4SX05A-TEL-14 G3/01/2014]05/01/2025] COMBINED SINGLE LIMIT ‘e AUTOMOBILE LIABILITY (O72 (047 BINED $ $2,000,000, re L any auto BODILY INJURY ( Per person) g r"] ALL OWNER SCHEDULED BODILY INJURY (Per secident) ¢ |__| auras [x |emeo autos [x7] NONGIKED ioeaention) MAGE 2 CompiCall Deductible 42 > 500) e UMBRELLA LIAR Occur EACH OCCURRENCE Go | excessuma [| crame-maoe AGGREGATE pao] jReTenion & | WORKERS COMPENSATION AND FRIVEBOASXO4EL4 OS/01/2014)05/04/ 2015] | PER. | lore ENIPLOYERS' AGILITY yin (AZ, MA, WI) STATUTE ER o | enone TN Iara| — [FC2NUBEOASXO1216 65/01/2024] 05/01/2015] Bb EACH ACCIDENT $1,000 , 000 (Blanniateory ios Batt {40S} &.t, DISEASE-EA EMPLOYEE $1,000,000 DASE Apron OF Cpena TIONS tgtoy E.L, DISEASE-POLIGY LIMIT $1,000,000} — = za DESCRIP TON OF OPERATIONS / LOCATIONS | VEHICLES (ACORD 101, Additonal Remarks Schedule, may be if mare space is required) = Name Ensured: SUNGARD DATA SYSTEMS INC., SunGard Capital Corp. Its Companies & Subsidiaries. OKALOOSA COUNTY AND ITS AGENTS, awe CONSULTANTS, SERVANTS, ANG EMPLOYEES ARE INCLUDED AS ADDITIONAL INSURED AS REQUIRED BY WRETTEN CONTRACT, BUT LIMITED TO THE aa GPERATIONS OF THE INSURED UNDER SAID CONTRACT, PER THE APPLICABLE ENDORSEMENT WITH GENERAL LIABILITY AND AUTOMOBILE LIABILITY [By POLICIES. — teed ad CERTIFICATE HOLDER CANCELLATION = SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ct EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE Eas POLICY PROVISIONS. = OKALGUSA COUNTY AUTHORIZED REPRESENTATIVE a GOZ-C NORTH PEARL STREET CRESTVEEW FL 32536 USA hr Kel Sevies Contral Ina ©1988-2014 ACORD CORPORATION. All rights reserved. ACORE 28 (2014101) The ACORD name and logo are registered marks of ACORD