Okaloosa County BOCC — March 1, 2016 — NetworkcablingCertofLiab — reading text

NETWO-3 OP ID: RA DATE (MM/DD/YYYY) B e CERTIFICATE OF LIABILITY INSURANCE 02/18/2016 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 CONTACT Brown & Brown of Florida, Inc. PHONE FAX Building 100, Suite 100 (A/C, No, Ext): (AIC, No): 10151 Deerwood Park Blvd ;E\'DMDfiléss' Jacksonville, FL 32256 . e Jim Parrish INSURER(S) AFFORDING COVERAGE NAIC # insurer A : National Trust Ins. Co. 20141 INSURED Network Cabling Services, Inc. INSURER B : 365 College Drive #101 . i Middleburg, FL 32068 INEURER | INSURERD : B o | INSURERE : 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. hiy TYPE OF INSURANCE fi?flfifi.fl POLICY NUMBER (Mpg;-tlfingEYFYFY) &fl%%fi% [ LIMITS | GENERAL LIABILITY ‘ EACH OCCURRENCE $ 1,000,000 A | X | COMMERCIAL GENERAL LIABILITY X CPP0018945 07/22/2015 | 07/22/12016 | PREMISES (£a oceunrence) | § 300,000 CLAIMS-MADE OCCUR MED EXP (Any one person) | § 10,000 PERSONAL & ADV INJURY | § 1,000,000 | X |Contractual Liab GENERAL AGGREGATE | § 2,000,000 | GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG | $ 2,000,000 | povicy [ X | BRO: | Loc |s | AUTOMOBILE LIABILITY SOMBINED SINGLELIMIT ] 1,000,000 A | X | any auTO CA 0027573 07/22/2015 | 07/22/2016 | BODILY INJURY (Per person) | $ || R OENED B GOULED BODILY INJURY (Per accidenl); $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (PER ACCIDENT) | PIP s 10,000 | X |umereLLALAB | X | occur EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB | | cuniviemibe [UMB0019377 07/22/2015 | 07/22/2016 | AGGREGATE $ 5,000,000; pep | X | Retentions 10,000 | Is WORKERS COMPENSATION [ WC STATU- OTH-| AND EMPLOYERS' LIABILITY YIN ‘ TORY LIMITS l ER | ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT |'s B OFFICER/MEMBER EXCLUDED? N/A [ - h (Mandatory in NH) ‘ E.L. DISEASE - EA EMPLOYEE| § If yes, describe under ( DESCRIPTION OF OPERATIONS below ‘ E.L. DISEASE - POLICY LIMIT | § A |Installation Fitr CPP0018945 07/22/2015 | 07/22/2016 |Limit-$ 300,000 A |Leased Equipment iCPP001 8945 07/22/2015 | 07/22/2016 |Limit-$ 100,000 | DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Okaloosa County is included as Additional Insured with respect to the General Liability policy when required by written contract. CERTIFICATE HOLDER CANCELLATION 602-C North Crestview, F Okaloosa County Pearl Street L 32536 OKALCO1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE P AP ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD R . NETWO-3 OP ID: RA o o CERTIFICATE OF LIABILITY INSURANCE o s 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 NAME: | Brown & Brown of Florida, Inc. PHONE =5 FAX Building 100, Suite 100 (A/C, No, Ext): pem— (A/C, No): 10151 Deerwood Park Blvd ADDRESS: Jacksonville, FL 32256 = Jim Parrish h INSURER(S) AFFORDING COVERAGE NAIC# . o nsurer A : National Trust Ins. Co. 20141 INSURED yseft’v::o“( Cabll)ir)g S&r(\)l‘ilces, Inc. INSURER B : o AT E— ollege Drive ; Middleburg, FL 32068 INSURER € INSURERD : | INSURERE : INSURERF : 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. o TYPE OF INSURANCE f‘{;&_m" POLICY NUMBER (BONIYY) | (DoY) | LIMITS | GENERAL LIABILITY | EACH OCCURRENCE s 1,000,000 A | X | COMMERCIAL GENERAL LIABILITY CPP0018945 07/22/2015 | 07/22/2016 | DAMGCE TORENTED ) 4 s 300,000 CLAIMS-MADE OCCUR { MED EXP (Any one person) | § 10,000 =] ‘ PERSONAL&ADVINJURY s 1,000,000 | X |Contractual Liab ‘ ‘ GENERALAGGREGATE |§ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ‘ PRODUCTS - COMP/OP AGG | § ~ 2,000,000 l pPOLICY | XW RRO- Loc | $ | AUTOMOBILE LIABILITY &g"ggé’ifignsmG'-E LimIT $ 1,000,000 A | X | anyAuTO [ CA 0027573 07/22/2015 | 07/22/2016 | BODILY INJURY (Per person) | $ ‘ fibLTg‘éVNED ig;‘ggULED [ BODILY INJURY (Per accident) | $ NON-OWNED PROPERTY DAMAGE s HIRED AUTOS | AUTOS (PER ACCIDENT) o | PIP $ 10,000 | X UMBRELLALIAB | X | occur EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE UMBO0019377 07/22/2015 | 07/22/2016 | AGGREGATE |s ) “57,0700,000 peo | X | Retenmions 10,000 | - =S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN L TORY LIMITS ER — ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT /s OFFICER/MEMBER EXCLUDED? N/A | SR . (Mandatory in NH) ‘ E.L. DISEASE - EA EMPLOYE% $ If yes, describe under DESCRIPTION OF OPERATIONS below ‘ | | E.L. DISEASE - POLICY LIMIT | § A |Installation Fitr ‘ CPP0018945 | 07/22/2015 | 07/22/2016 |Limit-$ 300,000 A |Leased Equipment |CPP0018945 07/22/2015 | 07/22/2016 |Limit-$ 100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION Okaloosa County Information Systems OKALO03 1804 Lewis Turner Blvd #402 Ft Walton Beach, FL L 32547 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A R ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD