Fort Walton Beach Council agenda — 03-12-13--regular — reading text

01/ 2312013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE: BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEI 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 t the terms and Conditions of the may require an endorsement. A statement on this certificate does not confer Fax: INSURED P. O. Box 6649 Nav0ATCLcnJm Tallahassee, FL 32314. 6649 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR IHE YDLICY YLRIDI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS ILTP EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE AOOLS MLICYNUMBEn MMIOCyEFF POLICYEXP LIMITS 0M_ 1. 9_00, I GENERAL LIABILITY 5 aLL A 1 X ...- NCIALGENERALUMBIUTY Q029072049 07/0112012 07101/ 2013 FACH OCCURRENCE PREMISES Ee or<u, rt„ ce 5 109, C, AIMS- MADE OOCCUR MEO EXP( AHl— pe.. o11 5 51 9 X Blanket Add9 Ins PERSONAL a ALV I Sl FENERALA Blanekt WOS L AGGREGATE LIMIT AWLIEG PER. PRO. 1 LOC PRODUCTS- COMP L Q GG N N_ AUTOMOBILE LIABILITY a 1, 000, A ANY AUTO I; 4029072035 07101/2012 0710112013 IF.— EDSINGLE LIMIT IF. eoolLenL) BGO1LY N U RY IPS, Pte) s N 0 I--- I ALL OWNED AUTOS BpGLY INJURY (' 41 emitlenL) I I SCHEOULEO AUTOS pROPERN DAMAGE Pe, ecnEen4 5 U HIRED AUTCS s I NONLNNED AVTCS X ' UMBRELtA LIAB X CCCVR EACH OCCURRENCE I$ 4. 000, 4, 000, E0 EXCEes LAS AGGREGATE CLAIMSMApE G I 4029072021 w /DUZa12 O7 /GUZD13 I s— DEDUCneLE O 5 X RETL. N s 10 000 WORINERSCOMPENSATION X WR_ LM 0 B pN0 EMPLOYE0.s' LIA61LITY M'Y PROPRIETOWPMTNEWECECU VE YIN OFFICERIMEMSER EYCLUOEO? NIA I AWC1014369 0710112012 07/ 01/ 2013 EL EACHAGCIOEI 5 110001 1, 000, OrO EL. DISEASE EA EMPLOYE 5 j ( M. L. m. l MuMe, In NNI 1, DD% EL CISENNE - POLICY LIMIT 8 111Y DESCNNTgNOFOPERATION. IN& M- 1011112012 1011112013 Liability 500, IL 104827190 LY D ' Empl. Practices Detl 5' Claims Made c DESCRIPTION OF OPERAT ONG I LOCAT I ON S I VEHICL ES I p11ach AMONG t a1, AE01110n M RemaMe SchBtlu161f more SPan l s PLQd re01 1OCluded der Policy 4029072049 - Valleyy For Ineu ance Company - 7/ 1/ 12- E 13 Inland Hanine - By ardcet Coverage On