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Okaloosa County BOCC — June 17, 2014 — SKYETECH INSURANCE CERTIFICATE — reading text
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ACORD, CERTIFICATE OF LIABILITY INSURANCE
DATE
6/19/2013
PRODUCER
HARRI
IS INSURANCE INC
123 MIRACLE STRIP PKWY SE
FT WALTON BEACH FL 32548
(850)244-2111
(850)243-5265
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE NAIC #
INSURED iysuRERA: FEDERATED NATIONAL 10790
SKYETECH, LLC INSURER B:
INSURER C:
306 SPENCER DR INSURER D:
FORT WALTON BEACH, FL 32547 INSURER E:
COVERAGES
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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TERRY weeor msurauos roueywuneen | "SME GRSEAVE [POLY SRORTON ums
Fa GENERAL LIABILITY EACH OCCURRENCE $300,000
¥_| COMMERCIAL GENERAL LIABILITY PREMISES (es caseronce) $100,000
| CLAIMS MADE OCCUR MED EXP (Any one parson) $5,000
|| GL-0506009527-00 06/20/2013 | 06/20/2014 | personal & ADV INJURY $300,000
| | at 12:01 AM | ceneRAL accREGATE $600,000
GEN'L AGGREGATE LIMIT APPLIES PER: Propucts -compiop Acs | $600,000
rv | POLICY [| TES
If yes,
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
. describe under
SPECIAL PROVISIONS below
Loc
| AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT | ¢
ANY AUTO {Ea accident)
ALL OWNED AUTOS BODILY INJURY :
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per acoldent)
_ PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY -EAACCIDENT | $
ANY AUTO OTHER THAN EAACG | $
AUTO ONLY: AGG | §
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
{ $
DEDUCTIBLE $
RETENTION $ §
WORKERS COMPENSATION AND ergs | [OEE
EMPLOYERS’ LIABILITY
MP E.L, EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE|
a
E.L. DISEASE - POLICY LIMIT | $
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
THIS IS AN ADDITONAL INSURED
HANDYMAN
CERTIFI
CATE HOLDER
CANCELLATION
OKALOOSA COUNTY GROWTH MANAGEM
1804 LEWIS TURNER BLVD STE 200
FT WALTON BEAC, FL 32547
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE A: a
ACORD
!
25 (2001/08)
© ACORD CORPORATION 1988
