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GarafolaGARAF -1 OP ID: ME 4WR°. CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDDIY 07/17/2014 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()es) 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 Phone: 863 - 763 -7711 Pritchards 8, Associates, Inc. 1802 S Parrott Ave Fax: 863 - 763 -5629 Okeechobee, FL 34974 -6179 Lowell H Pritchard NA NA COMET: CT Melissa Ferrell PHONE FAX Exq- 863- 763 -7711 (NC, No): 863 - 763 -5629 ADDRENo SS: mferrell @pritchardsinc.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Ohio Security 24082 INSURED Dean Garafola 1233 SW 4th Terr Pompano Beach, FL 33060 INSURER B : BLS53781945 INSURER C: 12/30/2014 INSURER D : $ 300,000 INSURER E : $ 300,000 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. INSR TYPE OF INSURANCE WSR SWVD POLICY NUMBER POLICY EFF IMMIODNYYY) POLICY EXP NM/DOWNY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY BLS53781945 12/30/2013 12/30/2014 EACH OCCURRENCE $ 300,000 PREMIS ES S (RENTED PREMISES occurrence) $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE 7 POLICY LIMIT APPLIES JEa PER: LOC PRODUCTS - COMP /OP AGG $ 300,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS _ SCHEDULED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECLMVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y! N N 1 A WC STATU- TORY LIMITS OTH- ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS !LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION I OKEEC -6 City of Okeechobee ty 55 SE 3RD Avenue Okeechobee, FL 34974 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 ��� PLa;telaeog ACORD 25 (2010/05) O 1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GARAF -1 OP ID: TS All`°R °- CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 11/12/2013 _ 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 Phone: 863-763-7711 Pritchards & Associates, Inc. 1802 S Parrott Ave Fax: 863 - 763 -5629 Okeechobee, FL 34974 -6179 Lowell H Pritchard CONTACT NAME: Tonya Stamm (A/C No. Ext): 863- 763 -7711 �gAjC No); 863- 763 -5629 E -MAIL ADDRESS: tstamm @pritchardsinc.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : The Ohio Casualty Insurance Co 24074 INSURED Dean Garafola 1233 SW 4th Terr Pompano Beach, FL 33060 INSURER B : BK053781945 INSURER C : 12/30/2013 INSURER 0 : $ 300,000 INSURER E : 100 000 $ � 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. INSR LTR TYPE OF INSURANCE ADDL )NSR,NVD SUBR POLICY NUMBER POLICY EFF (MM /DD/YYYY) POLICY EXP (MM /DD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY BK053781945 12/30/2012 12/30/2013 EACH OCCURRENCE $ 300,000 DAMAGE 1 (RENTED PREMISES (Ea occurrence) 100 000 $ � CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE POLICY LIMIT APPLIES PRO - JECT PER: PRODUCTS - COMP /OP AGG $ 300,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS HIRED AUTOS SCHEDULED AUTOS NON -OWNED AUTOS COMBINED COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ H AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below y / N N I A WC STATU- TORY LIMITS OTH- ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Property Section BK053781945 12/30/2012 12/30/2013 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule if more space is required) CERTIFICATE HOLDER CANCELLATION OKEEC -6 City of Okeechobee 55 SE 3RD Avenue Okeechobee, FL 34974 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 ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From:Jessika Siefker FaxID: Page 1 of 1 Date:1/19/2012 02:23 PM Page:1 of 1 OP ID: J2 A`leser/ ° CERTIFICATE OF LIABILITY INSURANCE DATE 01 /19D/YYYY) 01/19/12 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 863 - 763 -7711 Pritchards & Associates, Inc. 863- 763 -5629 1802 S Parrott Ave Okeechobee, FL 34974 -6179 Lowell H Pritchard NAME: Jessika Siefker PHO 863- 763 -7711 FAX (A/C, No. Ext): (A/C, No). 863 - 763 -5629 E-MAIL ADDRESS: jsiefker @pritchardsinc.com PRODUCER GARAF -1 CUSTOMER ID*: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED Dean Garafola 1233 SW 4th Terr Pompano Beach, FL 33060 INSURER A: The Ohio Casualty Insurance Co 24074 INSURER B : INSURER C: 12/30/11 INSURER D : EACH OCCURRENCE INSURER E : DAMAGE TO NTE PREMISES (Ea RE occurD rence) INSURER F : COVERAGES CERTIFICATE 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. IN R TYPE OF INSURANCE INSR NND POLICY NUMBER EFF {MM/DD/VYYY) POLICY EXP IDPOLICY (MMD/YYYY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR BK053781945 12/30/11 12/30/12 EACH OCCURRENCE $ 300,000 DAMAGE TO NTE PREMISES (Ea RE occurD rence) $ 100,000 CLAIMS -MADE MED EXP (Any one person) $ 10,000 GEN'L PERSONAL 8 ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 AGGREGATE LIMIT APPLIES PER POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG $ 300,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea acddent) $ BODILY INJURY (Per person) $ BODILY INJURY (Per acadent) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes. describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- OTH- TORY LIMITS ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Property Section BK053781945 12/30/11 12/30/12 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION OKEEC -6 City of Okeechobee 55 SE 3RD Avenue Okeechobee, FL 34974 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 ACORD 25 (2009109) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD City of Okeechobee Office of the City Clerk January 11, 2012 Mr. Dean Garafola 1233 SW 4th Terrace Pompano Beach, FL 33060 Re:Alley Use, Lots 10 & 13 of Block 31, City of Okeechobee Dear Mr. Garafola: This is just a friendly reminder that the City needs a current Certificate of Insurance as the one we have on file expired on December 30, 2011. This is in regards to the Use of Alley Agreement for Block 27 in the City of Okeechobee. Please provide the City with the renewed proof of insurance with the Certificate Holder as The City of Okeechobee. If you have any questions or the status of this property has changed since you entered into this agreement, please call my office and advise. With best regards, I am Respectfully, CC/ILL Nitic-cilL Lane Gamiotea, CMC City Clerk LG /mt 55 S.E. Third Avenue • Okeechobee, Florida 34974 -2903 • (863) 763 -3372 • Fax: (863) 763 -1686 SHARON ROBERTSON CLERK OF CIRCUIT COURT OKEECHOBEE COUNTY. FLORIDA 312 NORTHWEST 3RD STREET, SUITE 155 OKEECHOBEE, FL 34972 863.763.2131 DATE:03 /16/2011 TIME:11:30:14 AM RECEIPT:2011002204 THE CITY CLERKS OFFICE ITEM -01 AGR 11:30:14 AM FILE:2011002532 BK/PG:00698/1008 RECORDING FEE 18.50 Sub. Total 18.50 AMOUNT DUE: $18.50 PAID CASH: $20.00 CASH RETURNED: $1.50 TOTAL PAID: $18.50 REC BY:S CREECH DEPUTY CLERK www.clerk.co.okeechobee.fl.us City of Okeechobee Office of the City Clerk October 31, 2006 Mr. Dean Garafola 1233 SW 4th Terrace Pompano Beach, Florida 33060 Re: Alley Use, Lot 10 & 13 of Block 31, City of Okeechobee Dear Mr. Garafola: As a follow -up to my letter dated September 28, 2006, copy enclosed, I have not received a copy of your insurance renewal. Please provide the City with a current proof of insurance at your earliest convenience. Thank you for your attention to this matter and if you should have any questions, or the status has changed, please feel free to call this office. With best regards, I am Sincerely, Lane Gamiotea, CMC City Clerk LG /sa Enclosure 55 S.E. Third Avenue • Okeechobee, Florida 34974 -2932 • (863) 763 -3372 • Fax: (863) 763 -1686 City of Okeechobee Office of the City Clerk September 28, 2006 Mr. Dean Garafola 1233 SW 4th Terrace Pompano Beach, Florida 33060 Re: Alley Use, Lot 10 & 13 of Block 31 Dear Mr. Garafola: Upon your request on March 21, 2005, you entered into an agreement with the City of Okeechobee to use the alleyway, between Lots 10 & 13 of Block 31 to make improvements in the form of paving, landscaping and maintaining the alleyway. This is to remind you that one of the covenants of the agreement between you and the City for the use of the alley requires you to provide the City with proof of liability insurance protecting the City from liability for injuries arising out of the use of the alley as stipulated in your agreement. This notification to the City must be kept on a current basis as your insurance policy is renewed. According to our records, your insurance with Pritchards & Associates expired on December 30, 2005, and we have not received a copy of your renewal. Please adhere to the terms of your agreement by providing the City with a current proof of insurance as required. If you have any questions or the status has changed since you entered into this agreement, please call this office and advise us of any changes. With best regards, I am Sincerely, Lane Gamiotea, CMC City Clerk LG /sa 55 S.E. Third Avenue • Okeechobee, Florida 34974 -2932 • (863) 763 -3372 • Fax: (863) 763 -1686 OP ID: WH ." � °RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 03/16/11 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 863 - 763 -7711 Pritchards & Associates, Inc. 1802 S Parrott Ave 863- 763 -5629 Okeechobee, FL 34974 -6179 Lowell H Pritchard CONTACT NAME: FAX (PAH/ /CNNo Ext): (A/C, No): E -MAIL ADDRESS: PRODUCER GARAF -1 CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIL # INSURED Dean Garafola 1233 SW 4th Terr Pompano Beach, FL 33060 INSURER A : The Ohio Casualty Insurance Co 24074 INSURER B : BK053781945 INSURER C : 12/30/11 INSURER D : $ 300,000 INSURER E : DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER F : CERTIFICATE 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MM /DD /YYYY► POLICY EXP (MM /DD /YYYY► LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR BK053781945 12/30/10 12/30/11 EACH OCCURRENCE $ 300,000 X DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 300,000 GENERAL AGGREGATE $ 300,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 300,000 PRO- 7 POLICY JECT ECT LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER /MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS Y / N N / A WC STATU- OTH- TORY LIMITS ER E L. EACH ACCIDENT $ below E L DISEASE - EA EMPLOYEE $ E L. DISEASE - POLICY LIMIT $ A Property Section BK053781945 12/30/10 12/30/11 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CANCELLATION OKEEC -6 City of Okeechobee 55 SE 3RD Avenue Okeechobee, FL 34974 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 ACORD 25 (2009/09) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From:Melissa Ferrell FaxID: Page 2 of 3 Date:12/30/2008 02:53 PM Page:2 of 3 ACORD_ CERTIFICATE OF LIABILITY OP ID F- INSURANCE TPID M 1 DATE (MM/DOIYYYY) 12MIDDA TYPE OF INSURANCE PRODUCER Pritchards & Associates , Inc . 1802 S Parrott Ave Okeechobee FL 34974 -6179 Phone:863- 763 -7711 Fax:863- 763 -5629 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 Dean Garafola 1233 SW 4th Terr Pompano Beach FL 33060 INSURER The chi* casualty rnsuzance co 24074 INSURER B BK053781945 INSURER C 12/30/09 INSURER D $ 300,000 INSURER E $ 100,000 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 1NSK LTR AUU L NSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) . • .. -J' DATE (MMIDD/YY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY BK053781945 12/30/08 12/30/09 EACH OCCURRENCE $ 300,000 PR E ISES(Eaoccurence) $ 100,000 CLAIMS MADE 1 X 1 OCCUR MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 300,000 GENII GENERAL AGGREGATE $ 300,000 AGGREGATE LIMIT APPLIES PER POLICY —1 JE T LOC PRODUCTS - COMP /OP AGG $ 300 , 000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accdent) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes. describe under SPECIAL PROVISIONS below WC SLAIU- OIH- TORY LIMITS ER E L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E.L DISEASE - POLICY LIMIT $ A OTHER Property Section BK053781945 12/30/08 12/30/09 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION OKEEC -6 City of Okeechobee 55 SE 3RD Avenue Okeechobee FL 34974 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. AUTHOR P 1 / 8) @ACORD CORPORATION 1988 5. The City Clerk shall cause this agreement to be recorded in the public records of Okeechobee County, Florida. IN WITNESS WHEREOF, the parties hereto set their hands and seals on the aforesaid date. Signed, sealed and delivered in presence of: Pri t Name of Witness: i S Dean Garafola Address of Witness: SSS' .f 3 }�/.Q. Print Name of Witness: 1 . r • si ',n es Address of Witness: SAS 5 E 3rd STATE OF FLORIDA COUNTY OF UKLe. The foregoing instrument was acknowledged before me this 5t day of `MC/At , 2005, by Dean Garafola, who signed in the presence of these witnesses; and who produced as identification or is personally known. __ 4 ,.10%,4,. S. LANE GAMIOTEA ,. Y'-,Notary Public • State of Florida _ • ' ,� MYCam nasion E�►esJti 22,2007 ".a �i Commmission # 00197429 '''' .......,?.t Bonded By National Notary Assn. Accepted for the City: 411"11.41 /6/1 Donnie Robertson, Public Works Director Reviewed for Legal Sufficiency: o n R. Cook, Ci yi ttomey Notary ublic Signature Name of Notary ped, printed or stamped) Commission No.'! 9 74P9 Page 2 of 2 (city seal) Lan Gamiotea, City Clerk } 11II11111I 11111I1111111I11111111 II 1 11111 111111111111111111 F IL _ F_ 2 (.1 1 ` .. iL a:>>i' ' 2 5 3 :? OF4 EW, G 100, SHARON RQPEF' fEONr CLERK OR CIRCUIT COURT OKEECHOBEE COUNTY, FLORIDA RECORDED 03/162011 11:30 ::ti A1'1 REGORGING, FEES RECORDED BY = t;t•et,6 F'9s 1IU) - 1009; 20 LICENSE AGREEMENT THIS AGREEMENT, BY AND BETWEEN THE CITY OF OKEECHOBEE, FLORIDA, a Florida Municipal corporation (hereinafter "CITY"), Dean Garafola, a married man, (hereinafter "OWNER(S) "), dated this 49131- day of /'nhha . , 2005. WHEREAS, OWNER (S) hold fee simple title to the following described real property in Okeechobee County, Florida, to wit: Lot 13 of Block 31, CITY OF OKEECHOBEE, according to the Plat thereof recorded in Plat Book 5, Page 5, public records of Okeechobee County, Florida; and WHEREAS, City owns the following alleyway: That 15 foot wide alleyway running North to South and located between Lots 10 and 11 to 6 and 17, of Block 31, CITY OF OKEECHOBEE, according to the Plat thereof recorded in Plat Book 5, Page 5, public records of Okeechobee County, Florida; and WHEREAS, the OWNER(S) desire to make certain improvements in the form of paving, landscaping and maintaining the alleyway adjoining between the Lots 13 and 10 in said Block 153, which is an open, unimproved alleyway, which is owned by the CITY. NOW, THEREFORE, in consideration of the mutual promises and covenants set forth herein, the parties agree as follows: 1. The CITY hereby grants this revocable license for use of the alleyway with the understanding the OWNER(S) will maintain the alleyway and should it ever become necessary to remove any pavement, landscaping or any improvement thereon, in order to allow either the installation, or maintenance of water, sewer, or other utility lines or any other type of installation or construction, or for any other reason chosen by the CITY, the pavement, landscaping or any improvement thereon, will be removed by the OWNER(S) or their agents and /or assigns at the OWNERS) expense within seven days of receipt of written request by the CITY for such removal. Should the CITY, for valid reasons, require the removal of the pavement, landscaping or any improvements thereon less than seven days notice, the OWNER agrees to exercise reasonable efforts to comply with such requests. 2. OWNER(S) agree to contact their insurance company and require a rider be added to their insurance policy with a certificate furnished to the CITY showing the portion of the alleyway as herein described, to be used by them, insures the CITY against any liability arising out of alleged injuries or other activities which may occur within the alleyway_ In any event, OWNER(S) agree and shall hold the CITY harmless for any and all action, suit, claim, injury or cause of action of any nature arising out of owner's permissive use, and indemnify CITY for such, including costs and attorney fees. 3. That OWNER(S) shall not, by such improvements made to that described alleyway, obstruct, close or otherwise restrict access to the alleyway for travel thereon by the CITY or the general public. 4. That the OWNER(S) agree that this license is non - assignable without the express written consent of the CITY; and if transferred, the covenants herein shall bind themselves, their heirs and assigns, and said covenants shall run with the land. Page 1 of 2