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Blk 28 NW Add/Murphy, Andy/AlleyLICENSE AGREEMENT 1111111 III!! 11!1111111 1311 1111111111 Mil 1111111111 1111 1111 N 1.1 }, THIS AGREEMENT, BY AND BETWEEN THE CITY OFfdlk E'CHO'B `E FLORIDA, a Florida Municipal corporation (hereinafter "CITY "), Andy Murphy and Pamela Murphy, his wife; Betty Joy Williamson, a single woman, as to a Life Estate and Holly A. Murphy, a married 0o.)``' man, as to the remainder, in fee, (hereinafter "OWNER(S) "), dated this L' /day of 2004. WHEREAS, OWNER (S) hold fee simple title to the following described real property in Okeechobee County, Florida, to wit: Lots 6, 7, 8 and the North Half (N 1/2) of Lots 9 and 10, and the South Half (S 1/2) of Lots 9 and 10 Block 28, NORTHWEST ADDITION TO OKEECHOBEE, according to the Plat thereof recorded in Plat Book 1, Page 25, public records of Okeechobee County, Florida; and WHEREAS, the OWNER(S) desire to make certain improvements in the form of mowing and maintaining an alleyway adjoining the lots listed above in said Block 28, and installation of a chainlink fence with gates, located, within the right -of -way as described which is an open, unimproved right -of -way which is owned by the CITY. NOW, THEREFORE, in consideration of the mutual promises and covenants set forth herein, the parties agree as follows: date. 1. The CITY hereby grants this revocable license for use of the right -of -way with the understanding the OWNER(S) will maintain the right -of -way and should it ever become necessary to remove the fence, 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 fence, or any improvement thereon, will be removed by the OWNER(S) or their agents and /or assigns at the OWNER(S) 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 fence, 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 right -of -way. 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 alley, obstruct, close or otherwise restrict access to the alley 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. 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 Page 1 of 2 Signed, sealed and delivered in presence of: Betty Joy Print Name of Witness: Address of Witness: "IS ) 3 % � 1�� ' (,�Ket,r(;( IZ. int Name of Wit/ ess: 7-__ 5 . 3 77',.;,FI : — F iz. f Address of Witness: c4: 1-- LL r ki (--,7" f f STATE OF FLQRIDA. COUNTY OF Y t,(�j01`) Williamson Her Mark The foregoing instrument was acknowledged before me this day of )uY� , 2004 , by Betty Joy Williamson, who signed by way of mark in the presence of these witnesses and who produced - n. pivc d rsltat1.11 Ciivari �`'`�vo'' NancY .1 DD71413�k a . Name of Notary aed) Commission No.s %'- B°11 c. 1 L,1�L'_Y1 J1 \� (-AZ ,0x-) Print Name of Witness: Address of Witness: / )S. S 91 Print Name of Witnes L- Jar\ Address of Witness: 3c ∎cVv,L;0, 4/1.),S C Kr.YC I,(Hk *? \ J4-`1-1 Accepted for the City: Donnie Robertson, Public Works Director Reviewed for Legal Sufficiency: John R. Cook City Attorney Pamela Murphy Page 2 of 2 ne Gamiotea, City Clerk ACORU® EVIDENCE OF PROPERTY INSURANCE DATE (MM /DD/YYYY) 12/07/2012 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDTIONAL INEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AGENCY Marcum Inc P.O Box 400 Okeechobee, FL 34973 PHONE (A/C, No, Ext): FAX (A/C, No): E -MAIL ADDRESS: CODE: SUB CODE: AGENCY CUSTOMER ID #: COMPANY Universal Property & Casualty INSURED Andy & Michelle Murphy 1019 NW 2nd St. Okeechobee, FL 34974 LOAN NUMBER POLICY NUMBER 592 -442 -286 EFFECTIVE DATE 10/09/2012 EXPIRATION DATE 10/09/2013 CONTINUED UNTIL TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION 1019NW 2nd st Okeechobee, FL 34974 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 EVIDENCE OF PROPERTY INSURANCE 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. E INFORMATION COVERAGE/PERILS /FORMS AMOUNT OF INSURANCE DEDUCTIBLE Liability 100,000 REMARKS (Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. NAME AND ADDRESS City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 MORTGAGEE LOSS PAYEE ADDITIONAL INSURED LOA N # AUTHORIZED REPRESENTATIVE 72/14 e ACORD 27 (2006/07) R - O ORATION 3 -2006. All rights reserved. The ACORD name and logo are registered marks of ACORLI Universal Property and Casualty Insurance Company 1110 W. Commercial Blvd Suite 300 Fort Lauderdale, FL 33309 Toll Free: 800 -425 -9113 Homeowners Declaration Effective k.- INneusllPaoreRlltiNn (.6t 11I1"Iti'Stkt11, CC(itlm1' 10/09/2011 Renewal Policy Claims: 800 - 218 -3206 Service: Contact your Agent Listed Below Policy Number FROM Policy Period TO INSURED BILLED Agent Code 592 - 442 -286 10/09/2011 10/09/2012 12:01 AM Standard Time 9K11 Named Insured and Address Agent Name and_A.ddress Andy Murphy and Michelle Murphy Marcum, Inc 1019 Nw 2nd Street 2 W MacClenny Ave Okeechobee, FL 34972 Macclenny, FL 32063 8636348758 9042596440 Premium Summary Basic (;overages Attached Fndorso Merl ls Total Policy Premium Premium Premium Assessments / Surcharges MGA Fees /Policy Fees (Including Assessments & Surcharges) $1,490,00 $345.00 $0.00 $69.32 $1.909.32 Ionn ConslruCtiOrr 1109 Masonry County Okoo. trnl11'r We will prrlvilto Hs' insurance this policy If we elect succc0r,5Ive policy 00000 policy 1remo(1 01 else this Insurance is provided conditions of this policy. COVERAGES - SECTION Coverage -A- Dwelling Coverage -B- Other Coverage -C- Personal Coverage -D- Loss of Section Section 1 coverages THIS POLICY HURRICANE OF POCKET DESCRIBED LOCATION 1019 Nw 2nd St Okeechobee, Flood coverage is not Location Townhouse/ Number Year Rowhouso Families 14140 N Uwr llui9 Ilr'plirpnwnt CI I lone lllld;lted N Y described in this policy in return for to continue this 111001 iti 100. we will renew this suhject to 0111 pre1111MM., 10100 and towns policy will expo, only with respect to the following COW; ayus I LIMITS PREMIUMS $178,621 $1,495.00 Structure $37,864 Properly $89,311 Use $17,863 NOTE: The portion of your premium 1 coverages subject to $1,009.01) subject to a minimum 2% CONTAINS A SEPARATE LOSSES WHICH EXPENSES TO YOU. - The Described Location covered by FL 34972 provided by Universal Property & Casualty 001 of Protection Occupied Class Territory 1 Y :1 '20! Prnlective Device Cre(lits- Bwgl,u Inc Sprinkler Shutloi NI N N N the premium and compliance with all applicable policy if you pay 1110 required renewal premium then in effect. You must pay us prior to the end 101 which 0 limit of liability r; specitled, subiecl COVERAGES - SECTION II LIMITS Coverage -E- Personal Liability $100,000 Coverage -F- Medical Payments $1,000 for hurricane coverage is: $1,159.58 non - hurricane deductible per loss. - $3,572 hurricane deductible per calendar DEDUCTIBLE MAY RESULT IN HIGH this policy is at the above address unless otherwise Insurance Company and is not part of this I3CFG 99 Wu 10 /trail 1 xclision N prnvisic:rns of for each oI the curt001 to all the PREMIUMS $0.00 $0.00 year. FOR OUT stated: policy. Countersignature Date President UPCIC H0003 (01/02) Printed Date: 8/20/2011 2:01:04 AM 1 of 2 ACORL) CERTIFICATE OF PROPERTY INSURANCE DATE (MMIDDIYYYY) 10/0912010 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. If this certificate is being prepared for a party who has an Insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER Marcum Inc PO fiox 400 Okeechobee„ Fi_ 34973 INSURED Andy & Michelle Murphy 101 9 NW2ndSt Okeechobee, 1t 34974 CONTACT NAME • William E. Marcum PHONE (AIC, No, EMI: 883-461-0331 (ex( 202) EMAIL ADDRESS. admin@nlymdreum.com PRODUCER CUSTOMER ID 11, INSURER(S) AFFORDING COVERAGE INSURER A Universal Properly & Casualty INSURER B INSURER C INSURER D INSURER E : INSURER F AX (A/C, No) 863 - 763 -5678 NAIL 0 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCA TION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks THIS IS TO CERTIFY THAT THE POLICIES Of` INSURANCE (.ISTro BELOW INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES 1 -IMI I S SHOWN MAY FIAVE INSR TYPE OF INSURANCE POLICY NUMBER 1 T Schedule, If more apace HAVE BEEN ISSUED OF ANY CONTRACT BY THE POLICIES BEEN REDUCED POLICY EFFECTIVE DATE (MMIDDIYYYY) 1a requlrod1 10 THE INSURED NAMED ABOVE FOR THE OR OTHER DOCUMENT WITII RESPECT DESCRIBED HEREIN IS SUBJECT TO BY PAID CLAIMS POLICY EXPIRATION COVERED PROPERTY DATE IMMIDONYYY) POI ICY PERIOD TO WFIICH THIS All 1TIL TERMS, 1 LIMITS S 1 S $ 1 100.000 0 7i GA11,,1 X (.ANSI PROPERYY S 0 1 I U:,S IIA°il(. HH41A 1> S;I'F4 IA( I. Alt 1110t1AK1 WINI'I IlOI)1) 1 11 ISU(.1111111: 111111 DIN( I C7N(ENIS 592- 442 -286 10/09/2010 r 10/09/2011 1 X IS11111)ING 1112.`,111,4A1 1'1101'1. WY ft(/titNl SS INCUMf.. I I A IRA 1 XI NSI Hi. NIA1 VA7 111 111ANKI. 110111DING 111. ANKI. 111 IP 1Y201' 111. ANKr 11141.)G A PP 1 iahility INLAND MARINE S OF WY-. NAMI 1) 11 1)11 6 IYPI (1r 0'01 ICY I IY11Il,Y NIIMHFIi 1 1 1 1 (1'1- — CRIME UI /'111 11 , S BOILER & MACHINERY I EQUIPMENT BREAKDOWN ,S I SPECIAL CONDITIONS I OTHER COVERAGES (AUach ACORD 101, Additional Remarks Schedule, if more apace 1a raqut ad) CERTIFICATE HOLDER CANCELLATION City of Okeechobee 55 SI 3r1 Ave Okeechot)ee,1-1 349/4 SHOULD ANY OF THE ABOVE OESCRIaED POLICIES eE CANCELLED BEFORE TI1E EXPIRATION DATE THEREOF. NOTICE WILL. DE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE William E. Marcum ACORD 24 (2009/09) 0 1995 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 10/04/2010 15:45 FAX 6637635675 MARCUM 5 ASSOCIATES AC RD CERTIFICATE OF PROPERTY INSURANCE f� 001 /001 DATE (MMIDDIYYYY) THIS CERTIFICATE 1S 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. If this certificate le being prepared for a party who has an insurable. interest in the property, do not use this form. Use ACORD 27 Or ACORD 28. PRODUCER MARCUM INC. PO 80X 400 OKEECHOBEE, FL 34973 NAME: BILLY MARCUM p►IONE FAx ..IAFC, r„,, :.(803).467. -033.1 ._ .. I (Arc,.NOY (8133) 763 -5878 EADDRess-ADMI NCOMYMARCIIM_COM PRODUCER _MIIIT ME9.1D. 1: INSURERS) AFFORDING COVERAGE _ RAW I INURED MICHELLE & ANDY MURPHY 1019 NW 2ND STREET OKEECHOBEE, FL 349748 INSURER A : UNIVERSAL PROPERTY & CASUALTY INSURER B : A INSURER C DEDUCTIBLES �'. INSURER E : 10/9/2009 INeUR R F • - X • LOCATION OF PREMISES! DESCRIPTION OF PROPERTY (ALPO ORD 101, Additional Ramarka Sahaduko, IF men* seem N rewired) - • - • • •, ch 1019 NW 2ND STREET OKEECHOBEE, FL 34974 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. DOCUMENT HEREIN NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS IS SUBJECT TO ALL THE TERMS, INBR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EPPQCTIVE DATE (MMIDOIYYYY) POLICY EXPIRATION DATE (MSUDDIYYYY) COVERED PROPERTY LIMITS A )( PROPERTY CAUSES OF LOSS DEDUCTIBLES 592- 442 -286 10/9/2009 10/9/2010 - X BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAI. VALUE BLANKET BUILDING BLANKET PERK PROP BLANKET BLDG a PP LIABILITY $ $ ggBIC BUILDING S X BROAD CONTENTS SPECIAL f S _.. _._ EARTHQUAKE _._.. _ WINO s —_ FL000 -.. S 01Q0,000._ $ CAUSES INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY S S S . .. .. _ .. _ POLICY NUMBER S — TYPE CRIME OF POLICY s 0 S 1 DEALER 4 MACHNERY r EQUIPMENT BREAKDOWN S S 3 SP0CIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Rem ate Schedule, If more epees Is required) CERTIFICATE HOLDER ALSO LISTED AS ADDITIONAL INSURED CANCELLATION CITY OF OKEECHOBEE 55 SE 3RD AVE OKEECHOBEE, FL 34974 SIOULD ANY OF 11.10 ABOVE DESCRK3ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE PALL Be DELIVERED IN ACCORDANCE WITH THE POLICY PROV191OMS. AUTHORIZED REPRESENTATIVE BILLY MARCUM ®1995 -2009 ACORD CO F ORATION. All rights reserved. ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD 05/14/2009 14:31 FAX 8637635678 MARCUM & ASSOCIATES WI 002 /002 + iirr M „,m . t, n r g(12 r nI 111 it 1 1177,ii frav f I b ,,,,I ii t- i. 1�1r '1111 +(lt 1I i l 1 � el,, �' ,2I <,1 t (:2)' V' M 1 ! ,,,_, '�?;' �U,e. t r,It ill c! 1 u f ilia i 1;N t1 116 P 1 n t s t T )p . ', t i 1, M , , " ( m „t ! „t+wm+nw�am (MOONY) Ij� I tri !4t (t I�� {9, ,,, il.n 'I' • �}c rr�rF'', �''II ':1' ) I !jlul! ! I , i.r 'l nI' I' DATE IMMIDOfT1'1 'I�' � y I; I, I ,II It 11 I:0 1 , 1 1 1( i�! ' !I ! !1 e v 1 1 I � 11 I i,� t{{, ; ;) i 1�1 . '5/19j2009 �f.. �.,7� i.lt�u, t! d P 'P';',1,, 1 :;�. . ,:,,,a;,l,.crn, .. .. da. ,;. _c,L!_u -�:�!I J,,,.I;.i.,.,,..1,.. '' ; IoluftllslNVUiNpMI / o +lmixw -una '„ r, ,,. 1 i f '' PACOIMA Marcum 6 Associates PO Box 400 Okeechobee, F1 34973 863 -467 -0331 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. COMPANIES AFFORDING COVERAGE COMPANY A Universal Property & Casualty INSURED Andy and Michelle 1.019 NW 2nd Street Okeechobee,FL 34974 COMPANY 8 coMPANY C COMPANY 0 r ' :7, q 1 ;, a i',i, IC!I + ' i ' ! � rI T pY .1 .E , I h,. I, ,'I F' ,I 1 .1 w � 1 11'v . ' V ,:, ' 'r 1 I I ) i 1 } 1 A , 1 11'r, " g'k( ;I 1;t 1 , 1 l rh!l 17';' r �, 9. 1 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 I5 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ea LYN TY*6 OP INONNANeE POLICY NMBM °OLO ONCTA B DATE(MMVOOSTY) PoU1Cr eAPIRAnoN oKre OPMIDD/YV) COVBMD P1100611TY LIMITe A CAUSES X PAWPAW OP LOSS BASIC BROAD SPECIAL EARTHQUAKE FLOOD 892 -108 -167 07/29/09 07/29/10 — X BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE BLANKET BUILDING BLANKET PERS PROP BLANKET BLOC & PP Liability E S 3 $ 6 6 6 x100,000 _ TYPE CAUSES INLAND MARINE OF POLICY OF LOSS NAMED Pe1ULS OTHER _ — — 6 $ 6 $ 3 $ — TYPE came OF POLICY 6 $ _ j DOUR 6 MAMMY _ 6 E OTHOR - LOCATION OP M IMIISI OISORIPTION OP PIIOPIDITY SPECIAL CONDITIONS/OTHER COVERAOEa i' q 7_ q I' t i 77,7777:777. ,1 ?P, 1 .�'���I. I,!�y�11 ) ),II 55 tS of Okeechobee O5 SE 3rd Ave A Okeechobee, FL 34974 ,' "I P ''10tEas airi 111latil'l lltiE! I Itlradb4g11 rl iiNlWfuNtlyl..ut ,.., t i�l I;' v j . ■1''Ir,' 11 i 'T,' "" I ,.,j't 1 ..1 , 'q•1 n eNOULO ANY OP The ABOVE OEICRIeED POLICIES SE CANCF.MAD BEFORE THE **PIRATION OATS TNBMOP, TNe ISSUING COMPANY WILL *NOe4VOR TO MAIL 30 OATS WRITTEN NOTICE TO THE CERTIPICATE HOLDER NAMID TO THE LEFT, WT PAIWRJ TO MAIL, *LION NOTICE *HALL IMPQBB No oeuOAT10N oq LIAsusrr OF ANY KING UPON THE COMPANY. ITS ADIOS OR REPRESONTATWVEB. AUTHORIZW R*PRO *ONTATTVI Ill I MIIIif6II IINIMMIIIIM lml ENVI EIManium Belem , ... ..., , . ,,1%1WILI ,....._... PRODUCER Marcum & Associates PO Box 400 Okeechobee, F1 34973 863 - 467 -0331 INSURED 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. Co LTR ANDY MURPHY 1019 NW 2ND STREET OKEECHOBEE, FL 34974 COMPANIES AFFORDING COVERAGE COMPANY A LLOYDS OF LONDON COMPANY B COMPANY C 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. TYPE OF INSURANCE X (PROPERTY POLICY NUMBER POLICY EFFECTIVE DATE (MM /DDIYY) POLICY EXPIRATION DATE (MM/DD/YY) COVERED PROPERTY LIMITS CAUSES OF LOSS BASIC BROAD SPECIAL EARTHQUAKE FLOOD INLAND MARINE TYPE OF POLICY TBD 07/08/04 07/08/04 X BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP LIABILITY $55,000 $ s25,000 CAUSES OF LOSS NAMED PERILS OTHER CRIME TYPE OF POLICY BOILER & MACHINERY OTHER LOCATION OF PREMISES/DESCRIPTION OF PROPERTY 106 NW 11TH AVE/ WITH CITY EASEMENT SPECIAL CONDITIONS /OTHER COVERAGES CITY OF OKEECHOBEE WILL BE NAMED ADDITIONAL INSURED ON POLICY CITY OF OKEECHOBEE OKEECHOBEE, FL Shawnee Mission KS 66201 -2937 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE T. MAIL SUCH NOTICE SHALL IMPPOSE NO OBLIGATION OR LIABILITY OF ANY UPON THE PANY, GENTS OR REPRESENTATIVES. AUTHORIZ9p,AE - - SENTATIVE AC RD® EVIDENCE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 09/03/2014 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDTIONAL INEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AGENCY Marcum Inc P.O Box 400 Okeechobee, FL 34973 PHONE 863 - 467 -0331 (A/C, No, ExU: FAX (A/C, No): E-MAIL ADDRESS: CODE: SUB CODE: AGENCY CUSTOMER ID #: COMPANY Universal Property & Casualty 1110 W Commercial Blvd. Suite 300 Ft.. Lauderdale, FL 3309 INSURED Andy & Michelle Murphy 1019NW 2nd St. Okeechobee, FL 34974 LOAN NUMBER POLICY NUMBER 592 - 442 -286 EFFECTIVE DATE 10/09/2013 EXPIRATION DATE 10/09/2014 CONTINUED UNTIL TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION 1019 NW 2nd St. Okeechobee, FL 34972 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION COVERAGE/PERILS /FORMS AMOUNT OF INSURANCE DEDUCTIBLE Dwelling Other Structures Personal Property Liability Medical Payments Hurricane Ded. 184.695 38,472 92,348 100,000 1,000 1,000 2% REMARKS (Including Special Conditions) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ADDITIONAL INTEREST NAME AND ADDRESS City of Okeechobee 55 SE 3rd Ave Okeechobee, FL 34974 MORTGAGEE LOSS PAYEE ADDITIONAL INSURED LOAN # AUTHORIZED REPRESENTATIVE )1Ya4 ‘.....,,....% ACORD 27 (2006/07) © ACORD CORPORATION 1993 -2006. All rights reserved. The ACORD name and logo are registered marks of ACORD Universal Property and Casualty Insurance Company c/o Universal Risk Advisors 1110 W. Commercial Blvd Suite 300 Fort Lauderdale, FL 33309 Toll Free: 800 -425 -9113 Homeowners Declaration Effective [M41-1011 . PROPFRTI 1\D ■ W kl I I I \y[ R1\1 L C0UPl \l 10/09/2013 Renewal Policy Claims: 800 - 218 -3206 Service: Contact your Agent Listed Below Policy Number FROM Policy Period TO [INSURED BILLED] Agent Code I 592 -442 -286 10/09/2013 10/09/2014 12:01 AM Standard Time 9K11 Named Insured and Address Agent Name and Address Andy and Michelle Murphy Marcum, Inc 1019 Nw 2nd Street P.O. Box 400 Okeechobee, FL 34972 Okeechobee, FL 34973 8636348758 8005510097 Premium Summary Basic Coverages Attached Endorsements Total Policy Premium Premium Premium Assessments / Surcharges MGA Fees /Policy Fees (Including Assessments & Surcharges) $2,076.00 $433.00 $0.00 $104.53 $2,613.53 Form Construction H08 Masonry County Okeechobee We will provide the insurance of this policy. If we elect successive policy period current policy period Insurance is provided conditions of this policy. COVERAGES - SECTION Coverage -A- Dwelling Coverage -B- Other Coverage -C- Personal Coverage -D- Loss of NOTE: Section 1 coverages Section DESCRIBED LOCATION 1019 Nw 2nd St Okeechobee, THIS POLICY HURRICANE OF- POCKET Flood coverage is not Location Townhouse/ Number Year Rowhouse Families 1946 N Dwelling Replacement Cost Home Updated N Y described in this policy in return to continue this insurance, we will renew subject to our premiums, rules and forms or else this policy will expire. only with respect to the following coverages I LIMITS PREMIUMS $193,191 $2,076.00 Structure $39,323 Property $96,596 Use $19,320 The portion of your premium for The portion of your premium for subject to a minimum 2.0% 1 coverages subject to $1,000 non - Section 1 coverages subject to a 10% - The Described Location covered by this FL 34972 CONTAINS A SEPARATE LOSSES WHICH EXPENSES TO YOU. provided by Universal Property and Casualty 001 of Protection Occupied Class Territory BCEG 1 Y 5 555 99 Protective Device Credits: Wind / Hail Burglar Fire Sprinkler Shutter Exclusion N N N N N for the premium and compliance with all applicable provisions this policy if you pay the required renewal premium for each then in effect. You must pay us prior to the end of the for which a limit of liability is specified, subject to all the COVERAGES - SECTION II LIMITS PREMIUMS Coverage -E- Personal Liability $100,000 $0.00 Coverage -F- Medical Payments $1,000 $0.00 hurricane coverage is: $1,757.42 all other coverages is: $856.11 - $3,864 hurricane deductible per calendar year. hurricane (non - sinkhole) deductible per loss. - $19,319.10 sinkhole deductible. policy is at the above address unless otherwise stated: DEDUCTIBLE FOR MAY RESULT IN HIGH OUT - Insurance Company and is not part of this policy. J Countersignature Date Chief perating Officer UPCIC HO Dec 02 12 Printed Date: 9/3/2014 1:50:23 PM 1 of 2 Universal Property and Casualty Insurance Company c/o Universal Risk Advisors 1110 W. Commercial Blvd Suite 300 Fort Lauderdale, FL 33309 Toll Free: 800 -425 -9113 Declaration Effective V I V\I!Oki RUPERTI NI 10/09/2013 C1 >i3I,t11� >Ik1�i l.t u i3 t Renewal Policy Claims: 800 - 218 -3206 Service: Contact your Agent Listed Below Policy Number FROM Policy Period TO [INSURED BILLED] Agent Code 1 592 -442 -286 10/09/2013 10/09/2014 12:01 AM Standard Time 9K11 Mortgagee / Additional Interest 01 CHASE HOME FINANCE LLC Isaoa/atima Po Box 47020 Doraville, GA 30362 tbd Mortgagee /Additional Interest 01 CHASE HOME FINANCE LLC Isaoa/atima Po Box 47020 Doraville, GA 30362 tbd NUMBER EDITION HO 00 08 04 91 UPCIC 08 33 07 08 UPCIC 23 02 12 UPCIC 3 01 98 UPCIC 25 01 98 (06 -07) UPCIC 16 01 98 UPCIC 00 07 (02 -12) HO04960491 UPCIC 04 90 04 91 (06 -07) HO 04 81 05 96 HO 04 48 04 91 HO 04 30 04 91 Additional Interest Agent Name and Address Marcum, Inc P.O. Box 400 Okeechobee, FL 34973 8005510097 Mortgagee /Additional Interest 02 Mortgagee /Additional Interest 03 Policy Forms and Endorsements Applicable to this Policy DESCRIPTION LIMITS PREMIUMS $2,076.00 Homeowners 8 Modified Coverage Form Limited Fungi, Wet or Dry Rot, or Bacteria Section I - $10,000/$20,000; Section II - $50,000 Special Provisions - Florida Outline of Your Homeowner Policy Hurricane Deductible Loss Assessment Coverage Sinkhole Loss Coverage - Florida No Coverage for Home Day Care Business Personal Property Replacement Cost Actual Cash Value Loss Settlement Other Structures Theft Coverage Increase Theft Coverage Increase - Off Premise MGA Fee Emergency Management Preparedness Assistance Trust Fund Florida Hurricane Catastrophe Fund Emergency Assessment Citizens Emergency Assessment 2012 Florida Insurance Guaranty Association Recoupment $1,000 $3.00 $96,596 $311.00 $39,323 $2,000 $1,000 $80.00 $21.00 $18.00 $25.00 $2.00 $32.62 $25.09 $19.82 LAW AND ORDINANCE COVERAGE IS AN IMPORTANT COVERAGE THAT YOU MAY WISH TO PURCHASE. YOU MAY ALSO NEED TO CONSIDER THE PURCHASE OF FLOOD INSURANCE FROM THE NATIONAL FLOOD INSURANCE PROGRAM. WITHOUT THIS COVERAGE, YOU MAY HAVE UNCOVERED LOSSES. PLEASE DISCUSS THESE COVERAGES WITH YOUR INSURANCE AGENT. This replaces all previously issued policy declarations, if any and is subject to all forms and endorsements attached to this policy. UPCIC HO Dec 02 12 Printed Date: 9/3/2014 1:50:23 PM 2 of 2