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Certificates of InsuranceDATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY ITHISNSURANCE C & C Insurance 1921 NW 150 AVE SUITE 101 EMER REDICAL SC ACADEMY INC 600 NORTH PINE ISLAND ROAD # 320 pLANTATION, FL 33324 INSURED DVERAGE� ANDING OLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH TERM OR CONDITION OF ANYP CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED AY BE HS U ANY REQUIREMENT, -I LIMITS MAY PERTAIN, THE INSURANCE AFFORDED BV TH POLICY EFFECTIVE POLICY E%PIRATIO I 2600$_ 6� ,..,m., I IMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. RENCE GENERAL LIABILITY CLSJ248369 A X Ix COMMERCIAL IiENERAL LIABILITY CLAIMS MADE X❑ OCCUR er-r.REGATF: LIMn APPLIES PER-. 0411112006 104111/2007 ,MOBILE LIABILITY ANY AUTO ALL OW NED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS ITYELLA LIABILITY J CLAIMS MADE 3LE ON $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY EXECUTIVE SERE XCLUDEO? OFFICERIMEM X ves, describe under sip OTHER I I y USIONS ADDED BY ENDORSEMENT DESCRIPTION OF DPERATIDN$1 LOCATIONS I VEHICLES 1 EXCLI SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED MONROE COUNTY BOCC 490 63 STREET SUITE 140 COMBINED SINGLE LIMIT $ (Ea accidenq BODILY INJURY 8 BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per ecmdent) OTHER THAN AUTO ONLY. ;ANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BE30RETDAYS WRITTEN DATE THEREOF, THE ISSUING INSURER WALL ENDEAVOR TO MAILSHALL ED TO THE LEFT, UT FAILURE 00 So ,,POSE No OBLIGATION OR LIABILITY ONOTICE TO THE CERTIFICATE HOLDER AF ANY KING UPON THE NSURERTOS AGENTS OR MARATHON, FL 33050 VAUTHORRED IMPORTANT If the certificate holder ian ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement s certificate holder on this certificate does not confer rights to the lder In lieu of such a °dl°Cse certain) policies may If SUBROGATION IS WAIVED, subject to the terms and conditions of the p y. ant. A statement on this certificate does not confer rights to the certificate require an endorsem holder in lieu of such endorsement(s). DISCLAIMER se side of this form does not ntative or producer, and the certificate holder, nor does it contract between The Certificate of Insurance on the rever the issuing insurer(s), authorized represeffordedY theconstitute policies listhereon. affirmatively or negatively amend, extend or alter the coverage aced OATE(MMIDDIYYYYI CERTIFICATE OF LIABILITY INSURANCE ERTIF IRA►NCE ED A� �p�p►E�R OF ICEORT FICATI C&Cinsurance "s.r 1921 NW 150 AVE NAIC M SUITE 101 INSURERS AFFORDING COVERAGE Pembroke Pines FL 33028 INSURERA, EVANSTONINS CO INSURED EMERGENCY M17EDICAL SCIENCES ACADEMY INC INSURER B. 600 NORTH PINE ISLAND ROAD INSURER C SUITE 320 INSURER D'. PLANTATION I-L 33324 INSURER E. DI rAN ERAGES INSLI E POLICIES OF INSURANG GEIAFFORDED OF AN POLICIESCONTRACT DESCRIBEDE HERENE SNSUBJECT TTOAMED EALLOR HE TERMS, EXC US ON9 IANDECONDITIONS ISOFNSUCH V REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR V PERTAIN, THE INSURAN nnn Boo +P I InnrtS SHOWN MAY HAVE BEEN REDU�t —Y PAID CLAI _�..�.". POLICY EFFECTIVE POLICY,EXPIRATION LIMITS GE""`"` `�'-� � � SM631393 (, X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR X PROFESSIONAL LIAB ___..�...ro eArTAPPLIESPER: )MOBILE UABII LITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OW NED AUTOS GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY ECUTNE OFFICEWMEMBER EXCLUDED? lagd P ROVISImllzt lzt— OTHER 1111112005 I1111112006 DESCRIPTION OF OPERA IONS I LOCATIONS I VEHICLES 1 E%LLUSIONS AOOEO BY ENDORSEMENT I SPECIAL PROVISIONS MONR.OE COUNTY SOCC 490 63 STREET SUITE 140 MARATHON, FL 33050 COMBINED SINGLE LIMIT $ FPROPERW Eaccident) URY $ URY $ nt) DAMAGE $nt) OTHER THAN AUTO ONLY: :ANGhLLN nor" SHOULD ANY OFTHEA.OV DESCRIBED POLICIES BE CANCELLED BEFORE TDPYS WRITTEN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILRY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE F61 IMPORTANT the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement If if this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). on s of the policy, certain policies may If SUBROGATION IS WAIVED, subject to the terms and condition require an endorsement. A statement on this certificate does not confer rights to She certificate holder in lieu of such endorsement(s). DISCLAIMER roducer, and the certificate holder, nor does it The Certificate of Insurance on the reverse side of this form does not constitute a contract be wee the issuing insurer(s), authorized representative or p atively amend, extend or alter the coverage afforded by the policies listed thereon, affirmatively or neg DATE (MMIODNYYY) 12 20 00 06 ACORDN CERTIFICATE OF LIABILITY sNSU1RANCETHICATE ED AS A MATTER OFOINFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE C & C Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1921 NW 150 AVE SUITE 101 INSURERS AFFORDING COVERAGE NAIC # Pembroke Pines FL33028 SCOTTSDALEINSURANCECo INSURED EMERGENCY MEDICAL SCIENCES ACADEMY INC INSURER A. 600 NORTH PINE ISLAND ROAD # 320 INSURER B PLANTATION, FL 33324 INSURER c OVERAGES NG THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, TO WHICAY BE HSTANDIOR MAY ANY REQUIREMENT, INSURANCE AFFORDED ANY THE CONDITION OF CONTRACT DESCR BACED HERE NT NTHERU SE SUBJECT TTOSPECT ALL THE TERMSH XHCLUS ORNS IAND CONDITIONS OFE SUCH E POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAI onueY PFPEGTIVE POLICY EXPIRATION LIMITS A IX X COMMERCIAL GENERAL LIABILITY CLS1248389 CLAIMS MADE X OCCUR PER. )MOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 4GE LIABILITY ANY AUTO tSSIUMBRELLA LIABILITY-.❑ OCCUR E CLAIMS MADE DEDUCTIBLE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICERIMEMBER EXCLU ED?ECUTIVE I.,ea dnscnbe antler OTHER 0411112006 10411112007 COMBINED SINGLE LIMIT $ (Ea ar=' BODILY INJURY $ (Per person) BODILY INJURY $ (PeraccitlenQ PROPERTY DAMAGE $ I� (Per accident) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED MONROE COUNTY BOCC 490 63 STREET SUITE 140 MARATHON, FL 33050 OTHER THAN AUTO ONLY: :ANCELLAI PON SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 AUTHORIZED REPRESENTATIVE <MC> 25 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. OR ACORD rs CERTIFICATE OF LIABILITY INSURANCE DATE ni IODIYYYY) PRODUCER 7U/U UZU06 777THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C 6 C Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1921 NW 150 AVE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUITE 101 Pembroke Pines FL 33028 INSURERS AFFORDING COVERAGE INSURED EMERGENCY MEDICAL SCIENCES ACADEMY INC NAIC # wsu_ER A. EVANSTO.INS CO 600 NORTH PINE ISLAND ROAD INSURER B' SUITE 320 PLANTATION FL 33324 INSURER C'_._ 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 AND CONDITIONBI E SSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S OF SUCH INSR D' GENERAL LIABILITY POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS EACH EACH OCCURRENCE 1,000,000 A X GENERAL LIABILITY CLAIMS MADE1:1 OCCUR SM831393 ii111/2005 11111/2006 DAMAGE TO RENTED $ X PROFESSIONAL LIAB MED EXP An one erson PERSONAL 8 ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per Person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Par accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY ANYAUTO API _ ` AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: EXCESS/UMBRELLA LIABILITY "- --�— AGG OCCUR CLAIMS MADE �, /1/ EACH OCCURRENCE $ AGGREGATE $ _ LJ/y/ $ DEDUCTIBLE 4�AI1J-�; -'•..._ .-. $ RETENTION ... -_.. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY $ W C STATU- OTH- ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? EL. EACH ACCIDENT $ If yes, describe under P VI I b ow EL DISEASE - EA EMPLOYE S OTHER E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER r.s r .ter..., MONROE COUNTY BOCC 490 63 STREET SUITE 140 MARATHON, FL 33050 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 AUTHORIZED REPRESENTATIVE <MC> 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. A� V CERTIFICATE OF LIABILITY INSURANCE DATE /20/ 0 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 Seitlin Insurance 6700 N. Andrews Ave., Suite 300 CONTACT N . A/ o Ext: (954) 938-8788 A/C No:(954) 938-8566 E-MAI ADD SS: Fort Lauderdale FL 33309 nrc u�lajl� PROD, CER C TERID#: INSURERS AFFORDING COVERAGE NAIC # INSURED T 122010 Emergency Medical Sciences Ac demy, Inc. INSURE A:Philadel hia Indemnit Ins. Co. 18058 INSURE B:General Star Indemnity Co. 37362 URE C:American Casualty Co. of Reading20427 2000 West Commercial Blvd. 20 Ft Lauderdale FL 33309 County Flre Res Monroe INSURER :Com options Insurance Company 10834 INSURER F : COVERAGES CE�ICATE NUMBER: Cart ID 26277 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. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MPOLICY XP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY PHPK633753 10/7/2010 10/7/2011 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS -MADE lxl OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 17 POLICY PRO X LOC EC $ A AUTOMOBILE LIABILITY ANY AUTO PHPK633753 10/7/2010 10/7/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULEDAUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS 4 B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE IUG395725F 10/7/2010 10/7/2011 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DEDUCTIBLE $ $ X RETENTION $ 10,000 D WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A 01B13-208D547-00 10/7/2010 10/7/2011I X WC STATU- OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 C Student Medical 0127294541 10/7/2010 10/7/2011 Each Occurance: 1,000,000 Professional Liab. Aggregate: $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER AS DESIGNATED ORGANIZATION IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY WHEN REQUIRED BY WRITTEN CONTRACT, SUBJECT TO THE TERMS, CONDITIONS AND EXCLUSIONS OF THE POLICY. %,r-m i rnm.w i r- nvLucrc UANGtLLA I IUN J SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MONROE COUNTY BOCC 490 63 STREET \I Y AUTHORIZED REPRESENTATIVE SUITE $140 Marathon FL 33050 \V�-�i•,�.� ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD