Certificates of Insurance
Client#: 26649
4CARECEN
ACORDm
CERTIFICATE OF LIABILITY INSURANCE
The Care Center for Mental Health Inc l
1205 Fourth St
Key West, FL 33040
REeL!
- IliisURERSlAFFO DING COVERAGE
INSURER A: cotts ale Insurance Co
DATE (MMlDDfYYYY)
01/11/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ERTIFICATE DOES NOT AMEND, EXTEND OR
ER THE CO ERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
HRH of FL, Inc. - Orlando
300 Colonial Center Parkway
Ste.130
Lake Mary, FL 32746-FL
INSURED
FER
NAIC#
41297
INS B: t
t'
INSURER c:
--~
, -~
RE:
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.
lTR NSR TYPE OF INSURANCE POLICY NUMBER PD~';!~~!~~~E Pgi!fl,~':'~~N LIMITS
A ~~NERAL I..lAaIUTY OPS0042185 '12/19/06 12/19/07 EACH OCCURRENCE .1 000 000
COMMERCiAl GENERAL I..IABII..ITY DAMAGE TO RENTED .300 000
X I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) .5000
f-- PERSONAl & ADV INJURY .1 000 000
f-- GENERAL AGGREGATE .3 000 000
n'L AGG~EnEIUMIT APnS PER: PRODUCTS. COMPJOP AGG .3 000 000
POI..ICY I .~~ LOC
~UTOMOBII..E UABILrTY COMBINED SINGLE I..IMIT .
ANY AUTO (Eaaccidenl)
f-
f- ALL OWNED AUTOS BODILY INJURY
(Per person) .
f- SCHEDULED AUTOS
- HIRED AUTOS BODILY INJURY
(Peraccidenl) .
- NON.OWNED AUTOS
PROPERTY DAMAGE .
(Per accident)
~~GE LIABILITY AUTO ONLY - EA ACCIDENT .
ANY AUTO ''Y-f)V( ',f) OTHER THAN EA ACC .
" AUTO ONLY:
AGG .
::=J~SSlUMBRELLA LIABII..ITY I) V I .\. ~..I EACH OCCURRENCE .
OCCUR D CLAIMS MADE cx-5 -0) AGGREGATE .
.
~ ~EDUCTIBlE ,... .
RETENTION . d /1 .
WORKERS COMPENSATION AND (i'.l1 I WC STATU- IOJ~-
EMPLOYERS' UABII..ITY A: " ;J,
ANY PROPRIETORlPARTNER/EXECUTIVE E.L. EACH ACCIDENT .
OFFICERlMEMBER EXCLUDED? '-- '. E.I... DISEASE - EA EMPLOYEE $
~~~~I1.1S~~~';:S~6NS below E.I... DISEASE. POI..ICY LIMIT .
A OTHER Prof Liab OPS0042185 12/19/06 12/19/07 $1,000,000/3,000,000
Directors & Offic OPS0042185 12/19/06 12/19/07 $1,000,000--$1,000 Oed
DESCRIPTIDN OF OPERATIONS J LOCATIONS J VEHICI..ES J EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS
Retro Date: 10/3/86
Certificate Holder is added as an additional insured for general liability
but only with respect to operations of the Named Insured.
CC /'10 >1(('
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELI..ED BEFORE THE EXPIRATION
Monroe Co. Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -10...... DAYS WRITTEN
Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
1100 Simonton Street IMPOSE NO OBI..IGATlON OR LIABII..ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Key West, FL 33040 REPRESENTATIVES.
i7~~I: REPRJ~ENTA~VE I
ACORD 25 (2001108) 1 of 2
#M201781
ASING
@ ACORD CORPORATION 1988
Client#: 26649
4CARECEN
ACORD,"
CERTIFICATE OF LIABILITY INSURANCE
I DATE (MMIDDIYYYY)
12/19/07
I 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
PRODUCER
Hilb Rogal & Hobbs of FL, Inc.
4880 Newberry Road, Ste. 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Gainesville, FL 32635-7400
352 378-2511 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Arch Insurance Co 11150
The Care Center for Mental Health Inc INSURER s" Bridgefield Employers Ins Co 10701
1205 Fourth St INSURER c:
Key West, FL 33040 INSURER 0:
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 POLJCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLJCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER P~ALi~\~~~8mlE Pg~fl,if~~N LIMITS
A ~NERAL LIABILITY NTPKGOO05300 12/19/07 05/12/08 EACH OCCURRENCE '1 000 000
2L COMMERCIAL GENE'RAL LIABILITY gt~~~~J9~~ENTED ~ .100000
- P CLAIMS MADE ~ OCCUR MED EXP (Anyone person) '5000
- PERSONAL & ADV INJURY '1 000 000
- GENERAL AGGREGATE '3 000 000
~'L AGG~nE~UMIT APnSIPER' PRODUCTS - COMP/OP AGG '3 000 000
PRO-
POLlCY JECT LOC
~TOMOBILE LIABILITY '~ \L J~ I COMBINED SINGLE LIMIT
(Eaaccident) ,
I- ANY AUTO 111 1 ....,._
I- ALL OWNED AUTOS . Ia." d1d)) - BODILY INJURY
{Per person) ,
SCHEDULED AUTOS ----'
l-
I- HIRED AUTOS "f.:""'OiT \ror BODILY INJURY
" (Peraccidenl) ,
NON-OWNED AUTOS
-
- PROPERTY DAMAGE ,
7 (Peraccidenl)
~~GE LIABILITY L \L: AUTO ONLY - EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC ,
AUTO ONLY: AGG S
A fJ~SSIUMBRELLA LIABILITY NTUMBOO03200 12/19/07 12/19/08 EACH OCCURRENCE '2 000 000
X OCCUR 0 CLAIMS MADE AGGREGATE $2 000 000
,
~ ~EDUCTIBlE $
X RETENTION ,10000 s
B WORKERS COMPENSATION AND 83019726 07/01/07 07/01/08 X I WC STATU~ I IOJ~-
EMPLtr.'ERS'LIABILiTY ,100,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E,l.-DISEASE - EA EMPLOYEE ,100,000
Jfyes, describe under ,500,000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
A OTHER Prof Liab NTPKGOO05300 12/19/07 05/12/08 1,000,000/3,000,000 Oee
A Sexual Misconduct NTPKGOO05300 12/19/07 05/12/08 1,000,000/2,000,000 Dcc
& Abuse
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
*10 day notice of cancellation applies for nonpayment of premium.
Certificate Holder is added as an additional insured for general liability
but only with respect to operations of the Named Insured.
CERTIFICATE HOLDER
CANCELLATION
Monroe Co. Board of County
Commissioners
1100 Simonton Street
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WII.L ENDEAVOR TO MAIL ~ 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 REPR SENTATlVE
ACORD 25 (2001108) 1 of 2
t' ,
c.G;~
#M241585
ASING
@ ACORD CORPORATION 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.
ACORD 25-5 (2001/08)
2 of2
#M241585
ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMJDDNYYY)
04102/2008
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Hllb Rogal & Hobbs of FL, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4880 Newberry Road, Ste. 100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
I VERAGE AFFORDED BY THE POLICIES BELOW.
Gainesville, FL 32635-7400 RECEIVt-IJ
352 378-2511 ....-.-:.. " SAFF PRDING COVERAGE NAIC#
INSURED h Int__~~~ INSURER A Arch Insurance Co 11150
The Care Center for Mental Hea 8 "II'UUlER B" Brid efield Employers Ins Co 10701
1205 Fourth St INSURER C
Key West, FL 33040 INSURER D
Mn'''n' cm NI'!lli1iURER E:
COVERAGES Ri;;K ~f:r\\iAGF\1t'NT
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.
rl: ~ TYPE OF INSURANCE POLICY NUMBER ~",~CY EFFECTIVE ~~!fl EXPIRATION LIMITS
A ~NERAL LIABILITY NTPKGOO05300 12/19/07 05/12/08 EACH OCCURRENCE '1000000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED '100000
- --.J CLAIMS MADE [!J OCCUR MED EXP (Anyone person) .5000
PERSONAL & ADV INJURY '1 000 000
GENERAL AGGREGATE .3 000 000
~'LAGG~E~rfllMIT APrlSIPER: PRODUCTS. COMP/OP AGG .3 000 000
POLICY ~~8T LOC
A ~TOMOBILE LIABILITY NT AUOO02700 12/19/07 05/12/08 COMBINED SINGLE LIMIT
(Eaaccident) '1,000,000
I- ANY AUTO \lL., t2
I- ALL OWNED AUTOS BODilY INJURY
11\. (Per person) .
fx SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY
"'-'- ~iJ6 .
.!.. NON-QWNED AUTOS (Per accident)
PROPERTY DAMAGE .
'i ". (Peraccidanl)
~GE UABIUTY , ( ~ I (f}'N. AUTO ONLY - EA ACCIDENT .
ANY AUTO 0) ItJ:%'-- OTHER THAN EA ACC .
AUTO ONLY: AGO .
A 0ESSlUMBRELLA LIABILITY NTUMBOO03200 12/19/07 12/19/08 EACH OCCURRENCE .2 000 000
X OCCUR Cl CLAIMS MADE AGGREGATE .2 000 000
.
@ ,DEDUCT'BLE .
X RETENTION .10000 .
B WORKERS COMPENSATION AND 83019726 07/01/07 07/01/08 X I T~~vS~f'~U; I IOJ,tI-
EMPLOYERS' LIABILITY E.L. EACH ACCIDENT .100000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE .100000
g~~~I~~~bO,y,~O~S below E.l. DISEASE - POLICY LIMIT .500 000
A OTHER Prof Llab NTPKGOO05300 12/19/07 05112/08 1,000,000/3,000,000
Sexual Misconduct NTPKGOO05300 12/19/07 05112/08 1,000,000/2,000,000
& Abuse
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Certificate Holder is added as an additional insured for general liability
but only with respect to operations of the Named Insured.
Client#: 26649
4CARECEN
CERTIFICATE HOLDER
SHOULD ANY OF lliE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
Monroe Co. Board of Commissioner DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Key West, FL 33040 IMPOSE NO OBLIGATlON OR LIASILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
~v\""(~(lD REPRESENTATIVES.
ecr ./ i7.0~_1Z: REP'~EN:nVE
CANCELLATION
ACORD 25 (2001/08) 1 of 2
#S252093/M252092
ASING
" ACORD CORPORATION 1988
--~
....,....""''''''"'"'''',,,.,.,"'''..-.,,.,
~"",.,.'.~
--"-.."
Clienl#: 26649
4CARECEN
ACORD,"
CERTIFICATE OF LIABILITY INSURANCE ~;;~~7;DIYVYY)
- .
R rr E'\lf: THIS CER IFICATE IS ISSUED AS A MATTER OF INFORMATION
\ [ ,} J i_ONLY AN CONFERS NO RIGHTS UPON THE CERTIFICATE
I101lDER. HIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL R TH COVERAGE AFFORDED BY THE POLICIES BELOW.
MAY 1 9 20 ''sU~ERS ~FFORDING COVERAGE
INSURER-A: Ar h Insurance Co
INsURER B: B gefield Employers Ins Co
alth I
NAIC#
11150
10701
PRODUCER
HUb Rogal & Hobbs of FL, Inc.
4880 Newberry Road, Ste. 100
Gainesville, FL 32635-7400
352 378-2511
INSURED
The Care Center for Mental H
1205 Fourth St
Middle Keys, FL
. ;.~ NSURER c:
INSURER D:
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.
1bi!L = TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE P~L.ICY EXPIRATION L.IMITS
A ~NERAL LIABILITY NTPKG0005301 05/12/08 05/12/09 EACH OCCURRENCE '1 000 000
X COMMERCIAl GENERAL. LIABILITY DA~.A~E TO_RENTED .1 000 000
I CLAIMS MADE [X] OCCUR MED EXP (Anyone pen;on) .5000
f- PERSONAL. & ADV INJURY .1 000 000
f- GENERAL. AGGREGATE .3 000 000
n'l AGG~EnE LIMIT APnSIPER: PRODUCTS - COMP/OP AGG .3 000 000
POLICY r~Ri L.OC
A ~TOMOBIL.E L1ABIL.ITY NT AUTOO02701 O~~q 0~12/09 COMBINED SINGL.E LIMIT
ANY AUTO ~s~, (Eaaccident) $1,000,000
I--
- AlL. OWNED AUTOS .., BODIL. Y INJURY
(Perpen;on) .
X SCHEDUL.ED AUTOS -' J-s:f5t
HIRED AUTOS BODilY INJURY
=- V .
K.. NON-OWNED AUTOS 't. . (Per accident}
- ,;,' ( !1.n_ PROPERTY DAMAGE .
(Peraccidenl)
=rOE LIABILITY ~Jt: AUTO ONLY. EA ACCIDENT .
ANY AUTO C OTHER THAN EA ACC .
AUTO ONLY: AGG $
A ~~SSfUMBREL.LA L.IABILlTY NTUMBOO03201 0~12/08 0~12/09 EACH OCCURRENCE .2 000 000
X OCCUR 0 CLAIMS MADE AGGREGATE .2 000 000
.
~ ~EDUCTIBlE .
X RETENTION .10000 .
B WORKER&OGMPENSATlON AND 83019726 07/01/07 07/01/08 X I ,WCvSTf.-!.~;.1 IOJ~'
EMPL.OYERS' L.lABIUTY .1 000000
ANY PROPRIETOR/PARTNER/EXECUT1VE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPlOYEE .1 000 000
~~~~11t~~~J:~C:ONS below E.l. DISEASE - POLICY LIMIT .1,000 000
A OTHER Prof Liab NTPKGOO05301 05/12/08 05/12/09 1,000,000/3,000,000
A Sexual Misconduct NTPKGOO05301 05/12/08 05/12/09 1,000,000/3,000,000
A & Abuse Included
DESCRIPTION OF OPERATIONS I L.OCATIONS 1 VEHICL.ES I EXCL.USIONS ADDED BY ENDORSEMENT f SPECIAL. PROVISIONS
"'10 day notice of cancellation applies for non.payment of premium.
Certificate Holder is added as an additional insured for general liability
but only with respect to operations of the Named Insured.
Cd .. h ^tVY/.- d-.
CERTIFICATE HOLDER
CANCELLATION
Monroe Co. Board of County
Commissioners
1100 Simonton Street
Key West, FL 33040
SHOUL.D ANY OF THE ABOVE DESCRIBED POL.ICIES BE CANCEL.LED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WlL.L. ENDEAVOR TO MAIL. ---3lr:. DAYS WRmEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAlL.URE TO DO SO SHAL.L.
IMPOSE NO OBLIGATION OR L.IABILlTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001/08) 1 of 2
#M256052
ASING
@ ACORD CORPORATION 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.
ACORD 25-5 (2001/08) 2 of 2
#M256D52
INSURED
The Care Center for Mental Health Inc
1205 Fourth St
Key West, FL 33040
NAIC#
11150
10701
Client#: 26649
ACORD," CERTIFICATE OF LIABILITY IN~~
PRODUCER
Hilb Rogal & Hobbs of FL, Inc.
4880 Newberry Road, Ste. 100
Gainesville, FL 32635-7400
352 378-2511
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.
LTR NSR TYPE OF INSURANCE POL.ICY NUMBER PJ>l".Ji1J~F6~E "%~iJ ,~tC!',!lON L.IMITS
A ~NERAL. L.1AB1L.1TY NTPKGOO05301 05/12/08 05/12/09 EACH OCCURRENCE .1 000 000
~ ~~ERCIAL GENERAL LIABILITY DAMAGE TO RENTED .100000
CLAIMS MADE [X] OCCUR MED EXP (Anyone person) .5000
PERSONAL & ADV INJURY .1 000 000
'- GENERAL AGGREGATE .3 000 000
rl'L AGG:EnE LIMIT APF~tIPER: PRODUCTS. COMP/OP AGG .3 000 000
POLICY ~~BT LaC
~TOMOBILE L1ABIL.ITY )(\ - '\D l.::<i COMBINED SINGLE LIMIT .
'- ANY AUTO (Eaaccident)
- ALL. OWNED AUTOS BODIL. Y INJURY
.'=~. raD'i2K .. .
- SCHEDULED AUTOS (Per person)
- HIRED AUTOS ... BODIL. Y INJURY
.
NON-OWNED AUTOS ~. rr1.0 (Per accident)
- -. ..
,A' PROPERTY DAMAGE .
i (Per accident)
RGE LlABILITT \. ICD :iJ AUTO ONLY - EA ACCIDENT .
ANY AUTO ~ EAACC .
, \- ~;rHER THAN
... .... UTa ONLY: AGG .
A 0ESS/UMBREL.L.A LIABILITY NTUMBOO03201 05/12/08 05/12/09 EACH OCCURRENCE .2 000 000
X OCCUR 0 CLAIMS MADE AGGREGATE .2 000 000
.
~ DEDUCT'BLE .
X RETENTION .10000 .
B WORKERS COMPENSATION AND 83019726 07/01108 07/01/09 X I WC STATU;. I IOJ~-
EMPL.OYERS' L.1A81t.ITY .1,000 000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE .1,000,000
If yes, describe under E.L. DISEASE - POLICY LIMIT .1,000 000
SPECIAL PROVISIONS below
A OTHER Prof. liab. NTPKGOO05301 05112/08 05/12/09 1,000,000/3,000,000
A Sexual Misconduct NTPKGOO05301 05/12/08 05/12/09 1,000,000/3,000,000
A & Abuse
DESCRIPTION OF OPERATIONS I L.OCATIONS I VEHICL.ES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL. PROVISIONS
*10 day notice of cancellation applies to non-payment of premium.
Certificate Holder is added as an additional insured for general liability
but only with respect to operations of the Named Insured.
COVERAGES
CERTIFICATE HOLDER
CANCELLATION
Monroe Co. Board of County
Commissioners
1100 Simonton Street
Key West, FL 33040
SHOUL.D 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 CERTIFICATE HOLDER NAMED TO THE. L.EFT, BUT FAIL.URE TO DO SO SHAL.L
IMPOSE NO OBLIGATION OR LlABIL.ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ASING
Ii) ACORD CORPORATION 1988
ACORD 25 (2001)118) 1 of 2
c.c.:~
#M263687
)t
......'
ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
09/21/2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willis of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4880 Newberry Road, Ste. 100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Gainesville, FL 32635-7400
352 378-2511 INSURERS AFFORDING COVERAGE NAIC-#
INSURED INSURER A: Arch Insurance Co 11150
Guidance Clinic of the Middle Keys INSURER B: National Union Fire Ins Co of Pitts 19445
900 Grier Drive INSURER C:
Las Vegas, NV 89119 INSURER D:
INSURER E:
Client#: 14344
4WESTCAR
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.
LTR INSIU TYPE OF INSURANCE POLICY NUMBER P~l"~~~::~68~ Pg~fJ liX':~~N LIMITS
A GENERAL LIABILITY NTPKGOO05302 05/12/09 07/01/10 EACH OCCURRENCE $1 000.000
~ Q~~A~~r<?_RENTED
X- COMMERCIAL GENERAL LIABILITY $1.000.000
- :J CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $5.000
PERSONAL & ADV INJURY $1,000 000
-
.--- GENERAL AGGREGATE 53.000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 53 000 000
n POLICY n ~~8i nLOC
A AUTOMOBILE LIABILITY NT AUTOO02702 05/12/09 07/01/10 COMBINED SINGLE LIMIT
-- $1 ,000,000
X ANY AUTO (Ea accident)
-
ALL OWNED AUTOS ~EJ BODILY INJURY
- $
SCHEDULED AUTOS i'f\l (Per person)
-
HIRED AUTOS '-~ ~
- ..... \ ( BODILY INJURY 5
NON-OWNED AUTOS ~/ b- 07 (Per accident)
-
i--- PROPERTY DAMAGE
\/ (Per accident) $
GARAGE LIABILITY .. f AUTO ONLY - EA ACCIDENT $
==i ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
A EXCESSIUMBRELLA LIABILITY NTUMBOO03202 05/12/09 07/01/10 EACH OCCURRENCE 52 000 000
~ OCCUR o CLAIMS MADE AGGREGATE $2 000 000
5
~ DEDUCTIBLE 5
X RETENTION 5 10 000 $
B WORKERS COMPENSATION AND WC6506879 02/26/09 02126/10 X I T"A~ll~~s I IOJ~-
EMPLOYERS. LIABILITY 51,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE 51,000,000
If yes, describe under 51,000,000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
A OTHER Prof Liab NTPKGOO05302 05/12/09 07/01/10 1,000,000/3,000,000
A Physical & Sexual NTPKGOO05302 05/12/09 07/01/10 1,000,000/3,000,000
Abuse
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
*10 day notice of cancellation applies to non-payment of premium.
Certificate Holder is added as an additional insured with regard to general liability &
automobile liability coverage but only with respect to operations of the Named Insured.
CERTIFICATE HOLDER
CANCELLATION
Monroe Co. Board of County
Commissioners
1100 Simonton Street
Key West, FL 33040-0000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA nON
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DA YS WRITTEN
NonCE 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
ACORD 25 (2001/08) 1 of 2
#S284762/M279076
ASING
@ ACORD CORPORATION 1988
ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
06/29/2010
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Willis of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4880 Newberry Road, Ste. 100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Gainesville, FL 32635-7400 Rr-(~r:1\
352 378-2511 '~iJRERSAFFbRDING COVERAGE NAIC#
INSURED --- . . . 'u__ iNSURER-A; Arct Insurance Co 11150
Guidance/Care Center, Inc. INSURER B Nati nal Union Fire Ins Co of P 19445
3000 41 st St Ocean JUl - G ?~~ER ( :
Marathon, FL 33050 INSURER [ :
-~-~-- .1NSURER ~:
COVERAGES rr,r'f;!,j[ CCUI :TY
"'r ..,
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 'vvUl::U IV' " " ED ABOV 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.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER PJ>l-~~1~~~~8~\E p~~~J(~:'~~N LIMITS
A GENERAL LIABILITY NTPKGOO05303 07/01/10 07/01/11 EACH OCCURRENCE $1 000000
~ ~~~~~~J9E~~b~;>once 1
X COMMERCIAL GENERAL LIABILITY $1.000 000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $5 000
~ PERSONAL & ADV INJURY $1.000 000
GENERAL AGGREGATE $3 000 000
f--
n'L AGGREAE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $3.000 000
PRO.
POLICY JECT LOC
A ~TOMOBILE LIABILITY NT AUTOO02703 07/01/10 07/01111 COMBINED SINGLE LIMIT
X ANY AUTO (Ea accident) $1,000,000
f--
~ ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
f--
r!- HIRED AUTOS BODILY INJURY
$
r!- NON.OWNED AUTOS (Per accident)
~ PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
A EXCESS/UMBRELLA LIABILITY NTUMBOO03203 07/01/10 07/01/11 EACH OCCURRENCE $2 000 000
:xJ OCCUR D CLAIMS MADE AGGREGATE $2 000 000
$
~ DEDUCTIBLE $
X RETENTION $ 10 000 $
X I T'{'(~,7r~~<:.1 IOJ~' ..---
B WORKERS COMPENSATION AND WC006506879 07/01/10 02126/11
EMPLOYERS' LIABILITY $1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYEE $1,000,000
If yes, describe under $1,000,000
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT
A OTHER Prof Liab NTPKGOO05303 07/01/10 07/01/11 1,000,000/3,000,000
A Sexual & Physical NTPKGOO05303 07/01/10 07/01/11 1 ,00~,000/3'n'000
Abuse
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ~\lJ, I ,'Y, ~
Certificate Holder is added as an additional insured with regard to
general liability & automobile liability coverage 1---(0 ~t.
but only with respect to operations of the Named Insured.
Cc h~a.n '{ om;;
U------'
Client#. 14344
4WESTCAR
CERTIFICATE HOLDER
CANCELLATION
Monroe Co. Board of County
Commissioners
1100 Simonton Street
Key West, FL 33040-0000
SHOULD ANY OF THE 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
BWEED
@ ACORD CORPORATION 1988
ACORD 25 (2001/08) 1 of 2
#S306669/M306656