09/20/2006 Agreement
DANNYL. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
April 2, 2007
TO:
Teresa Aguiar, Division Director
Employee Services
Pamela G. Hanc~
Deputy Clerk
FROM:
.IAt the September 20, 2006, Board of County Commissioner's meeting the Board granted
approval and authorized execution of a Service Agreement between Monroe County and
Preferred Governmental Claims Solutions (PGCS) for third party administration of the Workers'
Compensation Program.
At the March 21, 2007, Board of County Commissioner's meeting the Board granted
approval and authorized execution of an Amendment to Agreement to extend the current
Employee Assistance Program Agreement for three months with the Mental Health Care Center
of the Lower Keys, Inc., d/b/a Care Center for Mental Health.
Enclosed is a copy of each of the above-mentioned your handling. Should you have any
questions pl<ease do not hesitate to contact this office.
cc: County Attorney
Finalic
File.
SERVICE AGREEMENT
BETWEEN MONROE COUNTY AND
PREFERRED GOVERNMENTAL CLAIM SOLUTIONS
~
THIS AGREEMENT is entered into this 2t:i.. day of September 20~ by and between Preferred
Governmental Claim Solutions, a Florida Corporation, hereinafter referred to as "PGCS", and the
Monroe County Board of County Commissioners, hereinafter referred to as "COUNTY".
WHEltEAS, PGCS submitted a bid for the opportunity to manage claims for Workers
Compensation services for COUNTY; and
WHEREAS, COUNTY accepted the bid submitted by PGCS, wishes to retain the services of
PGCS to provide claims management services for its Workers' Compensation risks, and desires
to have PGCS provide specific services in connection with such claims program; and
WHEREAS, PGCS is willing and has the ability to provide such services.
NOW THEREFORE the parties agree as follows:
I. TERM. This Agreement shall be effective for a period of One (1) year beginning on the date
stated above, and shall remain in full force and effect for one year except as amended or
terminated as hereinafter provided. COUNTY, at its sole option, shall have the right to renew the
contract for an additional two (2) one (1) year periods.
2. CANCELLATION. Either Party shall have the right to terminate the Agreement by giving to
the oth(,r Party written notice of such termination at least Ninetv (90) days in advance. COUNTY
shall pay according to FLORIDA PROMPT PAYMENT ACT and under the terms set out in
Section 6 ofthis Agreement. COUNTY'S failure to pay under the Act shall be construed as a
breach of the Agreement and, in such event, PGCS shall have the right to terminate the
Agreement by giving COUNTY ten (10) days' written notice. An invoice that is in dispute will
not qualify as a fuilure to payor as a breach of the Agreement.
3. SERVICES TO BE PERFORMED BY PGCS FOR CLAIMS ADMINISTRATION.
PGCS agrees to perform the following services with regard to CLAIMS ADMINISTRATION,
PGCS shall:
a. Review all claim and loss reports submitted by COUNTY to PGCS during
the term of this Agreement and process each submitted claim or loss report in
accordance with Florida Statutes.
b. Conduct an investigation of each reported claim or loss under subparagraph "a"
above (hereinafter referred to as a "qualified claim or loss") consistent with
standards and in sufficient detail to determine the compensability of each claim.
c. Maintain a file for each qualified claim or loss which shall be available for
review by COUNTY at any reasonable time.
d. Adjust settle or resist all qualified claims or losses arising from COUNTY'S
Workers' Compensation program with no claims being settled without the prior
Approval of COUNTY.
e. Perform reasonable and necessary administrative and clerical work in connection
with each qualified claim or loss, including the preparation of checks or
vouchers, compromises, releases, agreements and any other documents to finalize
a claim.
f Recommend claim reserves and provide a continuous review and updating of
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these to reflect changes
g. PGCS will assist COUNTY in arranging a loss and expense payment
account.
h. Provide notice of claims and routine status reports to COUNTY'S Excess
Insurer in accordance with the Excess Insurer's standard reporting requirements.
COUNTY will provide PGCS with the name, address and telephone
number of its Excess Insurer. PGCS will fully cooperate with COUNTY'S
Excess Insurer and take no action, or lack of action that will jeopardize
COUNTY'S rights to recovery under the policy.
1. Coordinate investigations on litigated claims with attorneys approved by
COUNTY and with adjusters and attorneys of the excess insurance carrier as
required. This includes the negotiation of settlements and preparation of
subrogation and contribution actions. It is expressly understood by the Parties
to this Agreement that all legal costs and loss payments will be charged to
COUNTY'S Loss Fund.
J. All sizable and unusual claims will be reviewed by PGCS's staff at no
additional cost to COUNTY, to ensure efficient and proper administration
is provided.
k. PGCS will furnish one set of loss and information reports (as specified in
PGCS's proposal) to: COUNTY'S Insurance Agent, COUNTY'S
Risk Management Consultant and COUNTY'S Excess Insurer.
/. Additional optional and ad hoc information and analysis reports and services
can be provided on a time and expense basis, as mutually agreed upon by
PGCS and COUNTY.
m. Provide COUNTY and its Excess Insurer with narrative or analytical
reports on all qualified claims with a total incurred in excess of$50,000, every
ninety (90) days.
n. Provide COUNTY with claim and other forms mandated by the State of
Florida's statutes and regulations to ensure efficient administration of
COUNTY'S self-insured Workers' Compensation program.
o. Investigate and pursue all subrogation and Second Injury Disability Trust Fund
possibilities (to the extent permitted by law) on behalf of COUNTY.
COUNTY will receive the benefit of all recoveries associated with these
activities.
p. Provide all personnel necessary to effectively perform the services agreed to
herein.
4. SERVICES TO BE PERFORMED BY PGCS FOR WORKERS' COMPENSATION
AND MEDICAL CONTROL. With regard to WORKERS' COMPENSATION and MEDICAL
CONTROL, PGCS shall:
a. Arrange for independent medical or other experts in connection with
processing qualified claims or losses as is mutually agreeable to PGCS
and COUNTY.
b. Pay medical and death benefits, temporary and permanent disability
compensation and other losses and expenses by only if in the judgment of
PGCS, such payment would be prudent for COUNTY and the anticipated
amount thereof does not exceed the stated settlement authority or, in any case,
COUNTY specifically approves or directs such action.
c. Assist in COUNTY'S selection of a panel of physicians or other providers
of health care to initially treat employees and a panel of medical specialists to
provide long-term or specialty care.
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d. Consult with COUNTY in order to develop ways of using any medical
facility more effectively.
e. Monitor the treatment programs recommended for employees by physicians,
specialists and other health care providers by reviewing medical reports so
prepared and by maintaining contact with the providers as is consistent with
industry standards.
f. As COUNTY directs, assist in interpreting medical reports to consider the
circumstances under which an injured employee who desires to do so could
return to work in the shortest period of time without adversely effecting the
employee's recovery.
g. Assist COUNTY in arranging for rehabilitation or retraining of employees
in appropriate cases; charges for these programs shall be considered allocated
expense and charged to COUNTY.
h. Represent COUNTY at all hearings, mediations and trials at no additional
costs. With the specific approval of COUNTY, which will be proved on a
case by case basis, such representation may be conducted by telephone.
1. Conduct quarterly meetings (at no charge) with COUNTY officials to
review the claim activity and develop methods for reducing the claim costs.
Such meetings shall take place at COUNTY'S offices in Key West, Florida
or at the offices ofPGCS located in Lake Mary, Florida.
5. SERVICES TO BE PERFORMED BY PGCS FOR PROGRAM DEVELOPMENT.
With regard to PROGRAM DEVELOPMENT, PGCS shall:
a. Consult with key personnel of COUNTY on the establishment and
coordination of necessary procedures and practices to meet any applicable state
requirements and needs of COUNTY.
b. Participate in the orientation of COUNTY' S personnel who are directly or
indirectly involved in the processing of qualified claims or losses.
c. Review the development of COUNTY'S program periodically with
representatives of COUNTY in order to identify problems and recommend
corrective action.
6. COMPENSATION TO PGCS.
a. Total Compensation to PGCS under this Agreement shall not exceed Ninety
Thousand Dollars ($90,000.00) for the first year. If COUNTY exercises its option to renew, the
compensation for additional years shall be Ninety-Four Thousand Five Hundred Dollars
($94,500.00) for second year and One Hundred Thousand Dollars ($100,000.00) for the third
year. Pricing is for Worker's Compensation, including Medical only and Lost Time Claims
Administration. Pricing is on a flat rate basis with invoicing performed on a monthly basis. 1099
are to be processed for a $10.00 fee per form. All report filing includes excess reporting, monthly
loss reports, quarterly large loss reports, check processing, check register reports and BSI-I7's.
b. COUNTY'S performance and obligation to pay under this agreement, is
contingent upon annual appropriation by the Board of County Commissioners.
c. COUNTY shall at all times provide funds adequate for the payment of qualified
claims or losses and of allocated loss expenses. For this purpose, allocated loss expenses shall
mean all costs, charges or expenses of third parties incurred by PGCS, its agents or its
employees, which are properly chargeable to a qualified claim or loss including, without
limitation, court costs, independent investigators, experts and witnesses and fees for obtaining
diagrams, reports, documents and photographs, It is expressly understood that all fees and
expenses of attorneys will be paid directly by COUNTY and upon receipt of such invoices.
PGCS, shall prepare a voucher and forward it with the original invoice to County's Workers'
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Compensation Manager for review and processing. If COUNTY makes adjustments to the
invoice before paying, PGCS will be notified of such Adjustments by County's Workers'
Compensation Manager and PGCS will adjust their payment records to reflect the actual amount
paid.
d. It is expressly understood that PGCS shall not be required to advance its own
funds to pay losses, allocated loss expenses or banking charges hereunder, or to perform any
services hereunder if COUNTY fails to provide adequate funds as herein set forth.
e. Parties agree that fee include, but is not limited to I) Administer to conclusion all
Worker's Compensation Lost Time and Medical Only Claims, 2) Reduce all medical bills
associated with the County's Workers' Compensation claims to the State Fee Schedule, 3)
Prepare and file on behalf of the County all mandated State Reports, 4) prepare and distribute
1099's as required by law.
f. The annual fee as stated in paragraph 6a above is a flat annual fee to be paid in
12 equal payments.
7. DISCRETIONARY DISBURSEMENT AUTHORITY LIMIT. The limit on any
discretionary payment by PGCS for a qualified claim or loss or for allocated loss expenses, as the
case may be, shall be Five Thousand Dollars ($5,000) initially. This amount may be changed at
any time by COUNTY upon written notice to PGCS. It is agreed that PGCS shall have full
Authority and control in all matters pertaining to the payment, processing, investigation and
administration of qualified claims or losses with the limit established by this paragraph with
exception of fees and expenses paid to attorneys which will be paid directly by COUNTY.
PGCS will make no payment in excess ofthe Discretionary Disbursement Authority Limit
without obtaining Prior approval of County Administrator or his designee. It is further agreed that
all checks or drafts in amount in excess of$I,OOO will require the Signature of two PGCS
employees in supervisory positions. All payments in excess of $5,000 will require the written
authorization of County Administrator before being issued.
8. TERMS OF AGREEMENT AND CANCELLATION.
a. In the event of cancellation or non-renewal of this Agreement, COUNTY, at is sole
option, may require that all open claims be transferred to its new administrator or require PGCS
to continue administering the claims to conclusion. If COUNTY elects that PGCS is to continue
administering the claims, a service fee of One Hundred Dollars ($100) per file per month will be
paid for as long as the claim remains open. PGCS will treat as confidential all data furnished by
COUNTY or generated as a result ofthe processing services performed under this Agreement and
any other information so designated in writing by COUNTY, and PGCS will make the same
effort to safeguard such information as it does in protecting its own confidential data. PGCS
reserves the right to gather and utilize, as it sees fit, statistical information from the data base;
provided however, that COUNTY'S name and proprietary and/or confidential data are adequately
protected and not disclosed.
b. In the event of cancellation or non-renewal of this Agreement, PGCS shall provide, at
no charge to COUNTY, detailed history of all claims processed during the term of this
Agreement on Electronic Data Processing Media. PGCS will cooperate with COUNTY or its new
Administrator with all reasonable requests regarding the method and format of the information to
be provided. Shipping of all physical claims will be at the sole expense of COUNTY.
9. PRACTICE OF LAW. It is understood and agreed that PGCS will not perform, and
COUNTY will not request performance of any services which may constitute the unauthorized
practice oflaw.
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10. INDEMNIFICATION, HOLD HARMLESS AND INSURANCE.
a. PGCS shall be fully responsible for exercising reasonable care at all times in the
performance of it obligations hereunder.
b. Nothing in this Agreement shall be construed to indicate that COUNTY will in any
way indemnify or hold harmless PGCS. PGCS and COUNTY agree that nothing in this
Agreement shall be construed to extend the protections of Florida Statute 768.28 to PGCS.
c. PGCS shall indemnify and hold MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS harmless from any and all claims for bodily injury (including death),
personal injury, and property damage (including property owned by Monroe County) and
any other losses, damages, and expenses (including attorney's fees) which arise out of, in
connection with, or by reason of services provided by PGCS occasioned by the
negligence, errors, or other wrongful act of omission ofPGCS, its employees, or agents.
d. The extent ofliability is in no way limited to, reduced, or lessened by the insurance
requirements contained elsewhere within this agreement. Failure ofPGCS to comply with the
requirements of this section shall be cause for immediate termination ofthis agreement.
e. Prior to execution of this agreement, PGCS shall furnish, at their own expense, to the
COUNTY Certificates oflnsurance or a Certified Copy of the actual insurance policy, indicating
the mirrimum coverage limitations in the following amounts:
WORKERS COMPENSATION AND EMPLOYER'S LIABILTIY INSURANCE.
Where applicable, coverage to apply for all employees at a minimum statutory limits as
required by Florida Law.
COMPREHENSIVE AUTOMOBILE VEHICLE LIABILITY INSURANCE:
Motor vehicle liability insurance, including applicable no-fault coverage, with limits ofliability
of not l(:ss than $1,000,000.00 per occurrence, combined single limit for Bodily Injury Liability
and Property Damage Liability. Coverage shall include all owned vehicles, all non-owned
vehicles, and all hired vehicles.
COMMERCIAL GENERAL LIABILITY. Commercial general liability coverage with
limits ofliability of not less than $1,000,000.00 per occurrence combined single limit for Bodily
Injury Liability and Property Damage Liability.
CERTIFICATES OF INSURANCE. Original Certificates ofInsurance shall be
provided to the COUNTY at the time of execution of this Agreement and certified copies
provid~:d if requested. Each policy certificate shall be endorsed with a provision that not
less than thirty (30) calendar days' written notice shall be provided to the County before
any po licy or coverage is canceled or restricted. The underwriter of such insurance shall
be qualified to do business in the State of Florida. Ifrequested by the County
Administrator, the insurance coverage shall be primary insurance with respect to the
County, its officials, employees, agents and volunteers.
f. The parties agree to the insurance requirements as set out in Attachment A attached
hereto and made a part hereof.
II. NOTICES. Any notice required to be given under this Agreement shall be sent by certified
mail to the following:
FOR COUNTY
Monroe County
Manager of Worker's Compensation
FOR PGCS
Mr. Kevin Cothon
Vice President
5
Gato Building
1100 Simonton Street
Suite 2.268
Key W,~st, FL 33040
Preferred Governmental
Claim Solutions
P.O. Box 958456
Lake Mary, FL 32795-84456
12. HEADINGS. Headings have been inserted in this Agreement as a matter of convenience of
reference only, and it is agreed that such section headings are not a part of this Agreement and
will not be used in the interpretation of any provision of this Agreement.
13. GOVERNING LAW AND VENUE. This Agreement shall be governed by and construed
in accordance with the laws ofthe State of Florida applicable to contracts made and to be
perfomled entirely in the State. In the event that any cause of action or administrative proceeding
is instituted for the enforcement or interpretation of this Agreement, COUNTY and PGCS agree
that venue will lie in the appropriate court or before the appropriate administrative body in
Monroe County, Florida.
IS. NON-DISCRIMINATION. COUNTY and PGCS agree that there will be no
discrimination against any person, and it is expressly understood that upon a
determination by a court of competent jurisdiction that discrimination has occurred, this
Agreement automatically terminates without any further action on the part of any party,
effective the date of the court order. COUNTY or PGCS agree to comply with all
Federal and Florida statutes, and all local ordinances, as applicable, relating to
nondiscrimination. These include but are not limited to: I) Title VI of the Civil Rights
Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or
national origin; 2) Title IX ofthe Education Amendment of 1972, as amended (20 USC
ss. 1681- 1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of1973, as amended (20 USC s. 794), which
prohibits discrimination on the basis ofhandicaps; 4) The Age Discrimination Act of
1975, as amended (42 USC ss. 6101- 6107) which prohibits discrimination on the basis of
age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended,
relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol
Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of1970 (PL 91-
616), as amended, relating to nondiscrimination on the basis of alcohol abuse or
alcoholism; 7) The Public Health Service Act of1912, ss. 523 and 527 (42 USC ss.
690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse
patent records; 8) Title VIII of the Civil Rights Act of1968 (42 USC s. et seq.), as
amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The
Americans with Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from
time to time, relating to nondiscrimination on the basis of disability; 10) Any other
nondiscrimination provisions in any Federal or state statutes which may apply to the
parties to, or the subject matter ofthis Agreement.
16. WAIVER. A waiver by either party of any breach of this Agreement shall not be binding
upon the waiving party unless such waver is in writing signed by authorized person for PGCS and
approv,~d by BOCC. In the event of a written waiver, such waiver shall not affect the waiving
party's rights with respect to any other or further breach. The making or acceptance of a payment
by eith,:r party with knowledge of the existence ofa default or breach shall not operate or be
construed to operate as a waiver of any subsequent default or breach.
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17. SEVERABILITY. The invalidity, illegality, or unenforceability of any provision of this
Agreement, or the occurrence of any event rendering any portion or provision of this Agreement
void, shall in no way affect the validity or enforceability of any other portion or provision of the
Agreement. Any void provision shall be deemed severed from the Agreement and the balance of
the Agreement shall be construed and enforced as if the Agreement did not contain the particular
portion or provision held to be void. The parties further agree to reform the Agreement to replace
and stricken provision with a provision that comes as close as possible to the intent of the stricken
provISIOn.
18. ENTIRETY OF AGREEMENT. The parties agree that this Agreement sets forth the
entire agreement between them, and that there are not promises or understandings other than
those stated herein. This Agreement supersedes all prior contracts, representations, negotiations,
letters or other communications between COUNTY and PGCS pertaining to the services, whether
written or oral. None of the provisions, terms and conditions contained in this Agreement may be
added to, modified, superseded or otherwise altered except by written instrument executed by the
parties hereto.
19. MODIFICATION. This Agreement may not be modified unless such modifications are
evidenced in writing signed by both COUNTY and PGCS. Such modifications shall be in the
form of a written Amendment executed by both parties.
20. SUCCESSORS AND ASSIGNS, ASSIGNMENT. COUNTY and PGCS each binds itself
and its partners, successors, assigns and legal representatives to the other party to this Agreement
and to the other party's partners, successors, assigns and legal representatives. PGCS shall not
assign this Agreement without express written approval of the BOCC executed in the same
manner as this Agreement.
21. AUTHORITY. Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary
County and corporate action, as required by law.
20. NON-RELIANCE BY NON-PARTIES. No person or entity shall be entitled to rely upon
the terms, or any of them, of this Agreement to enforce or attempt to enforce any third-party
claim or entitlement to or benefit of any service or program contemplated hereunder, and
COUNTY and the PGCS agree that neither COUNTY nor PGCS or any agent, officer, or
employee of either shall have the authority to inform, counsel, or otherwise indicate that any
particular individual or group of individuals, entity or entities, have entitlements or benefits under
this Agreement separate and apart, inferior to, or superior to the community in general or for the
purposes contemplated in this Agreement.
22. AGREEMENT SUBJECT TO ANNUAL APPROPRIATION. Monroe County's
performance and obligation to pay under this contract, is contingent upon an annual
appropriation by the Board of County Commissioners of Monroe County.
23. ATTESTATIONS. PGCS agrees to execute such documents as COUNTY may reasonably
require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug-Free
Workplace Statement.
24. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
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25. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, PGCS is
an independent contractor and not an employee of COUNTY. No statement contained in this
Agreement shall be construed as to find PGCS or any of its employees, contractors, servants or
agents to be employees of COUNTY.
26. CONFLICT OF INTEREST. PGCS assures COUNTY that, to the best of its knowledge,
information and belief, the signing of this Agreement does not create conflict of interest that
during the time of this Agreement PGCS will not undertake representation of any parties to or
before COUNTY seeking to obtain contracts or other benefits from COUNTY.
27. OWNERSIDP OF DOCUMENTS. All documents which are prepared in the performance
of this Agreement are to be and shall remain, the property of COUNTY and shall be delivered to
the Workers' Compensation Manager at any time upon request and no later than thirty (30) days
after termination ofthis Agreement.
28. Dl<:FINITIONS OF "MEDICAL CASES ONLY" AND "LOST TIME CASES". The
following definitions shall apply:
"Medical Only Cases" shall mean injuries that require medical treatment for which
charges will be incurred, whether or not they are submitted to COUNTY, but which does not
result in the disability of the employee, as defined by Florida Statute 440.02(13), for more than
seven (7) days as a result of the injury.
"Lost Time Cases" shall mean injuries which result in the disability of the employee, as
defined by Florida Statute 440.02(13), for more than seven (7) days.
29. EXECUTION IN COUNTERPARTS. This Agreement may be executed in any number
of counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this Agreement
by signing any such counterpart.
_-:d~ITNESS WHEREOF the parties hereto have executed this Agreement on the day and
0,-"'~:t:..,~~ above.
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Altest;'~L OLHAGE, CLERK
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Deputy CI rk
BOARD OF COUNTY
COMMISSIONERS
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Mayor Mario DiGemiiro:P- ;;;:
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By:
Date:
SEP 2 0 2006
Date:
BY:
Author'
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Print Name
Date:
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MUNROE COUNTY ATTORNEY
PROVED AS T~
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General Insannce Requirements
for
Contract Between Preferred Governmental CIaiIIIs Solutions
ud
Monroe County, Florida
Attachment A
As a pre-requlsire ofdle work aowmed. or die JOOCIs supplied 1IIIder this _ (lDcludiDc die JIIMI8iIDI of
penolIIIlll &ad ~ ~ sIIaU obIaia, at tbeir own expeDIe, iIIIunIIlce.. specllled 1111111........... ................
which 1ft JJIIde pG'l of this _ PGCS wUl_!bat die iIIIunIIlce oblaIDed wUl__ ....-ck.o to III
SuIl, 1lIIlI_. "'PI"" by POCS. As an aIlIlmaIiw, POCS may ftICJlIlre III ~....... to obIIin Insunaoe
COIIIiIlnt wilh-!be ~ 1ICIIecIuIes.
POCS wUl .it be permIUed to ~.. work aoWmed by Ibis _ (iacludiD& JlIf"o"''lIina ofpenolllllll and
mar.iaI) 1IIIIiI1IIIisfiIl:tory evideoce oftbe required u.u- bas been fbmlsbed to !be COUDly U 'I"'Oifted below.
~ ill die <....__'" ofwork, IIllIIIIIIDc ftom die &lJure ofPGCS to provide olIIIIs6cIiO.,. evideIlce of!be
requInld ~ .....1 not __ ~I- specIIIed ill Ibis _ and 1111 r-..... and &lJure to periiJnn
111__ sIIaU be impoIed . Ifdle work QOIoI',I-oe<I OIl die specIftood dale &ad time, euept b POCS' &lJure to
proYlde IIIIIIlIo<IO/)I evldeDCll.
POCS 1IIIaII__ho die nqulNd .............Ibroucbout!be eaIlIe tmn of this _ and 1111-""" specitied
ill !be -~ ..... ..........r- PIII_ to comply with .... provIaIcm may result ill !be Im........_ ""","lion of III ......
uaIi1 die required .....~ ... been .........<1 or replaced. ~ ill die complatlaa of......1IllIIIIIIDc ftom die
fiIihn ofPOCS to _IN.tn die required....... sIIaU lIIIt__ "'-'"- speclfIeclll1.... _ &ad 1111
.....- &ad &iluretoperlilrm' .......sbaII be~ .lfdle workbadlllltbeen....,. ~""I. exceptb
POCS' fldhae to _1- die '''''1''''''' iDlIurance.
POCS sIIaU provide, to die CouaIy. U satisflIctory evideDce ofdle required h-........ eiIbor:
. c..1ift...oll. of.......~
or
. A Certltied copy ofdle actual insuIwa polley.
The Couoty. at lis sole opdon, has !be riBbl to I'eqIIlOIt a certified copy of any or III insunaJce poIlcles required by
Ibia_
AD insmaace policies _ specifY !bat they _ not subject to cancellatlon, 1IOIl..-woI. IIIIIIriaI cbaap. or
......-.,., in covenrp uaIeu a minimum of1hlrty (30) days prior IlOlifICoIicm is ciwn to !be Coumy by die iDstnr.
The occ:epIaoo. ""or IpJlI'OY&I ofdle ~s insmaace sIIaU not be ClIIIIIrIIed U reIleving PGCS ftom 1111
liability or obliptlolt assumed IIIIcIer Ibis _ or impoIed by law.
The Moaroe CouaIy BoardofCoualy ('.........iM~ its ""'l'1oyea and ofllclals wUl be iacluded u ""ddltlnaal
Insund" OIl all policies, except b Worbrs' COIIIP"n-'oo.
Any deYiatlons ftom 1bese o-aJ 1Dsunmc:e RequinmeIIlI mUll be requested in wriIiDI OIl die CouaIy prepared
limn entltlecl "Req_ for Waiver of 1Ju....ce Req......ea... IIId approved by Monroe COUDly RIsk
Mlnapmem.