Certificates of Insurance
1996 Edition
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance
Requirements, be waived or modified on the following contract:
Contractor:
Planned Parenthood of Greater Miami and
the Florida Kevs, Inc.
Contract for:
~r1mp
Address of Contractor:
3333 Overseas Highway, Marathon and
148 Geor<1:ia Avenue.
'T'avprnipr
Phone:
(305) 289-9499
Scope of Work:
familv olannincr clinic and education
Reason for Waiver:
There are no company-owned vehicles.
Policies Waiver Vehicle Liability Insurance
will apply to:
Signature of contract:;\ ~ q~ president/ CEO
v. Joan Samp~rl
Approved v Not Approved
Risk Man;gement: O"'.~~~~r~ ~
Date: ~~ ! ~ &~ ~""-(T<-;L,. }->--.
County Administrator appeal: '- q \ \ L\- \ 0 c)
Approved
Not Approved
Date:
Board of County Commissioners appeal:
Approved
Not Approved
Meeting Date:
Administrative Instruction
#4709.3
WArV_REO.DOC
CERTIFICATE OF INSURANCE
The company indicated below certifies that the insurance afforded by the policy or policies numbered and
described below is in force as of the effective date of this certificate. This Certificate of Insurance
does not amend. extend. or otherwise alter the Terms and Conditions of Insurance coverage contained in any
policy numbered and described below.
CERTIFICATE HOLDER:
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
35B3 S ROOSEVELT BLVD
KEY WEST. FL 33040
INSURED:
PLANNED PARENTHOOD
OF GREATER MIAMI INC
1699 SW 27 AVE
2ND FLOOR
MIAMI. FL 33145-2046
---..----.
I POLI CY NUMBER I POLI CY I POLI CY LIMITS OF LIABILITY
TYPE OF INSURANCE I & ISSUING CO. IEFF. DATE IEXP. DATE (*LIMITS AT INCEPTION)
LIAB I LITY I 77-BO-584404-0001 I 01-0B-00 I 01-0B-01
[X] Liability and I NATIONWIDE I I Any One Occurrence........ $ 300.000
Medical Expense I MUTUAL FIRE I I
Personal and I INSURANCE CO. I I Included in Above - Any One Person or
Advertising Injuryl I I Organization
[X] Medical Expenses I I I ANY ONE PERSON........... $ 5.000
[X] Fire Legal I I I Any One Fire or Explosion $ 50.000
L iabi 1 ity I I I
I I I General Aggregate* ....... $ 600.000
I I I ProdlComp Ops Aggregate* . $ 300.000
[ ] Other Liability I I I
I
I
I
I
I
I
I
I
I ] Umbrella Form
I
I
I
I
I
I [X]
I
I
Should any of the above described policies be cancelled before the
expiration date. the insurance company will mail 30 days
written notice to the above named certificate holder.
[ ] Owned
[X] Hired
[X] Non-Owned
77-BA-584404-0001
NA TI ONW IDE
MUTUAL FIRE
INSURANCE CO.
01-0B-00
01-0B-01
AUTOMOBILE LIABILITY
[X] BUSINESS AUTO
Bodily Injury
(Each Person) .......... $
(Each Accident) ........ $
Property Damage
(Each Accident) ........ $
Combined Single Limit.... $
300.000
EXCESS LIABILITY
Each Occurrence .......... $
Prod/Comp Ops/Disease
Aggregate* ............. $
[X] Workers'
Compensation
and
Employers'
Liability
77-WC-584404-0003
Nationwide
Mutual
Insurance Co.
06-14-00
06-14-01
STATUTORY LIMITS
BODILY INJURY/ACCIDENT... $
Bodily Injury by Disease
EACH EMPLOYEE .......... $
Bodily Injury by Disease
POLICY LIMIT ........... $
I
I
I
100.000 I
I
100.000 I
I
500.000 I
I
DESCRIPTION OF OPERATIONS/LOCATIONS
VEHICLES/RESTRICTIONS/SPECIAL ITEMS
3333 OVERSEAS HWY MARATHON. FL
148 GEORGIA AVENUE TAVERNIER.
Effective Date of Certificate:
Date Certificate Issued:
06-14-2000
07-26-2000
Authorized Representative:
Countersigned at:
TERRY SGAMMATO
2290 NW Boca Raton Blvd#6
Life/Health/Home/Car/Bsn.
Aon Risk Services, Inc. of New York
2 World Trade Center
New York, NY 10048-1096
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 INVESTORS INSURANCE COMPANY
A
INSURED
COMPANY
B
PLANNED PARENTHOOD OF GREATER MIAMI, INC
AN AFFILIATE OF PLANNED PARENTHOOD FEDERATION
OF AMERICA, INC.
1699 SW 27TH AVENUE
MIAMI, FL 33145
COMPANY
C
COMPANY
D
THIS IS TO CE HE POLlCI N BEL W BEEN ISSUED HE INSU ED NAM OLlCY 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 B Y 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.
co I
LTR I
I
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
I DATE (MMlDDIYY) DATE (MMlDDIYY)
LIMITS
ffi ~.'U~ IGLP 2000033
X COMMERCIAL GENERAL LIABILITY SELF-INSURED
I CLAIMS MADE iXl OCCUR RETENTION $25,000
'---' I
ROW"R'''~R'SeROT !
AUTOMOBILE LIABILITY I
ANY AUTO
ALL OWNED AUTOS
I SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
12/31/1997
12/31/2000 GENERAL AGGREGATE S
PRODUCTS - COMP/OP AGG S
PERSONAL & ADV INJURY S
EACH OCCURRENCE S
FIRE DAMAGE (Anyone fire) S
MED EXP (Anyone person) S
1,000,000
1,000,000
1,000,000
1,000,000
50,000
''''TQ:
1l~,? ./--
COMBINED SINGLE LIMIT S
BODILY INJURY S
(Per person)
BODILY INJURY S
(Per accident)
PROPERTY DAMAGE S
AUTO ONLY. EA ACCIDENT S
OTHER THAN AUTO ONLY:
EACH ACCIDENT S
AGGREGATE S
EACH OCCURRENCE S
AGGREGATE S
S
EL EACH ACCIDENT S
EL DISEASE. POLICY LIMIT S
EL DISEASE - EA EMPLOYEE S
GARAGE LIABILITY
~ ANY AUTO
H
i I
I EXCESS LIABILITY
h UMBRELLA FORM
H OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR!
PARTNER~XECUTNE
OFFICERS ARE.
OTHER
[=lINCL
I I EXCL
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH REGARD TO THE LEASING
SPACE AT TWO SITES: (1) RUTH IVINS CENTER, 3333 OVERSEAS HIGHWAY, ROOM 140, MARATHON, FL 33050 AND (2) DEPARTMENT OF HEALTH
CLINIC, 148 GEORGIA AVENUE, TAVERNIER, FL 33070.
THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
CIO FACILITIES MAINTENANCE
3583 S. ROOSEVELT BLVD.
KEY WEST, FL 33040
SHOULD AllY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRJrrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF AllY KIND UPON THE COMPAIlY, ITS AGENTS OR REPRESENTATIVES.
ACORD
Tht
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Serial # 502670
DATE (MM/DDIYY)
12/26/2000
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
REVISED
Aon Risk Services, Inc. of New York
2 World Trade Center
New York, NY 10048-1096
COMPANY INVESTORS INSURANCE COMPANY
A
INSURED
PLAN~~cD PARENTHOOD OF GREATER MI.Il..M!, INC
AN AFFILIATE OF PLANNED PARENTHOOD FEDERATION
OF AMERICA, INC.
1699 SW 27TH AVENUE
MIAMI, FL 33145
COMPANY
B
COMPANY
C
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANOING 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.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
; POLICY EFFECTIVE POLICY EXPIRATION I
, DATE (MM/DDIYY) DATE (MM/DDIYY) ,
LIMITS
A GENERAL LIABILITY GLP 2000033
X COMMERCIAL GENERAL LIABILITY SELF-INSURED
CLAIMS MADE X OCCUR RETENTION $25,000
OWNER'S & CONTRACTOR'S PROT
12/31/1997
12/31/2001
GENERAL AGGREGATE
1,000,000
i ,UOCJ,OOO
1,000,000
1,000,000
50,000
AUTOMOBILE LIABILITY
1 ANY AUTO
, ALL OWNED AUTOS
SCHEDULED AUTOS
--! HIRED AUTOS
, NON-OWNED AUTOS
$
PRODUCTS - COMP/OP AGG $
1---- ____u __u
i P~~SONAL_& ADV_INJURY $
EACH OCCURRENCE $
$
$
,FIRFo DAMAGE (Anyone fire)
MED EXP (Anyone person)
COMBINED SINGLE LIMIT
$
GARAGE LIABILITY
ANY AUTO
c-
,
('yJ _ _ Or. i wBODIL Y INJURY
~r n 'h'fJ:2 U1lA : lJLV1LV:::::~:~~RY
,~~OIJ'~ :~JJ~I,",~""')
-, _ __ - __ _.0'- .v__ ---/- C[ . , PROPERTY DAMAGE
_/':',,' f),. fYVi--r<o . AUTO ONLY - EA ACCIDENT $
r' <J;V\IV\ ~~ OTHER THAN AUTO ONLY
EACH ACCIDENT $
$
$
$
')
,-.;,
EXCESS LIABILITY
UMBRELLA FORM
I OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
EMPLOYERS' LIABILITY
AGGREGATE $
EACH OCCURRENCE
AGGREGATE
$
$
$
, we STATU-
i TORY LIMITS
OTH-
ER
THE PROPRIETOR!
PARTNEf<!iiEXECU11VE
OFFICERS ARE.
INCL
EXCL
EL EACH ACCIDENT $
'EL DISEASE - POLICY LIMIT $
EL DISEASE, EA EMPLOYEE $
OTHER
DESCRIPTION OF OPERA TlONS/LOCA TlONSNEHICLESlSPECIAL ITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH REGARD TO THE LEASING SPACE
AT TWO SITES: (1) RUTH IVINS CENTER, 3333 OVERSEAS HIGHWAY, ROOM 140, MARATHON, FL 33050 AND (2) DEPARTMENT OF HEALTH CLINIC,
148 GEORGIA AVENUE, TAVERNIER, FL 33070.
CERTIFICATE HOLDER
THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
CIO FACILITIES MAINTENANCE
3583 S. ROOSEVELT BLVD.
KEY WEST, FL 33040
CANCELLATION ,'y-oo. l'~}l7'.r)
I SHOUI.,n ANY OF THE ABOVE DESr~I~9~f:~. CANCELLED B FORE THE
,
EXPIRATION DATE THEREOF, THE r"S SUlttlj. R' ~~, W~'fl f!ffJEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO 1)tE CEW~&T D~~~~MED TO E LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPO ~ OR lABILITY
OF ANY KIND UPON THE COM ~~ r;rS A,. TATIVES.
~HOR,IZ~D~S~NTA~
v~ ~ - 10243780
@ACORDCORPORATION 1988
ACORD 25-S (1/95)
P.INEW VERSIONlr.FRTIFIr.ATFSIPIANNF'D PARENTHOOD 97-00 ?5S FP3
PRODUCER
Marsh USA, Inc.
1166 Avenue of the Americas
New York, NY 10036
Attn: Paul Gazso
212 345-6525
CERTIFICATE NUMBER
NYC-001286329-00
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
A MARKEL INSURANCE COMPANY
INSURED
Planned Parenthood of Greater Miami
and The Florida Keys, Inc.
Affiliate of Planned Parenthood Federation of America, Inc.
1699 SW 27th Avenue, 2nd Floor
Miami, FL 33145
COMPANY
B NATIONAL UNION FIRE INSURANCE CO.
COMPANY
C NIA
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION L1M ITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY 01GLP2000033 12/31/01 12/31102 GENERAL AGGREGATE $ 2,000,000
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 1,000,000
CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
$ 50,000
$ EXCLUDED
AUTOMOBILE LIABILITY $
APPROVE COMBINED SINGLE LIMIT
ANY AUTO '..,
ALL OWNED AUTOS BY BODILY INJURY $
SCHEDULED AUTOS (Per person)
DATE
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS WAIVER (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AG~REGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! INCl
PARTNER~ECUTNE
OFFICERS ARE: EXCl
B Medical Professional Liability 2648255 12/31/01 12131/02 Per Occurrence 1,000,000
Includes Medical Expense Aggregate 3,000,000
DESCRIPTION OF OPERATIONS/lOCATIONSNEHICLES/SPEClAllTEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBlES OR RETENTIONS)
THE MONROE COUNTY BOARD OF COUNTY COMMISIONERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH REGARD TO THE LEASING SPACE
AT TWO SITES: (1) RUTH IVINS CENTER, 3333 OVERSEAS HIGHWAY, ROOM 140 MARATHON, FL. 33050 AND (2) DEPARTMENT OF HEALTH CLINIC
148 GEORGIA AVE, TAVERNIER, FL. 33070
PLANNED PARENTHOOD OF GREATER MIAMI
& THE FLORIDA KEYS, INC.
1699 SW. 27TH AVE 2ND FLOOR
MIAMI, FL 33145
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL -3.lL DAYS WRITTEN NOTICE TO
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION R
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
MARSH USA INC.
BY: Joseph DeChiaro
c;,l1 y Aoc4eR.~
PRODUCER
Marsh USA, Inc.
1166 Avenue of the Americas
New York, NY 10036
Attn: Paul Gazso
NYC-001286329-03
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
212345-6525
COMPANIES AFFORDING COVERAGE
COMPANY
A ACE AMERICAN INSURANCE COMPANY
INSURED
Planned Parenthood of Greater Miami
and The Florida Keys, Inc.
Affiliate of Planned Parenthood Federation of America, Inc.
1699 SW 27th Avenue, 2nd Floor
Miami, FL 33145
COMPANY
B NATIONAL UNION FIRE INSURANCE CO.
COMPANY
C NIA
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
ANY AUTO
APP 0
BY
DATE
WAIVER
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM/DDIYY) DATE (MM/DDIYY)
12131/02 12/31/03 GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMP/OP AGG $ 1,000,000
PERSONAL & ADV INJURY $ 1,000,000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 50,000
$
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
NT PROPERTY DAMAGE $
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
ER
$
$
TYPE OF INSURANCE
POLICY NUMBER
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S PROT
XSLG18381540
A
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
THE PROPRIETOR!
PARTNERSIEXECUTIVE
OFFICERS ARE:
INCL
EXCL
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
B MEDICAL PROFESSIONAL
CLAIMS-MADE COVERAGE
RETRO DATE: 11/01/76
DESCRIPTION OF OPERATIONS/LOCATlONSNEHICLES/SPECIAL ITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISIONERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH REGARD TO THE LEASING SPACE
AT TWO SITES: (1) RUTH IVINS CENTER, 3333 OVERSEAS HIGHWAY, ROOM 140 MARATHON, FL. 33050 AND (2) DEPARTMENT OF HEALTH CLINIC
148 GEORGIA AVE, TAVERNIER, FL. 33070
6791711
12/31/02
12/31/03
PER CLAIM
AGGREGATE
1,000,000
3,000,000
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
ATTN: MARIA SLAVIK
1100 SIMONTON STREET
KEY WEST, FL 33040
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL --3.IL DAYS WRITTEN NOTICE TO T
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR E
ISSUER OF THIS CERTIFICATE.
~n~"C~
PRODUCER
Marsh USA, Inc.
1166 Avenue of the Americas
New York, NY 10036
Attn: Paul Gazso
NYC-001286329-04
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
212345-6525
COMPANIES AFFORDING COVERAGE
COMPANY
A ACE AMERICAN INSURANCE COMPANY
INSURED
COMPANY
B NATIONAL UNION FIRE INS. CO.
Planned Parenthood of Greater Miami
and The Florida Keys, Inc.
Affiliate of Planned Parenthood Federation of America, Inc.
1699 SW 27th Avenue, 2nd Floor
Miami, FL 33145
COMPANY
C NIA
COMPANY
D NIA
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO IMlICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOVlIN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
B MEDICAL PROFESSIONAL
CLAIMS-MADE COVERAGE
RETRO DATE: 11/01/76
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISIONERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH REGARD TO THE LEASING SPACE
AT TWO SITES: (1) RUTH IVINS CENTER, 3333 OVERSEAS HIGHWAY, ROOM 140 MARATHON, FL. 33050 AND (2) DEPARTMENT OF HEALTH CLINIC
148 GEORGIA AVE, TAVERNIER, FL. 33070
CO
LTR
A GENERAL LIABILITY XSLG1838243A
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDNY) DATE (MM/DDNY)
LIMITS
TYPE OF INSURANCE
POLICY NUMBER
12/31/03
12/31/04
GENERAL AGGREGATE $
PRODUCTS-COM~OPAGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
$
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [K] OCCUR
OVIINER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OVIINED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OVIINED AUTOS
GARAGE LIABILITY
ANY AUTO
BY
DATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
INCL
EXCL
EL DISEASE-POLICY LIMIT
EL DISEASE-EACH EMPLOYEE $
2648262
12/31/03
12/31/04
PER CLAIM
AGGREGATE
2,000,000
1,000,000
1,000,000
1,000,000
50,000
1,000,000
3,000,000
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
ATTN: MARIA SLAVIK
1100 SIMONTON STREET
KEY WEST, FL 33040
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE V\IILL ENDEAVOR TO MAIL --3Q DAYS VIoRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR
L1ABIUTY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Joseph DeChiaro
c.Ji ~ ~tQ._
PRODUCER
Marsh USA Inc.
1166 Avenue of the Americas
24th Floor
New York, NY 10036-2174
Attn: NEWYORK.CERTS@MARSH.COM 212-948-0500
CERTIFICATE NUMBER
NYC-001286329-05
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
INSURED
Planned Parenthood of Greater Miami
and The Florida Keys, An Affiliate of Planned Parenthood Federation of
America, Inc.
1699 SW 27th Avenue, 2nd Floor
Miami, FL 33145
COMPANY
A ACE AMERICAN INSURANCE COMPANY
COMPANY
B NATIONAL UNION FIRE INS. CO.
COMPANY
C N/A
COMPANY
D N/A
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
AUTOMOBILE LIABILITY
ANY AlITO
ALL OWNED AlITOS
SCHEDULED AlITOS
HIRED AlITOS
NON-OWNED AlITOS
POLICY EFFECTIVE POLICY EXPIRATION UMITS
DATE (MMIDDIYV) DATE (MMlDDIYV)
12/31 /04 12/31105 GENERALAGGREGRATE $ 2,000,000
PRODUCTS-COMP/OP AGG $ 1,000,000
PERSONAL & ADV INJ URY $ 1,000,000
EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 100,000
MED EXP (Anyone person) $
COMBINED SINGLE LIMIT $
BODIL Y INJURY $
(Per person)
BODIL Y INJURY $
(per acciden~
PROPERTY DAMAGE $
AlITO ONL Y- EA ACCIDENT $
OTHER THAN AlITO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EL DISEASE-POLICY LIMIT
EL DISEASE-EACH EMPLOYEE
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 0 OCCUR
OWNER'S & CONTRACTOR'S PROT
X SIR: $100,000
XSLG21975138
GARAGE LIABIUTY
ANY AlITO
EXCESS UABIUTY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' L1ABIUTY
THE PROPRIETOR!
PARTNERs/EXEClITIVE
OFFICERS ARE:
OTHER
MEDICAL PROFESSIONAL
CLAIMS-MADE COVERAGE
RETRO DATE: 11/01/76
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlSPECIAL ITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISIONERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH REGARD TO THE LEASING SPACE AT TWO SITES: (1)
RUTH IVINS CENTER, 3333 OVERSEAS HIGHWAY, ROOM 140 MARATHON, FL 33050 AND (2) DEPARTMENT OF HEALTH CLINIC 148 GEORGIA A VE, TAVERNIER, FL.
33070
INCL
EXCL
B
6793286
12/31/04
12/31/05
PER CLAIM
AGGREGATE
1,000,000
3,000,000
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
ATTN: MARIA SLAVIK
1100 SIMONTON STREET
KEY WEST, FL 33040
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BlIT FAILURE TO MAIL SUCH
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
. ..--.--..----....-...,..-----.-...-.-----.,...-'-'-',','-",'
...."....'....:;:.rt......."'II.....'S......"I-J....':;:...'..:."'....
:-:..-.-......................----- ................ ....... ... .... ........- -.-..'.....
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iER~IFI~",.I!...I~...ltJlgR.i~..............,...
CERTIFICATE NUMBER
NYC-001286329-08
PRODUCER
Marsh USA Inc.
1166 Avenue of the Americas
New York, NY 10036-2774
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POUCY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POUCIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
A ACE AMERICAN INSURANCE COMPANY
Planned Parenthood of Greater Miami
and The Florida Keys, An Affiliate of Planned Parenthood
Federation of America, Inc.
1699 SW 27th Avenue, 2nd Floor
Miami, FL 33145
COMPANY
B NATIONAL UNION FIRE INS. CO.
INSURED
COMPANY
C NIA
COMPANY
D NIA
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION UMITS
LTR DATE (MMIODIYY) DATE (MM/DDIYY)
A GENERAL UABlUTY XSLG22903809 12/31/05 12/31/06 GENERAL AGGREGATE $ 2,000,000
COMMERCIAL GENERAL LIABILITY PRODUCTS-COM~OPAGG $ 1,000,000
CLAIMS MADE ~ OCCUR PERSONAL & I>DV INJURY $ 1 ,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1 ,000,000
$ 100,000
$
AUTOMOBILE L1AB1UTY $
COMBINED SINGLE LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE UABlLITY AUTO ONLY - EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY ., EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' UASILlTY
THE PROPRIETOR! INCL EL DISEASE-POLlCY LIMIT
PARTNERs/EXECUTIVE
OFFICERS ARE: EXCL EL DISEASE-EACH EMPLOYEE $
B MEDICAL PROFESSIONAL 6793286 12/31/05 12/31/06 PER CLAIM 1 ,000,000
CLAIMS-MADE COVERAGE AGGREGATE 3,000,000
RETRO DATE: 11/01/76
DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLESlSPECIAL ITEMS
THE MONROE COUNTY BOARD OF COUNTY COMMISIONERS ARE INCLUDED AS ADDITIONAL INSUREDS WITH REGARD TO THE LEASING SPACE
AT TWO SITES: (1J RUTH IVINS CENTER, 3333 OVERSEAS HIGHWAY, ROOM 140 MARATHON, FL. 33050 AND (2) DEPARTMENT OF HEALTH CLINIC
148 GEORGIA AV ,TAVERNIER, FL. 33070
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
ATTN: MARIA SLAVIK
1100 SIMONTON STREET
KEY WEST, FL 33040
SHOULD ANY OF THE POUCIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WLL ENDEAVOR TO MAIL -3D DAYS WRmEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR
UABILfTY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Chris Kakel
e-L--.;.
I~~