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Certificates of InsuranceacoRo CERTIFA't ///��y ��rrr DATE (MM/DD/YY) rfii - ''.' 05/22/2008 PRODUCER Serial # A15607 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DIRECT 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 PSI SURETY, INC. INSURED _- Psychiatric Solutions, Inc. COMPANYB Employee Assistance Services, Inc. dba Horizon Health EAP Services COMPANY-- 2941 S. Lake Vista Drive C Lewisville, TX 75067 COMPANY -- D NORMOMMENZ .v THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY INDICATED, NOTWITHSTANDING PERIOD ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDGONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR LT TYPE OF INSURANCE POLICY NUMBER POUCYEFFECTNE POUCYEXPIRATION DATE REMMDfY'N DATE (MMMWM LIMITS GENERAL LIABILITY RRGLPL2008 12/31/07 12/31/08 GENERAL AGGREGATE $ 3.000,000 A X COMMERCIAL GENERAL LIABILITY GL/HOSPITAL PROF —. PACKAGE PRODUCTS-COMP,/O CLAIMS MADE � OCCUR COMMERCIALP AGO $ OWNER'S S CONTRACTORS PROT PERSONAL B ADV INJURY $ _ EACH OCCURRENCE $ 3,00 X LIAB 0,QQQ FIRE DAMAGE (My we Ere) $ X CLAIMS MADE CLAIM MAD AUTOMOBILE LIABILITY MEE) EXP (My me penm) $ ANYAUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS _. SCHEDULED AUTOS BODILY INJURYP. E HIRED AUTOS NON -OWNED AUTOS (OmDI L.YdI.UURY $ 1 PROPERTY DAMAGE $ GARAGE LIABILITY ' AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY; EACH ACCIDENT S EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM 7[ �� V EACH OCCURRENCE $ V O OTHER THAN UMBRELLA FORM AGGREGATE $ E COMPENSATION AND w- TH- EMPLOYERS'LAJBILY TgRYLIMITe ER THE PROPRIETM EL EACH ACCIDENT $ INCL PAR Eq&£%ECUTIE _ OFFELIVEEXCL EL DISEASE - POLICY LIMIT $ ICRS : OTHER EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONSA-mATICNSIVEHICLE&SPECIAL ITEMS CERTIFICATE HOLDER IS AN ADDITIONAL INSURED UNDER THE GENERAL LIABILITY POLICY AS REQUIRED BY WRITTEN CONTRACT BUT LIMITED TO THE OPERATIONS OF THE INSURED UNDER SAID CONTRACT AND ALWAYS SUBJECT TO THE POLICY TERMS, CONDITIONS, AND EXCLUSIONS. CANCELLATION PROVISION SHOWN BELOW IS SUBJECT TO SHORTER TIME PERIODS DEPENDING ON THE JURISDICTION OF, AND REASON FOR, THE CANCELLATION, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WALL ENDEAVOR TO MAIL AGUIAR ATT1100 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, IMONT NSTRE SUITE 2-258 KEY EST, FONSTREET, KEY WEST, FL 33690 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHON¢EDREPRESE'N1T�ATIVE ACbW �a W ACORDM CERTIFICALT PRODUCER Serial #` A15600 AON RISK 9ERVICES, INC. OF FLORIDA 1001 BRICKELL BAY DRIVE, SUITE #1100 MIAMI, FL 33131.4937 PHONE - (305) 372-9950 FAX - (305) 372-1455 Psychiatric Solutions, Inc. Health and Human Resource Center, Inc. dba Horizon Health EAP Behavioral Services 2941 S. Lake Vista Drive Lewisville, TX 75067 r_\ COMPANY A American Home Assurance Company COMPANY B Lexington Insurance Company COMPANY D Zurich American Insurance Company COMPANY D American Zurich Insurance Company DATE (MWDD/Y 05/22/2008 __._. _._ w y- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO7HE INSURED NAMED ABOVE FOR THE POLICY PERIL INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH RIC CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THI EXCLUSIONS AND CONDITIONS OF SUCH POLICITHE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, THE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE POLICY NUMBER I :IICY EFFECTIVE I I I EXPIRATION DATE (MM/DDIYYJ I DATE (MMIDD/YY) LIMITS CLAIMS MADE EOCCUR ER'S & CONTRACTORS PROT AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIREDAUTOS X NON -OWNED AUTOS X $500 COMP. DED X _ $500 COLL. DED _ GARAGE LIABILITY ANYAUTO EXCESS LIABILITY B UMBRELLA FORM OTHER THAN UMBRELLA FORM WDRKER'8 COMPENSATN]N AND (�` EMPLOYERS'LIABIIffY D iNE PROPgIETCF/ X PAgTNERSE%ECUTNE INGL OFFICER9PRE. EXGL OTHER CA 692-55-10 (AOS) BUSINESS AUTO COVERAGE d 6791626 EXCESS GL/UMBRELLA HOSPITAL PROF WC 3737128-00 (ID,MA,WI) WC 3737127-00 (AOS) wn��AlE E PRODUCTS-COMPNP AGG § PERSONAL &ADV INJURY S EACH OCCURRENCE § FIRE DAMAGE (Any one Are) IS MED EXP(My mepxeon) § 12/01/2007 04/01/09 COMBINED SINGLE LIMIT § 1,000,000 12/31 /2007 I 12/31 /2008 04/01/2008 1 04/01/2009 PMBLOEMI RY IE PROPERTY DAMAGE Is AUTOONLY-EAACCIDENT IS OTHLTHAN ONLY: CCIDENT E REGATE E EACH OCCURRENCE & EL EACH ACCIDENT § 1 EL DISEASE- POLICY LIMB E 1 ELUISEASE-EA EMPLOYFP I e 1 CERTIFICATE HOLDER IS AN ADDITIONAL INSURED UNDER THE AUTO LIABILITY POLICY AS REQUIRED BY WRITTEN CONTRACT BUT LIMITED TO THE OPERATIONS OF THE INSURED UNDER SAID CONTRACT AND ALWAYS SUBJECT TO THE POLICY TERM CONDITIONS, AND EXCLUSIONS. CANCELLATION PROVISION SHOWN BELOW IS SUBJECT TO SHORTER TIME PERIODS S, DEPENDING ON THE JURISDICTION OF, AND REASON FOR, THE CANCELLATION, Zs��IRn LD ANYOF E MOVE POLICIES w MONROE COUNTY BOARD OF COUNTY COMMISSIONERS EXPW AGUIARTOM DATEnTHEREOF, THE ISSUING COMPANY WNLNENDLED SWORE TO MAILS 110ATT0 IMONT NSTRE 3O DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT, 1100 SIMONTON STREET ,SUITE 2-258 KEY WEST, FL 33D40 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY - ^OF^ANY _KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AON RISK SERVICES, INC. OF FLORIDA ACORD �, CERTIFICATE OF LIABILITY INSURANCE DATE 06/02/M/DDIYYYY) os/o2/2oos PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION DIRECT ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 429813--SIR-08-09 Horizo Lewisv INSURERS AFFORDING COVERAGE NAIC # INSURED Psychiatric Solutions, Inc. INSURER A: PSI SURETY, INC. Employee Assistance Services, Inc. INSURER B: dba Horizon Health EAP Services 2941 S. Lake Vista Drive - - --- _- ---- - — - INSURER C: Lewisville, TX 75067 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. NSR LTR ADD INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY RRGLPL2009 12/31/08 12/31/09 EACH OCCURRENCE 3,000,000 DAMAGE TO RENTED PREMISES Ea occurence $ CLAIMS MADE FX I OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ X PRQFFSSIONAI I IARII ITY X CLAIMS MADE ON PL GENERAL AGGREGATE $ 3,000,00 GENERAL AGGREGATE LIMIT APPLIES PER F__]LOC POLICY PRO- JECT PRODUCTS - COMP/OP AG AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY r AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR F] CLAIMS MADE l� EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE -- _- -- -- RETENTION $ WORKER6 COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is an Additional Insured under the General Liability policy as required by written contract but limited to the operations of the Insured under said contract and always subject to the policy terms, conditions and exclusions. Cancellation provision shown below is subject to shorter time periods depending on the jurisdiction of, and reason for the cancellation. CERTIFICATE HOLDER ATL-001853184-01 CANCELLATION Monroe County Board of County Commissioners Attn: Teresa Aguiar 1100 Simonton St, Suite 2-258 Key West, FL 33040 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 THE INSURER, ITS AGENTS OR REPRESENTATIVES. T Of MerSh US� Inc.sENTATIVE Dulce M. Mooney ACORD 25 (2001 n ACORD CORPORATION 1989 M S :; .: '3 "F'T .. ...3 ..,<,r,:g,:�a•F�,<va'cd'"t.S$'N,a'n&,o-.'.Y3'3"x::ci:.;ev,k,.;<y<• , w.. �3 kCORD z s ATE m� .z.:S.<.v'f3J,`,..wA'W%a3,�^ <. ," .00"'acEw.;V`,,,a'3N y>>.:�'?rE`o.• o � •...>.." w°5a,v`Qm9<�k 3 a.3a.Y:xu F' b ^i.04/01/200 PRODUCER Serial # A15600 THIS CERTIFICATE IS ISSUED AS AMATTER OF INFORMATION AON RISK SERVICES, INC. OF FLORIDA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1001 BRICKELL BAY DRIVE, SUITE #1100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR MIAMI, FL 33131-4937 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PHONE - (305) 372-9950 FAX - 305 ' C6M- PAN'Y ( ) 372-1455 lA Zurich American Insurance Company INSURED COMPANY Psychiatric Solutions, Inc. B Zurich American Insurance Company Health and Human Resource Center, Inc. codr��Y qq dba Horizon Health EAP Behavioral Services mlifn Zurich Insurance Company 2941 S. Lake Vista Drive Lewisville, TX 75067 . a. �\rO\N 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 WITHRESPECTTO 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 TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE [�] OCCUR PRODUCTS - COMP/OP AGG $ OWNER'S 8 CONTRACTOR'S PROT PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY gqp g383131-00 A X ANY AUTO 04/01/2009 04/01/2010 COMBINED SINGLE LIMIT $ BUSINESS AUTO COVERAGE 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ X HIRED AUTOS (Per person) X NON -OWNED AUTOS BODILY INJURY $ X $500 COMP. DED X $500 COLL. DED PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND WC 3737128-01 (I D, MA, WI) 04J01 /2009 04/01 J2010 we Y LIM oTH- B EMPLOYERS' LIABILITY X we s LIMITS ER C THE PROPRIETOR/ �WC 3737127-01 (AOS) EL EACH ACCIDENT $ 1,000,000 �X� PARTNERS/EXECUTIVE INCL OFFICERS ARE: EL DISEASE - POLICY LIMIT $ 1,000,000 EXCL — OTHER na4 Ito IEL DISEASE - EA EMPLOYEE $ 1 ,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS AN ADDITIONAL INSURED UNDER THE AUTO LIABILITY POLICY AS REQUIRED BY WRITTEN CONTRACT BUT LIMITED TO THE OPERATIONS OF THE INSURED UNDER SAID CONTRACT AND ALWAYS SUBJECT TO THE POLICY TERMS, CONDITIONS, AND EXCLUSIONS. CANCELLATION PROVISION SHOWN BELOW IS SUBJECT TO SHORTER TIME PERIODS DEPENDING ON THE JURISDICTION OF, AND REASON FOR, THE CANCELLATION. ALL STATES COVERED UNDER THE WORKERS' COMPENSATION EXCEPT THOSE THAT ARE MONOPOLISTIC. , �k. ,`�'�;.u>..r s< Sri..:�,,,a,,,<..v.`,:xzA'm.,::`J`o.;.. ". ....3,:':�. ��::'hu�vL`:�x>3>.,,3Paa<•:">9L.3i`�< c ">o33.:n :?'<h._"<.,.#: y" �.�C;r,-ax r. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATT: TERESA AGUTAR 30 1100 SIMONTON STREET, SUITE 2-258 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KEY WEST, FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AON RISK SERVICES, INC. OF FLORIDA ...... ..:... , �.. <. ::a:,:.. -.> .». ,,c?S..F. YM `.. C. bw .„,.:..,..,.,o; . , s 't "o' ^". , . i � R ..< ""� ..6. �;`y. •3'E<� <.: .:s A,c..v.. 3 'C ", h�",+Cz� AEP® CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY) 04/03/201212012 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 CONTACT NAME: MARSH USA, INC. PHONE F(A/C, 20 CHURCH STREET No): E-MAIL HARTFORD, CT 06103 Attn: Hartford.certrequest@marsh.com Fax 212-948-0927 ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 01800 -AETN-GAUW-12-13 INSURED AETNA INC. AND ITS AFFILIATED COMPANIES, INSURER B : N/A N/A INSURER C : Commerce And Industry Ins Co 19410 INCLUDING HORIZON BEHAVIORAL SERVICES INSURER D : 151 FARMINGTON AVENUE HARTFORD, CT 06156 INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-005581202-17 REVISION NUMBER:5 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. INSR LTR TYpE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDD/YYYY LIMITS A GENERAL LIABILITY HDOG2056114-2 04/01/2012 04/01/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FqOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEMBff GENERAL AGGREGATE $ 2,000,000 BY GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 W X POLICY PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO j C / •� W COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS - fiurLi^i s�+ BODILY INJURY (Per accident) $ PR PPC I T n DAMAGE $ NON -OWNED HIRED AUTOS AUTOS $ C X UMBRELLA LIAB X OCCUR BE 725-11-83 04/01/2012 04/01/2013 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED I X RETENTION $ 10,000 $ WORKERS COMPENSATION WC STATU• OTH- AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ N / A E.L. DISEASE • EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Evidence of General Liability and Excess insurance coverage. for Horizon Behavioral Services, an Aetna Company. Certificate holder is an Additional Insured under the General Liability policy as required by written contract but limited to the operations of the Insured under said contract and always subject to the policy terms, conditions and exclusions. MONROE COUNTY BOARD OF COUNTY COMMISSION ATTN: TERESA AGUTAR 1100 SIMONTON ST. SUITE 2-258 KEY WEST, FL 33040 - L:ANGtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Donald R. Eckberg " R_ z,t,,f 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD Evidence of Aetna's General Liability, Automobile Liability, and Workers' Aetna Inc. and its Affiliated Companies Compensation/Employer's Liability insurance coverages. Including Horizon Behavioral Services, LLC 151 Farmington Avenue Hartford, CT 06156 THIS IS TO CERTIFY THAT 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. POLICY POLICY ; L1R 7 YP tIM.INSURANCE€'. PpL C1� IEFP iC� EXPIitAF)(O�I k IA �I€ —Loam-" NUMBER CATS MM E3f D. mikt COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $2,000,000 x COMPREHENSIVE PRODUCTS-COMP/OP AGG. $2,000,000 x PREMISES -OPERATIONS PERSONAL & ADV. INJURY $1,000,000 A x PRODUCTS/COMPLETED OPERATIONS HDO G2056186-5 04101113 04/01/14 EACH OCCURRENCE $1,000,000 X CONTRACTUAL FIRE DAMAGE (Any one fire) $500,000 OTHER MED.EXP.(Any one person) $10,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT WAI �� I (PER ACCIDENT) DA c ) 1'� PER PERSON U� l MED PAY EXCESS LIABILITY (UMBRELLA) �' �V'^ EACH OCCURRENCE ;5,000,000 B BE 067340166 04/01/13 04/01/14 x AGGREGATE $5,000,000 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EL EACH ACCIDENT EL DISEASE -POLICY LMIT EL DISEASE -EACH EMPLOYEE OTHER Describe Certificate Holder is included as an Additional Insured under the Commercial General Liability policy required by written contract but limited to the operations of the Insured under said contract and always subject to the policy terms, conditions and exclusions. Cancellation provision shown below is subject to shorter time periods depending on the jurisdiction of and reason for the cancellation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Authorized Representative of Marsh USA Inc. ^ _^ Monroe County Board of Commissioners Attn: Teresa Aguiar 1100 Simonton St., Suite 2-258 Key West, FL 33040 ` Donald R.Eckberg ,C ACo O® CERTIFICATE OF LIABILITY INSURANCE MIDD/YYYY) 01/06/2014 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 endorsemen s). PRODUCER 'Marsh USA, Inc. 1717 Arch Street Philadelphia, PA 19103 CONTACT NAME: PHONE FAX A/C No): 1A ES : INSURERS AFFORDING COVERAGE NAIC # INSURER A: Endurance American Specialty Insurance Company 41718 429813-Horiz-%15 Horizo Lewisv INSURED Horizon Mental Health Management, LLC c/o UHS of Delaware, Inc. INSURER a : ACE American Insurance Company 22667 INSURER C Great American E&S Insurance Company 37532 Attn: Margaret Hill 367 S. Gulph Road King of Prussia, PA 19406 INSURER D : INSURER E : INSURER F ce1. r! C MWK41AU_ 'l rYi rMMr K' -_----.- 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. INSR LTRwvn TYPE OF INSURANCE ADDL UB POLICY NUMBER MM DDPOLICYIYYYY MMlLD Y/YYYY EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ (Ea ac dentSINGLE LIMIT $ 2 B POLICY JECPRO LOC AUTOMOBILE LIABILITY4 ISA H0881588 01/01/2014 01/01/2015 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ A B B X UMBRELLA LIAR EXCESS LIAB I X OCCUR CLAIMS MADE NIA A HLCI0004462000 WLR C47875778 (AIO/S) SCF C4787581A ) 01/01/2014 01/01/2014 01101/2014 01/01/2015 01101/2015 01/01/2015 EACH OCCURRENCE $ 2,000,000 X AGGREGATE $ 2,000,000 DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I (Mandatory In NH) If yes describe under DESCRIPT N OF OPERATIONS below SIR 10%Of Limit WIC STATU- OTH- $ E.L. EACH ACCIDENT 2,000,000 $ E L. DISEASE - EA EMPLOYE 2 QQQ QQQ $ E.L. . ISEASE -POLICY LIMIT $ 2,000,000 C PRIMARY EMPLOYERS INDEMNITY ECA 4606852 (TX) 07/30/2013 07/3012014 PER EMPLOYER $5,000,000 SIR $150,000 PER OCCURRENCE $25,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER IS AN ADDITIONAL INSURED UNDER THE AUTO LIABILITY POLICY AS REQUIRED BY WRITT N CON CT BUT #IMITED TO THE OPERATIONS OF THE INSURED UNDER SAID CONTRACT AND ALWAYS SUBJECT TO THE POLICY TERMS, CONDITIONS, AND EXCLUSIONS. A ENT DA orb�: »cl" WAI / _ u . - ie. GtK I irtGA it nuLuCK --- — Monroe County Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Teresa Aguiar ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St, Suite 2-258 AUTHORIZED REPRESENTATIVE Key West, FL 33040 of Marsh USA Inc. Manashi Mukherjee T.A�I A11 �. •.La.. w.� l�7ltl08�LV IV Na+VRV VVRrvr��rlV��. r... ..y..w .va`. ..+..• ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD