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Certificates of Insurance
ACORD. CERTIFICATE OF LIABILITY INSURANCE P1DC TIF 06-04 2009 PROMXER MARSH ADVANTAGE AMERICA/PHS 543148 P: (8 7 7) 616 - 7 4*74 F: (8 7 7) 9 0 5- 0 4 5 7 PO BOX 33015 SAN ANTONIO TX 78265 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES , EXTEND OR ALTER THE COVERAGE AFFORDED BYO THE POLLIICIES BELOW. INSURERS AFFORDING COVERAGE MI"IED DIMENSION HEALTH INC. 5881 NW 151ST ST STE 201 HIALEAH FL 33014 INSURER A: Hartford Casualty Ins Co INSURER 0: INSURER C: INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB VE POR THE P LICY 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. NVSR TYPIE OFINst1RAIUCE POLICY NUMBER POLICY EFFECTIVE POLICY EXAV1A7ION cAN/TS GENERAL LIABILITY EACH OCCURRENCE s2,000,000 A COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR 54 SBA TQ3151 01 / 11 / 0 9 - 01 / 11 / 10 FIRE DAMAGE (Any, one tirel s300,000 MEO EXP (Any one person) $1 O 0 0 0 PERSONAL & ADV INJURY s2,0001000 X General Li ab GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO 04,000,000 POLICY jECT PR'_X LOC A AUrOMOB✓EE LMBWY ANY AUTO 54 SBA TQ3151 01 / 11 / 0 9 01 / 11 / 10 COMBINED SINGLE LIMIT (Ea accident) s2 , 0 0 0 , 0 0 0 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE IPer accident) $ GARAGE LIABRITY AUTO ONLY - EA ACCIDENT $ THAN EA ACC s ANY AUTO I ,, $ aOTHER • AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE s s DEDUCTIBLE $ RETENTION s INOAMfERS COMPEN941107N AAID WC STATULIMITj 1 OTH TORY ER EMPLOYERS' LIVIOWY E.L. EACH ACCIDENT s E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT s OTHER DESCRPY70NOFOPERATIDNS/IOCAT/ONS,/I/ WLES/EXCLtISIONSADWOBYENDORSEMEMISPEC/AL PROVISIONS Those usual to the Insured's Operations. i.tm 1 Ims-A 1 E MULUr-M I A I AMM MAL MWAM A11 MENLET7ER.' Monroe County Florida 1100 SIMONTON ST STE 2-268 KEY WEST, FL 33040 ACORD 25-S (7197) CANCELLATION 3ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 'IRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO LIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 'RESENTATI VES. Gz. 0 ACORD CORPORATION 1988 1-0- oR1 CERTIFICATE OF LIABILITY INSURANCE OP ID WGPIMUCER DINEHEI 05 29 09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Tanenbaum Harbor of Florida HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2900 SW 149th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miramar FL 33027-6605 Phone: 954-883-2900 Fax: 954-517-7400 INSURERS AFFORDING COVERAGE NAIC INSUMD INSURER A Brid"field emplayosa Ina. Co. Dimension Heath, Inc. INSURER 8: 5$8?�15poStr INSURER C: �i201 Miami Lakes FL h 4 INSURER D: I 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. LTR 7RU TYPE OF INSURANCE POLICY NUMBER DATE MMID DA E MWDD LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR EACH OCCURRENCE $ DAMAGE 10 RENTED - PREMISES Ea ooeurenoe $ MED EXP (Any one person) $ PERSONAL & ADV INJURY = GENERAL AGGREGATE s GEML AGGREGATE LIMIT APPLIES PER: P PRO- PRO LOC JECT PRODUCTS - COMPIOP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accldeM) $ BODILY INJURY (Per won) s BODILY INJURY (Per ) S PROPERTY DAMAGE (Per accifttat) $ OARAOE LIABILITY ANY AUTO 1 _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG S S EXCESS I UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE i AGGREGATE i s : $ A AND EMPLOYERS LIABILITY Y 1 N ANY PROPRIETORIPARTNERIEXECUTIV --" OFFICER/MEMBER EXCLUDED? L._ f IMandaWry In NH) MSPECIPROVISIONS NS below 83040640 12/13/08 12/13/09 TORY LIMITS ER E.L. EACH ACCIDENT $100000 E.L. DISEASE - EA EMPLOYE $ 100000 E.L. DISEASE - POLICY LIMITI S 5500000 OTHER DESCWiPTION OF OPERATIONS I LOCATIONS 1 VEHICLE$I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS GIMIIFICATE MOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION M )MRCOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL Monroe County Board of County IMPOSE NO OBLIGATION OR LIAMUTY OF ANY WND UPON THE INSURER, ITS AGENTS OR Comaissi.oners REPRESENTATIVES. 88800 Overseas Highway AUT ° REP ATIVE Key West FL 33040 ` ACORD 28 (2009101) The ACORD nas n and logo are m9h4el'ed marks of ACORD McA PH E E &ASSOCIATES, INC. March 24, 2009 Confirmation of Insurance 2441 Honolulu Ave, Suite 180 Montrose, CA 91020 PH: (818) 541-7900 FAX: (818) 541-7903 www.mcpheeassociates.com THIS IS TO CERTIFY that the Insurer scheduled below has confirmed to McPhee & Associates, Inc. (McPhee) that the insurance described herein has been effected subject to the terms, conditions and effective date(s) summarized below. While McPhee endeavors to negotiate coverage pursuant to any specification requested by the Insured or their representative, such specifications are frequently unavailable from Insurer(s). It is agreed that the Insurer scheduled below has been selected solely by the Insured. Named Insured: Dimension Health, Inc. Address: 5891 NW 151st Street, Suite 201 Miami Lakes, FL 33014 Insurer: Camden Fire Insurance Association AM Best Rating A, FSC XV Coverage: Managed Care Errors & Omissions Liability Policy Form: PF00252 06 06 Policy Number: MCP-3314-09 Policy Term: May 16, 2009 to May 16, 2010 Retroactive Date: March 5, 1988 Limits of Liability: Managed Care Errors & Omissions $1,000,000 Per Claim $1,000,000 Aggregate Inclusive of Defense Expenses Personal Information Protection Event Exuense Reimbursement $25,000 Aggregate In addition to and not part of the overall E&O Limit of Liability Anti -Trust $1.000,000 Per Claim $1,000,000 Aggregate Inclusive of Defense Expenses (Part of, and not in addition to, the overall E&O Limit of Liability) Page Two Dimension Health, Inc. E&O Confirmation of Insurance March 24, 2009 Limits of Liability (Continued): Benefits Payable Defense Claim & Injunctive Relief Defense Claim $100,000 Aggregate Applies to defense Expenses (Part of, and not in addition to, the overall E&O Limit of Liability) Retentions: $30,000 Each Claim -- (Anti -Trust Activity) $30,000 Each Claim (Non- Anti -Trust Activity) $ 0 Personal Information Protection Event Expense Terms & Conditions: 1) The following endorsements are added to the policy: -NEWMCO-P-0001 Schedule A -Additional Insured Entities (None) -NEWMCO-P-0002 Amend Notice Provision -Include FL Statute -NEWMCO-FL (06/07 ed.) FL Amendatory -NEWMCO-Florida Info Notice -NEWMCO-P-0089 (04/08 ed.) Security and Privacy Enhancements Endorsement NEWMCO-P-0057a (11/07 ed.) Amend Section IV Condition QX3) Endorsement 2) There is an optional Extended Reporting period available, except in the case of non-payment of premium, for a period of 1 year at 150% of the annual premium. 3) You are hereby notified under the Terrorism Risk Insurance Act, as amended, that you are entitled to insurance coverage for losses arising from terrorism, as defined in the Act, subject to all applicable policy provisions. You should know that any covered losses resulting from acts of terrorism will be partially reimbursed by the United States under a formula established by federal law. Under this formula, the United States pays 85% of the covered terrorism losses exceeding the statutory established deductible paid by the insurance company providing the coverage. The premium charged for this coverage, if any, is provided above. You should know that the terrorism risk insurance act, as amended, contains a $100 billion cap that limits U.S. government reimbursement as well as insurer's liability for losses resulting from certified acts of terrorism when the amount of such losses in any one calendar year exceed $100 billion. If the aggregate insured losses for all insurers exceed $100 billion, your coverage may be reduced. Page Three Dimension Health, Inc. E&O Confirmation of Insurance March 24, 2009 Subjectivities: None Annual Premium: $11,663.00 Policy Premium 116.63 Florida Hurricane Catastrophic Fund Assessment $111779.63 Total Payment Terms: Due upon binding of coverage. The Binder is issued for the period 5/16/09 to 6/16/09 and is subject to all the terms and conditions of, and shall be automatically superseded by, the policy when it is issued. IMPORTANT: This document consists of 3 pages. Please review this document carefully and advise McPhee of any apparent errors or inaccuracies. Mc.PHEE &ASSOCIATES, INC. March 25, 2009 Confirmation of Insurance 2441 Honolulu Ave, Suite 180 Montrose, CA 91020 PH: (818) 541-7900 FAX: (913) 541-7903 www.mcpheeassociates.com THIS IS TO CERTIFY that the Insurer scheduled below has confirmed to McPhee & Associates, Inc. (McPhee) that the insurance described herein has been effected subject to the terms, conditions and effective date summarized below. While McPhee endeavors to negotiate coverage pursuant to any specification requested by the Insured or their representative, such specifications are frequently unavailable from Insurer(s). It is agreed that the Insurer scheduled below has been selected solely by the Insured. Named Insured: Dimension Health, Inc. Address: 5881 NW 151 st Street, Suite 201 Miami Lakes, FL 33014 Insurer: Federal Insurance Company AM Best Rating ++, FSC XV Coverage: Directors and Officers Liability Employer's Liability/Third Party Liability Regulatory Claim Coverage (Defense Costs Only) Policy Form: 14-02-9523 (ed & 8/2004) General Terms and Conditions 14-02-9524 (ed 8/2004) Executive Liability, Entity Liability and Employment Practices Liability Coverage Section Policy Number: 6804-4993 Policy Term: May 16, 2009 to May 16, 2010 Limits of Liability: Executive Liability and Executive indemnification Coverage $1,000,000 (Insuring Clauses 1 and 2) Entity Coverage $1,000,000 (Insuring Clause 3) Employment Practices $1,000,000 (Insuring Clause 4) Third Party Liability $1,000,000 (Insuring Clause 5 ) Page Three Dhnenslon Health, Ina D&O Quotation (con'1) March 25, 2009 Retentions (CONT.): Pending or Prior Claims Date: Insuring Clause 4 and 5 $25,000 Each Non -Mass or Non -Class Action Claim $25,000 Each Mass or Class Action Claim Regulatory Claims $1,000,000 Each Claim (Insuring Clause 6) (Defense Cost Only) March 5,1991 Terms & Conditions: 1. The following Endorsements are added to the policy: • 14-02-12459 (9/06) Amend Subsection 11 Termination of Policy or Coverage Section Endorsement • 14-02-11748 ( 8/06) Amend Exclusion 8(A) Endorsement • 14-02-12300 ( 8/06) Amend Outside Directorship • 14-02-12303 (11 /06) Amend Sub Sections 15 and 25 • 14-02-12428 (9106) Amend Sub, Section 27 • 14-02-12430 (9/06) Amend Sub. Section 19(B) Endorsement • 14-02-12439 (9/06) Amend Loss Sub. Section 8(C)(I1) • 14-02-13 53 8 (10/07) Additional Limit of Liability for Dedicated for Executives • 14-02-12485 (10/06) Amend Sub. Section 21) • Other Endorsements as per expiring 2. An Optional Extended Reporting Period is available, except for non payment of premium. The Additional Period is for 1 year at a cost of 100% of the Annualized Premium for the Expiring Policy Period. 3. The forgoing Binder for coverage is subject to modification or withdrawal by the Company if, before the proposed inception date, any new, corrected or updated information becomes known which relates to any proposed Insured's claim history or risk exposure or which could otherwise change the underwriting evaluation of any proposed Insured and the Company in its sole discretion, determines that the terms of this quotation are no longer appropriate. Page Four DJnnenslon Health, Inc. D&0 Quotation (con 10 March 25, 2009 Terms & Conditions (CONTINUED): 4. This Binder does not apply to the extent that trade or economic sanctions of other laws or regulations prohibit us from offering or providing insurance. To the extent any such prohibitions apply, this Binder is void an initio. Subjectivities: Payment due upon receipt Premium: $5,260.00 $ 53.69 Florida Hurricane Catastrophe Fund Emergency Assessment Florida Insurance Guaranty Association 109.00 Emergency Assessment $5,422.69. This binder is issued for the period of May 16, 2009 to June 16, 2009 and is subject to ail the terms and conditions of, and shall be automatically superseded by, the policy when issued. M�PHEE &ASSOCIATES, INC. CERTIFICATE OF LIABILITY INSURANCE 2441 Honolulu Ave., Suite 180 Montrose, CA 91020 PH (818) 541-7900 FAX (Sig) 541-7903 www.jmcpbeeamodates.com THE PURPOSE FOR WHICH THIS CERTIFICATE IS ISSUED IS TO CONFIRM THAT THE POLICIES AND COVERAGE, AS LISTED BELOW, ARE IN EFFECT. THE INTENTION OF THIS CERTIFICATE IS NOT TO AMEND EXTEND OR ALTER THE COVERAGE OF THE LISTED POLICIES IN ANY' INSURER WAY. CAMDEN FIRE INSURANCE ASSOCIATION INSURED DIMENSION HEALTH, _ TH, INC. AND 1VlOI�ROE COUNTY AS ODEFENDENTS WITH RESPECT TO THE CLIENT SERVICE AGREEMENT WITH DIMENSION HEALTH, INC. COVERAGE THE POLICIES LISTED BELOW ARE SUBJECT TO ALL THE TERMS AND POLICIES AS ISSUED AND TO T'IE COVERAGECONDITIONS OF THE ACTUAL PERIODS AS SHOWN, ANY PAID CLAIMS WILL REDUCE AGGREGATE LIMIT. TIIE TYPE OF COVERAGE POLICY EFFECTIVE TERMINATION NUMBER EDATE DATE LIMITS OF COVERAGE PROFESSIONAL LIABILITY — Medical Malpractice CLAIMS MADE PROFESSIONAL LIABILITY MCP-3314-09 May 16 � Errors & Omissions Y 009 DIRECTORS & OFEYCEILS LEABH,M EMPLOYMENT PRACTICES LIABILITY , e TECHNOLOGY ERRORS & OMISSIONS LLABE.M GENERAL LIABILITY OTHER TYPE OF ORGANIZATION CERTIFICATE HOLDER Each Claim: Aggregate: May 16, 2010 Each Claim: $1,0(x)0,OQQ Aggregate: $ l ,000,000 * Each Claim16 Aggregate: Each Claim: Aggregate: C Each Claim: LIMIT'S: PREFERRED PROVIDER ORG. DIMENSION HEALTH, INC. AND MONROE COUNTity PLEASE NOTE THAT IF CANCL�[.LATTON OF THE P(3LICY EJNDER WHIQI TH13 OOVEI2AGE IS ISSUED SHOULD OCCUR BEFORE THE THE INSUR TERMIVVATION DAMER, ITg AGENTS OR REPRESENTATIVES�y�,�, B$ UNDERNOOBLIGATION OR LIABILITY TO NOTIFY THE CER71F1CATEHQLD�R NAMED HEREIN. AUTHORIZED itEpgESENTATIYE J GG ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 11— 11 2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE A _..� __.. MARSH ADVANTAGE AMERI C /PHS R DEFT:-'Tf*g ERTIFICATE DOES NOT AMEND, EXTEND OR 543148 P : ( 8 7 7 ) 616 - 74 74 F : ( 8 7 } 9 0 5 —` 5 7 - R THE CO ERAGE AFFORDED BY THE POLICIES BELOW. y PO BOX 33015 - INSURERS AFFORDING COVERAGE SAN ANTONIO TX 78265 jNS2pft*:H4rtf ord Casualty Ins Co INSURED ` ` '' ' INSURER B: DIMENSION HEALTH INC. l�J�tER D: 588 �' �`^ 1 NW 151ST ST STE 2 01 ".' ` ''" H I AL EAH FL 3 3 014 � 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. INSR LTR TYPE OF INSURANCE POLICY POLICY NUMBER DATE EFFECTIVE MM/DD/YY POLICY EXPIRATION LIMITS DATE MM/DD/YY I EACH OCCURRENCE S2 , 000, 000 A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 54 SBA TQ 3151 01 / 11 / 10 01 / 11 / 11 IFIRE DAMAGE (Any one fire) 1s300,000 CLAIMS MADE U OCCUR I MED EXP (Any one person) $1 0 , 000 X General L i ab 1PERSONAL & ADV INJURY 5 2, 0 0 0, 000 GENERAL AGGREGATE A, 000,000 PRODUCTS - COMP/OP AGG S4 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- X LOC JECT AUTOMOBILE LIABILITY 54 SBA TQ 3151 01 / 11 / 10 COMBINED SINGLE LIMIT s2,000,000 01 / 11 / 11 (Ea accident) A ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) X PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY f EACH OCCURRENCE $ OCCUR u CLAIMS MADE 1 AGGREGATE $ $ $ DEDUCTIBLE RETENTION $ $ WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. CERTIFICATE HOLDER iXTADDrrIONAL INSURED; INSURER LETTER: A CANCELLATION 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 (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE Monroe Count Florida HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO Y OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 S IMONTON ST STE 2— 2 6 8 REPRESENTATIVES. KEY WEST, FL 33040 / ` AUTHOR D E ENTATIVE- GG • ACORD 25-S (7/97) ® ACORD CORPORATION 1933 40 ACORDM CERTIFICATE OF LIABILITY INSURANCE DA01/13/2010Y) PRODUCER Doug Jones c/o AJG Risk Management Services, Inc. 8800 E. Chaparral Rd, Suite 230 Scottsdale, AZ 85250 THIS CERTIFICATE IS INFERSSSUED AS A RIGHTSMATTER OFTHE INFORMATION ONLY RNTHIS DOES OCERT CERTIFICATENOT CERTIFICATE HOLDER. AMENDEXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PAYMS AFFORDI G COVERAGE NAIC # INSURED Oasis Acquistion, Inc Alt. Emp: DIMENSION HEALTH, IN 2054 Vista Parkway Suite 300 West Palm Beach, FL 33411 JAN Zuri -Amer an Insurance Company INSURER B: 1N R EAQ IN8614WU INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN SSUED TO TH ;N AFOR HE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CON R �(, TBOVE H-fExjPEVr 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. INSR LTRGENERAL DD' TYPE OF INSURANCEPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE FIOCCUR EACH OCCURRENCE $ DAMAGE TO RENTEU__ PREMISES Ea occurence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICYF-] JECT 7 PRO LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ,.� COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO " AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY 7 OCCUR ]CLAIMS MADE DEDUCTIBLE RETENTION $ Out R EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/E' ECUTIVE OFFICER/MEMBER EXCLUDED. if yes, describe under SPECIAL PROVISIONS below WC 29-38-687-07 06/01 /2009 06/01 /201 O X O LIMIT O R T Y LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER Location Coverage Period: 09/20/2009 06/01 /2010 Certificate#: 09FLO75789368 Client#: 6802-1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Coverage is provided for only DIMENSION HEALTH, INC those employees leased to 5881 NW 151 ST C'G n a but not subcontractors of: MIAMI LAKES, FL 33014 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: RISK MANAGEMENT 1100 SIMONTON ST. 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 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Z ACORD 25 (2001/08) 0ACORD CORPORATION 1988 ACC'`E' CERTIFICATE OF LIABILITY DATE (MM/DD/YYYY) INSURANCE 06/01 /2010 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 nt on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). R FrPRIFI) PRODUCER T Doug Jones c/o AJG Risk Management Services, Inc. PHONE. F, 8800 E. Chaparral Rd, Suite 230 .M N. Est): Scottsdale, AZ 85250 M�Y E Uemm r 11cTnuCo 1n *. INSURE S AFFORDING COVERAGE NAIC # INSURED M0N QJSW&W: Zurich-Ame can Insurance Company 16535 Oasis Acquistion, Inc Alt. Emp: DIMENSION HEALTH, INC RISK I I 2054 Vista Parkway Suite 300 West Palm Beach, FL 33411 INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: i nF:i m-7R4-qau 01=11101f%ki K11 IRaQcn. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAINDING 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. R. TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER MM/DD MM/DD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE C] OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICYF_� PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE i DEDUCTIBLE I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/E:XECUTIVE A OFFICER/MEMBER EXCLUDED'' ❑ N / A WC 29-38-687-08 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) ! iv $ Cc, EACH OCCURRENCE $ AGGREGATE $ $ 06/01/2010 ft 6 06/01/2011 X WC STATU- OTH- - RY (MIT R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEEI $ E.L. DISEASE - POLICY LIMIT 1 $ Location Coverage Period: 06ro1/2010 1 os/oi/2o1 1 1 Client#: 6802-1 %.Crx i mom i c NULUtK f%A1Uf%M1 I ATIf%M MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: RISK MANAGEMENT 1100 SIMONTON ST. JLEST�, FL 33040 C C_ �ri 1,000,000 1,000,000 1,000,000 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 6� 0 1 ��zd 0 0 000 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD L iv`.. i 2441 Honolulu Ave., Suite 180 MSPHEE JUL 9 2Q10 Montrose, CA 91020 PH (dig) 541-7M &ASSOCIATES, INC. FAx (ala)s41.7903 y ; www.mcpbeesnodates.com CERTIFICATE OF LIABILITY INSURANCE THE PURPOSE FOR WHICH THIS CERTIFICATE IS ISSUED IS TO CONFIRM THAT THE POLICIES AND COVERAGE, AS LISTED BELOW, ARE IN EFFECT. THE INTENTION OF THIS CERTIFICATE IS NOT TO AMEND, EXTEND OR ALTER THE COVERAGE OF THE LISTED POLICIES IN ANY WAY. INSURER CAMDEN FIRE INSURANCE ASSOCIATION INSURED DIMENSION HEALTH, INC. AND MONROE COUNTY BOARD OF COUNTY COMMISSIONERS COVERAGE THE POLICIES LISTED BELOW ARE SUBJECT TO ALL THE TERMS AND CONDITIONS OF THE ACTUAL POLICIES AS ISSUED AND TO THE COVERAGE PERIODS AS SHOWN. ANY PAID CLAIMS WILL REDUCE THE AGGREGATE LIMIT. TYPE OF COVERAGE POLICY EFFECTIVE TERMINATION LIMITS OF COVERAGE NUMBER DATE DATE PROFESSIONAL LIABILITY Each Claim: - Mod ml ht&4w edee CLAIMS MADE Aggregate: PROFESSIONAL LIABILITY MCP_4150-10 May 16, 2010 May 16, 2011 Each Claim: $1,000,000 - Errors & Omissions Aggregate: S110001000 DIRECTORS is OFFICERS Each Claim: LIABILITY Aggregate: EMPLOYMENT PRACTICES Each Claim: LIABILITY Aggregate: TECHNOLOGY ERRORS BSc OMISSIONS LIABILITY 666 Each Claim: Anrezate: LIMITS: GENERAL LIABILITY OTHER r> TYPE OF ORGANIZATION PREFERRED PROVIDER ORG. CERTIFICATE HOLDER DIMENSION HEALTH, INC. AND co � MONROE COUNTY BOARD OF COUNTY COMMISSIONERS r� c� 0 C-Q--) PLEASE NOTE THAT IF CANCELLATION OF THE POLICY UNDER WHICH THIS COVERAGE 1S ISSUED SHOULD OCCUR BEFORE THE TERMINATION DATE, THE INSURER, ITS AGENTS OR REPRESENTATIVES WILL BE UNDER NO OBLIGATION OR LIABILITY TO NOTIFY THE CERTIFICATEHOLDER NAMED HEREIN. AUTHORIZED REPRESENTATIVE .a►�oRv CERTIFICATE OF LIABILITY INSURANCE 11-17'-2010 THIS CERTIFICATEIS 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 ADDIT the terms and conditions of the policy, certain poli certificate holder in lieu of such endorsement(s). sl-bj ies may re c� �I jj�b ent. A sta Rf(JE1 1 endorsed. If SUBROGATIONIS WAIVED, subject to ement on this certificate does not confer rights to the PRODUCER MARSH ADVANTAGE AMERICA/PHS 543148 P: (877) 616-7474 F: (877) P 0 BOX 33015 SAN ANTONI O TX 78265 9 5- �r) NAME. Ext: (8771) 616-7474 n/c,No): (877) 905-0457 ADDRESS: CUSTOMER ID + U11,1111TY INS RER(S) AFFORDING COVERAGE NAIC# INSURED r'�1'�_' DIMENSION HEALTH INC. 5881 NW 151 ST Sir STE 201 HIALEAH FL 33014 Q-11alty Ins CO INSURER B INSURER C INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: RFVISInN N11MRFA: 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. S LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYYI POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 PREMDAMASES i(EaRoccurrence) S 300,000 A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE U OCCUR �XX General Liab X 54 SBA TQ3151 01/11/2011 01/11/2012iPERSONAL&ADVINJURY MED EXP (Any one person) $ 10,000 is 2,000,000 GENERAL AGGREGATE 5 4 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 71 POLICY L] PR0 x. LOC PRODUCTS -COMP/OP AGG ! S 4,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 54 SBA T Q3151 I O1/11/2011i 01/11/2012 l COMBINED SINGLE LIMIT IEe accident) ( $ 2,000,000 BODILY INJURY (Per person) $ X i X' BODILY INJURY (Per accident) $ PROPERTY DAMAGE (per accident) S 'S S UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE, r 1 EACH OCCURRENCE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY F.NI' FROP^IETOR/PARTNCR/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? Li (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below ! WC STATU- OTH- TDRY LIMITS ER E L, EACH ACCIDENT _ $ E.L. DISEASE - EA EMPLOYEE $ E S A POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES ?Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Those usual to the Insured's Operations. Cam_ Monroe County Florida 1100 SIMONTON ST STE 2-268 KEY WEST, FL 33040 VIM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEQ REPRESENTATIVE ' T atsts-ZUU9 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD MARSH ADVANTAGE AMERICA/PHS P 0 BOX 33015 SAN ANTONIO TX, 78265 03842 Monroe County Florida 1100 SIMONTON ST STE 2-268 KEY WEST, FL 33040 ACORD 25 (2009/09) A� o® CERTIFICATE OF LIABILITY INSURANCE 11-16-2011 THIS CERTIFICATEIS 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 CERT IMPORTANT: If the certificate holder is an ADDITI ALINSU must be ndorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain polici may require an endorsement. A slat ment on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MARSH ADVANTAGE AMERICA/PHS 543148 P: (877) 616-7474 F: (877 NOV . 905-0457 PHONE FAX (A!C No Ezt): (877 616-7474 (AC,Nc): (877) 905-045 PO BOX 33015 �T�1t ADDRESS: SAN ANTON I O TX 78265 RISK MA a: ER(S) AFFORDING COVERAGE NAIC p INSURED INSURER A : Hartford Casualty Ins Co : ! INSURER BINSURER DIMENSION HEALTH INC. 5881 NW 151ST ST STE 201 C HIALEAH FL 33014 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE LT INSR WVD POLICY NUMBER POLICY ! (MM/DD/YYt'Y) (MM/DDLSUBR Err DD/VYYY) LIMITS GENERAL LIABILITY j EACH OCCURRENCE 5 2,000,000 j—: COMMERCIAL GENERAL LIABILITY LIAMA PREMIIEU S ST6aocacurr occurrence) $ 300,000 A i CLAIMS -MADE X OCCUR 'XI General Llab _ X i54 SBA TQ3151 O1/11/2012 01/11/2013 MED EXP (Any one person) $ 10,000 1 PERSONAL &ADVINJURY S 2,000,000 GENERAL AGGREGATE S 4,000,000 ICI; ! PRODUCTS - COMP/OP AGG S 4,000,000 ~GENT AGGREGATE LIMIT APPLIES PER: ! POLICY PROT X LOC $ AUTOMOBILE LIABILITY �l ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $2, 0 0 0, 0 0 0 BODILY INJURY (Per person) $ I— 1 ALL OWNED AUTOS BODILY INJURY (Per accident) $ A !SCHEDULED AUTOS �� i 54 SBA TQ3151 �X ! HIRED AUTOS 01/11/20121 01/11/2013 PROPERTY DAMAGE $ Per accident) $ X NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EXCESS LIAB ! CLAIMS-MADEI AP V ;ffEACH B DA W r • v OCCURRENCE $ I AGGREGATE $ _! DEDUCTIBLE RETENTION $�1 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ` WC STATU- I OTH-,' TORY LIMITS ER L. EACH ACCIDENT $ ANY PR,-j.RIETORIPARTNFRIFXECUT!VE, OFFICER'MEMBEREXCLUDED? u (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/All ! E.L. DISEASE - EA EMPLOYE ' $ E.L. DISEASE - POLICY LIMIT $ I i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Monroe County Florida DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE R PRESENTATIVE 1100 S IMONTON ST STE 2- 2 6 8 KEY WEST, FL 33040 Y 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ACORV CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/10/2012 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 CERTI SU I must be indorsed. If SUBROGATION IS WAIVED, subject to IMPORTANT: If the certificate holder is an ADDITIOFmay the terms and conditions of the policy, certain policirequirean endorsement. A state ent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Doug Jones c/o Artex Risk Solutions, Inc. 8800 E. Chaparral Rd, Suite 230 Scottsdale, AZ 85250 MAY IIAONRO RISK MA MFA P"ONN Exc : (480) 9 -4177 C No): (480) 951-4266 E-MAIL ADDRESS: INS ERIS) AFFORDING COVERAGE NAIC # Zurich Insurance Company 40142 INSURED Oasis Acquisition, Inc Alt. Emp: DIMENSION HEALTH, INC INSURER B : INSURERC: INSURER D : 2054 Vista Parkway Suite 300 West Palm Beach, FL 33411 INSURER E INSURER F : orvlQVlW KII Il11RFD• COVERAGE5 �,rmiirwmir-1,ounnu- -- —.,,. 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. ADDL SUBR POLICY EFF POLICY EXP LIMITS INSR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MM/DDIYYYY LTR GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR • yrPR V DO EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence)$ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ WAIVR �I �etK PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ MBRELLA LIAB LIAB OCCUR CLAIMS -MADE EAC;HRRENCE AG 4EXCESS ED RETENTION $ WORKERS COMPENSATIONXAND U- OTH- "Noo E.L.DENT A EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE �j OFFICER/MEMBER EXCLUDED'? �J N / A WC 29 38 687 10 06/01%2012 06%01/2013 — E.L.EA EMPLOYE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Location Coverage Period: 06/01/2012 06/01/2013 E.L. DISEASE -POLICY LIMIT $ 1,000,000 Client# 6802-1 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) DIMENSION HEALTH, INC Coverage is provided for 5881 NW 151 ST STE 201 only those employees MIAMI LAKES, FL 33014 leased to but not subcontractors of: TIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: RISK MANAGEMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 SIMONTON ST. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Cal J i -0 ACORV CERTIFICATE OF LIABILITY INSURANCE ii /D DATE (MMDNWY) 05/10/2012 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 CERTI IMPORTANT: If the certificate holder is an ADDITIO the terms and conditions of the policy, certain policie certificate holder in lieu of such endorsements . L INSU I must be EAR may require an endorsement. A state ndorsed. If SUBROGATION IS WAIVED, subject to ent on this certificate does not confer rights to the PRODUCER Doug Jones c/o Artex Risk Solutions, Inc. 8800 E. Chaparral Rd, Suite 230 Scottsdale, AZ 85250 MAY ` �OM RISK MAI INYI PNONE . (480) 9 -4177 FAX No): (480 951-4266 E-MAIL ADDRESS: INS ER S AFFORDING COVERAGE NAIC # iAGEM r N IZurich Insurance Company 40142 INSURED Oasis Acquisition, Inc Alt. Emp: DIMENSION HEALTH, INC 2054 Vista Parkway Suite 300 West Palm Beach, FL 33411 INSURER B : INSURER C : INSURER D : INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: 12FLO75789368 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTR TYPE OF INSURANCE ADDLSUBRI INSR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE DOCCUR PERSONAL & ADV INJURY $ Wr D A GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ W ✓�- t Y. PRO- POLICY LOC V Ea accidentSINGLE LIMIT $ AUTOMOBILE LIABILITY �` ail �. BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS NON OWNED AUTOS PROPERTY DAMAGE Per accident $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED =RETENTION $ WC STATUS OTH- $ WORKERS COMPENSATION X E.L.EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY Y / N A'? PROPRIETOR/PARTNER/EXECUTIVE � NIA WC 29-311-687.10 06/01, 2012 06/01/2013 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below Location Coverage Period: 06/01/2012 06/01/2013 Client# 6802-1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) DIMENSION HEALTH, INC Coverage is provided for 5881 NW 151 ST STE 201 only those employees MIAMI LAKES, FL 33014 leased to but not subcontractors of: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: RISK MANAGEMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 SIMONTON ST. ACCORDANCE WITH THE POLICY PROVISIONS. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE W I VOO-AU I V /iLIMMU, ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 12-28-2012 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 MARSH ADVANTAGE AMERICA/PHS 543148 P: (877) 616-7474 F: (877) 905-0457 (;UN 1ACT PHONE FAX (A/c No,Ext): (877) 616-7474 (A/c,N°): (877) 905-045 PO BOX 33015 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # SAN ANTONI O TX 78265 INSURERA: Hartford Casualty Ins Co INSURED INSURER B INSURER CINSURER DIMENSION HEALTH INC. 5881 NW 151ST ST STE 201 D INSURER E HIALEAH FL 33014 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTiFiCATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEAr AINDS2 WVD POLICY NUMBER (MM/DD/VYYY) (MMIDD/VYVV) LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 300,000 A CLAIMS -MADE U OCCUR _ MED EXP (Any one person) $ 10,000 X General Liab X u 54 SBA TQ3151 01/11/2013 01/11/2014 PERSONAL & ADV INJURY S 2,000,000 GENERAL AGGREGATE S 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 4,000,000 POLICY a PRO- I x_ LOC JECT $ AUTOMOBILE LIABILITY LIMIT $ 2,000,000 EOMBIINdE�DtSINGLE ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ A ALL OWNED I I SCHEDULED _ u _ u 54 SBA TQ3151 01/11/2013 01/11/2014 AUTOS AUTOS L X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE $ E AUTOS (Per accident) $ UMBRELLA LIAB ( OCCUR u EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE u u i' AP o f `RISK DE RETENTION $ $ BY 1 yV- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WAI WC STATU- OTH- TORY LIMITS ER Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVES OFF ICER/MEMBEREXCLUDED? u N / A I u E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L DISEASE POLICY LIMIT $ DESCRIPTION OF OPERATIONS below uu i DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Monroe County Florida DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE PRESENTATIVE 1100 S IMONTON ST STE 2- 2 6 8 KEY WEST, FL 33040�Gt-(��� C_C_ 0 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD