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3rd Renewal 12/16/2009DANNY Lo KOLHAGE CLERK OF THE CIRCUIT COURT DA TE: January S, 2010 TO: Fire Chief James Callahan Fire -Rescue Department A TTN: Darice Hayes FROM: Pamela G. Hanc ck, . C. At the December 16, 2009, Board of County Commissioner's meeting the Board granted approval and authorized execution of the following: Renewal Agreement between Monroe County and Emergency Medical Sciences Academy, Inc. (EMS Academy) to provide an emergency medicaC services (EMS) training environment. Enclosed is a duplicate original for your handling. Issuance of a Certificate of Public Convenience and Necessity to Air Methods Corp., Subsidiary Rocky Mountain Holdings L.L.C. d/b/a LifeNet for the operation of an ALS transport air ambulance service. Enclosed is the original for . our handling. g Should you have any questions please do not hesitate to contact this office. cc: County Attorney Finance File RENEWAL AGREEMENT This RENEWAL AGREEMENT dated the 16th day of December , 2009, by and between the Board of County Commissioners of Monroe County, Florida, hereinafter referred to as "AMBULANCE SERVICE" and EMERGENCY MEDICAL SCIENCES ACADEMY, INC., hereinafter referred to as the "AGENCY". WITNESSETH WHEREAS, the parties hereto did enter into an agreement dated September 20, 2006 to provide a comprehensive learning experience for participants form the AGENCY, within a clinical setting; and WHEREAS, said agreement provided an option for an additional (1) year period extension if elected by both parties; and WHEREAS, both the AGENCY and the AMBULANCE SERVICE have elected to exercise said option; now therefore IN CONSIDERATION of the mutual convenants and obligations contained herein, the parties agree as follows: 1. The parties elect to renew the contract for an additional year pursuant to paragraph III.C of the agreement entered September 20, 2006. 2. The effective date of this amendment is January 1, 2010 and shall extend through December 31, 2010, under the same terms and conditions of the contract dated September 20, 2006. 3. All other terms and conditions of the contract dated September 20, 2006 shall remain in full force and effect. (SEAL) Attest: DANNY L. KOLHAGE, CLERK c !!_ a:: c::~. ~. ~ iy. ~"~ c:: a.. ~!i Cle a:: ..:r ~... ~-) (=1 ~. (~t...L; Z ('.~J ~ ~ ~0~ LL. ~ BOARD OF COUNTY COMMISSIONERS OFMONROEC~ By: ~. Mayor/Chairman (CORPORATE SEAL) A~est: L / _~ By. / w 7 -;z Title: Ct4;'r~ I {,~/c1A~-ir EMERGENCY MEDICAL SCIENCES ACADEMY, INC, By: e~~Ik. i} ~5/ (/ e41 r Ti tl e: l4ar4- TT 9977G ACORD Tu CERTIFICA. PRODUCER SEITLIN 6700 N. ANDREWS AVENUE, STE #300 FORT LAUDERDALE FL 33309 (954) 938-8788 (954) 938566 A ITYINSURANCE DATE (MM/DDfYYYY) SO/27/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO CERTIFICATERIGHTS UPODOES NTN THE CERTIFIC, EXTENDATE HLDER.OR NOV 1 � 2�1�1� ALTER THEHIS COVERAGE AFFORDED BY T EMENPOL CIES BELOW. INSURED -"- I Emergency Medical Sciences Academy, Inc. 2000 WEST COMMERCIAL BLVD., STE #200 FORT LAUDERDALE FL 33309 9jVj a :f_[t`f Q;j TRSURERS AFFORDING COVERAGE NAIC # INSURER A: PHILADELPHIA INDEMNITY INS. CO 18058 INSURER B: GENERAL STAR INDEMNITY CO. 37362 INSURER C: TECHNOLOGY INSURANCE COMPANY 43276 INSURER D: AMERICAN CASUALTY CO/READING 20427 INSURER E: 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 DD'L INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATIODATE (MMIDDIYYIN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A X COMMERCIAL GENERAL LIABILITY PHPK480580 10/7/2009 10/7/2010 DAMAGE TO RERTEU- PREMISES Ea occurence $ 100,000 CLAIMS MADE Fx ] MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 7 POLICY [-] PRO- JECT F X LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ A X ANY AUTO PHPK48OS80 10/7/2009 10/7/2010 (Ea accident) 11000,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS ` (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY *" AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10, 000, 000 AGGREGATE $ 10, 000, 000 B F OCCUR CLAIMS MADE IUG395725E 10/7/2009 10/7/2010 $ DEDUCTIBLE X RETENTION $ 10,000 $ C WORKERS COMPENSATION AND TWC3 2 0 9 719 9 / 21 / 2 0 0 9 10/7/2010 X WC STATU- OTH- EMPLOYERS' LIABILITYER E.L. EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYE $ 5001000 E.L. DISEASE - POLICY LIMIT I $ 5001000 SPECIAL PROVISIONS below D OTHER STUDENT MEDICAL PROF 0127294541 10/7/1009 10/7/2010 $1,000,000 EACH OCCURANCE OCCURRENCE FORM $5,000,000 AGGREGATE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 DAYS NOTICE OF CANCELLATION IN THE EVENT OF NON-PAYMENT OF PREMIUM. CERTIFICATE HOLDER AS DESIGNATED ORGANIZATION IS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY SUBJECT TO THE TERMS, CONDITIONS AND EXCLUSIONS OF THE POLICY, CERTIFICATE HOLDER rANr%c1 i ATlnKu ..���.-ram • ■v.� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IMONROE COUNTY BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 490 63 STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR SUITE #140 REPRESENTATIVES. Marathon FL 33050 AUTHORIZED REPRESENTATIVE------� h A 1%^Mr% o% IAAAI /AA\ JAVV 1!V01 © ACORD CORPORATION 1988 Page 1 of 1 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 10/27/2009 ACORD 25 (2001/08) Page 2 of 1