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FY1993 12/09/1992AGREEMENT This Agreement is made as of the ULI day of Deuw1air, 1992, between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter "Board" and FLORIDA KEYS CHILDREN'S SHELTER, hereinafter "CHILDREN'S SHELTER." WHEREAS, it is provided in the Children's Shelter's Articles of Incorporation that the purpose of the Children's Shelter provides early intervention and prevention programs for youth in crisis and their families and help in the form of an emergency shelter residential facility for abused, neglecteg aid Wnaw y children; and CD x rn� -n WHEREAS, the Board recognizes a pub 1icc_piurp o- -In x reimbursing the Children's Shelter for employee &A�ari&s and operating expenses in lieu of providing the publici S4.porg whj�qh would otherwise be necessary for children in crisis and their families; now, therefore IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed as follows: - 1. AMOUNT OF AGREEMENT. The Board, in consideration of the Children's Shelter substantially and satisfactorily performing and carrying out the duties and obligations of the Board as to providing shelter, and early intervention and prevention programs for youth's and their families living in Monroe County, Florida, shall pay to the Children's Shelter the sum of Twenty One Thousand Dollars ($21,000) for fiscal year 1992-93. 2. TERM. This Agreement shall commence October 1, 1992, and terminate September 30, 1993, unless earlier terminated pursuant to other provisions herein. 3. PAYMENT. Payment will be paid monthly as hereinafter set forth. On or before the 15th of each month, the Children's Shelter shall submit to the Board its request for reimbursement. Evidence of payment shall be in the form of cancelled checks submitted by the Children's Shelter to the Board. After the Clerk of the Board examines and approves the monthly request for reimburse- ment, the Board shall reimburse the Children's Shelter. However, the total of said monthly payments in the aggregate sum shall not exceed the total amount of Twenty One Thousand ($21,000) during the term of this agreement. 4. SCOPE OF SERVICES. The Children's Shelter, for the consideration named, covenants and agrees with the Board to substantially and satisfactorily perform and carry out the duties of the Board in providing shelter, and early intervention and prevention programs for youth's and their families living in Monroe County, Florida. 5. RECORDS. The Children's Shelter shall maintain appropriate records to insure a proper accounting of all funds and expenditures, and shall provide a clear financial audit trail to allow for full accountability of funds received from said Board. Access to these records shall be provided during weekdays, 8 a.m. to 5 p.m., upon request of the Board, the State of Florida, or authorized agents and representatives of the Board or State. The Children's Shelter shall be responsible for repayment of any and all audit exceptions which are identified by the Auditor General of the State of Florida, the Clerk of Court for Monroe County, an independent auditor, or their agents and representatives. In the event of an audit exception, the current fiscal year contract amount or subsequent fiscal year contract amounts shall be offset by the amount of the audit exception. In the event this agreement is not renewed or continued in subsequent years through new or amended contracts, the Children's Shelter shall be billed by the Board for the amount of the audit exception and the Children's Shelter shall promptly repay any audit exception. 6. INDEMNIFICATION AND HOLD HARMLESS. The Children's Shelter covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners from any and all claims for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services rendered under this agreement by the Children's Shelter or any of its agents, employees, officers, subcontractors, in any tier, occasioned by the negligence or other wrongful act or omission of the Children's Shelter or its subcontractors in any tier, their employees or agents. In the event the completion of services is delayed or suspended as a result of Children's Shelter's failure to purchase or maintain required insurance, the Children's Shelter shall indemnify the Board from any and all increased expenses resulting from such delay. The first Ten Dollars ($10.00) of remuneration paid to the Children's Shelter is for the indemnification provided above. The extent of liability is in no way limited to, reduced, or lessened by the insurance require- ments contained elsewhere within this agreement. 7. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the Children's Shelter is an independent contractor and not an employee of the Board. No statement contained in this agreement shall be construed so as to find the Children's Shelter or any of its employees, contractors, servants or agents to be employees of the Board. 8. COMPLIANCE WITH LAW. In providing all services pursuant to this agreement, the Children's Shelter shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating the provisions of, such services, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances, rules or regulations shall constitute a material breach of this agreement and shall entitle the Board to terminate this contract immediately upon delivery of written notice of termination to the Children's Shelter. 9. PROFESSIONAL RESPONSIBILITY AND LICENSING. The Children's Shelter shall assure that all professionals have current and appropriate professional licenses and professional liability insurance coverage. Funding by the Board is contingent upon retention of appropriate local, state and/or federal certification and/or licensure of the Children's Shelter's program and staff. 10. INSURANCE. The Children's Shelter shall obtain, prior to the commencement of work governed by this agreement, at Children's Shelter's own expense, that insurance specified in the insurance requirements forms for worker's compensation, general liability, vehicle liability and professional liability, which forms are attached hereto and incorporated herein by reference. The Children's Shelter will also insure that all subcontractors, in any tier, have obtained the insurance as specified in the attached schedules. The Children's Shelter will not be reimbursed for any work commenced prior to coverage with required insurance. The Children's Shelter will not be reimbursed for any services governed by this contract until satisfactory evidence of the required insurance has been furnished to the Board via either Monroe County's certificate of insurance or a certified copy of the actual insurance policy. Delays in the commencement of work, resulting from the failure of Children's Shelter to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this agreement. The Children's Shelter and any subcontractors shall maintain the required insurance throughout the entire term of this agreement. Failure to comply with this provision may result in the immediate termination of reimbursement. The Board, at its sole option, has the right to request a certified copy of any or all insurance policies required by this agreement. If a certificate of insurance is provided, the County -prepared form must be used. "Accord Forms" are not acceptable. All insurance policies must specify that they are not subject to cancellation, non -renewal, material change, or reduction in coverage unless a minimum of forty-five (45) days prior notification is given to the Board by the insurer. The standard language of "endeavor to provide notification" is insufficient. The acceptance and/or approval of the Children's Shelter's and subcontractor's insurance shall not be construed as relieving the Children's Shelter or subcontractor from any liability or obligation assumed under this agreement or imposed by law. Monroe County, Monroe County Board of County Commissioners, its employees and officials shall be included as "additional insureds" on all policies, except for worker's compensation. Any deviations from these general insurance requirements must be requested in writing on the County -prepared form entitled "Request for Waiver or Modification of Insurance Requirements" and approved by Monroe County's Risk Manager. 11. MODIFICATIONS AND AMENDMENTS. Any and all modifica- tions of the services and/or reimbursement of services shall be amended by an agreement amendment, which must be approved in writing by the Board. 12. NO ASSIGNMENT. The Children's Shelter shall not assign this agreement except in writing and with the prior written approval of the Board, which approval shall be subject to such conditions and provisions as the Board may deem necessary. This agreement shall be incorporated by reference into any assignment and any assignee shall comply with all of the provisions herein. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any obligation upon the Board in addition to the total agreed upon reimbursement amount for the services of the Children's Shelter. 13. NON-DISCRIMINATION. The Children's Shelter shall not discriminate against any person on the basis of race, creed, color, national origin, sex or sexual orientation, age, physical handicap, or any other characteristic or aspect which is not job -related in its recruiting, hiring, promoting, terminating or any other area affecting employment under this agreement. At all times, the Children's Shelter shall comply with all applicable laws and regulations with regard to employing the most qualified person(s) for positions under this agreement. The Children's Shelter shall not discriminate against any person on the basis of race, creed, color, national origin, sex or sexual orientation, age, physical handicap, financial status or any other characteristic or aspect in its providing of services. 14. AUTHORIZED SIGNATORY. The signatory for the Children's Shelter, below, certifies and warrants that: (a) The Children's Shelter's name in this agreement is the full name as designated in its corporate charter, if a corporation, or the full name under which the Children's Shelter is authorized to do business in the State of Florida; (b) He or she is empowered to act and contract for the Children's Shelter; and (c) This agreement has been approved by the Board of Directors of the Children's Shelter, if the Children's Shelter is a corporation. 15. NOTICE. Any notice required or permitted under this agreement shall be in writing and hand -delivered or mailed, postage pre -paid, by certified mail, return receipt requested, to the other party as follows: For Board: Monroe County Attorney 310 Fleming St., Rm. 29 Key West, Florida 33040 For Children's Shelter: Bruce Waite Executive Director Handicapped Job Placement Children's Shelter P.O. Box 2571 Key West, Florida 33045 16. CONSENT TO JURISDICTION. This agreement shall be construed by and governed under the laws of the State of Florida and venue for any action arising under this agreement shall be in Monroe County, Florida. 17. NON -WAIVER. Any waiver of any breach of covenants herein contained to be kept and performed by the Children's Shelter shall not be deemed or considered as a continuing waiver and shall not operate to bar or prevent the Board from declaring a forfeiture for any succeeding breach, either of the same conditions or covenants or otherwise. 18. AVAILABILITY OF FUNDS. If funds cannot be obtained or cannot be continued at a level sufficient to allow for continued reimbursement of expenditures for services specified herein, this agreement may be terminated immediately at the option of the Board by written notice of termination delivered to the Children's Shelter. The Board shall not be obligated to pay for any services or goods provided by the Children's Shelter after the Children's Shelter has received written notice of termination, unless otherwise required by law. 19. PURCHASE OF PROPERTY. All property, whether real or personal, purchased with funds provided under this agreement, shall become the property of Monroe County and shall be accounted for pursuant to statutory requirements. 20. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the parties hereto with respect to the subject matter hereof and supersedes any and all prior agreements with respect to such subject matter between the Children's Shelter and the Board. IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed as of the day and year first written above. (SEAL) ATTEST: DANNY L. KOLHAGE, CLERK By C Deputy Cleyk �� • Witi lesses BOARD OF COUNTY COMMISSIONERS OF MONROF,COUNTY, FLORIDA LVA on unairman FLORIDA KEYS CHILDREN'S SHELTER =4xecut ve 76ctor APPRQV.7D AS jn r • � * D LEGF,L = : -- By orrIF M9,;L Date �_ r GENERAL LIABILITY INSURANCE REQUIREMENTS ,FOF CONTRACT. BETWEEN MONROE COUNTY, FLORIDA ANn Prior to the -commencement of work governed by this contract, the Contractor shall obtain General Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: o Premises Operations o Products and Completed operations o Blanket Contractual Liability o Personal Injury Liability o E-.,panded Definition of Property Damage o Medical Payments The minimum limits acceptable shall be: $500,000 Combined Single Limit (CSL) $ 5,000 Medical Payments If split limits are provided, the minimum limits acceptable shall be., $250,000 per Person $500,000 per Occurrence $ 50,000 Property Damage $ 5,000 Medical Payments An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract.' In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the acceptance of work by the County. Monroe County and Monroe County's Board of County Commissioners shall be named as Additional Insureds on all policies issued to satisfy the above requirements. GL2 ; VEHICLE LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Vehicle Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum, liability coverage for: o Owned, Non -Owned, and Hired Vehicles o Medical Payments The minimum limits acceptable shall be: $300,000 Combined Single Limit (CSL) $ 5,000 Medical Payments If split limits are provided, the minimum limits acceptable shall ( be: $100,000 per Person $300,000 per Occurrence $ 50,000 Property Damage $ 5,000 Medical Payments Monroe County and Monroe County's Board of County Commissioners shall be named as Additional Insureds on all policies issued to satisfy the above requirements. VL2 i I WORKERS' COMPENSATION INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Workers' Compensation Insurance with limits sufficient to respond to the applicable state's statutes. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: $200,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, each employee $500,000 Bodily Injury by Disease, policy limits Coverage shall be maintained throughout the entire term of the contract. C Coverage shall be provided by a company or companies authorized to transact business in the state of Florida and the company or companies must maintain a minimum rating of A -VI, as assigned by the A.M. Best Company. If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -insurer, the County shall recognize and honor the Contractor's status. The Contractor shall be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Contractor's Excess Insurance Program. If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Contractor will be required to submit updated financial statements from the fund upon request from the County. WC2 PROFESSIONAL LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Recognizing that the work governed by this contract involves the furnishing of advice or services of a professional nature, the contractor shall purchase and maintain, throughout the life of the contract, Professional Liability Insurance which will respond to damages resulting from any claim arising out of the performance of professional services or any error or omission of the contractor arising out of work governed by this contract. The minimum limits of liability shall be: $500,000 per Occurrence C PRO2 ' i C UNTY joNROE KEY WESTLORIDA 33040 (305)294-4641 M E M O R A N D U M To: Beth Leto County Attorney's Office From: Kay Bahleda -0 Risk Management Date: March 17, 1993 BOARD OF COUNTY COMMISSIONERS MAYOR, Jack London, District 2 Mayor Pro Tem, A Earl Cheal, District 4 Wilhelmina Harvey, District 1 Shirley Freeman, District 3 Mary Kay Reich, District 5 Subject: Florida Keys Children's Shelter Agreement Attached please find original Certificates of Insurance for sub- ject agreement that have been approved by Risk Management. The insurance coverage now meets contract specifications and may be executed. If you have any questions, please call ext 4542. hqr;� I7 1993 COUNTY ATTY CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) i t� {) PRODUCER THIS GEHTIFICATE 15 ISSUED AS A MATTER OF CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. r'JE ;;-it4 1t!'!(JF;;=it':Ii:;,::: ,", :;;! `i COMPANIES AFFORDING COVERAGE 1 •i 1 ii it f 1 t i'-1•., i;; I- A f'` i ,''i I•,)! .. F:. {'';f.) •' f COMPANY A INSURED LETTER COMPANY B p, LETTER n E ! ; (: }-} .L. L.. I_) r,.' COMPANY - LETTER C+ I . 1 }`I .J.. !.:� I -I F� [I _[ P'd I F'; U V i''..) COPA LETTERNY D •) i � .. COMPANY E•'¢ LETTER , 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, 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. CO TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL I LIABILITY ! L i ,GENERAL AGGREGATE .1 f 7 .. -'s x COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ i , •, ,1 .:;.; :, ._ ..: OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE FIRE DAMAGE (Any one fire) $'=� MED. EXPENSE (Any one person) $ c: AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY i NON -OWNED AUTOS $ (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT $ DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ OTHER --- i:. r" ! I F L { 7 f :' (? .� 1. !' �. %� '_) .I.:• - :_J '! ' ' ' .! ; ri fi �_ . i- y t, 0 f DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO - MAIL `7 ..+DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1 } :1:: ` :_ C 0 N E F' _ ;-' A D D N S(I R [;. }^i LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. :.. ` — '' "' I"' AUTHORIZED REPRESENTATIVE , ACORD 25-S (7/90) ©ACORD CORPORATION 1990 MONROE COUNTYY ID:305-292-.4401 JAN 26'93 16:01 No.019 P.02 Ccrt;liCalc of Instaraticc h10NROLt COUNTY .wiMa�w.f r(.q rrtwWr •1+raed �w tAe (t»rrarut'r pdklea shout Itt � NnifittM1e, thL loNitiraie d IAw»anry� iF iau.,l b+t,.....litiar 6at.kr morn k�l...+. nr. e.nlfinl� data ...� r..r„d_ e�,,,t w M 4= q.Gcirs 11 Red b-kw oterr a .t.orn I.eta.r, ut lUMAODRMor Rt6Rtmm FLORIDA KEYS CHILDRENS SHELTER, INC. \— 73 HIGH POINT ROAD �,) - -/ iL'OMPANU +AFFORDING (.7C)Yf7NC-lN awt�,..r w NATIONAL INDEMNITY COMPANY OF THE SOUTH �r. a:yr i.hcr Ii ' - - --- - TAVERNIER, FL 33070 J • WWI:' AMIDAIMUS4 OF AGrNGYt o Many [�e�.r C ____ 1111���� ,{{{{ ReceivedRin RAY HAMPSON $ ASSOCIATES I 102481 OVERSEAS HIGHWAY% r°°"^'°r`""'t' KEY LARGO, FL 33037 This is to crrti(y that the insurance glides listed below have heett i-40ed to 111C insurer; and ate erkowed it this time- it k arrt•,Nj kly.2t tumc of these I-L,kic* will be canrest"I ar changed wlthoUt provi(ling 45 days written nnriee Of such t'zncr•ti.fliwt of change to Monroe Ctnlnry, Unrida. Co trrrrtt 1,..J 1W.. fV avavAAaCE rnu4Y M PU PER -FOL err DATE PoL FAR rMn ALL 11-140115 1N THOUSANDS -- ---- 1 Gmeral Liability C:nn4ltl Apl;reitnto f rroducts-Catnp/Olss f ❑ commercial Gcnemt liability ❑ Claims vbdr 0 Occurence Aggrcl{atc Personal th AdvertisinR f Q Owner's do Contra"or's f t'mterrlvc Injury Each ("Ceurrence f ❑ X.C-il- Coverages I -Ire 1]:17113c R t—nr Une r:ny f D 11mad Form Yroperty 111"08c Medit-11 Expense t ❑ tndeperrticnt Conmokiom 0 ntanlom Comractual Autamohile liar:owty LkxinIe injury f ❑ Any Auto (Each Person) A 0 Alt 0-ilt-dAutas 74AP119642 2/04/93 11/24/93 (I-,tiChAccident) _ PTCN(* Y Wirname ! ❑ Scheduled Am" Itodily injury and 1•mperty Ciamalte Combined $ 300, TY 1UMd Autos + Medical -'Payment's x Mn-Owned Auto% Ihrcess liability 0 vostu[tla Fam Bodily lniury and yraperty Damage ! D OLher than Umbrella Form Combined 4 Claims Made ❑ OccurtcAce `porkers' Compcflsation artd ¢rn;kers' Comisenution $tatvttsry 1`*»j'+ksycn• liability f Itlltloyers' Liability , _ f•OMMI nor Mnrtrve Cownty, Florida, and 1400rue County hoard of rtsluray (wrtmissianers are named m additional insureds with rmpc" to the Gtnrrid listaility, w4.kie liability, and thtccss liahility r'ntici". - EXCLUDING EMPLOYEES rrry �r M rartfsr t.�tly, Monroe County 5100 collate mow Xclrvem. FL 55040.4? Date Issued: 2/22/93 Authorized Representative;_ Address: P 0 Box 2909 i'e ephone•,_— 9 04_ --_3 ger 'i'.Gobl U Jacksonvil e; 32203 -7711 � — !— -�l///'l"® CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 1/07/93 PRODUCER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. REGAN INSURANCE AGCY COMPANIES AFFORDING COV AGE 90111 OVERSEAS hlWY j TAVERNIER FI_ 33070 COMPANY ,�`� LETTER A I COMPANY I B INSURED FL. KEYS CHTL DREN' e LETTER COMPANY C SHELTER LETTER � � 1 73 HIGH POINT RD COMPANY D . ✓ ? LETTER 7 TAVERNIER FL. 33070 G R I T COMPANY E LETTER 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, 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, !j EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1 COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ I CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO $ LIMIT I I ALL OWNED AUTOS I BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ ? ' EXCESS LIABILITY EACH OCCURRENCE $ e UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM D WORKER'S COMPENSATION 0 0 Z J 4 7/ 0 1/ 9 L 7/ 0 1/ 9 3 X STATUTORY LIMITS EACH ACCIDENT $500 000 AND ~! DISEASE —POLICY LIMIT $5 0 0, 000 EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $5 0 0 r O Q O OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS FLORIDA OPERATIONS ONLY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO COUNTY OF MONROE MAIL n 'DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BOARD OF COMMISSIONERS LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 58, 9 COL L EGE RD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. KEY TEST FL 33090 AUTHORIZED REPRESENTATIVE ROBERT E REG� (CORD ACORD 25-S (7/90)„_ c CORPORATION 1990 January 14, 1993 Kay Bahleda Monroe Cty Risk Management Wing II, Room 207 P.S.B. 5100 College Road Key West, FL 33040 Dear Ms. Bahleda, Enclosed please find Certificate of Insurance with Monroe County as Certificate Holder for General Liability/Vehicle Liability and also for Workers Compensation and Employer's Liability/Professional Liability. If you need further information please contact me. Sincerely, a"�Kathy C sey Administrative Secretary Jelsema Center