Renewal 05/21/2008 DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE: July 29, 2008
TO: Maria Z. Fernandez - Gonzalez
Senior Administrator - Benefits
FROM: Pamela G. Hanc.,�
Deputy Clerk
At the May 21, 2008, Board of County Commissioner's meeting the Board granted
approval and authorized execution of an Employee Assistance Program Renewal Agreement
between Monroe County, Florida and Horizon Behavioral Services, Inc., for the period of June 1,
2008 through May 31, 2009.
Enclosed is a duplicate original of the above - mentioned for your handling. Should you
have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance
File/
EMPLOYEE ASSISTANCE PROGRAM RENEWAL AGREEMENT
BETWEEN MONROE COUNTY, FLORIDA AND
HORIZON BEHAVIORAL SERVICES, INC.
This renewal agreement is entered into by and between Board of County
Commissioners of Monroe County, Florida; 1100 Simonton Street, Room 2 -268; Key
West, Florida 33040 ( "Employer ") and Horizon Behavioral Services, Inc. c/o The Allen
Group; 2965 W. State Road 434, Suite 200; Longwood, FL 32779 . ( "Contractor ") and is
made to be effective as of June 1, 2008.
WHEREAS, on June 1, 2007, the Employer and The Allen Group entered into an
agreement (hereinafter "Agreement ") establishing an Employee Assistance Program
(hereinafter Program) for the purpose of providing confidential, professional counseling
on personal matters affecting their physical and emotional well -being for all full -time,
regular employees and their dependents with offices in Key West, Marathon and
Plantation Key; and
WHEREAS, the term of the Agreement was for one (1) year beginning on June 1,
2007, renewable at the County's option for two (2) additional one -year terms; and
WHEREAS, on July 31, 2007, the County entered into an Assignment and
Assumption Agreement with The Allen Group, whereby the County consented to the
assignment of the Agreement to Horizon Behavioral Services, Inc. ( "Horizon ") and
Horizon agreed to perform all responsibilities under the Agreement; and
WHEREAS, the current renewal will expire on May 31, 2008 and the Employer
desires to extend the original agreement for another year'
NOW THEREFORE, in consideration of mutual covenants and conditions set
forth below, the parties agree as follows:
1. The County exercises its right to the first of the two (2) one -year terms
specified in the Agreement. This renewal term will commence immediately
upon the expiration of the current contract. Therefore this renewal will
become effective June 1, 2008, and will expire on May 31, 2009.
4 ∎ .
2. In all other respects the teams and conditions of the original agreement
remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this Renewal Agreement this
2 1,44 day of , 2008.
�' ', " "` BOARD OF COUNTY COMMISSIONERS
, , Y � i � � �..,, y ,� , SA E. COBS
- / 1 t !N ;..., Notary M Commission May Expires as
OF MONROE COUNTY, y et �.t, y May 11, 2011 ' FLORIDA
4 i. L. --" , L. KOLHAGE, CLERK
6 1 .
\:,..:1-..,----7,-.-- Y % BY:
_ / Charles "Sonny" McCoy, Mayor
Deputy Clerk Date:
MAY 2 1 2008
ATTEST:
HORIZON ' ' HAV O' A - SERVICES, INC.
By:
(n `L-LC BY: 4 ► ■.. .11
/ President
(Witness) Print Name:
Date:
(Print name):
cla -c 2- Cc
, , zt SARA E. COBB
Notary Public, State of Texas
4;, My Commission Expires
May 11, 2011
MONROE COUNTY ATTORNEY
PPROVED 2 FORM:
CYNTHIA L. HALL
—1' . - ASSISTANT COUNTY ATTORNEY
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Date 4 -30 —08
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2
ACORD CERT F '�'' y
i„ TM 1 !k r s * T � a ; DATE (MM /DD/YY)
PRODUCER �. 05/22/2008
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.
A
INSURED
COMPANY
Psychiatric Solutions, Inc. B
Employee Assistance Services, Inc.
dba Horizon Health EAP Services COMPANY
2941 S. Lake Vista Drive
Lewisville, TX 75067 COMPANY
I D
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 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 POUCY EFFECTIVE POUCY EXPIRATION
LTR POLICY NUMBER DATE (MM/DD/YY) DATE NM/DEWY) LIMITS
GENERAL LIABILITY RRGLPL2008 12/31/07 12/31/08 GENERAL AGGREGATE $ 3,000,000
A X COMMERCIAL GENERAL LIABILITY GL / HOSPITAL PROF —
CLAIMS MADE X OCCUR
COMMERCIAL PACKAGE PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
OWNER'S & CONTRACTORS PROT
X PROFFESIONAL LIAB.
EACH OCCURRENCE $ 3,000 000
FIRE DAMAGE (Any one fire) $
X CLAIMS MADE
AUTOMOBILE LIABILITY
MED EXP (Any one person) $
ANY AUTO COMBINED SINGLE LIMIT $
ALL OWNED AUTOS _
SCHEDULED AUTOS BODILY INJURY $
(Per person)
HIRED AUTOS
OD NON - OWNED AUTOS (Peery accdent R $
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
EXCESS LIABILITY
(, AGGREGATE $
UMBRELLA FORM EACH OCCURRENCE — $
AGGREGATE $
OTHER THAN UMBRELLA FORM _
$
WORKER'S COMPENSATION AND STAT H
U - OT-
EMPLOYERS' LIABILITY
Ir O R STAT U S
THE PROPRIETOR/ EL EACH ACCIDENT $
PARTNERS/EXECUTIVE - INCL EL DISEASE - POLICY LIMB $
OFFICERS ARE. EXCL
OTHER
EL DISEASE - EA EMPLOYEE $
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES /SPECIAL REMS
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.
CERtICAT1E c ,
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATT: TERESA AGUIAR 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
1100 , FL STREET , SUITE 2 -258 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
KEY WEST, FL 33040
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
I -
ACORD (1m5
ACORp GORP
•
ACORD CERTIFI
,rw E O !.' L# " t 22/20 8
PRODUCER �-. . s � " • - ,r � � m .. i 05/22/2008
Serial # A15600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
AON RISK SERVICES, INC. OF FLORIDA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1001 BRICK ELL 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) COMPANY
( ) 3 72 - 1455 A American Home Assurance Company
INSURED
Y COM Lexington Insurance Company
Psychiatric Solutions, Inc.
Health and Human Resource Center, Inc. COMPANY
dba Horizon Health EAP Behavioral Services c Zurich American Insurance Company
2941 S. Lake Vista Drive
Lewisville, TX 75067 • COMPANY
D American Zurich Insurance Company
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 8 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 POUCY EFFECTIVE POLICY EXPIRATION
LTR POLICY NUMBER DATE PAM/DEWY) DATE (MM/DD/YY) LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $
PRODUCTS - COMP/DP AGG $
CLAIMS MADE I OCCUR _
PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE $
FIRE DAMAGE (My one hre) $
MED EXP (Any one person) $
AUTOMOBILE LIABILITY CA 692 -55 -10 (AOS) 12/01/2007 04/01/09
A X ANY AUTO BUSINESS AUTO COVERAGE
COMBINED SINGLE LIMB $ 1,000,000
ALL OWNED AUTOS
SCHEDULED AUTOS BODILY INJURY $
X HIRED AUTOS (Per person)
X NON OWNED AUTOS � \� INJURY
(Per ac
_ b (Per accident) $
X $500 COMP. DED . r�
X $500 COLL. DED PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY
EACH ACCIDENT $
EXCESS LIABILITY AGGREGATE $
6791626 12/31/2007 12/31/2008 EACH OCCURRENCE $ 10,000,000
B I UMBRELLA FORM EXCESS GL/UMBRELLA / _
HOSPITAL PROF AGGREGATE $ 10,000,000
OTHER THAN UMBRELLA FORM RETENTION
$ 3,000,000
WORKER'S COMPENSATION AND WC 3737128 -00 (ID,MA,WI) 04/01/2008 04/01/2009 X TORYLM s I ° ER
C EMPLOYERS LIABILITY WC 3737127 -00 AOS
D THE PROPRIETOR/ 3737127-00 ( AOS) EL EACH ACCIDENT $ 1,000,000
PARTNERS/EXECUTIVE X INCL EL DISEASE - POLICY LIMB $ 1,000,000
OFFICERS ARE EXCL
OTHER EL DISEASE - EA EMPLOYEE $ 1,000,000
DESCRIPTION OF OPERATIONS /LOCATION S/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.
C E O _' '. ', ,. - : `j ,, r ,.. - �.
- - // , ' / : � I ogle.,,li ?Y i s a
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
ATT: TERESA AGUIAR 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
1100 SIMONTON STREET , SUITE 2 -258
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
R
AON RISK SERVICES, INC. OF FLORIDA
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