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COI Expires 10/01/2018 ....„...---1 ® DATE(MM /DD/YYYY) A� ° CERTIFICATE OF LIABILITY INSURANCE 09/04/2018 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 have ADDITIONAL INSURED provisions or 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). E. CONTACT 0 NAME: PRODUCER — Aon Risk Services, Inc of Florida PHONE FAX 1001 Bri ckel l Bay Drive (A/C. No. Ext): (866) 283 - 7122 I (NC. No.): (800) 363 -0105 -0 Suite 1100 E -MAIL 3 Miami FL 33131 USA ADDRESS: x INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Arch Insurance Company 11150 Baptist Health South Florida Inc. INSURERB: The Continental Insurance Company 35289 Hortensia Lorie 6855 Red Road - Suite 500 INSURER C: Coral Gables FL 33143 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570072918311 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. Limits shown are as requested INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDDIYY) (MM /DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DA AGE TO RENTED CLAIMS -MADE I OCCUR PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY M GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE m POLICY JECT n LOC PRODUCTS - COMP/OP AGG r 0 OTHER: o n e AUTOMOBIL LIAB ILITY C 60 10/01 10 COMBINED SINGLE LIMIT $1,000,000 `° (Ea accident) X ANY AUTO BODILY INJURY (Per person) 0 Z OWNED gUTOSULED T �, +� ` BODILY INJURY (Per accident) 0I HIRED AUOTO3Y 1 � RIS n'AG' n !ry PROPERTY DAMAGE 0 NON -OWNED 110 r� . V — ONLY — AUTOS ONLY 13Y ,1 (Per accident) tf.. \ ) t UMBRELLA LIAB OCCUR ° i - 1'; EACH OCCURRENCE II EXCESS LIAB CLAIMS -MADE WAIVER AV YE AGGREGATE aS DED (RETENTION WORKERS COMPENSATION AND PER STATUTE OTH- EMPLOYERS' LIABILITY Y / N ER ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N 1 A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT A Excess WC WCX005591804 10/01/2017 10/01/2018 EL Each Accident $1,000,000 SIR applies per policy terns & conditions EL Disease - Ea Emp' $1,000,000 °-- DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Coverage A for workers Compensation is Statutory. =a The Monroe County Board of Commissioners is included as Additional Insured in accordance with the policy provisions of the Auto g Liability policy. s c--r ePer- . r CERTIFICATE HOLDER CANCELLATION Z a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE =_ POLICY PROVISIONS. o Monroe County AUTHORIZED REPRESENTATIVE BOCC 4 1100 Simonton Street Key West FL 33040 USA / X /l Or (yJ ` �� "l_ !/�� SF / . z �XKOl2 alOfG eJ G / 7F sttCt'lL ES ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD C C. • Wctiwt.L_ AGENCY CUSTOMER ID: 570000008208 LOC#: ACOIR °® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk services, Inc of Florida Baptist Health South Florida Inc. POLICY NUMBER See Certificate Number: 570072918311 CARRIER NAIC CODE See Certificate Number: 570072918311 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Auto Physical Damage Deductibles Owned Autos: Comprehensive: $1,000. Collision: $1,000. Except Freightliners M2 106: Vin No: 1FVACWDT4FHGN1877 Vin No. 1FVACWDT7DHFF1815 Vin No: 3ALACWDT4EDFX9356 Comprehensive: $2,000. Collision: $2,000. Hired Autos: Comprehensive: $100. Collision: $1,000. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO DATE (MMIDD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 8/30/2018 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 Marsh Management Services Cayman Ltd. NAti Client Services Insurance Dept. Governors Square, Bldg 4, Floor 2 JA/ ° Fxfl: (345) 949 - 7988 I AIC.No): 23 Lime Tree Bay Avenue ADDRESS: cayman.certs@marsh.com Grand Cayman INSURER(S) AFFORDING COVERAGE NAIC 5 Cayman Islands INSURER A :PINEAPPLE INSURANCE COMPANY INSURED INSURER B : Baptist Health South Florida, Inc. INSURERC: and all entities on file with the Insured INSURER D: 6855 Red Road, Suite 200 INSURER E: Coral Gables FL 33143 INSURER F: COVERAGES CERTIFICATE NUMBER :2017 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 AUDI SUM POLICY EFF POLICY EXP LIMITS LTR INSD %ND POLICY NUMBER (MM/DDIYYYY) (MMIDDIYYYY) X COMMERCIAL GENERAL LIABILRY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED A X CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ X PIC- 2017/18 -EXC1 10/1/2017 10/1/2018 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEWL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS - COMP /OP AGG 5 OTHER Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ — ALL OWNED SCHEDULED BODILY INJURY (Per accident) 5 _ AUTOS _ AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) OCCUR , UMBRELLA LIAB A VI_ QyjRISF� t0 • �I W EACH OCCURRENCE S — _.,( \/ \- EXCESS LIAB CLAIMS -MADE BY �-� J ,CL e AGGREGATE $ DED 1 1 RETENTIONS fIATJ t (`- ( - (c $ _ WORKERS COMPENSATION I PER OI H- AND EMPLOYERS' LIABILITY Y / N WAIVER N/A ° , YES STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE ( E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ A HEALTHCARE PROFESSIONAL Pic- 2017/18 -EXC1 10/1/2017 10/1/2018 EACHOCCURRENCE $1,000,000 LIABILITY - CLAIMS MADE AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) The Certificate Holder is named Additional Insured as their interest may appear under the terms and conditions of the above mentioned policy. Coverage is subject to all policy terms, conditions and deductibles. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE Ir��414.4 lilaota9ermceNt Sewtieed edeplia# 4ete. © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (zotaot) , L : c 't'I't'u'P''u.,