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Certificates of Insurance02/07/96 12:08 e305 852 5347 P E S Q 001 :vrl I6 1771117 v February 1, 1996 V This document is issued as a matter of information only and confers no rights upon the recipient This evidence of insurance does not amend, extend or alter the coverage afforded by the policy(ies) below. 1=VIDENCE OF INSURANCE ISSUED TO NAMED INSURED Monroe County Department of Emergency Services Professional Emergency Services, Inc.; Marathon, Florida PIES Physician Resources, Inc. 10 High Point Road Tavernier, Florida 33070 MEDICAL PROFESSIONAL LIABILITY INSU ANCF. - CLAMS MADE c ovEgAGE This is to verify that the policy(ies) of insurance listed below has been issued to the Named Insured above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this evidence may be issued or may pertain, the insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies), including any retroactive date(s). Company and Policy Number American International Speciality Lines Insurance Company (AISLIC) Policy No. TBD 01/31/96 - 01/31/97 im' $1.000,000 per medical incident APP$M9WMPf*RIWpN'k'W aggregate BY 16 DATE FR: N/A �vc5 The policy(ies) provides coverage on a claims made basis and contains an unlimited Extended Reporting Period option, from date of termination. This policy(ies) provides coverage for all physicians contracted by the above Named Insured, only while they are working for or on behalf of the above Named Insured. Should the above described policy(ies) be canceled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the recipient named above, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. BY: William F.Galtney, Jr., Individual V 820 Gessner Suite 1000 Houston, TX 77024 4259 P.O. Box 79519 Houston, TX 77279-9519 7131461.4000 FAX 713/461-4334 800/733-4474 . . February 1, 1996 EVIDENCE OF INSURANCE This document is issued as a matter of information only and confers no rights upon the recipient. This evidence of insurance does not amend, extend or alter the coverage afforded by the policy(ies) below. Monroe County Department of Emergency Services Professional Emergency Services, Inc.; Marathon, Florida PIES Physician Resources, Inc. 10 High Point Road Tavernier, Florida 33070 MEDICAL PROFESSIONAL LIABILITY INSURANCE - CLAIMS MADE COVERAGE This is to verify that the policy(ies) of insurance listed below has been issued to the Named Insured above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this evidence may be issued or may pertain, the insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies), including any retroactive date(s). American International Speciality Lines Insurance Company (AISLIC) Policy No. TBD 01/31/96 - 01/31/97 Limits $1,000,000 per medical incident " $3,000,000 per physician aggregate - Received Loss Control a-a3 The policy(ies) provides coverage on a claims made basis and contains an unlimited Extended Reporting Period option, from date of termination. • . • .. .. • - •-• .. This policy(ies) provides coverage for all physicians contracted by the above Named Insured, only while they are working for or on behalf of the above Named Insured. Should the above described policy(ies) be canceled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the recipient named above; but failure to mail such notice shall: impose'nd obligation or liability of any kind upon the company, its agents or representatives. 4 APPROVED BY RISK MANAGEMENT BYE DATE 22 BY: W ITR: N/A __wcC William F.Galtney, Jr�Q Individual C c . J b�2S 820 Ges ner Suite 1000 Houston, TX 770244259 P.O. Box 79519 Houston, TX 77279-9519 713/461-4000 FAX 713/461-4334.800/733-4474 March 21, 1997 THIS EVIDENCE OF INSURANCE REPLACES AND SUPERSEDES ANY AND ALL EVIDENCES WHICH MAY HAVE BEEN PREVIOUSLY ISSUED FOR THE 01101197-01101/98POLICY PERIOD. EVIDENCE OF INSURANCE This document is issued as a matter of information only and confers no rights upon the recipient. This evidence of insurance does not amend, extend or alter the coverage afforded by the policy(ies) below. EVIDENCE OF INSURANCE ISSUED TO Monroe County EMS (ALS) Marathon, FL NAMED INSURED EmCare, Inc., dba PES-EmCare 10 High Point Rd. P.O. Box 1042 Tavernier, FL 33070 (a member of Healthcare Purchasing, Group, Inc.) MEDICAL PROFESSIONAL LIABILITY INSURANCE- CLAIMS MADE COVERAGE This is to verify that the policy(ies) of insurance listed below has been issued to the Named Insured above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this evidence may be issued or may pertain, the insurance afforded by the policy(ies) described herein is subject to a;l the terms, exclusions and conditions of such policy(ies), including any retroactive date(s). Companies and Policy Numbers American International Specialty Lines Insurance Company Go Chicago, IL Policy No. 819-24-08 Western Indemnity Insurance Company Policy No. WFRP02765E97 Policy No. WPLE02765E97 Policy Period 01 /01 /97 - 01 /01 /98 Limits (including applicable Self Insured retention) $1,000,000each claim per physician $3,000,000 aggregate per physician The policy(ies) provides coverage on a claims made basis and contains an unlimited Extended Reporting Period option. The policy(ies) provides coverage for all Medical Professionals employed or contracted by the above Named Insured, only while they are working for or on behalf of the above Named Insured. Should the above described policy(ies) be canceled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the recipient named above, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. BY: mw",+4 William J. Reese, Jr., Individual APPROVE BY K AGEMENT BY� � DATE __,...�---4-1, -- WArt+ER: MIA Wl 820 Gessner Suite 1000 Houston, TX 77024-4259 P.O. Box 79519 Houston, TX 77279-9519 713/461-4000 FAX 713/461-4334 800/733-4474 Ulu CL'. �-" n - Z' February 13, 1998 EVIDENCE OF INSURANCE This document is issued as a matter of information only and confers no rights upon the recipient. This evidence of insurance does not amend, extend or alter the coverage afforded by the policy(ies) below. EVIDENCE OF INSURANCE ISSUED TO Monroe County EMS (ALS) Marathon, FL NAMED INSURED EmCare, Inc., dba PES-EmCare 10 High Point Rd. P.O. Box 1042 Tavernier, FL 33070 (a member of Health Care Purchasing Group, Inc.) MEDICAL PROFESSIONAL LIABILITY INSURANCE - CLAIMS MADE COVERAGE This is to verify that the policy(ies) of insurance listed below has been issued to the Named Insured above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this evidence may be issued or may pertain, the insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies), including any retroactive date(s). COMPANY AND POLICY NUMBER PHICO INSURANCE COMPANY ONE PHICO DRIVE, P.O. BOX 85 MECHANICSBURG, PA 17055-0085 ATTN: CLAIMS DEPT. POLICY NO. HCL10256 POLICY PERIOD 10/01 /97 - 01 /01 /00 LIMITS (INCLUDING SELF INSURED RETENTION) $1,000,000 each Occurrence per Physician $3,000,000 Annual Aggregate per Physician CORPORATE LIMITS (INCLUDING SELF INSURED RETENTION) $1,000,000 each Occurrence $5,000,000 Annual Aggregate The policy(ies) provides coverage on a claims made basis and contains an unlimited Extended Reporting Period option. This policy(ies) provides coverage for all Medical Professionals employed or contracted by the above Named Insured, only while they are working for or on behalf of the above Named Insured. Should the above described policy(ies) be canceled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the recipient named above, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. William J. Reese, Jr., Individual "(`4T 'fR: N/A ypS PAI w All credentialling requests should be sent to the "COMPANY" above and must reference the "POLICY NUMBER". 820 Gessner Suite 1000 Houston, TX 77024-4259 P.O. Box 79519 Houston, TX 77279-9519 713/461-4000 FAX 713/722-1666 800-733-4474 ALI,STATE LIENHOLDER SERVICE CENTER PO BOX 660349 DALLAS, TX 75266-0349 II�IIII��II�I�I�11�I11�1�11�1�'I'I�I�'ll'I'll�'���III��I�III��'I� MCBOCC 1100 SIMONTON ST KEY WEST FL 33040-3110 CERTIFICATE OF INSURANCE ALLSTATE INSURANCE COMPANY Northbrook,Illinois, certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER 6a Date: 08/09/11 EFFECTIVE DATE OF CERTIFICATE SEPTEMBER 14, 2011 POLICY PERIOD SANDRA SCHWEMMER 9 41 938561 09/14 SEPTEMBER 14, 2011 M 12:01 A.M. 160 KEY HGHTS DR MARCH 14, 2012 s<wauaTime TAVERNIER FL 33070-2010 The person or organization designated below is described in the policy as: MCBOCC 1100 SIMONTON ST LIENHOLDER KEY WEST FL 33040-3110 P (Loss Payable Clause) LJ ADDITIONAL INTERESTED PARTY AGENT SCOTT GORHAM PHONE (305) 245-8488 Coverages designated below are afforded for each described vehicle: BI $250,000 EA.PERS.- $500,000 EA.00C. 2008 RX400H PD $100,000 EA.00C. JTJHW31U982062563 Collision- $500 DED. Comprehensive- $250 DED. See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. DI696 INIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIAIIIIIII ALLSTATE LIENHOLDER SERVICE CENTER PO BOX 660349 DALLAS, TX 75266-0349 RECEIVED MAY 2 4 2011 MONROE COUNTY IIi11�11���ih�I�l�i��nih�hh�il�lu��dl�IdIIPl�lll��ul�li Date: 05/17/11 MCBOCC 1100 SIMONTON ST KEY WEST FL 33040-3110 CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE ALLSTATE INSURANCE COMPANY MAY 17, 2011 Noithbrook,Illinois, certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER POLICY PERIOD SANDRA SCHWEMMER 9 41 938561 09/14 MARCH 14, 2011 At 12.01 A.M. 160 KEY HGHTS DR SEPTEMBER 14, 2011 Sl-d"d Tune TAVERNIER FL 33070-2010 The person or organization designated below is described in the policy as: MCBOCC 1100 SIMONTON ST LIENHOLDER (Loss Payable Clause) KEY WEST FL 33040-3110 X ADDITIONAL INTERESTED PARTY AGENT SCOTT GORHAM PHONE (305) 245-8488 Coverages designated below are afforded for each described vehicle: BI $250,000 EA.PERS.- $500,000 EA.00C. 2008 RX400H PI) $100,000 EA.00C. JTJHW31U982062563 Coilision $500 DED. Comprehensive- $250 DED. See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party. `i his Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. DI696 IIIIIIIIIII517 IIII1I�IIIIIIIIIINIInIIIIIIIIIINIII The Loss Payable Clause of such pulicy{pvvides: "The company reserves the right to cancel such policy at any time as provided by its terms, but in Stich case the company shall notify the Lienholder when not less than ten days thereafter such cancellation shall be effective as tokhe interp of iaid Lienholder therein and the company shall have the right, on like notice, to cancel this agreement." The Additional Interest Endorsement of such policy, in part, provides: "...such insurance as is afforded by the policy" for automobile liability insurance listed on the reverse side hereof applies also to the person or organization named as Additional Interested Party. "As respects such... interest, no cancellation —and no endorsement... adversely affecting such additional interest, shall be effective until ten (10) days following the mailing of written notice (to the person or organization) of such cancellation or endorsement..." 589414051710P ALLSTATE LIENHOLDER SERVICE PO BOX 660349 DALLAS,TX 75266-0349 RECEIVED FEB ' 7 1nl? MONROE COUNTY ��Ill��ll�l�lrlll��l11111111111��1�11111111��1lln11111111111111 MCBOCC Date: 02/08/12 1100 SIMONTON ST KEY WEST FL 33040-3110 CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE ALLSTATE INSURANCE COMPANY MARCH 14, 2012 Northbrook,Illinois, certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER POLICY PERIOD SANDRA SCHWEMMER 9 41 938561 09/14 MARCH 14, 2012 A112:01 Ate. 160 KEY HGHTS DR SEPTEMBER 14, 2012 Standard Time TAVERNIER F1, 33070-2010 The person or organization designated below is described in the policy as: MCBOCC LIENHOLDER 1100 SIMONTON ST (Loss Payable Clause) KEY WEST FL 33040-3110 X ADDITIONAL INTERESTED PARTY AGENT SCOTT GORHAM PHONE (305) 245-8488 Coverages designated below are afforded for each described vehicle: BI $250,000 EA.PERS.- $500,000 EA.00C. 2008 RX400H PD $100,000 EA.00C. JTJHW31U982062563 Collision- $500 DED. Comprehensive- $250 DED. UA Y RISK ANAGE" Br DA W CO See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. IIIIIIIIIIII8IIIIIIIIIIIIIIIIINIIulllllllllllllllll ALLSTATE LIENHOLDER SERVICE PO BOX 660349 DALLAS,TV 75266-0349 RECEIVED FFB ' -7 rr MONROE COUNTY ��111��II�I�IrI11��111111111111��I�11111111��111n11111111ililli MCBOCC 1100 SIMONTON ST KEY WEST FL 33040-3110 CERTIFICATE OF INSURANCE ALLSTATE INSURANCE COMPANY Northbrook,Illinois, certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER SANDRA SCHWEMMER 9 41 938561 09/14 160 KEY HGHTS DR TAVERNIER FT, 33070-2010 Date: 02/08/12 EFFECTIVE DATE OF CERTIFICATE MARCH 14, 2012 POLICY PERIOD MARCH 14, 2012 Al 12:01 A.M. SEPTEMBER 14, 2012 Standard Time The person or organization designated below is described in the policy as: MCBOCC 1100 SIMONTON ST LIENHOLDER (Loss Payable Clause) KEY WEST FL 33040-3110 X ADDITIONAL INTERESTED PARTY AGENT SCOTT GORHAM PHONE (305) 245-8488 Coverages designated below are afforded for each described vehicle: BI $250,000 EA.PERS.- $500,000 EA.00C. 2008 RX400H PD $100,000 EA.00C. JTJHW31U982062563 Collision- $500 DED. Comprehensive- $250 DED. Y RISK AGEMENT St DA.TO W C r$� ley-vC See reverse side for provisions concerning Loss Payable Clause and Additional Interested Party. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. �y DI696 ri 'n cz�,-, c1L____�