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PRODUCER:
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE POLICY. THIS CERTIFICATE DOES NOT AMEND,
Marsh USA Inc.
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES LISTED BELOW.
1560 Sawgrass Corporate Parkway - Ste 300
COMPANIES AFFORDING COVERAGE
Sunrise, Florida 33323
954 838-3400
COMPANY A BAPTIST HEALTH SYSTEMS OF SOUTH FLORIDA
LETTER
INSURED:
BAPTIST HEALTH SYSTEMS OF SOUTH FLORIDA, INC.
COMPANY B CONTINENTAL CASUALTY INSURANCE COMPANY
LETTER
BAPTIST HOSPITAL, SOUTH MIAMI HOSPITAL,
HOMESTEAD HOSPITAL, MARINERS HOSPITAL
COMPANY C
LETTER
6855 RED ROAD, 5TH FLOOR
CORAL GABLES, FL 33143
COMPANY D
LETTER
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TH13 IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUS!ONS OF SUCH POLICIES, LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
LTR
DATE (MM/DD/YY)
DATE MM
GENERAL LIABILITY
GENERAL AGGREGATE
$ -
COMMERCIAL GENERAL LIABILITY
PRODUCTS-COMP/OP AGG
$ -
CLAI MS MADE FIOCCUR
PERSONAL & ADV INJURY
$ -
OWNERS CONTRACTOR'S PROT.
EACH OCCURRENCE
$ -
K AQE
ENT
FIRE DAMAGE A one fire
$ -
MED EXP A one person)$
-
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
Y
DATE
_�
COMBINED SINGLE OMIT
$
BODILY INJURY
Per person)
$
HIRED AUTOS
NON OWNED AUTOS
WAVER
A YES
BODILY INJURY
Per accident)
$ _
PROPERTY DAMAGE
$ _
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
-
AGGREGATE
$ -
EXCESS LIABILITY
UMBRELLA FORM
EACH OCCURRENCE
$ _
OTHER THAN UMBRELLA FORM
AGGREGATE
$ -
WORKER'S COMPENSATION
T STATUTORY LIMITS
AND EMPLOYERS LIABILITY
EACH ACCIDENT
$ _
THE PROPRIETOR / HINCL
PARTNERS/EXECUTIVE
DISEASE - POLICY LIMIT
$ -
DISEASE - EA EMPLOYEE
$ -
OFFICERS ARE: EXCL
OTHER
SELF INSURED
A
HOSPITAL PROFESSIONAL
RETENTION
10/01/00
10/01/01
$2,000,000/$15,SN,000 SIR
B
LIABILITY& GENERAL LIABILITY
HMU1089990106
10/01/00
10/01/01
$25,000,000/$25,000 00 EXCESS OF SIR
DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES / SPECIAL ITEMS
MONROE COUNTY BOCC IS NAMED AS AN ADDITIONAL INSURED AS REGARDS HYPERBARIE CHAMBER WHILE
AT THE TAVERNIER FIRE STATION THROUGH NOV. 2001
•:. .; .,; .: {. :. ..... r..{.j},i•:::i.r{: .. nn..n.v.v:{•?{ r ....u:n..... v.•. :?:: :{{:}: k�i: i:.v.
..... ... • . .:.............v.............v.u..A..........v.v .v........u......... r:n. ... n..........v::v:.
....................................................x...
; .
.. .,:•,}'•}}:•$}'•}: }. r.:: r$: r}::'{vY::..:.:. •: v..vx..v.
; ; u }....r}t}�;:.:4:h:h:h}}}$}}:f,.;.}u}}w::x++}}}i:.}}}:•}}:h}}!ti,>•:•: $}:i::::•::i:
MONROE COUNTY BOCC
SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELED BEFORE THE EXPIRATION
5100 COLLEGE ROAD
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL
KEY WEST, FL 33050
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE
TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF
THIS CERTIFICATE
MARSH US
By: