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Certificates of Insurance'4 q ,,.»:u .. f1V�J��ruV►��1 ._��. •,� �.... __ ._.,,__ �__ �����Ii�u� .DATE(MM/DDIYY). ��� ... �.... .... �� ��h 5/29/97 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER SULLIVAN KELLY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7900 GLADES ROAD, SUITE 650 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE �BOCA RATON, FLORIDA 33434 COMPANY AROYAL INSURANCE COMPANY INSURED LOWER FLORIDA KEYS HEALTH SYSTEM, INC. COMPANY B UNDERWRITIERS AT LLOYD'S, LONDON P. O. BOX 9107 KEY WEST, FLORIDA 33041 COMPANY C COMPANY D Luu:4�w...,......,........._.,--_u»z ! 3.• ,.. e.. .a, e .: v -- 3a.....,..,.. S rNt"��'� Da4" ...,.....,. � .,..FiG��.3 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ AUTOMOBILE LIABILITY A ANY AUTO PST 102969 10/1 /96 10/1 /97 COMBINED SINGLE LIMIT $ 500,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS APPROVED Y RI. I ENT BODILY INJURY (Per accident) $ X 1 RY PROPERTY DAMAGE $ GARAGE LIABILITY [jATE AUTO ONLY -EA ACCIDENT $ ANY AUTO ✓ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ B EXCESS LIABILITY C30057--CM3190 10/1/96 10/01/97 EACH OCCURRENCE $ 1,500,000 AGGREGATE $ UMBRELLA FORM $ X OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND LIABILITY WC STATU- OTHTORY LIMITS ER EL EL EACH ACCIDENT $ THE PROPRIETOR/ HEXCL INCL PARTNERS/EXECUTIVEOFFICERS EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ ARE: OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS MONROE COUNTY AND MONROE COUNTY SCHOOL BOARD IS AS AN ADDITIONAL INSURED WITH COVERAGE LIMITED TO THEIR LEGAL LIABILITY ARISING OUT OF THE ACTS OR OMMISSSIONS OF THE NAMED INSURED, AS RESPECTS TO HURRICANE EVACUATION TRANSPORTATION AGREEMENT - HOSPITAL GERTiFICATEI tOLt)ER/ .� CANCLI.ATiQtJ tg SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY AND MONROE COUNTY SCHOOL BOARD EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 110 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY SOCIAL SERVICES BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PUBLIC SERVICE BLDG., WING III OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 5100 COLLEGE ROAD AUTHORIZED RE RESENTATI KEY WEST, FLORIDA 33040 i4'COR.p. ,.,, 'v1i95}.._..... : `� vORt G3.fPC}ttA u F�AC0RDM �T �__,.. �DATE (MM/DD/YY '� 8/24/98 PRODUCER THIS CERTIFICATE 1 WED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SCPIE INSURANCE SERVICES, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2255 GLADES ROAD, SUITE 324A BOCA RATON, FLORIDA 33431 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A ROYAL INSURANCE COMPANY OF AMERICA INSURED LOWER FLORIDA KEYS HEALTH SYSTEM, INC. 5900 JUNIOR COLLEGE ROAD KEY WEST, FLORIDA 33040 / COMPANY RELIANCE INSURANCE COMPANY OF ILLINOIS B COMPANY C COMPANY D 6:OVERAGE$ 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (Mm1oDm) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPIOP AGG $ CLAIMS MADE ❑ OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Anyone person) $ A AUTOMOBILE LIABILITY ANY AUTO PST 314828 10/01 /97 10/01 /98 COMBINED SINGLE LIMIT $ 500,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS Q c��--'KOVED Y RISK AArA, Fm:, „� X BODILY INJURY accident) $ HIRED AUTOS NON -OWNED AUTOS uY f � 7 X(Per PROPERTY DAMAGE DATE' `' /^ 71 GARAGE LIABILITY WAIVER: +,`.,° .. _ YE AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ CESS LIABILITY NPB1412059/3190 10/01/97 10/01/98 EACH OCCURRENCE $ 1,500,000 AGGREGATE $ BUMBRELLA FORM Ix OTHER THAN UMBRELLA FORM $ WORKER'S COMPENSATION AND TORY LIMB ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUME EL DISEASE - POLICY LIMIT $ EL DISEASE -EA EMPLOYEE $ OFFICERS ARE; EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONS VVEHICLESISPECML ITEMS MONROE COUNTY AND MONROE COUNTY SCHOOL BOARD IS AN ADDITIONAL INSURED WITH COVERAGE LIMITED TO THEIR LEGAL -LIABILITY ARISING OUT OF THE ACTS OR OMMISSIONS OF THE NAMED INSURED, AS RESPECTS TO HURRICANE EdWAGUATION TRANSPORT^A�TION AGREEMENT rH.OSPITAL CERTIFIGL[1E tt�1=DE - _ DA' CELZATIO, -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY AND MONROE COUNTY SCHOOL EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL BOARD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY SOCIAL SERVICES PUBLIC SERVICE BLDG., WING II 5100 COLLEGE ROAD KEY WEST, FLORIDA 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHORIZ :PRESENTATIVE v _ _ LiEDRATIIfl ..........: ............................ rr+�- r �+ C DATE (MM/DD/YY) 1F �Q���1 1 1�7.G...LOW Rl'':`. 07/01/98 PRODUCER Head Beckham Insurance Agency 3050 Biscayne Blvd. Ste 412 Miami FL 33137 William E. Beckham inR_q71_Qnnn INSURED LOWER FLORIDA KEYS PHYSICIANS V HOSPITAL ORGANIZATION INC. 5900 COLLEGE ROAD KEY WEST FL 33040 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 A Reliance Insurance Co COMPANY B Royal Ins Co/SCPIE Ins Sery COMPANY C Pinnacle Assurance Corporation COMPANY 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 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. LTR TYPE OF INSURANCE I POLICY NUMBER I DATE (MMEDDNY) I POLICYPOLICY EFFCTIVE DATE (MM/DD/YY) I EXPIRATION LIMITS A A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S PROT PROFESSIONAL NPB1412144/4260 10/01/97 10/01/98 GENERAL AGGREGATE $ 5,000, 000. X PRODUCTS - COMP/OPAGG $5,000,000. PERSONAL & ADV INJURY $5, 000, 000 . EACH OCCURRENCE $ 5, 000, 000 . X FIRE DAMAGE (Any one fire) $5,000,000. LIABILITY MED EXP (Any one person) $ 10,000. B B B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS P ST 31428 ;;--'rOXFDBAIS NIAGE 10/01/97 , :•� 10/01/98 COMBINED SINGLE LIMIT $500 , 000 . X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X V Y ` 1 - PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO O�jE rf WAIVER. �I,` / YFS AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM (� " %(- L_ EACH OCCURRENCE $ AGGREGATE $ $ C+ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: RINCL EXCL 407692301 06/30/98 06/30/99 X TORLIMITYLIMITS OTERH-:;:::::;:; :: ::::::::::::: <:. �.:::: EL EACH ACCIDENT $ 10 0 , 0 0 0 . EL DISEASE -POLICY LIMIT $500,000. EL DISEASE - EA EMPLOYEE $ 10 0 , 0 0 0 . OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS COUNTY OF MONROE RISK MANAGEMENT DEPT. ATT: MARIA DEL RIO 5100 COLLEGE ROAD KEY WEST, FL 33040 INITIAL MONRO -1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KIND UPON THE COMPANY, ITS GENTS OR REPRESENTATIVES. FjW ES ,R R R SE TIVE : 1 G' illiam E. Beckham �(� ACORD� c zEM - DATE(MMlDD/Ylf ) — _ 12/02/98 PRODUCER _ THIS CERTIFICATE II RUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE SCPIE COMPANIES HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2255 GLADES ROAD, SUITE 221A BOCA RATON, FLORIDA 33431 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY ROYAL INSURANCE COMPANY OF AMERICA A INSURED LOWER FLORIDA KEYS HEALTH SYSTEM, INC. 5900 JUNIOR COLLEGE ROAD COMPANY AMERICAN HEALTHCARE INDEMNTIY COMPANY B COMPANY KEY WEST, FLORIDA 33040 C COMPANY D -- - -GOVERAGE5� THIS IS TO CERTIFYITHAT 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MM/DDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Anyone person) $ A AUTOMOBILE LIABILITY ANY AUTO PST314828 10/01/98 10/01/99 COMBINED SINGLE LIMIT $ 1,000,000 X BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS r+"'ROVED R RIS 'ANA. u Y ;F'll (Per person) X BODILY INJURY (Per accident) g X DATE PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO WAIVER: ill,'. .. z YF OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY TO BE ASSIGNED 10/01/98 10/01/99 EACH OCCURRENCE $ 1,000,000. AGGREGATE $ B UMBRELLA FORM BINDER NO. 0014 X OTHER THAN UMBRELLA FORM $ WORKER'S COMPENSATION AND cc TORY LAI% CER EL EACH ACCIDENT $ EMPLOYERS' LIABILITY THE PROPRIETORI INCL PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT $ EL DISEASE -EA EMPLOYEE $ OFFICERSARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS MONROE COUNTY AND MONROE COUNTY SCHOOL BOARD IS AN ADDITIONAL INSURED WITH COVERAGE LIMITED TO THEIR LEGA IABILI ARIS GOUT OF THE ACTS OR OMMISSIONS OF THE NAMED INSURED, AS RESPECTS TO HURRICANE EV�AC�UATI© "I I NSPORT�A R AGREEMENT ,HO»�SPITAL , . � a QC _ _ _ _IF1CAEE tt— g ELLATIO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY AND MONROE COUNTY SCHOOL EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL BOARD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY SOCIAL SERVICES BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PUBLIC SERVICE BLDG., WING II 5100 COLLEGE ROAD KEY WEST, FLORIDA 33040 I OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZM REPRESENIATIVE - 7 n r rn T I r- I n A -r ,n C I 1 A Q 1 I I TU- I nI C I <:I QrL oP:ID`>" KT . DATE (MMroO/YY) AL(. ut fL l� C I-C 1< 1 r l l� r 1 I .J I IL I /1 U 1 L 1:.1 .1,:.. 1 :. v. v: v ;.' w—:hOWER .. Z .' l D/ z 9/-99 PRODUCER • nsurance:,' Inc. HBA Insurance,' THIS CERTIFICATE IS ISS, J AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT. AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. d COMPANIES AFFORDING COVERAGE COMPANY A 5t Paul Fire & Marine Ins Co William E. Beckham Phone No. Fax No. INSURED LOWER FL KEYS PHYSICIAN COMPANY B HOSPITAL ORGANIZATAION, INC. D/B/A KEYS PHYSICIAN HOSPITAL ALLIANCE COMPANY C COMPANY 5900 College; Rd Key West FL 33040 D 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR OWNER'S & CONTRACTOR'S PROT X EMPLOYEEE BENEFIT DK06619905 05/01/99 05/01/00 GENERAL AGGREGATE $$2,000,000. PRODUCTS - COMP/OPAGG 5 $1,000,000. PERSONAL & ADV INJURY 5 $1 , 0 0 0 , 0 0 0 . EACH OCCURRENCE S $1 , 000 , 000 . FIRE DAMAGE (Any one fire) $ $1100 0 , 0 0 0 . MED EXP (Any one person) $ $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ $1 , 0 0 0 , 0 0 0 . ANY AUTO ALL OWNED AUTOS - BODILY INJURY (Per person) S A SCHEDULED AUTOS HIRED AUTOS DKO6619905 05/01/99 05/01/00 BODILY INJURY (Per accident) S X X NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO ` r) 1 AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT S //l l ;""''� 4: .ice — vTS _` AGGREGATE EICH OCCURRENCE I S 5 EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AGGREGATE $ WC STATU- OTH- TORY LIMITS ER S EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S A A OTHER CRIME COVERAGE PROFESSIONAL LIAB DK06619905 DM06630472 05/01/99 05/01/99 05/01/00 05/01/00 EMPL DIS $10,000. PROF LIAB $5,000,000. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS EMPLOYEESAND OFFICIALS ARE INCLUDEDOONTTHEOAABBOVFPOOLICIESCASMISSIONERS ITS ADDIT ONAf, INSUREDS. CERTIFICATE.HOLDER ;CANCELLATION MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL MONROE COUNTY BOARD OF COUNTY 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. COMMI S S I ONERS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATT : STEPHEN KRATHEN , D . 0. NY KIND UPON THE COMP , ITS 6GENTS OR REPRESENTATIVES. 5100 COLLEGE RD . A PRESENTATI KEY WEST FL 33040 itahf-�e . ACORU CORPORA TION 1988 ACORD 25-S 0/95) :::::::.::::?`•::::DATE : M::::::D.::::::::::. <: 1 : �:i:?i":::%:iiii:`isiiiS:::'•:::i::iii::;:%:$;::i::?li:;:isisI::i:isii:i%:<?2k:?RM1;?2'ii::i#:i:i ii:::`r:i -::::,'::,'::::::::iiriiii:`:iii: 2 01 00 PRODUCER::.::.:;:.................................................................................................:......:..:.............. / / THIS CERTIFICATE IS ISSUED• •• AS A MATTER OF INFORMATION . Aon Risk Services, Inc of GA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR One Piedmont Center, Bldg. 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3565 Piedmont Road NE,,STE 700 COMPANIES AFFORDING COVERAGE Atlanta; .GA 30305 COMPANY 404'-264-3115 A INSURED' COMPANY Health Management Associates, B Inc. 5,. ^; .. ,.:<. • :::: COMPANY 581i: tP:elican Bay Blvd '#500 C Naples,:'.- FL 34108 COMPANY _ D Emolovers Insurance of Wausau 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 POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG S CLAIMS MADE FIOCCUR PERSONAL & ADV INJURY S OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRE -AUTOS . :, : '... NON -OWNED AUTOS p _ - vY- — a U"TF - i �'/1:. -- COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) S YFS OD INJURY B ILY (Per accident) $ PROPERTY DAMAGE S GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE S AGGREGATE S S 1✓ _ WORKERS COMPENSATION AND S O MP ELYER' ILIT _ - __-LIABY -- -- - THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL -48000151 -. l0/..0.1-/99----10/01/00.---EL WC STATU- X I TORY LIMITS ER .S....---�1�0�0.0000_ EACH ACCIDENT_ .__ EL DISEASE - POLICY LIMIT $ 1000000 EL DISEASE - EA EMPLOYEE $ 3.000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Lower Keys Medical Center is included as an insured location, 5900 College Rd. Key West, FL 33040. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL County Commissions 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road DATE- BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West, FL 33040 INITIAL �y OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. - AUTHORIZED RE SENT VE , e 106026000 DATE (MMlDDIYY) .......:.. 12 / 17 / 9 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 A Reliance Insurance COMPANY B COMPANY C COMPANY 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 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 POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DDIYY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE S COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG S CLAIMS MADE OCCUR PERSONAL & ADV INJURY S OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY A ANY AUTO VQ8484854 11/15/99 11/15/00 COMBINED SINGLE LIMIT $ 1000000 X BODILY. INJURY.: , (Per person) :S , _ ALL OWNED AUTOS SCHEDULED AUTOS _., .... BODILY INJURY (Per accident) _ 9 HIRED AUTOS NON -OWNED AUTOS :p i )' �•: ; A' >''�1:• `� J '1 PROPERTY DAMAGE S GARAGE LIABILITY DATE i AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ ! "1 NtAILER. �+. �� ' YFS AGGREGATE $ EXCESS LIABILITY ` t' EACH OCCURRENCE S AGGREGATE S UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATU- OTH- TWO TORY LIMITS ER i:::: ..... EL EACH ACCIDENT S EL DISEASE - POLICY LIMIT S THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE V- EL DISEASE - EA EMPLOYEE 1 $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Monroe County is named Additional Insured as respects the Named Insured's use of County School buses for evacuation of patients if thee_is-a mandaltory evacuation due to a Hurr.cane4::^' Location Lower K'evs�Medca4l�:Center.''! County of Monroe Monroe County Risk Management Attn: Maria del Rio 5100 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL . 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT AILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND JRON THE MPANY, ITS AGENTS OR REPRESENTATIVES. ED REP ES ATIV •1 106026000 11 • 14 . DATE MM'DD:: 1 / /Y1) D T. AC OR ::::::::::::::::>:::::::.:.::.:>::.:.::.::.::.:.:.::.::w ::;::.......................................................................................................................................................................................................................................................::::::: 12 17 9 9 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services, Inc of GA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR One Piedmont Center, Bldg. 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3565 Piedmont Road NE, STE 700 COMPANIES AFFORDING COVERAGE Atlanta, GA 30305 COMPANY 404-264-3115 A Reliance Insurance Company INSURED COMPANY Health Management Associates B Inc. ��� COMPANY 5811 Pelican Bay Blvd #500 C Naples, FL 34108 COMPANY 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 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 TR I TYPE OF INSURANCE I POLICY NUMBER POLICY I DATE MM/DDTIVE /YY) I POLICY DA E ( MEXPIRATION /YY) I LIMITS I GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY A ANY AUTO VQ8484854 11/15/99 11/15/00 COMBINED SINGLE LIMIT $ 1000000 X BODILY INJURY (Per person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE I $ GARAGE LIABILITY ANY AUTO ' - �I�� • yt= } A IN 'I[. P --' ,' (/ AUTO ONLY -_EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM DAI - YES EACH OCCURRENCE S AGGREGATE S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ R INCL OFFICERS ARE: EXCL WC STAi U- TORY LIMIT ER :: EL EACH ACCIDENT S EL DISEASE - POLICY LIMITPARTNERSIEXECUTIVE EL DISEASE - EA EMPLOYEE S OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Monroe County is named Additional Insured as respects the Named Insured's use of County School buses for evacuation of__paterrtsf-tlr�'remandatory evacuation due to a Hurricane. �L'oca-tion•:. Lower _Kev—Medica-1-Center County of Monroe Monroe County Risk Management Attn: Maria del Rio 5100 College Road DATE Key West, FL 33040 INITIAL _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF NY KIND UPON THE OMPANY, ITS AGENTS OR REPRESENTATIVES. � ZEDREPRES ATIVY N A 106026000 ,TWIT � PRODUCER Aon Risk Services, Inc. of Georgia 3565 Piedmont Rd NE,Blgl,#700 Atlanta GA 30305 USA DATE MM/ DD /YY )R 09/26/00 THIS CERTIFICATE IS ISSUED AS A MATTEROF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Health Management Associates, Inc. 5811 Pelican Bay Blvd #500 Naples FL 341080000 USA INSURER A: Liberty Mutual Insurance Co. INSURERS: INSURERC: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB OVE 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 POLL CIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICYEFFEC[NE POLICY EXPIRATION DATF(MMI)DWY) LIMITS — GENERAL LIABILITY - - COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR -' -- ---- — — '----- -- --- - -- EACH OCCURRENCE--- - — .. FIRE DAMAGE(Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE GEML AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECr LOC PRODUCTS - COMP/OP AGG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS vY_ _ - _"_ ,- n.F {�.` , "�?; _ JG - COMBINED SINGLE LIMIT (Eaaccident) BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO , / / ; Ll/ r AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTOONLY: AGG -- -- EXCESS LIABILITY _ - OCCUR ❑ CLAIMS MADE-- DEDUCTIBLE RETENTION $ _ _ _ -- _ - -- EACH OCCURRENCE AGGREGATE A WORKERS COMPEtaATIONAND EMPLOYERS' LIABILITY WA265DO04245010 Workers Compensation 10/1/00 10/1/01 X ORYLIMIIS ER E.L. EACH ACCIDENT $1, 000, 000 E.L. DISEASE -POLICY LIMIT $1, 0 0 0, 0 0 0 E.L. DISEASE -EA EMPLOYEE $1, 0 0 0, 0 0 0 OTHER DESCRIPTION E T T1 L L ADDED BY FNDURS=NVSPECIALR 1 Lower Keys Medical Center is included as an insured location: 5900 College Rd, Key West, FL 33040 CERTI I(,ATE HO DER ._ ..'" ...: G - T. O� ....W11, SHOULD DATE Monroe County Bd of County Commissioners 30 5100 College Road BUT Key West FL 33040 USA OF ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTENNOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE- y..`; RP RA .TI NI9 Certificate No : 220000028417 bower laentitier : Lower Keys DATE ) 1 2, M/ D /YY PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTEROF INFORMATION ONLY AND Aon Risk Services, Inc. of Georgia CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 3565 Piedmont Rd NE,Blgl,#700 Atlanta GA 30305 USA DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED INSURER A: Safeco Ins Co Of America Health Management Associates, Inc. INSURERB: 5811 Pelican Bay Blvd #500 INSURERC: Naples FL 341080000 USA INSURER D: INSURER E: �y g } ..._ ,. �.v.�.. ..., ... s , ,«_ , .. .., .. ex,.. i. «%_: „ _-.+.._ _ti.. ��,,,xa 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ME TYPE OF INSURANCE POLICY NUMBER POLICYEFFECfIYE DATE(MMWMYY) POLICY EXPIRATION DATE(MMODWY) LIMITS GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) CLAIMS MADE ❑ OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE GEML AGGREGATE LIMIT APPLIES PER: PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGG A AUTOMOBILE LIABILITY X ANY AUTO BA2406248 Business Auto Policy —FL 11/15/00 11/15/01 COMBINED SINGLE LIMIT (Eaaccident) $1, 000, 000 ALL OWNED AUTOS BODILY INJURY ( Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) NON OWNED AUTOS X Non Emergency Autos 1•^=-'K ,�1�(l, PY �.a :,'};fir,, fn'A PROPERTY DAMAGE (Per accident) GARAGE LIABILITY ANY AUTO u DATE 4v` �renrr vv " C • AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC AUTO ONLY: AGG EXCESS LIABILITY OCCUR ❑ CLAIMS MADE r ) EACH OCCURRENCE AGGREGATE DEDUCTIBLE RETENTION $ WORKERS COMPEMATION AND EMPLOYERS' LIAMLrrY ORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE -POLICY LIMIT E.L. DISEASE -EA EMPLOYEE OTHER DESCRIPTION F OPEPATIONS/LOCATIONS/VEiUCLES/EXCLUSIONS ADDED BY ENDORSE P 1 Monroe County is named Additional Insured as respects the.Named-Insured-'-s=us-F--of—county-school buses"for' evacuation of patients if there is a mandatory evac on due to a hurricane. Location: Lower Keys Medical Center GERM ACE HOLD, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL County of Monroe 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Risk Management BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY Attn: Maria del Rio OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. •5100 College Road AUTHORIZED REPRESENTATIVE -V f Key F{L 33040 USA `-►C - oo XYWest + �S`D. 'w'_«'£ 1uww$i.. 5- Certificate No : 220000042778 bolder Identifier : Lower Keys Y, A CORD.,.:. �1ivr RT FIC $ , ._, ! � L A �IT INS �:, , s,_ w,�x .:: , DATE AMC McIDD/YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services, Inc. of Georgia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3565 Piedmont Rd NE,Blgi,#700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Atlanta GA 30305 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMn-PANY Liberty Mutual Insurance Co. PHONE- (404) 261-3400 FAX - (404) 264-3002 INSURED COMPANY Health ManagementAssociates, Inc. B COMPANY 5811 Pelican Bay. Blvd #500 Naples FL 341080000 USA C COMPANY D Y 3:' 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 IT TYPE OF INSURANCE POLICY iriilU3£R POLICY EFFECTIVE DATE (11IMMD/YY) POLICY EXPLRATION DATE (MAVDDAW) LQ1r1T'S GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE(Any one fire) MED EXP (Any one person) A AUTOMOBILE LIABILITY X ANY AUTO AS651004245022 Business Auto Coverage 10/01/02 10/01/03 COMBINED SINGLE LIMIT $2 000 000 BODILY INJURY ALL' OWNED -AUTOS` SCHEDULED AUTOS ( Per person) BODILY INJURY HIRED AUTOS' NON -OWNED AUTOS AP � D �. MEN (Per accident) BY PROPERTY DAMAGE GARAGE LIABILITY DATE AUTO ONLY - EA ACCIDENT YES ---EACH OTHER THAN AUTO ONLY ANY AUTO WAIV R �:A ^f ACCIDENT AGGREGAT EXCESS LIABILITY A EACH OCCURRENCE GREGATE UMBRELLA FORM /)t OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND �/ WC STATU- OTH Y I ITFIR :........:....:..... EL EACH ACCIDENT EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE t LDlSEASE-POLICY LIMIT ISEASE-EA EMPLOYEE OFFICERS ARE: EXCL DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Monroe County is named Additional Insured as res ects t ameured s-use f county school buses for evacuation of patients if there is a x3x ,; mandatory evacuation due to a hurncane ,Location Lower Keyis Medl¢alrCenterr. L�iz� „ &r t" GERT#FFGATE HOLDER. ME 3 GA` LLA I IC}M . _ x SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE County of Monroe EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Risk Management 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Maria del Rio BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Key West FL 33040 USA AUTHORIZED REPRESENTATIVE AOiD, S, 1195 ACORD CORPORA"iff3N f��J.CCC��a�•1�. C7l�I1l1AAA/10A0 ���IJ�-�J��a,i.�-. I....-^`.^V�...... • I I� ACORDT CSERTIFIG'eOF LIABIL� DAT09MMoDD/YY) i PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services, Inc. of Georgia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3565 Piedmont Rd NE,Blgi,#700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Atlanta GA 30305 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Liberty Mutual Insurance, Co. PHONE - (404) 261-3400 FAX - (404) 264-3002 INSURED COMPANY Health Management Associates, Inc. B COMPANY 5811-Pelican Bay Blvd #500 Naples FL 341080000 USA C COMPANY D t COVERAGES RA 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR 5% PERSONAL & ADV INJURY EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE(Anv one fire) MED EXP (Anv one person) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ` ANY AUTO -ALL OW NED AUTOS SCHEDULED AUTOS SCHEDULED HIRED AUTOS ti '�/ � , .i "KHAN BY •- •—_ M F N v BODILY INJURY - ( Per person) BODILY INJURY NON -OWNED AUTOS QAT E - (Per accident). y� WAIVER N y� '� ��•'T— PROPERTY DAMAGE GARAGE LIABILITY OPb) AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: e EACH ACCIDENT n r AGGREGAT EXCESS LIABILITY (tUZj <jP f EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM__ _ A WORKER'S COMPENSATION AND WA265DO04245012 10/01/02 10/01/03 TOR WC STATU- X nTH -� EMPLOYERS' LIABILITY Workers Compensation EL EACH ACCIDENT $1,000,000 THE PROPRIETOR/ X INC L PARTNERS/EXECUTIVE EL DISEASE -POLICY CY L $1,000,000 OFFICERS ARE: EXCL EL DISEASE -EA EMPLOYEE $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Lower Keys Medical Center is included as an insured location: 5900 College Rd, Key West, FL 33040 `CERTiFI'CATEtHOLDER"k '..q' .. w: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Bd of County Commissioners EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 College Road 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Key West FL 33040 USA BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - ACORD 25.5, 1/95 ..... O ACORD'.CORPORATI , N,1988''',�� Certificate No: 570003962443 Holder Identifier: Lower Keys 3' 1, A CORD,.��`�' �;�► � � ��.�..�.� ___-- i�ERTIFI TE OF LIABILITY INSURANCE�E �DATE(MM/DD/YY) u e..:7_,._.. �� 04/02/04 I g �, . PRODUCER _ ___ _____ _-___- _— _THIS -CERTIFICATE IS- ISSUED-AS_A_MATTER-_OF-INFORMATION--a— Aon Risk services, Inc. of Georgia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ' 3565 Piedmont, Rd NE, Bl g1, #700 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR u Atlanta GA 30305 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE - COMPANY Liberty Mutual insurance Co. e PHONE - (404) 261-3400 FAX - (404) 264-3002 A INSURED COMPANY C Health Management, Associates, inc. e 5811 Pelican Bay Blvd #500 y "Naples FL--341080000 USA COMPANY C e COMPANY D 'GOVERAd S, 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 POLICY EFFECTIVE POLICY EXPIRATION .. LIMITS L DATE (MM/DDNY) DATE (MM/DD/YY) rc a GENERAL LIABILITY GENERAL AGGREGATE a a COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG � 6 CLAIMS MADE OCCUR PERSONAL & ADV INJURY C C OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE Lr FIRE DAMAGE(Any one fire) MED EXP (Anv one person) d AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO APPROV8 Y R*,GE ALL OWNED AUTOS, f 'NT d BODILY INJURY SCHEDULED AUTOS BY ( Per person) L HIRED AUTOS DATE BODILY INJURY NON -OWNED AUTOS r��— (Per accident) WAIVER N/A _YES PROPERTY DAMAGE GARAGE LIABILITY • AUTO ONLY - EA ACCIDENT ANY AUTO - OTHER THAN AUTO ONLY. EACH ACCIDENT C 6 AGGREGAT EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM PAGGREGATE OTHER THAN UMBRELLA FORM Lr A WORKER'S COMPENSATION AND wA265D004245013 10/01/03 10/01/04 X WC STATU- NTH TDRY LIMITSrR - EMPLOYERS' LIABILITY Workers Compensation - - - - EL EACH' ACCIDENT-- -- 1-,000,U00- THE PROPRIETOR/ NX INCL EL DISEASE -POLICY LIMIT $1, 000, 000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE -EA EMPLOYEE $1, 000, 000 DESC IPTION OF OPERATIoNS/Lac ATIONSNEHICLES/SPECIAL ITEMS Re: �OWer Keys Meo.j Center C]ERTIIFI ATE OLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE L Monroe County Board of EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL County commissioners 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Monroe County Risk Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton street Key West FL 33040 USA OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE wair ACORC3 2S (1T95),q A ON'19 G�.ORD'CORPORATI'- 88' r l AACORD GERTIF1GATE' ' F LIABILITY IiVSU`RANCE DATE(MM/DD/YY) 09/30/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services, Inc. of Georgia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3565 Piedmont Rd NE, Bl g1, #700 Atlanta GA 30305 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PHONE - (404) 261-3400 FAX- (404) 264-3002 COMPANY Liberty Mutual Insurance Co. A INSURED COMPANY Health Management Associates, Inc. B 5811 Pelican Bay Blvd #500 Naples FL 341080000 USA. COMPANY C COMPANY D A 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE(Any one fire) MED EXP (Any one person) A AUTOMOBILE LIABILITY A52651004245023 10/01/03 10/01/04 COMBINED SINGLE LIMIT $2 , 000, 000 X ANY AUTO Business Auto BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS ( Per person) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS AP C3 I< NfA R BY DEMENT (Per accident) PROPERTY DAMAGE GARAGE LIABILITY DATE AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: ANY AUTO WAIVER N/A YES -EACH ACCIDENT AGGREGAT EXCESS LIABILITY EACH OCCURRENCE AGGREGATE UMBRELLA FORM V d OTHER THAN UMBRELLA FORM / /w - WORKER'S COMPENSATION AND WC STATU- TORY LIMITS OTH- FR EL EACH ACCIDENT EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT EL DISEASE -EA EMPLOYEE OFFICERS ARE: EXCL DESCRIPTION OF OPERATIONS/LO ATI EHICL SPECIAL IT MS 'Monroe county is name A -Itl.Ona Insure as respects the Named Insured's use of county--school-buses for evacuatio of patients if:ther-e is a mandatory evacuation due to a'hurricane. Location: Lower Keys Medical center CERTIFICATE'. HOLDER. _CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED. BEFORE THE"- ' County of Monroe EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL,..,.Monroe County Risk Management 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Maria S 1 avi k 1100 Simonton Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 USA OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ✓�" 3�r1 ACORD 25„S.(1/9�).k.. d_ w g ,. s " ' ara , ,;. . $ . © iCORD'.CORAOFi4A'TION 1989 M Ln 0 N v n 0 0 0 LA LA ACORD.CEIaI,FICt� ff .,010 ,g INUAN1LEsQFABDATEcMMiDDiYYT PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk services, Inc. of Georgia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3565 Piedmont' Rd NE, Bl gi, #700 Atlanta GA 30305 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY Liberty Mutual Insurance Co. A PHONE-(866) 283-7124 FAX- (866) 430-1035 INSURED COMPANY Health Management Associates, Inc. B 5811 Pelican Bay Blvd #500 Naples FL 341080000 USA COMPANY C COMPANY D =GOVEiGiES ', ,, p...,, 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR PERSONAL & ADV INJURY EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE(Any one fire) MED EXP (Any one person) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO NJURY Per person) BPerper on) ALL OWNED AUTOS SCHEDULED AUTOS AP ` V Y RISK i JAGEMENT BODILY INJURY HIRED AUTOS BY NON -OWNED AUTOS DATE (Per accident) WAIVER N/A Y-S PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND WA765D004245014 10/01/04 10/01/05 X WC STATU- TORY LIMITS OTH FR.=" `--*--^� EMPLOYERS' LIABILITY, Workers compensation EL EACH ACCIDENT $1000,000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE ELDISEASE-POLICY LIMIT $1, 000, 000 EL DISEASE -EA EMPLOYEE $1, 000, 000 OFFICERS ARE: EXCL DESCRIPTION OF OPERATIONS✓LOCATIONSIVEHICLESJSPECIAL ITEMS Re: Lower Keys Medical Center W11Ax — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board Of EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL County Commissioners 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Monroe County Risk Management 1100 Simonton street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 USA OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE "A"CORD�25��5�ORPORAI ONCl�988`. L' R C C_ d'Gc.Lc.cA. EY r f P AC CEtTIFICAtE J OFF ���IABILI °rs.�, a }Fibj�l� idy511^ e%' INSURANCE ` DATE�MM�DD/YY) 08 11 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk services, Inc. of Georgia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3565 Piedmont Rd NE, Bl g1, #700 Atlanta GA 30305 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY Liberty Mutual Insurance Co. A PHONE - (866) 283-7124 FAX- (866) 430-1035 INSURED COMPANY Health Management Associates, Inc. B 5811 Pelican Bay Blvd #500 Naples FL 341080000 USA COMPANY C COMPANY D COVERAES�a,* 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 IT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION _DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY CLAIMS MADE FIOCCUR EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE(Any one fire) MED EXP (Any one person) A AUTOMOBILE LIABILITY X ANY AUTO AS2-651-004245-024 Business Auto 10/01/04 10/01/05 COMBINED SINGLE LIMIT $2,000,000 BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS ( Per person) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) A ED ISK NI GEIVENT PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO Y DATE s AUTO ONLY - EA ACCIDENT )� OTHER THAN AUTO ONLY EACH ACCIDENT WAIVER N/A .._.YES _e ®� AGGREGATE EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND WCSTATU- TO CRYLIMITSFR OTH EL EACH ACCIDENT EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE ELDISEASE-POLICY LIMIT EL DISEASE -EA EMPLOYEE OFFICERS ARE: EXCL DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS Monroe County is named Additional Insured as respects the Named Insured's use of county school buses for evacuatio of patients if there is a mandatory evacuation due to a hurricane. Location: Lower Keys Medical Center CERTIFICATE�,HOLDER .:< .. {..° �.w� CANCELLATION, ` GG, n(tr-y�G ,� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE County of Monroe EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVORTO MAIL Monroe County Risk Management 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Maria sl avi k 1100 Simonton street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 USA OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i if ACORD 25=5' U9Ts}, a c CORPORATIO1d`1988 0 x [`CERT'" C,TEOAN 'nAE(MDD�IACORD. YY) 09 30 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk services, Inc. of Georgia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3565 Piedmont Rd NE, Bl g1, #700 Atlanta GA 30305 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY Liberty Mutual insurance co. A PHONE - (866) 283-7124 FAX- (866) 430-1035 INSURED COMPANY Health Management Associates, Inc. B 5811 Pelican Bay Blvd #500 Naples FL 341080000 USA COMPANY C COMPANY D G01/ERAGES 5 - 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. 4CO L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR PERSONAL & ADV INJURY EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE(AnV one fire) MED EXP (Any one person) A AUTOMOBILE LIABILITY )( ANY AUTO A52-651-004245-024 Business Auto 10/01/04 10/01/05 COMBINED SINGLE LIMIT $2 , 000, 000 BODILY INJURY Per person) ( P ) ALL OWNED AUTOS. SCHEDULED AUTOS AN < ( + 'i �: qq IAGEMEI Y'+. i��11!' i �T BODILY INJURY (Per accident) .HIRED AUTOS NON -OWNED AUTOS - - _ _ _ PROPERTY DAMAGE GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY: k max_ B f t EACH ACCIDENT APPROVED AGGREGATE EXCESS LIABILITY BY EACH OCCURRENCE AGGREGATE UMBRELLA FORM DATE -_ ^ " OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND VMVER WC STATU- TORY LIMITS OTH FR W EL EACH ACCIDENT EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT EL DISEASE -EA EMPLOYEE OFFICERS ARE: EXCL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS - - - - - Monroe County is named Additional Insured as respects the Named Insured's use of county school buses for--_ evacuatio of:patient's if there''is'a-mandatory evacuation due to a' hurricane. Location:LLower Keys Medi'ca`l-tC ter w GERTIFICATEsHOLbER." .°t.. r:''. ! a CANCELLATION _ r' .1*;5,a....;- $ 41, a _ SHOULD ANY OF THE ABOVE DESCRIBED -POLICIES BE • CANCELLED BEFORE THE-- -- County of -.Monroe EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVORTO MAIL Monroe County Risk Management : Marla S1 stl k 1100 Simonton street 1100 30 DAYS WRITTEN NOTICE TO THECERTIFICATEHOLDER- NAMED TO THE -LEFT, - BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 USA OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD CORPORATION 3988 0 x 0 z Q .+ u sy. U G C- : DATE(MM/DD/YY) c 10/05/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk services, Inc. of Georgia ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3565 Piedmont Rd NE, Bl gl, #700 Atlanta GA 30305 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY Liberty Mutual Insurance Co. A PHONE - (866) 283-7124 FAX- (866) 430-1035 INSURED COMPANY Health Management Associates, Inc. B 5811 Pelican Bay Blvd #500 Naples FL 341080000 USA COMPANY C OMPANY r D '.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 LTR TYPE OF INSURANCE - - _ POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD1YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR PERSONAL & ADV INJURY EACH OCCURRENCE OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE(Any one fire) MED EXP (Anv one person) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY (Per person) ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS APPR sY ISItEMCPJI AAL, BODILY INJURY NON -OWNED AUTOS DAT E - (Per accident) PROPERTY DAMAGE WAIVER N/A C YE:_ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE AGGREGATE UMBRELLA FORM - --- - - OTHER THAN UMBRELLA FORM - A WORKER'S COMPENSATION AND wA765D004245015 10/01/05 10/01/06 X WC STATU- TORY LIMITS OTR I FR-°-• 7 EMPLOYERS' LIABILITY Workers Compensation EL EACH ACCIDENT $1,000,000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT $1, 000 , 000 EL DISEASE -EA EMPLOYEE $1, 000, 000 OFFICERS ARE: EXCL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS Re: Lower Keys Medical center .CERTIFICATE HOLDER',f CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL County Commissioners 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn: Monroe County Risk Management 1100 Simonton Street BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 33040 USA OF ANY KIND UPON THE COMPANY. IrS AGEN16 OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE- —�_�f l J C G}rC�• 0 x T§ M tea■ a� P ik-_ a4CORD. CERTIFICATE OF LIABILITY INSURANCE 1/10/2o 6 ) PRODUCER (678) 539=4800 FAX (678) 539-4890 Beecher Carlson i - Atlanta 2002 Summit Boulevard Suite 900 1 Atlanta ! GA 30319 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Health Management Associates, Inc. 5811 Pelican Bay Blvd Ste 500 Naples FL 34108-2710 INSURERALiberty Mutual Ins. Co. INSURERB: INSURERC: INSURERD: INSURERE: rnvco A r±cc 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY TE (MM/DD/YY)EFFECTVE POLICY ( M/DD/YY)N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ - COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO- tIPOLICYLIJECTLOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS AS2651004245025 10/1/2005 10/1/2006 X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X Nx PROPERTY DAMAGE (Per accident) $ $1,000 comp ded $1,000 cull ded GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR F-ICLAIMS MADE FRi _ -� I; AP :TINIAGEM =NT EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ 13 _ — DATE C/ $ $ WORKERS COMPENSATION AND WAVER A l """ - WC STATUS OTH- TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 1 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER i DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS The Certificate Holder is listed as an Additional Insured as required per written contract. rFRTIFIrATF Hnl nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County Commission EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn: Risk Management Administrator 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT P . 0. BOX 1026 Key West, FL 33041-1026 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Robert Hessel/RANDNO ACORD 25 (2001/08) © ACURD GURPURA I IUN 'I9sts INS025 pioe).o6 AMS , VMP Mortgage Solutions, Inc. (800)327-0545 Page i of 2 ACC)R"� CERTIFICATE OF LIABILITY INSURANCE DATE 12/062010 /2010 /YYYI� 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 ma re uire a i—ement—A-statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER L ! Marsh USA, Inc. 1801 West End Avenue, Suite 1500 C E •— I A/CNNo Ext : ac No Nashville, TN 37203 E-MAIL IADDRESS,1`1 PRODUCERJ CUSTOMER ID #: (INSURE S AFFORDING COVERAGE NAIC# 072392-ALL-AUWC-10-11 Ke Wes INSURED Health Management Associates, Inc. j4��fln' 5811 Pelican Bay Boulevard, Suite 500 Rlc;( I`.iI N--� --,:-Gf]@ nsu.rice Corporation 42404 ;INsofx�I3I�T Liberty Mutual Fir Insurance Company 23035 INSURER C : Naples, FL 34108.2710 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: ATL-002270047-09 REVISION NUMBER: 6 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 LTR OF INSURANCE ADDLTYPE INSR SUER POLICY NUMBER POLICYEFF POLICY EXP MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS -MADE F—IOCCUR 4PERSONAL MED EXP (Any one person) $ & ADV INJURY $ GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECTLOC - $ B AUTOMOBILE X LIABILITY ANY AUTO AS�-651-004245.020 \ _ 1 /01 2 0 10/01/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILYANJURY (Par accident) $ X SCHEDULED AUTOS HIRED AUTOS - PROPE{2TY DAMAGE (Per accident) $ X NON -OWNED AUTOS Y 1 ts _ $ $ UMBRELLA LIAB `• / _ EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE (� ^ DEDUCTIBLE G $ $ RETENTION $ A WORKERS COMPENSATION WA7-65D-004245-010 10/01/2010 10/01/2011 X I WC STATU- OTH- TORY LIMITS ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA A ' E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Lower Florida Keys Physician Hospital Organization, Inc. Monroe County Board of County Commissioners is named as additional insured as respects Automobile Liability as required by wirtten contract. ILtla:ill2LyG\Ia Monroe County Board of Commissioners do Monroe County Risk Management Attn: Monique Diaz 1100 Simonton Street J Key West, FL 33040 CG- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Marjorie L. Rippy 7n ,:m X. r.p ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ACORD,. CERTIFICATE OF LIABILITY INSURANCE 5DATE IDDN /1%2009 W) PRODUCER (305) 714-4400 FAX: (305) 714-4° 01 Lai, -cry yT.W1.S;CERTFFICATE-IS ISSUED AS A MATTER OF INFORMATION )•• O�ILYj,. .ND CONFERS NO RIGHTS UPON THE CERTIFICATE BROWN & BROWN INSURANCE-HBA DIVISION AL. t!HdL�DEI ITHIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th: Avenue —AL -TER -THE -COVERAGE AFFORDED BY THE POLICIES BELOW. Suite# 101 1 Miami FL 33122 INS ER!,SMAFFO. LINGICOVERAGE NAIC 9 INSURED INSURER A:HARTFIORD CASUALTY 29424 LOWER FL KEYS PHYSICIAN HEALTH OR IZAT O1LgiuRER6_CAMDEN FIRE INSURANCE INC. MON ('N�St gfffY � P . O. BOX 9107 RISK ,i S fl�Rq�NT KEY WEST FL 33041 INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I NSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE NIMIDDIYY POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1 OCCUR 21SBMRQ8727 5/1/2009 5/1/2010 DAMAGE TO RENTED PREMISES (Ea occurrence) 300 000 $ , MEDEXP (Any oneperson) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY PR1:1 LOC PRODUCTS- COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBSINGLE LIMIT (Ea accident)ident) $ 1,000,000 A ALL OWNED AUTOS SCHEDULED AUTOS 21SB14RQ8727 5/1/2009 5/1/2010 BODILY INJURY (Per person) $ X X HIREDAUTOS NON-OMED AUTOS BODILYIN,AIRY (Per accident) $ PROPERTY DAMAGE (Per accident) $ s-:i' _ )� i.J, -,• • GARAGE LIABILITY a AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO �Q���o� i,.i'.i •�. ..__--_ --�_-'---_`-G.. ._.... AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE F,, ,, ..�,,I Vr-r — OCCURRENCEEACH $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIAMI S O R EL EACH_ -ACCIDENT -- _ -ANY _PROPRIETOR/PARTNERIE)(ECUTIVE. _ - _ _ _ _ _ _ _ _ _ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E L. DISEASE -POLICY LIMIT Is SPECIAL PROVISIONS below B OTHER MANAGED CARE E&O MCP335709 5/1/2009 5/1/2010 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS THE CERTIFICATE HOLDER NAMED BELOW HAS BEEN INCLUDED ON THE GENERAL LIABILITY AS AN ADDITIONAL INSURED. f FRTIFirATG WnI r)FR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY COMMISSIONE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ATT : MARIA SLAVIK, RISK MANAGEMENT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1100 SIMONTON ST. KEY WEST, FL 33040 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE H INSURANCE GROUP/KTW m6. m J LJ tLw uuo/ © ACORD CORPORATION 1988 INS025 (0108) 08a Page 1 of 2 ACORD. CERTIFICATE OF LIABILITY INSURANCE 1DATE /3/ M/DD/YYYY) 1/3/2006 PRODUCER (678) 539-4800 FAX (678) 539-4890 Beecher Carlson -Atlanta 2002 Summit Boulevard Suite 900 Atlanta GA 30319 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Health Management Associates, Inc. 5811 Pelican Bay Blvd, Ste 500 ,Naples FL 34108-2710 INSURER A: Columbia Casualty Company 31127 INSURER B: Liberty Mutual Insurance 23043 INSURERC: INSURER D: INSURERE: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F_x] OCCUR HAZ10644106693 10/1/2005 10/1/2006 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 10, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS _ NON -OWNED AUTOS ! 1�I�V _ BY DATE WAN = Y c ` A �! G ���QDILY _ COMBINED SINGLE LIMIT (Ea accident) $ INJURY er person $ -BODILY INJURY (Per accident) - $ ER N/A NL.YES / — _ PROPERTY DAMAGE _(Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ �(Y " ` Ue1�N EACH OCCURRENCE $ A G EGATE $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WA765DO04245015 10/1/2005 10/1/2006 WC STATOTH- TORY LIMITS ERR E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE$ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS r.FRTIFirATF HOI_nF_R. CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED,BEFORETHE. Monroe Board of County Commissione EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL . ENDEAVOR TO MAIL -,,County Attn : Risk Management Administrator 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT P . 0. BOX 1026 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Key West, FL 33041-1026 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ' Robert Hessel/RANDNO ACORD 25 (2001/08) © ACORD CORPORATION 1988 INS025 (0108).06 AMS VMP Mortgage Solutions, Inc. (800)327-0545 Page 1 of ACORD CERTIFICATE OF LIABILITY INSURANCE K DATE(MMIDDIYYYY) LOWERER -2 06 20 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Ave. Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Miami FL 33122 Phone: 305-714-4400 Fax:305-714-4401 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: ST PAUL FIRE & MARINE 24767 INSURERB: EXECUTIVE RISK INDEMNITY 35181 LOWER FLORIDA KEYS PHYSICIAN INSURERC: HOSPITAL ORGANIZATION INC. 5900 COL EGE330. INSURERD: KEY i FL INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/FDECTIVE PDATE MMPDDIYION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ $1 , 000 , 000 PREMISES(Eaocourence) $$300,000- A X X COMMERCIAL GENERAL LIABILITY BK02077719 05/01/05 05/01/06 MED EXP (Any one person) $ $10 , 000 . MADE OCCUR PERSONAL & ADV INJURY $ $1 , 000 , 000 _ _CLAIMS ^_ GENERAL AGGREGATE $ $2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP/OP AGG $ $2 , 000 , 000 Ben. $1M/$2M POLICY PRO-JECT LOC A AUTOMOBILE LIABILITY ANYAUTO BK01735747 05/01/05 05/01/06 COMBINED SINGLE LIMIT (Ea accident) $ $1,000,000. BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS I XIHIRED BODILY INJURY (Peraccident) $ AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $'. GARAGE LIABILITY' ANYAUTO AP {� p p� DY ISK MANAGEMENT AUTO ONLY -EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY DATE EACH OCCURRENCE $ JJA.YES AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE ,I WAIVER ///� //�� CG-4— $ $ $ RETENTION $ A WORKERS COMPENSATION AND LIU I AMY; LIMITS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTNE 1(`r/�, ISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? p r ' • If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER B MANAGED CARE'E&O 81713305 05/01/05 05/01/06 EA CLAIM 1,000,000 CLAIMS MADE RETRO DATE 05/01/90 AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *EXCEPT NON-PAYMENT OF PREMIUM IS 10 DAYS WRITTEN NOTICE IN FLORIDA. THE CERTIFICATE HOLDER NAMED BELOW HAS BEEN INCLUDED ON THE GL POLICY AS AN ADDITIONAL INSURED. CERTIFICATE HOLDER GHIVGtL.L.A I lUIV MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ATT: MARIA SLAVIK, RISK MGM. 1100 SIMONTON STREET R RESENTATIVES. KEY WEST FL 33040 T ftIZ�D REPRESENTATIV D/ _ ✓i/ D. JY 25 From: Kathy Rafter At: HBA Insurance Group FaxID: 305-714-4401 To: Andrea @ Date: 6/112004 10:59 AM Page: 2 of 2 AC®I4D OP ID KT DATE (MNVDD CERTIFICATE OF LIABILITY INSURANCE LOWER-2 os 11 1/0 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group 2500 NW 79th Ave. Suite 101 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami. F.I. 33122. Phone: 305-714-4400 Fax : 305-714-4401 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA ST PAUL FIRE & MARINE 24767 NSURERB. EXECUTIVE RISK INDEMNITY 35181 LOWER FLORIDA KEYS PHYSICIAN HOSPITAL ORGANIZATION INC. INSURERD. INSURER D-_ 5900 COLLEGE RD. KEY WEST FL 33040 INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRD TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE DATE MWDDNY POLICY EXPIRATION DATE MMMDNY LIMITS GENERAL LIABILITY EACH OCCURRENCE S $1,000,000 A X X COAIMERCI LGENERALLIABILITY BKO1735747 05/01/04 05/01/05 PREMISES (Eaoccurence) S $300, 000. CLAIMS MADE ® OCCUR MED EXP (Arywe person) $ $10 , 000 . PERSONAL SADV INJURY S $1, 000, 000 GENERAL AGGREGATE $ $2 , 000 , 000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S $2,000,000 POLICY PECT LOC Ben. $1 000 000 A AUTOMOBILE LIABILITY ANYAUTO BKO1735747 05/01/04 05/Ol/05 COMBINED SNGLELIMIT (Ea accident) $1,000,000. $ BODILY IrJ,IUP.Y (Per person) $ AIL OYINED AUTOS SCHEDULED AUTOS X X HIREDAUTOS NON-ORPJED AUTOS BODILY VJJUF.Y (Per accident! S PROPERTYOAMAGE (Per accidents S GARAGE LIABILITY AUTO ONLY- EAACCIOENT S RANYAUTO APPRWD BYi K MAI IA E NT OTHER THAA EAACC S S MY AUTO ONLY. AGG EXCESSIUMBRELLA LIABILITY ------ EACH OCCURRENCE $ OCCUR ❑ CLAIMS MODE DATE C AGGREGATE S NIA 4YE DEDUCTIBLE WAIVER 5 s S RETENTION . S EMPLOYSCOMPEILITY NAND0 EMPLOYER6'LIABILRY WC STATLL OTH- 1 TORYUAllTS ER E.L. EACH ACCIDENT S ANY °ROPRIETORIPARTNEWEXECUTNE E.L. DISEASE- EA EMPLOYEE S OFFICER/MEMBER EXCLUDED? a yes, tlescnba UMer E.L. DISEASE -POLICY LIMIT S SPECWLPROVISIONSnelow ll�///lVV/` OTHER L r B Professional Liab 81713305 05/01/04 05/01/05 Liability 1,000,000 Retention 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *EXCEPT NON-PAYMENT OF PREMIUM IS 10 DAYS WRITTEN NOTICE IN FLORIDA. THE CERTIFICATE HOLDER NAMED BELOW HAS BEEN INCLUDED ON THE GL POLICY AS AN ADDITIONAL INSURED. CERTIFICATE HOLDER CANCELLATION MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURERWILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 1100 SIMONTON STREET REPRESENTATIVES. AUTHORIZED A VE KEY WEST FL 33040 ACORD 25 (2001108) V_L*i6] [4 9 [OR tit E**? CC