3. 2nd Renewal 03/17/2021 i ` °`� Kevin Madok, CPA
tE
' ;f' Clerk of the Circuit Court&Comptroller— Monroe County, Florida
DATE: March 19, 2021
TO: Chief James Callahan
Fire Rescue/EMS
Cheri Tamborski
Executive Administrator
FROM: Pamela G. Hanc c .C.
SUBJECT: March l7's BOCC Meeting
Attached is an electronic copy of the following item for your handling:
C1.5/H1 2nd Renewal Agreement Contract for Services with life Extension Clinics,
Inc. to perform animal physical examinations of Monroe County Fire Rescue personnel in
accordance with NFPA 1582, for the period March 21, 2021 through March 20, 2022.
Should you have any questions please feel free to contact me at (305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Flaida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
SECOND RENEWAL AGREEMENT
CONTRACT FOR SERVICES
LIFE EXTENSION CLINICS,INC.
MONROE COUNTY
THIS SECOND RENEWAL AGREEMENT is made and entered into on the 17th day
of March , 2021 by and between MONROE COUNTY, a political subdivision of the
State of Florida whose address is 1100 Simonton Street, Florida 33040(hereinafter referred to as
"County"), and Life Extension Clinics Inc., a business having its primary business location at:
1011 N. MacDill Ave.,Tampa,Florida 33607 (hereinafter the "Contractor").
WITNESSETH:
WHEREAS, on the 21" of March 2018 the parties entered into an agreement (hereafter
Original Agreement) for the provision of physical examinations for Monroe County Fire Rescue
staff,and
WHEREAS,the Original Agreement provided for two (2)one-year renewal terms; and
WHEREAS,pursuant to the terms of the Original Agreement,the Contractor has informed
the County in writing of its desire to renew the Agreement;and
WHEREAS, the parties find that it would be mutually beneficial to enter into this first
renewal agreement;
NOW THEREFORE, IN CONSIDERATION of the mutual promises and covenants set
forth below,the parties agree as follows:
Section 1. In accordance with Paragraph 2 of the Original Agreement, the County exercises the
option to renew the Original Agreement for the second of the two(2) one-year terms. This
term will commence on March 21,2021 and terminate March 20,2022.
Section 2. Except as set forth in Section 1 of this First Renewal Agreement, in all other respects,
the terms and conditions set forth in the Original Agreement remain in full force and effect.
THE REMAINDER OF THIS PAGE HAS BEEN INTENTIONALLY LEFT BLANK.
7 1 (TT' WITNESS WI IEREOF.each party has caused this agreement to be executed by a duly
te� u epresentative.
� �
BOARD OF COUNTY COMMISSIONERS
: KEVIN MADOK. CLERK OF MONRO F.TLCST�TA�
As Deputy Clerk Mayor/Chairman
,/y�NROE COUNTY ATTORNEY LIFEF NSIO NICS, INC.
�// APPROVE TORM ,'
ASS ? NTY ATTORNEY �TL-
Date 2/24/21 Title: ( �0
STATE OF: k,or'tc[G, _
COUNTY OF: (1SpornUd.
Subscribed and sworn to (or affirmed) before me. by means of fi 'physical presence or 0 online
notarization, on Rbruttr 23, 20 2I
(date) by 'faqir 1 C&L 7obmSun (name of affiant). H e is
3
personally known to me or has produced (typgf __
s i
identification)as identification. _ -
Maery nick soeeawam
y�/���yyy��;' Jennifer I Connelly
9. Evp nesion 33 327833
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ifeeffEM?1.,
t \ tay, BOARD OF GOVERNORS OF FIRE
r. .Kevin Madok, CPA &AMBULANCE DISTRICT 1 OF
,,., n MONROf�CyOUNTY,FL DA
BY: V BY:
Deputy Clerk Mayor/Chairman
A`n- CERTIFICATE OF LIABILITY INSURANCE DATE ryLypgYYYY'
02/26/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY MID 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 pollcy(ea)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement)s).
PRODUCER Firer'. Cinda Groves
0.E.Wilson Insurance,Inc. 'PHONE p27)615-0524 rAx
1475 Belcher Rd S pwit °itl - we xo):(71�536-9828 _
npoeEas;_clpda40cawllaon.com
Largo FL 33771 - INSURERS)AFFORDING COVERAGE I- HNC II
INSURER A:Auto-Owners Insurance Company 18988
INSURED _ENSURER B,Admiral Insurance Company _ 241156
Life Extension Clinics,lnc.dba Life Scan Wellness Centers INSuRERC:Transportation Insurance Company 12408
1011 N.Macdlll Ave INSURER G:
Tampa FL 33607 INSUREPE:_ _
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 AU.THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADOLSUBR _. I POUCY EFF POLICY EXP - - - - —. --
LTan WVD PM ICY NUMBER IMWLWYYYYI IMMT0WYYYL LIMITS
X 'COMMERCIAL GENERAL LMBIUTY
EACH OCCURRENCE 0,000 000
TED
A I CLAIMS-MADE 4 I OCCUR pRI FSIFE TO yNrn 1 $100,000
- _ X X 062312-20690746 11/10I2020 11110/2021 HIED EXP(Any one person) $10.000
r .. JECi yp roved Riskm?nt PERSpAL S ADV INJURY $1,000,000
GENT AGGREGATE LIMrr APPLIES PER: • {710 u2 GENERAL AGGREGATE $2,000,000
X POLICY I PR6
J La 3-2-2021 PRODUCTS.COMP/OP AGG $2,000,000
I MGR' •$
AUTOOWLE urwur ?At EL:MMSNGLE LIMO $1000,000
A X ANY AUTO BODILY INJURY IPer person) $ -
ALL OWNED I SCHEDULED X X 4159162800 09/10/2020 09/18/2021 BOOST INJURY(Per accident) $
AUTOS __ NAUDIS
l-O
X HIRED AUTOS X • AUTOS NED PROPERTY DAMAGE
AUTOS (Par arrlRLMI '$ _.
X UMBRELLA UM % IOCCUR EACH OCCURRENCE _ $1,000,000
A .EXCESS UM :OWMSMADE X X 41-591-62B-01 11/10/2020,11/10/2021 AGGREGATE $1,000,000
OW I RFTFNTON$
WORKERS COMPENSATION _ $
AND EMPLOYERS LIABILITY YIN X STATUTE OR - — --
AM'PROPRIETIXLPµ RI TNEEXECUJNE EL.EACH ACCIDENT $1AOOr000
C OFFICER/MEMBER EXCLUDED? N I NIA X i WC 656600287 11/29/2020 11/29/2021 - -
Mandatory In NH) EL.DISEASE.EA EMPLOYEE $1,000,000
OE4nCRIPTCNOFOPEMiiONC belew
E0 DISEASE-POLorLIMIT 0,000,000
B Medical Professional Liability E00000]]891-04 05/31I1020 05131/2021 2,000,0,000 Aggregate
Retroactive Date:6/31/2001 2,000,000 Each Claim
DESCRIPTION OF OPERATORS I LOCATORS I VEHICLES (ACORD 1a1,Additional Rerlorb Schedule,May be attached If more apace Is required)
Certificate holder is additional Insured on the general lability and auto liability
with respect1GZW rk performed by insured.
Medical Professional Liability Additional Coverages:
Sexual Abuse $1,000,000 Each Claim/61,000,000 Aggregate
Network Security&Data Privacy Liability$1,000,000 Each CMim/$1,000,000 Aggregate
CERTIFICATE HOLDER CANCELLATION
Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton St
Key West,FL 33040 AUTHORIZED REP RESENT4nvE I UtpherOK'CSIC>
ED 1988-2014 ACORD CORPORATION. MI rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD