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Certificates of InsuranceACOW� CERTIFICATE` OF LIABILIW INSURI 'ICE —LOWER 2 D10/29/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE William E. Beckham COMPANY q St Paul Fire &Marine Ins Co Phone No. Fax No. INSURED COMPANY LOWER FL KEYS PHYSICIAN 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. FLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMlDD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR OWNER'S & CONTRACTOR'S PROT DK06619905 05/01/99 05/01/00 GENERAL AGGREGATE $ $2 , OOO , OOO . PRODUCTS - COMP/OPAGG $ $1,000,000. PERSONAL & ADV INJURY $ $1 , 000 , 000 . EACH OCCURRENCE $ $1 , 000 , 000 . FIRE DAMAGE (Any one fire) $ $1,000,000. A X EMPLOYEEE BENEFIT MED EXP (Any one person) $ $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ $1 , 000 , 000 . ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ A HIRED AUTOS DK06619905 05/01/99 05/01/00 X X NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO "Y AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ .1T/jaJ AGGREGATE $ EXCESS LIABILITY E CH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM h,dF4; <, ; � YfS �. $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC STATU- TH- TORY LIMBS ON ;> EL EACH ACCIDENT $ EMPLOYERS' LIABILITY EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER A CRIME COVERAGE DK06619905 05/01/99 05/01/00 EMPL DIS $10,000. A PROFESSIONAL LIAB DM06630472 05/01/99 05/01/00 PROF LIAB $5,000,000. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ITS EMPLOYEES AND OFFICIALS ARE INCLUDED ON THE ABOVE POLICIES AS ADDITIONAL 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, COMMISSIONERS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATT: STEPHEN KRATHEN, D.O. 5100 COLLEGE RD . Y KIND UPON THE COMB, ffS GENTS OR REPRESENTATIVES. KEY WEST FL 33040 rA� �ZPRESENTATI ACORD 25-5 (1l95) ACQRD CORPORATION 9988 o� nATF IMM/DD/YYl ACORD,. CERTIFICAZ 'OF L ID KT a OWER-2 05/31/00 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE ONLY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HBA Insurance Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3401 NW 82nd Ave. Suite 300 COMPANIES AFFORDING COVERAGE Miami FL 33122 William E . Beckham COMPANY q St Paul Fire &Marine Ins Co Phone No. 305-714-4400 Fax No.305-714-4401 INSURED COMPANY LOWER FL KEYS PHYSICIAN B HOSPITAL ORGANIZATAION, INC. D/B/A KEYS PHYSICIAN HOSPITAL COMPANY C ALLIANCE 5900 College Rd COMPANY 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. I POLICY EFFECTIVE POLICY EXPIRATION LIMITS CO CO LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL AGGREGATE $ $2,000 000. A GENERAL LIABILITY FX COMMERCIAL GENERALLIABILITY 'I DK06619905 05/01/00 05/01/01 PRODUCTS - COMP/OPAGG $ $1,000,000. PERSONAL 3 ADV INJURY $$1 000 , 000 . _ I, OCCUR CLAIMS MADE X J � EACH OCCURRENCE 9 $1,000 000. I OWNER'S & CONTRACTOR'S PROT I FIRE DAMAGE (Any one fire) f $1 000 000. A X EMPLOYEEE BENEFIT $1,000,000/$3,000 MED EXP (Any one person) $$ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ $1 , 000 , 000 . ' ANY AUTO ALL OWNED AUTOS BODILY INJURY $ , (Per person) i '' SCHEDULED AUTOS BODILY INJURY $ A I X HIRED AUTOS DKO6619905 05/01/00 05/01/01 ---- (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO�J EACH ACCIDENT $ Y AGGREGATE $ IF EXCESS LIABILITY p ajE �1 EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM p' C , , _ OTHER THAN UMBRELLA FORM iI�I��ER: ii, .� ,..�YFS 1. WORKERS COMPENSATION AND WC STATU- OTH- T RY LIMIT ER EL EACH ACCIDENT $ EMPLOYERS' LIABILITY EL DISEASE - POLICY LIMIT $ THE PROPRIETORI INCL EL DISEASE - EA EMPLOYEE $ PARTNERSIEXECUTIVE OFFICERS ARE: P'l EXCL OTHER A ,CRIME COVERAGE DKO6619905 05/01/00 05/01/01 EMPL DIS $10,000. A ' ,PROFESSIONAL LIAB I DMO6630472 05/01/00 05/01/01 PROF LIAB $5,000,000. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ITS EMPLOYEES AND OFFICIALS ARE INCLUDED ON THE ABOVE POLICIES AS ADDITIONAf, 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, COMMISSIONERS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ATT: STEPHEN KRATHEN, D OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 5100 COLLEGE RD . KEY WEST FL {�Q.p._ AUTHORIZE �NTATIVE�. ACORD 25-S (1/95) ) ""-kl D CORPORATION 1988 "� - " ACOR COVEKAGts 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. FA A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 41 OCCUR X EMPLOYEEE BENEFIT POLICY NUMBER DKO6619905 POLICY EFFECTIVE DATE MMIDD/YY 05/01/01 POLICY EXPIRATION DATE MMIDD/YY 05/01/02 LIMITS EACH OCCURRENCE $ $1 , 000 , 000 . FIRE DAMAGE (Anyone fire) $ $1,000,000. MED EXP (Any one person) $ $ 5,000 PERSONAL & ADV INJURY $ $1, 000 , 000 . GENERAL AGGREGATE $ $2,000,000. $1,000,000/$3,000 PRODUCTS - COMP/OP AGG $ $1 , 0 0 0 , 0 0 0 . GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PE OT LOC A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DK06619905 05/01/01 05/01/02 COMBINED SINGLE LIMIT (Ea accident) $ $1 , 000 , 00 0 . BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO -•rn„ !1•; �'' I _ ^`11.#'' AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ IM,. C$ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY e TORY LIMITSI ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ A A OTHER CRIME COVERAGE PROFESSIONAL LIAB DK06619905 DM06630472 05/01/01 05/01/01 05/01/02 05/01/02 EMPL DIS $10,000. PROF LIAB $5,000,000. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE INCLUDED ON THE ABOVE POLICIES AS ADDITIONAL INSUREDS. L:tK I IF IGA 1 C MVLUER Z AVui i wnnl irvauncv, ,n MONRO-1 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATT: STEPHEN KRATHEN, D.O. 5100 COLLEGE RD. KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI( DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 2" illy/) 0 ACORD CORPORATION 1988 ccoRD CERTIFICA? OF TE LIABILITY INSUR. "C�OZP 2 K DA05/02/0)1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ranc HBA Insurance Inc. H13A Insurance ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ave. Suite 300 Miami FL 33122 INSURERS AFFORDING COVERAGE Phone:305-714-4400 Fax:305-714-4401 INSURED INSURER A: St Paul Fire && Marine Ins CO INSURER B: LOWER FL KEYS PHYSICIAN HC�S ITAL ORGANIZATAION INC. D/B A KEYS PHYSICIAN H&PITAL INSURER C: ALL ANCE gg ��j3 INSURER D: INSURER E: Ke00West1FLe33040 Y COVERAGES nrcn winrnnrucrenininlr_ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 155UtIJ I L! I Mt 1N0UMtU N"V1r U.,._ -�• • —•- -- — — -- 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. ILTR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X EMPLOYEEE BENEFIT POLICY NUMBER DK06619905 DATE MMIDDNY 05/01/01 DATE MMIDDNY 05/01/02 LIMITS EACH OCCURRENCE $ $1 , 0 0 0, 0 0 0. A A FIREDAMAGE(Anyonefire) $ $1,000,000. MED EXP (Any one person) $ $ 5,000 PERSONAL S ADV INJURY $ $1, 000 , 000 . GENERAL AGGREGATE $ $2,000,000. $1,000,000/$3,000 PRODUCTS - COMP/OP AGG $ $1 , OOO , OOO . GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO• LOC JECT A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DK06619905 05/01/01 05/01/02 COMBINED SINGLE LIMIT (Ea accident) $ $1 , 0 00 , 000 . BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO A) AP Y AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ DATE WAIVER M 1�1(�+�Y S EACH OCCURRENCE $ AGGREGATE $ $ s $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY r . TORY LIMITS ER E.L. EACH ACCIDENT $ .L. DISEASE - EA EMPLOYE $ ISEASE - POLICY LIMIT $ A A OTHER CRIME COVERAGE PROFESSIONAL LIAB DK06619905 DM06630472 05/01/01 05/01/01 05/01/02 05/01/02 EMPL DIS $10,000. PROF LIAB $5,000,000. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE INCLUDED ON THE ABOVE POLICIES AS ADDITIONAL INSUREDS. CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ATT : STEPHEN KRATHEN , D.C. REPRESENTATIVES. 5100 COLLEGE RD. KEY WEST FL 33040 AUTHORIZ ES NTATIVE ACORD 26S (71971 ©ACORD CORPORATION 1988 ACORD_ CERTIFICATE OF LIABILITY INSURANC !2 DATE PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE KRA Insurance Group 2500 NW 79th Ave. Suite 101 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 INSURERS AFFORDING COVERAGE Phone:305-714-4400 Fax:305-714-4401 INSURED LOWER FL KEYS PHYSICIAN S$ITAL ORGANIZATAION INC. D B(�A KEYS PHYSICIAN H63PITAL L ANCE 5990 Key Westlle'Le3 30Rd: INSURER A: ST . PAUL FIRE i MARINE INS- CO INSURERS: INSURIcRc: INSURER D1. INSURER E: COVERAUbb 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. INSR1LTR A A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR X EMPLOYEES BENEFIT POLICY NUMBER DKO6619905 DATE MM/D 05/01/02 DATE MMID 05/01/03 LIMITS EACH OCCURRENCE $$1 , OOO , OOO . FIRE DAMAGE (Any one fire) $110001 MED EXP (Any one person) ,00. $ $ 5 000 PERSONAL & ADV INJURY $$1, 000 , 000 . GENERAL AGGREGATE $$2,000,000. $1,000,000/$3,000 PRODUCTS - COMPfOP AGG $$1 , OO O , OO O . GEN'L AGGREGATE LIMIT APPLIES PER: ][ POLICY PRO- JECT Loc A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOSPn) HIRED AUTOS NON -OWNED AUTOS DK06619905 A B© BY 05/01/02 YJ18K 05/01/03 Qf=M€NT COMBINED SINGLE LIMIT (Ea accident) S $1 , 0 0 0 , 0 0 0 . BODILY INJURY pw $ BODILY INJURY (P- awl) $ X X PROPERTY DAMAGE (Per accident) s IGARAGE LIABILITYDATE RANY AUTO WAIVER N/ _ _ _ _ YE AUTO ONLY - EA ACCIDENT S EA OTHER THAN ACC AUTO ONLY: AGG i $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ •` ` EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY UIH- TORY LIMBS ER _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEJ $ E.L. DISEASE -POLICY LIMIT $ A OTHER CRIME COVERAGE DK06619905 05/01/02 05/01/03 EMPL DISH $10,000. DESCRIPTION OF OPERATIONSA.00ATIONSNEHICLES/EXCLUSKMJS ADDED BY ENDORSEMENTISPECIAL PROVISIONS The Monroe County Board of County Commissioners, its Employees and Officials are included on the above policies as Additional Insureds. GEK I Ih K:A I E nULUtK Lr I ADDITIONAL 1NSUKeu; IP1AVReR LC.I I cR: _ MONROEl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _3D_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,13UT FAILURE TO DO SO SHALL Monroe County Board IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR of Commissioners 1100 Simonton Street REPRESENTATIVES. Key West FL 33040 AUTHOR ES NTATNE 25S 17l971 CORPORATION 1988 D VG DATE (MMIDWW) ACORD. CERTIFICATE OF LIABILITY INSURANCE L OP-2 1010PLI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR FIB]► InsuALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2500 NW ranc Ave. Suite 101 Miami FL 33122 NSURERS AFFORDING COVERAGE Phone: 305-114-4400 Fax:305-714-4401 INSURER Lexington Insurance Cc INSURER B: LOWER FLORIDA KEYS PHYSICIAN INSURERC HOSPITAL ORGANIZATION INC. 5900 Collegqe Rd INSURER Dr. may West FI. 33040 INSURER E: COVERAGES THE INSURED NAMED ABOVE FOR THE POLICY INDICATED. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO BE ISSUED MATH RESPECT TO WHICFI THIS CERTIFICATE MAY BE OR IS CET ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. POLICY NUMBER P Ore FSc LIMITSNSR DATE MMMDIYY LTR TYPE OF INSURIIIICE URRENCE f 1,000000 DENGRAL LIABILITYGE (Arty one +Mel f N AA COMMERCIAL GENERAL LIABILJTyCWMS 771in /Vy one Penonl f N/AZ s N/AAGGREGATE MADE El OCCUR 1075580 05/01/02HADVINAIRY f 1000000 PROFESSIONAL LIAB PRODUCTS - COMProP AGG f N/A 'EN-L AGGREGATE LIMIT APPLIES PER 1000000 PRO- POLICY ,SECT LOC ANTITRUST COMBINED SINGLE UAIT (Ea xck*re) S AUTOMOBILE LIABILITY ANY AUTO ALL ONRED ALR09 BODILY KIURY (Par person) f SCHEDULED AUTOS HNt®AUTOS BODILY SLA7fY (Per accident) f NON -OPTED AUTOS PENT (� f A Ap AUTO ONLY-EAACCIOENT f EAAcc OTHER THAN AUTO ONLY.AGO s CARAOE LIABILITY -AUTO p l3 V 7 f EACH OCCURRENCE f EXCESS UMIlluTY OCCUR ❑ CLAMS MADE - WAIVER NIA e_�(ES AGGREGATE f f 1FY f � DEDUCTIBLE RETENTION f YYORNERS COMPENSATION AMID � WCS ATU- ER TORYLMRS BMPLOYMB'LIABIYTY E.L. EACH ACCIDENTF f E.L. 06EAg - EA EMPLOYEE f 4 E.L. DISEASE - POLICV LIMET f OTHER DESCRIPTION OF OPEIATIONS&OCATONSNSIILCLSSLSXOWSNHIE ADDED MY ENDMESEENYMFECIAL PROVISIONS DEDUCTIBLE: $15,000 EXCEPT $25,00 AS RESPECTS TO ANTI TRUST. RETRO DATE 5/1/99. CERTIFICATE HOLDER N I ADDITIONAL MSUREDRMWIIERLETTIE! CANCELLATION no" My OF THE AWN DEBC L POLICIES BE CANCEMIID SWORE THE U MATOM MORRO-1 DATE TIIERIOF. TM MOD SWAMWILL ONDUVOR TO MAL _10 DAYS WMrM NOTICE TO THIS CBRIIFlCATE HOLD001 NAMED TO THE LEFT, BIR FMAM TO DO SO SfIALL MONROE COUNTY BOARD OF COUNTY IMPOSE No OBLIDATION OR LIABRITr OF ANY KIND LNN]N THE ESLMIEL. ITS AGENTS oft COMMSSIONERS NFagumTr e-. 1100 SIMONTON STREET AVHORSMD KEY WEST FL 33040 © ACORD CORPORATION 1999 ACORD 264 (7197) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID K DATE /DDIYY) WER-2 29/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 7 9th Ave. Suite 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami FL 33122 INSURERS AFFORDING COVERAGE Phone:305-714-4400 Fax:305-714-4401 INSURED INSURER A: ST. PAUL FIRE & MARINE INS. CO INSURERB: EXECUTIVE RISK INDEMNITY LOWER FLORIDA KEYS PHYSICIAN INSURER C: HOSPITAL ORGANIZATION INC. 590000LLEGE RD . 0 INSURER D: I KEY W 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 TYPE OF INSURANCE POLICY NUMBER DATLEFYMMTI DATE MMID LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000. FIRE DAMAGE (Any one fire) $ 300,000. A X COMMERCIAL GENERAL LIABILITY BKO1407815 05/01/03 05/01/04 MED EXP (Any one person) $ 10 , 000. CLAIMS MADE LX] OCCUR PERSONAL & ADV INJURY $1,000,000. GENERAL AGGREGATE $ 2 , 000 , 0000 . GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $ 2 , 000 , 000 . E 4P BENEF 1,000,000. X I POLICY PR0JECT F LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS APP B MANA PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY F1DATE ANY AUTO "" ®— • (� V AUTO ONLY - EA ACCIDENT $ AOTHER UTO ONLY: EA ACC AGG $ $ EXCESS LIABILITYIwq YES EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ r WORKERS COMPENSATION AND TORY LIMITS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LMIIT $ OTHER B PROFESSIONAL LIAR 81713305 05/01/03 05/01/04 PER CLAIM $1,000,000. CLAIMS MADE FORM RETRO DATE 05/01/99 AGGREGATE $1,000,000. DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS THE CERTIFICATE HOLDER NAMED BELOW HAS BEEN INCLUDED AS AN ADITIONAL INSURED AS RESPECTS POLICY "A". *EXCEPT NON-PAYMENT OF PREMIUM IS 10 DAYS WRITTEN NOTICE IN FLORIDA. GtKIlHt;AILMULUtK Y ADDITIONAL INSURED;INSUKLKLtIICK: A VMI�VGLLf11�V1� MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 SLAVICK 5100 COLLEGE IREPRESENTATIVES. KEY WEST FL 33040 AUTHOR ES NTATIVE ACORD 25-S (7197) Cc OACORD CORPORATION 1988 AC RD CERTIFICATE OF LIABILITY INSURANCE OP ID K DATE(MM/DD/YYYY) LOWER-2 11 05 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group 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 INSURER A: ST. PAUL FIRE & b9dU E INS. CO LOITER FLORIDA KEYS PHYSICIAN INSURERB: EXECUTIVE RISK INDEMNITY HOSPITAL ORGANIZATION INC. INSURER c: 59 0 COLLEGE RD . INSURER D: KEY WEST FL 33040 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. 1146K LTR NSR TYPE OF INSURANCE POLICY NUMBER -FFECTiVE DATE MM POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000. A X X COMMERCIAL GENERAL LIABILITY CLAMS MADE Fyl '• OCCUR BK01407815 05/01/03 05/01/04 PREMISES(Ea occurence) s 300,000. MED EXP (Anyone person) $ 10 , 000 , PERSONAL & ADV INJURY $1,000,000. GENERAL AGGREGATE $ 2 , 000 , 0000 . GEN'L AGGREGATE LIMIT APPLIES PER: PRO- X I POLICY F1 JECT LOC PRODUCTS - COMP/OP AGG s2,000,000. EMP BENEF 1, 000 , 000 . A AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $1,000,000. ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BK01407815 05/01/03 05/01/04 X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ -- — GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO D I, MAN ITT OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAMS MADE I )ATE _ ,._ .s `' �, ....n - � EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE WAIV f _YE4 $ $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMBS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yea describe under SPECIAL PROVISIONS below ` E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT$ OTHER B PROFESSIONAL LIAB 81713305 05/01/03 05/01/04 PER CLAIM $1,000,000. CLAIMS MADE FORM IRETRO DATE 05/01/9 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. CRIME COVERAGE: POLICY (A) $25,000. EMPLOYEE DISHONESTY; $25,000. DEPOSITOR'S FORGERY. MONEY & SECURITIES $10,000. ON PREMISES; $5,000. OUTSIDE THE PREMISES. THE CERTIFICATE HOLDER NAMED BELOW HAS BEEN INCLUDED ON POLICY "A" AS AN ADDITCNIIN TIE. I . CFDTII=If`ATF unI neo _ ...__.. _ _- _ _ _ MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATH DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN COMMIE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS ATT: RISK MANAGEMENT DIV. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST. REPRESENTATIVES. KEY WEST FL 33040 AUTHOR S NTATIVE From: Kathy Rafter At: HBA Insurance Group FaxID: 305-714-4401 To: Andrea Q Date: 6/112004 10.59 AM Page. 2 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID Kr DATE IMW=YYYYI 1 LOWER-2 06 11 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group 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 # NSURED INSURER ST PAWL FIRE 6 MARINE 24767 INSURER 8: EXECUTIVE RISK INDEMNITY 35181 LOWER FLORIDA KEYS PHYSICIAN HOSPITAL ORGANIZATION INC. INSURER 5900 COLLEGE RD. KEY WEST FL 33040 INSURER D: INSURER E V V V E:KACatJ THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED MIMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W41CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIYE DATE MMA)D/VY POLICY EXPIRATION DATE jMMDO/YYj LIMITS GENERAL LIABILITY EACH OCCURRENCE S$1,000,000 A Z Z COMMERCIAL GENERAL CLAIMS MALE ®OCCUR BKD1735747 05/01/04 05/O1/05 PREMISES (Eaocwrence) s $300, 000. MEO EXP (AN one person) $ $10 , 000 . PERSONAL &ADV INJURY S $1 , 000 , 000 GENERAL AGGREGATE E $2 , 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG s $2,000,000 POLICY PRO- JECT LOC EiIip Ben. $1 OOO OOO AUTOMOBILE LIABILITY A AmnuTo BK01735747 05/01/04 05/Ol/05 COMBINED SNGLE LIMIT (Ea g 1, 000, 000. $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJUP.Y (Per person) $ Z Z HREDAUTOS NON -OWNED AUTOS BODILY V11UP-Y (Peraccicienti 3 PROPERTYOAMAGE (Per acweMi $ GARAGE LIABILITY AUTO ONLY. EAACCIDENT 5 ANYAUTO A P P II Y OTHER THM EAACC f S AUTO ONLY: AGG EXCESSAMBRELLA LIABILITY OCCUR ❑ CLAIMSMADE r� _ DATE ..._.� - �-�� _...."p—"�-' EACH OCCURRENCE S AGGREGATE E DEDUCTIBLE WAIVER ^1 YES- $ RETENTION S S WORKERS COMPENSATION AND iM►LOYERS'LU161LTTY wC STA7LL OTH- TORV LIMITS ER EL EACH ACCIDENT S ANY IROPRIE TOR/PARTNERA]tECUTNE OFFCERIMEMBER E)<CLUDED? ff yes, dcri esbe under �` .I E L DISEASE - EA EMPLOYEE S El DISEASE -POLICY LIMIT S SPECIAL PROVISIONS be[- OTHER B Professional Liab 81713305 05/01/04 05/01/05 Liability 1,000,000 Retention 25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 7 EXCLUSIONS ADDED BY ENDORSEMENT! 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 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST FL 33040 MUNRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAR.URE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AC ORD CERTIFICATE OF LIABILITY INSURANCE LOWEOP R-2 d 06 20 K DATE (MM/DD/YYYY)05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HBA Insurance Group, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 79th S ' 101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 2500 NW Av4- e. - e Miami FL 33122 Phone:305-714-4400 Fax:305-714-4401 INSURED LOWER FLORIDA KEYS PHYSICIAN HOSPITAL ORGANIZATION INC. 5900 COLLEGE RD. KEY WEST FL 33040 INSURERS AFFORDING COVERAGE NAIC # INSURER A: ST PAUL FIRE & MARINE 24767 INSURERB: EXECUTIVE RISK INDEMNITY 35181 INSURER C: INSURER D: INSURER E: vTHE 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 NSRRULT� TYPE OF INSURANCE POLICY NUMBER DATE MMJD 11/E DATE MMIDDnY N LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR BK02077719 05/01/05 05/01/06 EACH OCCURRENCE $ $1,000,00 PREMISEs(Eaoccurence) $$300,000. MED EXP (Any one person) $ $10 , 000 . PERSONAL & ADV INJURY $ $1 , 000 , 000 GENERAL AGGREGATE $ $2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: RO- POLICY jECT 7 LOC PRODUCTS - COMP/OP AGG $ $2 , 000 , 000 Emp Ben. $ lM/ $ 2M A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BKO1735747 05/01/05 05/01/06 COMBINED SINGLE LIMIT (Ea accident) $$1,000,000. BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO APR D ay ISK MANAGEMENT AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ DATE WAIVER A EACH OCCURRENCE $ /A. _YES AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTWE OFFICER/MEMBER EXCLUDED? Des describe under SPECIAL PROVISIONS below '/ `f Y 1I) j I TORY LIMITS ER E.L. EACH ACCIDENT $ ISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ B OTHER MANAGED CARE E&O CLAIMS MADE 81713305 RETRO DATE 05/01/99 05/01/05 05/01/06 EA CLAIM 1,000,000 AGGREGATE 1,000,000 DESCRIPTION OF OPERATIONS I 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. oa.r% C. e_ MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATICM 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 ATT: MARIA SLAVIK, RISK MGMT. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET RPPRESENTATIVES. T ¢ EP�.F4FNT::�, KEY WEST FL 33040 it AGORU 25 (2UU1/US) 0 ACORD CORPORATION 1 ACORD CERTIFICATE OF LIABILITY INSURANCE s 37200°�' PRODUCER (305)714-4400 PAX: (305)714-4401 88A INSURANCE GROUP, INC. 2500 NN 79th Avenue suiteM 101 Miami PL 33122 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 s INURED LOTTer FL Reps Physician Hospital Organisation P. 0. HOa #9107 Rep West ET. 33041 INSURER A: PEDEAAL INSURANCE COMP INSURER B: INSURER C: INSURER D: INSURER E: GES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN 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. kTE LIMITS SHQM MAY HAVE BEE 4 REDUCED BY PAID CLAIMS INp ADIYL TYPEOFINSURAIICE POLICYNUMSER POLICY EFFECTIVE DATE MMID POLICY EXPIRATION DATE(MWMM UNITS GENERAL LIABILITY COMMERCIAL GENERAL UA fUTY CLAMS MADE ❑ OCCUR E40H OCCURRENCE E DPAMAG TORENTEDII S MED EXP E PERSONAL Y E GENERAL RFQATE f GENL AGGREGATE POLICY LIMIT APPLIES PER: F-l'i T 7 LOC PR E AUTOMOBILE LIABILITY ANY AUTO ALL OWNED ALTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS - COMBINED SINGLE LIMIT (E°1) E BODILY INJURY (Per PM ) E BODILY INJURY (Per ems) E PROPERTY DAMAGE (ParsaMenq $ GARAGE LIABILITY ANY AUTO '� - AUTO ONLY -EAACCIDENT E OTHER THAN EAACC AUTO ONLY: AGG E S EXWBOUMBRELLA LIABILITY OCCUR [] CLAMS MADE DEDUCTIBLE h I Vc�" — 1, EACH OCCURRENCE S AGGREGATE E E WORKERS COMPENSATION AND EMPLOYEW LIABWTY ANYPROPRH:TORIPARTNDED? CUTNE If r.. d RIMEMBER EXCLUDED? X pe, GseOBs under ' O E.L. EACH ACCIDENT E E.L. EMPLOYE - POLICY LIMIT A OT4ER DIRECTORS 6 OFFICERS INCLUDING EMPLOYMENT 8171 3307 PRACTICES LIABILITY 5/1/2007 5/1/2008 BACK CLAIM $1,000,000. AGBIHBGATB $1,000,000. DESCRIPTION OF OPERATNMIBAOCATONWEMCLENEXCLUaONS ADDED BY EMDORSEMSNTISPECULL PROAXONE MDIUM COUNTY HOARD OP COUNTY COMMIBSIONEPA ATTN: JIMAIA SLAVIK, RISK Man. 1100 SIMONTON ST. KEY NEST, PIS 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE IBBNMG INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO $HILLL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IIND UPON THE IH INSURANCE GROUP/KTW ACORD 25 (2001108) INRA9R mom ro. /y O ACORD P 1ml PRODUCER (305) 714-4400 FAX: (305) 714-4401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HBA INSURANCE GROUP, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2500 NW 79th Avenue --- "-I _ - ALTER THE LGOi RAGE AFFORDED BY THE POLICIES BELOW. Suite# 101 1:" Miami FL 33122 ) - INSURERS AFFOR ING COVERAGE NAIC # INSURED A�1�I�'lT�a INSURER A. FEDE INSURANCE COMP Lower FL Keys Physician Hospital O gani atlgpm UREFI P. O. BOX #9107 1 INSIIRFRC Key West FL 33041 `.;,'`.''� 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. INSR ADVL POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYV DATE (MMIDDrYYL LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Es occurrence $ COMMERCIAL GENERAL LIABILITY DIED EXP Any one erscn $ CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OPAGG S PRO 17 LOC AUTOMOBILET AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accitlent) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NONOWNEDAUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY x AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANV AUTO '.` $ AUTO ONLY'. AGO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE �//� \n $ AGGREGATE $ $ s_J $ DEDUCTIBLE RETENTION WORKERS COMPENSATION AND WC STATU- OTT EMPLOYERS' LIABILITY ANY PROPRIETORPARTNER/E(ECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED-, nder yesdescribePROVISIONS E.L. DISEASE - IO EMPLOYEE $ EL DISEASE -POLICY LIMIT $ S SPECIAL PR VISIONS below A OTHER DIRECTORS & 8171 3307 5/1/2007 5/1/2008 EACH CLAIM $1,000,000. OFFICERS AGGREGATE $1,000,000. INCLUDING EMPLOYMENT PRACTICES LIABILITY DESCRIPTION OF OPERATIONSILOCA,TIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: MARIA SLAVIK, RISK MGMT. 1100 SIMONTON ST. KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AUTHORIZED REPRESENTATIVE H IN SURIINCP: GROUP/KTW ACORD 25 (200V08) CC INS025 (otoe).oaa © ACORD CORPORATION 1988 Page 1 of 2 DATE (MMDDO'YYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 4/10/2oo9 PRODUCER (305)714-4400 FAX: (305)714-4401 THIS CERT FlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H8A INSURANCE GROUP' INC ALTER THEE CIOVERAOE ACERTIFICFFORDED BY THE POLICIES BELOW. EXTEND OR 2500 NW 79th Avenue Suite# 101 Miami FL 33122 INSURERS AFFORDING COVERAGE NAIC# INSURED LONER FL KEYS PHO, INC. i!:>_PEPA Hartford Insurance Group Ns_PEF5 Camdea Fire Insurance Co. 00914 P. O. Box #9107 "•` PF^ _ Key Nest FL 33041 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT. 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. WAY HAVE INBR - A WT. TYPE OF INSURANCE GENERAL UASIU" X LSNV ... PL E.°P �.. _�-. LI_N>t5 ❑X-f.'_uF POLICY NUMBER 22SBMRQ8127 POI ICY EFFECTIVE GATE MS]OIYY 5/1/2008 POLICY EXPIRATION DATE MDOM/ 5/l/2009 UMR9 E:.'I-[ :URaP`le.F 1,000,000 DAIAETO PEN-E ..p.. PP IA( F. I—,', > 300,000 MID [I- Ar :, s 10,000 r i=-Nu P1 a 1,000,000 ;o= AT SEVEPlL>;ic c 2,000,000 c.rr,A nAf- $ 2,000,000 ;Evt AsaPEbAibt NlT ,.r+F_r_c FEP,f X a. AUTOMOBILE LU.BILITY CCMBIHEG Eaa✓Nr:; 5 1,000,000 A :a^.eeaa;-os • - 2138MRQ8727 5/l/2008 5/1/2009 I PEO °IT•:S p+er a<r c?T it i X (F2'd GARAGE LIABILITY - J-.IEPTH, ?. -AACC E%CHSNMBRELLA LUBILITY __.. ❑r�IJ=MALc - II '� �� � _ _. ��' P--` a �aE T PETE%TIC# MAKffiIE SCOMPSATIONAND -_ 7fa :IA''- ,��n - F EACI Al,fl' N- > EMPLOYERS LPBIUW w11i=PQPR ETOPrP%FTNEP £=E _�� �'E E�CLJLE E_ 5 r.3EVf �AENPLRYEE• E_Cn_cA.'-EP'L!C>uAiT ts B OTHER Professional E G O CLAIMS -MADE MCP256008 RETRO DATE: 05/01/1999 5/1/20 8 5/1/2009 EA INCIDEET $1,000,000. AWRINIATE $1,000,000. DESCRIPTION OF OPEMnONSAOCATDNSAIBHICLE&EXCLUSIONS ADDED BY ENDORSEMENTBPECIAL PROVISIONS THE CERTIFICATE HOLDER NAMED BELOW HAS BEEN INCLUDED AS AN ADDITIONAL IESURED AS RESPECTS GENERAL LIABILITY COVERAGE. *EXCEPT IN THE EVENT OF NON-PAYMENT 10 DAYS WRITTEN NOTICE WILL BE GIVEN. molmE COUNTY BOARD OF COUNTY ATT: MARIA SLAVIK 1100 SnONIiION ST. KEY NEST, FL 33040 1COR D 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WYL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO TIE CERTIFICATE HOLDER NAMEO TO THE LEFT. BIT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIASkM OF ANY KIND UPON THE AUTHORIZED REPRESENTATNE H INSURAN_E GA.OUe./YTW INS025vjua ,,,a - ACORD CERTIFICATE OF LIABILITY INSURANCE 4�l0 2 s' PRODUCER (305)714-4400 FAX: (305)714-4401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HBA INSURANCE GROUP, INC. r�—'"--.;� C-y---p 2500 NW 79th Avenue �. �_ I`J ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE IS CERTIFICATE DOES NOT AMEND, EXTEND OR - LTER THE OVERAGE AFFORDED BY THE POLICIES BELOW. Suite# 101 .-..___.___._-_-.__.. Miami FL 33122 INSURERS AFF ORDING COVERAGE NAIC 0 INSURED LOWER FL KEYS PRO, INC. { APR Q RER Har Ord Insurance Group00914 1 ien Fire Insurance Co. P. O. Box #9107 INSURER L -INSURER D. Key West FL 33041 ..,f..°.IW'suRERe. 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 ADDL TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDNY POLICY EXPIRATION DATE (MMAN)") LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXI OCCUR 21SBMRQ8727 5/1/2008 5/l/2009 DAMAGE TO RENTED PREMISES Eaopoe $ 300, 000 MED EXP An on one.eraars $ 10,000 PERSONALaADVINJJRY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X P LILY PRO- JECT RO LOC PRODUCTS- $ 2,000,00 AUTOMOBILE LIABILITY pryy ALTO COMBINED SINGLE OMIT (Ea BwtidenC $ 1,000,000 BODILY INMRY (Per person) $ A ALL OMEDAUTOS SCHEDULEDAUTOS 21SBMRQ8727 \�$/n^y`p1I 5/l/2008 5/1/2009 BODILY INJURY (PeracaCenry $ X X HIREDAUTOS NON-ONMED AUTOS U' 1 V 111 ) 1 - PROPERTY DAMAGE (Per ar.d.1) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN EAACC MY AUTO $ 1 OL AUTO ONLY. AGG EXCESSUMBRELLA LIABILITY OCCUR CLAIMSMADE , $ AGGREGATE $ $ $ DEDUCTIBLE r RETENTION $ MRKERSCUM ION AND EMPLOYERS LIABILITY T - RVTATUOTH BE ELEACH ACCIDENT $ ANY PROPRIETORNARTNERIEXECUTWE OFFICERiMEMBER EXCLUDED? Ryes.ALPR eunder E L. pISEASE - EA EMPLOYEE $ - POLICY LIMIT $ SPECIAL PROVISIONSOeIan IEL.DISEASE B OTHER Professional E 9 O MCP256008 5/1/2008 5/1/2009 INCIDENT $1,000,000. CLAIMS -MADE RETRO DATE: 05/01/1999 �EA AGGREGATE $1, 000, 000. DESCRIPTION OF OPEMMONSAOCATIONMEHICLESEXCLUSIONS ADDED BY ENDORSEMENTBPECIAL PROVISIONS THE CERTIFICATE HOLDER NAMED BELOW HAS BEEN INCLUDED AS AN ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY COVERAGE. -EXCEPT IN THE EVENT OF NON-PAYMENT 10 DAYS WRITTEN NOTICE WILL BE GIVEN. MONROE COUNTY BOARD OF COUNTY COAIIIISSIONERS ATT: MARIA SLAVIK 1100 SIMONTON ST. KEY WEST, FL 33040 /08) 11 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER `ILL ENDEAVOR TO MAIL * 30 DAYS NRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURANCE GROUP/KTW INS0251otomoea CCl,,7---vyrG{, Page 1 of ACORD. CERTIFICATE OF LIABILITY INSURANCE 9i17i2o s PRODUCER (646) 358-8500 FAX: (646) 358-8590 Beecher Carlson - New York 7 Times Square Suite 2102 New York NY 10036 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 Suite 500 Naples FL 34108-2710 INSURER A. Liberty Mutual Group 23043 INSURER B: INSURER C: INSURER D: INSURER E: OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN 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. REG U1 LIMITS SHOWN MAY HAVE B REDUCED BY PAJD CLAIMS. INSR DD'L TYPE OF INSURANCE POLICY NUMBER DATE MMA)DI Y) DATE EXPIRATION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ G ES Ea occurrence) $ MED EXP (Anv one $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY I I JECT LOC PRODUCTS - COMPIOP A $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS t COMBINED SINGLE LIMIT (Ea ) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO . AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC AUTO ONLY: A G $ $ EXCESSIUM13RELLA LIABILITY`EACH OCCUR CLAIMS MADE DEDUCTIBLE RETENTION %^ c OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ff yes, describe under SPECIAL PROVISIONS below MA765DO04245018 10/1/2008 10/1/2009 x TI&YINT AgSj- OTH- ER 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 OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS The Certificate Holder is listed as an Additional Insured. Re: bower Florida Keys Physician Hospital Organization, Inc. / CERTIFICATE HOLDER CANCELLATION Monroe County Board of Commissioners c/o Monroe County Risk Management Attn: Monique Diaz 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE AUTHORIZED REPRESENTATIVE Robert Hessel/INASHP ® ACORD CORPORATION 1988 as..o 1 rd 1) ACORD 25 (2001/00) Iucn'Ja in,�a, na- ACORDrm CERTIFICATE OF LIABILITY INSURANCE 10/ 1 /2010 DATE(MM/ 9/23/2009Y) 009 PRODUCER Lockton Companies, LLC-1 Kansas City 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906 816 960-9000 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. 1312087 5811 PELICAN BAY BLVD. F SUITE 500 `� � ' �' `�� INSURER A: Liberty Mutual Insurance Company 23043 ` INSURER B INSURER C : NAPLES FL 34108-2710 INSURER D : INSURER COVERAGES H�AMAU3 Hll rrtl �EK 1 iFrcA f E tiF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING 1KIQIIDCDIQI AlITYADI7CM 01=00C@CLITAT1110 An nn^nllf%L-n AL1n 9Fur ■■..■ . -- .. ••• ■� ...v •��■ .�� . .r�..� .� rn v v W% r%111Y 1 G V RIIrIVNI r1 1J IC. 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ xxxxxxx COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occureence $ XXXXXXX CLAIMS MADEF-1 OCCUR NOT APPLICABLE MED EXP (Any one person) $ xxxxxxx PERSONAL & ADV INJURY $ xxxxxxx GENERAL AGGREGATE $ xxxxxxx PRODUCTS - COMP/OP AGG $ XXXXXXX GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICYF—] JECT F-1 LOC AUTOMOBILE LIABILITY "r COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ xxxxxxx BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS NOT APPLICABLE (Per person) $ XXXXXXX HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ XXXXXXX PROPERTY DAMAGE $ xxxxxxx (Per accident) GARAGE LIABILITY r AUTO ONLY - EA ACCIDENT $ xxxxxxx NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX ANY AUTO F - AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX AGGREGATE AGGREGATE $ XXXXXXX OCCUR F� CLAIMS MADE F—] UMBRELLA NOT APPLICABLE XXXXXXX DEDUCTIBLE FORM $ xxxxxxx $ xxxxxxx RETENTION $ A WORKERS COMPENSATION AND WA7-651-004245-019 10/1/2009 10/1/2010 X ORY LIMITS U- T ER I EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 150003,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1 �0005000 If yes, describe under NO E.L. DISEASE - POLICY LIMIT $ 110005000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: LOWER FLORIDA KEYS PHYSICIAN HOSPITAL ORGANIZATION, INC. n Gam) ..\./f...L/`.1 �.AI�I�.GLLF11 1U14 10669788 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN C/O MONROE COUNTY RISK MANAGEMENT NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ATTN. MONIQUE DIAZ 1100 SIMONTON STREET IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR KEY WEST FL 33040 REPRESENTATIVES. AUTHORIZED REPRESE E 4P ACORD 25 (2001 /08) For questions regarding this certificate, contact the number listed in the 'Producer' section above and specify the client cod A 03'. © ACORD CORPORATION 1988 DATE (MWDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 09/29/2010 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 polrse es) mustment. A statement endorsed.ement on this SUBROGATION certificate does not confer rights to the IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorset certificate holder in lieu of such endorsement(s). PRODUCER rvwm�: Marsh USA Inc. PHONE 1801 West End Avenue:, Suite 1500 E-MAIL Nashville, TN 37203 s FAX A/C No PRODUCER'• j( RE C' [' I V -" - INSURERS AFFORDING COVERAGE NAIC 1f 072392-ALL-WC-10-11 --- — 42404 INSURED IN RER A Liberty Insurance Corporation Health Management Associates, Inc. IN RER B 5811 Pelican Bay Boulevard, Suite 50 (' ' Naples, FL 34108-2710 INS RER C INS RER D tk(T;'i � f'(11`;IY INSURERE ;.!T COVERAGES CERTIFICATE NUMBER: ATL 002270047-05 REVISION NUMBER: 2 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 TYpE OF INSURANCEWVD ADDL SUBR POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DD/YYYY LIMITS EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR DAMA ET RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ 17 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED AUTOS PROPERTY DAMAGE Per accident) $ SCHEDULED AUTOS HIRED AUTOS $ NON -OWNED AUTOS $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 11 yes, describe under DESCRIPTION OF OPERATIONS below N / A WA7-65D-004245-010 10/01/20 0 - 10/11/2011 U- OTH- ORY A IDENT 7DDISEAS!EE $ 1 ,000,000 EA EMPLOYE $1 +���+��� E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Lower Florida Keys Physician Hospital Organization, Inc. LIZ— \ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Go Monroe County Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Monique Diaz 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 of Marsh USA Inc. Marjorie L. Rippy ionc_or G Ar non (`nRPORATION. All rights reserved. ACORD 26 (2009109) The ACORD name and logo are registered marks of ACORD A �� ® C" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 09/30/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYXq LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE III CON T T BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CrT=IVI! IMPORTANT: If the certificate holder is an ADNSURED, the policy(i s) mu t be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain require an endorse�nt. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(sPRODUCER USA, Inc. West End Avenue, Suite 1500 TN 37203 MONROE CO MANAGE CONTACTMarsh NAME:1801 PHONE FAX ac NoNashville, n Lss:ISK INSURERS AFFORDING COVERAGE NAIC # INSURER A: Liberty Insurance Corporation 42404 072392-ALL-ALIWC-13-14 KeyWes INSURED Health Management Associates, Inc. INSURER B: Liberty Mutual Fire Insurance Company 23035 5811 Pelican Bay Boulevard, Suite 500 INSURER C INSURER D : Naples, FL 34108-2710 INSURER E : INSURER F : COVERAGES CERTIFICATE NLIMRER: ATL-002932464-16 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 TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY NTED PREMISES (GE ToEaEoccu occurrence) $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRO LOC JECT B AUTOMOBILE LIABILITY AS2-651-004245-023 10/01/2013 10101/2014 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ PIP $ STATUTORY UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION WA7-65D-004245-013 10/01/2013 10/01/2014 X WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE a OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA A E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE, $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 Is DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Lower Florida Keys Physician Hospital Organization, Inc. AP ( NM Monroe County Board of County Commissioners is named as additional insured as respects Automobile Liability as required by wirden contract. B WAI _`) n Now Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Go Monroe County Risk Management ,E :C LL d 9— 1 30 CIA? THE ACCORDANCEION W THTHE POLICY PROVISIONSATE THEREOF, . WILL BE DELIVERED IN Attn: Monique Diaz 4 G IatU O 1Ju G I U4 1100 Simonton Street Key West, FL 33040 U U 0 1 c � O A 0 31I J AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Marjorie L. Rippy l».ye..a- X. 441 e U 79SS-ZUIU ACUKU 1rUFQ'UKA I IUN. Au ngnis reservea. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD