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HomeMy WebLinkAboutCertificates of InsuranceADON10. - ATE OF ISSUE DATE (MM/DD/YY) 9 27 93 PRODUCER 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 Florida Community College Y g POLICIES BELOW. Risk Management Consortium COMPANIES AFFORDING COVERAGE 5700 SW 34th Street, Suite 1205 Gainesville, Florida 32608 COMPANY LETTER A Qualified self insurer. COMPANY Iy W MwwKw B 1111M��Il±ET1�E INSURED LETTER Y� Florida Keys Community College COMPANY C �V LETTER o 5901 , 1 Junior College Road COMPANY ON D Key West, Florida 33040 LETTERS-� WA COMPANY� E LETTER CRAB 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 LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY Self insurer as per PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. State of Florida 3/1/93 2/28/94 PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. StatLite Chapter 768.28 EACH OCCURRENCE $ 200,000 X Self Insured FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ AND DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ OTHER ' c)ss Control DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Tourist Development Council Cultural Events CERT FICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE County of Monroe Risk Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5100 College Road MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Key West, Florida 33040 LEFT, BUT FAILURE TO MAIL SUCH NOTIA SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COM TS AG T OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Robert W. Miller I 4/ Executive Director ACORD 25-S /90 OACORD CORPORATI 1990 ISSUE DATE (MM/DD/YY)INSANCE 08/26/00 (PRODUCER Arthur J. Gallagher & Co. - Miami 8300 NW 53rd Street, Suite 350 Miami, FL 33166 1(305) 592-6080 INSURED ^ Students of the Allied Health Sciences Courses of Participating Colleges of the Florida Community Colleges Risk Management Consortium 5700 SW 34°i Street, Suite 1205 Gainesville, FL 32608 THIS MEMORANDUM IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE MEMORANDUM HOLDER. THIS MEMORANDUM DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANY AFFORDING COVERAGE COMPANY A LETTER Chicago Insurance Company THIS IS TO CERTIFY THAT THE CERTIFICATE LISTED BELOW HAS 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 MEMORANDUM MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE CERTIFICATE DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH CERTIFICATE. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE CERTIFICATE NUMBER EFFECTIVE I EXPIRATION LTR DATE (MM/DD/YY) I DATE (MM/DDNY) ALL LIMITS IN THOUSANDS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS-COMP/OPS AGGREGATE $ OCCUR. PERSONAL & ADVERTISING INJURY $ .' EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MEDICAL EXPENSE (Any one person) $ AUTOMOBILE LIABILITY �� COMBINED SINGLE $ /BODILY LIMIT $ INJURY YFS (per person) BODILY NON -OWNED AUTOS INJURY (per accident) $ PROPERTY �j DAMAGE $ Student Professional A Liability* $1,000 Each Incident AHC-4000023 08/26/2000 08/26/2001 1 $3,000 Aggregate * Coverage includes College Faculty Members for instruction/supervision of students. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS: Florida Keys Community College - Clinical Experience Monroe County Board of County Commissioners Emergency Medical Services is listed as additional insured solely as respects to this program. Monroe County Board of County Commissioners Emergency Medical Services 490 63rd South Ocean, Suite 170 Marathon, FL 33050 SHOULD THE ABOVE DESCRIBED CERTIFICATE BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE MEMORANDUM HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IQND UPON THE COMPANY, r rS AGENTS OR REPRESENTATIVES. AUn4OR® REPRESENTATIVE Arthur J. Gallagher & Co. - Miami 8200 NW 41 st Street, Suite 200 Miami, FL 33166 (305) 592-6080 Students of the Allied Health Sciences Courses of Participating Colleges of the Florida Community Colleges Risk Management Consortium 5700 SW 34- Street, Suite 1205 Gainesville, FL 32608 08/10/2001 THIS MEMORANDUM IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE MEMORANDUM HOLDER. THIS MEMORANDUM DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I COMPANY AFFORDING COVERAGE I LETTERY A Chicago Insurance Company OVE FOR ICY THIS IS To CERTIFY THAT THE TAN DING ANY RECIUIR MENT TERM OR O DITION OF ANY CONTRACT OR OTHER DOCUMEN WIThH REDS ECPERIOD TO WHICH TH S� MEMORANDUNOTW M MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE CERTIFICATE DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH CERTIFICATE. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EFFECTIVE EXPIRATION ALL LIMITS IN THOUSANDS co TYPE OF INSURANCE CERTIFICATE NUMBER DATE (MWDD/yY) DATE (MMIDD/YY) LTR — GENERALAGGREGATE S GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE S OCCUR. Y TILE LIABILITY wE — i",""`rR: NON -OWNED AUTOS I Student Professional A Liability' AHC 4000024 1 08/26/2001 I 08/26/2002 ' Coverage includes College Faculty Members for instruction/supervision of students. DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS: Florida Keys Community College - Clinical Experience Monroe County Board of County Commissioners Emergency Medical Services is listed as additional insured solely as respects to this program MEMORANDUM HOLDER SHOULD THE ABOVE DESCRIBED CERTIFICATE BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE MEMORANDUM HOLDER NAMED TO THE LEFT, BUT FALURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IQPD UPON THE OOMPANY, ITS AGENTS OR REPRESENTATIVES. PERSONAL 3 ADVERTISING INJURY S EACH OCCURRENCE S FIRE DAMAGE (Any one fire) $ MEDICAL EXPENSE (Any one person) S COMBINED SINGLE LIMIT S BODILY INJURY S BODILY INJURY $ (per strident) s $1,000 Each Incident $3,000 Aggregate Monroe County Board of County Commissioners Emergency Medical Services 490 63rd South Ocean, Suite 170 Marathon, FL 33050 PRODUCER MEMORANDUM OF INSURANCE ISSUE DATE (MM/DD/YY) 8/12/02 THIS MEMORANDUM IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Arthur J. Gallagher & Co. -Miami NO RIGHTS UPON THE MEMORANDUM HOLDER. THIS MEMORANDUM DOES NOT 8200 NW 41" Street, Suite 200 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami, FL 33166 COMPANY AFFORDING COVERAGE (305)592-6080 COMPANY LETTER AChicago Insurance Company Students of the Allied Health Sciences (� Courses Of Participating Colleges of 0 1l the Florida Community Colleges U Risk Management Consortium 5700 SW 34t'' Street, Suite 1205 Gainesville, FL 32608 THIS IS TO CERTIFY THAT THE CERTIFICATE LISTED BELOW HAS BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PO NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESLICY PECT TO WINDICATED HICH THIS MEMORANDUM MAYBE ISSUED MAY PERTAIN. THE INSURANCE AFFORDED BY THE CERTIFICATE DESCRIBED HEREIN S SUBJECOTDTO ALL THE TERMS, EXCLUSIONS AND CONDITION IONS OF SUCH CERTIFICATE. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE LTR CERTIFICATE NUMBER EFFECTIVE EXPIRATION DATE (MM/DDlYY) DATE (MM/DD/YY) GENERAL LIABILITY • . � � I GENERAL AGGREGATE $ OCCUR. PRODUCTS-COMP/OPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ AUTOMOBILE LIABILITY MEDICAL EXPENSE (Any one person) $ APR _ IS AGEME T COMBINED BYSINGLE $ LIMIT BODILY DATE INJURY (per person) NON -OWNED AUTOS WAIVER N/A BODILY INJURY $ (per accident) t / / PROPERTY Ix/vim DAMAGE $ Student Profiessional ILL_ ability* AHC-4000025 $1,000Each Incident OS/26/2002 08/26/2003 $3,000 Aggregate rage includes College Faculty Members for instruction/supervision of students. ESCRIPTION OF OPERATIONS/LOCAT IONS/VEHICLES/SPECIAL ITEMS: rlonda Keys Community College - Clinical Experience Monroe County Board of County Commissioners to this program. is listed as additional insured solely as respects Monroe County Board Of County Commissioners Emergency Medical Services 490 63rd South Ocean Suire 170 Marathon, FL 33050 SHOULD THE ABOVE DESCRIBED CERTIFICATE BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE MEMORANDUM HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OR LIABILITY OF ANY'UPON THE COMPANY, ITS A OBLIGATION GENTS OR REPRESENTATIVES. WNORVD Rraacc� ,ram, 11Hanfii• 1nr. CI r%r1r%Ue1r% ACORD. CERTIFICATE OF LIABILITY INSURANCE °"""Y' 08126/0 PRODUCER -- IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher 8r Co. 8200 N.W. 41st Street. !� P 2 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Miami, FL 33166 BY: INSURERS AFFORDING COVERAGE NAIC # INSURED i71 R G R E S C Students of the Allied Health Sciences Courses of the Participating Colleges of the FCCRMC 5700 SW 34th St, #1205 Gainesville, FL 32608 B_uRER A: 'Chicago Insurance Company INSURER B: INSURER C: INSURER D: 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. iNtiRTYPE LTR NSR OF INSURANCE POLICY NUMBER POLICY EFFECTIVE T MM POLICY EXPIRATION M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED Sir nce) $ MED EXP (Any one person) $ CLAIMS MADEPRE 17 OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRD LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS °'+ r i;� A� ENT BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BYm_�.� _ _ BODILY INJURY (Per accident) $ DATE • . y • r- I PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO ' OaAAUTO $ (% ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ J DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below A OTHER Student AHC-1300001 08/26/03 08/26/04 $1,000,00043,000,000 Professional Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Coverage includes College Faculty Members for instruction/supervision of students only. Florida Keys Community College - Clinical Experience Monroe County Board of County Commissioners is listed as additional insured coley as respects to this program. Monroe County Board of County Commissioners Emergency Medical 490 63rd South Ocean Suite 170 Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In 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 AUTHORIZED REPRESENTATIVE ernon 13e 1-3nn41no% . -- --• yr rrmvavoc Lv•� rKB © ACORD CORPORATION 1988 Client#: 105 FLOCOMCO ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/D 03/26/94DNYYY) PRODUCER Arthur J. Gallagher & Co. 8200 N.W. 41st Street Suite 200 Miami, FL 33166 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 Florida Keys Community College 5901 College Road Key West. FL 33040 INSURERA: Colony Insurance INSURER B: INSURER C: INSURER D: 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EECTIVE DATE MM/FFDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY CP3036093 04/29/03 10/01/04 EACH OCCURRENCE $1 000.000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMI E E occurrence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ X QCP GENERAL AGGREGATE $1 OOO 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT 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 AP P1 4 na ��EMENI PROPERTY DAMAGE (Per accident) $ 1 GARAGE LIABILITY EANY AUTO T E LJAT-.-.�..,_.._.-_.,.....,.,_ .. WAIVER IJ/1 _._..__. ES _ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE _ f� AGGREGATE $ $ $ DEDUCTIBLE RETENTION $ V ! r c $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE LIMITATUER OR M E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Tennessee Williams Theatre -Owners & Contractors Protective Liability Certificate Holder is Additional Insured CERTIFICATE HOLDER CANCELLATION Board of County Commissioners for Monroe County c/o Risk Management 1100 Simonton Street, Room 2-277 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 An 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) 1 o� 2 #S64770/M62570 C G : JMD © ACORD CORPORATION 1988 Client#: 105 DATE (MMMD/YYM LIABILITY INSURANCE 07/19/04 ACORD,� CERTIFICATE OF AS A MATTER OF INFORMATION THIS CERTIFICATE IS ISSUED ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NOT AMEND, EXTEND OR PRODUCER Arthur J. Gallagher & Co. J. HOLDER. THIS CERTIFICATE DOES ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 8200 41 St Street Suite 200 INSURERS AFFORDING COVERAGE NAIC # Miami, FL 33166 INSURER A: Chicago Insurance Company INSURED Florida Community Colleges Risk INSURER B: Management Consortium INSURER C: 5700 SW 34th Street, Suite 1205 INSURER D: Gainesville, FL 32608 INSURER E: COVERAGES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSU E N ED ABOVE FOR THE POLICY RESPECT TO WHICH THIS CE�SIONS AND CONDITIONS ONOTWITHSTANDING SUCH DOCUMEBJECT THE POLICIES TO ALL THE TERMS, EXC UIH CONDITION OF ANY CONTRACT OR OTHER S ANY REQUIREMENT, TERM OR POLICIESY THE PERTAIN, THE INSURANCE AFFORDED OLICES. AGGREGATE LIMITS SHOWN MAYBHAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRp YN LIMITS PMAY TYPE OF INSURANCE POLICY NUMBER A EACH OCCURRENCE S LTA NSR DAMAGE TO RENTED $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY MED EY.P (Any one person) Is CLAIMS MADE 71 OCCUR PERSONAL & ADV INJURY S I I $ GENERALAGGREGATE o^ni it m - cnMP/OP AGG S TE UMIT APPLIES PER: )MOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY 7 ANY AUTO :SS/UMBRELLA LIABILITY OCCUR M CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY pRopRiEio!,JPART-' OFFICERIMEMBER EXCLUDED? SCUTIVF it ves, describe under _ A IOTHER Student Professional €� P nATE SK 08/26/04 COMBINED SINGLE LIMIT I $ (Ea accident) BODILY INJURY g (Per person) BODILY INJURY $ (Per accident) IPROPERTY DAMAGE (per accident) AUTO ONLY - EA ACCIDENT $ i I AUTO ONLY: AGG I S $ S E.L- O8/26/05 $1,000,00033,000,000 -- Liabil' DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Florida Keys Community College Clinical Experience for Nursing C o �J S'. r a r Ce� Program. Coverage includes College Faculty Members for instruction/supervision o students only. (See Attached Descriptions) ^ CELLATiON Monroe County Board of County Commissioners Emergency Medical Services 490 63rd South Ocean;Suite 170 Marathon, FL 33050 ,AN HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXYS PIRATION SATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL �_ IOTK:E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL AIPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR tEPRESENTATIVES. AUTHORIZED REPRESENTATIVE SXH © ACORD CORPORATION 1988 ACORD 25 (2001/08) 1 of 3 #S69228/M69214 Chant t- in-5 FLOCOMCO ACORD- CERTIFICATE OF LIABILITY INSURANCE 07/19/0 °/"YYY' PRODUCER Arthur J. Gallagher & Co. 8200 N.W. 41 St Street 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. Suite 200 Miami, FL 33166 INSURERS AFFORDING COVERAGE NAIC # INSURED Florida Community Colleges Risk Management Consortium 5700 SW 34th Street, Suite 1205 Gainesville, FL 32608 INSURER A: Chicago Insurance Company INSURER B: INSURER C: INSURER D: 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 INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EX 'nyoN LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PRFMISeSeaoccuffencel $ CLAIMS MADE OCCUR MED EXP (Any one person) S PERSONAL & ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY 0 ME 0 LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Pef person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED AUTOS A�P� l� i :7�../fu91� _ GEMEN PROPERTY DAMAGE (Peracadeni) S BY -. _ _ ._.___-. C GARAGE LIABILITY RANY AUTO DATE __.-_.__ � ^ r __.. _....------ _.'�/ra_,_ AUTO ONLY - EA ACCIDENT $ } r - OTHER THAN EA ACC AUTO ONLY: AGG $ S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- O EMPLOYERS' LIABILITY ANY PROPRiE'i'OWPARTNER/EXECUrVE E.L EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S OFFICER/MEMBER EXCLUDED? If ysa describe under SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT S A OTHER Student AHC2900001 08/26/04 08/26/05 $1,000,000/$3,000,000 Professional — Liability- DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Florida Keys Community College Clinical Experience for Nursing Program. Coverage includes College Faculty Members for instruction/supervision of students only. (See Attached Descriptions) Monroe County Board of County Commissioners Emergency Medical Services 490 63rd South Ocean;Suite 170 Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAIL _ n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FALURE TO DO SD SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORRED RREEPRE�SENT�ATITIVE A%,ursu ,&a 1zuuuua) 1 Ot 3 #S69228/M69214 SXH 0 ACORD CORPORATION 1988 FLOCOMCO clients: Tuo ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE 10/29/04D/) PRODUCER Arthur J. Gallagher & Co. 8200 N.W. 41st Street Suite 200 Miami, FL 33166 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 Florida Keys Community College 5901 College Road Key West, FL 33040-4397 INSURER A: Colony Insurance Company INSURER B: ACE American Insurance INSURER C: INSURER D: INSURER E: UUVtKAUr-, 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 POLICY EFFECTIVE DAT MM D POLICY EXPIRATION DATEMM D LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GL3036192 11/01/04 11/01/05 EACH OCCURRENCE $1000000 DAMAGE TO RENTED $ MED EXP (Any one person) $ CLAIMS MADE a OCCUR PERSONAL & ADV INJURY $ X OCP GENERAL AGGREGATE $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Ded/Claim $1 000 X POLICY PR LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS A{''I- ,�J.�J��(��• BODILY INJURY (Per accident) $ NON -OWNED AUTOS d R'�,. - - __ PROPERTY DAMAGE (Per accident) $ GARAl� GE LIABILITY _ay AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND WLRC43536230 03/01/04 03/01/05 WC ST M T OER E.L. EACH ACCIDENT $1 000 000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEEI $1,000,000 E.L. DISEASE - POLICY LIMIT I $5,000,000 If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Tennesee Williams Theater -Owners & Contractors Protective Liability and Workers Compensation. Certificate Holder is shown as an additional insured solely with respect (See Attached Descriptions) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Board of County Commissioners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Ap_ DAYS WRITTEN for Monroe County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL c/o Risk Management 1100 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Simonton Street, Room 2-277 REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE 4 1jVaqzW ACORD 25 (2001/08)1 of 3 #S76013/M76005 5XH v rK%.vrcu a.vrcrvrw1lw...... IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001/08) 2 of 3 #S76013/M76005 DESCRIPTIONS (Continued from Page 1) to general liability coverage as evidenced herein as required by written contract with respect to work performed by/for the named insureds with respect to the remodeling/improvement project. AMS 25.3 (2001108) 3 of 3 #S76013/M76005 Client#: 105 FLOCOMCO ACORDTM CERTIFICATE OF LIABILITY INSURANCE 02/18/05Dmvv> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 8200 N.W. 41st Street Suite 200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Miami, FL 33166 INSURERS AFFORDING COVERAGE NAIC # INSURED Florida Keys Community College 5901 College Road Key West, FL 33040-4397 INSURER A: ACE American Insurance INSURER B: INSURER C: INSURER D: 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Y POLICY EXPIRATION DATE MM/DD/Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RSES (E.ENTEDREM $ 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- JECT LOC APP AUTOMOBILE LIABILITY ANY AUTO LJ 7 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS DATE HIREDAUTOS NON -OWNED AUTOS WAIVER NIA _Y S ..---.--- BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTOONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WLRC43539255 03/01/05 03/01/06 X WC STATU- OTH- I ER E.L. EACH ACCIDENT $1 000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEEI $1 000,000 OFFICER/MEMBER EXCLUDED? It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $5 OOO,OOO OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Remodel and Improvement project, Tennessee Williams Theater. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Board of County Commissioners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL An DAYS WRITTEN for Monroe County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Tourist Development Council IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1201 White Street, Suite 102 REPRESENTATIVES. Key West, FL 33040 AUTHORIZED AvE -alaqz- _+ Wnv ca tcvv uuol 7 pyrz #577624/M77621 SXH 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. • .-wrlu 40-0 tcuu irua) 2 Of 2 #577624/M77621 ACORD,, CERTIFICATE OF LIABILITY INSURANCE DlDD/YYY() o8/22a/22/os PRODUCER 1-305-592-6080 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Arthur J. Gallagher & Co. (Florida) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8200 N.W. 41st Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Miami, FL 33166 INSURERS AFFORDING COVERAGE NAIC # INSURED Florida Community Colleges Risk Management Consortium INSURERA:Chicago Insurance Company INSURER B: 5700 SW 34th Street Suite 1205 INSURERC: INSURERD: Gainesville, FL 32608 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. INS DD POLICY NUMBER PO ICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY URRENC EACH OCCE $ COMMERCIAL GENERAL LIABILITY A PREMISES Eaoccurence $ El CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERALAGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY PRO-FC LOC AUTOMOBILE LIABILITY ANYAUTO y't�"(E-'tl t... - - . -.------- - COMBINED SINGLE LIMIT (Ea accident) $ ALL OW NED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON -OWNED AUTOS r.'=,; ---- t'`.i AIiiP Pt Iie�__. �/� ""- .. - BODILY INJURY (Per person) $ (Pe�accldent)RY $ PROPERTYDAMAGE (Per accident) $ GARAGE LIABILITY / C,', AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO (r $ AUTO ONLY: AGG EXCESS/UMBRELLALIABILITY EACHOCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- I OTH- S ER EMPLOYERS' LIABILRY ANY PROPRIETOR/PARTNER/EXECUTIVE INC E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE — $ OFFICERIMEMBER EXCLUDED? EXCL It yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT '— $ OTHER A Student Professional Liab AHC2900001 08/26/05 08/26/06 Each Incident 1,000,000 General Aggregate 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Florida Keys Community College Clinical Experience for Nursing (Prof) 2yr Program. Coverage includes College Faculty Members for instruction/supervision of students only. Monroe County Board of County Commissioners Emergency Medical Services is listed as additional insured soley as respects to this program. van,,r ftrc County Board of County Commissioners Emergency Medical Services 490 63rd South Ocean, Suite 170 Marathon, FL 33050 USA 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 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE.... -" AGUKU Zb (�JU71UU) sacnern 0 ACORD CORPORATION 1988 42 < <' P°waled ByCertificatesNow- ACORD. CERTIFICATE OF LIABILITY INSURANCE ° 8/31/°""""' 08/31/O6 PRODUCER I-Boo-526-0191 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur G. Gallagher Risk Managasaut services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Arthur J. Gallagher M Co. (Florida) HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7360 N. Band Lake Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 390 Orlando, FL 32819 INSURERS AFFORDING COVERAGE NAIL# DMIIREO INSIIRERAChiCago Insurance Co Florida Community 001149*0 Rink Management Conwrtius 5700 EN 36th Street Suits 1205 Gainesville. FL 32608 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. am Ravi wmmim�E POLICY NUMBER POLICTEFFECTNE DKTESHMDIEYYI POLICYMPF111TI°N UPS GENERAL LMLITY- EACHOCCURRENCE $ PREMISES EPon4RYCn $ COMMERGIALGENERALLNBIIfTY CUM.SMADE E OCCUR MEO EKP(Myone leNon) $ PERSOWIL&A INJURY $ GENERALAGGREGATE $ GENIAGGREGTE UMTAPPLlE3 PHt: PRODUCTS-COMP/OPAGG $ PRO LOC PpJCY JECT IIUTOIIOBILE wsam ANYAUTO CDMBMEDSINGLEUMR (Eaeosuns) f BOOILYIN (PwIPVA)ro E ALLO.VNEDI TOS CH SEDULEDAUTOS BOOMYINJURY (Pawsrd°^I) $ HIR :DAUTOS NON-OWNEDAUTOS PROPERTYDAANGE (PmaccitlPM) E GARAGE LMEILm AUTOONLY-EAACCIDENT $ OTHERTHAN EAACC $ ANYAUTO ,. Ai i $ . - AUTOONLV: AGG RCFEENiRELL1ILMBLfTY CCU OR [] CIAIWMAOE u�=, -. //-i/-� �' ". ( N/7 OCCURRENCE $ AGGREGATE $ $ ... .. _. ._ 1 1 �/ S DEDUCTBtF SIG',^.,;`. $ RETENl10N S PYORIPcN6CDMPBIMTI mo LU Y,CSTA OTH- EMPLOYEAB• LIABILITY E.L EACH ACCEENT $ MiYPROPRIETORA' HEIVEKECUINE INQ EI DISEASE -EA EMPLOYEE S O CERIMEM°ER EXCLUDEO9 /( (, Nyasdrar BPECVLPRWOVISIBIONShTbR C_ � El OISEME-POLICY LIMT E A OTHER Student Professional Liab ANC2900001 06/26/O6 OB/26/07 Sach Incident 1,000,000 General Aggregate 3,000,000 DImtRYfBNOFOPBMTN MBILOCATKMIWNN:L6 IMLUSOMEADpEDBYENOORBEPENTIEPECYILPROVM104I8 Res Florida Keys Community College Clinical ITsparisnce for Nursing (Pmf) 2yr and AIS/SMf Programs. Coverage includes College Faculty Members for instruction/supervision of students only. 111 rca County Board of County Commissicnars Reargancy Medical Services is listed an additional insured solely as respects to this program. County Board of County Commissioners Medical Services South Ocean, Suits 170 FL 33050 UBA J807660 BIOULO AMYOF THE ABOVE DEECmBEO POUCBB BE GNCELLED BEFORETHE FJIPUGTgM DATE THEREOF, THE M M N WR WILL ENDEAVOR TO MAIL 30 DAYS TPRRT HE NOME TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT, BUT FAaURE TO DO 80 SHALL YPOSE NO OBLIGATION OR LIMILITY OF ANY KIND UPON THE MBUNER, ITS AGENTS OR C3Z6iQ:7�; ACORDIs CERTIFICATE OF LIABILITY INSURANCE DATE (mumD/YYYy) 08/06/07 Arthur J. Gallagher Risk Managaaet service, Inc. ONLY YyQm Dr CONFERS 10 10NOtIJ RIGHTS U TER OF INFORMATION FORM TION ATE 7380 M. Sand Lake Road _. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR suite 390 p �LI V OVERAGE AFFORDED BY THE POLICIES BELOW. Orlando, FL 32019 II\\ / V wauREo S AF ORDING COVERAGE NAIC S Florida CODIMUnity Colleges Risk Manes, t C sorts. IN8URER Chic Insurance Co 5700 SM 34th Street R Suite 1205 INSURER Gainesville, FL 32608 _ 6KnNROECOU URERE: rnTJen•ne: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. uan POLICY NUMBER POIJCY EFFECTIVE EWMRIGMON POLICYRAL DEM I AB LIT LIMITS CCURRENCE $ COMM RCIAIY COMMERCIAL GENERAL UABKRY ES aKIeMIW S CLAIMS MADE OCCUR P( one ) $ NA Lb ADVINJURY :TS�COMP/OPAGG S GEN'LAGGREGATE LIMITAPPUES PER: AL AGGREGATE $ C S POLICY PRO. LOC AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT $ (Ee acceem) ALLOWNEOAUTCS BODILYINJURY (Perpareon) $ SCHEDULEDAUTOS HIREDAUTOS - - - SODLYINJURY (Per ecd4 * $ NON-0WNEDAUTOS .... ... PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO .. 7 '` _.. _ .. ... AUTO OILY-EAACCIDENT $ OTHER THAN EAACC $ AUTOONLY: AGG $ E%CESSNYBRELLA WJNLRY OCCUR CLAIMS RUDE ❑ �I EACHOCCURRENCE $p AGGREGATE $ c, $ CT DEDUIBLE $ RETENTION S .I WORKERS COMPENSATION AILD EMPIDYERa'LU181L1TY WC STATLL OTH- S710N ANYPROPRIETOMPARTNEMICECUTIVE OFFICERIIEMBER FXMUDEDT E.L.EACH ACCIDENT $ E.L. DISEASE -EA EMPLOYEE $ R yyws dworbe Nl4er SPECIAL PROVISIONS W. E.L. DISEASE -POLICY LIMIT $ OTHER A Student Professional Liab AKC2900001 06/26/07 08/26/08 Each Incident 2,000,000 General Aggregate 41000,000 DESCR W TION OF OPEEATHM I LOCATIONS I VEHICLEA 'EXCLUSIONS ADDED BY ENDORSIMENT I SPECIAL PRO VISIONS Florida Keys Camun.ity College Clinical RxperiBnce for Nursing (Prof) and RUB/KMT Programs. Coverage includes College Faculty Members for instruction/supsrvision of students only. CERTIFICATE HOLDER County Board of County Consissionars Medical earvLoe, 490 63rd South Ocean, suite FL 33050 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EWPNATON DATE THEREOF, THE ISaUSIO INSURER V ILL ENDEAVOR TO AWL 30 DAYS YYRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO EO SHALL IMPOSE NO CBLIOATION OR LIABILITY OF ANY IOND UPON THE INSURER ITS AGENTS OR m C ATE ,acoa0 CERTIFICATE OF LIABILITY INSURANCE I o09/OB/09/YYYv' PRODUCER 1-800-524-0191 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7380 W. sand Lake Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 390 Orlando, FL 32819 INSURERS AFFORDING COVERAGE NAIC # INSURED Florida Conimunity Colleges Risk Management Consortium INSURER A: AMERICAN CAS CO OF READING PA 20427 INSURER B: INSURER C: 5700 SW 34th Street INSURER D: Suite 1205 Gainesville, FL 32608 INSURER E: I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERMI 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 DD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS OF I=1RANCE POLICY NUMBERDATE (MM/DDNYYY) TYPE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ --]CLAIMS MADEr_1 OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: - ] POLICY PF,O F1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO r $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR EICLAIMS MADE $ .� $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION TH- ORY LIMITS STATU- OER E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - POLICY LIMIT $ If yes, describe under SPECIAL PROVISIONS below A OTHER Student Professional Liability 0127291333 08/26/09 08/26/10 Each Claim 2,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS / (LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Florida Keys Community College Student Clinical Experience for Nursing (Prof) 2yr and EMS/EMT Programs. Coverage includes College Faculty Members for instruction/supervision of students only. On- nC�TICI� A TC Uni noc CANCELLATION SHOULDANY 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 CoauQnissioners 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 1100 Simonton St. REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Key West, FL 33040 USA ,� .r A AAA .���A-�e'% A •r. �ILI A ACORD 25 (2009/01) johdagul v -IytSZ3-Luu� HCrVrcu �.vr�rvrvl i Iviv. r,ll 1 lyl I1.7 1 ,►emu. 12976785 The ACORD name and logo are registered marks of ACORD '`'� [?' CERTIFICATE OF LIABILITY INSURANCE DATE (MM2010YY) 07/27/2010 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 policy(les) 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 1-800-524-0191 Arthur J. Gallagher Risk Management Services, Inc. 7380 W. Sand Lake Road Suite 390 Orlando, FL 32819 CONTANAME: Johanne Daguillard PHONE 407-563-3535 Nc No:407-370-3057 ADD E33: johanne_daguillardoajg.com PRODUCERR gCCRMC INSURERS AFFORDING COVERAGE NAIC# Gre O S. Butterfield INSURED Students of the Allied Health Sciences Courses of the Participating Colleges of the Florida College System Risk INSURERA: AMERICAN CAS CO OF READING PA �20427 INSURERS: --- --- __ _ INSURERC: Management Consortium 5700 SW 34th Street, Suite 1205 Gainesville, FL 32608-5367 INSURERD: ---- - -—— - INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 16792817 REVISION NUMRFR- 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 SUER POLICY NUMBER MM/DDY EFF MWDDY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - --_ - J CLAIMS -MADE `JI OCCUR - _ _ DAMAGE TO RENTED PREMISES Ea occurrence MED EXP (Any one person)_ PERSONAL & ADV INJURY ! $ GENERAL AGGREGATE .._. _ _._. $ PRODUCTS -COMP/OP AGG GE_N'L AGGREGATE LIMIT APPLIES PER: $ POLICY 7 PRO- 1' LOC $ -- - _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I ANY AUTO (Ea accident) $ BODILY INJURY (Per person) _ ALL OWNED AUTOS $ SCHEDULED AUTOS BODILY INJURY (Per accident) $ - HIRED AUTOS — NON -OWNED AUTOSa,� I \ / 1 PROPERTY DAMAGE (Per accident) $ t $ - UMBRELLA LIAB OCCUR .. ---1 EXCESS LIAB :CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE _-- --- -'', $ - - - DEDUCTIBLE . RETENTION $ —, WORKERS COMPENSATION AND EMPLOYERS' LIABILITYER- ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? NIA I WC STATU- OTH- $ _ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE (Mandatory In NH) I(yS describe under DESCRIPTION OF OPERATIONS bebw $ ------ — $ E.L. DISEASE -POLICY LIMIT A Student Professional ':Liability 0127291 33 Eac Claim2,000,000 Aggregate 51000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Florida Keys Community College Student Clinical Experience for Nursing (Prof) 2yr and EMS/EMT Programs. Coverage includes College Faculty Members for instruction/supervision of students only. Monroe County Board of County Commissioners 1100 Simonton St. Key West, FL 33040 USA 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 eimvuvri 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 16792817 AC40 CERTIFICATE OF LIABILITY INSURANCE DDATE(MM/DD/YYYY) E 7/11/2011 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 may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-800-524-0191 CONTACT Johanna Daguillard Arthur J. Gallagher Risk Management Services, Inc. NAME:PHONE 200 S. Orange Ave Suite 1350 Orlando, FL 32801 Gregory S. Butterfield INSURED Students of the Allied Health Sciences Courses of the Participating Colleges of the Florida College System Risk Management Consortium 4500 NW 27th Avenue, Suite D2 Gainesville, FL 32606 407-563-3535 FAX 407-370-3057 EMAIL A/C No ADDRESS: Johanne_daguillard@aia.com A: AMERICAN CAS CO OF READING PA 120427 C: E: vvcrvwue* CERTIFICATE NUMBER: 22257373 REVISION NUMBER: 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. .R ADDL SUER _ R TYPE OF INSURANCE JPOLICY NUMBER MM/DDyY MM DDYYYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1 OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: WAIVER I POLICY 1-1PF � I LOC oo� AUTOMOBILE LIABILITY r o o ANY AUTO ALL OWNED AUTOS HIRED AUTOS UMBRELLA LIAR EXCESS LIAB SCHEDULED AUTOS NON -OWNED AUTOS OCCUR CLAIMS -MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ ILA (Mandatory in NH) If yes, describe under A Student Professional Li (Liability W 3 MED EXP (Any one person) 1 $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) , $ PROPERr accident) TY DAMAGE $ (Pe EACH OCCURRENCE $ AGGREGATE 4S E.L. EACH ACCIDENT __L$ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT . S 26/1� 08/26/12 Each Claim 2,000,000 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Florida Keys Community College Student Clinical Experience for Nursing (Prof) 2yr Program(s). Coverage includes College Faculty Members for instruction/supervision of students only. CERTIFICATE HOLDER CANCELLATION Monroe County 5100 College Road 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 Rey West, FL 33040 1�/[ G G �Ci USA © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD mahaorl i - CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/Y oe/ls/2ol2 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 may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-800-524-0191 CONTACT Johanne Da uillard NAME: g Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX (A/C No Ext 407-563-3535 pIO_NeC 407-370-3057 200 S. Orange Ave Suite 1350 Orlando, FL 32801 Peter Doyle INSURED Students of the Allied Health Sciences Courses of the Participating Colleges of the Florida College System Risk Management Consortium 4500 NW 27th Avenue, Suite D2 Gainesville, FL 32606 E-MAIL ohanne da illard@a' com ADDRESS: 7 9u 79• INSURER(S) AFFORDING COVERAGE INSURERA: AMERICAN CAS CO OF READING PA INSURER D : INSURER E : CnVFRAGFS CERTIFICATE NUMBER: 28691308 REVISION NUMBER: NAIC N 20427 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 LTRINSR TYPE OF INSURANCE ADDL SUBR Vivo NUMBER POLICPOLICY MM DDY EFF POLICY MMIDD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ VIED EXP (Any one person) $ CLAIMS -MADE _ _ _ OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRO JECT LOC AUTOMOBILE LIABILITY � COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS W 6YCa ; BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS v^ /t / /' i D i $ W TI (V UMBRELLA LIAB 7OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- ER AND EMPLOYERS' LIABILITY y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ If yes. describe under DESCRIPTION OF OPERATIONS below A Student Professional 0127291333 08/26/1 08/26/13 Each Claim 2,000,000 Liability Aggregate 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Florida Keys Community College Student Clinical Experience for Nursing (Prof) 2yr Program(s). Coverage includes College Faculty Members for instruction/supervision of students only. �✓7 G-� Cam.--- CtK I II-IUA 1 It NULUtK UArvL,tLLA I IUIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, S# 2-268 AUTHORIZED REPRESENTATIVE / Key West, FL 33040 I�' //d USA 4 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD johdagul 28691308 oR� CERTIFICATE OF LIABILITY INSURANCE os 12/IN /2013 THIS CERTIFICATE of ISSUED AS A MATTER. OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIMATE DOES NOT AFFIRMATW&Y OR NWATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POlJC= BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERft AUTHORIZED REPRESENTATM OR PRODUCER, AND THE CERTIFICATE HOLDBIL IMPORTANT: E the owNflowle holder Is an ADDITIONAL INSURED, tM poky(Ms) must bo srrdorsad, E SUBROOATION 18 WAM06 subject to the' and conditions of the polly, certain Follow may mquln an ardoraarrrant A statemarrt an thle oertl8aate does not =-In r%lhb to tin owdffoata holdw In Ilau of such enftmml FrMooYOMM s- -s -o1E1 Arthur J. Gallagher Sisk Wanagemsmt Services. Tao. 200 N. Orange cry suit. MO Orlando* n 32801 1-352-955-2390 NIGUMMIM11 AP INSURERA; Nidelitied Belt Xwurer as m rlsrida Sys Community College 3501 College Eoed Sy West. YL 33040-4327 COVERAGES CERTIFICATE NUMBER: 32283231 RVIASION NUMBER: THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED MOVE 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 S SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE aR MaIEIANCa Laura a GENERAL UAMLM = CaMMiMIpALGE�IERALLWIUTY mUYM6MADE OCCUR IMC2013.0301 03/02/1 03 01/14 OCCURRENCE 200.000 MED E V m PERSONAL a ADV ELAIRY GENERALAGGRI ATE 8 OVA AMM13ATE LaaTAPPLES PEt pOucy Loc P1V==8-CONPWAos I Ea Ocammmaae Agg 8 300.000 AUTOMWE.aLY1MLRY ANY AUTO ALLOMM SCHEDULED s AUM AAVM8 = HMIED AUTOS Y N�ON•OYMIEO ON OWLYNJURYNPr/ $ 200.000 MIOLYBUURY(Prww" $ 300.000 E I>lCMd1a1D S YNMaLA LIASHCLAIM54WE EmmaLev OCCUR • EACH OCCUR S AGGREGATE 3 rrolaTEaa COURNOWTNIN r N AND EN14orasa LIANA YANY -PARTNONOMCUTNE E M1910M NIA W — EL EACH ACCMW E.L018EASE-EA ENIRAM E El. LaaT adC1EF110N OP OMIIATKNN I LOCATNMA / YEMICLaa N� AOORO 1H, IN�YNI acerb bOduN. M ewe yEw N IwMiMq Bolt Tasared per Mrida Statute 768.28 - $200,000 per Versos / $300.000 per Occurrence Aggregate WIth respect to the plorida hays community College classes and sports events held in Monroe County. CERTIFICATE NOLJBR `rJNCELLATHIN BNOULD ANY OF THE ASOVB DESCRIBED POLICIES SE CANCELLED SEPORE Womroe County THE EXPIRATION DATE THEREOF. NO1= WLL EE DILIVEAED N ACCORDANCE WRN THE POLICY PROVISIONS. 1100 Simonton $treat AYTHOREED a RNTATA� !sy West. DL 33040 IIaN1 ACORD i II (4W OAS) swi31983237 • 11184-2010 ACORD CORPORATION. All d" remwed. The ACORD Rams and logo are reglatered mart of ACORD A/-� a DATE (MM/DD/YYYY) I,J CERTIFICATE OF LIABILITY INSURANCE 08/05/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR 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 may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-800-524-0191 CONTACT Johanne Da uillard NAME: g Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX lair u., c.m• 407-563-3535 lair N,a. 407-370-3057 200 S. Orange Ave ADDRESS: Suite 1350 Orlando, FL 32801 Peter Doyle INSURER A: INSURED INSURER B Students of the Allied Health Sciences Courses of the Participating Colleges of the Florida College System Risk INSURERC: Management Consortium INSURERD: 4500 NW 27th Avenue, Suite D2 Gainesville, FL 32606 INSURERE: com AMERICAN CAS CO OF READING PA COVERAGES CERTIFICATE NUMBER: 35078992 REVISION NUMBER: 20427 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 INSR WVD SUER POLICY NUMBER POLICY EFFPOLICY MMIDDIY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ♦ DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS -MADE OCCUR P E 1 ��A M'NT �V27 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ NAJIV /A �, WA GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC // `� / PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- Y T E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE _ $ (Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below - -- --- -- - - -- 1 $ E.L. DISEASE - POLICY LIMIT A !Student Professional 0127291333 08/26/1 08/26/14 Each Claim 2,000,000 Liability Aggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Florida Keys Community College Student Clinical Experience. Coverage includes College Faculty Members for instruction/supervision of students only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, S# 2-268 AUTHORIZED REPRESENTATIVE Key West, FL 33040 I�' //� USA © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD sumeshorl 35078992 1 ® ACC> o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 08/07/2014 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(les) 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 1-800-524-0191 Arthur J. Gallagher Risk Management Services, Inc. CONTACT JohDa illard anna gL1E PHONfNAME: 407-563-3535 FAX No: E-MAIL ohanne da 111ardQa com ADDRESS: j gu j g 200 S. Orange Ave g Suite 1350 Orlando, FL 32801 INSURERS AFFORDING COVERAGE NAICS INSURER A: AMERICAN CAS CO OF READING PA 20427 Peter Doyle INSURED INSURER B Students of the Allied Health Sciences Courses of the Participating Colleges of the Florida College System Risk INSURERC: INSURERD: Management Consortium INSURERE: 4500 NW 27th Avenue, Suite D2 Gainesville, FL 32606 INSURER F : COVERAGES CERTIFICATE NUMBER: 40979201 REVISION NUMBER: 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 ADOL SUBR POLICY NUMBER MOLICY EFF APB POLICY EXP LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED EMISES Ea oaurrence $ _PR MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO PP A',AGEM INJURY (Per accident) $ ALL OWNED SCHEDULEDBODILY AUTOS AUTOS OWNED HIRED AUTOS AUTOS I'e 0f,NO WAN R N/ E �„� PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ - If yes, describe under DESCRIPTION OF OPERATIONS below A Student Professional 0127291333 08/26/1 08/26/15 Each Claim 2,000,000 Liability Aggregate 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) , Florida Keys Community College Student Clinical Experience. Coverage includes College Faculty Members for instruction/supervision of students only. VAIY�.CLLA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, S# 2-268 AUTHORI2EDREPRESENTATNE nbb Key West, FL 33040 / �L ,.�}� 1 USA 999 ACORD 25 (2010/05) lavanyaorl 40979201 © 1988-2010 ACORD CORPORATION. AN rights reserves. The ACORD name and logo are registered marks of ACORD ,d►C R CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 1 7/24/2015 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 may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: JOhanne Da uillard _ Arthur J. Gallagher Risk Management Services. Inc. PHONE 407-563-3535 FAX 407-370-3057 200 S. Orange Ave Suite 1350 =EssJohanne daguillard@ajg.com Orlando FL 32801 INSURERS AFFORDING COVERAGE NAIC# INSURERA:American Casualty Company of Re din 120427 INSURED INSURER B : Students of the Allied Health Sciences Courses of INSURERC: _ the Participating Colleges of the FCSRMC Management Consortium 4500 NW 27th Ave, Ste D2 INSURERD: Gainesville FL 32606 INSURERE: INSURER F : CnVFRGr;FR r FRTIPI(-ATF MIIMRFR• 1gRF)O11gR7 DC%nelnKI MIInnQCD• 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 I '%.LSUER TYPE OF INSURANCE INS. WVD POLICY NUMBER I POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence _ $ MED EXP (Any one person) _. $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY ANY AUTO APPR' A p E - T EMENT Ea accident s BODILY INJURY (Per person)- $ AUTS OWNED SCHEDULED WAI N/A Y^ C 41 1 e,- BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS ` PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE - $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ A Student Professional 0127291333 /26/2015 8/26/2016 Each Claim 2,000,000 Liability Aggregate 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Florida Keys Community College Student Clinical Experience. Coverage includes College Faculty Members for instruction/supervision of students only. l.tK I It -ILA I t MULUtK "' it 4!) lWiI UANL;I=LLA I IUN Monroe County BO" t 1100 Simonton Street, SIt26 Key West FL 33040 USA �S S10Z SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD