Loading...
Certificates of InsuranceDATE (MMIDD/YY) PRODUCER j.J. Negley P.O. Box 206 Cedar Grove, 973-239-9107 CERTIFICATE OF LIABILITY INSURANCE 07/29/200 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NSURED NJ 07009 INSURERS AFFORDING COVERAGE NSURERA: Scottsdale Insurance Corn a~ INSURER B; INSURER C: INSURER D: INSURER E: Guidance Clinic of the Middle Keys, Inc. 3000 - 41st Street Ocean Marathon, FL 33050 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. POLICY EFFECTIVE POMCY EXPIRATION LIMITS TYPE OF INSURANCE POLICY NUMBER EACH OCCURRENCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY -- CLAIMS MADE [~ OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY OCCUR ~ CLAIMS MADE DEDUCTIBLE RETENTION $ ;VORKERS COMPENSATION AND EMPLOYERS' LIABILITY AP BY. DATE WAIVER OPS0035638 06/30/03 06/30/04 06/30/03 :NT PERSONAL & ADV INJURY NERAL AGGREGATE ~ - COMP/DP AGG 06/30/04 300, 5,01 Professional OPS0035638 Liabilit DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is added as Additional Insured, operations of the Named Insured. COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) BODILY INJURY $ Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG EACH OCCURRENCE ~,GGREGATE $ $ $ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE * POLICY LIMIT g $1,000,000 Ea. Claim $3_~_~_~000000 Ar~ate but only with respects to CERTIFICATE H~ ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Monroe County & Monroe County Board of County Commissioners 5100 College Road Key West, Florida 33040 J. ~ACORD 25-S (7~97) 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_J. lABILITY OF ANY. KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES ~ I ~D ACORD CORPORATION 1988 ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE ,MM,DD,¥ )03/01/2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Christopher B. Gardner c/o SellersKuykendall, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1560 Orange Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 750 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Winter Park, FL 32789-5552 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: Zurich-American Insurance Company Staffing Concepts International, Inc. 4224 West Henderson Blvd. INSURER B: Tampa, FL 33629 INSURERC: INSURER D: 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. INSR ~,DD'L LTR NSR£ TYPEOFINSURANCE POLICYNUMBER POLICY~-PPECTIVE POLICY EXPIRATION DATE (MMIDD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Fa occurence) $ I CLAIMSMADE ~ OCCUR MEDEXP(Anyoneperson) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: I PO,,CY ~JEcTPRO- ~ LOC PRODUCTS-COMP/OP AGG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Fa accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON'OWNED AUTOS Apl~ ~ L: ,/~./'~i/~ ~,~AN/~ EMi ...ET (Per accident) $ a Y--~L.-L _' __~,',~ .... t/_.-./' PROPERTY DAMAGE (Per accident) $ ! GA OE L'AB'L'TYANY AUTO DA*[ ............. (SO, ^UTO O'LY' EA ACC'DENT . OTHERTHAN EAACC $ WAIVER N/A .. YES _ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY ~ EACH OCCURRENCE $ DEDUCTIBLE ' $ RETENTION $ $ WORKERS COMPENSATIONAND X I WC STATU- I OTH- EMPLOYERS' LIABILITY I TORY LIMITS ER A OFFICER/MEMBERANYPROPRiETOR/PARTNER/EXECUTtVEExcLUDED? WC 45-57-044-00 03/01/2004 03/01/2005 E.L. EACH ACCIDENT $ 1,000,000 If yes, describe under E.L DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ 1,000,000 Certificate#: 04FL100727319 Location Coverage Period: 03/01/2004 03/01/2005 Client'g: 727319 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS This coverage is for leased employees and includes an Alternate Employer endorsement for: THE GUIDANCE CLINIC Coverage is provided for only THE GUIDANCE CLINIC those employees leased to 3000 41 st St Ocean but not subcontractors of: Marathon, FL 33050 CFRTIFII~.flTI= Nt~l n~ CANCELLATION Monroe County Risk Management Maria Del Rio 1100 Simonton Street Key West, FL 33040 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITrEN 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 CORPORATION 1988 DATE (MM/DD/YYYY) ACORD . CERTIFICATE OF LIABILITY INSURANCE 6/25/04 =RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NEGLEY ASSOCIATES INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 206 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cedar Grove, NJ 07009 9 7 3- 2 3 9- 910 7 INSURERS AFFORDING COVERAGE NAIC # Scottsdale Insurance Cv.,t~an¥ INSURED Guidance Clinic of the INSURER A: Middle Keys, Inc. INSURER B: 3000 - 41st Street Ocean INSURER C: Marathon, FL 33050 INSURER D: I 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. INSR ~AI~O'L POLICY EFFECTIVE POLICYEXPIRATION LTR $RD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS r" i 1,000 000 GENERAL LIABILITY EACH OCCURRENCE $ OAM^~E ,u ,EN,~u 300,000 '~- COMMERCIAL GENERAL LIABILITY PREMISES (La occurence) $ I CLAIMSMADE I--~-I OCCUR MEDEXP(Anyoneperson) $ 5, 000 A OPS0038340 06/30/04 06/30/05 PERSONAL&ADVINJURY $ 1,000,000 G~EN~ GENERAL AGGREGATE $ 3, 000, 000 'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP/OPAGG $ 3 ~ 0 0 0 ~ 0 0 0 ~ PRO- I POL,CY i i JECT i'----I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ -- (La accident) ANYAUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNEDAUTOS (Peraccident) PROPERTY DAMAGE $ (Per accident) ANYAUTOT ~1~'¥ ~ ~'~ ~_~ OTHER THAN EAACC $ EACH OCCURRENCE $ EXCESS/UMBRELLA LIABILITY DATE I occur ~1 CLAIMSMADE ~ AGGREGATE $ WAIVER N/A~- Y~:~ RETENTION $ $ WORKERSCOMPENSATIONAND v CZ .~ ~ TORYLWC STATU-M TS I OTH-ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFiCER/MEMBERifyes, describe underEXCLUDEiJ'? E.L DISEASE- EA EMPLOYEIl $$ SPECIAL PROVISIONS below E.L DISEASE- POLICY LIMIT OTHER A Professional 0PS0038340 06/30/04 06/30/05 $1,000,000 Ea. Claim Liability $3,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is added as Additional Insured, but only with respects to operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION Monroe County and Monroe County Board of County Comm. 5100 College Road Key West, Florida 33040 ACORD25(200'I./08.~).~.,,~ ~.~.~ .¢ L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL~O 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 REPRESEj~ [ ) [ ~~,,~ \ I I It, ~'',''"'~'~'~ - ~ ~ - ~ DATE (MM/DD/YYYY) ACORD., CERTIFICATE OF LIABILITY INSURANCE 9/22/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ['~I'~GT.~.¥ ASSOCIATI~.S INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO ROX 206 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cedar Grove, NJ 07009 97 3 - 2 3 9- 910 7 INSURERS AFFORDING COVERAGE NAIC # Scottsdale Insurance Company INSURED Guidance Clinic of the INSURER A: Middle Keys, Inc. INSURER B: 3000 - 41st Street Ocean INSURER C: Marathon, FL 33050 ,NSURER D: I 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. POLICY EFFECTIVE POLICY EXPIRATION INSR ~DO'L POLICY NUMBER DATE(MM/DD/YY) DATE{MM/DO/fY) LIMITS LTR INSRD TYPE OF INSURANCE EACH OCCURRENCE $ I , 0 0 0 , 0 0 0 GENERAL LIABILITY DAMA(51= I~J HirE 1P-U 3 0 0 r 0 0 0 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ I CLAIMSMADE ~-] OCCUR MED EXP (Any one person) $ 5, 000 A 0PS0038340 06/30/04 06/30/05 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 3, 000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS- COMP/DP AGG $ 3,000,000 I POLICY F~]PRO- JECT [~ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANYAUTO ALL OWNED AUTOS BODILY INJURY $ i (Per person) SCHEDULED AUTOS ~,~('T'~ ': .f'"X|j'~ ' ' HiREOAUTOS ~: ...... ~....%.~y i.~i,. ~: /'~,~;ii:i~ ~}' (Peraccident)BOOlLYlNJURY $ _ NO"'OW"EDAUTOS DATE ...... ~) .... (Per accident) $ AUTO ONLY- EA ACCIDENT $ GARAGE LIABILITY t,;¢ ~/,:'. ~ ANYAUTO OTHER THAN AUTOONLY: AGG $ EXC ESS/UMBRELLA LiABiLiTY EACH OCCURRENCE $ t OCCUR ~-'1 CLAIMS MADE AGGREGATE S $ I DEDUCTIBLE $ RETENTION $ $ I WCSTATU- OTH- TORY LIMITS ER WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L EACH ACCIDENT $ ANY PROPRIETORJPARTNER/EXECUT]VE OFFICER]MEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEI[ $ Ifyes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER A Professional 0PS0038340 06/30/04 06/30/05 $1,000,000 Ea. Claim Liability $3,000,000 Aggregate DESCRIPTION OF OPF_.JRATIONS / LOCATIONS / VEHICLES, EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is added as Additional Insured, but only with respects to operations of the Named Insured. CERTIFICATE HOLDER Monroe County Board of County Commissioners, Its Employees & Officers 5100 College Road Key West, Florida 33040 ACORD 25 (2001108) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI' DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITrEN 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. .,~ © ACO~-u~ORlaOI~TION 1988 '~~'~ DATE (MM/DD/YYYY) INSURANCE 9/22/04 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# ~ Insurance Company INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: ~ ACORD. CERTIFICATE OF LIABILITY TRODUCER NEGLEy ASSOCIATES INC. PO BOX 206 Cedar Grove, NJ 07009 973-239-9107 ~NSURED GU1 ance C lnlc o t e Middle Keys, Inc. 3000 - 41st Street Ocean Marathon, FL 33050 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 ~OLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~FFFCTIVE POLICY EXPIRATION LIMITS ~ ~ POLICY NUMBER LT~R ISR~D. TYPE OF INSURANCE EACH OCCURRENCE GENERAL LIABILITY PREMISES (Ea occurence) $ ~- COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5 i 000 ____ii C LAIMSMADE ~/~J OCCUR A OPS0038340 06/30/04 06/30/05 PERSONAL&ADVINJURY $ 1,000,000 -- GENERAL AGGREGATE $ 3,000,000 PRODUCTS-COMP/OPAGG $ 3 , 000 ~, 000 GEN'L AGGREGATE LIMIT APPLIES PER: -- -- ~ COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANYAUTO -- BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS Per accident) -- NON-OWNEDAUTOS ~P~.,,~E~'~"(' ~ ~AGEM =.NT __ . - (Per accident) ---- GA-~=RAGEUABiLiTY ~ ~ ~,UTOONLY'EAACCIDENT $ EA ACC ~ ~ OTHERTHAN ANYAUTO Wf\t\/~ ~,!/.~,., YES .,, AUTOONLY: AGG $ ~GGREGATE $ ~1 OCCUR [~1 CLAIMSMADE $ .~ DEDUCTIBLE $ ~ RETENTION $ WORKERS COMPENSATION AND E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRiETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE -' $ OFFICER/MEMBER EXCLUDED? Ifyes describeunder E.L. DISEASE- POLICY LIMIT $ SPECIAL PROV SONS below OTHER A Professional 0PS0038340 06/30/04 06/30/05 $1,000,000 Ea. Claim $3,000,000 Aggregate Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate Holder is added as Additional Insured, but only with respects to operations of the Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ~ CERTIFICATE HOLDER Monroe County Board of County Commissioners, Employees & Officers 5100 College Road Key West, Florida 33040 ACORD25(2001108) ~ :~ Its DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 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 REPRESENTAT'VES. .'~ ~ y)t~,~ · -- ~ ACO~OR~TION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE,. OD Y,08/02/2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MAI I~'R OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Christopher B. Gardner c/o SellersKuykendall, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1560 Orange Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 750 Winter Park, FL 32789-5552 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich-American Insurance Company Staffieg Concepts International, Inc. etal Alt. Emp: THE GUIDANCE CLINIC INSURERB: 4224 West Henderson Blvd. INSURER C: Tampa, FL 33629 INSURER D: 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. NSR ~.DD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD TYPE OF INSURANCE POUCY NUMBER IDATE (MM/OD/YY~ DATE GENERAL UABILITY EACH OCCURRENCE $ -- DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ I occu. MED EXP (Any one person) PERSONAL & ADV INJURY___ $ '~-- GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COIV~/OP AGG $ I POLICY I-~PRO'JECT I~LOC AUTOMOBILE LIABILrrY COMBINED SINGLE ~_IMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODIL, NJURY $ SCHEDULED AUTOS (Pa' person) HIRED AUTOS ~ i;'~ i'~ ~-? / ~ ~ BODILY INJURY NON-OWNED AUTOS PROPERTY DAMAGE / ........... (Pa' accident) .... .JL._ _ ~'~'~.._~ AUTO ONLY- EA ACCIDENT $ GARAGE LIABILITY i~/~ ~ ~ / ~'~ ~ ~ ~ ANYAUTO "' ,' ~ £~, ?i ( OTHERTHAN EAACC $ , . ........ AUTO ONLY: AGG $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND XToRyWC STATU-LiMiTS OTH-ER EMPLOYERS' LIABILITY E.L EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNERJEXECUTIVE WC 45-57-044-01 03/01/2005 03/01/2006 OFFICER/MEMBE R EXCLUDED? E,L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ OTHER Certificate#: 05FLlOO72731g Location Coverage Period: O3/01/2005 03/01/2006 Client#: 91040 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Coverage is provided for only THE GUIDANCE CLINIC those employees leased to 3000 41 st St Ocean but not subcontractors of: Marathon, FL 33050 CERTIFICATE HOLDER CANCELLATION Monroe County Risk Management Maria Del Rio 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 ~[~ 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. AUTHO.,ZED.EP.ESE.TATIVE ACORD 25 (2_001108) © ACORD CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE ~o~uce~ (305) 852- 3234 FAX (305) 852- 3703 THI~ CERRF~ATE 18 18SUED A8 A MAiT~ OF INFORi~TION Regan Insurance Agency, I nc. ONLY AND CONFER8 NO RIGHT8 UPON THE CERTIFICATE HOLDER. TH18 GERTIFIGATE DOEB NOT AMEND, EXTEND OR 90144 Overseas Hwy. ALTER THE COVERAGE AFFORDED BY THE POUCIE8 BELOW. Tavernier, FL 33070 IMaURER8 AFFORDING COVERAGE NAIC mumm Guidance CIinic o? ~he Middle Keys Inc ~U~R~ National Indemnity Co 42137 ..... 3000 41st St Ocean Uaratllon, FL 33050 INSURER [Z INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS~JED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOT~M'f148TANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VM'IICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAII~ THE rNaURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 16 ~JBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITION8 OF SUCH PoucaEs. AC~RECaTE ~ns s~ MAY HAV~ aEEN eEDUCED aY P~ C~MS. DAMAGE TO RENTED $ ,~UTmmeUUamL~ 74APN264484 03/19/2005 03/1'9/2006 COMBiNEDS~NGL.EUMiT $ ~ ^~AUTO I(F'" ~) I ,00C),00(] ALL C~ED AUTO6 BODILY INaURY $ X SCHe0ULe3AUTOS (parp.rmn) A X -- ~ HIRF-J) ~ BODILY INJUFr¢ $ ~~ AUTO ONLY - EA -a~:CIDENT $ ~ LL,~iUTY - E.L EACH ACODENT $ !002 Ford Van ~0022; l gg70odge Van #5833;' 2002 Ford Van ~5600; 2004 Ford Van !005 Turtle Top Bus; 1996 Chevy Caprice #4757 :er~cifqcate holder is listed as an Additional Insured Cm=m~TIFICATE HOi nl~R Monroe County Board of County Commissioners 1100 S i monton Street Key West, FL 33040 ACORD 2~ (200'1/08) ,,/ C_ C-.: ~ CAMr~'~ m ATION ACORD. CERTIFICATE OF LIABILITY INSURANCE I DATE,MM,DD Y,02/22/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Christopher B. Gardner c/o SellersKuykendall, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1 560 ~ '-,..range Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 750 Winter Park, FL 32789-5552 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich-American Insurance Company Staffing Concepts International Inc. etal Alt. Emp: THE GUIDANCE CLINIC INSURERB: 4224 West Henderson Blvd. Tampa, FL 33629 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. IiNSR JADD'L I POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE ;MMIDD/YY) DATE [MMIDD/Yy) LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERALi____iLIABILITY PREMISES (Ea occurence) $ [ I OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/Op AGG $ I POLICY r-~PRO-JECT ~-'] LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ H,RED AUTOS AP P oI~I~,DKi3 v ~=~l~ )M A N.~ ~..~E h SOD,LY ,NJURY NON-OWNED AUTOS B '~ --.~L_~...~__.~_~. ~ (Per accident) $ DATE ~.~ l.._-~_~ PROPERTY DAMAGE (Pe¢ accident) $ GARAGE LIABILITY WAIVER N/'A ._._.~ ~/ES ........ AUTOONLY-EA ACCIDENT $ I EXCESSlUMBREL~LIABILITY ~CH OCCURRENCE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X WC STATU- [ OTH- TORY LIMITS ER EMPLOYERS' LIABILITY A ANY PROPRIETOR~ARTNER/EXECUTIVE WC 45-57-044-02 03/01/2006 03/01/2007 E.L. EACH ACCIDENT $ 1,000,000 OFFICE~EMBER EXCLUDED? If yes, descri~ under E.L DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER Ce~ificate~: 06FL100727319 Location Coverage Period: 03/01/2006 03/01/2007 Client: 91040 DESCRIPTION OF OPE~TIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Coverage is provided for only THE GUIDANCE CLINIC those employees leased to 3000 41 st St Ocean but not subcontractors of: Marathon, FL 33050 CERTIFICATE HOLDER CANCELLATION Monroe County Risk Management Maria Del Rio 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 INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) © ACORD CORPORATION 1988 Client#: 26321 . ACORDm CERTIFICATE OF LIABILITY INSURANCE 4GUIDCLI PRODUCER HRH of Orlando 800 N. Magnolia Ave, Ste. 1600 Orlando, FL 32803 407 926-2600 REGE!\ DATE (MM/DDIYYYY) 04/25/06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AMEND, EXTEND OR VERAGE AFFORDED BY THE POLICIES BELOW. MONROE CO Ii RDlNG COVERAGE ort Insurance Corporation NAIC# 34207 INSURED Guidance Clinic of the Middle K 3000 41st Street Ocean Marathon, FL 33050 sin APR 2 7 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. I~l: ~~~: TYPE OF INSURANCE POLICY NUMBER Pci'A~~\~~~68~E P~~i.r rlflr:~~~N LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ f-- 3MERCIAL GENERAL LIABILITY g~~b~~;ro RENTED $ f-- CLAIMS MADE D OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ n'L AGGREAE LIMIT APnS PER: PRODUCTS-COM~OPAGG $ POLICY ~~.9r LOC A ~TOMOBILE LIABILITY WAU1200065909200 03/21/06 03/21/07 COMBINED SINGLE LIMIT X. ANY AUTO (Ea accident) $1,000,000 - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) - X. HIRED AUTOS BODILY INJURY $ X. NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) =lRAGE LIABILITY ,\(' '01,{U.i" V~j -.......i ! AUTO ONLY - EA ACCIDENT $ ANY AUTO , OTHER THAN EA ACC $ ....- ~_.__.~~ ., ". 'J i " h ......., AUTO ONLY: AGG $ . ::=]ESSlUMBRELLA LIABILITY , .. 10\ .-v'f/ ... EACH OCCURRENCE $ OCCUR D CLAIMS MADE WI\!\I ~L AGGREGATE $ $ ==1 DEDUCTIBLE f0rf r. U ~~ $ RETENTION $ $ WORKERS COMPENSATION AND U ( ".J<fJ I WC STATU- I IOJ~- EMPLOYERS' LIABILITY C ANY PROPRIETO'~PNnNEPJEXECUT!VE ~CH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: Mental Health Care Agreement. Certificate holder is added as an additional insured for Auto Liability but only with respect to operation of the Named Insdured c.c.... t:i Io'\A W"\ C .Q.. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001/08) 1 of 2 #S181856/M181855 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL .....1Q.... 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. AUT ORlZED REP SENTATlVE a, f'Wt ... JMCBU @ ACORD CORPORATION 1988 Monroe County Board 0 County Commissioners, Attn: Risk Managemen 1100 Simonton St Key West, FL 33040 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 25-8 (2001/08) 2 of 2 #S181856/M181855 L ACORD,_ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDfYYYY) 12/11/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Orlando ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 800 N. Magnolia Ave, Ste. 1600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando, FL 32803 407 926-2600 DING COVERAGE NAIC# INSURED l\ Mr&J.tRA Scott. ale Insurance Co 41297 Guidance Clinic of the Middle Ke islnc INSURER B: rlestp rt Insurance Corporation 34207 3000 41st Street Ocean INSURER c: ridg ield Employers Ins Marathon, FL 33050 DEe 14 IrclJlljo,D, INSURER E: S OVERAGES ~ ' rHE POLICIES OF INSURANCE LISTED BELOW HAVE BE N ISSUED TO ED ABOVE F R THE POLlCY PERIOD INDICATED. NOTWITHSTANDING j \NY REQUIREMENT, TERM OR CONDITION OF ANY CO TH RESPEC o WHICH THIS CERTIFICATE MAY BE ISSUED OR fl.1AY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEL I IV P HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH f- nLlCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. lI'i_g."\~DD~"" POLICY NUMBER PDO}i~~:~~~8~\E Pg~!fJ/~":~C'~N LIMITS LW., '~'l ____ TYPE OF INSURANCE A " L ,~'~:, ~r::RAL LIABILITY OPSOO44023 06/30/06 06/30/07 EACH OCCURRENCE '1 000 000 -:l COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED '300 000 , 'p CLAIMS MADE [!] OCCUR MED EXP (Anyone person) .5000 I ,- PERSONAL & ADV INJURY .1 000 000 , ''=:]" -- GENERAL AGGREGATE .3 000 000 to.!!"L -,GGREGATE LIMIT APnS PER PRODUCTS-COM~OPAGG .3 000 000 , ..J.~'O' f---r--~- f'OLlCY JECT LaC VVAU1200065909200 03/21/06 03/21/07 B X I ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT >o"i. ANY AUTO (Eaacddent) '1,000,000 f- ALL OWNED AUTOS BODILY INJURY (Per person) . L- SCHEDULED AUTOS e!- HIRED AUTOS BODILY INJURY (Peraccidenl) . ~ NON-OWNED AUTOS L- PROPERTY DAMAGE . (Per accident) ~AGE LIABILITY "'mSP ,( I....) .-.-,...... AUTO ONLY - EA ACCIDENT . t. , ~ ,_. ANY AUTO . .' .", OTHER THAN EA ACC S 1....-. , I :,\," --..--... AUTO ONLY: AGG . ~ESSJUMBRELLA L.lABILlTY C,::: J~:'~ -C/. EACH OCCURRENCE . OCCUR CJ CLAIMS MADE AGGREGATE . W,\;';J' , ~',(Ou l- . ~ DEDUCTIBLE 1 . RETENTION S '_ ".II . C WORKERS COMPENSATION AND V C' ~ X I _ WC STATU-, I IOJ~- EMPLOYERS' LIABILITY C. .100,000 ANY PROPRIETOR/PARTNEWEXECUTIVE EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE .100,000 Ifye'S,descrfbeunder ,500,000 SPECIAL PROVISIONS below E::L DISEASE - POLICY LIMIT A OTHEr{ Prof Liab OPS0044023 06/30/06 06/30/07 $1,000,000/3,000,000 A Directors & Ottic OPS0044023 06/30/006 06/30/07 $1,000,000 PER POLICVYR DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS * 10 Days notice of canc:ellation for nonpayment of premium; 30 days all other reasons Certificate Holder is added as an additional insured for liability coverage but only with respect to operations olf the Named Insured. (See Attached Descriptions) Client#. 26321 4GUIDCLI CERTIFICATE HOLDER CANCELLATION Monroe COUlnty Board of County Commissioners, AUn: Risk Manageme 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 ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25.!1.!OOllpB) 1 of3 Cc.~ #S197675/M188452 SENTATlVE a.f"1" ASING @ ACORD CORPORATION 1988 Client#: 26321 4GUIDCLI ACORDN ~~.~- -\- CERTIFICATE OF LIABILITY INSURANCE INSURED Guidance Clinic of the Middle Ke sine II 3000 41st Street Ocean i Marathon, FL 33050 i I I I JUL 2 3 DATE (MMIDDIYYVY) 07/17/07 THIS CERTIFI ATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C~FERS NO RIGHTS UPON THE CERTIFICATE -___ --- -_'"'' n~R TH CERTIFICATE DOES NOT AMEND, EXTEND OR HE C E i \ :: I, TER THE C VERAGE AFFORDED BY THE POLICIES BELOW. .___,-.. ._.m_ _._, _.....~_,_._ INSURE AFF RDING COVERAGE R A:! Scott dale Insurance CO ER B:; Bridg field Employers Ins CO INSURER c:; West art Insurance Corporation NAIC# 41297 10701 34207 PROOUCER HRH of FL, Inc. - Orlando 300 Colonial Center Parkway 5te.130 Lake Mary, FL 32746-FL R'D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE Fd>R THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECl1rO 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 PDOl--:~~:~~8~E Pg~~~~RC~N L.IMITS A ~NERAL. UABILITY OP50046965 06/30/07 06/30108 EACH OCCURRENCE '1 000 000 X COMMERCIAL GENERAL. UABILITY DAMAGE TO RENTED '300 000 [ CLAIMS MAD=: [!] OCCUR MED EXP (Anyone person) '5000 i-- PERSONAL & ADV INJURY '1 000 000 f- GENERAL AGGREGATE '3 000 000 ~'l AGGREnE FLIMIT APAS PER: PRODUCTS. COMP/OP AGG ,3 000 000 PRO. POLICY JEeT LOC C ~TOMOBIL.E UABIUTI' NTAUTOO02700 05/12/07 05~12/08 COMBINED SINGLE LIMIT ~ ANY AUTO , (Eaaccidenl) '1,000,000 ~ ALL OWNED AUTOS BODILY INJURY (Per person) . - SCHEDULED AUTOS ~ HIRED AUTOS BODILY IN.JURY (YL . ~ NON.OWNED AUTOS \a. ,(2 {Per accident) ~ -' I PROPERTY DAMAGE . (Peraccldenl) ~RAGE LIABILITY X~-u '; i AUTO ONLY - EA ACCIDENT . ANY AUTO 'f OTHER THAN EAACC . AUTO ONLY; AGG . :]ESSIUMBRELLA LIABILITY ~~~, 0 EACH OCCURRENCE . OCCUR CI CLAIMS MADE ~-Oo AGGREGATE . . ~ DEDUCTIBLE 0/ / . RETENTION . . B WORKERS COMPENSATION ,Q.ND 083019726-2 07/01/07 07101/08 X I )~f S!~~.~ I IOJ~- EMPLOYERf,' UABIL.llY ,100000 ANY PROPRIETORlPAR1.NER/l;XECUTIVE EL C....CH ACCIDE~'T OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE .100000 If yes, describe under .500 000 SPECiAl PROVISIONS below E.L. DISEASE - POLICY LIMIT A OTHER Prof Liab OPS0046965 06/30/07 06/30/08 $1,000,000/3,000,000 Oir & Officers OPS0046965 06/30/07 06/30/08 $1,000,000 PER POL YR DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 day notice of cancellation applies for non-payment of premium. Certificate Holder is added as an additional insured for general liabilit but only with respect to operations of the Named Insured. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners, AUn: Risk 1100 Simonton 5t Key West, FL 33040 SHOULD ANY OF THE A OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATt '[HEREOF, THE IS UING INSURER WILL ENDEAVOR I 0 MAIL ~ DAYS WRITTEN NOTICE TO THE CERTlF~CATE 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 REPR S ACORD 25 (2001/08)11 of 3 #M226278 c.e.' ~~ ASING @ ACORD CORPORATION 1988 DATE (MM/DDIYYYY) 12/18/2008 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H6L-DER:""~ ERTIFICA TE DOES NOT AMEND, EXTEND OR . !A11. ER THE CO ERAGE AFFORDED BY THE POLICIES BELOW. Client#: 26321 CERTIFICATE OF LIABILITY INSURANCE 4GUIDCLI ACORDTM PRODUCER Hilb Rogal & Hobbs of FL, Inc. 4880 Newberry Road, Ste. 100 Gainesville, FL 32635-7400 352 378-2511 r'~ ..,..~,._---- I INSURED Guidance Clinic of the Middle Ke s Inc 3000 41st Street Ocean Marathon, FL 33050 NAIC# 21199 10701 34207 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 NSRJ: TYPE OF INSURANCE POLICY NUMBER PJ}.Ji~J~88~E p~fl(W,b~~N LIMITS A NTPKG0027400 06/30/08 06/30/09 GENERAL LIABILITY - X COMMERCIAL GENERAL LIABILITY ~ tJ CLAIMS MADE [!J OCCUR C - - ~'L AGGRE~E LIMIT AP~S PER: I POLICY I I j~i I I LOC AUTOMOBILE LIABILITY ~ ~ ANY AUTO ALL OWNED AUTOS I-- SCHEDULED AUTOS ~ ~ HIRED AUTOS ~ NON-OWNED AUTOS (f~ NT AUT0002701 05/12/08 05/12/09 ,---:;\1\ '\ I: . , ',' l :.' .,,~~)~ ~t " \ \~: I - , f'. i'" < (,I . t>) ; \. /. t !,.' k/). \L(, t A GARAGE LIABILITY ~ ANY AUTO ~ESSlUMBRELLA LIABILITY 1lU OCCUR D CLAIMS MADE II .J ( "J.t: C l NTUMB0016200 06/30/08 06/30/09 Il DEDUCTIBLE rx1 RETENTION $ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below A OTHER Prof Liab. Sexual abuse & Molestation DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 day notice of cancellation applies to non-payment of premium. Certificate Holder is added as an Additional Insured for all liability policies listed only with respect to operations of the Named Insured. 083019726 07/01/08 07/01/09 NTPKG0027400 NTPKG0027400 06/30/08 06/30/08 06/30/09 06/30/09 CERTIFICATE HOLDER CANCELLATION EACH OCCURRENCE ~~MApE TO R~~;"~nce) MED EXP (Anyone person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS-COM~OPAGG COMBINED SINGLE LIMIT (Ea accident) BODIL Y INJURY (Per person) BODIL Y INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH OCCURRENCE AGGREGATE $1.000.000 $300.000 $5.000 $1.000.000 $3.000.000 $3.000.000 $1,000,000 $ EA ACC AGG $ $ $ $1.000.000 $1.000.000 $ $ $ X I T~~s>:~~~T 10J~- EL EACH ACCIDENT $100,000 EL DISEASE - EA EMPLOYEE $100,000 EL DISEASE - POLICY LIMIT $500,000 1,000,000/3,000,000 1,000,000/2,000,000 Monroe County Board of County Commissioners Risk Management 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 ~ 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 REPR SENTATIVE ACORD 25 (2001108) 1 of 2 #S270194/M264495 ASING @ ACORD CORPORATION 1988 ACORDTM CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) 09/21/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4880 Newberry Road, Ste. 100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Gainesville, FL 32635-7400 352 378-2511 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Arch Insurance Co 11150 Guidance Clinic of the Middle Keys INSURER B: National Union Fire Ins Co of Pitts 19445 900 Grier Drive INSURER C: Las Vegas, NV 89119 INSURER D: INSURER E: Client#: 14344 4WESTCAR 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 NSRI: TYPE OF INSURANCE POLICY NUMBER PJ>kf~~:~f68~)E p~~fl{i~~~N LIMITS A GENERAL LIABILITY NTPKGOO05302 05/12/09 07/01/10 EACH OCCURRENCE $1 000,000 - DAMAGE TO RENTED X. COMMERCIAL GENERAL LIABILITY $1 000,000 - ~ CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $5 000 PERSONAL & ADV INJURY $1 000,000 - GENERAL AGGREGATE $3 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3 000,000 n n PRO- nLOC POLICY JECT A ~TOMOBILE LIABILITY NT AUTOO02702 05/12/09 07/01/10 COMBINED SINGLE LIMIT ~ ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODIL Y INJURY - (Per person) $ - SCHEDULED AUTOS HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS ~~ ~ (Per accident) - '. . - PROPERTY DAMAGE $ ~, "I /)~ (Per accident) GARAGE LIABILITY ~ '1 ~l V .j.,,, AUTO ONL Y - EA ACCIDENT $ ~ ANY AUTO Y OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSlUMBRELLA LIABILITY NTUMBOO03202 05/12/09 07/01/10 EACH OCCURRENCE $2 000,000 o OCCUR o CLAIMS MADE 6IrJ" ( ~ AGGREGATE $2 000,000 $ ~ DEDUCTIBLE ~ I. 3J2, $ X RETENTION $10000 ( $ B WORKERS COMPENSATION AND WC6506879 02/26/09 02/26/10 X I WC STATU-I IOJ~- I UNY JMI ~ EMPLOYERS' LIABILITY $1,000000 ANY PROPRIETOR/PARTNER/EXECUTIVE ~ ~A1 EL. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? M.lJ..fP{l EL. DISEASE - EA EMPLOYEE $1,000,000 ~~~~I~tS~~~~s1o~s below ,... ) EL. DISEASE - POLICY LIMIT $1 ,000 000 A OTHER Prof Liab NTPKGOO05302 05/12/09 07101/10 1,000,000/3,000,000 A Physical & Sexual NTPKGOO05302 05/12/09 07/01/10 1 ,000,000/3,000,000 Abuse DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 day notice of cancellation applies to non-payment of premium. Certificate Holder is added as an additional insured with regard to general liability & automobile liability coverage but only with respect to operations of the Named Insured. CERTIFICATE HOLDER CANCELLATION 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 REPR SENTATIVE . Monroe Co. Board of County Commissioners 1100 Simonton Street ~ey West, FL 33040-0000 ee.: c1..~ ACORD 25 (2001/08) 1 of 2 #S284762/M279076 ASING @ ACORD CORPORATION 1988 .: ACORDTM CERTIFICATE OF LIABILITY INSURANCE \ DATE (MMJDDlYYYYl 09/21/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Willis of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 4880 Newberry Road, Ste. 100 ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. Gainesville, FL 32635-7400 352 378-2511 INSURERS AFFORDING COVERAGE NAIC.# INSURED INSURER A: Arch Insurance Co 11150 Guidance Clinic of the Middle Keys INSURER B: National Union Fire Ins Co of Pitts 19445 900 Grier Drive INSURER C: Las Vegas, NV 89119 INSURER 0: INSURER E: 4WESTCAR Client#. 14344 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 kNSRI: TYPE OF INSURANCE POLICY NUMBER P~l-~~1:~~~8~ P~~fl ,ir,t~~N LIMITS A GENERAL LlABILln' NTPKGOO05302 05/12/09 07/01/10 EACH OCCURRENCE 51 000000 i--- Q~~A~~!9..RENTEO ~ COMMERCIAL GENERAL LIABILITY 51.000.000 I--- o CLAIMS MADE [!1 OCCUR MEO EXP (Anyone person) $5 000 PERSONAL & ADV INJURY $1.000.000 GENERAL AGGREGATE $3 000 000 ~ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3,000,000 n POLICVn ~~& n LOC A ~TOMOBILE LIABILITY NT AUTOO02702 05/12/09 07/01/10 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) 51 ,000,000 ~ E)JE) ~ ALL OWNED J~UTOS BOOIL Y INJURY 5 SCHEDULED AUTOS ~I (Per person) ~ HIRED AUTOS '-~ b> ~ . L ..... \ ( BODILY INJURY $ NON-OWNED AUTOS D/ ~. Ory- (Per accident) ~ ~ PROPERTY DAMAGE \/ (Per accident) $ GARAGE LIABILITY "~ f AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSIUMBRELLA LIABILITY NTUMBOO03202 05/12/09 07/01/10 EACH OCCURRENCE 52.000.000 m OCCUR 0 CLAIMS MADE AGGREGATE 52 000 000 $ ~ DEDUCTIBLE $ X RETENTION $10,000 $ B WORKERS COMPENSATION AND WC6506879 02/26/09 02/26/10 X -, WC STATU- , \O~- .1HY IMI.S EMPLOYERS' LIABILITY $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under E.L. DISEASE - POLICY LIMIT $1,000,000 SPECIAL PROVISIONS below A OTHER Prof Liab NTPKGOO05302 05/12/09 07/01/10 1,000,000/3,000,000 A Physical & Sexual NTPKGOO05302 05/12/09 07/01/10 1,000,000/3,000,000 Abuse DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *10 day notice of cancellation applies to non-payment of premium. Certificate Holder is added as an additional insured with regard to general liability & automobile liability coverage but only with respect to operations of the Named Insured. COVERAGES CANCELLATION Monroe Co. Board of County Commissioners 11 00 Simonton Street Key West, FL 33040-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA nON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NonCE 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 ASING @ ACORD CORPORATION 1988 CERTIFICATE HOLDER ACORD 25 (2001/08) 1 of 2 #S284762/M279076 OF LIABILI PRODUCER Willis of Florida, Inc. 4880 Newberry Road, Ste. 100 Gainesville, FL 32635-7400 362 378-2511 INSURERS AFFORDING COVERAGE INSURER A: Arch Insurance CO INSURER B: National Union Fire Ins Co of Pitts INSURER C: Bridgeflel CO INSURER 0: INSURER E: INSURED Guidance/Care Center, Inc. 900 Grier Drive Las Vegas, NV 89119 NAIC# 11150 19445 10701 E BEEN ISSUED TO THE ONTRACT HE POL MAY HAVE BEEN EO ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYE $1 000 000 E.L. DISEASE - POUCY UMIT $1 000 000 1,000,00013,000,000 1 ,000,00013,000,000 NTPKG0005302 05112/09 07101110 EACH OCCURRENCE DAMAGE TO RENTED MED EXP (Anyone person) PERSONAL 8< ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG A GEN'L AGGREGATE LIMIT APPLIES PER: POLICY LOC AUTOMOBILE L1ABlUTY NTAUT0002702 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS BODILY INJURY (Per acc1dent) 07101/10 05112/09 COMBINED SINGLE LIMIT (Ea accident) BOOIL Y INJURY (Per person) PROPERTY DAMAGE (Per acc1denl) AUTO ONt Y . EA ACCIDENT EA ACC OTHER THAN AUTO ONLY: A 05112/09 NTUMBoo03202 EACH OCCURRENCE AGGREGATE EXCESSlUMBRELLA LIABILITY OCCUR [J CLAIMS MADE $ 10 000 WC6506879 WC65086880 083019726 02126109 02126109 07101109 02126110 02126/10 07101/10 UTlVE A OTHER Prof Uab. A Sexual Misconduct & Abuse DESCRIPTION OF OPERATIONS J lOCATIONS J VEHICLES I exCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ~.., . _ ~.k?~"lII *10 day notice of cancellation applies to non-payment of premium. ~ ~--a--" Certificate Holder is added as an additional Insured with regard to generalliabiUty & automobile liability coverage (See Attached Descriptions) CERTIFICATE HOLDER NTPKGOO05302 NTPKGoo05302 05112/09 05112109 07101/10 07101/10 (1, e. .' kn<YY1~ CANCELLATION LIMITS $1 000 000 $1 000 000 $5 000 $1000 000 $3 000 000 s3 000 000 $1 ,000,000 $ $ $ AGG $ $ $ $2 000 000 $2 000 000 $ $ $ Monroe Co. Board of County Commissioners 1100 Simonton Street Key West, FL 33040-0000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRfTTEN 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 REPR ACORD 25 (2001108) 1 of 3 ASING @ ACORD CORPORATION 1988 #S293705nW286325 Client #: 14344 4WESTCAR ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 5/07/2012 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 ADD'TIQ`I "r mai IDCrt th. pr Iir•vriac1 must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain )olicies m gai Itysement. E statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(i ). CONTACT Di Myhra PRODUCER NAME: Y Willis of Florida, Inc. M QY 7 , A/C, A Lo, Exq; ►07- 562 -2475 FAX 407-5624480 No): 407 - 562 -2480 300 Colonial Center Parkway -MAIL D mna.Myhra @Willis.com SUlte 120 INSURER(S) AFFORDING COVERAGE NAIC # Lake Mary, FL 32746 MONROE COUWNISURER A : '' rch Insurance Co 11150 INSURED RISK MANAGEMEN(URER B : I` ational Union Fire Ins Co of P 19445 Guidance /Care Center, Inc. INSURER C : 3000 41st St Ocean INSURER D : Marathon, FL 33050 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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. LTRR ADDL SUBR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) A GENERAL LIABILITY NTPKG0005304 07/01/2011 07 /01 /20122EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY • PRCI �I$ES (Ea ONCURence) $1,000,000 CLAIMS -MADE X OCCUR r1 11N1 MED EXP (Any one person) $ 5,000 A , PERSONAL 8 ADV INJURY $1,000,000 W • .n ,'- — GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: oY'S/ I POLICY JEC PRODUCTS - COMP /OP AGG $ 3,000,000 PROT - X LOC C.L. �' Tt $ NED SI A AUTOMOBILE LIABILITY NAUT0002704 07/01/2011 07/01/2012 (Ea COMBI accident) NGLE LIMI $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED (Per accident) X HIRED AUTOS X AUTOS $ A X UMBRELLA LIAB _ OCCUR NTUMB0003204 07/01/2011 07/01/2012 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $2,000,000 DED X RETENTION $10000 $ WORKERS COMPENSATION WC006506879 02/26/2012 02/26/2013 X TOS ERH B RY LIMIT AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $1,000,000 OFFICER /MEMBER EXCLUDED? N N / A (Mandatory E.L. DISEASE - EA EMPLOYEE $1,000,000 If ( Manda describe and yes, e under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D A Professional Liab NTPKG0005304 07/01/2011 07/01/2012 1,000,000/3,000,000 A Sexual & Physical NTPKG0005304 07/01/2011 07/01/2012 1,000,000/3,000,000 Abuse DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate Holder is added as an additional insured with regard to general liability & automobile liability coverage but only with respect to operations of the Named Insured as required by written contract per 00 GL 0295 00 10 06. Ce: V 'A -ct-n(1 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Co. Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 -0000 AUTHORIZED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD nluvW la $CAnf99RIM4R1 Client #: 14344 4WESTCAR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 5/07/2012 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 ADD ""' "rer Iocn *tie nrdleViiPSI mustbe endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain )olicies m ptl darsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(t ). 1 YY i�il! PRODUCER NAME: Di Ina Myhra Willis of Florida, Inc. PHONE •07- 562 -2475 C, No, ): xt F N 407-562-2480 Ext): Colonial Center Parkway MAY �� DDRESS: D mna.Myhra ©Willis.com Suite 120 INSURER(S) AFFORDING COVERAGE NAIC # Lake Mary, FL 32746 MONROE COUN'('1lISURER A : A rch Insurance Co 11150 INSURED RISK MANAGEM1)IFruRER B : It ational Union Fire Ins Co of P 19445 Guidance /Care Center, Inc. INSURER C : 3000 41st St Ocean INSURER D : Marathon, FL 33050 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) A GENERAL LIABILITY NTPKG0005304 07/01 /2011 07/01 /2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY • PREMISES (E a occu ence) $1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 AP' • • D , • - GEMENT BY rl . G PERSONAL & ADV INJURY $1,000,000 DA 1 , . — GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: OrSr ( /��J Y l PRODUCTS - COMP /OP AGG $ 3,000,000 POLICY JECT X LOC CL.: n U., OMBINED SINGLE LIMIT $ C A AUTOMOBILE LIABILITY NAUT0002704 07/01/2011 07/01/2012 (Ea accident) J1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NO N -OOS WNED PROPERTY DAMAGE $ AUT Per accident) $ A X UMBRELLA LIAB _ OCCUR NTUMB0003204 07/01/2011 07/01/2012 EACH OCCURRENCE $2, 000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $2,000,000 DED X RETENTION $10000 $ B WORKERS COMPENSATION WC006506879 02/26/2012 02/26/2013 X TORY LIMITS ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1 ,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 A Professional Liab NTPKG0005304 07/01/2011 07/01/2012 1,000,000/3,000,000 A Sexual & Physical NTPKG0005304 07/01/2011 07/01/2012 1,000,000/3,000,000 Abuse DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate Holder is added as an additional insured with regard to general liability & automobile liability coverage but only with respect to operations of the Named Insured as required by written contract per 00 GL 0295 00 10 06. C e : p n (/ CERTIFICATE HOLDER CANCELLATION Monroe Co. Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 -0000 AUTHORIZED ES ORIZEDD REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD imAnn19anurapi OOl fMVidP Client #: 14344 4WESTCAR ACORD„, CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 06/27/2012 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 ACT Diana Myhra Willis of Florida, Inc. PHONE 407 - 562 - FAX 407- 562 -2480 (A/C, No, Ext): (A/C, No): 300 Colonial Center Parkway, Suite 120 ADDREE - MAIL SS: Diana.Myhra@Willis.com hra Willis.com Lake Mary, FL 32746 INSURER(S)AFFORDINGCOVERAGE NAIC# 407 - 562 -2500 INSURER A: Arch Insurance Co 11150 INSURED INSURER B : National Union Fire Ins Co of P 19445 Guidance /Care Center, Inc. INSURER C : 3000 41st Street Ocean INSURER D : Marathon, FL 33050 INSURER E : INSURER F : COVERAGES CERT!F!CATE NUMBER: REV!S!ON 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 TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DD (MM /DD/YYEYXYY) LIMITS A GENERAL LIABILITY NTPKG0005305 07/01/2012 07/01 /2013 EACH OCCURRENCE $1,000,000 ED X COMMERCIAL GENERAL LIABILITY \ _n PREMISESO(Ea occTurrence) $1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 20,000 PERSONAL & ADV INJURY $1,000,000 7 '3 i f GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $3,000,000 POLICY PRO- Ni LOC COMBINED SINGLE LIMIT $ A AUTOMOBILE LIABILITY NTAUT0002705 _ 07/01/2012 07/01/2013 (Eaacd $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED - / � I BODILY INJURY (Per accident) $ AUTOS NO OWNED • , / PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS ` (Per accident) $ UMBRELLA LIAB A X X OCCUR NTUMB0003205 07/01/2 01/2013 EACH OCCURRENCE $2,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $2,000,000 DED X RETENTION $10000 $ B WORKERS COMPENSATION WC006506879 02/26/2012 02/26/2013 X T UM TS ERH AND EMPLOYERS' LIABILITY ANY PROPRIETOR /PARTNER/EXECUTIVE Y / N All Other States E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N / A B I (Mandatory in NH) WC006506880 02/26/2012 02/26/2013 E.L. DISEASE - EA EMPLOYEE $1,000,000 i yes, Gesciibe under DESCRIPTION OF OPERATIONS below California E.L. DISEASE - POLICY LIMIT $1 ,000,000 A Professional Liab NTPKG0005305 07/01/2012 07/01/2013 $1,000,000/$3,000,000 A Abuse /Molestat NTPKG0005305 07/01/2012 07/01/2013 $1,000,000/$3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is added as an additional insured with regard to general liability & automobile liability coverage but only with respect to operations of the Named Insured as required by written contract per 00 GL 0295 00 10 06. 2-C- : K 6ft----• CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Co. Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 -0000 AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S405838/M405825 DMYHR