1st Amendment 05/17/2023 ,I COURr.
"S Kevin Madok, CPA
ty Clerk of the Circuit Court& Comptroller Monroe Con , Florida
DATE: May 19, 20213
TO: Cherl'l'aniborski
Emergency ServiCes
FROM: Pamela G. I laiic(k 5).C.
SUBJECT- May 17"' BOCC Nleefing
Attached is wi electronic copy offfic following item for your handling:
Clt I" Aniendinent to the Agreement witli Onefflood, Inc. for blood and blood
coniponciiis for flieTratinia Star ProgTain at approximately $35,000.00 per year or $105,000.00
over a three-year contract terin to commence on June 20, 2023 and expire on June 19, 2026.
Should you have airy questions, please I'Cel 1'rce to contact nic at (305) 292-3550.
CC: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY
500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway
Key West, Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070
First Amendment to Agreement for
BLOOD AND BLOOD COMPONENTS
SUPPLY AND SERVICES AGREEMENT
This First Amendment to the Agreement dated June 20,2018,as amended,is made and
entered into on this 17th day of May,2023,by and between Monroe County,a political
subdivision of the State of Florida,whose address is 1100 Simonton Street,Key West,Florida
33040,its successors and assigns,hereinafter referred to as"County,"through the Monroe
County Board of County Commissioners("BOCC"),
AND
OneBlood,Inc.a Florida not-for-profit corporation,whose address is 8669 Commodity
Circle,Orlando,Florida 32819,its successors and assigns,hereinafter referred to as"OneBlood"
or"Contractor",
WITNESSETH:
WHEREAS,County and Contractor entered into an Agreement on June 20,2018,to
acquire Blood and Blood Components for use by Monroe County Fire Rescue("Original
Agreement"),which was for an initial five-year term beginning on the above date and
terminating on June 19,2023;and
WHEREAS,OneBlood operates throughout the State of Florida,predominately in South
Florida,has been a reliable provider of blood products and blood components required by
Trauma Star medical protocols for air ambulance transportation;and
WHEREAS,the County's existing Blood and Blood Components Supply Contract
(dated June 20,2018)will expire on June 19,2023;and
WHEREAS,the County desires to extend the Original Agreement as both parties have
found the Agreement to be mutually beneficial;and
NOW,THEREFORE,in consideration of the mutual promises,covenants and agreements
stated herein, and for other good and valuable consideration, the sufficiency of which is hereby
acknowledged,County and Contractor agree as follows:
SKCMUL Paragraph 7(a)of the Original Agreement is amended to read as follows:
A. The term of this Agreement(the "Term") shall commence on June 20, 2023 and, unless
sooner terminated in accordance with Subsection 7(b),shall extend until 11:59 p.m. on the
calendar day immediately preceding the third anniversary of the Effective Date.
Notwithstanding the foregoing,the parties shall review this Agreement from time to time
as contemplated by AABB standard 4.2.1,and the parties may by written instrument amend
Dowftn Emebpe 10.,189AE85441F2U5974U)B5*W5141AB194
this Agreement pursuant to Subsecdon 13(c)to incorporate any needed changes on which
both OnaBlood and County shall agree.
UJM= Exhibit A to the Agreement as referenced in Paragraph 3(b), Charges for
Components, shall be amended and replaced with die revised Exhibit A,attached hereto,entitled
"Onefflood Fee List Effective January 1,2022".
SIC11= All other terms and conditions of the Original Agreement dated June 20,2018,not
inconsistent herewid-4 shall remain in full force and effect.
IN WITNESS WHEREOF, each party has caused this Agreement to be executed by its duly
audwfized representative on the day and yew first above writhm.
MADOK,CLERK BOARD OF CO Y COMMISSIONERS
OF MONRORO TY,FL A
..........
As Deputy Clerk Mayor/Chairman
WITNESSES: ONEBLOOD,INC.
Do-ft-day,
BY
Witness 1 _C14280MITIM40.1
Martin Grable
OWitness 2 Chief Financial&Administrative Officer
cm KT E-3
Lz
ONEBLOOD FEE LIST
EFFECTIVE JANUARY 1,2022
ITEM
NUMBER ITEM DESCRIPTION FEES
20180 Whole Blood Low Titer O Pos $ 466.40
20201 Red Blood Cells Leukoreduced $ 256.64
23400 Plasma(Liquid) $ 62.00
51201 ABO Group& Rh Type $ 36.00
51004 Non-crossmatch set up $ 51.00
51020 Stat Processing Fee $ 212.00
51355 Transportation Fees-Priority Shipment Services Area-06 $ 214.50
51356 Transportation Fees-Priority Shipment Services Area-07 $ 291.50
51783 Transportation Fees-Outside Courier Varies
Delivery language from OneBlood Agreement dated June 20,20I
4. �Ilva>hi.
(a) OneBlood
will be responsible for one routine delivery per week(Monday,Wednesday or Friday),if required,
for red blood cells and plasma Components to County. Such routine delivery for red blood cells
and plasma Components shall be without charge to County.
(b) E1E.431dlh1 a D;hvcCy of gownents. Emergency deliveries of
Components to County (Le, any delivery other than the routine deliveries contemplated by
Subsection 4(a) above) will be accomplished by surface courier or oommerviat emnsport,
whichever is quickest and safest,in OneBlood's discretion, Charges for such delivery shall be the
responsibility of County. If a OneBlood„courier is used for any such emergency delivery,then
Ona lood's charge therefor shall be as set fbrth in Exhibite A;however,if a third-party courier is
by OneBlood for an emergency delivery, then the charge to County will be whatever
OneBlood is required to pay to the third-party courier.
(c) Delim . After deliveries have been made to County in the
manner contemplated by Subsections 4(a)and 4(b),the delivery of Components within County,
between Locations,to its customers or otherwise,will be the sole responsibility of County.
Page 1 of 1 ,a
QocuSign Envelope ID: l6M854-FF204597-BOBS-OOD5141AB194
naL
16
oneblood
Share your power.
April 26,2023
Cheri Tamborski
Executive Administrator
Monroe County Fire Rescue
490 63rd Street,Ocean,Suite 140
Marathon, FL 33050
Dear Cheri,
This letter is to act as an official document concerning the sole source nature of blood and blood
products provided to Monroe County Fire Rescue. OneBlood is the sole blood bank in your marketplace
providing recruitment,collection, processing and distribution of blood and blood products to meet the
needs of the community.
If there are any questions,or need additional information,please feel free to email 1B Bowles at
jb.bowles@oneblood.org for assistance.
We appreciate your business and thank you for the opportunity to partner with Palm Beach County Fire
Rescue.
Docu9bMd tilt'
43460BC17134"3,..
Martin Grable
Chief Financial&Administrative Officer
OneBlood Inc.
MONROE COUNTY FIRE RESCUE
Acting Trauma Star/EMS Chief
490 63`d Street,Ocean,Suite 140
Marathon,FL 33050
Phone:(305)942-7223
Memorandum
DATE: April 28,2023
To: Purchasing Department
From: Andrea Thompson,Acting Trauma Star/EMS Chief
Subject: Justification Memo for Oneblood
The only blood supplier other than Oneblood that I was able to locate in the state of Florida was
LifeSouth.Trauma Star carries either 0 negative packed cells or O+low titer whole blood,we are not
authorized by the medical director to carry/transfuse any other blood type.
LifeSouth Blood Center has numerous locations in Florida, and they service hospitals and air ambulance
programs throughout the state. I spoke with Galin Unold at LifeSouth and discussed the services they
provide to air ambulance programs.The only delivery option they provide is via FedEx and he informed
me that we would be responsible for all shipping costs.They do not offer O negative packed cells or 0+
low titer whole blood,they only offer 0+ packed cells and frozen plasma to non-hospital programs.
Oneblood is located throughout the state of Florida and is heavily saturated in South Florida.They
currently service all the Hospitals in Monroe County.They provide delivery two days per week at no
additional cost and offer 0+low titer whole blood to non-hospital programs.
In summary Oneblood is the only current provider we could locate that can deliver the blood products
we are authorized to carry and transfuse on Trauma Star.
AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYYJ
o4Jx7rxo23
-------------
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 have ADDITIONAL INSURED provisions or 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 NAME: Eryn Zak
Lassiter-Ware Insurance PHONE®.Extl: (800)845-8437JAI Alo No: (888)883-8680
1300 N Westshore Blvd E-MAILss: Erynz@lassiterware.com
DDR
Suite 110 INSURER(S)AFFORDING COVERAGE NAIC#
Tampa FL 33607 INSURER A: Ironshore Specialty Insurance Company 25445
INSURED INSURER B: $entry Insurance Company 24988
OneBlocd,Inc. INSURER C: Sentry Casualty Company 28460
8669 Commodity Circle INSURER D: Vantage Risk Specialty Insurance Company 16275
INSURER E:
Orlando FL 32819 INSURER F:
COVERAGES CERTIFICATE NUMBER: 22-23 Master 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.
ILTR TYPE OF INSURANCE INSO WV0 POLICY NUMBER MMIro JYYrn MMIDD LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
CLAIMS-MADE E�OCCUR PREMISES Es occurrence S 50,000'
X PROFESSIONAL LIABILITY MED EXP(Any one person) S 5,000
A Y HC7AACAYNRO02 07/01/2022 07/01/2023 PERSONAL&ADV INJURY s 1.000 000
GEN'LAGGREGATE LIMITAPPUESPER. GENERAL AGGREGATE s 3,000 000
RPOLICY JEa FX LOC PRODUCTS-COMPIOPAGG S 1,000000
OTHER„ s
AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT s 1.000,000
E,,cadent
X ANY AUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED A0175289001 07r0112022 07P0112023 BODILY INJURY(Per accident) $
AUTOSONLY AUTOS
HIRED NONDWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
PIP-Basic $ 10,000
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE s 5,000,000
A EXCESS LIAB CLAIMS-MADE HC7AACAYNP002 0710V2022 07C01r2023 AGGREGATE 5 5,000,000
DErl I X RETENTOON$ NIA 5
WORKERS COMPENSATION X STATUTE OTH
AND EMPLOYERS'LIABILITY YINER 1,000,000
C ANY PROPRI RrPARTNE DXECtDTPVE NIA A0175289002 07/01 2022 OV0112023 E L'EACH ACCIDENT S
OFFICERlMEMBMBER EXCLUDED?ED?
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000
It yes desedbeunder 1,000,000
DESCWPTbON OF OPERArIONS berow E-L.DISEASE-POLICY LIMIT 5
EXCESS LIABILITY-5M XS 5M EACH OCCURRENCE $5,000,000
D P03HC0000020310 07/0112022 0710112023 AGGREGATE $5,000.000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.,Additional Remarks Schedule,may be attached If more space is required)
Re;All Blood Drives During the Policy Period.
The attached page(s)noting additional terms Condit-ons,coverage andlor comments applies
All supporting endorsement(s)and policy form(s)attached„if any,comprise the Certificate of Liability Insurance in its entirety.Please review these
endorsement(s)and policy form(s)as certain coverage provided by them may only apply when a written contract or agreement between the parties requires
such coverage be provided. Monroe County Board of County Commissioners is included as additional insured(s)under the terms and conditions of the
attached forms and General Liability Policy,when additional insured status is required by wri4ten contract.
CERTIFICATE HOLDER CANCELLATIONIsly�m17:
5 . 8 . 23 w/attachments
SHOULD ANY OF THE, �
THE EXPIRATION DATI
Monroe County Board of County Commissioners
ACCORDANCE WITH T WAPM WA
1100 Simonton Street
AUTHORIZED REPRESENTATIVE
Key Wiest, FL 33040
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:
LOC#:
A1��® ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMEOINSURED
Lassiter-lllfare Insurance OneBlood,Inc.
POLICY NUMBER
CARRIER NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes
Certificate Notes for OneBlood,Inc
All supporting endorsement(s)and policy form(s)attached,if any,comprise the Certificate of Liability Insurance in its entirety. Please review these
endorsement(s)and policy form(s)as certain coverage provided by them may only apply when a written contract or agreement between the parties requites
such coverage be provided.
General UaWity l Professional Liaboity Policy#HC7AACAYNRo02:
'Damage to rented premises(Fire Legal)Limit amended to$500,000 when required by written contract.
Blanket Additional Insured and Primary Non-Contributory status%s included only when required by written Contract per endorsement"Blanket Additionar
Insureds Coverage Under All Insuring Agreements"per Form#MMF.END.135(3.17 ed.)
Waiver of Subrogation status�s included only when required by written contract per endorsement"Waiver of Subrogation forAdditional Insured(s)"per Form
#MMFP015(09/10).
Professional Liability is Claims Made;General Liabiurty is Occurrence.
General Liability/Professional Liability Policy shares the aggregate of$3,000,000 for all claims.
Policy aggregate applies separately to each location
30 Days notice of cancellation applies to additional Insureds except 10 days for non-payment of premium
Auto Policy#A0175289001:
Additional Insured status is included for any person or organization whom you have agreed in writing to add as an additional insured,per endorsement
"Designated Insured For Covered Autos Liability"Per Form#CA8007(06/18)
Waiver of Subrogation status is included,only when required by written contract per endorsement"Waiver of Transfer or Rights of Recovery Against Others
To Us"Per Form#CA7616(06/18)
Workers"Compensation Policy#Al075289002:
Waiver of Subrogation status is included,only when required by written contract per endorsement"Waiver of Right to Recover from Others Endorsemenf°
Per Form XWC000313(04184).
Umbrella/Excess Policy#HC7AACAYNP002:
Policy extends over General Liability 1 Professional Liability"Auto LiaVity,and Employers"Liabilty
Additional Insureds by Contract,ProfessionallGeneral Liability Coverage-Waiver of Subrogation„Primary Non-Contributory,Contract of Agreement
Excess Liability 5M XS 5M Policy#P03HC0000020310:
Policy extends over UmbrdialExcess Policy#HC7AACAYNP002
Additional Insureds by Contract,Professional/General Liabiility Coverage-Waiver of Subrogation,Primary Non-Contributory-Contract 0;Agreement
Medical Facilities'
The following is fncluded wh`ie working within the scope of the4 duties for Florida Blood Services,Inc a Division of OneBlood,Inc;Dr Stepiheim,Sgan
ACORD 101 12008101) 0 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are reglstered marks of ACORD
POLICY NUMBER: A0175289001
COMMERCIAL AUTO
CA 7616 06 18
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF TRANSFER OF
RIGHTS OF RECOVERY AGAINST OTHERS
TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the fol4owiing:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Named Insured: OneBlood Inc.
Endorsement Effective Date: 07/01/2022
The Transfer Of Rights Of Recovery Against
Others To Us condition does not apply to a
person(s) or organization(s), but only to the extent
that subrogation is waived prior to the "accident' or
the "loss" under a written contract with that person
or organization.
CA 7616 06 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1
A01752 9 with its permission. 06/16/2022
Sentry Insuranoe Company
1 00001 000000W00 22167 0 N 46205f6-761c-418"ae1-8fda80be4e90
POLICY NUMBER: A1075289001 EFFECTIVE: 07/01/2022-2023 COMMERCIAL AUTO
CA 80 07 0618
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - AUTOMATIC STATUS WHEN
REQUIRED BY CONTRACT OR AGREEMENT WITH YOU
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
A. The Who Is An Insured provision of Covered
Autos Liability Coverage is amended to include
as an additional insured any person or
organization for whom you are performing
operations when you and such person or
organization have agreed in writing in a contract
or agreement that such person or organization be
added as an additional insured on your policy.
The status of an additional insured under this
endorsement ends when your operations for that
additional insured are completed.
B. The most we wilil pay on behalf of the additional
insured is the lesser of the amount payable under
the Limit of Insurance for Covered Autos
Liability Coverage or the amount of insurance
required by the contract or agreement,
C. Notwithstanding any requirement, term or
condition of any contract or agreement with
respect to which this endorsement may pertain,
the insurance afforded to the additional insured is
subject to all the terms, exclusions and conditions
of the COMMERCIAL AUTO COVERAGE FORM
to which this endorsement is attached.
CA 80 07 06 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1
A0175289 with its permission. 06/16/2022
Sentry Insurance Company
1 00001 0000000000 22167 0 N 8e491d72-a143-483b-906e"28661ffi,y7756
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
Where required by contract or written agreement prior to loss and allowed
by law.
In the states of Georgia, North Carolina, South Carolina, the premium
charge is 2%of the total manual premium, subject to a minimum premium of
$100 per policy.
In the state of Florida, the premium charge is 1% of the total manual
premium, subject to a minimum premium of$250 per policy.
Issued by Sentry Casualty Company
For attachment to Policy No.A1075289002 Effective Date 07/01/2022 Premium$
Issued to OneBlood,Inc Endorsement No.
WC 00 03 13 01983 National Council on Compensation Insurance. Page 1 of 1
Ed.04/01/1984
POLICY NUMBER: A0175289001 COMMERCIAL AUTO
CA 76 01 0615
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED - PRIMARY AND
NONCONTRIBUTORY - COVERED AUTOS
LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
AUTO DEALERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by this endorsement.
This endorsement identifies person(s)or organization(s)who are"insureds"for Covered Autos Liability Coverage
under the Who Is An Insured provision of the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated.
Named Insured: OneBlood Inc
Endorsement Effective Date: 07/01/2022
SCHEDULE
Name Of Person(s)Or Organization(s):
Any person or organization as required by written contract
or agreement in effect prior to loss or damage
Information required to complete this Schedule, if not shown above,will be shown in the Declarations.
A. Each person or organization shown in the B. Primary And Noncontributory Insurance
Schedule is an "insured" for Covered Autos This insurance is primary to and will not seek
Liability Coverage, but only to the extent that contribution from any other auto insurance issued
person or organization qualifies as an "insured" to the person or organization in the schedule
under the Who Is An Insured provision contained under your policy provided that:
in
(1) Paragraph A.1. of Section II - Covered Autos I The person or organization is a Named Insured
Liability Coverage in the Business Auto and under such other insurance; and
Motor Carrier Coverage Forms, or (2) Pryor to the "accident" you have agreed in
(2) Paragraph D.2. of Section I - Covered Autos writing in a contract or agreement that this
Coverages of the Auto Dealers Coverage insurance would be primary and would not
Form. seek contribution from any other insurance
available to the person or organization-
CA 76 01 0615 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1
A0175289 with its permission. 06/16/2022
Sentry Insurance Company
1 ODD01 000000000D 22167 0 N 8fibdaa4d-4F7-41,,�G-Odd-B6942a3a94a6
11W IRONSHORE.
A Liberty Mutual Company
IRONSHORE SPECIALTY INSURANCE COMPANY
175 Berkeley Street
Boston, MA 02116
Toll Free: (877) IRON411
Endorsement#7
Policy Number:HC7AACAYNR002 Effective Date of Endorsement:July 1,2022
Insured Name: OneBlood, Inc.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF SUBROGATION RIGHTS FOR GENERAL LIABILITY PAYMENTS
In consideration of the premium charged,the Underwriter agrees to waive its right to be subrogated to the extent of any
payment s under INSURING AGREEMENT(B) of this Policy to rights of recovery of the Insured against the following third
party(ies):
Third Party(ies):
• Where required by written contract;The Collection Properties, LLC,CBRE, Inc.Allianz Life Insurance Company of
North America;The Collection Properties,LLC and CMC Group, LLC;The Collection Properties,LLC
• 4000 Ponce de Leon,Ste. 150
GENERAL CONDITION (K)will be deemed amended to effect the purpose and intent of this endorsement.
All other terms,conditions and limitations of this Policy shall remain unchanged.
j p
July 1,20222
Authorized Representative Date
MMF.P.015(09/10) Page: 1 of 1
/IW\ I RONSHOU_
A Liberty Mutual Company
IRONSHORE SPECIALTY INSURANCE COMPANY
175 Berkeley Street
Boston, MA 02116
Toll Free: (877) IRON411
Endorsement fi 14
Polity Number:HC7AACAYNR002 Effective Date of Endorsement:July 1,2022
Insured Name: OneBlood,Inc.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY
1. The term "Insured,"as defined in the Policy, shall be deemed to include each person or entity listed below (each
an"Additional Insured"),but only with respect to liability of any such Additional Insured that is based on or arises
out of a Claim for which coverage would otherwise be afforded to the original Insured under this Policy.
Additional Insured(s):
• Where required by written contract
• The Collection Properties, LLC,CBRE, Inc.Allianz Life Insurance Company of North America
• The Collection Properties, LLC and CIVIC Group, LLC
• The Collection Properties, LLC,4000 Ponce de Leon,Ste. 150,Miami, FL 33146
2. It is understood and agreed that each Additional Insured listed above is being afforded coverage under this Policy
for any liability incurred solely as a result of the acts, errors or omissions of the original Insured. No coverage will
be available under this Policy for any Claim based on or arising out of any actual or alleged independent or direct
liability of any Additional Insured.
3. The coverage afforded any Additional Insured under this endorsement shall be primary to any other insurance or
self-insurance maintained by such Additional Insured,and without contribution from any such other insurance or
self-insurance within the applicable Limit of Liability of the Policy.
All other terms and conditions of this Policy remain unchanged.
July 1,2022
Date
Authorized Representative
MMF.END.135(3.17 ed.) Page 1 of 1