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10/19/2023 to 10/18/2025 GVS COURTq° o: A Kevin Madok, CPA - �o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida �z cooN DATE: September 26, 2023 TO: Cheri Tamborski Emergency Services FROM: Liz Yongue, Deputy Clerk SUBJECT: September 20, 2023 BOCC Meeting The attached items have been executed and added to the record: C4 Renewal of a Class A Certificate of Public Convenience and Necessity (COPCN) to Islamorada Village of Islands - Fire Rescue for the operation of an ALS transport ambulance service for the period October 1, 2023 through September 30, 2025. C5 Renewal of Class B Certificate of Public Convenience and Necessity (COPCN) to National Health Transport Inc., for the operation of a non-emergency medical transportation service in all geographical locations in Monroe County for the period October 19, 2023, through October 18, 2025. National Health Transport Inc. is not permitted to perform 911 emergency response work in Monroe County. Should you have any questions, please feel free to contact me at(305) 292-3550. cc: County Attorney Finance File KEY WEST MARATHON PLANTATION KEY 500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway Key West, Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070 Class B NON-EMERGENCY MEDICAL TRANSPORTATION SERVICE CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY WHEREAS, the Monroe County Code allows for the issuance of Certificates of Public Convenience and Necessity for Non-Emergency Medical Transportation Services by the Board of County Commissioners of Monroe County; and, WHEREAS, National Health Transport Inc. desires to provide quality non-emergency medical transportation services to the citizens of Monroe County; and, WHEREAS, the above named service has indicated that it will comply with all the requirements of the Monroe County Code, the Board of County Commissioners of Monroe County hereby issues a Certificate of Public Convenience and Necessity to this service for the period beginning October 19, 2023 and ending October 18, 2025. In issuing this certificate it is understood that the above named service will meet the requirements of a non-emergency medical transportation service, and provide service for the following area(s): All geographical locations in Monroe County, Florida, No 911 Scene Response Work. Certificate Q ^ # 23-03/dry 111; r..... -_� { f?'1 `- '01( DATE OF ISSUANCE A, M CD --,- Ix ,---:10, ,f 94 `1l j' � om,, ' cr, 7„ .1, 'k fik CLERK CH AIR , L i • • i UN COMMISSIONERS t - \op— . ......„... . .... - - .c iCt.'+T�7 _ -es MONROE COUNTY ATTORNEY'S OFFICE :7 C C L�7� 1N 4t1 �' Approved for form and legal sufficiency :;,- Aij _ By: Christina Cory,Assistant County Att. ney (MMID A�® CERTIFICATE OF LIABILITY INSURANCE D06/21/2023DIYYYY) 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 CONTACT MARSH USA,LLC. NAME: PHONE FAX 1221 Brickell Avenue,Suite 1550 A/C,No Ext: AIC,No): Miami,FL 33131 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN110033400--WAGP-23-24 INSURER A:Old Republic Insurance Cc 24147 INSURED National Health Transport,Inc. INSURER B:Covery's Specialty Insurance Company 15686 2290 NW 110TH Ave INSURER C Sweetwater,FL 33172-1923 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-005439277-07 REVISION NUMBER: 2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY B X COMMERCIAL GENERAL LIABILITY 005FL000036286 06/23/2023 06/23/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE T CLAIMS-MADE 1XI OCCUR PREM SESOEa occurrDence $ 50,000 APPROVED BY RISK MANAGEMENT MED EXP(Any one person) $ 5000 13Y c' PERSONAL&ADV INJURY $ 1,000,000 . .I1�y -..�.. GEN'L AGGREGATE LIMIT APPLIES PER: DATE 8/28/202.3 GENERAL AGGREGATE $ 3,000,000 X POLICY❑ PRO JECT ❑ LOC WAIVER N/A_YES_ PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER 1 1 $ A AUTOMOBILE LIABILITY MWT13 313612 23 06/01/2023 06/01/2024 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO "Auto Physical Damage" BODILY INJURY(Per person) $ OWNED SCHEDULED "Comprehensive Ded:$1,0001, BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED L NON-OWNED "Collision Ded:$1,0001, PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION MWC 313611 23 06/01/2023 06/01/2024 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liability 005FL000036286 06/23/2023 06/23/2024 Limit Per Claim 1,000,000 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West,FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD