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Item O7 07 BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE �� i Mayor Holly Merrill Raschein,District 5 The Florida Keys Mayor Pro Tern James K.Scholl,District 3 Craig Cates,District 1 Michelle Lincoln,District 2 ' David Rice,District 4 Board of County Commissioners Meeting April 17, 2024 Agenda Item Number: 07 2023-2354 BULK ITEM: No DEPARTMENT: County Attorney TIME APPROXIMATE: STAFF CONTACT: Brian Bradley N/A AGENDA ITEM WORDING: Approval to purchase Professional Liability coverage for Air Flight Nurses and the Medical Examiner for a cost of$29,272. ITEM BACKGROUND: The County's Professional Liability policy for its Flight Nurses expires on May 1, 2024. The County is required to have this policy because its primary liability policy specifically excludes healthcare services rendered by nurses. The current policy is provided by Markel Insurance Company and has a per incident limit of$1,000,000, an annual aggregate limit of$3,000,000, and no deductible. Coverage is provided on a"Claims Made"basis with a Retroactive Date of 4/26/07. The annual premium for the expiring policy is $21,866. It should be noted that there are few insurers that offer this type of insurance. Markel has agreed to renew the coverage with terms and conditions consistent with the expiring policy for an annual premium of$29,272. This represents an increase of$ 7,406 (33.87%). Marsh indicated that a majority of this increase is due to the addition of Dr. Michael Steckbauer in his duties as Medical Examiner. PREVIOUS RELEVANT BOCC ACTION: On April 19, 2023 BOCC approved to accept proposal for Professional Liability coverage for Air Flight Nurses from Evanston Insurance through agent Marsh. INSURANCE REQUIRED: No 3601 CONTRACT/AGREEMENT CHANGES: All terms and conditions are as per expiring,with the exception of the following: • Added: Amendment of Insured B —Addition of Physician o Dr. Michael Steckbauer o Date of coverage: 5/1/2024 (inception) Will be covering him within the shared limit of liability, solely for the services outlined, as it pertains to Monroe County Board of County Commissioners STAFF RECOMMENDATION: Approval. DOCUMENTATION: FINANCIAL IMPACT: Effective Date: 5/1/24 Expiration Date: 4/30/25 Total Dollar Value of Contract: $29,272 Total Cost to County: $29,272 Current Year Portion: $29,272 Budgeted: Yes Source of Funds: Internal Service Fund/Primarily Ad Valorem CPI: N/A Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: No If yes, amount: Grant: N/A County Match: N/A Insurance Required: N/A Additional Details: 3602