12/10/2024 to 12/09/2025 GVS COURTq°
o: A Kevin Madok, CPA
-
�o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida
�z cooN
DATE: December 2, 2024
TO: Fire Chief Jim Callahan
Fire Rescue/EMS
Cheri Tamborski
Executive Administrator
FROM: Liz Yongue, Deputy Clerk
SUBJECT: November 19, 2024 BOCC Meeting
The attached item has been executed and added to the record:
F9 Class A Certificate of Public Convenience and Necessity (COPCN) issued to the
City of Key West, Florida, on behalf of its Fire Department(KWFD) for the operation of a Class
A COPCN for Advanced Life Support transport ambulance service (including inter-facility
transports on an as needed basis) for the period of December 10, 2024 through December 9,
2026.
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.A
EMERGENCY MEDICAL SERVICES'
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
WHEREAS, the Monroe County Code allows for the issuance of Certificates of Public Convenience and
Necessity for Emergency Medical Services by the Board of County Commissioners of Monroe County;
and,
WHEREAS, the _CIT_Y__OF___KEY-WEST FIRE DEPARTMENT__provides quality_emergency medical
services to the citizens of Monroe County; and;
WHEREAS, there has:been demonstrated that there is a need for the above named service to operate
in this County to provide essential emergency.medical services to the citizens of this County, and,
WHEREAS, the above named service has indicated that it will comply with all the:requirements of:the
Monroe County. Code and Chapter 401 Florida Statutes, the Board of County Commissioners of
Monroe County hereby issues a.Certificate of Public Convenience and Necessity to this service for
the period beginning December 10, 2024 and ending December 9, 2026..
In issuing this certificate it is understood that the above named service will meet the requirements of a
E BLS or ZALS,: ElTransport or L1Non-transport:service,:and provide service on a:twenty-four hour
basis for the following area(s):
City of Key West proper, including the areas of North Stock Island and U.S. Naval properties
belonging to the Naval Air. Station Key West located'within the Key West City. limits. Inter-facility
� Y Y tY
transports in all geographical locations of Monroe County, :Florida on an as-needed basis.
CERTIFICATE #24-06 ,�:
sue# ,�t`-�:• '�1,''7;.v_�,' `a1 a2,L4 : �" .. ..
,4`-,',., -, s o;.; z -'' �'DATE OF ISSUANCE ;'"`'
ilk
4 F��9 v .4 '', 9 d ems, 0 ,,. :.., : -
E 3 t �-.3�-- yy�4��➢ � Ka r
tea _ y ! f. 9 �r spy "_ �4
r':',It---f;-1U--'-7' —,— , : F LERK C '.MAN-BOARD OF.COUNTY COMMI SIONERS r— rria- -6
4,,-t,\\:',c,:i,..,i,z1-23 _Iff,--1 k;,:i,„7.4.7,/,f,i'e
..':::"--- 2- j'a i `f as to legal ..t.for Lificicnc 4
att,,t,., "...>______ -
.r�s tom•_
Eve M. Lewis
Assistant County Attorney
Date: 11/5/24
DATE(MM/DD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE 10/1/2024
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
NAME: Jenna Jennings
World Risk Management PHONE FAX
20 N. Orange Ave., A/C No Ext: 4074452414 A/C,No):407-445-2868
E-MSuite 500 ADDRESS: jenna.jennings@wrmllc.com
Orlando FL 32801 INSURER(S)AFFORDING COVERAGE NAIC#
wsURERA: Public Risk Management of FL( 11111
INSURED KEYWEST-01 INSURER B:
City of Key West
1300 White Street INSURERC:
Key West FL 33040 INSURER D
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1232055502 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 INSD WVD POLICY NUMBER MM/DD MM/DD
A X COMMERCIAL GENERAL LIABILITY PRM024-011A-073 10/1/2024 10/1/2025 EACH OCCURRENCE $1,000,000
CLAIMS-MADE F7�vl OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence) $1,000,000
MED EXP(Any one person) $EXCLUDED
APPROVED BY RISK MANAGEMENT PERSONAL&ADV INJURY $1,000,000
BY. :.u,„, n ...,„„„ .a
GEN'L AGGREGATE LIMIT APPLIES PER: ,' - GENERAL AGGREGATE $
POLICY❑ PRO ❑ LOC DATE �.r1�7.
JECT 07.4 PRODUCTS-COMP/OPAGG $
OTHER: WAIVER N/A_YES_ SELF INS.RETENTION $100,000
A AUTOMOBILE LIABILITY PRM024-011A-073 10/1/2024 10/1/2025 COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED
A UTOS ONLY AUTOS BODILY INJURY(Per accident) $
X HIRED X NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
X APD SELF INS.RETENTION $25,000
UMBRELLALIAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERS COMPENSATION PRM024-011A-073 10/1/2024 10/1/2025
PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER SIR $325,000
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICE R/M EMBER EXCLUDED? ❑ 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
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
RE:Advanced/Basic Life Support Service License
With respects to the listed coverage held by the named insured,as evidence of insurance.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
State of Florida Department of Health Emergency Medical ACCORDANCE WITH THE POLICY PROVISIONS.
Services
4052 Bald Cypress Way Bin C-30 AUTHORIZED REPRESENTATIVE
Tallahassee FL 32399-1738
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