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Item C12
BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE Mayor Michelle Lincoln,District 2 The Florida. Keys Mayor Pro Tem David Rice,District 4 p Craig Cates,District I James K. Scholl,District 3 Holly Merrill Raschein,District 5 Regular Meeting May 20, 2026 Agenda Item Number: C12 26-6335 BULK ITEM: Yes DEPARTMENT: Fire Rescue TIME APPROXIMATE: N/A STAFF CONTACT: R.L. Colina AGENDA ITEM WORDING: Approval by the BOCC of Amendment No. 1 to the Agreement with Life Extension Clinics, Inc., d/b/a Life Scan Wellness Centers, for Annual Firefighter Physical Examinations to extend the term for one year(from May 27, 2026 to May 27, 2027), modify other provisions including pricing per exam, and authorize the County Administrator to execute all necessary documents; the total estimated cost is $50,000.00 budgeted in FY26 using funds from Funds 001, 101, 141, 148, and 404. ITEM BACKGROUND: On May 27, 2025, the County (acting through the County Administrator) and Life Extension Clinics, Inc., d/b/a Life Scan Wellness Centers, entered into an agreement for annual firefighter physical examinations with a term commencing on May 27, 2025 and expiring on May 27, 2026. The agreement provides for up to three (3) one (1)year extensions. The procurement is exempt from the County's competitive solicitation process because these services are medical professional services as defined and contemplated in Sections 2-346 and 2-347(e)(5)a., Monroe County Code, and Chapter 4 of the Monroe County Purchasing Policy. Additionally, NFPA recommends all active firefighters, regardless of age, to have an annual physical and stress test. Monroe County Fire Rescue (MCFR)has budgeted for these annual physical examinations, and the charge for each participant is $540.00 for a total estimated cost of$50,000.00; costs will accrue as appointments/dates are booked and services are rendered. MCFR has budgeted for these services in FY26 with Funds 001, 101, 141, 148, and 404. PREVIOUS RELEVANT BOCC ACTION: N/A INSURANCE REQUIRED: Yes. CONTRACT/AGREEMENT CHANGES: Amendment No. I to Agreement with Life Extensions Clinics, Inc. d/b/a Life Scan Wellness Centers for the term commencing on May 27, 2026 and expiring on May 27, 2027. STAFF RECOMMENDATION: Approval. DOCUMENTATION: Life Extension Clinic Inc. - Amendment No. 1 (Partially Signed)04.29.2026.pdf Life Extension Clinics Inc. Contract- Signed Version with D.5.pdf FINANCIAL IMPACT: Effective Date: 05.27.2026 Expiration Date: 05.27.2027 Total Dollar Value of Contract: Estimated at $50,000.00;price per unit is $540.00 (individual appointments to be scheduled by MCFR) Total Cost to County: Estimated at $50,000.00 Current Year Portion: Estimated at $50,000.00 Budgeted: Yes Source of Funds: 001-12001, 101-11001, 141-11500, 148-12000, 148-14000, 404-63100/ SC_00035 Medical Services CPI: Unit price may be increased upon renewal, capped at up to 5% for each subsequent year (2 more 1-year extensions may be exercised by the County) Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: N/A Revenue Producing: N/A If yes, amount: N/A Grant: N/A County Match: N/A Insurance Required: Yes AMENDMENT NO. 1 to the AGREEMENT between MONROE COUNTY(BOCC &BOG) and LIFE EXTENSION CLINICS,INC.d/b/a LIFE SCAN WELLNESS CENTERS for Annual Firefighter Physical Examinations This Amendment No. 1 to the agreement between Monroe County, a political subdivision of the State of Florida, acting through its Board of County Commissioners, with principal offices located at 1100 Simonton Street, Key West, FL 33040, the Board of Governors of the Fire and Ambulance District 1 of Monroe County, Florida, a municipal services taxing unit established under Florida law and codified in Section 22-129, Monroe County Code of Ordinances, with the same principal address as listed above (hereinafter both collectively referred to as "County"), and Life Extension Clinics,Inc. d/b/a Life Scan Wellness Centers, a Florida corporation with principal offices located at 1011 North MaeDill Avenue, Tampa, Florida 33607 (the "Contractor") for Annual Firefighter Physical Examinations dated May 27, 2025 ("Original Agreement"), is made this day of 20 by and between the County, and the Contractor, both of whom agree as follows: WITNESSETH: WHEREAS, on May 27, 2025, the parties entered into the Original Agreement, and the County entered said agreement by and through the County Administrator exercising her contracting authority pursuant to the Board of Governor's Resolution No. 494-2023 and Monroe County Ordinance No. 026-2023, amending Section 22-129,Monroe County Code of Ordinances, codifying the County Administrator's approval process for contracts of a certain value; and WHEREAS, due to the professional nature of the services and pursuant to the Monroe County Code of Ordinances and its adopted Purchasing Policy Manual, the County waived its competitive solicitation procedures and/or request for price quotes, and entered into the Original Agreement for medical services specifically annual firefighter physical examinations; and WHEREAS, pursuant to the Original Agreement, the parties agreed to an initial term commencing on May 27, 2025 and going through May 27, 2026, with the option to extend for up to three (3) successive one (1)year periods (each a "Renewal Term"); and WHEREAS, the parties desire to exercise the option to renewal for one (1) year commencing on May 27,2026 and going through May 27,2027,as well as to amend the agreement to provide for an updated pricing schedule to replace "Composite Exhibit B" of the Original Agreement with"Composite Exhibit B-1," attached hereto and incorporated herein; and WHEREAS, additionally, the parties desire to update the general terms and conditions to comply with a new state mandated contract provision; and Page 1 of 4 Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 1 of 10 WHEREAS,the parties have determined that this Amendment No. 1 is desired and necessary to continue such services. NOW, THEREFORE,based on the promises and covenants herein contained, the parties agree as follows: 1. The recitations referred to above are true and correct, and are hereby adopted and incorporated as if set forth in full. The parties seek to describe changes in the existing agreement in following ways: 1) words in strike through type are deletions from existing text, 2) words in underline type are additions to existing text,and 3) asterisks(***)indicate existing text not shown. 2. The parties desire to exercise the option to renew the agreement for one (1) year commencing on May 27, 2026 and going through May 27, 2027. Subsequent renewals may be authorized administratively subject to the terms and conditions contained in Section 5, "Contract Term," of the Original Agreement. 3. The parties desire to amend the Original Agreement by modifying the pricing and ordering that was originally set forth pursuant to "Composite Exhibit B,"by replacing that exhibit in its entirety with"Composite Exhibit 13-1,"attached hereto and incorporated herein. Any section of the Original Agreement that references "Composite Exhibit B"will be read to state"Composite Exhibit 13-1." The parties desire to authorize the new price schedule and provide for future orders, as needed / as requested by the County, authorizing the County Administrator to sign the order form securing physical exam appointments ahead of time, subject to the authority vested in the County Administrator pursuant to the Board of Governor's Resolution No. 494-2023 and Monroe County Ordinance No. 026-2023 (i.e. orders must not exceed the total value of $100,000.00 without the prior formal approval of the Monroe County Board of County Commissioners/Board of Governors). 4. The parties desire to amend the Original Agreement, specifically to add Section 38, "Prohibited Activities regarding Diversity, Equity, and Inclusion," as a new state mandated contract provision to read as follows: 38) Prohibited Activities reeardini!Diversity, Equity, and Inclusion Effective January 1, 2027, in accordance with Section 287.139, Fla. Stat., as a condition precedent to any award of a contract or grant by the County,the Contractor must certify, and by sib this his Agreement hereby certifies, that the Contractor does not and will not use county funds to require its employees, contractors, volunteers, vendors, or agents to ascribe to, study, or be instructed using materials relating to diversity, equity, and inclusion as defined in Section 125.595(1), Fla. Stat., as may be amended from time to time. 5. This agreement constitutes the entire understanding between the Contractor and the County regarding this Amendment No. 1 to the agreement, and all other terms and conditions of the Original Agreement, not inconsistent herewith, shall remain in full force and effect, and are incorporated herein. [Signatures to follow] Page 2 of 4 Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 2 of 10 IN WITNESS WHEREOF, the parties hereto have executed this Amendment No. I the day and year first above written. CONTRACTOR: LIFE EXTENSION CLINICS,INC. d/b/a LIFE SCAN WELLNESS CENTE,RS BY.— A W- W Udt W Si gn ature CEO STATE OF Print Nat-ne& Title COUNTY OF The foregoing instru neat was sworn to/affirnicd anV acknowledged before nie by means of 0 physical presence or�Tonline notarization, this 0977 day of by Lp -C — _Ap�i�' 20_'L6, Ln:!:f4 Q OU �.. President [or Authority of LIFE EXTENSION CLINICS, INC, D/B/A LIFE SCAN WELLNESS CENTERS, a Florida For profit Corporation. Ile/She Is personally known to me/or has produced (type of identification) as identification. Notary Public state of Florida jannifer L Connelly My commission HH 392664 �111V-narc t JNtart'-L'ubl qit Expires 4/3012027 Aum M - �" c (Print& Stamp Commissioned Uic(if Notary Public) lCoutity Signatures to followl Page 3 of 4 Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 3 of 10 Amendment No. 1 to Agreement between MONROE COUNTY, FL and LIFE EXTENSION CLINICS, INC. d/b/a LIFE SCAN WELLNESS CENTERS for Annual Firefighter Physical Examinations BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY,FLORIDA: By: Mayor Michelle Lincoln BOARD OF GOVERNORS, FIRE AND AMBULANCE DISTRICT I OF MONROE COUNTY, FLORIDA: By: Chairman Bruce Halle (Seal) Attest: Kevin Madok, Clerk As Deputy Clerk Approved as to legal form & sufficiency: Eve M. Lewi s Digitally signed by Eve M.Lewis Date:2026.04.20 16:43:37-04'00' Eve M. Lewis, Assistant County Attorney Page 4 of 4 Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 4 of 10 ------------------------- n�����u������������ ������ ��~� '' �������� ����� ��� ������u�� � �� � ��� ���� ����������� Date Sent: 04-17-2026 Prepared for Monroe Co. Fire Rescue Exp. Date: 2020-12-31 Marathon, FL Member Exanna:#TBD RFP53-23 NAME PRICE QTf SUBTOTAL Comprehensive Hands On Physical A540.00 1 $540.00 |nc|udea LifeScun NFPA Proprietary System v\ith Behaniora| Hea|thAaaaosmanto $54@'00 Total Per Person $540'00 This quotation io subject to the following terms and conditions: 1. While our pricing is listed on a per-patient basis for transparency, please note that departments will be billed per day of service. Each scheduled day includes up to 9 patient slots,and we staff and travel our clinical teams accordingly.This structure ensures operational efficiency and oout-effnotivonouu.especially when departments request extended service periods(e.g.,4 weeks or 20 days).If you do not meet the requirements to fill a day or week please discuss with scheduling 2. Minimum of 5 days or 45 appointments to come on site. Can combine multiple departments or use self pay spouses and retirees to get tothis number. 3. Pricing subject to annual increase up&o5% Additional Info: We have added partnered with u radiologists and cardiologists uur000 the country to provide reads for all US imageo,pricing in listed in optional tests section o/this quote. Detailed scope of work can be found on page 2 Additional testing that can be added to the exam io listed on page 3 &4 Active 1/1/2020- 12/31/2020 1 • •. •1 ------------------------- x 1 Public Safety Physical Exam(NFPA 1582 compliant) Medical &Occupational/Environmental Questionnaire Included Comprehensive Hands-On Physical Exam Included Vital Signs: Height,Weight,Blood Pressure, Pulse Included Behavioral Health Eval-Epworth Sleep,PCL-5,PHQ-9 Included Back Health Evaluation Included Urinalysis Included Audiogram Included Titmus Occupational Vision Exam Included Breast Exam with Self-Exam education Included Personal Consultation with review of testing results Included Laboratory Tests: Comprehensive Metabolic Panel,Blood Chemistry Included Complete Blood Count,Hematology Panel Included Hemoccult Stool Test for Colon Cancer Screening Included Total Lipid Panel Included Thyroid Test TSH Included Glucose Included Hemoglobin Al C Included Men: PSA(Prostate cancer marker)and Testosterone Included Women:CA-125 Included Ultrasound Screenings(Early Detection of Heart Disease and Cancer): Echocardiogram (Heart Ultrasound) Included Carotid Arteries Ultrasound Included Aorta and Aortic Valve Ultrasounds Included Liver Ultrasound Included Gall Bladder Ultrasound Included Kidneys Ultrasound Included Spleen Ultrasound Included Bladder Ultrasound Included Thyroid Ultrasound Included Men: Prostate and Testicular Ultrasounds Included Women:Ovaries and Uterus Ultrasounds Included Cardiopulmonary Testing&Fitness Eval(Ni 1583&IAFF WI Cardiac Stress Test(Treadmill with 12 lead,sub-maximal) Included EKG, 12 Lead Included Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 6 of 10 ------------------------- I 1 • •. •1 x ® • 1• Public Safety Physical Exam(NFPA 1582 compliant) Spirometry,PFT with OSHA Respirator Medical Clearance Included Fitness tests for muscular strength&endurance Included V02 Max Calc for Aerobic Capacity Included Body Weight and Composition Included Personal Fitness Rx Included OPTIONAL TESTS AVAILABLE Chest X-Ray,2 view with radiologist review(included) $92.70 Lumbar X-Ray,2 view with radiologist review $92.70 Hazmat Cholinesterase $85.35 Hazmat Heavy Metals $8,35 Lithium Ion Battery Exposure Panel-Lithium,Cobalt,&Manganese $131.00 Fit Stool test-Colon Cancer screening $57.00 Hepatitis A Titer $44.00 Hepatitis B Screening Test $68.48 Hepatitis B Titer $44.00 Hepatitis C Screening Test $68.48 HIV Test,Gen 4 $32.66 PPD TB Skin Test $27.00 QuantiFeron Gold TB Blood Test $84.00 Tdap(Tetanus,Diphtheria, Pertussis)Titer $36.00 MMR Titer $113.00 Varicella Titer $76.00 Polio Titer $83.00 Nicotine $79.00 Vitamin D $26.00 Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 7 of 10 1 • •. •1 ------------------------- x 1 OPTIONAL TESTS AVAILABLE OSHA Respirator Mask Fit Testing(PortaCount)per Mask $48.46 Drug Screen,I CUP $57.95 Drug Rescreen with confirmation $68.48 Medical Review Officer(MRO)as indicated/secondary review $153.90 Phlebotomist(Blood Draw) Fee $25.00 Labs Drawn without Appointment $100.00 Form Fee-Add'I forms needing to be filled out by APRN (per form) $50.00 Secure Wifi if not provided by department(per week) $50.00 Guardian Fitness, Nutrition,&Mental Health App Subscription-Per Member for the entire year,please $35.00 ask for more info regarding the app and its benefits Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 8 of 10 2026 Department Scheduling And Additional Testing Agreement 1AFE SCAN w.•.•,e c•.t•re Monroe County Fire Point of Contact Billing Address Cara Johnson, Executive Administrator 7280 Overseas Highway (0) 305-289-6004 (C) Marathon, FL 33050 johnson-cara@monroecounty-fl.gov Blood Draw Location Fire Chief RL Colina 56633 Overseas Hwy (0) (C) Crawl Key, FL 33050 colina-rl@monroecounty-fl.gov Physicals Location Invoice POC Station#13 Name: Cheri Tamborski 390 Key Deer Blvd Email: tamborski-cheri@monroecounty-fl.gov Big Pine Key, FL 33043 11111relyelyll Ill IR HIM bill Collection Type:X Life Scan On-Site Dates of Blood Draw: Times: 8:30am to 11:30am Tues, May 26—Thurs, May 28 NOTES: Send 1 centrifuge to be sent to another location where EMS will do blood draws, all specimens will be picked up (courier p/u) at Fire Academy each of the 3 days . Set-Up: 7:30am Start: 8:30am Dates of Physicals: Appts: 8:30am, 11:30am, 2:30pm Mon,June 22—Fri,June 26 Members: 90 Days: 10 Mon,July 6—Fri,July 10 9 appts available per day. Yes Test/Lab Price QTY Notes X FFD $540 90 Send to Cara &Colina X On-Site Blood Draw $25 90 Members who do not participate in the on-site blood draws will need to bring their script to a local Lab Corp. For accurate results, blood draws need to be performed between 45 days and 10 days prior to scheduled physicals. *Reminder, members need to fast 10 hours prior to blood draw* 3 private rooms (10 x 10 is sufficient),one room needs to have a treadmill with at least a 15% incline. Each room should have a trash can and a small table and two chairs if possible. Our staff will need to connect to the WiFi to chart findings during the exam. If your WiFi requires a password to gain access, please provide it here. WiFi Password: If WiFi is inadequate or not provided, a $50 fee per week is applicable. I-AFE SCAN WELLNESS CENTERS IV, Saving the Lives of America 's Heroes Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 9 of 10 2026 Department Scheduling And Additional Testing Agreement 1AFE SCAN wowm ceotere Non-Diagnostic Ultrasound: Imaging performed for screening purposes only, without clinical interpretation or diagnosis. CLIENT AGREEMENT: Agreement must be signed and returned a minimum of 60 days prior to scheduled physicals. If dates of physicals are not confirmed a minimum of 60 days prior to, Life Scan Wellness reserves the right to release the dates. While our pricing is listed on a per-patient basis for transparency, please note that departments will be billed per day of service. Each scheduled day includes up to 9 patient slots, and we staff and travel our clinical teams accordingly.This structure ensures operational efficiency and cost-effectiveness, especially when departments request extended service periods (e.g., 4 weeks or 20 days). As an authorized representative, I have reviewed and agree to these terms, dates, additional tests, labs, and pricing. Representative Name and Title Representative Signature Signed Date Jennifer Connelly—Administrative Director Life Scan Representative Name and Title I-AFE SCAN WELLNESS CENTERS IV, Saving the Lives of America 's Heroes Document Ref:BWZE5-WS27K-GAMNJ-AXATH Page 10 of 10 i i CERTIFICATE of SIGNATURE 1'[I,IVUIU[[:R I'VI(MIUI'1I II.I>[YFv1I 4'A6dT11a0I'V BWZE5—WS27K—GAMNJ—AXATH 23 APR 2026 16:10:07 UTC SIGNER TIMESTAMP SIGNATURE DD LEDUC 23 AP`'`1"TO R 2026 16:04:27 VIIWII) a- ld Ledue, TODD.LEDUC@LIFESCANWELLNESS.COM 23 APR 2026 16:09:36 �A� 1)AI[1 W1 23 APR 2026 16:10:07 t2 99 45 224.116 BOCA RATON, UNITED STATES RECIPIENT VERIFICATION E:IM/W vi W1"1E L) 23 APR 2026 16:09:36 [oil N M .r ® Signed with PandaDoc 11AGF 1 OF 1 �■ � Corporate Resolution for LIFE EXTENSION CLINICS, INC. We,the undersigned,being all of the directors of this Corporation,consent and agree that the following corporate resolution was made on January 10,2025. We do hereby consent to the following decision: Corporate Resolution of Signing Authority Now,therefore, it is resolved,that the Corporation shall: Grant Todd LeDuc, Deputy CEO, Signing Authority to execute Client Contracts, Contract Amendments, and Contract Renewals on behalf of the Corporation. The Officers of this Corporation are hereby authorized to perform the acts to carry out this Resolution. We,the undersigned directors of the Corporation constituting a quorum of the Board,consent and agree to all of the above on this 10 day of January 2025. Mi-chaellerr-arta 111-01Z025— Director Sig ur Printed Name Date fean-Fari-6alohnaon .1/1012025 Di ctq gneture Printed Name Date The Secretary of the Corporation certifies that the above is a true and correct copy of the Resolution that w s duly d at a meeting of the Board of Directors. X 111-01-2025— C re�Xryi gn at u re Printed Name Date > DATE(MMJDDN YYYI CERTIFICATE OF LIABILITY INSURANCE 41212026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS INO 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(les)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 conifer rights to the certificate holder In lieu of such endorsement s PRODUCER CONTACT Certificate(Department Sihle Insurance Croup Inc. PHONE FAx 1 U21 ILScuglas Ave AaC No.E :407-86096 (A/C Noy 4tii7-389-35811 Altamonte Springs IFL 2714 ADDE-NIRESS:SS: Cortifi"tes@sihie.com sihle.com INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A: Hartford Underwriters.Insurance Company 30104 INSURED LIFEEXT-01 INSURERB: MSIG Specialty Insurance USA Inc 34886 Life(Extension Clinics Inc. INSURER C: Palomar Excess and Surplus Insurance Company 16754 dba (Life Scan Wellness Centers 1011 N NtacDill Ave INSURER D Tampa FL 33607 INSURER INSURER F COVERAGES CERTIFICATE NUMBEIR:990879638 REVISION NUMBER: THIS IIS 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 IIS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL UBR POLICY EFF P40LICY EXP LTR TYPIE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDO/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 21 SBMBA9FTH 1111012025. 1111OQ026 EACH OCCURRENCE 51,0100,000 CLAIMS-MADE ® OCCUR PREMISES Ea o wrrence $11,000,000 MED EXP(Anyone peireon) $110„000 PERSONAL&ADV INJURY $1,000,000 GEN"L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $2,000,000 X POLICY® JPECOT- LOC PRODUCTS-COMPfOP AGO $2„000,000 OTIHER: $ B AUTOMOBILE LIABILITY Y Y HN01000294-013 302026 31212027 COM..den SINGLE LIMIT $1,000,000 Eis aEllNE of ANY AUTO BODILY INJURY(Per person S OWNED SCHEDULED (BODILY INJURY(Per accident), S AUTOS ONLY AUTO; Xr HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTO;ONLY Pen accident $ A X UMBRELLALIIAB OCCUR 21SBMBA9FTIH IIf1012025.. 11110Q026 EACH OCCURRENCE $11,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $11,000,000 DED I X" I RETIENTION$In nnn $ WORKERS COMPENSATION (PER OTHI• AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPIROPRIETORFPARTiNEPJEXECUTIVE ❑ NIA E L EACH ACCIDENT $ OFFICERIMEMSEREXCLUDEDp (Mandatory In NH) E L DISEASE-EA EMPLOYEE $ II es,describe winder DESCRIPTION OF OPERATIONS(below E L DISEASE-POLICY LIMIT C CyberLUablity ESNO040369230 612612025 612612026 [Each OccurrenceA Employment Practices Lia 21 SBMBA9FTH 1 V1012025 1111=026 ach Claire 25,000 ggregate 25„000 DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES IACORD 1011.,Additional Remarks Schedule,may be attached If more space Is irequirad) Monroe County Board is Included as an additional insured on the General liability and Auto liability as requured by the written contract. A Waiver of Subrogation applies when reguirod by written contract to the General Liability and Automobile(_lability policies In favor of Monroe County Board. A T 1c DAB____ _ .26 WWAMW Mtkxyw—, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION HATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE(POLICY PROVISIONS. Monroe County Board 11 DO Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 � 1988-20115 ACORD CORPORATION(. All rights reserved. ACORD 25(20116103) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement,the provisions of the Coverage Form,apply unless moditied by the endorsement. SCHEDULE Narne(s) Of Person(s) Or Organization(s): Any person or organization you are required to include on this policy by written contract or written agreement in effect during this policy period and executed prior to,the "loss". Additional Premium Included Section IV — Business Auto Conditions, A. Loss Conditions, S., Transfer Of Rights Of Recovery Against Others To Us does not apply to the person(s) or oirgainization(s) shown in the Schedule, Ibut only to the extent that subrogation is walived prior to the "accident" or the "loss" under a written contract or written agreement with that �porson or organization. We will retain the additional premium shown above, regardless of any early termination of this endorsement of this Policy. JA5203US 01-19 Includes copyrighted material of insurance Services Office, Inc., Page 1 of I with its permission 21 SBMBA9FTH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE HARTFORn BLANKET ADDITIONAL INSURED BY CONTRACT This endorsement modifies insurance provided under the following: BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms and conditions of the Policy apply. A. The following is added to Section C. WHO IS AN INSURED: Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract or written agreement, or when required by a written permit issued by a state or governmental agency or subdivision or political subdivision that such person or organization be added as an additional insured on your Coverage Part, provided the injury or damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time required by the contract, agreement or permit. However, no such person or organization is an additional insured under this provision if such person or organization is included as an additional insured by any other endorsement issued by us and made a part of this Coverage Part. The insurance afforded to such additional insured will not be broader than that which you are required by the contract, agreement, or permit to provide for such additional insured. The insurance afforded to such additional insured only applies to the extent permitted by law. The limits of insurance that apply to additional insureds are described in Section D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE. How this insurance applies when other insurance is available to an additional insured is described in the Other Insurance Condition in Section E. LIABILITY AND MEDICAL EXPENSES GENERAL CONDITIONS. a. Vendors Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business and only if this Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products-completed operations hazard". (1) The insurance afforded to the vendor is subject to the following additional exclusions: This insurance does not apply to: (a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by the vendor; (d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; Form SL 30 32 06 21 Page 1 of 3 ©2021, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE Ar(// l HARTFORn (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or (h) "Bodily injury" or"property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (i) The exceptions contained in Paragraphs (d) or(f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. b. Lessors Of Equipment (1) Any person or organization from whom you lease equipment; but only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or organization. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence"which takes place after you cease to lease that equipment. c. Lessors Of Land Or Premises (1) Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: (a) Any"occurrence" which takes place after you cease to lease that land or be a tenant in that premises; or (b) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. d. Architects, Engineers Or Surveyors (1) Any architect, engineer, or surveyor, but only with respect to liability for"bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In connection with your premises; (b) In the performance of your ongoing operations performed by you or on your behalf; or (c) In connection with "your work" and included within the "products-completed operations hazard", but only if: (i) The written contract, written agreement or permit requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for"bodily injury" or "property damage" included within the "products-completed operations hazard". (2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services, including: (i) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (ii) Supervisory, surveying, inspection, architectural or engineering activities. This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by an insured, if the "bodily injury", "property Form SL 30 32 06 21 Page 2 of 3 ©2021, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE Irr HAFRTFOR damage", or"personal and advertising injury" arises out of the rendering of or the failure to render any professional service. e. State Or Governmental Agency Or Subdivision Or Political Subdivision Issuing Permit (1) Any state or governmental agency or subdivision or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit. (2) With respect to the insurance afforded to these additional insureds, this insurance does not apply to: (a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or (b) "Bodily injury" or"property damage" included within the "products-completed operations hazard". f. Any Other Party (1) Any other person or organization who is not in one of the categories or classes listed above in Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (a) In the performance of your ongoing operations performed by you or on your behalf; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and included within the "products-completed operations hazard", but only if: (i) The written contract, written agreement or permit requires you to provide such coverage to such additional insured; and (ii) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products-completed operations hazard". (2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (b) Supervisory, surveying, inspection, architectural or engineering activities. This exclusion applies even if the claims allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by an insured, if the "bodily injury", "property damage", or "personal and advertising injury" arises out of the rendering of or the failure to render any professional service described in Paragraphs f.(2)(a) or f.(2)(b) above. Form SL 30 32 06 21 Page 3 of 3 ©2021, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ |TCAREFULLY. T HE All HARTFORD �o��U��� d�� CANCELLATION �d� �����U�U � HOLDER(S) NOTICE n~~u~ ��n n �~ CERTIFICATE nv�x~� n u~ This policy is Subject io the following additional Conditions: A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the omnoe||sdion effective date to the certificate ho|der(s) with mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the company for non-payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses nn file with the agent nf record nr the Company. If nndma is mai|ed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof ofnotice. Any notification rights provided by this endorsement apply only to active certificate holder(s)who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate ho|der(s) m/i|| not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents orrepresentatives. Form SLQO 13 10 18 Page 1 of 2O18. The Hartford (May include copyrighted material mf Insurance Services Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - SCHEDULED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM 'UUith respect to coverage provided by this endorsement the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name Of Additional Insured IPerson(s) Or Olrganization(s). Any (person or organization you are (required to include as an additional insured on this policy by written contract or written agreement in effect during this policy Iperiod and executed prior to the "loss". A. SECTION III—COVERED AUTOS ILIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured is amended to include as an"insured"the person(s) or'organizabon(s) shown in the Schedule" but only with (respect to their liability for"bodily inljury"or"property damage" to which this insurance applies, caused in whole or in part, by an"accident" resulting)from the ownership, maintenance or use of a covered "auto". However, the insurance afforded to such "insured": 1. Only applies to the extent permitted by laws and . If coverage provided to the"insured" is required by a contract or agreement, the)insurance afforded to such"insured"will not be broader than that which your are required by contract or agreement to provide such"insured". B. SECTION III -COVERED AUTOS LIABILITY COVERAGE, B. Exclusions is amended to include! This insurance does not apply to: "Bodily injury"or"property damage"for which the IPerson(s)or Organization(s) shown in the Declarations or Schedule its obligated to(pay damages by reason of the assumption of liability in a contract or agreement C. SECTION III....COVERED AUTOS LIABILITY COVERAGE,C. Limits Of Insurance is amended to iniclude! The most we will pay on behalf of the"insured"shown in the Schedule is the amount of insurance: 1. Required by the contract or agreement you have entered into with the "insulr'ed", or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever its less. This endorsement shall not iincrease the applicable Limits of Insurance shown in the (Declarations. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. MSES 114910 06 21 Page 1 of 1 2021 MSIG Holdings(U.S-A.),Inc. All rights reserved Includes copyrighted material of Insurance Services Office,Inc.,with its permission. 21 SBMBA9FTH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE i HARTFORO AMENDMENT OF OTHER INSURANCE CONDITION - PRIMARY OR PRIMARY AND NON-CONTRIBUTORY WHEN REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREEMENT This endorsement modifies insurance provided under the following: UMBRELLA LIABILITY SUPPLEMENTAL POLICY Except as otherwise stated in this endorsement, the terms and conditions of the Supplemental Policy apply. A. The following is added to Section C. WHO IS AN INSURED: Any person or organization with whom you agreed, because of a written contract, written agreement or because of a permit issued by a state or political subdivision, to provide insurance such as is afforded under this Supplemental Policy, but only with respect to your operations, "your work" or facilities owned or used by you. a. This provision does not apply: (1) Unless the written contract or written agreement has been executed, or the permit has been issued prior to the "bodily injury", "property damage", or"personal and advertising injury"; and (2) Unless the limits of liability specified in such written contract, written agreement or permit are greater than the limits shown for"underlying insurance"; or (3) Beyond the period of time required by the written contract or written agreement. b. In no event shall any coverage afforded to any such person or organization apply to any claim or "suit" to which "underlying insurance" does not apply. Coverage provided by this Supplemental Policy for any such additional insured will follow the provisions, exclusions and limitations of the "underlying insurance". B. Solely as with respect to the insurance afforded to any person or organization qualifying as an additional insured under Section A. above, Paragraph 7. Other Insurance in Section E. CONDITIONS is deleted and replaced by the following: 7. Other Insurance a. This Supplemental Policy shall apply in excess of all "underlying insurance" whether or not valid and collectible. It shall also apply in excess of other valid and collectible insurance (except other insurance purchased specifically to apply in excess of this insurance)which also applies to any loss for which insurance is provided by this Supplemental Policy. These excess provisions apply, whether such other insurance is stated to be: (1) Primary; (2) Contributing; (3) Excess; or (4) Contingent. b. However, the following provisions apply to other insurance available to any person or organization qualifying as an additional insured under Section C. WHO IS AN INSURED, as amended by Section A. of this endorsement and who is also an additional insured under the Business Liability Coverage scheduled in the "underlying insurance": (1) Primary Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit to provide primary insurance to the additional insured, then, after the "underlying insurance" is exhausted, this insurance will be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Paragraph c. below. Form SU 30 24 10 18 Page 1 of 2 ©2018, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THE J1 HARTFORD (2) Primary And Non-Contributory To Other Insurance When Req�uiired By Contract If your haive agreed in a written contract, written agreement,, or permit to provide insurance to the additional insured that is primary and non,-contributory, then, after the, "'uinidlerlying insurance" is exhausted, this insurance wilt be, primary and we will not seek contribution from the additional insured)'s own insurance. Paragraphs (11) and (2) do not apply to other insurance on which the additional insured qualifies as an additional insured pursuant to the terms of that policy or has been added as an, additional insured by endorsement. c. Mlethiod Of Sharing If all of the other insurance permits contribution by equal shares, we willl follow this method also. Under thiis approach, each insurer contributes equal amounts until it has paid its applicable limit of insurance or, none of the loss remaiins, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we willl contribute by limits. Under this method, each insurer's share iis based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. C. Paragraph D.6. How Limits Apply To Additional Insured is deleted and replaced by the following: How Limits Apply To Additional Insureds a. If you have agreed in a written contract, written agreement or permit that another person or organization be added as an additional insured on the Business Liability Coverage scheduled in the "underlying insurance" and such person or organization also qualifies as an additional insured under this Supplemental Policy, the most we will pay on behalf of such iinsuredl is the lesser of: (1) The limilts of insurance specified in the written, contract, written agreement or permit, less any amounts payable by any "underlying insurance"; or (2) The Limits of Insurance shown in the Umbrella Liability,Supplemental Policy Declarations. b. Such amount shall be a part of and not in addition to the Limits of Insurance shown in the Umbrella Liability Supplemental Policy Declarations and described in other provisions of this Section. Form, SU 30 24 10 18 Page 2 of 2 @ 2018,, The Hartford (May include copyrighted material of Insurance Services Office, Inc.,with its permission) Monroe C'ounty Purchasing Policy and Procedures JIT A C14 XWNT D 'S COUNTY ADMINISTRATOR CONTRACT SUM-NIARY FORM FOR CONTRACTS $100.,000.00 arld Under Contract with. L&F=4�M"Glirf'M 11ra.doo Life Smn weljhess cenLp Contract 4 Effective Date: upon siginature ino later Man 06-28.2025) Expifatiou Date: 0152720126 Contract Piupose/Descriptiorl: Annual physlcal examinations from Life Extension Clinics,,Inc.for M nroe County Fire Rescue Ipersoninel in accordance with NIFPA 15,82. The fee for each physical exam is$524.80 for a total contract cost not to exceed$100,,0010.00. The County will be billed as-usedl per the tinit cost listed iin"Composite Exhibit B"-the projected expenses for this year are Wow $1 00, 00 based on last year"s usage.This Agireerrierit,can be extended for tip to three(3)sumessive one(1)year periods. Contract is, Origilial Agreement Colitract Amendrileut/Exteilsioll Reiiewal Contract Marlager heri Tam borski 305.289.6088 MCFRfStop 114,A (Natile) (Fxt-) ----FDei'),qi'-t1uent Stoi) 4) 141 115010, 148 120010, 101 110,01 148 140010, CONTRACT COSTS 404 63 1010, Total Dollar Value of Coiltract: $ up to,100,0,00.00 Curreilt Year Porfioii: Up to 100,000.00 (iiiu:st Ibe$100,000.00 or less) — (U multiyear agreenaciitthem iequifes B0CC approval,urA e&s the mmzd cuniubtive w.nount is, Budgeted?Yesz NoF1 S 100,000.00 or ief,�,,) Gralit: $N/A Coimty Match: $ NIA Fimd/Cost Ceiiter/Sveiid Categoi See abolve fundIskjost centers to be charged based upon parficipation ADDITIONAL COSTS Estililafed Origollig Costs:; $TBID/yr For: Renewabre(3 more 1-yr temis,subjed to BOCC approval for doIllar thresh,ord) (Not iiieluded U'i dollar value above) (e.g. ilia intenatic e.utilities,janitorial. salaries.etc.) Jnsuraiice ReqWred: YES IM NO 0 CONTRACT REVIEW Reviewer Date Iii DigWy ig-d by R.L C.9r. Departi-iielit Head Sigliature. R.L. cling D�202,5.05.23 1103 22-04 GG' Comity Attomey S i DqA.j1y.,g..d by Eve M.L—s lggiiature�:, Eve M. Lewis D.t.M15 D5 23 fl 149 tl 9-04'DO' Dgm.Ily s4-d by J.dy,Fl.n Risk Managerileirt Sigiiature�: Jaclyn Flatt ®an. 05 27 Q m8 05-04'DO' Dqm Ily 4Lora - -d by L Ab Purchasing Sigilatum: Lisa Abreu Bang 05 27 fl3 37 01-D4'00' OMB S' Dgm Ily.,gned by khn Quinin igiiatum: John, Quinn D.le=D5 27 fl4 00 30-D4'00' collillielits: Revised BOCC 4/19/2023 Page 84 of 105 AGREEMENT between MONROE COUNTY,FL and LIFE EXTENSION CLINICS, INC'. d/b/a LIFE SCAN WELLNE,SS CENTERS for Annual Firefighter Physical Examinations THIS AGREEMENT'is made and entered into this4ay of20ili7— by and between the Monroe County, Florida,a political subdivision of the State of Florida,with principal offices located at 1100, Simonton Street, Key West, FL 3,3040 (the "'County") and Life Extension Clinics, Inc. d/b/a Life Scan Wellness Centers, a Florida corporation with principal offices located! at 1011 North MacDill Avenue, Tampa, Florida 33607 (the "Contractor"),to provide annual physical examinations,. Now therefore, in exchange for good and sufficient consideration,the parties hereby agree: to the following terms and conditions: 1), The Contract Documents The contract documents consist of this Agreement, the Scope: of'Services, attached and incorporated herein as"Exhibit A,"and the Quote and Scheduling Form for said services, attached and incorporated herein as "Composite Exhibit B." In the event of a conflict between,the aforementioned documents,any duty executed amendment to this Agreement will control, followed by"Exhibit A,"then"Composite Exhibit B,"in that order. 2) The Work/Services The Contractor must perform all work for the County required by this Agreement,and as set forth below; a) Contractor will furnish all labor,, materials,and equipment necessary as indicated in"Exhibit A"and"Composite: Exhibit B,- b) Contractor must supervise the work force to ensure that all workers conduct themselves and perform their work in a safe and professional manner. C) Contractor must comply with any and all Federal, State, and local laws and regulations now in effect,or hereinafter enacted during the term of this Agreement, which,are applicable to the Contractor, its employees,agents or subcontractors, if any, with respect to the work and services, described herein. Contractor shall maintain throughout the term of this Agreement,appropriate!licenses. 3) Contract Amount Contractor will perform contract requirements with pricing and ordering pursuant to "Composite Exhibit B,"attached hereto and incorporated herein.Payment of an undisputed invoice submitted by the Contractor will be processed within 30 business days after being stamped as received,, or otherwise as provided in accordance with the: Florida Prompt P,aymcat Act,Section 21,8.735,Fla,Stat,as amended. County is exempt from payment of Florida, State Sales and Use taxes, Contractor shall not be exempted by virtue of the County's exemption from paying sales tax to its suppliers for materials used to fulfill its obligations under this contract, nor is Contractor authorized to use: the: County's Tax Exemption Number in securing such materials.Contractor shall be responsible for any and all taxes,or payments of withholding,related, to services rendered under this Agreement. Additionally, the Contractor is to submit to the County invoices with supporting Page I of 1,3 documentation that are acceptable to the Monroe County,Office of Clerk and Comptroller (County Clerk). Acceptability to the County Clerk is based upon generally accepted accounting principles and such laws,rules and regulations as may govern,the disbursal of funds by the County Clerk. 4) Agreement Subject to,Funding The County"s performance and obligation to pay under this contract is contingent upon an annual appropriation by the Board of'County Commissioners, In,the event that the County funds on which this Agreement is dependent are withdrawn,this Agreement is terminated, and the County has no further obligation under the terms of this Agreement to the Contractor beyond that already incurred by the termination date. 5) Contract Term The contract period commences as of'the date written on the first page of this Agreement, but no later than May 28,2025 and will expire on May 27,2026.The initial contract period is for one (1)year("Initial Term"'). A renewal of this Agreement may be accomplished in one(1)year intervals by the County Administrator exercising her administrative approval authority vested pursuant to the Monroe County Purchasing,Policy,so long as all renewals are made expressly subject to the same terms and conditions as provided herein. This Agreement may be extended for up to three (3), successive one (1) year,periods (each a "Renewal Term"),, Notwithstanding the above artrenMI authorized adminiut ativel must not, gXgged,the total yglue of$100.000,00 without the Rrior formal agpLoyal of the Monroe County Board, of County Commissioners, As used herein, the "total value" is calculated b adding the value of each administratively approved renewal,plus,any value- added amendments, after the recent fonnal apprDyal- 6) Independent Contractor This Agreement does not create an employee/employer relationship between the Parties. It is the intent of the Parties that the Contractor is an independent contractor under this Agreement and not the County's employee for any purposes, including but not limited to, the application of the Fair Labor Standards Act minimum wage and overtime payments, Federal Insurance Contribution Act, the Social Security Act,the Federal Unemployment Tax Act, the provisions of the Internal Revenue Code:, the State Worker's Compensation Act, and the State Unemployment Insurance law, The Contractor Willi retain sole and absolute discretion in the judgment of the manner and means of carrying out Contractor's activities and responsibilities hereunder provided, further that administrative procedures applicable to services rendered under this Agreement will be those of Contractor, which policies of Contractor will not conflict with County, State,or United States policies, rules or regulations relating to the use of Contractor's funds provided for herein. The Contractor agrees that it is a separate and independent enterprise from the County, that it had full opportunity to find other business, that it has made its own investment in its business,and that it will utilize a high level of skill necessary to perform the work. This Agreement must not be construed as creating anyjioin,t employment relationship between the Contractor and the County and the County will not be liable for,any obligation incurred by Contractor', including but not limited to unpaid minimum wages and/or,overtime premiums. 7) Assignment and Subcontracting Contractor must not transfer or assign the performance required by this Agreement without the prior written consent of the Board of County Commissioners, Thais Agreement,or any portion thereof,must not be subcontracted without the prior written,consent of the County Page 2 of 13 nor may the Contractor assign any monies duc or to become due to him or her,without the previous written consent. 8) Termination a)i Termination for Cause and Remedies. In the event of breach of any contract terms, the County retains the right to terminate this Agreement, The County may also terminate this,Agreement for cause should Contractor fail to,perform the covenants herein contained at the time and in the manner herein provided. In the event of such termination, prior to termination, the County shall provide Contractor with seven (7) calendar days" written notice and provide the: Contractor with an opportunity to cure the, breach that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If the County terminates this Agreement with the Contractor,County shall pay Contractor the sum due the Contractor under this Agreement prior to termination, unless the cost of completion to the County exceeds the funds remaining in the contract;however,the County reserves the right to assert and seek an offset for damages caused by the breach, The maximum amount due to Contractor shall not in any event exceed the: spending cap in this Agreement. In addition, the County reserves all rights available to recuperate monies paid under this Agreement,including the right to sue:for breach of contract and including the right to pursue a claim for violation of the County's,False Claims, Ordinance,located at Section 2-721 et al.of the Monroe County Code. b) Termination for Convenience: The County may terminate this Agreement for convenience, at any time, upon thirty(301)days' written notice to Contractor. If the County terminates this Agreement with the, Contractor, County shall pay Contractor the sum, due as, of the appointed termination date, unless the cost of completion of the remaining work under the Agreement exceeds the funds remaining in, the conftct. The maximum amount due to Contractor, shall not exceed the,spending cap,in this Agreement. 9) Remedies The:County reserves the right to recover any ascertainable actual damages incurred as a result of the failure of the Contractor to perforrn in accordance with the requirements of this Agreement, or for losses, sustained by the County resultant from the Contractor's failure to perform in accordance with the requirements of this Agreement. 10), Data Management;Data Security Standards.Contractor must agree to comply with the: County's written demands regarding cooperation (and any applicable financial responsibilities) for timely data breach incident reporting, response activities/fact- gathering,public and other governmental agency notification requirements,severity level assessment, and after-action reporting, consistent with Sections 282.3185(5) & (6), and 501.171, Fla. Stats.,as amended from time to time. And sp�ccifically in the context of data breaches that involve Protected Health Information pursuant to Health Insurance Portability and Accountability Act (HIPAA), Contractor must comply with all requirements,of the Health Information Technology for Economic and Clinical Health Act (HITECH); Section 105 of Title I of the Genetic Information Nondiscrimination Act of 2008(GNA); and 45 C.F.R. Parts 160�, 1612 and 164 and final Omnibus Rule cff,March 26, 2013). To ensure safety of personal data, Contractor must comply with the 2016 European Union's General Data Privacy Regulation(GDPR) that became effective in the European Union on May 25,2018,, and any more recently revised version thereof. For any systern integration between the County's network systems and that of'the Contractor, the Contractor hereby agrees to comply with ISO/IEC 27001 for its internal system, at a Page 3 of 13 minimum, and any unique integration requirements of the County's network and information technology systems. 11) Insurance Requirements Prior to commencing services hereunder,, Contractor shall obtain and maintain at its,own expense the insurance coverages as required by the County's Risk Manager. All insurance requirements provided for in this Agreement shall be subject to annuitl review. If the insurance policies originally purchased that meet the requirements of the l6sk Manager are canceled, terminated, or reduced in coverage, then the: Contractor must immediately substitute complying policies so that no gap in coverage occurs. Copies of current policy certificates shall be, filed with the Monroe County Risk Department whenever acquired, amended, and annually during the term of this Agreement. Prior to execution of this Agreement, Contractor shall furnish the County Certificates of Insurance indicating the minimum coverage limitations in the following amounts: a) CERTIFICATES OF INSURANCE. Original Certificates of Insurance shall be provided to the County at the time of execution of this Agreement and certified copies provided if requested. Unless a waiver is granted by the County's Risk Manager, each policy certificate shall be endorsed with a provision that not less than thirty('30)calendar days' written notice shall be provided to the County before any policy or coverage is,canceled or restricted.The underwriter of such insurance shall be:qualified to do,business in the State of Florida. If requested by the County Administrator, the: insurance coverage shall be primary insurance with respect to the County, its officials,employees,agents,and voilluniteers. Failure of Contractor to comply with the insurance requirements of this section shall be cause for immediate termination of this Agreement, Unless a waiver is granted by the County's Risk Manager 11MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, 1100, SIMONTON STREET, KEY WEST, FLORIDA 33040" MUST BE NAMED AS ADDITIONAL INSURED AND CERTIFICATE MOLDER, ON ALL POLICIES EXCEPT WORKER'S COMPENSATION., In the event that the Contractor subcontracts,any or all of the work in to any third party,the Contractor specifically agrees,to identify the County as an additional insured on all insurance policies required by the County. In addition,the Contractor specifically agrees that all agreements or contracts of any nature with his,subcontractors shall include the County as additional iinsuired. 12) Inidemnificadon& Hold Harmless a) The parties agree that one percent (1%) of the total compensation paid to Contractor for the work or services under this Agreement constitutes specific consideration to Contractor for the indemnification to be provided under the Agreement, Notwithstanding any minimum insurance requirements prescribed elsewhere in this Agreemcnt, the Contractor shall defend, indemnify,and hold the County,and the County's elected and appointed officers and employees,harmless from and against any claims, actions or causes of action, any litigation, administrative Proceedings,appellate proceedings,or other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption,and any costs or expenses,that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with:(A)any activity of the Contractor or any of its,employees,agents,contractors or other invitces during the term of this Agreement; (B) the negligence or recklessness, intentional wrongful misconduct,, errors or other wrongful act or omission of the Contractor or any of its employees,agents,sub-contrac tors or other Page 4 of 13 invitees, or(C)the Contractor's default in respect of any of the obligations that it undertakes under the terms of this Agreement, except to the extent the claims, actions,causes of action, litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or omissions of the County or any of its employees, agents,contractors or invitees(other than the Contractor), b) In the event that the completion of the project (to include the work of others) is delayed or suspended as,a result of the Contractor's failure to purchase or maintain The required insurance,the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in specifications provided by or to the Contractor, the Contractor agrees and wan-ants that the Contractor shall hold the County harmless and shall indemnify it from all losses occurring thereby and shall, further defend any claim or action on the County's behalf. c) Nothing contained herein is intended,nor may it be construed,,to waive County's, rights and immunities,under the common law or Section 768.28, Florida Statutes, as amended from time to time; nor will anything included herein be construed as consent to be sued by any third parties in any matter arising out of this Agreement. This section will survive the expiration of the term of this Agreement or any earl ier termination of this Agreement. 13) No Personal Liability No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any member,officer,agent or employee of County in,his or her individual capacity,and no member, officer, agent or employee of County shall be liable personally on this Agreement or be subject to any personal liability or accountability by reason of the execution,of this Agreement, 14) Discriminatory Vendor List Contractor hereby acknowledges its continuous duty to disclose to the County if the Contractor or any of its affiliates,as,defined by Section 287.134(l)(a),Florida Statutes,are placed on the Diiiscri minatory Vendor List. Pursuant to Section 287,134(2)(a),Florida Statutes: "An entity or affiliate who has been placed on, the discriminatory vendor list may not submit a bid,, proposal, or reply on a contract to provide any goods, or services to a public entity; may not submit a bid,proposal,or reply on a contract with a public entity for the construction or repair of a public building or public work; may not submit bids, proposals, or replies on leases of real property to,a public entity-, may not be awarded or perform work as a contractor, supplier, subcontractor,or consultant under a contract with, any public entity;and may not transact business with any public entity." 15) County Suspended Vendor List The eligibility of persons to bid for an award of County contract(s�),or enter into a contract, may be suspended pursuant to sec.2-3471(1)of the Monroe County Code of Ordinances.,In the event an eligible person is suspended by the County after the contract is awarded,or a, suspended person is employed to p e: orm work (e.g. subcontractor in a bid or contract) pursuant to a County contract,same shall constitute a,material breach,of the contract.The County, in its sole discretion, may terminate the contract with no further liability to the contractor beyond payment of the portion of the contract price that may be due for work satisfactorily completed up to the date of termination,and hereby reserves,all other rights and remedies,available,at law or in equity. Page 5 of 13 16) Prohibition an Conflict of Interest,Gratuities, Kickbacks, and Collusion The statements contained in this paragraph are true and correct, and made with the full knowledge that Monroe,County relics upon the truth of the statements contained herein in awarding the contract for this Project. a) Conflict of Interest. Contractor covenants that it presently has no,interest and wail I not acquire any interest that would conflict in any manner or degree with the performance of services required. Each party hereto covenants that there is no conflict of interest or any other prohibited relationship between the County and itself. b) Gratuities.Contractor hereby certifies that it has not offered,given,,or agreed to give any Monroe County employee a gratuity, favor, or anything of monetary value in connection with any decision,approval,disapproval,recommendation,preparation of any part of the Project or award of this contract, c) Kickbacks. Contractor certifies that it has not given payment, gratuity, or offer of employment to, be made by or on behalf of a Sub-contractor under a contract to Contractor or higher tier sub contractor or any person associated therewith, as an inducement of the award of a subcontract or order, d) Non-Collusion Statement. By signing this Agreement, Contractor certifies under penalty of perjury that the price proposed by Contractor was arrived at independently without collusion, consultation, or communication for the purpose of restricting competition;and no attempt has been,made to induce another person or entity to submit a proposal,or not submit,for the purpose of restricting competition in the award of thiis Project. e) Contract Clause. The prohibitions on conflict of interest, gratuities, kickbacks, and collusion prescribed in this paragraph must be conspicuously set forth in every contract and subcontract and solicitation initiated by Contractor in its performance of this Agreement. 17) Ethics,'Clause pursuant to Monroe County Ordinance No. 010-1990 By signing this Agreement, the Contractor warrants that he/shc/it has not employed, retained arotberwise had act on, histhier/its behalf any former County officer or employee in violation of Section 2-149, Monroe County Code of Ordinances,or any County officer or employee in violation of Section 2-1501, Monroe County Code of Ordinances. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also,in its discretion,deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee,commission, percentage, gift,or,consideration paid to the former County officer or employee pursuant to Subsection 2-15�2(b),Monroe County Code of Ordinances. 18) Prompt Disclosure of Litigation, Investigations, Arbitration, or Administrative Proceedings Throughout the term of this Agreement, the Contractor has a continuing duty to promptly disclose to the County, in writing, upon occurrence, all civil or criminal litigation, investigations,, arbitration, or administrative proceedings relating to, or affecting Contractor's ability to perform under this Agreement. If the existence of such causes the County concern that the Contractor's abiility or willingness to perform the Agreement is jeopardized, the Contractor may be required to provide the County with, reasonable assurances, to demonstrate its ability to perform as required hereunder, and that its employees/agents have,not or will not engage in, conduct similar in nature to the conduct alleged in such proceeding. Page 6 of 13, 19) Notice! All written correspondence to, the County shall be dated and signed by an authorized representative of the Contractor. Any written notices or correspondence required or contemplated under this Agreement shall be sent by U.S. Mail, certified, return receipt requested,postage pare-paid,or by courier with proof of delivery.Notice is deemed received by Contractor when hand delivered by national courier with proof of delivery or by U.S,. Mail upon verified receipt or upon the date of refusal or non-acceptance oftlelivery. Notice shall be sent to the following pemons- FOR C'OMY, FOR CONTRACTOR: County Administrator Jennifer ConU Monroe County Life Scan Wellness Untert- 1100 Simonton Street,Room 2-205 1011 N Macdill Ave Tampa FL 33607 Key West,FL 330401 Erpail,Jennifer.Ee And(with copy to) Monroe County Attorney's Office I I I I 12th Street,Suite 408 Key West,F't 33040 20) Choa ice of Law and Venue, The parties expressly agree that the only laws that apply to this Agreement are those of the State of Florida and United States of America, without regard to choice of law principals. The parties,waive the privilege of venue and agree that all litigation between them in the state courts will take place exclusively in the Sixteenth Judicial Circuit in and for Monroe County, Florida, and that all litigation between them in the federal courts will take place exclusively in the United States District Court in and for the Southern District of Florida, or United States Bankruptcy Court for the Southern District of Florida, whenever applicable. This Agreement shall not be subject to arbitration. Mediation proceedings initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules,of Civil Procedure and usual and customary procedures required by the Circuit Court of Monroe County,Florida. 21) Attorney's Fees and Costs County and Contractor agree that in the: event any cause of action or, administrative proceeding is initiated or defended by any party relative to the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to reasonable attorney's fees,,court costs,investigative,and out-of-pocket expenses,as an award against the non-prevailing party, at all levels of the court system, including in appellate proceedings,. 22) Public Records County is a public agency subject to Chapter 119,Florida Statutes,as amended from time to time. To the extent Contractor is a Contractor acting on behalf of the County pursuant to Section 119,0701, Florida Statutes, as amended from time to time, Contractor must comply with all public records laws in accordance with Chapter 119, Florida Statutes. In accordance with state law,Contractor agrees to: a), Keep and maintain all records that ordinarily and necessarily would be required by the County in order to perform the services, h) Upon request from the County"s custodian of public records,provide the County with a copy of the requested records or allow the records to be inspected or copics, Page 7'of 13 within a reasonable time at a cost that does not exceed the costs provided in Chapter 119,Florida Statutes,or as otherwise provided by law, 0 Ensure that pu,blic records that are exempt,or confidential and exempt,from public records disclosure are not disclosed except as authorized by law for the duration of the Agreement term and following completion of the: Agreement if the Contractor does not transfer the records to the County. d), Upon completion of the services within this Agreement,at no cost, either transfer to, the County all public records in possession of the Contractor or keep and maintain public records required by the County to perform the services. If the Contractor transfers, all public records to the County upon completion of the services,the,Contractor must destroy any duplicate public records that are exempt, or confidential and exempt, from public records disclosure requirements. If the Contractor keeps and maintains public records upon completion of the: services, the Contractor must meet all applicable requirements, for retaining public records. All records stored electronically must be provided to the County, upon request fTom the County's custodian of public records,in a format that is compatible with the information technology systems,of the County. IF THE CONTRACTOR HAS, QUESTIONS, REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S, DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS, AGREEMENT, CONTACT THE COUNTVS CUSTODIAN OF PUBLIC RECORDS, AT: MONROE COUNTY ATTORNEY'S OFFICE,, 1111 12TH STREET, SUITE 4018,KEY WEST, FL 33040,1 EMAIL: PUBLICRECORDS(a-_),MONR,,OEC'OU'NTV- F'L3.,gOV, OR PHONE: 3015-292-3470. If Contractor does not comply with this section, the County will enforce the Agreement provisions in accordance herewith and may unilaterally cancel this Agreement in accordance with state law, 23) Audit Rights The Contractor must maintain accurate books,records,,documents and other evidence that sufficiently and properly reflect all direct and indirect costs of any nature expended in the performance this Agreement,in accordance with generally accepted accounting principles, County reserves the right to audit the records of the Contractor for the commodities and/or services provided under the contract at any time during the performance and term of the contract and for a period of rive (5)after completion of the contract. Such records must be retained by Contractor for, a minimurn of five (5) years, following the close of the Agreement,or the period required for this particular type of project by the,General Records Schedules maintained by the Department of State, whichever is longer. The Contractor agrees to cooperate with the County and agrees to submit to an audit as required by the County, or other authorized representltiVe(s)of the State of Florida. The Contractor must allow the County or such other auditing agency to have access to and inspect the complete records of the Contractor in relation to this Agreement at any and all times during normal business hours for,the purposes of conducting audits or examinations,or making excerpts or transcriptions, The requirements set forth in this paragraph will survive the termination of this Agreement, Page 8 of 13 24) Public Entity Crimes Statement Pursuant to Section 287.133(2)(a), Florida Statutes, as amended from time to time,, Contractor hereby certifies that neither it nor its affiliatic(s) have been placed on the convicted vendor list following a conviction for a public entity crime.If placed on that list, Contractor agrees: to immediately notify the County and is prohibited from providing any goods, or services to, a public entity; it may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work-, it may not submit bids,on leases of real, property to a public entity; it may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity; and, it may not transact business with any public entity in excess of the threshold amount provided in, Section 287'.017, Florida Statutes, for Category TWO (S35,,000), as may be amended, for a period of thirty-six (36)months from the date of being,placed on the convicted vendor list, 25)1 Foreign Gifts and Contracts, The Contractor must, comply with any applicable disclosure requirements in Section 286.101, Florida Statutes,. Pursuant to Section 28,6,101(7)(b),Florida Statutes:"In addition to,any fine assessed under[§i 296,101(7)(a), Florida Statutes), a final order determining a third or subsequent violation by an entity other than a state agency or political subdivision must automatically disqualify the entity from eligibility for any grant or contract funded by a state agency or any political subdivision until such ineligibility is lifted by the Administration Commission [Governor and Cabinet per §14,202, Florida Statutes] for good cause."' 26) Scrutinized Companies and Countries of Concern pier Sections,287.135,, 215.473, & MAU,Florida Statutes Contractor hereby certifies that it: a) has not been placed on the Scrutinized Companies that Boycott Israel List,nor is engaged in a boycott of Israel;b)has not been placed on the Scrutinized Companies with Activities in Sudan, List nor the Scrutinized Companies with, Activities, in the Iran Terrorism Sectors List(formerly the Iran Petroleum Energy Sector List); and c) has not been engaged in business operations, in Cuba or Syria, If County determines that Contractor has falsely certified facts under this,paragraph,or if Contractor is found to leave been placed on a list created pursuant to Section 215.473,Florida Statutes,, as amended, or is engaged in a boycott of Israel, after the execution of this Agreement, County will have all rights and remedies to, terminate this Agreement consistent with Section 287.135, Florida Statutes, as, amended. The County reserves all rights to waive certain requirements of this paragraph on a case-by-case exception basis pursuant to Section 287.1315, Florida Statutes, as amended, Beginning January 1, 20124, the County must not enter into, a contract that grants access to an individual's personal identifying information to any Foreign Country of Concern such as: People"s Republic of China, the: Russian Federation, the Islamic Republic of Iran, the: Democratic People's Republic of Korea, the Republic of Cuba, the Venezuelan regime of NicolAs Maduro, or the Syrian Arab Republic,unless the Contractor provides the County with an affidavit signed by an, authorized representative of the Contractor,, under penalty of perjury, attesting that the Contractor does not meet any of the criteria in subparagraphs(2)(a),-(Q)of Section 287.138, Florida Statutes, as may be amended, Beginning January 1, 2025, the County must not extend or renew any contract that grants access, to an individuals personal identifying information unless, the Contractor provides the County with an affidavit signed by an authorized representative of the Contractor, under penalty of perjury, attesting that the Contractor does not meet any of the criteria in subparagraphs(2)(a)-(c)of Section 28�7.139, Florida Statutes, as may be amended. Violations of this Section will result in termination Page 9 of 13 of this, Agreement and may result in administrative sanctions and penalties by the Office of the Attorney General of the State of Florida. LIFE EXTENSION CLINICS, INC.D/B/A LIFE SCAN WELLNESS, (:ENJJER .is, not owned by the government of a Foreign Country of Concern,,is not organized under the laws of nor has its Principal Place of Business in a Foreign Country, of Concern, and the government of a Foreign Country of Concern does not have a Controlling Interest in the entity. Under penalties of perjury,I declare that I have read the foregoing statement and that the facts stated in it are true. Printed Name: Todd LeDuc Title-C E 0 Date: May 23,,2025 signatolu, IM" 27) Nonceercive Conduct for Labor air Services As a nongovernmental entity submitting a proposal, executing, renewing, or extending a contract with a government entity, Contractor is required to provide an affidavit under penalty of perjury attesting that Contractor does not use coercion for labor or services in accordance with Section 787'.06, Florida Statutes. As an authorized representative of Contractor, I certify under penalties of perjury that Contractor does not use coercion for labor or services as prohibited by Section 787.0161. Additionally, Contractor has reviewed Section 787.06, Florida Statutes,and agrees to abide by same. 28) Nondiscrimination The Contractor and County agree that there will be no discrimination against any person, and it is expressly understood, that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement autornatically terminates without any further action on the part of any party, effectiive the date of the: court order. Contractor agrees to comply with all Federal and Florida statutes,and all local ordinances, as applicable,relating to nondiscrimination. These include but are not limited toi: 1) Title VII of the Civil Rights Act of 1964 (PL 8,8-352) which prohibits discrimination in employment on the basis of race,color, religion,,sex or national origin; 2),Title! IX of the Education Amendment of 1972, as, amended (20, USC ss. 1681-16,83, and 1685-16,861), which prohibits discrimination on the basis of sex;3),Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of disability;,4)The Age Discrimination Act of 1975, as amended (42 USC ss. 61011-61107) which prohibits, discrimination, on the basis of age; 51) The Drug Abuse Office and Treatment Act of 1972(PL 912-255),as amended,relating to nondiscrimination on the basis of drug abuse, 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 5�27 (42 USC ss. 690idd-3 and 290ce-3), as amended, relating to confidentiality of alcohol and drug abuse patient records, 8), Title VITI of the Civil Rights Act of 19,68 (42 USC s. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 91) The Americans with Disabilities Act of 1,990 (42 USC s. 12101 Note), as may be amended from time to time, page 10 Of'13 relating to nondiscrimination on the basis of disability; 10)' Monroe County Code Chapter 1 , article rid which prohibits discrimination on the basis of race, color, sex, religion, national origin, ancestry`, sexual orientation, sender identity or expression, farttilial status or age; 11) The Pregnant Workers Fairness Act(pWh'A) pursuant to 42 U.S.C. 200099 ct seq.; and t ) ,any gather nondiscrimination provisions in any Federal or state statutes which may apply to the parties to,or the subject matter of,,this A reemCat. 29) d -Verify Requirements Effective January 1, 1, public and private employers, contractors and subcontractors tl merit require registration with,and use of the 1 -Verify system in Larder to verify the work aut'borization status of all newvly hired employees. Contractor acknowledges and agreese to utilize the U.S. Department of Homeland Security's E-VerifY System to verify th employment eligibility of 2) All persons employed by Contractor to perfbttrt employment duties withinFlorida during the terra of the contract; and b)� All persons (including subvendors/subconsultantsisubcontractors,) assigned by Contractor to, perform work pursuant to t S.Department of l-donrredatud. th the Count`Y The Contractor acknowledges,and agrees that use of the b.d Security's E-Verify System daring the term of the contract is a condition of the contract with the County y entering into this Agreement, the Contractor becomes obligated to comply with aloe provisions of fiction 48.09 , Florida n�Statutes, "Employment �dot�utilization .-VerifySystem to amended from time:to time,,"l"lwis includes, and requiring all Verify the work authorization status of all newly hired employees, subcontractors to provide an affidavit to Contractor attesting that the subcontractor does not employ,contract with,or subcontract with,an unauthorized alien.Contractor agrees to maintain a copy of such affidavit for the dun n of this Agreement Failure to cOmPlY of this Agreement'as provided in Section with this paragraph will result in the terminati o 8.09 , Florida Statutes, as amended, and. Contractor may not be awarded a public contract for at least or= (1) year after the dame on which the Agreement was terminated. Contractor will also be liable for any additional costs to County incurred as a result of the Let ninatiott of this Agreement in accordance with this Section. Upon executing this Agreement, Contractor will provide proof of enrollment in -verify to the County. 30) Prohibited.Telecommunications Equipment Contractor represents and certifies e c hat It and its applicable subcontractors do not and will rvic that uses covered telecommunications equipment not use,any,equipment,system,o or services as a substantial or essential component of any system,Imo as 4 throughof ogy as part of any system, s such terms are used in 48 CFR 52.204-26, By executing this Agreement, Contractor represents and certifies that Contractor and its ered applicable subcontractors must o rs ido or use such cope of work fae wed for the Cottrrt�wicat forr the ns equipment, system, or services for anysuch entire duration of this Agreement,l Contractor �or s ere es by a ucon'tracto notified of any use �at�y tter covecoveredtedeconununications equ prnnt,system, or by any other source, Contractor must promptly report the: information in 40 CF 5 .2t14-Z5(d)( )to County. 31), Antitrust"Violations; Denial or Revocation under Section 287.137,Floridan Statutes Pursuant to Section 287,137,Florida i°ustStatutes, vicslatars may be ven�dor 1"tn(electronicallyende person p�ublislted affiliate and. who lugs been placed on the a updated quarterly by the State of Florida)following a conviction or berm,held civilly liable page 11 of 13 for an antitrust violation may not submit a bid, proposal, or reply for any ne tract to provide any goods or services to a public entity, away not submit a bid, proposal,, for new contract with public entity for the construction or repair of a,public building or public work-away not submit a bid,proposal, or reply on new leases of real prope rty to a. public entity;may not be awarded or perform work as a contractor,supplier,subcontractor, or consultantunder anew Contractwith a public entity";and may�"not transact new business with a public entity. By entering this Agreement, Contractor certifies neither it nor its affiliate(s)are on the antitrust violator vendor list at tile time of subsequently added..to that lustAw,w�ill result. False cerfificatioru under this paragraph r being in tettruination of this Agreement,, at the option of the County consistent with section 7g7.137,Florida Statutes,as amended. 32) Merger; Amendment This Agreement constitutes the entire Agreement between the Contractor and the County, and negotiations and oral understandings, between p are �ent e herein. itetl y Agreement cart be supplemented and/or arisended only by a written both the Contractor and authorized designees of the County.. 3 ) Interpretation The titles and headings contained in this Agreement are for reference purposes only an will not in any way affect the meaning or interpretation of this Agreement. All personal pronouns used in this Agreement include the other gender,and the singular includes the plural,and vice versa,,unless the context otherwise requires. Terms such as"herein"refer to this Agreement as a whole and not to any particular sentence, paragraph, or section where they appear,unless the context otherwise requires. Whenever reference is roade to a section or article of this Agreement,such reference is to the section or,article as a whole, including all subsections thereof,unless the reference is made to a particular subsection or subparagraph of such section or article, Any reference to "days" means calendar days, unless otherwise expressly stated. 4) joint Preparation It is acknowledged that each party to this Agreerruent had the opportunity to be t�epr+esente�d d accordingly the rule that a contract counsel in. the preparation of this Agreement an will be interpreter/ strictly against the party preparing same does not apply herein Clue to the joint contributions of both parties. 3 I ' everability Waiver of provisions Any provision in this Agreement that is prohibited or unenforceable in any jurisdiction will, as to that jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof or affecting the validity or enforceability of such provisions in any other jurisdiction.The non-enforcement of any provision by either party will not constitute a waiver of that provision nor will it affect the enforceability of that provision or of the rernd nder of this Agreement. 36) ignatory Authority Upon request, the Contractor must provide the County with copies Of requisite documentation evidencing that the signatory for Contractor has the authority to enter into this Agreement. 37) Counterpart's and Multiple Originals. This Agreement may be executed in multiple originals,, and may be executed in page 12 of 13 counterparts, catch, o�f which is hereby deemed to be an original, but all of which, taken tag ether„constitutcs one and the sanic agreemenL L, IN WITNESS WHEREOF, Counityand Contractor have executed this Agreenienta'.; of the date first writterabove. CONTRACTOR; U(c Extension Clinics, Inc. d/b/a Life Scan Wellness Centers signaturc Todd LeDLIC CE0 Print Namc &, Tillc STATE OF FLOF IDA COUIN�TY OF Pt �1 6�6 t2L1411- 1 The foregoing instrurrwnt was sworn to/affirmed a id acknoMedgcd before me b�y 111callS of physicill presclicc Or 0 01111ne nowrization, this23 day of IC�202,5by President [or Authority Title] ot"LlFE EXTEN'S �L , INC D/B/A LIFE SCAN WFLLNESS CFNTERS,a Florida For profit Corporation. I lc/'She is P /01-11"Is Produced (type Of idenfification) as is civification. signil r OfNou,�Yrubhcp :Nolery Putlh:Slate of Florida Jonni lttu M:for L Conniefly My Commissloin MH1 392684 E X "' Pir=e3 �,2.2, t, Xfte$ 4,13,01202!7 (Print& Sianip, Commissioned Nanic of'N�-Y Public) MONROE COUNTV, FLORIDA: BOARD OF COUNT" C01,MMISSIONERS OF MONROE COUNTV & B'OARD OF GON'FRNORS, FIRE AND ANIBULANCE DISTRICT I, MONROE COUNTN' Christine Hurley chF T'ne Hawley V3 Y: MMA14)41V Christine I-Itifley, MCP Monroc County Administrator Approved as to Vcgid 6arm & sufficicncy E' Oalt� 25 Pl uf 1,0 .015,2405, Ev Y c M�e M. Lewis Evc M. 11,,mis, Assistant County Attorney [,a-rC 13 of 13 ru Scope of Services The Life Scan Wellness Program is an integrated medical approach to firefighter exams that combines an, annual physical with potential lifesaving,d aneuarysrns.d�aclu fe scan ea lies thetection testing for major seases added'. such as,heart disease,stroke,cancer, diabetes, benefit ofultrasound imaging assessments ofthe intemal organs tanalysis well a as cardio-pulmonary testing, extensive laboratory b profiles, diet and nutritional state-of�tlie-art fitness evaluation, and a personalized wellness late th�lan. Life f+nundationcof'vi�aYlytueveu�y cated medical tests identify and analyze specific marls disease, visualizes the health of the internal organs and heart, and evaluates the function of the vascular systems 1, The medical examination provides invaluatlicalllva.l°u�ion is �a�audedtp identify era f both the individual and department-wide.ide,The individual is physically and mentally able to perform essential job duties without undue rking risk of harm to self or others, monitoret attea�ras+ufd long-term acute and th �'tf�rce tYuat effects of the oruui environment of uniformed personnel, de p provide quantifiable medical war indicate underlying in wvorlt-r ated health concerns, rovincial information on the entire workplace, and inform,uniformed personnel of their occaa atio ' hazards and health status. This medical evaluation compliers w ith federal, state, p and local health and safety requirements, The Nurse Practitioner has 'a thorough understanding of the public service officer positions including essential job tasks, physical various environmental exposuresaau�d-te effects of demands, psychosocial stressuars, medical conditions on essential job tasks. t's, internal o.rganl,s . The ultrasound technician conducts a thorough still `images (sonograms) that,may be passed taro to and provides the patient with copies p the patients primary physician for further evaluuatio and/or diagnostic .puurptase . s to Ultrasound scanning,is a noninvasive, safe and painless hluaultrasoa�ndso �answaveantl create real time images of the inside of the body. Performing searching for abnormalities an the major internal ans assures as little risYtthat the public service as po siblelt also o aids officers can adequately perform essential job tasks vrttka to track the yearly effects of the environmental exposure the job entails such as exposure to toxic fames, irritants, particulates, biological and nonbiological hazards, and/or heated gases.The following provides a comprehensive list and description of each scan conducted by the ultrasound technician at LIFES AFI "fellness Centers. I Exercise 3. LIFES AN Wellness + entor s fitness analysis conducted otop h by al Clinica to erasure Physiologist makes certain that public safety t}� better on-the-job perforrmance and overall wellbeing. ,fin integrated fatness, initiative includes diet and nutritional analysis, ongoingtWcuus mizedafitunesstness e and pro rare for each personalized wellness plan to create an officer and firefighter..LIF`ESCA��l's l nary 158,3 standards aand fitness as well aslcC SSA specifically chosen to meet the current hl PA l standards. The following provides a comprehensive list and description of the fitness assessments conducted.. ,at LIFESCAN Wellness Centers, uing described lv+yrtlueel'�FPApw�'hic�h N standards st arts as well as the 14 essential job tasYcs a necessitate the conduction of these assessments, 11COMPOSITE 'EXHIBIT Bill qW LIFE ScAN WELLNESS CENTE RS meSaving th , Lives rif � s LIFE, SCAN ELLNES,S, CENTERS, QUOTE' � . city&state: De artrnenL Munroe County Fire Rescue Contact: Care Johnson 202 Date,05.08. U25 NO N1rrq P ubllc aPet Physical se� l�� ►�� /,/� coraaPrPiaant,l __. Included luleducat P Cc,cupationalPF-nv,ironrareratzrl ,u�estir nn;air Included Comprehensive Hands-Cn IahYsicall N=xarn Incturled Vital Sjgjns.sleight„ 4�elght ltl�raad t�ressryre,I�uaV,e i l/riri ltacluded r cluded �✓ iirl�� lii,,,/o,Irl"�.,,,/1i/I//r,fir, 8rmN Health Ewatual,iorr lrscluded Urinalysis . Nncluded A,uad`uograna lncluided Titnius Occu.paluonal }ssc�n Bxanu �._._� included �.Breast Exam��it h"'elf-Ifs m education included Personal C(Onsr,udlation with review of testing results @ahoraforY'"resfs: Included .. C,on1prnlaensiue Meta'bollc Paned,Blood Cherr)istry Included Complete 810od Count,Her"ruato,109Y Panel Included Hernoiccult Stool Test'or Ccadon Cancer Screening Nractuded Total Lpid'paned tnclu'uded Thyroid Test TSH included. Glucose Inu.luuded HernDglotaun Ali — included tvlerr,pS (Prostalecan�cer marker)and Teslostero�ne included '%po nen,CA-125 ultrasound creerrlrng>s ( arNy perectioinri orPPearC Dis( se arrd Cancer). Included clurrcardlograrn btu rt U4ar .sc�lwoa Included Carotid Art; ries littr,asound included Aorta and A.Oic Valve Ultrasounds lrrclurdert Laver Ultrasound Included Gall Bladder Olrr snand Included Kidneys Ultrasound Included — Spleen Ultrasound Included " Bil r lPltrasound Included lrar.8auded Thyroid Ltltr'�asound Men:Pro tate and'testicular 5 traaseund included women,Ovaries acid Uterus Llltr3soaunds CarcfdopWrnanar Testing&P=lfness Lv�al�P>l�P�i r513��f�FP=1V�il=l) include Cardiac atress Test (7reaclrnrll with 12 lean',suh-maxi alb YncVud'ed EKG .. 1i L Lead. Include Spirometryr,PFT vwlth OSHA.Respirator Medic-al Clearance Included Fitness tests t'cir rnusnuullar strength&endlurance Included 4rC2 to ax CaI to r d errob'lc:Capacity Imluded Body Weight and Carrwl si"On Included persaruat Fitness Rx $499 8q �.dF SCAN E��tSLI SAFETY P'I�'"y dC�tL P�Rt �Ft OC o�d�1 Each, Mandatory ry d tffe ea i P t P'rcr arret EmEmR 5ysteirn with,Behavior�aii Health A5Sess cads $25.00 o1 ` I I7 V�" t I lad teo� ost tae,�,physical Line Item�� w l�.1 5' . .. 0PtFG9NAL 7E TS AVAILABLE � 6 Chest -R:eW, wlew�r with radlrtingist realiewu(include Luraatsc dC-Ray. vYuth rad'ielccyist rewoewr $y2.62 Haixrnat Chollnesterase $,52.62 llaiiYrt HIG'e31Vy'Met,]Ia77777777777 %/1// S42.8� Hepatitis A Tter $6fi"30 Herpatllls B Screening Test $ 2'.8'4 Ftepa;tliis,5 Titer S5'S'30 Hepatitis C screening Test 2 3 1 6' HIV Test,Gen 4 —.. $26,52 PPo 7B Skin Test $81,6101 C1'JantiFeron GOd IB BIood Test $ 5.7q Tdlap ITelanus. iphtharia, Pertwss'ils1,,Titer 46.92. C 'HA Respirator Njaisk Fit Testing(Portat ourit $56,10 Drug Bcreen, I CUP —_ 66.3�O Drug Rescreen with ront+rrnat"µear _.� �. 3�6 .. BEt $77.52. Woline $122.40, i T' 1� 1��"arCllr�l�rYlrCti�l'Y+r�ny e'st y�,�gyg�! J, A',,'% t o�r„% � ,C�a,cir r�r✓r/��iirr,is+oO��Y ID%�I�r'�IcrOrarUU.r, PIilelacterY�isi{Blr�d Cr�Ywar�Fee ' r o :,a, iN� �-r; y ;,,/ �r/i/,�///%%ii �,✓, / ii /nil r(���i%�1��l��///,%L/�lG,r�j/�(/�/� f��r� % / ',�„ " "�.,l'.,J �r r/1.��/�f /%rf ..,. y, r,r.,:.: , r... ;,,�,,%"r ,l f Ir'l✓/%%��� fJ//' / /f �/�r�; � ' '%/�%///,r/r(/;... Yi r � „ l '� A rr b I I v- .�,✓i rrr /i/r/ //;// ✓� / /l//r r�/���/ r/� �/, / /;,rn/,,,��,, , �„r��io%//% r'Yr111.Nla�I M' ICi,ase'G�I on 911 Miinilmtu�nl'rt q5 appoiintmuents- PrY�cam ub'act tcw a. ICYn is patients pier day,45 per week.All schadu led appcauntrnY:nts will tra tripled. 90 2,02E Department Scheduling And Additional Testing Agreement JAIAWL Monroe County Fire Scripts,Schedule&R stcr FO Billing& Supply Shipping Addires�s�� � '� 8�overseas l�� ay Sara,�otuuuson�p"�uecuutve Administrator lvlarathouu,l�"l,331;5,01 � )"���- '�-6iJ�4 f�) Life Scapa.Ras�e price: $52�5.001 �e�h�o +�n-c �� onro county-fl-90v Piggyback—Clearwater Fire Fire Chief RX. Colima Invoices.FOCI (0) (C) Narne. C"olina-rl nuauuroec uuu - cup Email. X Life Scan olu-Site u.Site Blood Dravw,Add ress 8°:30ruutru to 1.1:301am 56633 overseas 1 wy On-Site Draw dates Crawl Key,FL 33050 'fed,May 2.8—Fri,May 30 eciunens will be Send 1 ceuutrifuuge to be seat:to another locatiouu he EMS will do blood draws,all sp° picked up,(courier plu) at Fire Academy each of the 3 dabs Members who do not participate in the on blood draws°uwill tweed to bringtheir script to,a local Lab Corp. For accurate results,blood draws need to be perforuuraed between5 days and 101 days prior to scheduled 1u sicals. °°ll utuiauuls r.,9ncarabcss need has, 10 hr(ju��r� ��°ior to bloa�� dr���* uo Members., 180 Total Days:20 Location for Ph sic is Set-Up: 7.30,aim Start: $:�3Q� Station 390,fey Deer '�lwd Dates of Physicals BigPine Rey,FL 3�3�043 Moo,June 9—Fri,June 13 l"FOCI Mon,June 16—Fri,June 20 Deputy Chief RL Colina Mon,June 23 —Fri,June:27 colima-rt@xnouroecouuntY- . ov Mon,July e'—Fri,July 1.1 Requirement for Physicals: 3 private rooms(10 x I01 is sufficient),one worn rueeds to have a treadmill with at least a 15�h incline. Each roorn should have a trash can and a small table and two chairs if possible.. Cluur stab'Neill need to conrucet to the WiFi to quart findings �password- the exam.if your WiFi requires a password to auuu a a please provide it here. u � � � p access, if Wil~u is aura provided, 20 fee per day is aip,plicab�le. � �u ��h°k�,ua jai ���t��a �� "a4�� i.atW,,�-�ra�m w Y ara �7"� �, not a�:o�7�"�, 1"l�al"�� ���. 9.�,CB t�E; �Yglk.'� ti.P.q.�C'I"�..4� ,, r1i Yt� 44� ° ahrorn�r» 7aa roauraarov :�C) a prior tu. Life Scan Wcllnc,�u� av rb ul�e r��h�u to actr��.as�e tluc �aucs. des "lesAabi Price TY )dotes Sexed to Cara&Colina x on-Site Draw e 2 . 8' 18O CLIENT AGMEMENT , & have rew�ierawcd and agree to tluese terms, dates, additional tests,labs,,sued As auu authorized represer�tative pricing. ueseatative Name Ud Title Fire Chief R.L.Colina LIFE SCAN WELLNESS CENTERS wing e Ives, o A eric I ernes Corporate Resolution for LIFE EXTENSION ION CLINICS,INC. We,the undersigned,being all of the diir'e�ctor:s of this Corporation,consent and agree that th�e foLtowving,corporate resoluitiian was made on Januairy 10,2025. We do hereby,consent to the follovving deelsion: Corporate resolution of Signing Authority Now,therefore,it is resotvedi,that the Corporation shaLL Grant Todd LeD,uic, Deputy CEO,Signing Authority to execute Client Contracts,Contract Amendments,and Contract Renewals on behalf lotthe Corporation. The Officers of this Corporation are hereby authorized to,perform,the acts to carry out this Resolution. We,the'undersigned,directors of the Corporation,constituting a quiorurn of the Board,consent and agree to alL of the above on thiis 1'LN day of January2025. , ... Ml haeL-Terrana 11/l.0/ . .5 Director Sig a Printed)Name Nate J tea acL r 11l10/2025 D' t p nature Printed Name mate The Secretary of the Corporation certifies that the aiblove is a true and correct copy of the resolution thhat vw s duly d at a meeting of the Board of Directors. Mcr a ignature Printed Name Late V u CERTIFICATE 'OF LIABILITY INSURANCE f 05d16F2�p25O(xYYVArp THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS'UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES IN(3'T AFFIRMATIVELY OR INEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED IBY THE POLICIES BELOW. THIS,CERTIFICATE OF INSURANCE DOZES NC'T CC3NS'T'ITUTIE A CONTRACT BETWEEN T"HIE.IISSUING IINSIURER(S'),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the celrlficate bolder is an ADDITIONAL INSURED,the Ipolicy(ies)must be endorsed. If SIUBROGATIOIN IS WAIVED,subject to the terms and calnditions: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 endorsernent( . PRODUCER ctaraTgcx' Cilnda Groves �A T' o tD.E.Wilson Insurance,Inc, PHONE 727 535-0 a,24 FA Inc. All, 2 ......... PCI Box 1429a• Largo,'FL 33771 IISurhlla. tIDIDIIf �D klt. IIc ........ ...... ............................. ................. ............................. ........N$..V.RERA Admiral Ilnslurance Company 24856 INSURED Life Extension Clinics,llnc.�dha Life Scan Wellness Centers INSVRER C .-_. ......... LS Wellness, PLLC #Fk>`50A _ L.......� �n _ 1011 N.M1ac'Diil1 Ave. R..R' .�................_-....................._,..... Tampa,FL 33607 oNS RER IE COVERAGES CERTIFICATE NUMIIBEIRILIFEEXT20,22 REVISION NUMBER: THIS II'S'TO CERTIFY THAT THE(POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISS-UIEID To rHIF INSURED INAMEII}ABLkVE FOR THE POLICY PERIOD INDWATECD. NOTWITHSTANDING ANY REQUIREMENT,,TERM OR COND11TIION CAI ANY CON I"RACT OR OTHER(DOCUMENT U'ITHI RESPECT TO WHICH THIS CEIRTIFICATE MAY IBE IISSUIED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POILICIES DESCRIBED HIE'REIN IS SUBJECT"'TO ALL THE"11IRMhS„ EXCLUSIONS CONDITIONS OF SUCH I POLICIES. LIMITS SHOWN IMAY HAVE BEEN RIELU C'ED BY IPAIL CLAIMS fMSR AGLU _nR POLICY EFF POLI rMPSCFIRSURArGS um POLICY M ATEk . LpIIrS COMMIERCLAL GENERAL LIABILITY 4EAC ,Q ,CLRR ENCE f D,AMACE TO RENT ED CV AIIM&MQPADE L OCCUR ... ................................................................................................................ I�iEN�E'XV�LAu�;�uaR'haKu, 3 PERSONAL B,ADV INJURY a N'L ACUtEGATE LIM I A 9 L.:. E ...................................................... PROCR Ir,Y IF-1 ECT Loc v� r �a�aP� a �s r1La� _ $ A,UTOMOBIILE LIABJLMY COMBINED SINGLE LIMIT $ III PROPERTY IINJLURY(Perp®rsu�ml S ANY AUTO ....................................................... �, ......, AAU FOS LL CJhANEIL AUTO 1LILEG ( 39d II�N 1�wJTtW(Pc acc dLinap HIIREYD AUTOS AUTOS'uWWGll7 S PROPERTYDAMAGE S ....UMBRELLAL1LAB OCCUR WWA. 1.: -'�. Am.A�FNCwCIwuRRlChllo�.E EXCESSLIAB' 'AIMS.MAUIE. AGGREGAT S aEto ION$ 3 WORKERS COMPENSATION PFP DTH- AND EMPLOYEIRV ILIIAIF3NILIITY YIN - islAr `'m- - ANY PROP RIETO PARTNERr-XECUTNE -1 I �.L EACH ACI RN S OrF1 r,Q� 'MAFrF%CLJCFEV F N1A I CF...-- (Mandatory In NH) EL f)IISLA:SE-EA EMRI LOYEE, S Lf as,doscrr#�a a ndw Em! nIPTI N e-RATIONSPtl 6 �E.l .01SEASE POLICY VM17 S A Medical Professional ILLabillity X E'0000037691-09 05131/2025 0513`112026 3,000,000 Aggregate Retroactive Mate.5/3112001 2„000,000 Each Claim DESCRIPTION OF OPEIRATIONS..0 LOCATIONS I VIEHIICLES (ACORB 11.01,AddRFonal IRcumarks Schedule,may Ira attached 0 r ofe spoon its reqiW)redl.... Medical Professional Lialbilliity Additional Coverages: Sexuall Abuse $1,000,000 Each Clalml$1,000,000 Agglregawte Network Securq+& Data Privact Lial'bili CERTIFICATE,HOLDER CANCELLATILDN Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBE© POLICIES BE CANCIEL.LIED BEFORE THE (EXPIRATION IpATE THEREOF, IINOTICE WILL BE DELIVERED INI 1100 Simonton Street AGCOROA14CE WITH THE POLICY IPROWISIONS. (Gay West„FL 33040 AITHORIZEO RE'PRESENTAT'INE � < a c 1988-2014 ACODRl3 CORPORATION, All rights(reserved. ACORL1251(2014/01) The ACORID name and logo are registered Imalrlks of ACORD E0312B12025ElN1IMNrNIIdYYY^di A, "C"�' �I�I��I�II�'��T�� �I� II�II�r�IIIILI��""'M"" I�N,���AN�"✓I� COAT.._.... THIS CERTIFICATE IS(ISSUED AS A MATTER OF INFORMATION DIMLY AND CONFERS INO(RIGHT'S UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE(DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, (EXTEND OR ALTER TIME COVERAGE AFFORDED BY THE POLICIES BELO'1WIW., THIS CERTIFICATE OF IIN'SUIRANCE DOE'S NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING iN,'SURER('S),AUTHORIZED REPRESENTATIVE OR(PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate(Holder Is an ADDITIONAL INSURED,the policy(lies)must Ibe endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies,may require an endorsement. A'statemrent on this certificate does not confer rights to the certificate(holder in lieu of such endralrso ment s. PRODUCER DN EA.CT Cinda.,,Groves ��.,._,...,.._..., ...rw_....,., ._...... GD.IE.Vhfilsclm Insurance,Ilmc. ° f_(72 35-OS24 m�x�l��-j7 �j..v3t�gF��B MAIL P'4'Box 1420 A4MIL ...� irrci ewI[son.caalrn ......... Largo,FL 33779 IrSURERtS,IJaF>= rPilu CovnsPGE..,,. NAIC �_...... ���n..�........rom. _. �._�... ..INs RE�R� ,Admiral insurance C�om .pY........... 2455�6 INSURED INSURER is a. Life Extension Cliirvics,lllrnc,dlba Life Scan dAWelllmess Centers N �1L ......,. ...... .... ....................._ LSVNWelliness, PLLC 1011 IN.MacDill Ave. Iuf; urr Re= _. ............................................. Tam a.FL 33,807 IN'S'IUPERIF COVERAGE'$ CERTIFICATE INUMd3ERILIFEEXT2022 REVISION NUMBER,. THISIIS TO CERTIIFY THAT THE POLICIES OF INS'URA'DICIE ILISTIED BELOW HAVE BEEN ISS'UIED TO THE INSURED NAMED ABOVE FOR THE:POLICY IPERIOD INDICATED 'NOTVWTIHIISTANDING ANY REQUIREMENT,TERM OR CONIDIITION OF ANY'CONTIRACT OR OTHER IDOC'UMIENT WW1T"14 RESPECT TO WHICH(THIS CERTIIFIICATE'MAY IBE II'SSUED OR(MAY''P'ERTA!IN„THE INSURANCE AFFORDED BY THE POLICIIES DIE'SCIRIIBIED IHERIEI'N IIS'SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUICIH POLICIIIES. LIMITS SHOWN MAY(HAVE BEIFN REDUCEDBY PAID CLAIIMS. _.W .............. _. ._........................................ _ IN3R ADDILSUSIR POLICYIEFF Pm Y P Lza TYPE of INSURANCE POLICY INiUIbffiBFR LIMITS C0IIYM RCIALGEPNI IRALLIAMUT"Y" H'AC:HIOCCiUIRRENCE CLAIDA'S-MADE L��.1 OCCUR DAIVIAGETCUIRENTED PhIVSE,C.JEak.ACd'� � .................... NNM,EXP ..�..---- PIERSC)NAL&AI�V IINJLlRY N"LSGIu ETMTLLIRuIIThPPLIIIBSPER' GCMCfxAIAC;U?E3A1 S 4s' .......... PCLIC"a L.I'RG" IPr�,ODIUCrS�,,.'` P'QRJI�a. __,_,________...,. ,IEC',F LOG OTHER, I �' AUTOMOBILE LIABILITY COMBR D SINGLE LIMIT � Eia.acrlalaaIU ----. ." ,. . ANY AUTO .. IIiC7t]II Y IN IIUIRY(Per puergson) S _ .. ALI..CJ"dINED SC HFD ULED II (SIC BODILY INJURY(Per acddle t) 5 AU'1'05 AUTLIS _d. _ H11RCI7 ALlTCY NUN OWNED NTY _ PROPERTY DAMAGE � nm ALu rO's w ...... ........... .... $ UMMBRELILA UP'S CDCChUfS LC'H OCCURIIiEINCIE EXCESS II HCLAWSWA.DE, tACCRECATE S C. R T... 'Mi�S $ n ORKIERSCOMMIPENSATICCY PNIR "hH'. AND EMMPLOYERV(LIABILITY Y I IN IT ITITIT ITITIT ANY PRCPRETCRVPARTNERIEXECUTIW'E[— E L EACH A! L ' NT 5 0FRICIFTRIMAPMBFIR FXC"LUDF.177 IN IA .......... (Mandatory In NH) EVI,DJSEASE, 0;g 5 IT.IT Ir rep e%co m r iw Q:SC;RII-TICIIN OF QPERA«ITIIUNS beluw EA.05E+hSE PCXwCY LIMIT 5 A Medical Professional Liability E0000037681-08 05W3112024 0513112025 2,000,000 Aggregate Retroactive Date:5131120011 2,000,000 Each Claim DESCRIPTION OIF OPERATIONS?L>C7CATICDIWS I VEHICLES IACOIRD 1014,Additional Remarks Schedule,M,ay Ime attached It more space Is requlredII Medical Professional Liability Additional Cover'agles:: Sexual Abuse $1,000,000 IEach Clailml$1,000,000 Aggregate Network SecuritX&Data Plrilvgp Liabidl ; CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF TIRE ABOVE DESCRIBED(POLICIES BE CANCELLED BEFQRE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELWER'ED IIN 1100 Simonton Street ACCORDANCE"WVIITH THE!POLICY PROVISIONS.. I(ey West,FL 33040 AUTnkCn,RMED REPRESENTATIVE 1 0 s <S1nI K> bDN @ 1988-2014 ACORD CORPORATION. All(rights reserved. ACORD 26(2014101) The ACORII3 nalme and(logo are registered marks of A'CORD DATE,IMMmrN D"dY°V"Y1 ACC"ACCWO fiurEFE ZIF tTE OF LIABILITY I INSURANCE Arrw C, EVCJTR HOLDER.1E"HIS hroIRCATI V L AMEND, EXTEND OR ALTER THE EN H ISSUING IINSURER(S),TA AUTHORIZED I ED OL TINN 1T� is ISSUED AS/ MATTER7 F ICIES INFORMATION NI-1 AND CONFERS I�� RIGHTS IgI�C�I�V TII III CERTIFICATE DOES t S NOT AI=FIRI INS tslic (Iasi CONTRACT rtn nt stet eNnt art tttl BELOW, THIS ERTIFI �I� 1PISISI�THE IR IAT �t•DER.IJ ele A Ct�I�V ns tar be onclam ed.I# REPRESENTATIVE OR PRODUCER,AI�I�TII CRRt NEVC----I It�I..ITEI� �wlxt Itave I�I�ITIQdNAL INSURI:.I� NIWIV'49 �AWtT. q'I tlaa c ttltticata tlh¢aled YI5 an ADDO"I0.14AL INSII�tI:I N,thtt R 1r�ra,Ntain p�ratiCias rnat require an andtarsc SUBROGATION IS WAIVED, a thna tarrorts ama9 Cortd'utiams of tlam pallcIr dars,amant( hi cectiticatia�do Ac i"�Aw es not carrfar ri trots to ttua certificate 11�raVdlar qn luau crV attic NVaoua 844 i8 0,470Nae I PrtCcropCEe q�w� A I't RISK SE ICES StCI�T�I"INCro:iWNAI1 � r�rNs�� �a c carru „ 3550 LEN OX RE AD,NORTHEAST,SUITE 1700 >�NaIaR�a NA„C# !. .NHRER A; IVltlemcronisu rV..,u�rsatr7���e��aroaanroNG,,.cOueRA AFL ANTA.CA303 6 c 41575 >iNrl, m �Cro°ry h Arneirlra urmsrori�eer ...., Lite Extension Clinics,Inc. dba Life soon+VaNNmes's COO L:S�hIVP'eVlnress pLL IN a R D .. �..� hail N MacDIII Awe Tampa,FL 336d17 Fasasro � awsvr R. RE'�I�rILIVt NWtlI11aNnB CCU" RAGES CI"RTI CERTIFICATE INIVI3ER: TO IERItiI Cif w�,IaNDIT"ION QI ,Ny c aNI'RACT CIj o HER I Ii IS UB S CdThL fNLI TERMS. TII:IS IS TC7 CV P„TWIT TkYAT TItE POLC9ES OF IrNz�URANCC USTED t3EI+C,)V 14A`�E'SEEN�i NSSVJ,ED TO THi NCI IaH.tla E`IAIW d��C��VE FCC THE t+r�IFH PERIOD MlilttQAIT-T'D No dltV�S�Al11 urIP hEt I E471RTAIW1Lti mm E CLUSIt T S AND CONDITIONS OR MiAYSUCH NL1L t mIES LIIr RN r�SHt1ro�tH'E WORDED EGN Nab TIECUcd� ..F�AILI�I.�91i4S .._ _..., REDUCED BY "". `F N F""clDUOV E! Li�IIN'4 CURA G HAVE WE SEE POLICY exNvaNl) Na t; M NUM PEA �rrro m- NV OCCURRENCE r�cE � 1 ... - 1HSR1 4�AMArt ry j r+81ILV � 3CEP91kLsr��c� TYt"f=4aF N!'N�NIRAPJCE CtDIiEfcNlwnMNiALII,A[3NIV:NttY' .Ui' f 1 NM�PG E 41 SAvY r��ns rnrnD U'N..AIroh S.�rrwE l l J V U_�b/WLd Sf VJJU'�N I,S , GraF ;at �A1'f j .. ran i� � .. p,IhldL AGGREGATE t J$ U1EIY r ?o_�' � I I � f OVNNNEDSIN�I�B.E ro9 I $ . OT19EN1r g�I ILWINJURYlPerrPer>on) 1 M AUTOMOsILP LIABILITY a .00)11 YIHJUR IW �U dw 1j� AUTO - A.LIm1^rWh�;� S H�gI�Ui'!C'R rb pPee� jqr' AUTOS AU aE A H O1 1k�:PJ Md�� CuHRE .. tow, DAM—. , ... PIraEUi.�J7ro�RF � �, t RIJY.1"a � 5 i o— q VgAELLA LIiAE OCCUR EXCESS � `ro N�N�Ata ,U TK ' t N 1Ea+ I 1WVNORKERSCOMPENSATION U i �Cv�rwALC1C��4a� � �r�nErofl�� 'r iFs'L�aMEfr1S L OAEI9LYTY Y H t E 0. C.�6a u' .. ... .... AND 1:2N31;202a � 011;)1/202S r 100,00Nlw N+J f N P A i ta'F ,S19:7fa3 J 1Sp CJ &„IwhFin a iCF t jANY ppC„� JFT0R+6�a�1�'t IRE.9MdFwA', „UTIJNC 1 , ,. � m F"ICE 0.tMfiEIAaER EIXCLVU)eD F U4J Y UM IT A & (MAndlironr Nay NMHI � E�.CdV�EA�U �hd y�,M.��scrwce mlm�dral 1 I �i I DESCRIPTION O ��[7�R°�!N�!kT'9QMiR�8 LQLA1"PCIHIS M Wf:4�Nl�'Y_ES {ACK7��q�1�GR1.Additional Remarks Sclwd�uVe"amayr tre atlA,a�oh�d i1'morespacw, met POL aY VALXf N CAN+I E LAT1:C5N we CCCYEdLPER AH ELLEb BEFORE SHtlU DATE FREO WILL SE DELIVERED REr3Ai � �Ea POLICIES SE C qj YYEXPIT 4orae ¢wa Board AEtA EEW1THYHE PpL PRdVISaNS tryooSimonton Street K,ay West.IFL 330,40 AUTHORIZEDREPRESENTATIVE "y Il-2ND1 A IRD CORP RATq�7�I. AIq ru trts re Bar red., �r 2t11SKC1�3' ., The AC4�YRI�name and logologora registered marks tat ACCT'R �R 0 HATE rudiWllD� rrl �'�II111=ICWT� tl= IIA�II.MfY INSURANCE 7r202 THIS CERTIFICATE IS ISSUED AS A MATTER OIF INFORMATION ONLY AND CONFERS NO RIGHTS (UPON THE CERTIFICATE IHOLIDEIR. THIS CERTIFICATE DOZES NOT AFFIRMATIVELY OR NEGATIVELY AMEND., EXTEND OR ALTER THE COVERAGE AFFORDED BY THE IPOLICIIE'S BELOW. THIS CERTIFIICA'TE OF 'INSURANCE (DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IINSUIRER('S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND'THE'CERTIFICATE HOLDER, IMPORTANT: If the certificate hoiden Is an ADDITIONAL INSURED,the polfcyII must Ihav�e ADDITIONAL INSURED provisions or be endorsed. if SUBIROGATIOIN IS'WAIVED,sulltject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer Irights;to the Certificate(holder lIn lieu of Such endorsemel i PRODUCER CONTACT NAME' Cerl irate IDepar"rame nt Sihllle linsulralnce Group Inc. PHONE .. : u ' FAX t. � 407-869 549t „ 0 3S 358D10 1 Douglas Ave. ------ Altamonte Springs IFL 32714 wnoFss Cr1Mple5I5 iule c0M �.... _ INsulRERISy WFE(UR DIwG CaUwrErlanGE III INSURER A:IHartlgrd__III- Insurance Company 39104 ._ INSUUIIER Ie:IIMSIO S ealallly uN�Su�REo N.IrEE�'T�Di p Ilnsuranne ILJIA Inc 34886 Life Extension Oliinics Ilnc:. 11—.1111111 ' ' : INSURER Palomar Excess an 116754 rDa Life' can Aellne' s Centers, R ... ._ 1011 IN IMacDdl Avenue INSURER D: Tampa FL 3360 INSIJrze.IR.. _ .. INSURER F; (COVERAGES CERTIFICATE INUIMBIER:196862+4437 REVISION (NUMBER: rIHiis IS TO'CEIRTIIIFY'THAT THE POLICIES OF INSURANCE LIISTE'D BELOW HAVE(BEEN ISSUED TO THE IIN�SUIRED NAMED ABOVE FOR THE POLICY PERIpID INDICA"ITED. NO"r l"rHS1GTAINDIING� ANY REQUIREMENT, TERRY OR CONDITION OF AINY CONTRACT OR OTHER DOCIUMENT WITH RESPEC"r'"r'O WHICH rIHIS C'ERTIRIC:ATE MAY BE NS�SUED OR IrrNAY PERTAIN, TINE I'N'SIUPAIN'CE APIFORIDED SY THE P101 IC'IIES DESCRIBED I IEREIN II�S SUBJECT TO ALL THE TERMS „ EXCLUSIONS AND CONIDIITIONS OF SUCH POLICIES,LIIMgIITS SHOWN MAY HAVE BEEN REDUCED BY PAID C�L:AVI'YMS iFSA ------------- . TVe INSURANCE g NUMBER P'0I CDr' ............... .-- N..IIIMrTS .,w �,uAur .rwA�E :.: �Hc, e�uHrxFN� ��cceom I � Psakr'Y,CF 9CA'EIdTFCh .. .. . a, CLSMIMNEIFWLALrSENERAL�IOCCLIR � �1 &�FuC6UAeI'pI� 11:r1�n�2'o:a4 ^Y1J10:N2�g25 �E'LRRu�SL�.SLa4cr�p�rr�4PF11 1'�s't,�cert�a0 1 �w P ..I..tI'�IAn,one l --- 510.000 GENLAGC,RECATEILIIMIITAPPLIIE5f'IER --� I DC �ALANAL&.ACA'WINll�ri'1" S'I,al7rlfJierJ eA E 5 27 25 .�.. I � � -_�L: Rf}6hILrS GUWM1PfC?I�AS(a $.2,0IliC�pQ� ... __ I GyGHLLrA1rc� 92r 010,000 POLICY x 1 11 AIU70MInp ILEL<IAMLII Y j Y M1u I IHNO1d3�10294-2 � '3R�12025 '�/ 12026 CD�eI@NFDS6W�L LIMIT 1 NIgCI DIUCb 1 f 1 LC:`,,,.a ANY AUTO 'arrtwfrcaa... , BODILY IIN.IULR1"4Per IPormnl �IS C.W^a EID SCHEDULED � B4YDIILY INJURY(IFef acddianl➢l S _1 AUT06ONLY AUTOS x MIRED AL I I ONLY AW O Y Per�c ad n y].... � 5 - r �47k"L6tria II l l i 1 i 1 _ _�_ . A I X UMBRIELLALIABOCCUR 21SBMSA9 'TH 11U10J2024 � 1111012,025 1 EACH OCCURRENCE $'1,010g410U EXCESS ILIAS �.....�„ 1 CLAII; ( AGGREGATE $11 C'0C if1041 I Dr 0 X IErIIION5 $ W ORKFRSCr MPF_NSA',ncN s i. f IP R T14 9CR A "FNERO:;9 � E,L EACH ACCIDENT YJN �FFICIE E11111 r>A eS__ AND EMIPILOYIERS LII RLIITT R'r k'OEEGUTIIVE j QFFICLEt,WIM,Y'L^?� CLI: �:. 1 _ (Mandatory am INN L DISEASE EAIEM PLOYIEI 5 Bf ^s,degriii uaVdFar c7C+SfRIPf ON OF OPC'�'IRA"rIaNS deRuau E,L NSEA,SE•POLICY(LIMA r is C Cy ber lJuability _ A IEPLI j € 21SIEIMBA'IFTFN 11U'1DIC202+h 1r117�rYr202'S Aggregate Limit $7`5,000 J II F-S ICRIP'nON OF ePERA"nDN:5I LOCA"UONS I WEHICLIES (ACO RD 101,Additional I Schedule,iMAy be attached if miore space is requilread) Network Seeu%Incident&Plltiaeay IncnrUerll' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE (EXPIRATION DATE THEREOF, NOTICE 'WWILIL IBE (DELIVERED IIN ACCORDANCE WITH THE III IPROVISIONS. Mcrli Colulnty Il oard 1100 Simionton Street AxUTuaRMEDRE:PRIESE:NTATW Key'West IFIL'331f1401 Q 1988.2016 AC'OIRD'CORPO'RATIIION, All rights reserved. Ali 26(20161103) The ACOIRID(name and logo are(registered marks of AC'OIRD Policy Nuimiber HIINO 10100294-02 THIS ENDOR EME,NIT HHAN�GiE,S THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGA,INST' OT'HERS This endorsement modifies ins,uranic�e provi�deid under the following- BUSINESS AUTO COVERAGE FORM With respect to coverage providled by fts endorsement,the provisions of the Coverage Form apply uniless modified by the endorsernent. SCHEDULE Narne(s) Of Person(s) Or Orgainization(s): Any persolin air organization you are required to include on this policy by wriitten contract or wriften agreement in, effect duringi this pollicy period and executed prior to the "loss". Addlitionall loremium]$!nipGuded Section 1V — Business Auito Condiltions, A. Loss Conditions, S., Transfer Of Rights Of Recovery Against Olthers To Us,does not apply to,the person(s), or organization(s), shown in the,Schedule, but only to,the extenit that subrogation is waived prior to the "accideril" or the "toss" under a written contract or written agreement with that person or organization.. We,will retain the additional premium shown above, regardless of any early termination of this endorsement of this policy. JA52D3US Oil-19 Includes copyrighted material oil insurance Services Office,, Inc,, Page I of 1 with its permission THIS ENDORSEMENT CHANGES THIE POLICY. PLEASE READ IT CAREFULLY. THIS HARTFORD BLAN�KET' ADDIITIO,NIAL INSURED, BY CONTRACT' This endorsement modlifiles insurance providled under the fo'ltowiing- BUSINESS LIABILITY COVERAGE FORM Except as otherwise stated in this endorsement, the terms aind conditions,of the Policy apply. A. The following is added to Section C.WHO IS AN INSURED: Additional Insureds When Required By Written Contract,Written Agreement Or Permit The person(s) air organizatioln(s) identified ini Paragraphs a, through f. below are additional insureds when you have aglreed, iin a written contract or written agre'eme'nit, or when required by a written permit issued by a state air glovernmental agency or subdivision or political subdivision that such, person or organization be added as a,in additional insured on your Coverage Part, pirovide:d the injury air dlamiagie occurs, subsequent to the execution of the contract or agreement, or the issuance of the permiit. A person or organization is, an additlonia,l insured under this, provision only for that period of time required by the, contract, agreement air permit. However, no such person, or organization is an additional insured under this provision if such person or orgainization is inclludled as an additional insured by any other endorsement issued by us and M12cle a part of this Coverage Part. The insurance afforded to such additional insured will) not be broader than thiat which you are required by the contract, agreement, or permit to Ipr,ov,ide for such additional insured. The insurance affordied to such additional insured onty applies to the,extent permitted by law, The limits of insurance thiat apply to, additional insureds are, describied in Section D, LIABILITY AND, MEDICAL EXPENSES LIMITS OF INSURANCE. How this insurance applies when other insurance its available to an additional insured is described in the Other Insurance Condition in Secbon E. LIABILITY AND MEDICAL, EXPENSES GENERAL CONDITIONS. a, Vendors Any pers,on(s) or organization(s) (referred to betolw as vendor), but only with re'spiect to, "bodily injury"" or "property damage" arising out of "your products" which are distributed or solid in the re,giullar course of the vendor's business and only if this, Coverage Part provides coverage for "'bodily injury" or "'property darrage" inclluded within the"products-completed operations hazard". (1) The insurance afforded to,the venidloir is subject to thie fodllowiingi additional exctusions: This,iinisurance does not apply to: (a) "Bodily injury°" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion, does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b) Any expire'ss warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by,the vendor; (d)i Repackaging, except when unpacked solely for the purpose of insp'ectioin, demonstration, testing, or the substitution of'parts under instructions from the manufacturer,and then repackaged iin the original conlaiiiner; (e) Any failure to make such inisplections, adjustments, tests or servicing as the vendor Ihiais agreed to, make or normailty undertakes to make in thie usual course of business, Mini connection with the distribution or sale of the products; (f) Demonstration,,, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of thie product,, Formi S,L 30 32 06 21 Page i of 3 C 2021„The Hartford (M)lay iirclude copyrighted material of Insurance Services Office, Inc.,with its p'ermis,sioini) THIS ENDORSEMENT CHANGES THIE POLIICY. PLEASE READ IT CAREFULLY. THE HARTFORD Products which, after distribution or sale by you, have been, labeledl or relaboted or used as a container, part or ingredient of any other thiing or substance by or for the vendior; or (hi), "Bodily injury"or"property damage" arising out of the sole,negligence of the:vendor for its own acts or ornissions or thiosie of its, employees or ainiyone else acting on its behalf. However, thus excuusion, doles not apply to,. (I) The exceptions contained in Paragraphs (dl) or (f);or (iii) Such inspections, adjustments, tests, or servicing as the vendor has, agreed, to make or normally undiertakes,to make, ini the usua�ll course of business, in connection with the distriblution or sale of the products. (2) Thiiis iinisuirance does not apply to any insured person or organization from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. bi. Lessors Of Equipment (1) Any Iperson or organization from whom you, lease eqiuiipimienit; but only with respect to, their liability for "biodity!injury"', "property damage"" or "personal and advertising injury" caused,, in whole or in part, by your mainteinanice, operation or use of equipmenit leased to you by such person or organization. (2) With respect to, the insurance afforded to these addibioinial insureds, this insurance doles not apply to any "'occurrence""which takes,place after you cease to lease that equiipimient. c. Lessors Of Land Or Prernises 0) Any person or organization from whoa you lease land or premises, but only with respect to flablifity arising out of the ownership, maintenance or use of that part of the land or premises leased,to yolui. (2), With respect to the insurance affordeci to these additional insureds,this,insurance does,not apply to: (a)i Any"occurrence"which takes place after you,cease to lease that land or be a tenainit in that premises„ or (b) Structural alterations, new construction air demolition operations performed by or on behalf of such person,or orgianiizaition. d., Architects, Engineers Or Surveyors (1) Any architect, engineer, or surveyor, but only with respect to liablitity for"boldity injury", "property darri or "personal and advertising injury" caused, in whioille or in part, by your acts, or omissions or the acts or omissions of those acting on your behalf'. (a) In connection with your pire,miises; (b) In,the performance of your ongioiing operations performed by you or or your behalf; or (c), In connection with "your work" and included within the "products-completed operations hazard)"", bluit only if: (ii) The written contract,, written agreement or permit irequiires, you to provide such coverage to such additional insured: and (h) This Coverage Part proividles coverage fair""bodily injury" or"'property damage," incluided within the, 4 products-completed operations hiaizard". (2) With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not aipplly to ""bodily iinjuiry", "'property damage"' or ""personal and advertising injury" arising out of the rendering of or the failure to render any professional services, iniclludling:. (1) The preparing, approving, or failure to prepare or approve, maps,, shop, drawings, opinions, reports, surveys, field orders,, change orders, dleisiginis or drawings and specifications; or (ii)i Supervisory, surveying, Insplection, architectural or engineering activities. This exictusion applies, even if the claiimis, alllege negligence or other wrongdoing in the supervision,, Kring, employment, training or mcnitchnig of others by an insured, if the "biodily injury"" "property Formi SL 30 32 06,21, Page 2 of 3 2021,The Hartford (Mlay include copyriglhtedl material of Insurance Services Office, Inic-,with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ, IT CAREFULLY. THE HARrFORD damage", or"persional and aidivertisinig injury" arises out of the rendering of or thie faillure to render any professional service. e. State Or Governmental Agency Or Subdivision Or Political Subdivision Issuing P,er�mit (1) Any state or governmental agency or gubdivision or political subdivision, buit only with respect to, operations performed by,you or on your behalf for which the state or governmental agency or subdivision or political subdivision has,issued a permit. (2), Wth resplect to the insurance affoirded to these additional insureds, thiis insurance does,not apply to:: (a) "Bodfly injury", "'property darnage" or "personal and advertiis,iing injury" arising out of operations performed for the federal government, state or rnuniclipallty;, or (b), ""Bodily injury"'or"'pirolpeirty darnage" included within the "products-completed operations hazard". f. Any Other Party (1), Any other person or organization who is not in one of the categories or classes liistedl above in Paragraphs a. thirougih e, above, but only with respect to liability for"bodily injury"', "property damage" or '"personal and advertising injury"" caused, in whicile or in part, by your acts or omissions or the acts or omissions of those acting one your behalf: (a) In the performance of your ongoing operations performed by you or on,your behalf" (b) In connection with your premises.owned by or rented to,you;, or (c), In connection with "'your work" and included within thie "products-completed operations hazard"', but only it (1) The written contract, written agireernent or permit requires you to, provide such coverage to such additional insured);; and (0) This Coverage Part provides coverage for "boldily injury" or "property darnage" included within the "products-completed operations hazard", (2) With respect to the insurance afforded to these additional inisuireds,, the following additional exclusion appillies,: Thais insurance doles, not apply to, "bodily injury", "'property dairrage" or "personal and advertising injury"" arising out of the rendering of, or the faiillure to render, any professional architectural, engineering or surveying services, including, (a) The preparing, approving, or failure to prepare or approve, maps, shop, drawings, opinions, reports, surveys,field orders, cha,ngie orders, designs or drawings and specifications; or (b) Supervisory, surveying, inspection, architectural or engineering activities, This exclusion applies even if the claims, allege negiligence or other wrongd6ing in the supervision, hiring, employment, training or monitoring of others by an insured, iif the "boldily injury", "property darnage", or personal and advertising injury" arises out of the rendering of air the failure to render any professional service described in Paragraphs C(2)(a)or Cli above. Form SL 30 32 016 21 Pagie 3 of 3 C 2021, Thie Hartford (May include copyrighted material of Insurance Services Office, Inic.,with its permission) THIIS ENDORSEM ENT'CHANGES THE POLICY. PLEASE READ Ili CAREFULLY. THE HARTFORD NOTICE OF CANCELLATION TO CERTIFICATE HO,LDER(S) This policy is subject to the following additional Conditions: A. If thiis policy is cancelled by the Comiplany, other than for non-payment ofprernlum, notice of such cancellation will be providled at least thirty (301) days in a,ldlvance of the cancellation effective date to the certificate holder(s) with, mailing addresses on file with the agent of record or the Company. B. If this policy is cancelled by the company for noini-paymient of 1premium, or,by the insured, notice of such cancellation wiilll be Provided within ten (10) days, of the cancellation effective date, to the certificate holder(s), with mailing addresses on file with the agent of record, olir the,Company. If notice is mailed, proof of maiilling to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company wi1 be sufficient proof of notice: Any notification rights provided by this eindorsement apply only to active certiricate holdier(s,) who,were issued a certificate olf insurance appllicabile to this policy's term. Failure to, provide s,uich, notice to the certificate holder(s) willl not amend or extend the date the cancellation becomes effective, nor wiilll it niega,te ca,ncelllation of the policy.. Failluire to, send notice shall impose no lliabiliity of any kind upon,the Company or its agents or representatives. Form SL 9013 10,18 Page 1 of 1 @ 0118,The Hartford (May inclludle copyrighted material of insurance S�lervices, Office, Inc., with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - SCHEDULED This endorsement modifies insurance provided under the following: BUSINESS AUTO, COVERAGE FORM With respect to coverage provided by this enidoirsemient the provisions of the Coverage Form apply unless miodlifiied by the endorsement. SCHEDULE Name Olf Additional Insured Pers,oni(s,) Or Orgia,nizaitiioin(si): Any person or organization you are required to include as an additional insured on this policy by written contract air written agreement in effect during this policy period and iexecuted prior to the "lloss". A. SECTION III— COVERED AUTOS LIABILITY COVERAGE, A. Coverage,, 1. Who Is Any Insured is amended to include as an "insured" the person(s)or organization(s)shown in the S,chiedulle,but only with respect to their liability for"bodily Injury"or"property darni to which this insurance applies, caused in whole or in part, by an 'accident" resulting from the ownership, maintenance or use of a covered "auto", However, the insurance afforded to such""Insured"": 1. Only apipliies to the extent permitte'dI by taw, and 2. If coverage provided to the "insured"iis required by a contract or agreement, the insurance afforded to such, "insured"will not be, broader than,that which your are required by contract or agreervent to provide such "'insured". B. SECTION 11-COVERED AUTOS LIABILITY COVERAGE, B. Exclusions is,arnended to include; This insurance does niot apply to: "Bodily injury"or"property damage"for which the Porson(s),or Orgainization(s)shown in the Declarations or,Schedule is obligated to pay damages by reason of the assumpition of liability,in,a contract or agreement C. SECTION It—COVERED AUTOS LIABILITY COVERAGE, C. Limits Of Insuiirance is amended to, include: The most we wiil pay on behalf of the "Insured"shown in the Schiediule! is the amount of insurance: 1. Required by the contract or agreement your have entered into with the "Insured"; or 2'. Available under the applicable Limits, of Insurance shown iin the Declarations; whichiever is less. This endorsement shall not increase the applicable Linnits of Insurance shown in the Declarations. ALL OTHER TERMiS,AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. MSES 14910 06 21 Page I of i (D 202,11 MSIG Holdings(U.S.A.)i,inc. All righit.s reserved IIncluides cioipyhghted maternal of IInsuairance Services Office, ric-with its perrnission, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, THE KAI HARTFORD AMENDMENT OF OTHER INSURANCE CONDITION - PRIMARY OR PRIMARY AND NON-CONTRIBUTORY WHEN REQUIRED BY WRITTEN CONTRACTOR WRITTEN AGREEMENT' This,endorsement miodliifi�es inisurance provided under the follow inq: UMBRELLA LIABILITY SUPPLEMENTAL POLICY Except as otherwise stated in this endorsement,the,terms,ands conditions of the Supplemental) Policy apply, A. The foliowing is added to Section C.WHO IS AN INSURED: Any person, or orgainization with whom your agreed, because of a written contract, written agreement or because of a permit issued by a state or poliitical subdivision, to, provide insurance such, as is afforded undier this Supplemental Poiflicy, but only with respect to,your operationisv"your work"' or facilities owned oir used by you. a. This provision does not appliy: (1) Unless, the written contract o�r written agreement has been executed, or the perm iiit has been iissuiedl prior to the "bodily injury","property damage", or"personal aandl advertising injury";, and (2) Unless the limits of liability specified in such written contract, written, agreement or permit are greater than the limits shown for"underlying insurance"; or (3) Beyond the period of time requIred biy thie written contract or written agreement. b. In no event shall any coverage afforded to any, such person or organizatior apply to any claim or 'suit" to which "underlying insurance" does, not apply. Coverage proviidledl by this, Supplemental Policy for any such additional insured will follow thie provisions, exclusions a,nid limitations of the "underlying insurance"'. B. Solely as with respect to the insurance afforded to any person or organiizaitioln qualifying as an additional insured under Section A. above, Paragraphs 7., Other Insurance iin Section E. CONDITIONS is dlelletedl and repllacedl by the following: 7. Other Insluiranice a. This, Supplemental Policy shall apply in excess, of ail] "underlying insurance" whether or not valid and collectible. It shall also apply in excess of other valid and collectible insurance (except othie'r insurance purchased)specifically to apply in, excess of this insurance)which, also applies to any loss for which iinisurance is provided by thiis Supplemental Policy. These excess provisions apply, whether such other inis,uranic�e is stated to be: (1), Primary; (2), Contributing; (3) Excess; or (4)1 Contingent. b. However, the following provisions apply to other insurance available to, any person or organization qualifying as an additional insured under Section C,. WHO IS ANI INSURED, as, amended by Section A., of this endorsement and, who its also an, additional insured under the Business Liability Coverage scheduled in the ".underlying insurance": (1) Primary Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit to provide primary insurance to the additional insured, then, after the "underlying insurance" is exhausted, this insurance W11 be Ipriimaryr. If othier insurance is also, primary, we will share with all that other insurance by the method described in Paragraph c. below. Form SU 30, 24 10 18 Pa,gle I of 2 C 20181,The Hartford (MV ay include copyrighted material of Insurance Services,Office, Inc,, with its permission) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. T HE, HARTFORD (2) Primary And Non-Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement, or permit to provide insurance to the additional insured that is pirimary and non-contributory, then, after the "underlying insuranice" is exhausted,, this insurance 01 be primary and we will not seek contribution from the, additional Insured's own insurance. Paragraphs (1) and (2) do, not apply to, other insurance on which, the additiionall insured qualifies ais, an addlitioinial insured pursuant to the terms, of that policy or has been added as an additicnall insured by endorsement. c. Method Of Sharing If all of the other insurance permits, contribution by equal shares, we wRI, follow this, method also. Under this approach each insurer contributes equal amounts until it has paid its, applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does, not permit contribuifion by equal shares,, we will contribute by limits. Ulnider thiiis method, each insurer's share is, based on the ratio, of its applicable limit of insurance to the total applicable limiiits of insurance of all insurers. C. Paragraph D.6. How,Limits Apply To Additional Insured is delleted and replaced by the following: How Limits Apply To Additional Insureds, a. If you have agreed in a written, contract, written agreement or permit that another person or organization be added as an additional insured on the B,usuness Liability Coverage scheduled in the "underlying insurance" and such person or organization also qualifies as an additional inswuredl under this Supplemental Policy, the most we will pay on behalf of such insured is the lesser of: (1) The limits, of insurance specified in the written contract, written agreement or perm1it, less any amounts payable by any"underlying insurance"; or (2) The Limits of Insurance shown in the Umbrella Uability Supplementat Policy Declarations. b., Such amount shall be a part of and not lien addition to the Limits of Insurance shown iin the Umbrella Liability Supplemental Policy Declarations arrdl described in other provisions of this Section. Forma SU 301 24 1018 Page 2 of 2 2018, The Hartford (May include copyrighted material of Insurance Services Office, Inc., with its,permiuss,ion) 2018 m6cm REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insw=ce requirements,as specified in the Catrrrty°'s Schedule ofInstr ance Requirements,be waived or modified,on tbef?ll()vvin';g contract Project or Service: ContraclorNendor Address&Phone M General Scope of Work _ Reason for W'aiYer or Modification: Policies'tui►aiver or dM'tudifrcadiart will apply to: 77 �.. Signature et wruaeuar "endpr. � Apprvwedl Not Approved Rusk Matrap,ement Signature: _. Date" County Administrator appeal: ApprovcdA Not Approved: Date- Board of County Commissioncts appeal: Approved: _ ,�...... Not Approved: meeting'Tate. Administrative Instruction 75,00.7 104