Certificates of InsuranceACORD- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
08110/2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
C & C Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
12333 N.W. 18th Street, Ste.1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pembroke Pines FL 33026
INSURED PARA-MED ACADEMY,INC
600 NORTH PINE ISLAND ROAD # 360
PLANTATION, FL 33324
COVERAGES
INSURERS AFFORDING COVERAGE NAIC #
INSURERA: SCOTTSDALE INSURANCE CO
INSURER D:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADD'L
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
s2,000,000
A
X
X COMMERCIAL GENERAL LIABILITY
FX
CLS0918557
04/1112004
04/1112005
DAMAGE TO RENTED PREMISES (Fa nmorence)
$ 100,000
$ 5,000
CLAIMS MADE ] OCCUR
MED EXP (Any one erson
PERSONAL & ADV INJURY
$ 2000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICY PRO_LOC
PRODUCTS - COMP/OP AGG
$ EXCLUDED
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT
$
$
APR"
R S MAN
GJMENT
GARAGE LIABILITY
ANY AUTO
AT
DATE
(^
(0
OTHER THAN EA ACC
$
$
AUTO ONLY: AGG
EXCESS/UMBRELLA
LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CLAIMS MADE
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
WC STATU- OTH-
EMPLOYERS' LIABILITYI'M
E.L. EACH ACCIDENT
$
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICEWMEMBER EXCLUDED?
If yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS
ATTN: DARICE HAYES
HOLDER
MONROE COUNTY BOCC FIRE RESCUE
490 63 STREET SUITE 140
MARATHON, FL 33050
SHOULD ANY OF THE ABOV E DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001/08)
AUTHORIZED REPRESENTATIVE
<MC>
U ACORD CORPORATION 198E
C&C INS/ RDCRHEI
954-436-6864 P-1
ACORD- CERTIFICATE OF LIABILITY INSURANCE OATEIMMrDD/YYYV)
08109121 1
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
C & C Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
12333 N.W.18th Street, Ste. I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Pembroke Pines FL 33026 INSURERS AFFORDING COVERAGE NAIC #
INSURED PARA-MED ACADEMY,INC INSURER A: SCOTTSDALE INSURANCE CO
600 NORTH PINE ISLAND ROAD # 360 INSURER B:
PLANTATION, FL 33324 iNci iar. P.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSRIAIDD*Lj I--.._..------- --- -
GENERAL LIABILITY
A X X COMMERCIAL GENERAL LIABILITY CLS0918557
CLAIMS MADE a OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
DMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULEDAUTOS
HIRED AUTOS
NON -OWNED AUTOS
4GE LIABILITY
ANY AUTO
OCCUR L__J CLAIMS MADE
DEDUCTIBLE
04111/2004 10411112005
COMBINED SINGLE LIMIT S
(Ea accident)
BODILY INJURY S
(Per person)
BODILY INJURY
(Per accident) S
PROPERTY DAMAGE S (Per accident)
OTHER THAN
AUTO ONLY:
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORPARTNER/EXECUTNE E.L. Ei OFFICER/MEMBER EXCLUDED?
II es, decalbe under E.L. DI
OVISI NS be
OTHER E.L. DI
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
ATTN: DARICE HAYES
WAIVER OF SUBROGATION AGAINST LANDLORD
MONROE COUNTY BOCC FIRE RESCUE
490 63 STREET SUITE 140
MARATHON, FL 33050
ACORD 25
SHOULD ANY OF THE ABOV E DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10
DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
0 ACORD CORPORATION 198E
C
UNTY jo'�MONROE
KEY WESTLORIDA 33040
(305)294-4641
FIRE RESCUE
HEADQUARTERS
490 63'd Street
Marathon, FL 33050
(305) 289-6004 / (305) 289-6010
MEMORANDUM
TO: Maria Slavik
Risk Management
FROM: Darice L. Hayes, Administrative Asst.
Fire Rescue
BOARD OF COUNTY COMMISSIONERS
MAYOR Murray E. Nelson, District 5
Mayor Pro Tern David P. Rice, District 4
Dixie M. Spehar, District 1
George Neugent, District 2
Charles "Sonny" McCoy, District 3
SUBJECT: COI for Para-Med Academy, Inc. (d/b/a EMS Academy)
Contract Date 07/ 14/2004 — 12/31 /2005 G • a v
DATE: October 05, 2004
The above subject contract was approved at the MCBOCC meeting of July 14, 2004. As per
your note (copy attached) until the original COI was received and stamped by you, the
routing of this contract came to a standstill. Please find attached the one (1) original and
three (3) duplicate originals of this contract along with the original COI. Jan Hotalen in the
County Attorney's office indicated this needs to go to your first before she routes it on.
Thank you.
If you have any questions, you can contact me at Ext. 6004.
Attachments
21
RECEIVED
OCT 0 7 2004
MONROE COUNTY ATTORNEY