FY1993 12/09/1992
A G R E E MEN T
AGREEMENT, made as of the ~ day of Y e tt"""'-DW
1992, between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA, hereinafter referred to as "Board" and the MONROE
ASSOCIATION FOR RETARDED CITIZENS, hereinafter referred to as
"Association."
WHEREAS, the Board is authorized by Chapter 70.290, Laws of
Florida, 1970 , to expend from the Board I s General Revenue Fund
such sums as are deemed necessary and advisable {-or thEtocat:el,
treatment and rehabilitation of the retarded irihabita~s ~
Monroe County, and ;g .;
WHEREAS, the Association provides residential care, t~inin.}
schools, diagnostic and evaluation services, parent coun~lingJ
and other programs for retarded adults of Monroe County, a~ ~~
WHEREAS, the Board wishes the Association to provid€' su~ii
services to the retarded adults of Monroe County on a free and
unrestricted basis as an aid in the Board's overall mental health
program, now, therefore,
IN CONSIDERATION of the promises made each to the other, the
Board and the Association agree as follows:
1. AMOUNT OF AGREEMENT. The Board, in consideration of
the Association satisfactorily performing the duties of the Board
as to rendering service~ in matters of care, treatment and
rehabilitation of retarded adults in Monroe County, shall pay to
the Association the sum of Twenty Five Thousand Dollars ($25,000)
for payment of personnel and operating expenses for fiscal year
1992-93.
2. TERM. This Agreement shall commence October 1, 1992,
and terminate September 30, 1993, unless earlier terminated
pursuant to other provisions herein.
3. PAYMENT. Payment will be paid monthly as hereinafter
set forth. On or before the 15th of each month, the Association
shall submit to the Board its request for reimbursement.
Evidence of payment shall be in the form of cancelled checks
submitted by the Association to the Board. After the Clerk of
the Board examines and approves the monthly request for
reimbursement, the Board shall reimburse the Association.
However, the total of said monthly payments in the aggregate sum
shall not exceed the total amount of Twenty Five Thousand
($25,000) during the term of this agreement.
4. SCOPE OF SERVICES. The Association, for the
consideration named, covenants and agrees with the Board to
substantially and satisfactorily perform and carry out the duties
of the Board in providing services in the area of:
(a) Residential care
(b) Diagnostic and evaluation services
(c) Sheltered workshop
(d) Case work service
(e) Training schools
(f) Other related services
for retarded citizens of Monroe County, as far as practical with
the funds to be provided by the Board.
5. STANDARD OF CARE. The services provided shall meet the
standards of the State Division of Mental Health and Division of
Mental Retardation.
6. RECORDS. The Association shall maintain appropriate
records to insure a proper accounting of all funds and
expenditures, and shall provide a clear financial audit trail to
allow for full accountability of funds received from said Board.
Access to these records shall be provided during weekdays, 8 a.m.
to 5 p.m., upon request of the Board, the State of Florida, or
authorized agents and representatives of the Board or State.
The Association shall be responsible for repayment of any
and all audit exceptions which are identified by the Auditor
General of the State of Florida, the Clerk of Court for Monroe
County, an independent auditor, or their agents and
representatives. In the event of an audit exception, the current
fiscal year contract amount or subsequent fiscal year contract
amounts shall be offset by the amount of the audit exception. In
the event this agreement is not renewed or continued in
subsequent years through new or amended contracts, the
2
Association shall be billed by the Board for the amount of the
audit exception and the Association shall promptly repay any
audit exception.
7.
INDEMNIFICATION AND HOLD HARMLESS.
The Association
covenants and agrees to indemnify and hold harmless Monroe County
Board of County Commissioners from any and all claims for bodily
1nJury (including death), personal injury, and property damage
(including property owned by Monroe County) and any other losses,
damages, and expenses (including attorney's fees) which arise out
of, in connection with, or by reason of services rendered under
this agreement by the Association or any of its agents,
employees, officers, subcontractors, in any tier, occasioned by
the negligence or other wrongful act or omission of the
Association or its subcontractors in any tier, their employees or
agents. In the event the completion of services is delayed or
suspended as a result of the Association's failure to purchase or
maintain required insurance, the Association shall indemnify the
Board from any and all increased expenses resulting from such
delay. The first Ten Dollars ($10.00) of remuneration paid to
the Association is for the indemnification provided above. The
extent of liability is in no way limited to, reduced, or lessened
by the insurance requirements contained elsewhere within this
agreement.
8. INDEPENDENT CONTRACTOR. At all times and for all
purposes hereunder, the Association is an independent contractor
and not an employee of the Board. No statement contained in this
agreement shall be construed so as to find the Association or any
of its employees, contractors, servants or agents to be employees
of the Board.
9. COMPLIANCE WITH LAW. In providing all services
pursuant to this agreement, the Association shall abide by all
statutes, ordinances, rules and regulations pertaining to or
regulating the provisions of, such services, including those now
in effect and hereinafter adopted. Any violation of said
statutes, ordinances, rules or regulations shall constitute a
material breach of this agreement and shall entitle the Board to
3
terminate this contract immediately upon delivery of written
notice of termination to the Association.
10. PROFESSIONAL
RESPONSIBILITY
AND
LICENSING.
The
Association shall assure that all professionals have current and
appropriate professional licenses and professional liability
insurance coverage. Funding by the Board is contingent upon
retention of appropriate local, state and/or federal
certification and/or licensure of the Association's program and
staff.
11. INSURANCE. The Association shall obtain, prior to the
commencement of work governed by this agreement, at the
Association's own expense, that insurance specified in the
insurance requirements forms for worker's compensation, general
liability, vehicle liability and professional liability, which
forms are attached hereto and incorporated herein by reference.
The Association will also insure that all subcontractors, in any
tier, have obtained the insurance as specified in the attached
schedules. The Association will not be reimbursed for any work
commenced prior to coverage with required insurance. The
Association will not be reimbursed for any services governed by
this contract until satisfactory evidence of the required
insurance has been furnished to the Board via either Monroe
County's certificate of insurance or a certified copy of the
actual insurance policy. Delays in the commencement of work,
resulting from the failure of the Association to provide
satisfactory evidence of the required insurance, shall not extend
deadlines specified in this agreement. The Association and any
subcontractors shall maintain the required insurance throughout
the entire term of this agreement. Failure to comply with this
provision may result in the immediate termination of
reimbursement.
The Board, at its sole option, has the right to request a
certified copy of any or all insurance policies required by this
agreement. If a certificate of insurance is provided, the
County-prepared form must be used. "Accord Forms" are not
acceptable.
4
All insurance policies must specify that they are not
subject to cancellation, non-renewal, material change, or
reduction in coverage unless a minimum of forty-five (45) days
prior notification is given to the Board by the insurer. The
standard language of "endeavor to provide notification" is
insufficient. The acceptance and/or approval of the
Association's and subcontractor I s insurance shall not be
construed as relieving the Association or subcontractor from any
liability or obligation assumed under this agreement or imposed
by law.
Monroe County, Monroe County Board of County Commissioners,
its employees and officials shall be included as "additional
insureds" on all policies, except for worker's compensation.
Any deviations from these general insurance requirements
must be requested in writing on the County-prepared form entitled
"Request for Waiver or Modification of Insurance Requirements"
and approved by Monroe County's Risk Manager.
12. MODIFICATIONS AND AMENDMENTS. Any and all modifica-
tions of the services and/or reimbursement of services shall be
amended by an agreement amendment, which must be approved in
writing by the Board.
13. NO ASSIGNMENT. The Association shall not assign this
agreement except in writing and with the prior written approval
of the Board, which approval shall be subject to such conditions
and provisions as the Board may deem necessary. This agreement
shall be incorporated by reference into any assignment and any
assignee shall comply with all of the provisions herein. Unless
expressly provided for therein, such approval shall in no manner
or event be deemed to impose any obligation upon the Board in
addition to the total agreed upon reimbursement amount for the
services of the Association.
14. NON-DISCRIMINATION. The Association shall not
discriminate against any person on the basis of race, creed,
color, national origin, sex or sexual orientation, age, physical
handicap, or any other characteristic or aspect which is not
job-related in its recruiting, hiring, promoting, terminating or
any other area affecting employment under this agreement. At all
5
times, the Association shall comply with all applicable laws and
regulations with regard to employing the most qualified person(s)
for positions under this agreement. The Association shall not
discriminate against any person on the basis of race, creed,
color, national origin, sex or sexual orientation, age, physical
handicap, financial status or any other characteristic or aspect
in its providing of services.
15. AUTHORIZED SIGNATORY. The signatory for the
Association, below, certifies and warrants that:
(a) The Association's name in this agreement is the full
name as designated in its corporate charter, if a corporation, or
the full name under which the Association is authorized to do
business in the State of Florida;
(b) He or she is empowered to act and contract for the
Association; and
(c)
Directors
This
of
agreement has been approved
the Association, if the
by the Board
Association is
of
a
corporation.
16. NOTICE. Any notice required or permitted under this
agreement shall be in writing and hand-delivered or mailed,
postage pre-paid, by certified mail, return receipt requested, to
the other party as follows:
For Board:
Monroe County Attorney
310 Fleming St., Rm. 29
Key West, Florida 33040
For Association:
Executive Director
P.O. Box 428
Key West, Florida 33041
17. CONSENT TO JURISDICTION. This agreement shall be
construed by and governed under the laws of the State of Florida
and venue for any action arising under this agreement shall be in
Monroe County, Florida.
6
18. NON-WAIVER. Any waiver of any breach of covenants
herein contained to be kept and performed by the Association
shall not be deemed or considered as a continuing waiver and
shall not operate to bar or prevent the Board from declaring a
forfeiture for any succeeding breach, either of the same
conditions or covenants or otherwise.
19. AVAILABILITY OF FUNDS. If funds cannot be obtained or
cannot be continued at a level sufficient to allow for continued
reimbursement of expenditures for services specified herein, this
agreement may be terminated immediately at the option of the
Board by written notice of termination delivered to the
Association. The Board shall not be obligated to pay for any
services or goods provided by the Association after the
Association has received written notice of termination, unless
otherwise required by law.
20. PURCHASE OF PROPERTY. All property, whether real or
personal, purchased with funds provided under this agreement,
shall become the property of Monroe County and shall be accounted
for pursuant to statutory requirements.
21. ENTIRE AGREEMENT. This agreement constitutes the
entire agreement of the parties hereto with respect to the
subject matter hereof and supersedes any and all prior agreements
with respect to such subject matter between the Association and
the Board.
IN WITNESS WHEREOF, the parties hereto have caused these
presents to be executed as of the day and year first written
above.
(SEAL)
ATTEST: DANNY L. KOLHAGE, CLERK
By..Qnl,^' C. ~~
~puty Cl~r
By
COUNTY COMMISSIONERS
OUNTY, FLORIDA
--
X1d~ ,~~
_/2)I~~ 9AA~' J
. Wi esses
MONROE ASSOCIATION FOR
RETARDE C TIZENS
'"--,
rector
,
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By
7
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Doto I~ '2.S 92-
(
GENERAL LIABILITY
INSURANCE REQUIREMENTS
.~OP
CONTRACT.
BETWEEN
MONROE COUNTY, FLORIDA
ANn
Prior to the.commencement of work governed by this contract, the
Contractor shall obtain General Liability Insurance. Coverage
shall be maintained throughout the life of the contract and
include, as a minimum:
o Premises Operations
o Products and Completed operations
o Blanket Contractual Liability
o Personal Injury Liability
o E:(panded Definition of Property Damage
o Medical Payments
(
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
$ 5,000 Medical Payments
If split limits are provided, the minimum limits acceptable shall
be:
$250,000 per Person
$500,000 per Occurrence
$ 50,000 Property Damage
$ 5,000 Medical Payments
An Occurrence Form policy is preferred. If coverage is provided
on a Claims Made pOlicy, its provisions should include coverage
for claims filed on or after the effective date of this contract.'
In addition, the period for which claims may be reported should
extend for a minimum of twelve (12) months fOllowing the
acceptance of work by the County.
Monroe County and Monroe County's Board of County Commissioners
shall be named as Additional Insureds on all pOlicies issued to
satisfy the above requirements.
GL2 . I
(
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the
Contractor shall obtain Vehicle Liability Insurance. Coverage
shall be maintained throughout the life of the contract and
include, as a minimum, liability coverage for:
o Owned, Non-Owned, and Hired Vehicles
o Medical Payments
The minimum limits acceptable shall be:
$300,000 Combined single Limit (CSL)
$ 5,000 Medical Payments
(
If split limits are provided, the minimum limits acceptable shall
be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
$ 5,000 Medical Payments
Monroe County and Monroe County's Board of County Commissioners
shall be named as Additional Insureds on all pOlicies issued to
satisfy the above requirements.
VL2 .
~
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the
Contractor shall obtain Workers' Compensation Insurance with
limits sufficient to respond to the applicable state's statutes.
In addition, the Contractor shall obtain Employers' Liability
Insurance with limits of not less than:
$100,000 Bodily Injury by Accident
$200,000 Bodily Injury by Disease, each employee
$200,000 Bodily Injury by Disease, policy limits
Coverage shall be maintained throughout the entire term of the
contract.
,
Coverage shall be provided by a company or companies authorized
to transact business in the state of Florida and the company or
companies must maintain a minimum rating of A-VI, as assigned by
th7 A.M. Best Company.
If the Contractor has been approved by the Florida's Department
of Labor, as an authorized self-insurer, the County shall
recognize and honor the Contractor's status. The Contractor
shall be required to submit a Letter of Authorization issued by
the Department of Labor and a certificate of Insurance, providing
details on the Contractor's ExceSs Insurance Program.
If the Contractor participates in a self-insurance fund, a
certificate of Insurance will be required. In addition, the
Contractor will be required to submit updated financial
statements from the fund upon request from the County.
,
~l'
(
PROFESSIONAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves the
furnishing of advice or services of a professional nature, the
contractor shall purchase and maintain, throughout the life of
the contract, Professional Liability Insurance which will respond
to damages resulting from any claim arising out of the
performance of professional services or any error or omission of
the contractor arising out of work governed by this contract.
The minimum limits of liability shall be:
$500,000 per Occurrence
(
PR02"
O~~rY ~o~~~~E
(305) 294-4641
BOARD OF COUNTY COMMISSIONERS
MAYOR, Jack London, District 2
Mayor Pro Tem, A Earl Cheal, District 4
Wilhelmina Harvey, District 1
Shirley Freeman, District 3
Mary Kay Reich, District 5
MEMORANDUM
To:
Beth Leto
County Attorney's Office
Kay Bahleda ~
Risk Management
From:
Date:
April 7, 1993
Subject:
MONROE ASSOCIATION FOR RETARDED CITIZENS, INC
WORKER'S COMP/EMPLOYERS' LIABILITY INSURANCE
Attached please find an original Certificate of Insurance for
Worker's Compensation/Employer's Liability for subject funding
agreement.
This certificate (coupled with previously received General Liabil-
ity/Professional Liability and Vehicle Liability certificates)
consistutes insurance sufficiency for this contract.
If you have any questions, please call.
ill':. j?!(~B fl'tWr;:'>. ,.@
""di;.,l:;'~."ilr,~ ;'~ \"'~I !~'''\~,
'.'. .J ~:':j ~~:' ,-;;.-m '0;.", ~ J ~:ij. : I
JiJ.v'eo '~ #J
IWR 7 1993
COUNTY ArTY
I A.D..lllt.
,
I PRODUCER
i THE PORTER ALLEN COMPANY
513 SOUTHARD STREET
KEY WEST,FLA. 33040
CERTIRCATE OF INSURANCE
ISSUE DATE (MM/DDfYY)
4/6/93
THIS CERTIFICATEis ISSUED AS A MATTER OF INFORMATION ONLY AND .
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
1-305-294-2542
t~~NY A
GOVERNMENTAL RISK TRUST
INSURED
MONROE ASSOCIATION FOR RETARDED
CITIZENS, INC.
P.O. BOX 428
KEY WEST,FLA. 33040
COMPANY B
LETTER
Recei~
Risk Mgmt, &. Lo~ contr~OI
DATE ~ -7 7i3_
INITIAL '--;(Q!3 I
--- I-f6a"
~~~~~NY C
f~T~~~NY D
f~~~~NY E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDlTlON 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 TI;.F:!f)lS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. C~ 'TYI.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRA nON
DATE (MMfODfYY) DATE (MMIDD/VY)
LIMITS
'( -? -fJ
AUTOMOBILE LIABILITY
ANY AUTO
All OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
GENERAL AGGREGATE $
PRODUCTS-COMP/OP AGG. $
PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
UfO. EXPENSE (Any on8 person) $
,"_,__"_'__~_"__~m____" __"'__'~_
I
I
_J
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE
OCCUR.
OWNER'S & CONTRACTOR'S PROTo
COMBINED SINGLE $
LIMIT
BQDll Y INJURY $
(Per person)
BODILY INJURY $
(Per accident)
_.~ROPERTY.~AMAG~_~___~____,,__._I
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
$
$
7/20/92 7/20/93
STATUTORY liMITS
EACH ACCIDENT S
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
A
WORKER'S COMPENSATION
ANO
EMPLOYERS' LIABILITY
00113
100,000
500,000
100,000__ I
I
I
I
!
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
I
CERTIFICATE HOLDER
CANCELLATION
MONROE COUNTY BOARD OF COUNTY
JR. COLLEGE ROAD
KEY WEST,FLA. 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COMMISSIONER~xPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ----.!9DAYS WRITTEN TICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT RE A CH NOTICE SHALL IMPOSE NO OBLIGATION OR
L1ABILlT Y. I HE COMPANY, ITS AGENTS OR REPRESENTATIVES.
I
I
I
@ACOROCORPORATION 1990 I
I
l~~R~.25-S_!?:/IMlL.
A.~..lm.
CERTIFICATE OF INSURANCE
ISSUE OA TE (MM/ODIYYI
X 3/Ul/93
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTlFICA TE
DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES. BELOW. ... .. ._..... ___. ..''......_.._...._..._._.____..... ......
PRODUCER
PHILADELPHIA .INSURANCE COMPANIES
600 Courtland St" #150
Orlando, FL 32804
COMPANIES AFFORDING COVERAGE
MONROE ASSOCIATION FOR RETARDED
CITIZENS, INC;
P.O. Box 428
Key West, FL 33041-0428
COMPANY A_
LETTER . NORTH AMERICAN SPECIALTY IN~CE COMPANY
COMPANY B . IV. r, Ie L ,,1""-1)
LETTER lj~-A.{CL.'/"Z"C'" ~ './ (f:1. 'LA.-.
f~T'1.~NY C Y 1 ReceiVtld LJ / It' ) (1
Risk Mgmt. & Loss Control -/ 1 '/')
=~'W9JDr/
COMPANY D
l.ETTER
INSURED
COMPANY E
LETTEA
'COVERAGES
THIS IS 10 CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS.AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
00'
LTR,
TVP. OF INSURANCI
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YYl DATE (MMlOONY)
LIMITS
, G~NI!RAL LIABIUTY
A i X ! COMMERCIAL GENERAL LIABILITY
t... ,..,. ,. : CLAIMS MADE, X . OCCUR.
: OWNER'S & CONTRAOTOR'S PROTo
l-.'
37003CA00502-00
06/08/92
GENERA' AGGReGATE if ,660,000
06/08/93 PROOUCTS.COMP/OP AGG. '1,000.000
PERSONAL. AOV. 'NJURY '1 , 000 , 000
EACH OCCURRENCE '1 ,000,000
FIRE OAMAGe IAn, one "",. 50,000
.. ..!"~~..~~!~~!.~.!?'~~!.......... _.5,000
COMBINED,SINGlE
lIMIT
I
300,000
I. .. ,,'
r-' A_~:OMOBILE, LIABILITY
'-J AN.... AUTO .
. , ALL OWNEO AUTOS
Ac . Ci~ SCHEOIJLED AUTOS
~.....".".~=-
::'" ", GARAGE UABIL!TY
, ,,' .
. f EXCESS L1ABIUTY
r~~] UMBRE~LA FOAM
( ;QTHERTHANUM8R~~~~~
WOFlKUI'S'COMPeNSA TION
AND
EMPLOYERS' LIABILITY
PHPG100197
06/08/92
BODilY INJURY
(Per par.on)
06/08/93 SODILY INJURY
(p,r.ccld'nl)
.
.
PROPERTY OAMAGE
. e~~H"OCCURRENCE~-.--'s' ....~'"...~.. .
AGGREGATE $
STATUTORY, LIMITS
EACH ACCIDENT $
DISEASe-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
i OTHER
I?ESCRIPTION OP OPERA1'IONSlt.OCATIOHSI'IEKICLESISPEC1A\. lUMS
--....-.--....-............"'''.
:CE.RTIFICATE HOLDER / ADDITIONAL INSURED
. MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
Key West, FL 33040
CANCELLATION
i'ACORD25-S.,(?!.~OJ_ ..:.
SHOULD ANY OF TH.E ABOVE DESCRIBED POLICIES BE CANCE'LED BEFORE THE
EXPIRATION DATE 'THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL..l!2... DAYS WRiTTEN NOTICE TO THE CERTIFICATE HOLDeR NAMED TO THE
LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHO RIIPRESENTATIVj" -i11 /l. . /' A-; '..1 .'/ .
, , l ~~O#'cORPORATlON 1990