FY1994 10/20/1993
A G R E E MEN T
AGREEMENT, made as of the 20th day of
1993, between the BOARD OF COUNTY COMMISSIONERS
FLORIDA, hereinafter referred to as "Board"
ASSOCIATION FOR RETARDED CITIZENS, hereinafter
October
OF MONROE COUNTY,
and the MONROE
referred to as
Z .-Tl
Cl ~
:z: Pl
WHEREAS, the Board is authorized by Chapter 70~~, L~s o~
~. <:: T'
Florida, 1970, to expend from the Board's General:!evenue,Funi1
-( .c.,."
such sums as are deemed necessary and advisable f~the -.garet;
treatment and rehabilitation of the retarded inBabitan~ di
..,..., .0 '---'
blo. .-:J
"Association."
Monroe County, and ~ -
WHEREAS, the Association provides residential care, training
schools, diagnostic and evaluation services, parent counseling,
and other programs for retarded adults of Monroe County, and
WHEREAS, the Board wishes the Association to provide such
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 services 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
1993-94.
2. ~. This Agreement shall commence October 1, 1993,
and terminate September 30, 1994, 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 Board examines and approves the monthly
reimbursement, the Board shall reimburse the
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
the Clerk of
request for
Association.
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
audit exception and
audit exception.
7. INDEMNIFICATION
billed by the Board for the amount of
the Association shall promptly repay
the
any
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 schedules 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 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.
All insurance policies must specify that they are not
subject to cancellation, non-renewal, material change, or
reduction in coverage unless a minimum of thirty (30) days prior
notification is given to the Board by the insurer. The standard
4
language of "endeavor to provide notification" is insufficient.
The acceptance and/or approval of the Association I s insurance
shall not be construed as relieving the Association 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
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
5
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) This agreement has been
Directors of the Association,
approved by the Board
if the 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
MARC
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.
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.
For Association:
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
6
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.
"
">-. ---"
I
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(SEAL)
ATTEST: DANNY L. KOLHAGE, CLERK
ByJ:hD-L.~ l C. f:1.,~
eputy Clerl<
a~rman
(k--~ 0. ~
,c/ g
~ ~~ '--
~tnes s
MONROE
RETARDE
FOR
By
"
~rector
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:,~'/n
7
.
'\pliI21.19'1.1
Isll'fillling
WOHKERS' COMPI~NSATION
INSURANC~ ImQUml~MI~NTS
FOH
CONTRACT
m~TWEEN
MONROE COUNTY, FLOHII>A
AND
MONROE ASSOCIATION
FOR RETARDED CITIZENS
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sullicient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits ofnolless than:
$100,000 Bodily Injury by Accident
$500,000 Bodily I~jury by Disease, policy limits
$100,000 BodiJy Injury by Disease, each employee
Coverage shall be maintained throughoulthe entire term orthe 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 the A.M. Best Company.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized sclf-
insurer, the County s!mll recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorizalion 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 may be required to submit updated financial statements from the fund
upon request from the County.
^dnlinistralive m.irm1ion
"4709.1
wel
HI
.
^l'riI22.199.1
hlt'rilltlng
GENERAL L1AIJJLlTY
INSURANCrG REQumIGM~;NTS
FOR
CONTRACT
BIGTWIGr<;N
MONROE COUNTY, FLOIW>A
ANI)
MONROE ASSOCIATION FOR RETARDED CITIZENS
Prior to the commcnccment of w0rk governed by this contract, the Contractor shall obtain
General Liability Insurancc. Coverage shall be maintaincd throughout the lile oflhe contract and
include, as a minimum:
. Premises Operations
. Products and Completed Operations
. I31anket Contractual Liability
. Personallt~ury Liability
. Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
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 aileI' the eflective 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.
The Monroe County Board of County Commissioners shaJl be named as Additional Insured 011 all
policies issued to satisfy the above requirements.
Adnlinistralivc lrNttldion
H470?1
GLI
54
.
April 22. 199.1
h.ll'rintinl~
VEIIICLE L1AHlLlTY
INSlJRANCE REQlJIIU<:MENTS
1I0R
CONTRACT
B1<:TWEEN
MONROE COlJN1Y, FLOI{II>A
AND
MONROE ASSOCIATION
FOR RETARDED CITIZENS
Recognizing that the work governcd by this contract requires the u~e of velJicle~, the Conlraclor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for:
. Owned, Non-Owned, and lIired Vehicles
The minimum limits acceptable shall be:
$100,000 Combined Single Limit (CSL)
Ifsplit limits are providcd, the minimum limits acceptablc shall be:
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on all
policies issued to satisfy the above requirements.
^dlllinildralivc In:dnll:lion
VLl
"'1709.1
75
.
April 21.19').1
I:d I'riulinc
PROFESSIONAL L1AHlLlTY
INSlJRANCIC REQUIIUCMENTS
FOI{
CONTRACT
BICTWEEN
MONROIC COUNTY, FLORII>A
ANI)
MONROE ASSOCIATION
FOR RETARDED CITIZENS
- Recognizing that the work governed by this C\lntract 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 fmm lIny claim
arising out orthe performance of professional services or any error or omission of the Contractor
arising out of work governed by this contract
The minimumlimils of liability shall be:
$250,000 per Occurrence/$500,OOO Aggregale
Administrative Jn~1ru,"1ioll
PROI
{J-170?1
72
PHILADELPHIA INSURANCE COMPANIES
600 Courtland St.
Suite #150
Orlando, FL 32804
7/13/93
THIS CERTIFICATE IS 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
PRODUCER
INSURED
Monroe Association for Retarded Citizens, Inc.
P.O. Box 428
Key West FL 33041-0428
COMPANY A
LETTER Philadel hia
COMPANY B
LETTER
COMPANY C
LETTER
COMPANY D
LETTER
E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURA.NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 100
INDICATED, NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFEcnVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DDIYY)
A GENERAL LIABILITY GENERAL AGGREGATE . 1,000,000
'-t~"-~"" PAODUCTS-COMP/OP AGG. . 500 000
:~ -J CLAIMS MADE [!] OCCUR. PHPG1DD653 6/08/93 6/08/94 PERSONAL & ADV, INJURY . 500 000
OWNER'S & CONTRACTOR'S PROT, EACH OCCURRENCE . 500 000
FIRE DAMAGE (Anyone fire) . 50,000
MED.EXPENSE(Anyoneperson) . 5 000
A AUTOMOBILE L1ABIUTY COMBINED SINGLE
-, ANY AUTO LIMIT . 300,000
, ALL OWNED AUTOS
1- BODilY INJURY
~. SCHEDULED AUTOS PHPG100653 6/08/93 6/08/94 (Per person) .
HIRED AUTOS BOOllY INJURY
NON-OWNED AUTOS (Per accident) .
, X
GARAGE LIABILITY
I-- PROPERTY OAMAGE .
: EXCESS UABIUTY EACH OCCURRENCE .
UMBRELLA FORM AGGREGATE .
--------
OTHER THAN UMBREllA FORM
WORKER'S COMPENSATION STATUTORY LIMITS
EACH ACCIDENT .
ANO
EMPLOYERS' UABIUTY DISEASE--POllCY LIMIT .
DISEASE--EACH EMPLOYEE .
OTHER Valuable Papers S 5,000
Inland Marine & Crime / PHPG100653 6/08/93 6/08/94 Employee Dishonesty S 10,000
$250 Deductible Loss of Money On/Off S 1,000
DESCRIPTION OF OPERAnONS/LOCATlONSNEHICLES/SPECIAL ITEMS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING COMPANY Will ENDEAVOR TO
MAIL ~ 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 KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
.........~I'l......""R"O...IlA........."""N........
:::::}:::::::::::::::~:,_-,_," ..,:....:',~::.~~:,:r;;;:..-:,-.;.,,:-,:M.~,._}:~,~;
Additional Insured:
Monroe County Board of County
Conmissioners
INFORMATION PAGE
RISK ID
FEIN 59-1031546
Insurer:
Governmental Risk Insurance Trust
POLICY
00113
N O.
1. The Insured: Monroe Association for Retarded Citizens, Inc.
X Corporation (Non-Profit)
Municipality
Physical Address:
1106 Windsor Lane
Key West. FL 33040
BY
DATE
J ~ Ld t{
X'lES
Mailing Address: P. O. Box 428
Key West. FL 33040
Other Locations: none
WMVE":
1m
2. The policy period is from Julv 20. 1993 to Julv 20. 1994
at the insured's mailing address. The Anniversary Rating Date is Julv 20.
3.
A.
Workers' Compensation Insurance: Part One of the policy applies to the Workers'
Compensation Law of the states listed here: FLORIDA
B. Employers Liability Insurance: Part Two of the policy applies to work in each state
listed in Item 3.A. The limits of our liability under Part Two are:
Bodily Injury by Accident
Bodily Injury by Disease
Bodily Injury by Disease
$100.000 each accident
$500.000 policy limit
$100.000 each employee
C. Other States Insurance: Part Three of the policy applies to the states, if any, listed
here: NONE.
D. This policy includes these endorsements and schedules: WC 09 04 02
4. The premium for this policy will be determined by our Manuals of Rules. Classifications.
Rates and Rating Plans. All information required below is subject to verification and
change by audit.
Classifications
Code
No.
Premium Basis
Total Estimated
Annual Remuneration
Rate Per
$100 of
Remuneration
Estimated Annual
Premium
SEE ATTACHED
Total Estimated Annual Premium $
Minimum Premium $500.00
Expense Constant $
countersigned by:
The Porter-Allen Company
tla June 29, 1993
000/001
GRIT (10/90)
"............."....................
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:t:I:M:Ii....;~::...tJ.:::L.:it...~Mt.):L..:::::J:L.::::::_)ftfL.:~ltg::.:.::::../...\.,.:::.::;::..::....\..J::.:::::::;:....::::::J:::::::r:~f~:::::::::::::,:..: .,'
::::::::::::,::::::::::::::::::::,::::::,::::::::::::::::::,:::::::::,:::::::.::,:::.::::.::,:::::::::::::::,:::::::::,:::::,::::::::::::::::::::::::::::::::::::::::.,:,:,::.,:,:,:":.:.,.:,-,-,,,
.................................."-.-.-...-.-.--...-.--","-'-'
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;:::::::t:::::::::::::::::::::t::::)~:~:::::::::))::;:::::::::)~:::}::}) ISSUE DATE (MM/DDIYY)
...................
PHILADELPHIA INSURANCE
600 Courtland St.
Suite #150
Orlando, FL 32804
COMPANIES
7/20/93
THIS CERTIFICATE IS 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.
PRODUCER
COMPANIES AFFORDING COVERAGE
INSURED
~tfon for Retarded Cfti'~~.
Key West Fl 33041-0428
COMPANY A
LETTER Phi tadel ia Indermity Insurance C any
COMPANY B
LETTER
"''">''1.'
COMPANY C
LETTER
Risk Mgmt. & Loss Control
COMPANY D
LETTER
DATE.
COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MMIDDIYY)
A GENERAL LIABILITY GENERAL AGGREGATE . 1,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. . 500,000
CLAIMS MADE c=!J OCCUR. PHPG100653 6/08/93 6/08/94 PERSONAL & ADV, INJURY . 500,000
OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE . 500,000
FIRE DAMAGE (Anyone fire) . 50,000
MED.EXPENSE(Anyoneperson) $ 5 000
A AUTOMOBILE LIABILITY COMBINED SINGLE
LIMIT .
ANY AUTO 300,000
ALL OWNED AUTOS BODILY INJURY
PHPG100653 (Per person) .
X SCHEDULED AUTOS 6/08/93 6/08/94
X HIRED AUTOS BODILY INJURY
(Per accident) .
X NON-OWNED AUTOS
GARAGE LIABILITY
APPROVED BY RISK MANA EMENT PROPERTY DAMAGE .
EXCESS LIABILITY EACH OCCURRENCE .
UMBRELLA FORM BY AGGREGATE .
OTHER THAN UMBRELLA FORM
:x STATUTORY LIMITS
WORKER'S COMPENSATION
WAIVER: N/A Y S EACH ACCIDENT .
ANO
DISEASE--POLlCY LIMIT .
EMPLOYERS' LIABILITY
DISEASEnEACH EMPLOYEE .
OTHER Valuable Papers $ 5,000
Inland Marine & Crime / PHPG100653 6/08/93 6/08/94 Employee Dishonesty $ 10,000
$250 Deductible loss of Money On/Off $ 1,000
DESCRIPTION OF OPERATlONS/lOCATIONSNEHICLES/SPECIAL ITEMS
Includes Social Workers Professional liability
Additional Insured:
Monroe County Board of County
Corrmissioners
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL ~ 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 KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE