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HomeMy WebLinkAbout2003-253Q. y CHILDREN'S SERVICES ADVISORY COMMITTEE C/O Human Services 1840 25`" Street Vero Beach , Florida 32960-3394 Phone: 561 -567-8000 (Ext. 467 or 524) Fax: 978-1798 E-Mail : JcadsonObcc.co. indian-river.fl . us Mmastersonabcc. co.indian-dver.fl . us To : Beth Jordan From : Joyce Johnston-Carlson Date : October 29 , 2003 Re : Grant Contracts 2003 -04 The attached is a Children ' s Service Advisory Committee Grant Contract for: CEBH — Mental Health Program Please review the insurance certificate and verify that it is adequate by signing on the line below . Contact me if you have any questions . Thank you . �c Beth Jordan Date i/ �.J - y3 Indian River County Grant Contract This Grant Contract ("Contract" ) entered into effective this 1st day of October 2003 by and between Indian River County, a political subdivision of the State of Florida , 1840 25th Street, Vero Beach FL , 32960 ("County") and Center for Emotional & Behavioral Health (" Recipient") ; of: (Address ) Center for Emotional & Behavioral Health 119037 th Street Vero Beach , Florida 32960 Mental Health Services Background Recitals A. The County has determined that it is in the public interest to promote healthy children in a healthy community. B . The County adopted Ordinance 99- 1 on January 19 , 1999 ("Ordinance") and established the Children 's Services Advisory Committee to promote healthy children in a healthy community and to provide a unified system of planning and delivery within which children 's needs can be identified , targeted , evaluated and addressed . C . The Children 's Services Advisory Committee has issued a request for proposals from individuals and entities that will assist the Children 's Services Advisory Committee in fulfilling its purpose . D . The proposals submitted to the Children 's Services Advisory Committee and the recommendation of the Children 's Services Advisory Committee have been reviewed by the County. E . The Recipient, by submitting a proposal to the Children 's Services Advisory Committee , has applied for a grant of money ("Grant" ) for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . F . The County has agreed to provide such Grant funds to the Recipient for the Grant Period (as such term is hereinafter defined ) on the terms and conditions set forth herein . NOW THEREFORE , in consideration of the mutual covenants and promises herein contained , and other good and valuable consideration , the receipt and adequacy of which are hereby acknowledged , the parties agree as follows : 1 . Background Recitals The background recitals are true and correct and form a material part of this Contract . 2 . Purpose of Grant The Grant shall be used only for the purposes set forth in the complete proposal submitted by the Recipient attached hereto as Exhibit "A" and incorporated herein by this reference (such purposes hereinafter referenced as "Grant Purposes") . 3 . Term The Recipient acknowledges and agrees that the Grant is limited to the fiscal year 2003/2004 ("Grant Period") . The Grant Period commences on October 1 , 2003 and ends on September 30 , 2004 . - 1 - 4 . Grant Funds and Payment The approved Grant for the Grant Period is Seventy Six Thousand Dollars ($76 , 000 ) . The County agrees to reimburse the Recipient from such Grant funds for actual documented costs incurred for Grant Purposes provided in accordance with this Contract . Reimbursement requests may be made no more frequently than monthly. Each reimbursement request shall contain the information , at a minimum , that is set forth in Exhibit " B" attached hereto and incorporated herein by this reference . All reimbursement requests are subject to audit by the County . In addition , the County may require additional documentation of expenditures , as it deems appropriate . 5 . Additional Obligations of Recipient . 5 . 1 Records . The Recipient shall maintain adequate internal controls in order to safeguard the Grant . In addition , the Recipient shall maintain adequate records fully to document the use of the Grant funds for at least three (3 ) years after the expiration of the Grant Period , The County shall have access to all books , records , and documents as required in this Section for the purpose of inspection or audit during normal business hours at the County's expense , upon five (5 ) days prior written notice . 5 .2 Compliance with Laws . The Recipient shall comply at all times with all applicable federal , state , and local laws , rules , and regulations . 5 . 3 Quarterly Performance Reports . The Recipient shall submit Quarterly Performance Reports to the Human Services Department of the County within fifteen ( 15 ) business days following : December 31 , March 31 , June 30 , and September 30 . 5 .4 Audit Requirements . If Recipient receives $25 , 000 or more in the aggregate from all Indian River County government funding sources , the Recipient is required to have an audit completed by an independent certified public accountant at the end of the Recipient's fiscal year. Within 120 days of the end of the Recipient's fiscal year, the Recipient shall submit the audit to the Indian River County Office of Management and Budget. The fiscal year will be as reported on the application for funding , and the Recipient agrees to notify the County prior to any change in the fiscal period of Recipient . The Recipient acknowledges that the County may deny funding to any Recipient if an audit required by this Contract for a prior fiscal year is past due and has not been submitted by May 1 . 5 .4 . 1 The Recipient further acknowledges that , promptly upon receipt of a qualified opinion from its independent auditor, such qualified opinion shall immediately be provided to the Indian River County Office of Management and Budget . The qualified opinion shall thereupon be reported to the Board of Commissioners and funding under this Contract will cease immediately. The foregoing termination right is in addition to any other right of the County to terminate this Contract. 5 .4 . 2 The Indian River County Office of Management and Budget reserves the right at any time to send a letter to the Recipient requesting clarification if there are any questions regarding a part of the financial statements , audit comments , or notes . 5 . 5 Insurance Requirements . Recipient shall , no later than September 23 , 2003 , provide to the Indian River County Risk Management Division a certificate or certificates issued by an insurer or insurers authorized to conduct business in Florida - 2 - that is rated not less than category A- : VII by A. M . Best , subject to approval by Indian River County's risk manager, of the following types and amounts of insurance : ( i ) Commercial General Liability Insurance in an amount not less than $ 1 , 000 ,000 combined single limit for bodily injury and property damage , including coverage for premises/operations , products/completed operations , contractual liability, and independent contractors ; ( ii ) Business Auto Liability Insurance in an amount not less than $ 1 , 000 , 000 per occurrence combined single limit for bodily injury and property damage , including coverage for owned autos and other vehicles , hired autos and other vehicles , non-owned autos and other vehicles ; and (iii ) Workers' Compensation and Employer's Liability (current Florida statutory limit) 5 . 6 Insurance Administration . The insurance certificates , evidencing all required insurance coverages shall be fully acceptable to County in both form and content, and shall provide and specify that the related insurance coverage shall not be cancelled without at least thirty (30 ) calendar days prior written notice having been given to the County. In addition , the County may request such other proofs and assurances as it may reasonably require that the insurance is and at all times remains in full force and effect . Recipient agrees that it is the Recipient's sole responsibility to coordinate activities among itself, the County, and the Recipient's insurer(s ) so that the insurance certificates are acceptable to and accepted by County within the time limits set forth in this Contract . The County shall be listed as an additional insured on all insurance coverage required by this Contract, except Workers ' Compensation insurance . The Recipient shall , upon ten ( 10 ) days ' prior written request from the County, deliver copies to the County, or make copies available for the County's inspection at Recipient's place of business , of any and all insurance policies that are required in this Contract. If the Recipient fails to deliver or make copies of the policies available to the County; fails to obtain replacement insurance or have previous insurance policies reinstated or renewed upon termination or cancellation of existing required coverages ; or fails in any other regard to obtain coverages sufficient to meet the terms and conditions of this Contract , then the County may, at its sole option , terminate this Contract. 5 . 7 Indemnification . The Recipient shall indemnify and save harmless the County, its agents , officials , and employees from and against any and all claims , liabilities , losses , damage , or causes of action which may arise from any misconduct, negligent act, or omissions of the Recipient , its agents , officers , or employees in connection with the performance of this Contract. 5 . 8 Public Records . The Recipient agrees to comply with the provisions of Chapter 119 , Florida Statutes ( Public Records Law) in connection with this Contract. 6 . Termination . This Contract may be terminated by either party, without cause , upon thirty (30 ) days prior written notice to the other party. In addition , the County may terminate this Contract for convenience upon ten ( 10 ) days prior written notice to the Recipient if the County determines that such termination is in the public interest . 7 . Availability of Funds . The obligations of the County under this Contract are subject to the availability of funds lawfully appropriated for its purpose by the Board of County Commissioners of Indian River County. 3 - 8 . Standard Terms , This Contract is subject to the standard terms attached hereto as Exhibit C and incorporated herein in its entirety by this reference . IN WITNESS WHEREOF , County and Recipient have entered into this Contract on the date first above written . INDIAN RIVER COUNTY BOARD OF COUNTY COMMISSPIERS By : z1ga Kenneth Fk . 9adht , Charman Attest : J . K. Barton , Clerk B . Deputy Clerk Approved : anauaQUI �p ' J es Cliandler, County Admi trat r A pro"tond legal sufficiency : isn orney RECIPIENT : Center for Emotional & Behavioral Health 119037 th Street Vero Beach , Florida 32960 r By: R/aymorto Dean , MD J� CA re' Title - 4 - EXHIBIT A [Copy of complete proposal/application] - 1 - EXHIBIT B [From policy adopted by Indian River County Board Of County Commissioners on February 19 , 2002] " D . Nonprofit Agency Responsibilities After Award of Funding Indian River County provides funding to all nonprofit agencies on a reimbursement basis only. All reimbursable expenses must be documented by an invoice and/or a copy of the canceled check . Any expense not documented properly to the satisfaction of the Office of Management & Budget and/or the County Administrator may not be reimbursed . If an agency repeatedly fails to provide adequate documentation , this may be reported to the Board of Commissioners . In the event an agency provides inadequate documentation on a consistent basis , funding may be discontinued immediately. Additionally, this may adversely affect future funding requests . Expenditures may only be reimbursed from the fiscal year for which funding was awarded . For example , no expenditures prior to October 1St may be reimbursed with funds from the following year. Additionally, if any funds are unexpended at the end of a fiscal year, these funds are not carried over to the next year unless expressly authorized by the Board of Commissioners . All requests for reimbursement at fiscal year end (September 301h) must be submitted on a timely basis . Each year, the Office of Management & Budget will send a letter to all nonprofit agencies advising of the deadline for reimbursement requests for the fiscal year. This deadline is typically early to mid October, since the Finance Department does not process checks for the prior fiscal year beyond that point . Each reimbursement request must include a summary of expenses by type . These summaries should be broken down into salaries , benefits , supplies , contractual services , etc . If Indian River County is reimbursing an agency for only a portion of an expense (e . g . salary of an employee ) , then the method for this portion should be disclosed on the summary. The Office of Management & Budget has summary forms available . Indian River County will not reimburse certain types of expenditures . These expenditure types are listed below. a . Travel expenses for travel outside the County including but not limited to ; mileage reimbursement , hotel rooms , meals , meal allowances , per Diem , and tolls . Mileage reimbursement for local travel (within Indian River County) is allowable . b . Sick or Vacation payments for employees . Since agencies may have various sick and vacation pay policies , these must be provided from other sources . c . Any expenses not associated with the provision of the program for which the County has awarded funding . d . Any expense not outlined in the agency's funding application . The County reserves the right to decline reimbursement for any expense as deemed necessary. " - 1 - EXHIBIT C STANDARD TERMS FOR GRANT CONTRACT 1 . Notices : Any notice , request , demand , consent , approval or other communication required or permitted by this Contract shall be given or made in writing , by any of the following methods : facsimile transmission ; hand delivery to the other party; delivery by commercial overnight courier service ; or mailed by registered or certified mail ( postage prepaid ) , return receipt requested at the addresses of the parties shown below: County: Joyce Johnston - Carlson , Director Indian River County Human Services 184025 th Street Vero Beach , Florida 32960-3365 Recipient : Center for Emotional & Behavioral Health 119037 th Street Vero Beach , Florida 32960 Attention : Dr. Dean , Executive Director 2 . Venue : Choice of Law: The validity, interpretation , construction , and effect of this Contract shall be in accordance with and governed by the laws of the State of Florida , only. The location for settlement of any and all claims , controversies , or disputes , arising out of or relating to any part of this Contract , or any breach hereof, as well as any litigation between the parties , shall be Indian River County, Florida for claims brought in state court , and the Southern District of Florida for those claims justifiable in federal court. 3 . Entirety of Agreement: This Contract incorporates and includes all prior and contemporaneous negotiations , correspondence , conversations , agreements , and understandings applicable to the matters contained herein and the parties agree that there are no commitments , agreements , or understandings concerning the subject matter of this Contract that are not contained herein . Accordingly, it is agreed that no deviation from the terms hereof shall be predicated upon any prior representations or agreements , whether oral or written . It is further agreed that no modification , amendment or alteration in the terms and conditions contained herein shall be effective unless contained in a written document signed by both parties . 4 . Severability: In the event any provision of this Contract is determined to be unenforceable or invalid , such unenforceability or invalidity shall not affect the remaining provisions of this Contract , and every other term and provision of this Contract shall be deemed valid and enforceable to the extent permitted by law. To that extent, this Contract is deemed severable . 5 . Captions and Interpretations : Captions in this Contract are included for convenience only and are not to be considered in any construction or interpretation of this Contract or any of its provisions . Unless the context - 1 - indicates otherwise , words importing the singular number include the plural number, and vice versa . Words of any gender include the correlative words of the other genders , unless the sense indicates otherwise . 6 . Independent Contractor, The Recipient is and shall be an independent contractor for all purposes under this Contract . The Recipient is not an agent or employee of the County , and any and all persons engaged in any of the services or activities funded in whole or in part performed pursuant to this Contract shall at all times and in all places be subject to the Recipient's sole direction , supervision , and control . 7 . Assignment . This Contract may not be assigned by the Recipient without the prior written consent of the County. - 2 - Job Description for Outpatient Child/Adolescent Psychiatrist This agreement will begin October 1 , 2003 for a term of 1 year expiring September 30, 2004 . This position will be for Director of the Child and Adolescence Outpatient Services, currently held by Dr. Judy Linger, that will include 8 hours of outpatient clinic per week. This grant funded position for outpatient psychiatric services will target the underinsured child/adolescent population of Indian River County. The amount awarded for this grant will be $76, 000 per year. The psychiatrist will be required to obtain/maintain (a) valid and unrestricted license to practice medicine in the State of Florida, (b) active membership in good standing on the IRMH medical staff, (c) DEA license and (d) board certification by the American Board of Psychiatry and Neurology. The Physician as Medical Director for the Child and Adolescence Outpatient Services, shall have specific service responsibilities, including, but not limited to, the following : • To direct and coordinate all clinical activities of the Child and Adolescence Outpatient Psychiatric Service at CEBH, including review and assessment of the appropriateness, quality and effectiveness of care rendered. • To implement and support a program of continuous quality improvement in the delivery of clinical outpatient services at CEBH. • To support and collaborate on a routine basis with the Executive Director of CEBH, as well as Indian River County Health Department and the Director of Indian River County Human Services . • To cause CEBH to comply with any and all governmental and Joint Commission on Accreditation of Healthcare Organizations ("JCAHO"), record keeping, reporting requirements as well as accreditation standards applicable to CEBH. • To serve as a liaison between Indian River County Health Department, the Director Of Indian River County Human Services and CEBH, promoting effective communication and understanding about the service and its objectives . • To evaluate the outpatient services and programs of CEBH and advise Indian River County Health Department and Indian River County Human Services promptly of any deficiencies in either. • To develop a system for utilization of Global Assessment of Functioning scores (GAP), as a measurement of progress and ultimate outcome. This assessment tool will be included in the initial assessments and on subsequent quarterly reviews of progresses made of each child/adolescent patient involved in the clinic . • To assist Indian River County Human Services in the promotion and development of the children/adolescent outpatient program at CEBH. • To maintain and submit the appropriate monthly documentation that documents duties performed on behalf of the children/adolescent outpatient program at CEBH. • In fulfilling the responsibilities hereunder, the Physician shall do so in accordance with the standards accepted by the American Board of Psychiatry, the standards of the Joint Commission on Accreditation of Healthcare Organizations and other regulatory and accrediting bodies with jurisdiction and in accordance with the bylaws, rules and regulation of the Hospital and its medical staff. • The Physician who is performing in the capacity as a Medical Director for the Children/Adolescent Outpatient Psychiatric Program of CEBH shall be present on the premises of CEBH not less than eight (8) hours per week. • Based on benchmarked performance levels this could serve an average of two to three children/adolescent per hour, or an overall estimate of one hundred ( 100) children/adolescents per year. • Accept referrals from Indian River county Health Department and/or from agencies funded by Indian River County Children ' s Services Advisory, Committee. • To meet quarterly with Indian River County Health Department and Indian River County Human Services Director to discuss any inadequacies or possible changes needed to improve communications or referral process to the Program. 10/ 10/2003 15 : 16 HCIR. 4 17725634564 N0 . 143 1?02 ACO1�P_ - INSURANCE BINDER OPIo DATE 10 / z0 / n3 YHIS BINDER 15 A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. TI PRODUCER I_Ag No E 800 - 729 - 4149 COMPANY af1+DFRz 80411 704 - 365 - 7124 Fireman ' s Fund Ins . Cos . DATE TIME EXPIRATION T@IRATI TIME E4cNeasy Healthcare - FL " I-�------� -- 6525 Morrison Blvd . , suite 200 AM Is:o, Alrf Charlott® NC 28211 10 / 12 / 03 PM 12 / 11 / 03 it NOON Florida_ Hospital Aasoai-aHE tion THIS BINDER 16 ISSUED TO EXTEND COVERAGE IN TAFtOVENAMEDCOMPANY �.� SUB CODE, PEREXPIRINGPOLICYO: MZG80819831 CODE; I AGENCY• DESCRIPTION OF OPERATIONWEHICLESIPROPERTY (InduMnp Location)CUSTOMER M : INC) ZA` 1 INSURED Indian River Memorial Hospital Greg Morgan 1000 36th Street Vero Beach FL 32960 COVERAGES [ IMl I type OF INSURANCE COVERAGEJFORMS DEDUCTIBLE COINS U AMOUNT PROPERTY CAUSES OF LOSS l BASIC _ BROAD SPEC GENERAL LIABILITY I EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) S I I CLAIMS MAD[ I i OCCUR MED EXP (Any 9m parson) $ I PERSONAL a AOV INJURY S —� GENERAL AGGREGATE_ $ +� RETRO DATE FOR CLAIMS MADE: PRODUCTS • COMP/OP AGG $ AUTOMOBILE LIABIUTY COMBINED SINGLE lIM(T S 2 , OOO � OOO �( ANY AUTO ROPILY INJURY (Pot pm6oAI -- 1 S ALL OWNED AUTOS BODILY INJURY (Pe, aceidea) SCHEDULED AUTOS PROPERTY DAMAGE s " - HIRED AUTOS MEDICAL PAYMENTS I L 5 , 000 .� .�. __ • NON-OWNED AUTOS PERSONAL WJURY PROT S � UNINSUREDMbTORIST s1 , 000 , 000 I i AUTO PHYSICAL DAMAGE DEDUCTIBLE X j ALL VEHICLES SCHEDULED VEHICLESX ACTUAL CASH VALUE Xy COLLISION- 500 STATED AMOUNT $ X I OTHER THAN COL' 2.5 0 _ OTHER GARAGE LIABILITY I AUTO ONLY . EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT f ••' - � - -- AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMORELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE : SELF •INSURED RETENTION 3 WC STATUTORY LIMITS WORXER66 COMPENSATION E.L EACH ACCIDENT j ;AND ^ EMPLOYER'S LIABILITY E.L. DISEASE - EA EMPLOYEE S E.L, DISEASE • POLICY LIMIT 5 SPECIAL rHY6ICAT. DAMGE ( COti' ' T ) : ALmbulanoaa G Heavy Units : $ 500 Dad _ Comp 6 $ 1000 FEES S CONDITIONS! ped C011iSiOn Ambulance Equipment : $ 102 , 470 scheduled Equipment / 01 , 000 TAXES S OTHER ped except $ 5 , 000 as re eCta wind/hail and flood / " Broad Form " COVERAGES ESTIMATED TOTAL PREMIUM 5 NAME 8 ADDRESS MORTGAGEE ADDRIONALINSUREO LOSS PAYEE —..._ . . . , .. . --LOANS AUT D EPRETA• Fl ida HospitaI Vociation ACORO 75-S ( 1198 ) NOTE : IMPORTANT STATE INF ORMA ION ON REVERSE SIDE @ACORO CORPORATION 1993 1, Internal Revenue Service District Director Department of the Treasury Date: 'MM 2 6 1985 EmPlorer Identification Number. 59- 2496294 Accounting period Ending: September 30 Form 990 Required: ® Yes 0 No Indian River Memorial Hospital , Inc . 1000 36th Street Person to Contact: Vero Beach , FL 32960 Brenda Wilcox/cdt pct TtIePhone Number. (404) 221 - 4516 File Folder Number : 580062333 Dear Applicant : Based on information supplied and assuming Your operations will be as stated in Your application for recognition of • Px from Federal income tax under' ' * 501 ( c ) ( 3 ) -ofwtheaInternal mined You are exempt Revenue Code . We have further determined that you are not a meaning of section 509 ( x ) of the Code , because private foundation within the section 170 (b ) ( 1 ) (A) (iii) S 509 (a) ( u , You are an organization described in If your sources of support , or your PurPchange , please let us know so we can consider othe � effectcof the changeter , or on Your d of operation exempt status and foundation status . Also , you should inform us of l changes in Your name or address . i As of January 1 , 1984 , You are liable for taxes under the Federal Insurance Contributions Act ( social security taxes ) on remuneration of $ 100 or more each of employees g Imposed Yourunder the employees al during alcalendar year . You are not liable for thetax to Unemployment Tax Act ( FUTA ) . Since you are not a private foundation , You are not subject to the excise taxes under Chapter 42 of the Code . However Federal excise taxes . If ' You are not automatically exempt from other Federal taxes , You have any questions about excise , employment , or other please let us know . Donors may deduct contributions touas pov ` Bequests , legacies , devises , transfers , orgiftsrtoiYou or d u or section 1for your ussection of the Code . deductible for Federal estate and gift tax e are provisions of sections 2055 , 2106 , and tax PurposesCif they meet the applicable The box checked in the heading of this letter shows whether you must file Form 9909 Return of Organization Exempt from Income Tax , required to file Form 990 only if If Yes is checked , you are than $ 25 , 000 . If a return is required ,r gross must receipt ifiledabh year are normally more month after the end of q Y the 15th day of the fifth $ 10 a dg Your annual accounting period . The law imposes a I y , le up to s maximum of $ 590lay , , when a return is filed late , unless of i is reasonable cause for the delay . I Client#: 5887 INDIARIV1 ACORDrM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 06/12103 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Palmer SO Cay of FL, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND , EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1500 Mahan Drive , Suite 111 Tallahassee , FL 32308 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. American Cas Co of Reading PA Indian River Memorial Hospital INSURER R National Union Fire Ins Co Pa 1000 36th Street INSURFR C . Vero Beach , FL 32960 INSURER D . INSURER E COVERAGES 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 . TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED ncel $ CLAIMS MADE a OCCUR MED EXP (Any one Fw.rson) $ PERSONAL R ADV INJURY $ GENERAL AGGREGATE $ GENS AGGREGAfF I IMIT APPI lES PH? PRODUCTS - COMP/OP AGG $ PRO- PO-ILICY JECT I ( W AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ( Fa accident ) AI. I OWNED At ITOS BODILY IN. IURY $ SCHFDIJI FD M ITO ^ ( Per person ) HIRFD AIITOS BODII Y INJURY $ NON r IWNI " 11 At H ( Y, ( Per artcldenl ) PROPERTY DAMAGE (Per acodent) GARAGE LIABILITY AUI O ONLY - !iA M ;CIDF NT ANY AttTO O1HER THAN FA ACC $ AUTO TO ONI Y AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR aCI. AIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RF TFNTION $ $ A WORKERS COMPENSATION AND WC247857798 01 /01 /03 01 /01 /04 WRYLIMI I ( 1114 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXFCIITIVF - 1: I FAGII ACC: IDENF A1000yo- 00 OFF ICER/MF MHFR F X/CI . I IDFD "� 11 L 1 DISI: ASI FA F MPI rIYCF $ 1 , 000 ,000 YPs. desr'ribe under SPECIAL PROVISIOWS below 1 . 1 DL'7F ASF POI IC:Y ( IMIT $ 1 , 000 ,000 B OTHER Medical Prof CNM7055124 12/01 /02 12/01 /03 $ 1 , 0004000 $ 3 , 000, 000 Aggregate Shared Limit DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ** Supplemental Name ** Indian River Memorial Hospital Indian River Hospital District Indian River Hospital Foundation , Inc . ( See Attached Descriptions ) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Indian River Memorial DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _10_ DAYS WRITTEN Hospital , Inc NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL 1000 36th Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Vero Beach , FL 32961 REPRESENTATIVES . AUTHORIZED REPRESENTATIVE r / ACORD 25 ( 2001 /08 ) 1 of 3 # S35512 /M35510 21 KPW r> ACORD CORPORATION 1988 IIMHIndian Lee M . Klinetobe River Chairman, l3wrd of 0irec lots Memorial Jeffrey L . Susi r.9001. Hospital President, Chwl Eviculive Oth (—el We 're Here for Life October 28 . 2003 Indian River County Board ol ' ( ' ounly ( ' onuilissioners 1 840 25 ' x ' Slrcct Vero [ 3each . I I , 32900 Re : ( ' amp Manatee Dear Ms . .loIlnston - Carlsoil : The intent of this letter is to verily general liability inscn,ance coverage liir Indian IZIVC14 Memorial I lospital . Inc . ( IRMI I ) . IRMII ' s general liability insurance program presently consists of '. • A sell- insured retention ( SIR ) with coverage limits ol ' $ 5 , 000 . 000 0 An umbrella insurance policy issuccl by Admiral Insurance Company ( Rated A L VIII by A . M . Best and hart ol ' thc Berkley Group ol ' companics ) providing coverage of ' $ 10 . 000 . 000 in cxccss our SIR subject t« an annual aggregate or $ 10 . 000 , 000 ol ' claims paid . • An excess liability insurance policy issued by Steadfast Insurance Company ( Rated A XV by A . M . lest and part ol ' the Illl' ICI1 C11-oup ) providing coverage or $ 10 . 000 , 000 in cxccss or our Admiral policy subject to an annual aggregate or $ 10 . 000 . 000 claims paid . The current policy period is Octohcr 12 . 2003 to October 12 . 2004 . 1 trust that this will salisly vour rcyucsl liar insurance inl,6rmation relating to Indian River Memorial I lospital . Inc . II ' you have any yucslions regarding this matter. please call n ► c at ( 772 ) 567 - 431 1 extension 1153 . Very Truly Yours . Gregory=01' 4 Director I financial Reporting I000 i ( , Ili tiln t l • Veru 1 ,) ( " 1 ( li , I lulirl , l " 1 ( , O • ; ; ? . x ( , 7 . 4 ; l "I I , l � ; i ' . 5 / , _ ' . "il _' � l • vA ' ww . irnil � . t um ViFJoll : 1 , 11