HomeMy WebLinkAbout1996-23 Agreement with City of Coral Springs for EMS Services
RESOLUTION NO. 96-23
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF PARKLAND, FLORIDA AUmORIZING
ENTERING INTO AN AGREEMENT BE1WEEN THE CITY
OF PARKLAND AND THE CITY OF CORAL SPRINGS TO
PROVIDE EMERGENCY MEDICAL SERVICES FOR THE
CITY OF PARKLAND
WHEREAS, the City Commission of. the City of Parkland, Florida finds and
determines that it is in the best interest of the citizens of the City to enter into the attached
Agreement between the City of Parkland and the City of Coral Springs to provide
emergency medical services for the City of Parkland.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION
OF THE CITY OF PARKLAND, FLORIDA AS FOLLOWS:
Section 1. The City Commission approves the attached Agreement between
the City of Parkland, Florida and the City of Coral Springs.
Section 2. That this Resolution shall be in full force and effect immediately
upon its passage and adoption.
PASSED AND ADOPTED THIS 6 DAY OF JUNE , 1996.
41~
SAL PAG. , MAYOR
-J:.-..a.= a~-/~
SUSAN ARMSTRONG, C.M.
CITY CLERK
NOTE TOFILE 7/23/96:
THE ORIGINAL EMS CONTRACT WHEN FORWARDED BY CITY CLERK'S OFFICE IN
PARKLAND TO CORAL SPRINGS FOR APPROVAL AND SIGNATURE HAD THE DATE
OF JUNE 6,1996 TYPED ON THE FIRST PAGE AS THE DATE THE AGREEMENT WAS
MADE AND ENTERED INTO. WHEN THE AGREEMENT WAS RETURNED SIGNED
AND APPROVED BY CORAL SPRINGS THEY HAD REPLACED THE FIRST PAGE WITH
A NEW ONE SHOWING THE DATE THE AGREEMENT WAS MADE ON JULY 2ND.
THE CITY CLERK CHECK WITH CITY ATTORNEY ANDREW MAURODIS TO FIND
OUT IF TillS WAS ACCEPT ABLE AND THE CITY ATTORNEY SAID YES.
. .t
AGREEMENT BBTWBEN THB CITY OF CORAL SPRINGS
AND THE CITY OF PARKLAND
TO PROVIDB BMBRGENCY MEDICAL SERVICBS
FOR THE CITY OF PARKLAND
of
THIS AGREEMENT, made and entered into on the
JUNE , 1996 by and between:
6
day
CITY OF CORAL SPRINGS, FLORIDA
a municipal corporation
9551 West Sample Road
Coral Springs, Florida 33076
(hereinafter referred to as "CITY")
AND
CITY OF PARKLAND, FLORIDA
a municipal corporation
6500 Parkside Drive
Parkland, Florida 33067 _
(hereinafter referred to as "PARKLAND")
WHEREAS, the City of Coral Springs has the ability and is
willing to provide emergency medical services to the City of
Parkland; and
WHEREAS, in March, 1996, as amended by the alternative dated
April 22, 1996, the City of Coral Springs submitted a pro~salto
the City of Parkland to provide emergency medical services ~~
effective October 1, 1996; and"
~, ..';,
WHEREAS, the City of Parkland at" the May 22, 1996 City
Commission meeting, in order to provide the best combination of
quality service and cost for residents and businesses, selected.
the City of Coral Springs to provide Emergency Medical Services;
and
WHEREAS, the City Commission of each party authorized the
appropriate staff to enter into final negotiations; and
WHEREAS, the parties desire to enter into an Agreement for
the City of Coral Springs to provide Emergency Medical Services
to the City of Parkland, subject to the terms and conditions
contained herein.
NOW, THEREFORE, in consideration of their mutual covenants,
the parties agree as follows:
Section 1. The above recitals are true and correct and are
incorporated herein.
...
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Page 1 of 10
OFFICE OF THE CITY A'ITORNEY
CITY OF CO.IifIL 8Pl?lN68
C0uJv'
c:Afj ~9'~
FLORIDA
9551 WEST SAMPLE ROAD
CORAL SPRINGS, FLORIDA 33065
TELEPHONE (954) 344-1010
FAX (954) 344-5930
July 18, 1996
Harry J. Mertz, City Manager
City of Parkland
6500 Parkside Drive
Parkland, FL 33067
Re: AGREEMENT BETWEEN THE CITY OF CORAL SPRINGS AND THE CITY OF
PARKLAND TO PROVIDE EMERGENCY MEDICAL SERVICES F()R THE CITY OF
PARKLAND
Dear Mr. Mertz:
Enclosed please find one (1) original of the above
Agreement which is being provided for your records.
have any questions, feel free to contact the City
Office.
Since ely, C
. 1
..-?-t "./-""1 (
Susan M. Gula
Legal Secretary
referenced
Should you
Attorney's
.' (//f ,4
~t;-
enclosure
cc: Angelo Salomone, Purchasing Administrator (with original)
Bill Fyfe, Fire Chief (with copy)
Vince Locurto, EMS Division Chief (with copy)
doc: 34857
" ~ ,t.,
AGREEMENT BETWEEN THE CITY 01' CORAL SPRINGS
AND THE CITY 01' PARltLAND
TO PROVIDE EMERGENCY MEDICAL SERVICES
I'OR THE CITY 01' PARltLAND
THIS AGREEMENT, made and entered into on the
-:s::- u Lj , 1996 by and between:
CITY OF CORAL SPRINGS, FLORIDA
a municipal corporation
9551 West Sample Road
Coral Springs, Florida 33076
(hereinafter referred to as II CITYII )
.', n c,(
~ day of
AND
CITY OF PARKLAND, FLORIDA
a municipal corporation
6500 parkside Drive
Parkland, Florida 33067
(hereinafter referred to as IIPARKLANDII)
WHEREAS, the City of Coral Springs 'has the ability and is
willing to provide emergency medical services to the City of
Parkland; and
WHEREAS, in March, 1996, as amended by the alternative dated
April 22, 1996, the City of Coral Springs submitted a proposal to
the City of Parkland to provide emergency medical services
effective October 1, 1996; and
WHEREAS, the City of Parkland at the May 22, 1996 City
Commission meeting, in order to provide the best combination of
quality service and cost for residents and businesses, selected the
City of Coral Springs to provide Emergency Medical Services; and
WHEREAS, the City Commission of each party authorized the
appropriate staff to enter into final negotiations; and
WHEREAS, the parties desire to enter into an Agreement for the
City of Coral Springs to provide Emergency Medical Services to the
City of Parkland, subject to the terms and conditions contained
herein.
NOW, THEREFORE, in consideration of their mutual covenants,
the parties agree as follows:
Section 1. The above recitals are true and correct and are
incorporated herein.
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Sect ion 2. TERM OF AGREEMENT
2.01 This agreement is effective upon the approval of both
parties and shall terminate on September 30, 1997.
The Emergency Medical Services required under this
Agreement shall begin on October 1, 1996 and continue
through September 30, 1997, unless either party
terminates the Agreement by providing the other party
with ninety (90) calendar days written notice of
termination. The provision of Emergency Medical
Services to PARKLAND is contingent upon PARKLAND
obtaining and possessing the required Broward County
Class 1 Certificate of Public Convenience and
Necessity (COPCN) for Advanced Life Support Rescue
and Transport no later than September 30, 1996. The
CON shall name the City of Coral Springs Fire
Department, Division of Emergency Medical Services as
the provider of the service for PARKLAND. In
addition, PARKLAND must obtain, by September 30,
1996, any licensing required by county and state.
The CITY will attend all necessary committee meetings
to assist PARKLAND in obtaining the COPCN.
Notwithstanding the above provisions, PARKLAND
acknowledges that should PARKLAND not obtain or
possess the required COPCN by September 30, 1996, the
Emergency Medical Services required under this
Agreement shall not be provided by CITY until the
required COPCN is issued by Broward County and all
required licensing has been obtained.
Section 3. COMPENSATION
3.01 PARKLAND acknowledges that yearly payment due CITY
shall be based on the assessment, or method of
payment, in the same manner in which emergency
medical services are assessed within CITY. PARKLAND
and CITY agree that the assessment for the CITY and
PARKLAND shall be the same for the provision of
emergency medical services. Said fees for PARKLAND
shall be calculated based upon the assessment or
method of payment approved by CITY for the following
categories: residential, commercial, governmental,
industrial, institutional and nursing home/assisted
living facility. No later than August 15, 1996, CITY
shall advise PARKLAND of the assessment for each
category. No later than September 1, 1996, CITY
shall provide PARKLAND a notice providing the amount
of compensation due CITY for the year, effective
October 1, 1996.
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3.02 PARKLAND shall pay CITY equal monthly installments in
arrears for the provision of emergency medical
services rendered by CITY pursuant to this Agreement.
Payment shall be due no later than the 15th day of
the following month, with the first payment due on or
before November 15, 1996. Said payment shall be made
payable to the City of Coral Springs and submitted to
the City of Coral Springs, Department of Financial
Management, 9551 West Sample Road, Coral Springs,
Florida 33065 Attn: Director of Financial Management.
Should PARKLAND fail to make such payment on time,
the CITY shall be paid interest equivalent to twelve
percent (12%) per year, to accrue on a monthly basis.
In the event that any properties within the
unincorporated areas become annexed by PARKLAND, the
parties agree to recalculate immediately the amount
of compensation due CITY for the services rendered.
3.03 In addition to compensation as outlined above,
PARKLAND may require Special Events Coverage. Such
coverage shall be provided at an additional charge to
PARKLAND at the rate of $30.00 per hour for a
paramedic and $20.00 per hour for an emergency
medical technician, with a minimum three hour charge.
PARKLAND acknowledges that CITY will not have an
emergency vehicle on-site during the special event.
Should PARKLAND require coverage for any special
events, PARKLAND shall be billed separately by CITY.
In addition, PARKLAND shall provide CITY atleast
thirty (30) calendar days written notice to the Fire
Chief should emergency medical services coverage be
required for special events.
Section 4. DUTIES AND RESPONSIBILITIES OF PARKLAND
4.01
4.02
PARKLAND, no later than July 1, 1996, shall provide
CITY with the calculation of the number of
residential living units (Single family and
individual apartments) and the number of commercial,
governmental, industrial, institutional and nursing
home/assisted living establishments in PARKLAND. For
all except residential units, PARKLAND shall also
provide the total square footage for the
establishments. The calculation for the number of
residential living units and other designated
nonresidential establishments shall be based on
information filed with the Office of the Broward
County Property Appraiser as of January 1, 1996.
PARKLAND, no later than September 1, 1996, shall
provide CITY with a map outlining the service area
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and a street atlas. The street atlas shall be
updated by PARKLAND on a quarterly basis with the
first update due January 1, 1997. This required
information shall be submitted to the Coral Springs
Fire Department, 2801 Coral Springs Drive, Coral
Springs, Florida 33065 Attn: Fire Chief.
4.03 PARKLAND shall respond with a police officer to all
emergency medical service calls to be responded by
CITY within PARKLAND, at their own expense, for the
purpose of establishing a safe and secure environment
for emergency medical service personnel.
Section 5. DUTIES AND RESPONSIBILITIES OF CITY
5.01 CITY shall provide Emergency Medical Services to
PARKLAND for the service area as designated in
Exhibit "A", attached hereto and incorporated herein.
CITY will respond to all EMS calls, provide basic and
advanced life support, patient assessment and care,
provide patient transportation to an appropriate
receiving hospital, and complete required medical
reports and follow-up at hospitals. In addition to
the actual emergency medical services, CITY shall
provide services related to administration,
telecommunications, billing and collections, and
general public services.
5.02 CITY's Advance Life Support (ALS) rescue/transport.
units and personnel shall provide comprehensive
emergency medical services to residents and visitors
within the areas described in Exhibit "A".
5.03 CITY possesses and shall maintain throughout the term
of this Agreement a Class. 1 - ALS Rescue CON and the
appropriate State of Florida license enabling CITY to
provide advanced life support services to the City of
Parkland, as well as basic life support services, to
patients upon arrival at emergency scenes requiring
immediate emergency medical care.
5.04 CITY shall provide emergency medical services in the
same manner as it provides such services to CITY's
own residents; however, all of the emergency medical
service units will be housed in CITY at existing fire
stations.
5.05 CITY at this time of execution of this Agreement
cannot provide an average response time for emergency
medical services to the area described in Exhibit
"A"; however, CITY shall review the response time at
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the end of the first three months of the emergency
medical service when data will be available to assess
response times. CITY shall provide, in writing, to
PARKLAND the recommended response times no later than
January 31, 1997, for approval by the designated
representative of the parties.
5.06 CITY shall provide to PARKLAND data, on a monthly
basis, which includes but is not limited to the
number of calls received for emergency medical
services, the location of the calls, the response
time and the amount of revenue generated from
transporting individuals.
5.07 The CITY shall maintain four (4) ALS units within the
CITY which shall be maintained and operated twenty-
four (24) hours a day.
5.08 The CITY shall develop, prepare and distribute
customer surveys on a regular basis to evaluate the
service and/or enhance and improve customer service
and provide public education programs for area
residents.
5.09 CITY shall be responsible for all billing and
collections and will accept assignment from
insurance, Medicare and Medicaid. The CITY will
utilized an outside billing agent for EMS transport
fee billing and collections. CITY shall have the
right to bill and collect for third party payments.
5.10 CITY shall respond and standby, as required, for
HAZMAT incidents, structure fires, civil assist
calls, and police tactical standby calls. The Coral
Springs Fire Department will supply back-up response
to an EMS unit for vehicle extrication, dive team
operations and special rescue operations.
5.11 CITY shall provide PARKLAND public safety officers
with needed recertificaiton classes for first aid and
CPR at no additional charge.
Section 6. INDEMNIFICATION and INSURANCE
6.01 CITY agrees to indemnify and hold harmless PARKLAND
and all its officers, elected or otherwise, and
employees from any loss, damage, or injury to persons
or property arising from CITY's negligence or CITY's
failure to comply with all the terms and conditions
of this Agreement. If a claim is litigated and names
PARKLAND as a party defendant, PARKLAND shall be held
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harmless as to all costs and expenses associated with
the litigation related to that claim, including but .
not limited to, costs, attorneys' fees, paralegal
expenses, attorneys' fees on appeal, monies paid in
settlement or monies paid to satisfy any judgement
obtained herein.
6.02 PARKLAND agrees to indemnify and hold harmless CITY
and all its officers, elected or otherwise, and
employees from any loss, damage, or injury to persons
or property arising from PARKLAND's negligence or
failure to comply with all the terms and conditions
of this Agreement. If a claim is litigated and names
CITY as a party defendant and claims negligence on
the part of a Parkland employee, CITY shall be held
harmless as to all costs and expenses associated with
the litigation, including but not limited to, costs,
attorneys' fees, paralegal expenses, attorneys' fees
on appeal, monies paid in settlement or monies paid
to satisfy any judgement obtained herein.
6.03 The parties shall each individually maintain
throughout the term of this Agreement any and all
applicable insurance coverage required by Florida law
for governmental entities.
Section 7. RECORDS
7.01 CITY and PARKLAND shall each maintain their own
respective records and documents associated with this
Agreement in accordance with the requirements set
forth in Chapter 119, Florida Statutes.
Section 8. ASSIGNMENT
8.01 The respective obligations of the parties shall not
be assigned, in whole or in part, without the written
consent of the other party.
Section 9. TERMINATION/DEFAULT
9.01 This Agreement may be terminated by either party upon
ninety (90) calendar days written notice.
9.02 If either party fails to perform or observe any of
the material terms and conditions of this Agreement
for a period of ten (10) calendar days after receipt
of written notice of such default from the other
party, the party giving notice of default may be
entitled, but is not required, to seek specific
performance of this Agreement on an expedited basis,
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as the performance of the material terms and
conditions contained herein relate to the health,
safety, and welfare of the residents subject to this
Agreement. Failure of any party to exercise its
right in the event of any breach by the other party
shall not constitute a waiver of such rights. No
party shall be deemed to have waived any failure to
perform by the other party unless such waiver is in
writing and signed by the other party. Such waiver
shall be limited to the terms specifically contained
therein. This section shall be without prejudice to
the rights of any party to seek a legal remedy for
any breach of the other party as may be available to
it in law or equity.
Section 10. COMPLIANCE WITH LAWS
10.01 PARKLAND and CITY shall comply with all statutes,
laws, ordinances, rules, regulations and lawful
orders of the United States of America, State of
Florida, and of any other public authority which may
be applicable.
Section 11. VENUE, ATTORNEYS FEES, AND COSTS
11.01 Any claim, objection or dispute arising out of the
terms of this Agreement shall be litigated in the
Seventeenth Judicial Circuit in, and for Broward
County, Florida
11.02 If either party is required to employ the services of
an attorney to resolve any dispute or disagreement
arising directly or indirectly from or under this
Agreement, to enforce any of the terms, :provisions,
covenants or conditions of this Agreement,. or remedy'
any breach of this Agreement, the prevailing party'
shall be entitled to recover from the other party the
prevailing party's attorneys' fees charged for such
services.
Section 12. GOVERNING LAW
12.01 The validity, construction and effect of this
Agreement shall be governed by the laws of the State
of Florida.
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. .
Section 13. ENTIRE AGREEMENT
13.01 This Agreement contains the entire understanding of
the parties relating to the subject matter hereof
superseding all prior communications between the
parties whether oral or written, and this Agreement
may not be altered, amended, modified or otherwise
changed nor may any of the terms hereof be waived,
except by a written instrument executed by both
parties. The failure of a party to seek redress for
violation of or to insist on strict performance of
any of the covenants of this Agreement shall not be
construed as a waiver or relinquishment for the
future of any covenant, term, condition or election
but the same shall continue and remain in full force
and effect.
Section 14. SEVERABILITY
14.01 Should any part, term or provision of this Agreement
be by the courts decided to be illegal or in conflict
with any law of the State, the validity of the
remaining portions or provisions shall not be
affected thereby.
Section 15. NOTICES
15.01 Whenever either party desires to give notice to the
other, such notice must be in writing and sent by
United States mail, return receipt requested,
courier, evidenced by a delivery receipt, or by
overnight express delivery service, evidenced by a
delivery receipt, addressed to the party for whom it
is intended at the place last specified; and the
place for giving of notice shall remain until it
shall have been changed by written notice in
compliance with the provisions of this paragraph.
For the present, the parties designate the following
as the respective places for giving of notice.
~ William Fyfe, Fire Chief
City of Coral Springs
2801 Coral Springs Drive
Coral Springs, Florida 33065
COPY TO:
Mike Levinson, City Manager
City of Coral Springs
9551 West Sample Road
Coral Springs, Florida 33065
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PARKLAND Public Safety Director
City of Parkland
6500 Parks ide Drive
Parkland, Florida 33067
COPY TO:
Harry J. Mertz, City Manager
City of Parkland
6500 Parkside Drive
Parkland, Florida 33067
IN WITNESS WHEREOF, the CITY OF CORAL SPRINGS and the CITY OF
PARKLAND have caused these presents to be executed in their
respective names by the proper officials the day and year first
above written.
ATTEST:
CITY OF CORAL SPRINGS, a municipal
corporation organized and existing
under the laws of the State of
BY~~
JO, OMMERER, Mayor
~
State of Plorida '
County of Breward
The foregoing instrument was acknowledged befOr~, the undersigned Notary
and r the State of ",orida, on this, the day of
, 19::IL, by Jonda IC. Josep an John Sommerer, City
May , respect vely.
NOTARY PUBLIC
SIAL OP OPPICS
\,
V'oV
TONI L DBGIROLMQ.HAWKINS
NOTARY PUBLIC STATE OF FLORID
COMMISSION NO. CC489216
MY COMMISSION EXP. AUG. 17 1999
rinted, typed or stamped me of
Public exactly as commissioned
Individuals who signed are personally
known: no identification produced
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.'
. ,
ATTEST:
CITY OF PARKLAND
By: ~~
SAL GLIARA, yor.
~a-~
SUSAN ARMSTRONG, CitY~Clerk
STATE OF FLORIDA )
)ss.
COUNTY OF BROWARD )
I HEREBY CERTIFY that, on the 28 day of JUNE
19 96 personally appeared before me, an officer duly authorized
to-administer oaths and take acknowledgements, Sal Pagliara,
Mayor, and Susan Armstrong, City Clerk, both of the City of
Parkland, signing this Agreement by and through the'Parkland City
Commission and authorized to execute the same by City Commission
action on the 6 day of JUNE ,1996.
WITNESS my hand and official seal at PARKLAND CITY HALL
BROWARD County, Florida this 2.8. day of JUNE
1996 . ~
NCYI'~LCZ:: St -- e of Florida
HELEN M. LYNOTT
My Commission Expires:
G) HUN M. LYNOTT
MY CXIIISON' cc GXI40
EllPMD: FtbruIry 18. 19l1ll
IlIMIId 1IIIU .... NIl lftIIlWIIIIlI
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City of Parkland
6500 Parkside Drive
Parkland, Florida 33067
(305) 753-5040
Fax (305) 341-5161
June 28, 1996
Board of County Commissioners
Broward County, Florida
Human Services Department
Trauma Management Agency
115 South Andrews Avenue
Fort Lauderdale, Florida 33301
Dear Ladies and Gentlemen:
Please find attached the necessary paperwork for application for
the Certificate of Public Convenience and Necessity for the City of
Parkland. By action of Parkland Resolution 96 - 23, the City is
desirous of providing emergency medical services through agreement
with the City of Coral Springs.
We trust the materials submitted are inclusive of all paperwork
necessary to process our application and respectfully await your
early response.
~e~ t~y yours,
~I~
City Manager
HJM/abk
96 - 210
CITY OF PARKLAND
6500 PARKSIDE DRIVE
PARKLAND, FLORIDA 33067
(305)753-5040
FAX (305)341-5141
July 9, 1996
Ms. Cheryl Rashkin
Broward County Human Services Department
Trauma Management Agency
115 South Andrew Avenue, Suite A540
Fort Lauderdale, Florida 33301
Dear Ms. Rashkin:
As advised by your Assistant, attached please find copies of the following
Resolutions passed by the City Commission of the City of Parkland:
1. Resolution No. 91-37, authorizing participation in the Broward Risk
Management Association
2. Resolution No. 91-38, appointing Judith Kilgore, Director of Finance,
to act as the Municipal Representative and Harry J. Mertz, City
Manager, as the alternate representative
3. Resolution No. 94-54, authorizing execution of an Interlocal
Agreement establishing the South East Risk Management Association
As I understand it, since the City of Parkland has entered into contractual
arrangements for Emergency Medical Services with the City of Coral Springs, your
office is wishes copies of these Resolutions for your files.
Should you need additional information, please feel free to contact me.
Very truly yours,
H~~
Assistant to the City Clerk
FACSIMILE COVER SHEET
McCREARY CORPORATION
700 Centr.' Parkway, Stuert, FlorIda 34004. (561) 287.76'0. (561) 287-1387 (FAX)
TO:
DATE:
Tudith Kilgore
10/22/96
TIME:
A.M.
P.M.
COMPANY NAME:
FAX NUMBER:
City of Parkland
954-341-5161
FROM: Carole Watkins
EXTENSION # 488
RE: Broward County BOCC Certificate for EMS Services
Total Number of Pages:
2
(Including Cover Letter)
IF YOU DO NOT RECEIVE ALL PAGES, PLEASE CALL US
IMMEOIATEL Y.
Conffdentlallty Note:
. Th. Information contained In thl, flc8lmll. m....g. I. Ilgally prlvll.g.d and
confidential, Intended only for the ule of the Individual or .ntlty nam.d abov.. If the
r..der of thl. m....g. ,. not Intandad raclpl.nt, you ar. hereby notlfl.d that any
dl...mlnatlon, dlatrlbutlon, or copy of thl. t.'ICOPY I. "rletly prohibited.
In response to your fax of yesterday, find attached a copy of the revised certificate
being sent to the County today.
I am sure you are aware that the information they cited as incomplete was not
available when the original certificate was issued and I apologize for any
inconvenience this may have caused you.
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IS!IUE !>>olE 1.....IOOIY'l')
10/22/96
THI8 CEA"..IOATE 18 I88UED M A MAnER OF INFORMA"11ON ONLY AND
CONFERS NO AIGHTS UPON THE CEATlFIOA TE HOL.DEA. nlls OERTlF10A lE
DOES NOT AMEND, EXTEND OR ALTER"niE COVERAGE AFFORDED BV THE
POt..lCIES BELOW.
COMPANIES AFFORDING COVERAGE
COMP...NY A
lETTER
COMP~NY B
IINS~eD LETTER
I CITY OF PARKLAND COMPANY C
SERMA LETTER
IC/o McCreary Corporation COMPANY 0
700 Central Parkway lETTlR
Stuart, FL 34994 COMPANY E
LETTER
Qualified Self-Insurer
Ranger Insurance Co.
Lexington;General Star;Pacific;
Hartford Specialty;Firemans Fund;
Westchester; & Royal Surplus Ins Cos
:~_..
THIS IS TO CERnFY THAT THE PCX.lCtES ~ INSURANCE LISTED BELOW HAVE BeEN ISSUED TO THe INSUFED NAMED ABOVE FCA THE POLICY PERIOD
INDICATED. NorWlTHSTANDIN~ ANY ~QUIFEMENT. TEFN OR CONDITION OF ANY CONTRACT' CA OTHER DOWMENT WITH ~SPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED ~ MAY PERTAIN. THE INSURANCE AFFCADED BY THE POUOIES DESCAlBED HER:IN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND OONDITlONS OF SUCH POLIOES UMITS SHOWN MAY HAVE BEEN FEOOCED BY PAID MS.
!co
, "fR
lTPE OF INSURAHCl!
POLICY Hl.MBEA
POlICY EFFECTIVE POlICY ecPtAA'lIOtI
011 TE (MM'OOIYY) 1M TE (MMlDOI'l''l')
SS l...81LlTY
~BRELLA FORM
OTtlER TH.t.N I.t.1BRELLA FORM
EACH OCCURRENCE
AQOREQ~TE
LMTS
.
.
.
$
.
$
$
.
.
$
.
.
100 20C
GENERAL UAlIl.ITl'
I A X co.....eRClAL OENEIl~L Ll.UIUTY
I B X cL~IMSMADEWOCCUll.
I X OWNER'S a. CONTR"'CTOR'S PROT,
I X EMT Profession
ALlT0M08l.E L14BUTY
I A X ANTAuro
I B ....LLOWNEO...UTOS
I SCHEOULED ~UTOS
! HlRED....UTOS
I HON-OWNED ~UTOS
a~RAQE LIABILITY
Limits provided in 10/01/96 10/01/97
accordance with
Florida Statute
768.28 & PXL701086
Limits provided in 10/01/96 10/01/97
accordance with
Florida Statute
768.28 & PXL701086
COMBINl!D SlNaLE
LMrT
100/20(
BOOILYINJURY
(Ptr ptl$onl
BOOILYIHJUAY
IPeraccldt,*)
PROPERTY DoI.MAOe
IB
WOIlKER'S COMPEHSA TON
AN)
e.4PlOJEAS'L14Bll.ITl'
PXL701086
10/01/96 10/01/97
X ST~TUToqYL""ITS
EACH ACCIDENT
Dlse....Se-.POLICY liMIT
DlSEASE..EACH EMPLOYEE
. 1 000 OOl
. 1 000 OO(
. 1 000 001
OTtER
Ie PROPERTY-REAL, 8785656iIPG336346i 10/01/96 10/01/97 $86,000,000 BLANKET
I'D PERS, EQUIP & ZQ0005716iXLSSD918 VALUE, PER OCCURRENCE
E AUTOMOBILE 7'XSP2403238'IXA392970.KHD 306168 SPECIAL/ALL RISK FORM
, DESCRIPTION OF 0fJEAA TIOHSIl.OCA TIONSNEHClESlSPECI4L ITEMS
IRE: EMS SERVICE VIA CITY OF CORAL SPRINGS
In the event of an occurrence involving all parties, this insurance
: . will not cause the indicated limits to be increased
I'.. ...'. '1fli:~@,t:l~ij~~'f~:;~mt.~~&.@ . :" :',' ...':..... :i. :", ..i"'A\~Ul~i ;~~iil'>'." i~ ":iifi~ld !{ lJ1Mr" ~~~
; CE TIFICATE HOLDER IS AN ADDITIONAL SHOULD ANY OF THE ABO\E DESCRIBED POUOES BE OANCELLED BEFORE THE
! R RVICE . EXPIRAllON DATE ll-lEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
INSURED AS RESPECTS THIS SE . MAlL-alO-DAYSWRllTENNOTlCETOTHEceRTIFICATEHOLDERNAMEOTOTHE
BROWARD COUNTY BOARD OF COIUcNTY *" LEFT BUT FAILURE TO MAIL SUCH NonCE SHAlL IMPOSE NO OBUGAllON OR
COMMISSIONERS; HUMAN SERV ES ~,i UABI~ITYOFANYKINDUPONTHECOMP Y ITS NTSORFlEPRESENTATl'll1:S.
I DEPT. i TRAUMA MGMT. AGENCY A REPlEliENTA1'fVE
115 S. ANDREWS AVE, RM. A540
FT. LAUDERDALE, FL 33301
~!~: .
~~." .