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Agenda 12/11/2018 Item #16D1312/11/2018 EXECUTIVE SUMMARY Recommendation to approve award of Request for Proposal (RFP) # 18-7470 Services for Seniors to: Marantha Home Care, Inc., d/b/a A Better Health Care; The ADT Corporation d/b/a ADT, LLC; Summit Home Respiratory Services, Inc. d/b/a Summit Home Healthcare Products; Southern Home Care Services, Inc. d/b/a ResCare, Inc.; VIP America of Southwest Florida, LLC; Bidwell Home Care Service, LLC d/b/a Home Instead Senior Care; Omega Health Services, LLC d/b/a Omega Care Services2 and Almost Family PC of SW Florida, LLC and authorize the Chairman to execute the attached agreements, as set forth herein. OBJECTIVE: To provide comprehensive in-home and out of home services to the elderly in Collier County. CONSIDERATION: Collier County’s Services for Seniors Program has been providing support services to Collier County’s frail elderly for the past thirty (30) years through the Community Care for the Elderly (CCE), Home Care for the Elderly (HCE), and the Alzheimer’s Disease Initiative (ADI) programs . The Collier County Services for Seniors Program is a comprehensive program offered to qualified seniors age sixty (60) and older, who need services to prevent, decrease or delay premature or inappropriate expensive placement in nursing homes or other institutions. The goal of the program is to assist the elderly in living as independently as possible in their own homes or in the homes of relatives or caregivers. Collier County, as the lead agency, is required to enter into contractual agreements with are a service providers to administer homemaking, personal care, respite, chore adult day care, nursing, escort, companion, shopping assistant, and emergency alert response services. Annually, services provided to program participants have cost approximately $550,000. The cost of services is reimbursed through agreements between Collier County and the Area Agency on Aging for Southwest Florida, Inc. d/b/a Senior Choices of Southwest Florida. On October 17, 2018, the Procurement Services Department released RFP #18-7470 to 5,113 vendors for Services for Seniors. Interested vendors downloaded fifty-two (52) bid packages, and the County received nine (9) proposals by the November 7, 2018 deadline. A selection committee meeting was held on November 13, 2018. The committee reconvened on November 15, 2018, due to a miscalculation on the score sheets. Staff is recommending award to all the firms. The selection committee ranked the nine (9) companies in the following order: Company Name Rank Responsive/Responsible Marantha Home Care Inc. dba A Better Health Care 1 YES/YES The ADT Corporation dba ADT LLC 2 YES/YES Summit Home Healthcare Products 3 YES/YES Southern Home Care Services Inc. dba ResCare Inc. 4 YES/YES Accu-Care Nursing Service Inc.1 - withdrawn 5 YES/YES VIP America of Southwest Florida LLC 6 YES/YES Bidwell Home Care Service LLC dba Home Instead Senior Care 7 YES/YES Omega Health Services LLC 2-bring back in a future meeting 8 YES/YES Almost Family PC of SW Florida LLC 9 YES/YES 1After additional consideration Accu-Care Nursing Service Inc., which was recently purchased by Marantha Home Care, Inc., decided to withdraw its submission. 16.D.13 Packet Pg. 2055 12/11/2018 2Omega Care Services has not yet provided the required insurance coverage necessary to enter into Agreement with the County. As to Omega, staff asks that the Board approve the award subject to staff bringing a complete Agreement package back to the Board’s January 8, 2019 meeting for approval, including the required Certificate of Insurance, which will give the vendor additional time to obtain the required insurance. The agreements are for an initial three (3) year contract period, with the option of three (3) additional one (1) year renewal periods, consistent with the period of the grant funds awarded. FISCAL IMPACT: Funds for vendor services and supplies are available in Human Services Grant fund (707) for the CCE, ADI, and HCE. Current projects are 33560, 33558 and 33562 respectively. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this Executive Summary. LEGAL CONSIDERATIONS: This Item is approved as to form and legality and requires majority vote for Board approval. -SRT RECOMMENDATION: To approve the award of RFP #18-7470, Services for Services, to Marantha Home Care, Inc., d/b/a A Better Health Care, The ADT Corporation d/b/a ADT LLC, Summit Home Respiratory Services, Inc. d/b/a Home Healthcare Products, Southern Home Care Services, Inc. d/b/a ResCare, Inc., VIP America of Southwest Florida, LLC, Bidwell Home Care Service, LLC d/b/a Home Instead Senior Care, Omega Health Services, LLC d/b/a Omega Care Services and Almost Family PC of SW Florida, LLC and authorize the Chairman to execute the attached agreements with all vendors, except as to Omega Health Services, LLC; which agreement will be brought back for the Board’s approval at its January 8, 2019 Board meeting as set forth above. Prepared By: Wendy Klopf, Grant Coordinator, Community & Human Services Division ATTACHMENT(S) 1. 18-7470 ADT_Contract_VendorSigned (PDF) 2. 18-7470 ADT_Insurance_11-30-18 (PDF) 3. 18-7470 AlmostFamily_Contract_VendorSigned (PDF) 4. 18-7470 Almost Family_Insurance_11-30-18 (PDF) 5. 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (PDF) 6. 18-7470 BidwellHome-dba-HomeInstead_Insurance_11-30-18 (PDF) 7. 18-7470 MaranthaHomeCare_Contract_VendorSigned (PDF) 8. 18-7470 Marantha Home-dba- A Better HealthCare_Insurance _11-27-18 (PDF) 9. 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (PDF) 10. 18-7470 SouthernHome-dba-ResCareHome-Ins12-04-18 (PDF) 11. 18-7470 SummitHome_Contract_VendorSigned (PDF) 12. 18-7470 SummitHome_Insurance_11-30-18 (PDF) 13. 18-7470 VIP America_Contract_VendorSigned (PDF) 14. 18-7470 VIP America_Insurance_12-4-18 (PDF) 16.D.13 Packet Pg. 2056 12/11/2018 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.13 Doc ID: 7396 Item Summary: Recommendation to approve award of Request for Proposal (RFP) #18-7470 Services for Seniors Marantha Home Care, Inc., d/b/a A Better Health Care; The ADT Corporation d/b/a ADT, LLC; Summit Home Respiratory Services, Inc. d/b/a Summit Home Healthcare Products; Southern Home Care Services, Inc. d/b/a ResCare, Inc.; VIP America of Southwest Florida, LLC; Bidwell Home Care Service, LLC d/b/a Home Instead Senior Care); Omega Health Services, LLC d/b/a Omega Care Services and Almost Family PC of SW Florida, LLC and authorize the Chairman to execute the attached agreements, as set forth herein. Meeting Date: 12/11/2018 Prepared by: Title: Operations Coordinator – Community & Human Services Name: Wendy Klopf 11/19/2018 4:41 PM Submitted by: Title: Manager - Federal/State Grants Operation – Community & Human Services Name: Kristi Sonntag 11/19/2018 4:41 PM Approved By: Review: Community & Human Services Louise Pelletier Additional Reviewer Completed 11/20/2018 9:37 AM Community & Human Services Maggie Lopez Additional Reviewer Completed 11/20/2018 10:06 AM Procurement Services Opal Vann Level 1 Purchasing Gatekeeper Completed 11/20/2018 10:37 AM Community & Human Services Kristi Sonntag CHS Review Completed 11/20/2018 1:13 PM Public Services Department Kimberley Grant Level 1 Reviewer Completed 11/20/2018 2:29 PM Procurement Services Ted Coyman Additional Reviewer Completed 11/30/2018 10:24 AM Public Services Department Wendy Klopf Level 1 Division Reviewer Skipped 11/30/2018 1:33 PM Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 11/30/2018 2:46 PM Grants Natali Betancur Level 2 Grants Review Completed 11/30/2018 2:57 PM County Attorney's Office Scott Teach Level 2 Attorney Review Completed 12/04/2018 3:14 PM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 12/04/2018 3:18 PM Grants Therese Stanley Additional Reviewer Completed 12/04/2018 3:51 PM County Attorney's Office Emily Pepin CAO Preview Completed 12/04/2018 5:08 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 12/05/2018 7:46 AM 16.D.13 Packet Pg. 2057 12/11/2018 Budget and Management Office Ed Finn Additional Reviewer Completed 12/05/2018 11:03 AM County Manager's Office Leo E. Ochs Level 4 County Manager Review Completed 12/05/2018 11:06 AM Board of County Commissioners MaryJo Brock Meeting Pending 12/11/2018 9:00 AM 16.D.13 Packet Pg. 2058 16.D.13.aPacket Pg. 2059Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2060Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2061Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2062Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2063Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2064Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2065Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2066Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2067Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2068Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2069Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2070Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2071Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2072Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2073Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2074Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2075Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2076Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2077Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2078Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2079Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2080Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2081Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2082Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2083Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2084Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2085Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2086Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2087Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2088Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.aPacket Pg. 2089Attachment: 18-7470 ADT_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.bPacket Pg. 2090Attachment: 18-7470 ADT_Insurance_11-30-18 (7396 : AAA-RFP 7470) Holder Identifier : 7777777707070700077763616065553330763717446304446707662007550507120071460577366303320772425113641013007562673532036730077260115720167520736005553047613007726231772056512077727252025773110777777707000707007 6666666606060600062606466204446200622002406206000006220004042062020060002240622620200600220426226000206222224242042220060222260402422200622002406202040006222264200640262066646062240664440666666606000606006570074045287CERTIFICATE NUMBER:CERTIFICATE OF PROPERTY INSURANCE DATE (MM/DD/YYYY) 11/30/2018 Aon Risk Services Northeast, Inc. PRODUCER New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA (866) 283-7122 (800) 363-0105 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. CONTACT NAME: PHONE (A/C. No. Ext): E-MAIL ADDRESS: PRODUCER CUSTOMER ID #: FAX (A/C. No.): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:INSURED AXIS Insurance Company 37273 INSURER B: 570000068569 ADT LLC INSURER D: INSURER E: INSURER F: 1501 Yamato Road Boca Raton FL 33431 USA INSURER C: LOCATION OF PREMISES/ DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE NUMBER:REVISION NUMBER:570074045287COVERAGES 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. POLICY EXPIRATION DATE (MM/DD/YYYY)LIMITS COVERED PROPERTYPOLICY EFFECTIVE DATE (MM/DD/YYYY)POLICY NUMBER TYPE OF INSURANCEINSR LTR PROPERTY CAUSES OF LOSS BASIC BROAD EARTHQUAKE FLOOD BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP WIND DEDUCTIBLES BUILDING CONTENTS RENTAL VALUE SPECIAL INLAND MARINE TYPE OF POLICY CAUSES OF LOSS NAMED PERILS POLICY NUMBER CRIME TYPE OF POLICY Crime - Primary X X X $15,000,000 $250,000 Employee Dishonesty Deductible A MNN633224012018 10/01/2018 10/01/2019 BOILER & MACHINERY / EQUIPMENT BREAKDOWN SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION AUTHORIZED REPRESENTATIVE Collier County Board of County Commissioners 3327 Tamiami Trail East Naples FL 34112 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 24 (2016/03) © 1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 16.D.13.b Packet Pg. 2091 Attachment: 18-7470 ADT_Insurance_11-30-18 (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2092Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2093Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2094Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2095Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2096Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2097Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2098Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2099Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2100Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2101Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2102Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.c Packet Pg. 2103 Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2104Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2105Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2106Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2107Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2108Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2109Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2110Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2111Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2112Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2113Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2114Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2115Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2116Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2117Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2118Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2119Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2120Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2121Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2122Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.cPacket Pg. 2123Attachment: 18-7470 AlmostFamily_Contract_VendorSigned (7396 : AAA-RFP 7470) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 11/30/2018 Arthur J. Gallagher Risk Management Services, Inc. 235 Highlandia Drive, Suite 200 Baton Rouge LA 70810 Glenn LeBlanc 337-769-0860 337-429-2234 Glenn.LeBlanc@lhcgroup.com Illinois Union Insurance Company 27960 LHCGROU-03 ACE American Insurance Company 22667LHC Group, Inc. 901 Hugh Wallis Rd-S Lafayette LA 70508 1744203615 A X 1,000,000 X 300,000 1,000,000 3,000,000 X HPLG27171928005 10/1/2018 10/1/2019 3,000,000 B 1,000,000 X ISAH25268143 10/1/2018 10/1/2019 B XWLRC6543734A10/1/2018 10/1/2019 1,000,000 1,000,000 1,000,000 A MEDICAL PROFESSIONAL LIABILITY (CLAIMS MADE) HPLG27171928005 10/1/2018 10/1/2019 EACH INCIDENT AGGREGATE 1,000,000 3,000,000 Florida Locations: Almost Family PC of SW Florida, LLC d/b/a Almost Family (Naples, FL) Almost Family PC of SW Florida, LLC d/b/a Almost Family (Sarasota, FL) Mederi Caretenders VS of SW FL, LLC d/b/a Mederi Caretenders (Ft, Myers, FL) Mederi Caretenders VS of SW FL, LLC d/b/a Mederi Caretenders - Naples VS (Naples, RL) Collier County Board of County Commissioners is granted additional insured status with regards to General Liability and Auto Liability for any and all work performed on behalf of Collier County if required by written agreement. Collier County Board of County Commissioners 3295 Tamiami Trail East Naples FL 34112 THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE X 16.D.13.d Packet Pg. 2124 Attachment: 18-7470 Almost Family_Insurance_11-30-18 (7396 : AAA-RFP 7470) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CANCELLATION © 1993-2015 ACORD CORPORATION. All rights reserved.ACORD 27 (2016/03) The ACORD name and logo are registered marks of ACORD 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 EVIDENCE OF PROPERTY INSURANCE 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. PROPERTY INFORMATION LOCATION/DESCRIPTION COVERAGE INFORMATION COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE PHONE(A/C, No, Ext): (A/C, No):FAX E-MAILADDRESS: AGENCY THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. CUSTOMER ID #:AGENCY SUB CODE:CODE: INSURED LOAN NUMBER POLICY NUMBER TERMINATED IF CHECKED CONTINUED UNTILEXPIRATION DATEEFFECTIVE DATE THIS REPLACES PRIOR EVIDENCE DATED: COMPANY DATE (MM/DD/YYYY)EVIDENCE OF PROPERTY INSURANCE REMARKS (Including Special Conditions) MORTGAGEE ADDITIONAL INSURED LOSS PAYEE ADDITIONAL INTEREST NAME AND ADDRESS AUTHORIZED REPRESENTATIVE LOAN # PERILS INSURED BASIC BROAD SPECIAL LENDER'S LOSS PAYABLE 12/4/2018 225-292-3515 Arthur J.Gallagher Risk Management Services,Inc. 235 Highlandia Drive,Suite 200 Baton Rouge,LA 70810 225-292-3893 Massachusetts Bay Insurance Company 440 Lincoln Street Worcester MA 01653 LHC Group,Inc. 901 Hugh Wallis Road South Lafayette,LA 70508 BDO1046372 06/01/2016 06/01/2019 Employee Theft Insuring Agreement 5,000,000 50,000 RE:Will be used for RFP #18-7470 for Collier County Board of County Commissioners Collier County Board of County Commissioners 3295 Tamiami Trail East Naples FL 34112 16.D.13.d Packet Pg. 2125 Attachment: 18-7470 Almost Family_Insurance_11-30-18 (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2126Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2127Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2128Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2129Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2130Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2131Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2132Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2133Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2134Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2135Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2136Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.e Packet Pg. 2137 Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2138Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2139Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2140Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2141Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2142Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2143Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2144Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2145Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2146Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2147Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2148Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2149Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2150Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2151Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2152Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2153Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2154Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2155Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.ePacket Pg. 2156Attachment: 18-7470 BidwellHome-dba-HomeInstead_Contract_VendorSigned (7396 : AAA-RFP 7470) 07/31/2018 Brown & Brown of Florida, Inc. P.O. Box 2412 Daytona Beach FL 32115-2415 Marlena Randall (386) 252-9601 (386) 239-5729 marandall@bbdaytona.com BIDWELL HOME CARE SERVICE, LLC 16520 S TAMIAMI TRL STE 213 FORT MYERS FL 33908-5376 New Hampshire Insurance Company National Union Fire Insurance Company of Pittsburgh, Pa. Associated Industries Insurance Company, Inc.23140 CL1873115515 A Y 01LX0627956100 03/04/2018 03/04/2019 1,000,000 100,000 5,000 1,000,000 3,000,000 SEXUAL MISCONDUCT 3,000,000 A Y 01CA0699684501 03/04/2018 03/04/2019 1,000,000 Medical payments 5,000 B 10,000 29UD0628414401 03/04/2018 03/04/2019 1,000,000 C N AWC1097362 01/14/2018 01/14/2019 1,000,000 1,000,000 1,000,000 A Employee Theft Professional 01LX0627956100 03/04/2018 03/04/2019 Employee Theft 100,000 PL 3,000,000 Collier County Board of County Commissioners, or Board of County commissioners in Collier County OR, Collier County Government, OR, Collier County Included as an additional insured under the captioned Commercial General Liability and Auto Liability policies on a primary and non-contributory basis if and to the extent required by written contract. For any and all work performed on behalf of Collier County. COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS 3295 TAMIAMI TRAIL EAST NAPLES FL 34112 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 16.D.13.f Packet Pg. 2157 Attachment: 18-7470 BidwellHome-dba-HomeInstead_Insurance_11-30-18 (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2158Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2159Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2160Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2161Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2162Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2163Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2164Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2165Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2166Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2167Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2168Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.g Packet Pg. 2169 Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2170Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2171Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2172Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2173Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2174Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2175Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2176Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2177Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2178Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2179Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2180Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2181Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2182Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2183Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2184Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2185Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2186Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2187Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.gPacket Pg. 2188Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 11/19/2018 Miller &Miller Insurance Agency Inc 720 Commerce Street Thornwood NY 10594 Margie Lagazon 914-741-6400 914-741-6407 MargieL@Miller-Ins.com ACE AMERICAN INSURANCE COMPANY 22667 PREMI-4 National Continental Ins 10243MaranathaHomeCareInc DBA A Better Health Care 2375 Tamiami Trail N.,Suite 300 Naples FL 34103 COVERYS SPECIALTY INSURANCE COMPANY 15686 The Charter Oak Fire Ins Co 25615 TRAVELERS IND CO 25658 HISCOX INS CO INC 10200 1444410847 A X 1,000,000 X 100,000 X Prof-Claims Made 5,000 X Sexual Abuse 1,000,000 3,000,000 Y MLPG28210851002 2/2/2018 2/2/2019 1,000,000 Prof Aggregate Limit 3,000,000 B 1,000,000 X X CNY00070829938 2/2/2018 2/2/2019 C X 25,000,000 X 510035 2/2/2018 2/2/2019 25,000,000 X 10,000 Follow Form Prof Liability D E X N TC2OUB1006A37218 TROUB3612A49618 6/30/2018 6/30/2018 6/30/2019 6/30/2019 1,000,000 1,000,000 1,000,000 F Employee Theft UC2118450518 2/8/2018 2/8/2019 Limit $50,000 *Policies shown are subject to terms,conditions,exclusions,sublimits and deductibles not listed on this certificate.We recommend that requests for policy copies be directed to the Named Insured shown above.* Work Comp Policy #TC2OUB1006A37218 -Covers the following States -CT,IL,NC,NJ,NY Work Comp Policy #TRKUB3612A49618 -Covers the following States -FL,MA Collier County Board of County Commissioners,or Board of County Commissioners in Collier County,or Collier County Government is included as an additional insured under the captioned Commercial General Liability and Automobile Liability policies on a primary and non-contributory basis if and to the extent required by written contract. Collier County Board of County Commissioners 3295 Tamiami Trail East Naples FL 34112 16.D.13.g Packet Pg. 2189 Attachment: 18-7470 MaranthaHomeCare_Contract_VendorSigned (7396 : AAA-RFP 7470) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 11/19/2018 Miller &Miller Insurance Agency Inc 720 Commerce Street Thornwood NY 10594 Margie Lagazon 914-741-6400 914-741-6407 MargieL@Miller-Ins.com ACE AMERICAN INSURANCE COMPANY 22667 PREMI-4 National Continental Ins 10243MaranathaHomeCareInc DBA A Better Health Care 2375 Tamiami Trail N.,Suite 300 Naples FL 34103 COVERYS SPECIALTY INSURANCE COMPANY 15686 The Charter Oak Fire Ins Co 25615 TRAVELERS IND CO 25658 HISCOX INS CO INC 10200 1444410847 A X 1,000,000 X 100,000 X Prof-Claims Made 5,000 X Sexual Abuse 1,000,000 3,000,000 Y MLPG28210851002 2/2/2018 2/2/2019 1,000,000 Prof Aggregate Limit 3,000,000 B 1,000,000 X X CNY00070829938 2/2/2018 2/2/2019 C X 25,000,000 X 510035 2/2/2018 2/2/2019 25,000,000 X 10,000 Follow Form Prof Liability D E X N TC2OUB1006A37218 TROUB3612A49618 6/30/2018 6/30/2018 6/30/2019 6/30/2019 1,000,000 1,000,000 1,000,000 F Employee Theft UC2118450518 2/8/2018 2/8/2019 Limit $50,000 *Policies shown are subject to terms,conditions,exclusions,sublimits and deductibles not listed on this certificate.We recommend that requests for policy copies be directed to the Named Insured shown above.* Work Comp Policy #TC2OUB1006A37218 -Covers the following States -CT,IL,NC,NJ,NY Work Comp Policy #TRKUB3612A49618 -Covers the following States -FL,MA Collier County Board of County Commissioners,or Board of County Commissioners in Collier County,or Collier County Government is included as an additional insured under the captioned Commercial General Liability and Automobile Liability policies on a primary and non-contributory basis if and to the extent required by written contract. Collier County Board of County Commissioners 3295 Tamiami Trail East Naples FL 34112 16.D.13.h Packet Pg. 2190 Attachment: 18-7470 Marantha Home-dba- A Better HealthCare_Insurance _11-27-18 (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2191Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2192Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2193Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2194Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2195Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2196Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2197Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2198Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2199Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2200Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2201Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2202Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2203Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2204Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2205Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2206Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2207Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2208Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2209Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2210Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2211Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2212Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2213Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2214Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2215Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2216Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2217Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2218Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2219Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2220Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.iPacket Pg. 2221Attachment: 18-7470 SouthernHome-dba-ResCareHome_Contract_VendorSigned (7396 : AAA-RFP 7470) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTNAME:PHONE(A/C, No, Ext):FAX(A/C, No): E-MAILADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:XXXXXXX 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. INSRLTR TYPE OF INSURANCE ADDLINSD SUBRWVD POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC OTHER: EACH OCCURRENCE DAMAGE TO RENTEDPREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ $ $ $ $ $ $ AUTOMOBILE LIABILITY ANY AUTO OWNEDAUTOS ONLY HIREDAUTOS ONLY SCHEDULEDAUTOS NON-OWNEDAUTOS ONLY COMBINED SINGLE LIMIT(Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE(Per accident) $ $ $ $ $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ EACH OCCURRENCE AGGREGATE $ $ $ WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03)©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD LOCKTON COMPANIES2100 ROSS AVENUE, SUITE 1400DALLAS TX 75201214-969-6700 Southern Home Care Services, Inc.dba ResCare HomeCare805 N. Wittington PkarkwayLouisville KY 40222 7/1/2019 1366592 X X X 2,000,000 XXXXXXX XXXXXXX XXXXXXX XXXXXXX X 3,000,000 XXXXXXX XXXXXXX X X X Prof. Liability X SexAbuse/Molestation 4,000,000 300,000 XXXXXXX 4,000,000 6,000,000 4,000,000 Crime Employee Theft-$5,000,000 per Occ. N X 2,000,000 2,000,000 2,000,000 ACE American Insurance Company 22667 Great American Insurance Company 16691 See Attached Endurance American Insurance Company 10641 A ISAH25158702 7/1/2018 7/1/2019 A XSL G71096798 7/1/2018 7/1/2019A(CLAIMS MADE) D SAA 052 11 97 05 7/1/2018 7/1/2019 B XSC30000119102 7/1/2018 7/1/2019B(AUTO & EL ONLY) C SEE ATTACHED See Attachment Collier County Board of County Commissioners3327 Tamiami Trail EastNaples FL 34112 12095715 12095715 12/3/2018 THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED.Retro Date for Policy #XSL G71096798 is 7/1/01. Southern Home Care Services, Inc dba ResCare HomeCare. X Y N N N N N N N N 16.D.13.j Packet Pg. 2222 Attachment: 18-7470 SouthernHome-dba-ResCareHome-Ins12-04-18 (7396 : AAA-RFP 7470) RES-CARE, INC. AND ALL OF ITS SUBSIDIARIES CERTIFICATE CONTINUATION WORKERS' COMPENSATION POLICIES WLR C64790365 (All Other States) - Indemnity Insurance Co. of North America, NAIC #43575; Eff. 7/1/2018 - 7/1/2019 WLR C64790377 (AZ, CA) - ACE American Insurance Co., NAIC #22667; Eff. 7/1/2018 - 7/1/2019 WLR C64790389 (TN) - Agri General Insurance Co., NAIC #42757; Eff. 7/1/2018 - 7/1/2019 SCF C64790390 (WI) - ACE Fire Underwriters, NAIC #20702; Eff. 7/1/2018 - 7/1/2019 OHIO EXCESS WORKERS' COMPENSATION SP 4059590 - Safety National Casualty Corporation, NAIC #15105; Eff 12/1/2018 - 12/1/2019 Cov. A - Statutory Cov. B - $1,000,000 Each Accident / $1,000,000 Each Employee (Disease) / $1,000,000 Agg. (Disease) WASHINGTON EXCESS WORKERS' COMPENSATION WCUC64790407- ACE American Insurance Co., NAIC #22667; Eff. 7/1/2018 - 7/1/2019 Maximum Liability of Excess Insurer: $2,000,000 / Retention: $1,100,000 TEXAS NON-SUBSCRIBER (EMPLOYER'S EXCESS INDEMNITY) EPG000007607 - North American Specialty Ins. Co., NAIC #29874; Eff. 6/27/2018 - 6/27/2019 $25,000,000 per Occurrence / $25,000,000 Aggregate Miscellaneous Attachment: M488826 Miscellaneous Attachment : M488826 Master ID: 1366592, Certificate ID: 12095715 16.D.13.j Packet Pg. 2223 Attachment: 18-7470 SouthernHome-dba-ResCareHome-Ins12-04-18 (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2224Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2225Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2226Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2227Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2228Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2229Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2230Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2231Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2232Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2233Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2234Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.k Packet Pg. 2235 Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2236Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2237Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2238Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2239Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2240Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2241Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2242Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2243Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2244Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2245Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2246Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2247Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2248Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2249Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.kPacket Pg. 2250Attachment: 18-7470 SummitHome_Contract_VendorSigned (7396 : AAA-RFP 7470) 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16.D.13.m Packet Pg. 2271 Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2272Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2273Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2274Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2275Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2276Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2277Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2278Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2279Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2280Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2281Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2282Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2283Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2284Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2285Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2286Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2287Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2288Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2289Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.mPacket Pg. 2290Attachment: 18-7470 VIP America_Contract_VendorSigned (7396 : AAA-RFP 7470) 16.D.13.n Packet Pg. 2291 Attachment: 18-7470 VIP America_Insurance_12-4-18 (7396 : AAA-RFP 7470) 16.D.13.n Packet Pg. 2292 Attachment: 18-7470 VIP America_Insurance_12-4-18 (7396 : AAA-RFP 7470) CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER PAYCHEX INSURANCE AGENCY, INC. 150 SAWGRASS DRIVE ROCHESTER, NY 14620 CONTACT NAME: PHONE FAX (A/C, NO. EXT):(A/C, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS INSR WVD (MM/DD/YYYY)(MM/DD/YYYY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITYA ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?Y/N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) EACH OCCURRENCE AGGREGATE WC STATU- TORY LIMITS OTH- ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 12/04/2018 Paychex Business Solutions LLC VIP America of Southwest Florida LLC 911 PANORAMA TRAIL SOUTH ROCHESTER, NY 14625-0397 Paychex Insurance Agency Inc 877-266-6850 585-389-7426 Certs@paychex.com ILLINOIS NATIONAL INSURANCE COMPANY 23817 06/01/2018 06/01/2019039713730 Collier County Board of County Commissioners 3295 Tamiami Trail E. Naples , FL 34112 N N/A X X 1,000,000.00 1,000,000.00 1,000,000.00 Worker's Compensation coverage is provided to only those employees leased to, but not subcontractors of the named insured. Waiver of Subrogation granted in favor of the certificate holder. Contract number: 18-7470 16.D.13.n Packet Pg. 2293 Attachment: 18-7470 VIP America_Insurance_12-4-18 (7396 : AAA-RFP 7470)