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11To: Via: From: Date: CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM The Honorable Mayor & Members of the City Commission Hector Mirabile, Ph.D., City Manager LaTasha Nickle, Human Resources Director September 15,2011 Agenda Item No.:l1 2001 Subject: Workers' Compensation, Property, General Liability and Automobile Iosurance Request: A Resolution authorizing the City Manager to execute the reuewed policy with the Florida League of Cities, through the Florida Municipal Insurauce Trust (FMJT) for Workers' Compensation Insurance; further authorizing the City Manager to execute the renewed policy with Preferred Governmental Insurance Trust (pGIT) for Property, General Liability, and Automobile Liability; providing for an effective date. ReasonfNeed: The City solicited and received proposals for the City's Workers' Compensation, Property, General Liability and Automobile Iosurance coverage for FY 2011-2012 from carriers currently righting municipal business in South Florida. The following table summarizes the responses received and the City Manager's recommendation. !PropertY· [ __ ~c,~_, .. ,,_ .... ~ ... ~, "" i Crime i poland Marine IGeneraf[iabiirtY~··· ! ... -~ .. -.. --'-~-..--~.-"'-.. .. -.-.. --._ ... _. ~ ..... I Public Officials Liability , . !Tav;-(§nforc:emeot-··-··-······- j-AiitomobiieLiabffitY ··inCludeeii ! Included! 92.1136! sIT!'· i -C-jiif' R~~~.~.J $92.786 i , $5T7! ! 2.567r$2;s67-1 ,,~.'"~ ) " _~" .. ~''''_~,,'' __ ._,. ,I . j3~64TI 33.300 ! $33.300 I ._. _.. ............... __ .. __ .. _. ~_ ...... _.. ..... .... __ ._" .. i_ .• _.~_._~_..._.__.J 26.022 I 20.502 I $20.502 i .. . . . ! ·-5j.922.: ..... 36;:404i~--~-·~~;_j6~464 ! .,,_.J~ .. _ ."_."~ ... ".""'_ ... _, ...... ,,i .. __ .. _ .. " ... _,,_""_._,,._,_._ ... " ... _,_.,,_1 73.740 i.' 56.246 i $56.246 ! . ! :-A.iitomobliePhysIc:aioamage -NoQuoteTT3;9691·· . $T3.969 I iWorkers'Comp "~-"-"--"'-:-'-f46JTlfi -·-jiU561-----$2-.f6:rf1fj I TOTAL .. i559.9j6157T,4137i$496~49! !."".""", .. """", __ ".. J!" .. :. I As set forth above, the City Manager recommends that the coverage continue to be divided between the two carriers. FMIT offers the most competitive rates for Workers' Compensation Insurance. The City continues to receive the company's preferred rating because of the continuing coverage, including a 5% credit for its Drug Free Work Place policy and a 2% credit for its Safety Policy. The City Manager recommends that the City renew its policy with PGIT for its Property, General Liability and Automobile Insurance coverage. The PGIT proposal contains the most favorable rates for all coverage except Workers' Compensation. Brown & Brown, Inc. presented the proposal on behalf of PGIT and attempted to present other options for the City's insurance placement from other carriers with an "A-" or better rating from A.M. Best Company. No other quotes were presented. Backup Documentation: o Proposed resolution. o Proposal from FMIT o Proposal from PGIT 1 2 3 4 5 6 7 RESOLUTION NO. ____ _ A Resolution authorizing the City Manager to execute a policy of insurance with the Florida League of Cities, through the Florida Municipal Insurance Trust (FMIT) for Workers' Compensation Insurance; further authorizing the City Manager to execute a policy with Preferred Governmental Insurance Trust (PGIT) for Property, General Liability, and Automobile Liability. 8 WHEREAS, the City insurance broker, Brown & Brown, has made solicitations for 9 insurance quotes for Workers' Compensation Coverage and for Property, General Liability, and 10 Automobile Insurance. 11 WHEREAS Brown & Brown attempted to present other options for the City'S 12 insurance requirements, including quotations with insurance carriers holding an nA_n or better 13 rating from A.M. Best Company, but they were unable to obtain any such quotes other than 14 from FMIT and PGIT. 15 WHEREAS, the City Administration, in conjunction with the report from Brown & 16 Brown, recommends that the City continue coverage with the Florida League of Cities through 17 FMIT for Workers' Compensation Coverage for the 2011-2012 Fiscal Year based upon the 18 current proposal; and 19 WHEREAS, the City Administration, in conjunction with the report from Brown & 20 Brown, recommends that the City continue coverage with the Preferred Governmental 21 Insurance Trust for Property, General Liability, and Automobile Insurance for the 2011-2012 22 Fiscal Year based upon the current proposal; 23 NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY 24 COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT: 25 Section 1. That the City Commission hereby authorizes the City Manager to execute 26 the renewal insurance policy for Workers' Compensation with FMIT for the 2011-2012 27 Fiscal Year. 28 Section 2. That the City Commission hereby authorizes the City Manager to execute 29 the renewal insurance policy for Property, General Liability, and Automobile Insurance with 30 PGIT for the 2011-2012 Fiscal Year. 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 Section 3. This resolution shall take effect immediately upon adoption. PASSED AND ADOPTED this __ day of _____ , 2011. ATTEST: CITY CLERK READ AND APPROVED AS TO FORM: LANGUAGE, LEGALITY AND EXECUTION THEREOF CITY ATTORNEY APPROVED: MAYOR COMMISSION VOTE: Mayor Stoddard: Vice Mayor Newman: Commissioner Beasley: Commissioner Palmer: Commissioner Harris: Coverage Commercial Package Property Crime Inland Marine General Liability Public Officials Liability Employment Practices Liability Law Enforcement Liability Automobile Liability Automobile Physical Damage PREMIUM SUMMARY Insurer Preferred Governmental Ins. Trust (Not Rated by A.M. Best) TOTAL Renewal Premium 2011-2012 92,786.00 517.00 2,507.00 33,300.00 13,894.00 6,608.00 30,404.00 56,246.00 13,969.00 $ 250,231.00 *This Coverage Agreement shall be 25% minimum earned as of the first day of the "Coverage Period" PAYMENT TERMS: COMMERCIAL PACKAGE First Payment of $125,115.50 is due 10/01/11 Second Payment of $62,557.75 is due 12/15/11 Final Payment of $62,557.75 is due 3/15/12 AUDITS: The General Liability and Automobile coverages are not subject to year-end audit or adjustment. Therefore, there would not be any additional premiums for increased liability exposures or additional vehicles purchased during the policy year. 22 CITY OF SOUTH MIAMI 6130 Sunset Drive South Miami, FL 33143 COMMERCIAL INSURANCE PROPOSAL October 1 sl 2011 -2012 Prepared By ROBERT HOLLANDER SENIOR VICE PRESIDENT Brown & Brown Miami Lakes Tel. 305-364-7800 -Fax 305-822-5687 Date Prepared August 24, 2011 INTRODUCTION OF THE ACCOUNT SERVICING TEAM BROWN & BROWN MIAMI » Commercial Insurance (Property & Casualty) Primary Contacts • Robert Hollander Direct Tel. 305-364-7818 Senior Vice President rhol/ander@bbmia.com • Mercy Garcia ACSR Account Manager mgarcia@bbmia.com » Commercial Lines • Denise Newman, CIC Vice President -Commercial Lines Accounts Manager dnewman@bbmia.com » Marketing (Property & Casualty) • Marcel McSweeney, AAI Vice President -Marketing Manager mmcsweeney@bbmia.com » Surety Division (Bonds) • Mayra Rodriguez marodriguez@bbmia.com » Employee Benefits (Life, Health, Disability, Pension) • Judy Menendez Benefits Manager jmenendez@bbmia.com » Personal Lines (Automobile, Home, Boat etc) • Markelyne Almarales Personal Lines Manager malmarales@bbmia.com 14900 NW 79'h Court, Suite #200 Miami, Florida 33016 Phone 305-714-4400 0 Fax. 305-714-4400 Toll Free 800-432-8844 ININW.bbmia.com 2 Direct Tel. 305-364-7865 Direct Tel. 305-714-4519 Direct Tel. 305-364-7803 Direct Tel. 305-714-4527 Direct Tel. 305-714-4506 Direct Tel. 305-714-4430 COMMERCIAL PROPERTY COVERAGE SECTION INSURER Preferred Governmental Insurance Trust, Not Rated by AM Best COVERAGE LIMITS (*) $ 18,753,986 Building & Contents Limit, per attached schedule -Blanket * Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher limits may be available. Please let us know if a quote is desired. COVERAGE TERMS AND CONDITIONS Covered Losses Valuation Coinsurance Deductible Exclusions Special Perils Coverage Including Mechanical Breakdown Replacement Cost Nil o $1,000 All perils per occurrence except as stated below: o 5% Named Windstorm Deductible Per Occurrence subject to a minimum of $10,000 (*) o $1,000 PER Flood, except zones A, V excess of NFIP, whether purchased or not Exclusions include, but are not limited to, the following: War and Terrorism (**) Earthquake (*) This Wind & Hail Deductible can be reduced to a lower deductible through the purchase of a Windstorm Deductible "Buy-Back" policy which is available in the Excess & Surplus Lines market. The annual cost is approximately $20.00 PER $100 of coverage (the amount of .buy-down). (**) See Premium Summary Page for an option to include Terrorism Coverage as outlined in the Federal Terrorism Act 2002 3 PROPERTY COVERAGE EXTENSIONS FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT COVERAGE Accounts Receivable Animals Debris Removal Expediting Expense Demolition, Ordinance, and Increased Cost of Construction Fire Department Charges Fungus Cleanup Expense Lawns, Plants, Trees and Shrubs New Locations Personal Property of Employees Pollution Cleanup Expense Limit Recertification Service Interruption Coverage Transit Errors and Omissions Preservation of Property 4 LIMIT $250,000 $1 ,000/$5,000 $250,000 $55,000 $500,000 $25,000 $10,000/$20,000 $25,000 $2,000,000 $25,000/$50,000 $25,000/$50,000 $10,000 $100,000 , $250,000 $250,000 $250,000 PROPERTY SCHEDULE unit: It Oe"...tt1ptron Year 6mlt EII,"ate I 5mklins vatue I To-t;;i.I~red V-altsl! Adr.tre~ ConttType Term (}ate I C~ntsva1ue I RootSMpe I Roo".'" ROO CoYenns I Co-~fl%, Replac.ed ! lI..O¢fYr:'6It Auto fnspi!Ctior; ;.a;atirm 1Gr01!201t $#,00 <Xl, 5,07S.W.:roth ~re-e-t $"","'" SOUTH ;J,.WJ,I, FL 3314:1 lQ'.{OU2012 $ in "}"'iNC I I I w: head start uwrter HUO'UZ01t $4'1-2,-00 002 6111 'SI,,;{ 65TH $T $447,48 SOUTH mAMl, FL33Hl 1H· MNe 101OV2J;:tlZ $S,.fa I I I Pubrz: Works Off~te eulldirr-g 10'10112011 S~'17,w. 00'3 47'i'55,W. 75r1l AV~ $2:0.,;,31.11 SOUTH iMAM!, Fl...33HJ 13>1 ~ fR: Hi'{OllZ012 $7,116 I I I STORAGe)'MCTOR POO( OFFICE 1(11{01lUl11 \",00< "'" 41'1-5 <;.W~ 75th AW!!lW.e $",.~ roUTH ~1J)Jij, FL 3314l W/OU20U S 131 •. flJ; I I I ?'DUD WA,';"fE BLDG 1'1'1!{OH2011 S1(l3,~ 005· C?,5-,$.W.'75-tllAV~ $10l,!:'-Oi: SOUTH m.AMI, FLJ3H3-lQ1Of/2012 $0 10~ • fram!<! I I I <:JTY UARA:GE 10i01l20H $4~,~ 00>6: .lJI9-5,$.W.7Sth.Ava-w.,'!e $4<4,000 >OUTH M!.,;<;,Ml, FL '331-+J HflOt/1ll1l: SO 1U ~MHC I I I clTf'S RE?AlR SHOP 101Ot120'it $63,00: 007 :U'f:&$_W.n1;hA~ $1_2.2:,267 SOIJTH m:.MI, Fl3314;3. 11' -JM to{QlI'ZD11. $~';t,Ui I I I P01.lCE STORAGE 8LOO 1010112011 '1$,."" 00< .(7't5' ~.w. 75th Awrure $18,'1-00 SOlJTH mAMJ. FL 33H3-H}lOtf201l'. S 11' -JM I I I DAmE B. FASC~U PARK f TEN~IS PRO :sHop-'a Re.-m.OOI,( 1GIO'U201! !t:j},'05,OO: 00' 8600 REO ROAD 51,1"",000 ~urH MtM\f".FL 13H} \O/O'H2012 S 13'1 -fR I I I ot.NTE '6 FA.."-CELl.. PARK -2:.GAZEBOS lG/Oll2011 '65,00< 01Q 8600 RED ROAD $6f.,.'OOC SOUTH ,IJAf,J..j, FL 33 'H.l 1Gf01tZ01:t, \ 1~1 ~ He I I I 5 unit;; oe.~np't1OO Year Bualt Eff. Date 6ulh:lrng V:1Ilue I Total lwrored Value Addf:E'~ (.omtType Term nateJ contents value I ROOf Stl-ape I Roo Pl.'tctl Roo co-venn! I COYIN-mg, Repla.c:ea I Roo Yr ,Bit D;HTE 8 fl<!,cELL PARK. -6 'liAR 1RUTEN.tiiS COORT::~ Hl'/0112iJH $Ill,,", .il 3600REOROAn'~ •.. ~ .. --S12l,~ SOl.JTH t.·.itJ.\I, fL33.1H lG-101,t201l $ I 1S:2 ,-t{<: I I DMiTE'B FMJ:ELl PARK t PLAYGRotJtlD'($.6,&OO-10101!201t $10M'" (HZ SE'OO"""-WP.oAU"'''''''' $104,00( SiOIJTH to!jil>.Ml, fL 33H3 10t ~ fram.e-1.010112012 $ I I I O.;HTE 8 ft.S{:a.L CO;l'.VJ.tHHIT ST-ORA,{,E 10{OH20:H $6.3,00( a-i3_ 8500 RfD ROAtI $6>,0" 50:'t:1TH l'I'um, FI:. 331-0' 10-/0112012 $' Url'-f?; I I I FUCH,$ PARK F'AV'lUON \,$45-'!.tH::QIITEtlTS INCLUDED) 10'!01l201\ $31 ,00< 01< 6#5, S>.'f at STREIT S",O'" SiOl.1Tfl MJtM.lI, fL 33'lof3 II}}QU2012 $ 101 ~iF.ram>2 I I I FUCHs.: PARK l"LA'r6ROUND fl,$'N,}lG SE1!' l/J'f01/20H $:70,11.1," 01"5 644& 5\'/ a~ S"rREEr $71),75'; SOI.1TH M!i,llj,,\j, Ft.. 3:-3H3-10/0112012-\. 11'i! -,JM I I I PALMER PARK -flEtD s:rORAOE 6lJ1LD1t~G 1O-fOU201t $"',,",, 016-644$ 9.V 81 srR'EU S45-,5fX soutH t!JtJ(J, FL33Hl 10(0112012 $~ I 1S1-tK I I P"AUAER PAm;: fOO1'"fl-AU 5.TOPAJJiE &.00 Hrf01t201~ ''',00< OiT 6701 $W 61TH AVEtRJE-$120,nC $OIJTH MWJil, ft. 3S1i3 10fOU2Q12. $45,73( t1'J -JM I I I PWJiE!1: PAAl\: fOOTBAlL !o-:rOO.A.m:: ROOM 1QfOU2()H $>3,"", 010 67t)\ $W 67TH AVEf.lUE S!>2,!i{iO SOIJTH mM'I,l, FL 33143 10.rO~/2012. s·a,OOG 11'-J)'A I I I PALMER PARK FJELD HOU$£ 10f01!20H $~0'1-;W5 0" 67'01 sw 67TH AveME $US,lf. $O'trrH JilJ.M'J, fL 33143-'1'(tf01f2012 $',H 11''1-JM I I I PALMER PARK PLA'tGROUltl): 10IOU20H $26,00< .'" 67-01 $W 61TH kV~UE $26,0" SOUTH MiAMI) ft. 33143-10!01J21J1Z I 10t -Frame I I I 6 u~it# De"'...tnptlon 'feu 8mtt fff. Date ! 'BlHldi'ng v;a~ue I ierm llate I Total lnrored Value Addirez ComtType ~flt!>vaju~ I !ROOf Snap*" I ROOrpltCn RaG .<ovenng. COwnflg RE'p!aclOO I R\lOl 'ir Blt PM.MER 'PJ.RK 14 PICHIC TABLB mlQH20U $3,'2< 01t 6.701 St."I67TH AV;ENlJE S.l,t2 $01lTH w'UI,i~ f'L 3314il 101oti20i2. $ 15-:l..-NC I I I PAtMER P.t;RK I .3 BBQORltJ.$ 1G!G1!WH $18 022' 67,01 '31"1 61TH ~VENUE $700 SOUTH MliM\I', f1!. 3314l 10101/2012 $ 15-2.· !He I I I PALMS:: PARt:: f '1:1..00 IT Of 6fT H-lGH ffi{>!:E 10101lW1i $B,OO< 0" 6101 SW: 67ft! 4-VENUE. $1>,000 :;.ol1TH t.iJMA1, Ft. 3314l 101011201:1.. $ 15-2 -ftC I I I PAlMER P.4BK -~OOO Fr OF 10fT HIGti FENCE' 1l')101lZOH $'.,%( 02'4 67tlt 'SN167TH AVEtR1E ".,900 $OlifH lItwlil, Ft, ;J314} 10i01I2012 $ l&l·tiC I I I PA1..MER PAR¥: -REH'ROO,lU3LO 10/0112011 $>+,,",, OM, 6701' $W 67TH AV£lIUE SB>4:,bOO $OlJT1i .!&AMI" F!:. 331-tl 10/0112011 $ 11'i1-JM I I I PAUt.ER PARK· CONCE$$lON BLDG 10:(0;12011 $",000 0" 6701 SW 6J:-rH.AVENUE $!>4t °1) SOUTH ),«MII; fL33l4). 10/01i201~ $0 I 11'i1 ~ JM I I OffiCE t POUCE :stlflt,"TAT1QN 1010UWH $ 021 6900'$\'I5'TfH PLACE Sm,6&'!i $Olll'H MWM, fL.33Hl lOfOllZOU $2$,&>5 119 ·1M I I I SRf\V6l: PARK ~ 1; RACQUE'rnAll. COURTS HUGUroH $Z$;~5 023 63-00 S\"I 5f.TH s:rn.EET SU"J5f.'!l' :;ourn M/W.Il, FIi.. 3<3,141 lOJOU20U $ 1n-JM I I I BRE"/lER P'ARK • 1 n.. SASKETBAt.L COURT 101GHZ01~ \ll,OO< 020 6300 SW 56TH STREET ''',00: $OIJT'H. MJAI,?,I, FL33H3-10!OHWi2. $< H'i1-JM I I I BRE'WER PARK '. J:>l..AYGRCtJNO AH'D-sw!t~G foET 1OlQtfW1t $34, t25 030 6JI» 5W UTH 5TREET $)1;,12 $OI.1THM~AM1, Ft.33Hl lOJOtiWl1 se W2~tK I I I 7 unitAl' De-"...-.:nptl.¢1'i Year Bmtt t::fLDate ! aUllmng ¥;slue I Total lrrA1rW' Value Addn::~ Ulnst:TYPe T/i:rro Date content!: Value-I ROOf$nape I R?CT Prtcn ROO, C,ovenng I Covenng Replllcea ! ROOt Yr Bit BREWER PARK ~ -4 5EHCHES -lOfG1:!20"H $1 r !X'.! 0" 6),00 'fiM,t Sf.ni mEET $1,'" &OlJTH },JiAMI, Ft. 3314} 151¥jK IOlO1(2P.U. S I I I BRfVIB!. PARK ~ 2: BaQGRllli 10f01l20i, $-$2 032 6:J.OO'S'i,t 56TH STREET $&2 SOUTH MiIVI.I, FL 3S14} H}f01l20i:'I.: $ 1&2· He I I I BRe\'/6l': ?ARK -2 TENH[S COURTS 10taH20H $'2,00( .33 6}'OO SNf 5HH -'STREET $5-2,,000- $O.IJTH MilAMl, fl.L 33Hl 10/0112012 $ H'l-JM I I I fRE'NER PAR-I{ ~ 46DFrOF 10FT HIGH fENCE 10'101/2011 $7,.&J<] .>< 6300 '$"''''5~TH -sTREET $-1,ElX 5:01lTH M~tJAl, FE 331403 1O.rO.t/2012 $< i5-1-;N(: I I I BR'Et'/E'R PARK -360fT OF !iff HNJIi FENC£ 10{01l2011 ,3, "" .» 6l-ro 9N 56TH STREET S3;'1lX 5JJ:trrH )./JAMI, R.. 33143-IG10U2012 $, '15-2· 'HC I I I 8RWBl;P'ARK -Z PICNic TA&.ES 1I:}f01!2011 $1,,",' 036 6}00 'S:l.'! ~TH STREET $:~,s.« SOtJTH ,MMM1" Ft 33143-1O'fOU20n $, HU-NC I I I MURRAY f't>RK I COMMl)Nln' CEtfJ"ER 10ratf2l.JH $300,00- .31 671)1. s\''-/515: PLACE $36D,oot $OIJTH #.u..MJ, ft 3J14} 1Q-rOU20il $ 1n·MtK I I I HO?E SUTlER ACf'IYITY CDITEF: lG!OH20H $2,o,,," 0" 6701 '9.¥ 5e PLACE $:UO,,54)~ '$01J'rn AAlJJJJ, FL 3:SHl lGf01f20i2. $( n~ ·jM I I I OffiCE' f routE :SUa."fATIO'/{ 10/0ff20H $ "39 5'1n;, $Ut~ DFUVE $",.'" ~.otJTH t.'1M'I1, FL3SHl 1OfOt/2012 $32,!).lJ( 11';' -.JM I I I ClT\' HALl.! POLICE H}fOll2011 $3-<470'.-00< <>40 6HO Sf,J-NSET DRWE $3,86S,:t-12 ~>QUl1i V..!};;\;\I; Ft 33Hl 10roU20il $3':15,472 lH -I.,\NC I I I 8 ()e.""A:nptttm 'ieMBmtt Eft. Oate I Bu~ldinB "d!ve I t.fnit ~ T"tD~ ln~ured value Addrez c:on>tType ~rm Datel Cill1tents Va,lu€' I ROOI Snape I RoorPltCn RoO' covenng co;rrenn,g Rep itU<{l I Root Yr 13,t SllVA MARTIN 13(.00 Wf01l20H $,""'" 0" 6t30 SUNSETDR1VE $0{<H,7Dt $OlJTH mtJ.'.I, fL )3143 11';>' JJ,I 1o;}'01!20,n $R:i,:7~ I I I ::--OIJTH t.lttJ,tJ 'COMM CENTER tor1/, IG-fUU20H $,41,tf'A),~ 0.2 5e:OO$W66:'~ $4,5S-O,{lt;t: SOIJTH MMM1, fL :!-3143. Hi • ... we W/01fWU $39J~ I I I .rEAM vm.lli ,P.M:U\ I G-AZEBO IO:fll'U:W1'V $'~'" ,[.(If; 0« nlO SW 61ST COiJRT $t"f,5-OC SOI.ITH WA1J.I, F1!. 3314;1 lO'fG112im. $ 101 ~ f'lC.n1e- I I I MARSHAll WH . .tJAMSOU PARK f 0,1.,7£00 lOfOH20H $65,.00< 044 6ni5W6e~ S,6&,{)OC $OIJTH MMM1, FL J3i4} lOfOH2012. $ 1&.1.-:tk, I I I ilAAPSHM..L WIWAnSOf!. PARK I PLA'iGROUHO:AI{D $W!.NG fOfIJlI20H $32,"", 0<6 ~n1 $W 6lJ. S1'RE'ET m,'''' SOUTH .t."«t.1>:\I, Ft... 33143-H}(OUZ012 $' 152. ~ Nt I I I IMR5HALL W1WAMSOli PARK f 3 8ENCHE~ IC'I01!W1f $f,17(l 0<7 6UI W{6aSTREET $t,17(1 $Curt{ WM'd., fL,3,Ji4} 10101l2O1l $ 1&1-'NC I I I MAR..';'HAlL W1WAM,SOR PARK f 4 IPlCtHC TABLES 1t}iOll20H ;3,12< 04. 6i21 $W 68. $1'REET $3,'" $oi.1TH. WAM1~ ft,33,H<'} tofOUZO'll ; 1&2-MC I I I VAN $..M111'i PARI<: f RE$$DENCE BLOO 10.rQU201~ $"',00< 0 .. 7a:J)l} $\'I.S"i'TH AVENUE SZ53,OO $OIJTHMJW.\I., fL33Hl 1OfOHZOll ; "". JM I I I Au.. ,..1',MEJUCA PARK l 3 PICHIC iA'f;t.E$ lOfOUWH ;7,00< os. MW SW M A\'ENIJE $1,01" >OIJTH j;J-UJ,,\l, fL, 33143< 10/01,(2011 So 152 -Ne I I I GIRt. SCOUT PROPfRT{ 10fOll20H $'>0,000 CSt 6&00 5W 61) :rrRff:f $HO,." roL.1TH MiAMl, ff....331~1 1(1101/2012 $' 101 -~rn~ I I I ~nptwh YeN BtJllt £ft. ffate' ! BUilding Value I !tNl1t# Totallnwred Valtu! Ado;ft;e$$ Om.."'t:Type Term Date! Cl:mtent5 Value I ,Root snape I '00"= RooT O::l"\'ermg I C,,,,,,,", "P"'''''· I RootYr 6[t PARI'Um GARAGE 10JOtt20H $5(1)00,00< 052 $W 5l1i1'H -cO-lmT a 5W n~D $1'"REET $5,000,,,,", $01J11i MM,Mf, FL 33141 lS7. -NC 10'1Q1l2:D12 S, I . I t Total: I $-17,7CK,1">f I $1,O"l9;7~.2.1 SlS":n;3,~6 9 INLAND MARINE COVERAGE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT INSURER Preferred Governmental Insurance Trust, Not Rated by AM Best COVERAGE LIMITS (*) $ $ 471,896 Parking Meter Equipment 1,000 Deductible Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher limits may be available. Please let us know if a quote is desired. COVERAGE TERMS AND CONDITIONS Covered Losses Special Perils Coverage Valuation Actual Cash Value Coinsurance Nil Deductible Per Attached Schedule Exclusions Exclusions include, but are not limited to, the following: War and Terrorisrn (**) Flood Earthquake (**) See Premium Summary Page for an option to include Terrorism Coverage as outlined in the Federal Terrorism Act 2002 10 COMMERCIAL CRIME COVERAGE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT INSURER Preferred Governmental Insurance Trust, Not Rated by AM Best COVERAGE LIMITS (*) $ $ $ 50,000 50,000 50,000 Deductible 1,000 1,000 1,000 Coverage Employee Dishonesty including faithful performance, per loss Forgery & Alteration Computer Fraud including Funds Transfer Fraud Coverage Limits must be ultimately chosen by the Insured, We as Agents cannot recommend the adequate limit of protection, Higher limits may be available, Please let us know if a quote is desired, COVERAGE PROVIDED Employee Dishonesty -Blanket Basis This coverage is used to insure against loss of money, securities or other property belonging to you, or for which you are liable, that is caused by employee dishonesty, It pays for anyone loss caused by one or more employees up to the face amount stated on the form, Only the actual loss sustained in the policy period is included for coverage (progressive or continuous loss over multiple years outside the policy period is excluded) Forgery or Alteration This coverage is used to insure against loss resulting from forgery of checks, drafts, notes or other similar written promises prepared by you or your agent. It does not cover dishonest acts of employees, which must be insured by Employee Dishonesty coverage, Computer Fraud This insurance will cover loss or damage to money, securities, and other property due to computer fraud. Computer fraud is defined as "theft of property by and directly related to the use of a computer." 11 COMMERCIAL LIABILITY COVERAGE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT INSURER Preferred Governmental Insurance Trust, Not Rated by AM Best GENERALLIABILITY COVERAGE (') -Ratable Payroll of $4,393,734 $ $ $ $ $ $ $ $ $ 1,000,000 1,000,000 Included Included 1,000,000 1,000,000 1,000,000 a a General Aggregate Limit Bodily Injury and Property Damage Limit Products & Completed Operations Aggregate Limit Personal Injury & Advertising Injury Limit Fire Damage Legal Liability Limit Employee Benefi.ts Liability Limit per Person & Aggregate Limit Herbicide & Pesticide Aggregate Limit Medical Payments General Liability Deductible Per Occurrence LAW ENFORCEMENT LIABILITY COVERAGE (*) -Rated on 50 Officers & 4 Volunteers $ $ $ $ 1,000,000 1,000,000 1,000,000 a Law Enforcement Liability Limit -Per Person Law Enforcement Liability Limit -Per Occurrence Law Enforcement Liability Limit -Aggregate Law Enforcement Liability Deductible Per Occurrence PUBLIC OFFICIALS LIABILITY COVERAGE (*) -Ratable Payroll of $8,745,236 Retroactive Date: 10/01/2010 $ 1,000,000 Public Officials Liability Limit -Per Claim $ 1,000,000 Public Officials Liability Limit -Aggregate $ a Public Officials Liability Deductible Each Claim $ $ 2,500 100,000 Pre-Termination per employee -$5,000 annual aggregate Non-Monetary aggregate EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE (*) -168 Total Employees Retroactive Date: 10/01/2010 $ 1,000,000 Employment Related Practices Liability Limit -Per Claim $ 1,000,000 Employment Related Practices Liability Limit -Aggregate $ a Employment Related Practices Liability Deductible Each Claim , Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher limits may be available. Please let us know if a quote is desired. Exclusions include, but are not limited to the following: War, Mold, Fungus, Bacteria, Silica, Lead, Pollution, Asbestos, Copyright or Patent Infringement and Nuclear Liability. 12 SPECIAL NOTE REGARDING ADDITIONAL INSUREDS General Liability coverage provided to a named insured (you) by an insurer could be modified to extend to other parties. These other parties are commonly referred to as additional insureds. Modifications (endorsements) to the named insured's policy could be used to provide similar benefits enjoyed by the named insured to the additional insured. Because of changes to these endorsements, the additional insured may no longer enjoy the same benefits. Under these new endorsements, liability that is based on the sole negligence of the additional insured may no longer be covered. The State of Florida's Office of Insurance Regulation approved changes to these policy endorsements effective July 1, 2004. The absence of insurance coverage and the agreement to contractual terms may not free you of the responsibility to pay on behalf of the additional insured liability arising out of their sole negligence. Florida law allows you to assume liability on behalf of another party by way of a contractual agreement. In fact, the law allows you to assume the liability for suits that may be the result of the sole negligence of the other party in the contract. In other words, contractually you would be accepting and paying for claims that may arise from situations that are not even your fault. While we are not necessarily aware of the individual contracts you may have entered into, we feel it is our duty to notify you that there is a possibility you could have a claim that is not covered by insurance. Our recommendation to you would be to have your contracts reviewed by your attorney to determine if you have assumed such liability and what your legal options are. 13 BUSINESS AUTOMOBILE COVERAGE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT INSURER Preferred Governmental Insurance Trust, Not Rated by AM Best COVERAGE LIMITS (*) $ 1,000,000 Bodily Injury & Property Damage Liability -Any Auto $ Statutory Personal Injury Protection -Autos Subject to PIP Law Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher limits may be available. Please let us know if a quote is desired. COVERAGE PROVIDED • • • • • Coverage only applies to vehicles that are owned/titled or leased in the corporate name, or business narne in case of a partnership, that is specifically listed. If a business owned vehicle is furnished for personal use, an extension of coverage form may be required for proper protection. Automobile Liability Hired Automobile Liability Employers Non-Owned Automobile Liability Automobile Physical Damage (Coverage/Deductibles Per Schedule Overleaf) 14 VEHICLE SCHEDULE Un'" Mike , , A~\:': ~'D~d Coil En,';"" I;.~:~on AP~~P;d Qiy Year V ... Ve'role ',po DOl CITY BUILT 1m'" IMl.!I1 I , ..' liC'c.C;, P'c"<. \ .200!l 4350 NA Act", ""'hi no1 ROCKET SThl CWR TRlR lO1W1I ;i;, I·,··;;;····, , 1987 '2Il7 Ie NA MU" C05"1 Doa FORD PICKUP 10101111 .; ,"';.' 1'/:', ... i··'c"';$l 1 lOllO 2367 lUo1ll!12 ~ Aclu,' COShI DO. FORD 'MlllII ;2,"'.'" 1,::".2' :;,'$0 I ~ 411 10""" NA Al'u~ ""'~ 005 TRAILER ''''~'11I '.ii'. ':' .. '\;'; .,;.;::,,;'j' , 2000 ~ Actu,1 O">hl Boa _FORD WATER TANKER lDiOIl11 ~\, ,',:",. ' I"~ , "9{) 5@21 IDiO<l" -'"101'14 Aoru"c";"1 om TRAILER \0101111 .'.i.·,,:,., ... ", I 2000 NA . Actu,' ""'hi ooa. FORD ",""e ,"0c~ \O!O\I1I '.1,< '_'.,1 :"'~".i , 1995 0;77 10101112 ~au ,wIn", 10""'112 Mm. w>" ,2M'" 009 FORD POLICE '0I0!i1l ., .... ,: .. ..; . ..; >; I 'O'la 5115 10101112 "" A~ua' "-", 010 FORD CROWN VIOTORIA POliCE IUIO"" , ';":.' :,;:':)<,"",'i'~ , 1002 1!fJl8 Po';", ca, I HlIOl!!2 ~ lEi 011 FORD CROWN POUCE 'lli'O!I" . "':'j. .')'», ·.Ojc C;.)t ! ,."" 1357 Pol'''' COl lMll112 ~NA Actu,' ""'h 012 FOR" POliCE lU"''''' I '''''' "'" Pcli", COl 10,'0'112 * A~U31 ""'" U13 MAZDA PIC1(lJP ""~1I" .c,;,,:·) .. : , ~ ~TRUCJ( mUll12 AclU. C"" 01< lDiOUl1 <;' , 11P'P!Il' ,t~'!I11jZ' j·'·c·'<·'C;<.',.· , . \ ''''" ""5 lUIO,jl2 ., ,0'0 lW1nm 101011\2 ",0,1>' j~;, 015 FOOD CROWN POLICE 10101111 ~c'" 1.'''<,; I·: 1 '900 &S4 Pol'"" Cae 100\l12 018 FOPo CROI"" POliCE !IlJa!!l1 ~;: !:{"":< •• ,,')','>:. ·C .••... ', .. ,: 1 """ "",5 'Oro1l12 nt7 FORD CROWN' POLICE 100ml11 ~ '):::·C' , ..... I').··X,'·' '.' .' ..•.. ; "','111 , "". 800' Poli". Cae 10.01112 Actu,' ""hi 010 FORD OPO\\'I'''"' V"~ POi'CE_ l",nlll1 ~ I";",C .... (., 1>:< 1 ,.lIT ""'" PoliceC" talOlil' ow", cO"'1 U" FORD CROWN VICTORJA POliCE "lJ~"" ".:' "/,'-~Ii , _ '0.7 ~TORIA ~ 10,0tll2 NA Actu""as"1 JJ20' FORD IOR)!I" ;,,·C··.·.· .• ·. 1\·,'·:·,·.::,:: ... ·1;<1 1 '.'7 """" Ii '0101112 NA Ac,",1 """ 021 FORD CROWN' I POL'CE IUIO!fl1 ~ .;1'," ... i:;·,,': ' );::,,'iQ ". 1 1007 391 Ii 10ml12 AclU,1 CaJ;' 15 I Unit. Make AL Eff"" ., O>IJ! ;::011 ii,:"'",,,-; u':"""""'" Qty Year vita ,.","1 •. ,", I ALT""" O>1I0e<! V'~~~~"n 1 APO Rptd llZ! FORD PWCE 1ll"ml ~ '.' ~: ",.", i',' •. ,' diU , 1901 390 mU!I12 , A","" cas, D2~ IWW "'}Oll" ~ ','," , •• ·.'ti ~,"'<~ , 1007 227Z 1U"'!!12 024 FORD RANGER P'CK'D? lon,'" 1 "~7 .. , LightT"'''' I 1001112 NA 02. lD10ll11 ;.i::" •• 1 1'", 37.5 Ipri_1 10101112 NA Ac1u" (,,,, ma FORD P1CKUP 10101111 c···;,sp , !qQ. 5(]®4 1",Ull12 I~ A~~" C3,' ll27, FORD CRoWN POUCE 1!lID1111 (',\ >; •• 1 190a 7£43 pon", eat 1D,U1I12 NA AoW" C"", OZ. FC1l0 CROWN PQUGE 1!lID1111 " ";, • """('s!! , ,.,g, 7544 Po!;ooC" """1112 , NA , A,,"~ C",h 0" FORD CROWN POLICE !DIOIl11 h",,'" 1 toga 7541l P~,*C" "'J01!12 NA ,",,,, C1>S' "'0 FORC CROWN' I POtICE 1!lID1.'11 ?'Iil ! "'a 7547 , 10101112 NA """''' C",' 031 Fi>R0 POiLICE •• 1 190a 7548 Poj;",Ca, !",nll!2 NA ~ 03' TRUCK tOO"" ~ , '!lila 7'.2. 1ilI01ll2 1 '0<1112 Aotu" =" '31,00 osa HlIG!!!1 ..>; , !we 454 , IS""',", m'OH12 ",000 'wu"'" 'W""" AOW' """ ,~,"'" OM FORD 1U'01l11 ~"JJ I 1900 ''''' 1001112 Aotu" C",' 035 FORD 'OJ""" , .. ," ........ '.' "''t'"'' 1,'0'"··.·,,·,,.··.·. "'''.'''.;)U 1 19., 1007 UghtTrud lOo<m12 NA AC\U" C"," ~ D'. FORD CROWN VICTORIA POLleE '!lID1I11 ~ ... ,'," I .. :"' ..... ,. '}". I 19,. ""'" r 10101112 Aolu" U"'" 037 FORD POUCE Ill!""" ~ J.a ... ;.'.~ , 19,. Zlilll 1{)1(l111' • Acru, "",,01 mB FORD POiLICE 10101111 , ,.,. Zl'" ~ 10101:12 NA . AcIu,1 C",' 0'" FORD CRo\'m VICTORIA 'DlOtl!! it '>,','; !,:".;';,'" , 1909 2305 PoJ,,,,,ca, tn"'!112 ~ A~ual """ 1 040 FORD 10!(l1l1l ".." • 1 tOO, 522D S" <20 Pas;, Actu"""" 04' FORO ECO 15 PASS VAN llliP!1!1 ;:, 1 190, 6489 I s"" NA _ A""''' ""0 04' FORD. I !OOt/l1 ;. . ... y., .. , I 2000 ."'" I 111'01112 NA _~Cashl 16 UnitO Mak. AUtt ~ ~:;T.ei"'.· ' •• f'. Qty Year VIN# V.h,.k; Type I AL "m> C"l1 Ded Ce!! Eff T~o" ,,~~:~on APD R~td 04' FORD POLICE 1!liOltll ., ,.,.,,", '.';'.' ,,'," . """"', ·'<';".'~O I 2000 2''('''' Pollee Cae l0i0'112 ± A't"al Ca>h, 044 FORD CRDWN. POLICE 1U1O!111 '; .', ",.' .. '.,', "'.";",,.""',.,~q 1 2000 "'" Pell", Car IDiO!lt2 NA Actual """'I 045 FORD POLICE 100'/11 <.< ;'" "' •• <';""','1.0 j 2000 2531 Poll'" Cae l0i0li" ~. M.u" cashl 04' FORD POLICE 100O!!lt '.'«," ;,' "', " 1 2000 ""'. Ppl'02 C" 10101112 Aotu" c"" 04 7. FORO eRO\\7' POLICE tOIWI! .,,\\:' ',"',,;, L";','·"·· " .. ·.'·.··.$0 j 2000 ""5 Po1,,,,C,, 1001112 ~'" /"' •. ~ 04. TRAILER 1001111 I' ;','".',.:,: 1 1000 2579 T",I,," ,NO ' 049 KENDALL TRAILER I{)1"'1t.1 I •• ,'. , 2000 28S1l T"'''',I<O ' NA 050 , -"OR D i'25OPtCKUP '''DIII' ;~;,li,ii',U·; ',,">, <,., ,' ... I 2001 120' L~htTruc' 11»'01112 NA A"u" c." 051 'WtiL 10;~"''' ,-'," I:.",·""';; 1,',:':3;, I, ,,', .",",',.',,$0 1 ,2000 M E"'a Ught S"",loe 10;""'12 NA 052 ,oo!!" ~ " -" Ii ''';'~ ,,' ,> 1 19"", <lea3 Illi~'i12 'WV", , 053 mUCK !OO!!11 "' •. :'i,.,'."";'" j 2001 Ie.2!J IOO!!!2 £1.000 1001111 ';;::;""~ 054 FORD PICKUP !llI01!." WI~ j 2001 3262 Ught Truck llli'Om2 'l,UU~ lU1'I<I" _,I ""'hi D50 10;'0';11 ~t "'~"" .......... , 2na, ""75 1001112 $t,OOO lOHJtIlZ 05'. FORD P1C!\1JP lOOlilt ";:.'i,'''' .;""'i' 'i, 1 2001 3263 U,htTrue' llllO1ll2 NA Aotu" c",r 057 8,10 tIlIOII" ;,"'" .;,''i.,'., ..•• :,,' 1 1994 "*, U,hnru'" • loot!12 ~ · A"",'Cash 058 FORD 'OO!'~1 ',' " ,;.' ,"",;,' :' ••. ," ..... ,,'.$\l 1 2001 74>7 UghHru,' ,"'''''M Actual C",h 059 FORD CROWN POLICE ,"I&tllt ;L ':.' ' .... ,,:'.,'.", . 1 2001 ""'3 Poll", Cor !fi,'()1112 050 FORD CRO\'lN. POLICE 1001ltfl1 '} "":":·"'~6 , 2001 """,. Pol'oo C., ,0,'01it2 · A<:I'''' cas"l 061 FORD POLlCE 10101111 ,,";,' ;.'''. 'ii'.: ,,,,,,,,,,,;~, I ~ ""'7 " 10101112 • · Actual "",I 062 CROWN POUCE 10101111 I',,'''': .,:;'.',"'.'." "".}:~ 1 2DO! ""'. Ii 111101112 0," FORD F2ro PICl{UP POLlCE 'IOO1fll ~,<;;, ,'., .. ;: ;;. ';,,' 1 2001 oon i 10101112 Actual O.,;hl 17 073 -'-200< ~~ -'-~ 080 . VOLVO _llBI ~ 30110 082 ,u«[ 2011°. OB. FORD 2006 -'''? ~. 1200; 4182 "'" POlICE ""'}1".I .• ...... . _ .. ' .' _ <'248 PoHooC" 11liOti12 S1.000 ~1l11001m "9,32 18 19 20 21 TERMS & CONDITIONS 1. Please review: the qu'ote ca'refuilv,. as coverage terms and conditions may not encompass all' requested coverages IndiCated In the appi{catiorl-. 2. Rene\vaI quote. is: subject to review and ,acceptance by PGIT Board of Trustees 3. The Coverage Agreement shall be 25% minimum earned as: of the first day oftne .IlCoverage PerIod", 4. Total premium:islate if not paId in full V/ithin 30 days of inceptiol1t unless otherwise stated. s. Deletio:o ofany coveragepresented l P~ckage and/or Workers' ,CompensatIo:n, wHl result ,in re":p.tlcing of account. 6. The PGfT Property program 15 a shared limit. nie limIts purchased ~re a per.occuf\1!hce limit and. i.n the event "an occurrence.exhaust the limit purchased by.PGIT on beh~rf.oHhe members'. payment to you for a covered loss wnt be: reduced pro-rata bas!i!d on the amount's of covered loss by all members affected hy the occurrenc~, 7. Coverage is not bound untfi'c{)nfirmation is received from a' Ilcensed represEntatiVe of Public Risk Underwriters. Additional terms and conditions, including but not limited to: 1) Quote is subject tp receipt of the following information by 10/30/2011 a) Signed first pageof tile PGlTAppliciltlon (FlOIida Fraud Statement) b) Initialed and signed PGlT POl/EPUApjJlicatlon c) Latest Audited Financials (Year Ended 9/30/10) f) Signed UM form 11) Signed Signature page 23 IMPORTANT NOTICE THIS BRIEF DESCRIPTION OF INSURANCE COVERAGE IS BEING PROVIDED AS AN ACCOMMODATION ONLY AND IS NOT INTENDED TO COVER OR DESCRIBE ALL POLICY TERMS. FOR MORE COMPLETE INFORMATION ON THE SCOPE AND LIMITS OF COVERAGE, PLEASE REFER TO THE POLICY DOCUMENT. Compensation. In addition to the commissions or fees received by us for assistance with the placement, servicing, claims handling, or renewal of your insurance coverages, other parties, such as excess and surplus lines brokers, wholesale brokers, reinsurance intermediaries, underwriting managers and similar parties, some of which may be owned in whole or in part by Brown & Brown, Inc., may also receive compensation for their role in providing insurance products or services to you pursuant to their separate contracts with insurance or reinsurance carriers. That compensation is derived from your premium payments. Additionally, it is possible that we, or our corporate parents or affiliates, may receive contingent payments or allowances from insurers based on factors which are not client-specific, such as the performance and/or size of an overall book of business produced with an insurer. We generally do not know if such a contingent payment will be made by a particular insurer, or the amount of any such contingent payments, until the underwriting year is closed. That compensation is partially derived from your premium dollars, after being combined (or "pooled") with the premium dollars of other insureds that have purchased similar types of coverage. We may also receive invitations to programs sponsored and paid for by insurance carriers to inform brokers regarding their products and services, including possible participation in company-sponsored events such as trips, seminars, and advisory council meetings, based upon the total volume of business placed with the carrier you select We may, on occasion, receive loans or credit from insurance companies. Additionally, in the ordinary course of our business, we may receive and retain interest on premiums you pay from the date we receive them until the date of premiums are remitted to the insurance company or intermediary. In the event that we assist with placement and other details of arranging for the financing of your insurance premium, we may also receive a fee from the premium finance company. Wholesale Broker/Managing General Agent: Preferred Governmental Insurance Trust This intermediary is owned in whole or part by Brown & Brown, Inc., the parent company of Brown & Brown Miami Division. Brown & Brown entities operate independently and are not required to utilize other companies owned by Brown & Brown, Inc., but routinely do so. In addition to providing access to the insurance company, the Wholesale Insurance Broker/Managing General Agent may provide additional services including, but not limited to: underwriting; loss control; risk placement; coverage review; claims coordination with insurance company; and policy issuance. Compensation paid for those services may be up to 15% of the premium you pay for coverage, and any compensation paid for those services is derived from your premium payment The fee, if any, for the Wholesale Insurance Broker's/Managing General Agent's services above is no fee. Questions and Information Requests. Should you have any questions, or require additional information, please contact this office at 1-800-432-8844 or, if you prefer, submit your question or request online at [http://www.bbinsurance.com/customerinquiry.shtml]. Edition Date 11-10-10 NOTICE AND ACKNOWLEDGEMENT OF FINANCIAL CONDITION Brown & Brown of Miami and its parent company, Brown & Brown, Inc. (collectively "Brown & Brown") do not certify, warrant or guarantee the financial soundness or stability of any insurance carrier or alternative risk transfer or pooling entity. We endeavored to place your coverage with an insurance carrier with an A.M. Best Company financial rating of "A-" or better.' While Brown & Brown cannot certify, warrant or guarantee the financial soundness or stability of any insurance carrier or alternative risk transfer or pooling entity or otherwise predict whether the financial condition of any such entity might improve or deteriorate, we are hereby pro\(iding you with notice and disclosure of financial condition so that you can make an informed decision regarding the placement of coverage. Accordingly, with receipt of this notice you acknowledge the following with regard to the placement and any subsequent renewal of the coverage indicated below: Brown & Brown attempted to present other options for your insurance placement, including quotations with insurance carriers holding an "A-" or better rating from A.M. Best Company, but we were unable to present such a quote. Coverage is being placed through Preferred Governmental Insurance Trust ("PGIT"), which is as a Florida local government self-insurance fund established pursuant to Section 624.4622, Florida Statutes, as such PGIT is not rated by the A.M. Best Company. PGIT is not subject to the protections afforded by any state guaranty fund or association. The financial condition of insurance companies and other coverage providers including local government self-insurance funds like PGIT may change rapidly and that such changes are beyond the control of Brown & Brown. You should review the financial and membership information from PGIT and agree to abide by the conditions of membership established by PGIT. You should consider the information provided, including the PGIT coverage quote and coverage placement and review it with your accountants, legal counsel and advisors. By: [NAME OF AUTHORIZED REPRESENTATIVE OF INSURED] Named Insured: City of South Miami Policy Number: TBA Policy Period: 10/1/11-12 Date of Notice: * A.M. Best Rating Guide: rating Rating for Stability: A++ to 0 = Highest to lowest rating Rating for Assetsl Surplus: 15 to 1 -Largest to smallest Edition Date 11-10-10 Insurance Coverage Review Insured: City of South Miami Policy Effective Date: 10101/10 Correction: Addl Named Insured: Please advise if quotations for increased limits of liability or for any coverage listed below are requested: E = Exposure; C = Coveraoe throu h Brow n&B fown; Q = QUote for Uncovered EXDosure E C Q E C Q PROPERTY YIN YIN YIN LIABILITY YIN YIN YIN Buildings General Liability Business Personal Property Directors & Officers Liability Personal Property of Others E Commerce/E·Business liability Tenants Betterments & Improvements Employee Benefits Liability Business Income Liquor Liability Extra Expense Employment Related Practices liability Leaseholders Interests Third Party Discrimination Boiler & Machinery (Equipment Breakdown) Errors or Omissions liability Building Ordinance or law OWners/Contractors Prot liability A. Loss to Undamaqed Portion of Bldq Pollution liabilitY 1st Party) B. Demolition Cost Pollution Liabilitv ( 3ro Party) C. Increased Cost of Construction Products liability Earthquake Product Recall Rental Income Professional Liabllitv Difference in Condition Warehouse legal liabillty Flood (Primary) Watercraft Liability Flood (Excess) Umbrella/ExCess liability Wind INLANO MARINE Off Premises Power Interruption Accounts Receivable Overhead Transmission Lines Valuable Papers Glass Bailee Coverage Spoilage Computer/EDP AUTOMOBILE Contractors Equipment Auto Liability Signs Drive Other Car Liability Installation Floater Drive Other Car Physical Damage Mobile Equipment Hired/Non Owned Liabillty Rented/leased Equipment Hired Car Physical Damage Motor Truck Cargo PIP: Ext Additional, Broad TransiUTransportation Rental Reimbursement (PPT) Builders Risk / COC Rental Reimbursement (Com. Vehicle) Ocean Cargo Uninsured Motorist (Primary) WORKERS COMPENSATION Uninsured Motorist (Excess) Workers Compensation Garage Liability Other States Garage keepers Liability USL&H Garaae Dealers Physical Damaae Jones Act Truckers liability. Stop Gap Liabilily Un·laden liability Excess Employers Liability Truckers Physical Damage AIRCRAFT Trailer Interchange Aviation -Owned CRIME Aviation -Non-Owned Employee Dishonesty (lSI Party) MISCELLANEOUS Employee Dishonesty (3rd Party) International/Fore ian Exposures ERISA Bond Kidnap & Ransom Forgery or Alteration Travel Accident Fiduciary liability Credit Insurance Money & Securities Mold/Fungi BONDS EIFS Bonds Terrorism describe) Subsidence ThiS list of tnsurance coverage IS for mformatton purposes only and IS not meant to be a complete Itst for all your msurance needs. The above analysis is based solely on information provided by the client. Brown & Brown has not performed any inspection or review to confirm or identify exposures, The coverage column should be completed ignoring the "free" incidental limits of any policy coverage extensions automatically included. Insured Representative Date M Place Completed with Insured Edition Date 11-10-10 Brown & Brown Representative Signature Comments: (may be continued on reverse) Prepared by Brown & Brown Insurance -Rev 01.01,11 Edition Date 11-10-10 PROPERTY COVERAGE DEFINITIONS FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT SPECIAL CAUSES OF LOSS COVERAGE This coverage will protect covered property against direct loss arising from any cause not specifically excluded. The advantage of this form is that the insurance company must prove that a loss is specifically excluded in order to deny coverage under the policy. REPLACEMENT COST VALUATION This loss valuation method pays for the cost to repair or replace damaged items with like kind and quality without deduction for depreciation. This is important since you could face a substantial loss if you must replace property at today's prices but receive only the depreciated value of the property that was destroyed. ACTUAL CASH VALUE VALUATION This valuation method pays for the cost to repair or replace damaged property with like kind and quality, less reasonable deductions for wear and tear, deterioration and economic Obsolescence. DEDUCTIBLE A policy may include a deductible in its proVisions. This limit specifies the amount that will be deducted from any payment made to you because of a covered loss. BLANKET INSURANCE This coverage allows for a single limit of insurance to apply to two or more property items at one location, or to two or more kinds of property at several locations, instead of a specific amount applying to a specific subject of insurance. It allows you to shift property values with no impairment of recovery, as long as the total amount of insurance carried complies with the coinsurance requirement stated in the policy. AGREED VALUE VALUATION This coverage is used to remove the coinsurance requirement for covered property. With it your company agrees that the amount of coverage purchased is adequate, and any coinsurance requirements are waived if the limit of insurance equals the agreed value. MECHANICAL & ELECTRICAL BREAKDOWN COVERAGE Boiler & Machinery insurance covers direct damage to "covered property" when caused by sudden and accidental BREAKDOWN and includes as a covered peril Electrical Arcing. Covered Property means any mechanical, electrical or boiler equipment on premises, such as (but not limited to): machinery & equipment, air-conditioning units, elevators, phone systems etc. Edition Date 11-10-10 GENERAL LIABILITY COVERAGE DEFINITIONS FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT OCCURRENCE FORM (except Claims Made Forms) This form provides coverage for claims arising out of an accident, which results in bodily injury or property damage neither expected nor intended. The form covers such claims that occur during the policy period irrespective of when the claim is made against you. PREMISES/OPERATIONS COVERAGE This coverage irlSures you against all claims arising from your ownership, maintenance or use of premises and your operations in progress. PRODUCTS/COMPLETED OPERATIONS COVERAGE This coverage is used to insure against claims arising out of bodily injury and property damage that results from products you have sold, manufactured, handled, distributed or disposed of, or for work you have performed, provided the accident occurs away from premises you own or rent. PERSONAL INJURY LIABILITY This coverage will protect you against claims alleging false arrest, libel, slander, malicious prosecution, or wrongful entry or eviction. ADVERTISING LIABILITY This coverage is used to insure against claims of libel, slander, product disparagement, piracy, or infringement of copyrights, arising out of the advertising of your goods, products or services. FIRE LEGAL LIABILITY This coverage insures against your legal liability arising from damage to structures rented to you, for the peril of fire. MEDICAL PAYMENTS This coverage will reimburse, without regard to your liability, all reasonable medical expenses incurred by persons as a result of bodily injury sustained by accident as defined in your policy. CLAIMS-MADE FORM -APPLICABLE TO EMPLOYEE BENEFITS LIABILITY, PUBLIC OFFICIALS LIABILITY, EMPLOYMENT PRACTICES LIABILITY, This coverage will provide protection for only those claims reported or first made during the policy period or during any previous period that is stated in the Prior Acts or Retroactive Date option of your policy. This option allows you to keep coverage in force under consecutive Claims-Made policies. EMPLOYEE BENEFITS ERRORS AND OMISSIONS This coverage is used to insure against negligent acts, errors or omissions committed by you or any person for whose acts you are legally responsible for while engaging in the management of your company's employee benefit plans. Edition Date 11-10-10 AUTOMOBILE COVERAGE DEFINITIONS FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT AUTOMOBILE LIABILITY This coverage is used to protect against claims alleged for bodily injury and property damage ariSing from the ownership, maintenance, or use of any covered auto. PERSONAL INJURY PROTECTION (NO-FAULT) This coverage is used to provide medical expenses as well as work loss, funeral expenses, essential services expenses, and survivor's loss coverage as outlined in your state's statutory No-Fault laws. AUTOMOBILE PHYSICAL DAMAGE This coverage is used to protect the covered vehicle itself. It pays for physical damage loss that results from a covered peril. HIRED AUTOMOBILE COVERAGE This coverage is used to protect against claims arising out of the use of vehicles leased, hired, rented, or borrowed by you, or your employees, while in the course of business. NON-OWNED AUTOMOBILE COVERAGE This coverage is used to provide liability protection for autos used in your business that are not owned, leased, hired, rented, or borrowed. This includes autos of employees and subcontractors that are used on your behalf. Edition Date ll-1O-1O PREMIUM SUMMARY Coverage Line Blanket Real & Personal Property Inland Marine Equipment Breakdown Coverage Crime & Bond Coverage General Liability Coverage Public Officials E&O I Employment Practices Liability Pollce Professional Liability Automobile Coverage Workers' Compensation Coverage I Total FMIT Premium 10 Annual Premium $133,093 INCLUDED INCLUDED INCLUDED $33,041 $26,022 $53,922 $73,740 $240,118 $559,936 INTEREST FREE INSTALLMENT PLAN First Installment Second Installment Third Installment Fourth Installment 25% minimum due 25% minimum due 25% minimum due 25% minimum due October 1, 2011 January 1, 2012 April 1, 2012 July 1, 2012 Payment will be 10IWarded to the Florida League 01 Cities in Tallahassee Note: Coverage summaries provided herein are intended as an outline of coverage only and are necessarily brief. In the event of loss, an terms, conditions, and exclusions of actual Agreement and/or Policies will apply. 11 Department of Insurance and Financial Services PROPERTY COVERAGE FLORIDA MUNICIPAL INSURANCE TRUST Proposal for 2011-2012 City of South Miami Limit Blanket Real & Personal Property $18,780,986 Note: Property on a Blanket/Agreed Value basis requires a current appraisal to maintain both. Electronic Data Processing: -Equipment: -Software: -Equipment Breakdown: Included in Contents Included in Contents Included in Contents Coinsurance: Values: Valuation Basis: Coverage Form: Deductibles: Agreed Amount 100% Replacement Cost Special $1,000 Per Occurrence -Real & Personal Property, Other Property Named Storm Deductible is 5% of the scheduled Building, Personal Property, Other Property (including property in the open) and Business Income. The percentages calculated using the Schedule of Values on file with FMIT. The Named Storm deductible is calculated separately and applied individually to each Building, Personal Property, Other Property and BUsiness Income. The minimum deductible is 5% of the scheduled value or the stated policy deductible, whichever is greater. Business Income deductible is 72 hours. PROPERTY COVERAGE EXTENSIONS: » Excess Flood Coverage o Flood Zones A & V excess of NFIP o Other Flood Zones -$100,000 deductible >-Terrorism >-Unintentional Errors & Omissions '> Newly Acquired or Constructed Property '> Newly Acquired Business Personal Property >-Business Income '> Extra Expense '> Valuable Papers & Records '> Signs -Not attached to Buildings o Vehicular damage to signs maximum of $10,000 :> Accounts Receivable '> Police Dogs & Horses o Death in line of duty -$5,000 o Annual Maximum -$25,000 '> Electronic Data Processing Equipment (Software) '> Antiques & Objects of Art o $15,000 per item o $250,000 Annual Maximum )-Off Premises Power Failure '> Pollutant Clean Up & Removal '> Fungus Clean Up & Removal >-Persona! Property Off Premises '> Personal Property of Others '> Preservation of Property » Service Interruption Coverage '> Property In Transit '> Fire Extinguisher Recharge )-Debris Removal )-Building Ordinance Coverage, Including Demolition :> Outdoor Fixtures -applies to covered property within 1,000 feet of described building. see form FMIT PROP 031112 for complete definition and policy conditions. :> Leasehold interest :> Arson Reward :> Recertification of Equipment 2 Please $4,500,000 $5,000,000 $2,000,000 $500,000 $500,000 $1,000,000 $500,000 $25,000 $500,000 $250,000 $100,000 $100,000 $25,000 $250,000 $50,000 $100,000 $100,000 $250,000 25% of Loss 25% of Loss $100,000 $5,000 $2501Day INLAND MARINE COVERAGE: Blanket Inland Marine Equipment Items under $15,000 Deductible: $500 Blanket Inland Marine coverage is defined as: Coverage for all unscheduled Inland Marine equipment, Emergency Portable Equipment and Communications Equipment valued at $15,000 or less is subject to $500 deductible. (All Watercraft must be scheduled.) Limit of liability -$1,000,000. Coverage Basis: Actual Cash Value INLAND MARINE COVERAGE EXTENSIONS: )-Rental Reimbursement for Contractor's Equipment for Covered Loss > Limited Contractor's Equipment Cost > Installation Floater -Member's Building Materials 3 $5,000 $250,000 $100,000 EQUIPMENT BREAKDOWN COVERAGE Subject to any applicable limits on the Declarations of Building and Personal Property Coverage, the Equipment Breakdown Limit is the most we will pay for loss or damage arising from any "one accident." These coverages apply to all locations covered on the policy, unless othelWise specified. I. Coverages Equipment Breakdown Limit Business Income Extra Expense Expediting Expense Hazardous Substances Spoilage Data Restoration Service Interruption (Must exceed 24 hours.) Water Damage II. Deductibles Direct Coverages Indirect Coverages III. Other Conditions Limits Real & Personal Property Limit shown in proposal, Maximum Limit: $50,000,000. Subject to the Business Income Limit shown in proposal. Subject to the Extra Expense Limit shown in proposal. $250,000 $100,000 $250,000 $250,000 Included Included in Property Coverage. Subject to the Real & Personal deductible shown in proposal. Subject to the appropriate Time Element deductible shown in proposal. "Covered Equipment" does not include eqUipment primarily used to generate electric power; however, this exclusion does not apply to emergency generators. 4 GENERAL LIABILITY COVERAGE Comprehensive General Liability LImit Per Occurrence: Annual Aggregate: Deductible: Public Officials E & 0 I Employment Practices Liability Limit Per Occurrence: Annual Aggregate: Deductible: Police Professional Liability limit Per Occurrence: Annual Aggregate: Deductible: Limits $1,000,000 Unlimited $0 Limits $1,000,000 Unlimited $0 Limits $1,000,000 Unlimited $0 Note: For Members that choose a deductible -Members are only responsible for the deductible if a judgment or settlement occurs. Legal expenses are outside the deductible and paid solely by the Trust for General Liability and / or Automobile Liability. Important Note: The deletion of any of the above coverages does not automatically reduce the premium. These premiums are based on aU of the above coverages. Any deletions of coverage will alter the experience modification factor originally used and may result in a higher premium. 5 ADDITIONAL BENEFITS: }> Defense Costs paid in addition to policy limits » Premises Operations }> Products/Completed Operations }> Contractual Liability (Designated Contracts Only) >-Owners & Contractors' Protective Liability }> Personal Injury Liability }> Host Liquor Liability }> Incidental Medical Malpractice Liability }> Watercraft Liability :» Fire Legal Liability -$500,000 Limit }> Broad Form Property Damage -Maximum $500,000 in anyone Trust Year :» Advertising Injury Liability :» Employment Practices Liability :» Employee Benefits Program Administration Liability :» Extra Contractual Legal Expense -$100,000 Limit o (EEOC, Florida Commission on Human Resources, Ethics, Sunshine Law) o No-fault Sewer Backup » Crisis Intervention > HR Helpline -Full Legal Support and Online Services 6 AUTOMOBILE COVERAGE Comprehensive Automobile Liability Deductible: Persona/Injury Protection Deductible: Automobile Physical Damage Comprehensive Coverage Collision Coverage Coverage Includes: :>-Hired & Non-Owned Liability ).> Rental Reimbursement -scheduled vehicles. :>-Lease Differential -scheduled vehicles ~ Limited Replacement Cost -owned private passenger vehicles :>-Member's Personal Effects Limits $1,000,000 $0 $10,000 $0 $0 Deductible $100 Deductible Note: For Members that choose a deductible -Members are only responsible for the deductible if a judgment or settlement occurs. Legal expenses are outside the deductible and paid solely by the Trust for General Liability and I or Automobile Liability. 7 CRIME & BOND COVERAGE Honesty Blanket Bond Crime: Computer Fraud Depositors Forgery Deductible: Deductible: Deductible: Limits $50,000 $1,000 $50,000 $1,000 $50,000 $1,000 'Certain Officers and Subordinates are excluded automatically from coverage by the terms of the designated Blanket Bonds: 1. All Coverages -Finance Directors, Treasurers and Tax Collectors by whatever title known. 2. Faithful Performance Coverages -Personnel required by law to furnish an individual bond to qualify for office (Policemen excluded). 3. Honesty Coverages -Personnel required by law to give bond for faithful petiormance duties. 8 WORKERS' COMPENSATION PAYROLLS CODE 5509 7720 8380 8810 8868 9015 9102 9402 9403 9410 Workers! Compensation Employers Liability Deductible: Limit Statutory $1,000,000 I $1,000,000 I $1,000,000 DESCRIPTION STREET OR ROAD MAINTENANCE POLICE OFFICERS AUTOMOBILE SERVICE OR REPAIR CLERICAL COLLEGE OR SCHOOL -PROFESSIONAL EMPLOYEES BUILDINGS -OPERATION BY OWNER PARKNOC SEWER CLEANING GARBAGE, ASHES OR REFUSE MUNICIPAL, TOWNSHIP, COUNTY EMPLOYEES NOC TOTAL PAYROLL $0 Experience Modification Factor: 1.41 Safety Credit: Yes Drug Free Credit: Yes PAYROLL 265,304 3,383,249 136,999 1,222,189 743,550 244,275 997,164 33,299 337,103 413,851 $7,776,983 The Workers' Compensation premium is subject to adjustment when the October 1, 2011 experience modification is received. Premium calculation includes 5% Drugfree Credit and 2% Safety Credit ~ Requires receipt of approved applications. 9 OPTIONAL PRIOR ACTS COVERAGE DEDUCTIBLE Public Officials E & 0 Prior Acts Coverage Retroactive Date: October 1,2010 $1,000,000 Note: This premium is in addition to the Total FMIT Premium shown on page 10 Prior Acts Coverage for prior acts [s retroactively extended for claims that occurred but were not reported to the designated member or to the Florida Municipal Insurance Trust until the effective date of coverage, whether or not reported to the prior insurer. No coverage will be provided for any occurrence that may cause a potential claim that the insured was aware of prior to the effective date of this endorsement and which was not reported to the prior insurer. * The deductible is $10,000 or the policy deductible, whichever is greater. Claims arising out of Prior Acts coverage are not included in the StopLoss Amount. 12 NET PREMIUM $13,011 Property -Real and Personal Property General Liability and Errors & Omissions Automobile Liability Automobile Physical Damage DEDUCTIBLE I LIMIT OPTIONS LIMIT $18,780,986 $18,780,986 $18,780,986 DEDUCTIBLE $1,000 $5,000 $10,000 $1,000,000 Combined Single Limit $0 $1,000 $5,000 $10,000 $1,000,000 Combined Single Limit Comprehensive and Collision Comprehensive and Collision Comprehensive and Collision $0 $1,000 $5,000 $10,000 Deductible $0 I $100 $500 $1,000 Note: $0 Deductible is not available for Co1l1sion 13 PREMIUM $133,093 $130,877 $127,902 $112,985 $111,671 $109,510 $107,162 $69,120 $67,198 $62,734 $60,085 Premium $4,620 $4,248 $3,888 SERVICES INCLUDED BY FLORIDA LEAGUE OF CITIES & FMIT The Florida League of Cities and the Florida Municipal Insurance Trust are pleased to be able to provide more than "just" insurance for your premiums. As you consider our coverages and premiums, please consider the following services that will be provided as well: Return of Premium * FMIT Members are owners of the FMIT. This payment to our Members is an example of owners assessing the strength of their program and making decisions to benefit all Members. Over the past 4 years the Board of Directors has approved the returns to our "owners" in excess of $28,000,000. VALUE TO YOU: Safety Grants -The FMIT offers cost sharing grants to our Members for projects that improve safety. These grants are for up to $5,000 and are subject to approval by an appointed Board of Risk Managers from our insured Cities. You have received the following Grants: VALUE TO YOU: $ SimpliCity -FMIT Members face unique challenges when maintaining accurate schedule of values, tracking assets, overseeing projects, coordinating vendor services and documenting the property claims process. SimpliCity was developed exctusively for FMIT Members to address these needs and to speed the claim and recovery process. VALUE TO YOU: $ 14 TurnKey Recovery M In an effort to improve the mitigation process and significantly reduce the financial impact of a loss can have on a Member's ability to recover, FMIT TurnKey Recovery Program is offered to Members. Project costs are approved and paid to certified vendors directly by Synergy for the FMIT in order to reduce Member's out-of-pocket costs. FMIT TurnKey Recovery helps to minimize the financial exposure the SOY Claims can have on Members net cash-flow by eliminating the recovery cost burden and the reimbursement process. VALUE TO YOU: $ Special Investigations Unit (SIU) -Insurance fraud costs each Florida family approximately $1,400 a year in additional premiums, and is the number two white collar crime in America. The Special Investigation Unit (SIU) was created in 1999 to investigate suspected fraud to help reduce the cost and amount of fraud for the Florida Municipal Insurance Trust (FMIT) Members. As of 201 0, fraud investigations and prosecutions have resulted in over $5.5 million in cost savings and more that $1.8 million dollars in restitution ordered on FMIT claims. The SIU was recognized by the State of Florida Governor and Cabinet in 2009 for its work in the fight against insurance fraud. VALUE TO YOU: $ Per Scheduled Unit Deductibte -The FMIT Deductible applies to each scheduled Building, each scheduled Contents, and each scheduled Property In The Open instead of Per Location's Total Values. This greatly reduces your financial exposure in a named storm event. VALUE TO YOU: 15