_Add-on ATHE CITY OF Pl.EASANT LIVING
To:
FROM:
DATE:
SUBJECT:
BACKGROUND:
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
The Honorable Mayor & Members of the City Commission
Steven Alexander, City Manager
September 16, 2014 Agenda Item No. : __
WORKER'S COMPENSATION, PROPERTY, GENERAL LIABILITY,
AUTOMOBILE, PUBLIC OFFICIALS AND EMPLOYMENT PRACTICES
INSURANCE
The City solicited and received proposals for the City's Workers'
Compensation, Property, General Liability Automobile, Public Officials
and Employment Practices Insurance coverage for FY 2014-2015 from
carriers currently writing municipal business in South Florida. The
following table summarizes the responses received.
FMIT Insurance Description
Property Coverage
Inland Marine
Equipment Breakdown Coverage
Crime and Bond Coverage
General Liability Coverage
Police Professional Liability Coverage
Automobile Coverage
FMIT Property, Auto and General Liability Total
Workers Compensation
FMIT Total Premium
FMIT
125,734
Included
Included
Included
72,671
161,536
82,834
442,775
214,533
657,308
South Miami
THE CITY OF PLEASANT LlVINC
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
PGIT Insurance Description
Property Coverage
Inland Marine
Equipment Breakdown Coverage
Crime and Bond Coverage
General Liability Coverage
Police Professional Liability Coverage
Automobile Coverage
Automobile Physical Damage
PGIT Property, Auto and General liability Total
Workers Compensation
PGIT Total Premium
PGIT
130,713
2,883
Included
750
88,993
64,983
67,395
29,369
385,086
270,593
655,679
In addition to the package quotations summarized above, the City
received independent quotes for its Public Officials & Employment
Practices Liability coverage. A Comparison of the two quotations is
summarized in the table below.
ACE American Insurance Description
Total Premium
Limit of Liability $1,000,000
Crisis Management Fund $25,000
Deductible/SIR Each Claim:
Public Officials/Public Entity Liability -$100,000
Employment Practices Liability -$150,000
Zoning Claims -$250,000
National Union Fire Insurance Company
Total Premium
Limit of Liability $1,000,000
Deductible/SIR Each Claim:
Public Officials/Public Entity Liability -$100,000
Employment Practices Liability -$100,000
Zoning Claims -$500,000
$49,135.57
$51,776.00
THE CITY OF PLEASANT LIVING
AMOUNT:
ATTACHMENTS:
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
The City Manager recommends that the City renew its Workers'
Compensation policy with FMIT for a total premium of $214,533. 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 for
a total premium of $425,086. As set forth above, the PGIT proposal
contains the most favorable rates for these lines of coverage.
The City Manager further recommends that the City renew its policy with
ACE American Insurance Company for the Public Officials and
Employment Practices Liability policy for a premium of $49, 135.57. The
ACE package represents a better value in premium and potential savings
in deductibles.
The breakdown of the total premium costs for all lines of insurance is set
forth below:
FMIT WORKERS' COMPENSATION
PGIT GENERAL LIABILITY, PROPERTY & AUTOMOBILE
ACE PUBLIC OFFICIALS AND EMPLOYMENT PRACTICES
TOTAL PREMIUM
Proposed Resolution
Proposal Package from FMIT
Proposal Package from Brown & Brown
$214,533
$385,086
$49,135.57
$648, 754.57
1 RESOLUTION NO. ------
2 A Resolution authorizing the City Manager to execute the renewed
3 insurance policies with the Florida Municipal Insurance Trust (FMIT),
4 Preferred Governmental Insurance Trust (PGIT), and ACE
5 American Insurance Company for the 2014 -2015 Fiscal Year.
6 WHEREAS, the City, through its Agent of Record, Brown & Brown, has solicited and
7 received quotes for Property, Crime, Inland Marine, General Liability, Law Enforcement
8 Liability, Automobile Liability, Automobile Damage Insurance, Workers' Compensation
9 Insurance, Public Officials and Employment Practices Liability Insurance from carriers
10 authorized to write such insurance from at least three sources, if available; and
11 WHEREAS, the renewal quote from FMIT for the continuation of the existing
12 coverage, provides the best coverage option to meet the City's needs; and
l3 WHEREAS, the City Administration recommends that the City continue coverage with
14 the Florida League of Cities through FMIT for Workers' Compensation Coverage for the
15 2014-2015 Fiscal Year based upon the current proposal; and
16 WHEREAS, the renewal quote from PGIT for the continuation of the existing lines of
17 coverage provides the best coverage options to meet the City's existing needs; and
18 WHEREAS, the City Administration recommends that the City continue coverage with
19 the PGIT for Property, Crime, Inland Marine, General Liability, Law Enforcement Liability,
20 Automobile Liability, and Automobile Damage Insurance Coverage for the 2014-2015 Fiscal
21 Year based upon the current proposal; and
22 WHEREAS, the renewal quote from ACE for Public Officials and Employment
23 Practices Liability Insurance provides the best coverage options for the City's needs; and
24 WHEREAS, the City Administration recommends that the City renew its coverage
25 with ACE for Public Officials and Employment Practices Liability Insurance for the 2014-2015
26 Fiscal Year based upon the current proposal;
27 NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY
28 COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT:
29 Section I. The City Commission hereby authorizes the City Manager to execute the
30 renewal insurance policies for Workers' Compensation with FMIT for the 2014-2015
31 Fiscal Year.
32
Section 2. The City Commission hereby authorizes the City Manager to execute 33
34 the renewal insurance policy for Property, Crime, Inland Marine, General Liability,
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
Law Enforcement Liability, Automobile Liability, and Automobile Damage Insurance
with PGIT for the 2014-2015 Fiscal Year.
Section 3. The City Commission hereby authorizes the City Manager to execute
the insurance policy for Public Officials and Employment Practices Liability Insurance
with ACE for the 2014-2015 Fiscal Year.
Section 4. This resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED this __ day of ____ , 2014.
ATTEST:
CITY CLERK
READ AND APPROVED AS TO FORM,
LANGUAGE, LEGALITY AND
EXECUTION THEREOF:
CITY ATTORNEY
APPROVED:
MAYOR
COMMISSION VOTE:
Mayor Stoddard:
Vice Mayor Harris:
Commissioner Welsh:
Commissioner Liebman:
Commissioner Edmond
Department of Insurance and Financial Services
FLORIDA MUNICIPAL INSURANCE TRUST
WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY
Proposal for 2014-2015
City of South Miami
LIMIT OF LIABILITY:
Workers' Compensation: Statutory
Employers' Liability: $1,000,000 Each Accident
$1,000,000 By Disease
$1,000,000 Aggregate by Disease
Deductible: $0
Total Payroll: $7,823,596
*Drug Free Workplace Credit (5%) Yes
*Safety Credit (2%) Yes
Experience Modification 10/1/14 1.02
NET PREMIUM: $214,533
Premium calculation includes 5% Drugfree Credit and 2% Safety Credit -Requires receipt of approved applications.
Department of Insurance
and Financial Services
PROPERTY COVERAGE
Real & Personal Property
FLORIDA MUNICIPAL INSURANCE TRUST
Proposal for 2014-2015
City of South Miami
Limit
$21,514,166
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
80%
Replacement Cost
Special
$5,000 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 are 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 Property
deductible, whichever is greater.
Business Income waiting period is 72 hours.
PROPERTY COVERAGE EXTENSIONS:
~ Excess Flood Coverage $4,500,000
0 Flood Zones A & V deductible is excess of NFIP
0 Other Flood Zones -$100,000 deductible
~ Terrorism $5,000,000
~ Unintentional Errors & Omissions $250,000
~ Newly Acquired or Constructed Property $2,000,000
~ Newly Acquired Business Personal Property $500,000
~ Business Income $500,000
~ Extra Expense $1,000,000
~ Valuable Papers & Records $500,000
~ Signs -Not attached to Buildings $25,000
0 Vehicular damage to signs $10,000 Maximum
~ Accounts Receivable $500,000
~ Police Dogs & Horses
0 Death in line of duty $15,000
0 Annual Maximum $30,000
~ Electronic Data Processing Equipment (Software) $250,000
~ Antiques & Objects of Art
0 Per Item $15,000
0 Annual Maximum $250,000
~ Off Premises Power Failure $100,000
~ Pollutant Clean Up & Removal $100,000
~ Fungus Clean Up & Removal $25,000
~ Personal Property Off Premises $250,000
~ Personal Property of Others $50,000
~ Preservation of Property $100,000
~ Service I nterruption Coverage $100,000
~ Property In Transit $250,000
~ Recertification of Equipment/Fire Extinguisher Recharge $250/Day
~ Debris Removal 25% of Loss
~ Building Ordinance Coverage, Including Demolition 25% of Loss
~ Miscellaneous Unscheduled Fixtures $25,0001$100,000
~ Leasehold interest $100,000
~ Arson Reward $5,000
2
INLAND MARINE COVERAGE:
BLANKET INLAND MARINE EQUIPMENT -Items $15,000 or Less Limit: $1,000,000
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.
(Note: All Watercraft must be scheduled.)
Coverage Basis: Actual Cash Value
3
EQUIPMENT BREAKDOWN COVERAGE
Subject to any applicable limits on the Property, Allied Lines and Crime Declarations, 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 otherwise specified.
I. Coverages
Equipment Breakdown
Business Income
Extra Expense
Expediting Expense
Hazardous Substances
Spoilage
Data Restoration
"Fungus," Wet Rot, Dry Rot And Bacteria
Service Interruption*
Water Damage
II. Deductibles
Direct Coverages
Indirect Coverages
III. Other Conditions
Limits
Subject to the Real and Personal Property Limit described
in proposal or $50,000,000, whichever is less.
Subject to the Business Income Limit described in proposal.
Subject to the Extra Expense Limit described in proposal.
$1,000,000
$500,000
$500,000
$500,000
$25,000
Subject to Business Income,
Extra Expense, and Spoilage Limits
Included in Property Coverage.
Subject to the Real and Personal Property deductible described
in proposal.
Subject to the Time Element deductible described in proposal.
*Unless the interruption exceeds 24 hours, we will not pay for any loss under Service Interruption.
"Covered equipment" does not include "electrical generating equipment"; however, this exclusion does not apply
to emergency generators.
4
GENERAL LIABILITY COVERAGE
Comprehensive General Liability
Limit Per Occurrence:
Annual Aggregate:
Deductible:
Limits
$1,000,000
Unlimited
$0
NOTE: Public Officials E & 0 I Employment Practices Liability is not included as part of this quote
Police Professional Liability
Limit Per Occurrence:
Annual Aggregate:
Deductible:
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 I or Automobile Liability.
Important Note: The deletion of any of the above coverages does not automatically reduce the premium. These premiums are
based on all 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 -Maximum $500,000 in anyone Trust Year
~ Broad Form Property Damage -Maximum $500,000 in anyone Trust Year
~ Advertising Injury Liability
~ Skate Facility Liability
~ Extra Contractual Legal Expense -$100,000 Limit
o (EEOC, Florida Commission on Human Relations, Ethics)
~ No-fault Sewer Backup Expense -$100,000 Limit
~ Crisis Intervention
~ HR Helpline -Full Legal Support and Online Services
~ Bert Harris AcUlnverse Condemnation -$300,000 Limit. (Higher limits are available.)
o Deductible is $5,000 or the policy deductible, whichever is greater.
~ Cyber Coverages including Privacy, Network Security and Data Breach -$250,000 Annual Aggregate. Claims Made.
~ Cyber Risk Management Tools Web Site.
6
AUTOMOBILE COVERAGE
Comprehensive Automobile Liability
Deductible:
Personal Injury Protection
Deductible:
Automobile Physical Damage
Comprehensive Coverage
Limits
$1,000,000
$0
$10,000
$0
$1 ,000 Deductible
Collision Coverage $1,000 Deductible
Note: "Vehicles with $0 value on schedule provided were not included in the quote for APD."
Coverage Includes:
~ Hired & Non-Owned Liability
~ Rental Reimbursement -scheduled vehicles
~ Lease Differential -scheduled vehicles
~ Limited Replacement Cost -owned private passenger vehicles, SUVs, Pickup Trucks
~ Member's Personal Effects
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
Bond Coverage:
Employee Theft -Per Loss
Faithful Performance -Per Loss
Finance Director
Crime Coverage:
Computer and Funds Transfer Fraud
Deductible:
Deductible:
Deductible:
Deductible:
8
Limits
$100,000
$1,000
$100,000
$1,000
$100,000
$0
$100,000
$1,000
PREMIUM SUMMARY
Coverage Line Annual Premium
Real & Personal Property $125,734
Inland Marine INCLUDED
Equipment Breakdown Coverage INCLUDED
Crime & Bond Coverage INCLUDED
General Liability Coverage $72,671
Police Professional Liability $161,536
Automobile Coverage $82,834
I Total FMIT Premium $442,774
Note: Coverage summaries provided herein are intended as an outline of coverage only and are
necessarily brief. In the event of loss, all terms, conditions, and exclusions of actual Agreement and/or
Policies will apply.
9
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 1,2014 January 1, 2015 April 1, 2015 July 1, 2015
Payment will be forwarded to the Florida League of Cities in Tallahassee
10
INSURANCE PROPOSAL SUBMITTED ESPECIALLY FOR:
CITY OF SOUTH MIAMI
POLICY TERM:
10101114 TO 10101115
DATE OF PRESENTATION:
09/1512014
PRESENTED By:
ROBERT HOLLANDER
EXECUTIVE VICE PRESIDENT
BROWN & BROWN -MIAMI DIVISION
1
INTRODUCTION
We would like to take the opportunity to thank you for allowing us to work closely
with you in our effort to develop a comprehensive Risk Solution Program for your
business. Brown & Brown, Inc. is the largest independent agency organization in
Florida and the 6 th largest in the US. The company provides a variety of insurance
products and services to corporate, institutional, professional and individual
clients. Headquartered in Daytona Beach and Tampa, Brown & Brown is publicly
traded on the New York Stock Exchange (BRO) and has been included in Forbes'
list of the "200 Best Small Companies in America". The company handles clients'
premiums in excess of 12 Billion annually and has in excess of 6,500 employees.
We have insurance professionals who specialize in evaluating and protecting
your personal assets -home, auto, watercraft and life.
We also have an experienced employee benefits department who can assist you
with group health, disability, life and dental.
While size is not the sole criteria for choosing an insurance agent, it does enable us
to offer our clients clout in the marketplace and unmatched service capabilities.
Please feel free to visit our website at www.bbinsurance.com
This proposal contains only a general description of the coverage(s) and does
not constitute a policy or contract. Please refer to your policy for the actual
terms and conditions. This Proposal is based upon the exposures made known
to this Agency; any changes in these exposures should be reported promptly to
Brown & Brown of Florida, Inc.
2
ACCOUNT SERVICING TEAM
Robert Hollander
Executive Vice President
305-364-7818
rhollander@bbmia.com
Nancye Batista, AAI
Account Manager
305-364-7816
nbatista @ b bmia.com
Alexandra Sarria
Claims Representative
305-364-7812
asarrial @bbmia.com
Jessica Urbina
Account Manager Associate
305-364-7866
jurbina@bbmia.com
14900 NW 79th Court, Suite 200
Miami Lakes, FL 33016
Telephone: 1-800-432-8844, (305) 364-7800 or (305) 714-4400 Fax: (305) 714-4401
3
TABLE OF CONTENTS
I. Marketing Efforts
II. Schedule of Named Insureds
III. Coverage Sections
o Property
o Inland Marine
o Crime
o Commercial General Liability
o Law Enforcement
o Commercial Automobile
o Public OfficiallEmployment Practices Liability
IV. Summary
V. lllustrations and Definitions
4
SCHEDULE OF NAMED INSUREDS _ ..... _ ... _._ ........... _-_ ......... _ .. _ .. _---_ ... __ . __ •.. _ ... _ ...... _ .. _ ..... _--_._.--_ ..... _--
City of South Miami
This list includes all of the named insured's we presently have on your policies. Should any
revisions to this listing be required, please notify our office immediately.
Please Verify the Accuracy of Each Name and Update List, If Needed.
5
PROPOSED PROPERTY COVERAGE
Insurer:
Preferred Governmental Insurance Trust
Not Rated by A.M. Best
Location of Premises:
Per Schedule Attached
Description of Property:
Blanket Building & Contents Limit, per attached schedule $22,673,917
Values Insured are Ultimately Chosen by the Client. In view of the continually changing cost of
construction and building materials, we strongly suggest that you review your property values annually.
ANY changes in the occupancy of an insured location should be reported to our office immediately.
Changes in occupancy can potentially reduce or negate the coverage
afforded by your property policy.
Description of Coverages Proposed:
Policy Form:
Building & Personal Property Coverage Form -Special
Causes of Loss:
Special Form: Excluding EarthquakelEarth Movement
Coinsurance:
Building & Personal Property: N/A
Valuation:
Replacement Cost
6
PROPOSED PROPERTY COVERAGE
Continued
Property Extensions of Coverage:
For a full description of terms, definitions and conditions, please refer to the policy
documents.
Accounts Receivable
Additional Expense
Animals
Loss of Business Income
Debris Removal
Demolition, Ordinance and ICC
Expediting Expense
Fire Department Charges
Fungus Cleanup Expense
Lawns, Plants, Trees and Shrubs
New Locations
Personal Property of Employees
Pollution Cleanup Expense
Preservation of Property
Recertification
Service Interruption Coverage
Transit
Errors and Omissions
Vehic1e Property Coverage
7
Coverage
$ 250,000
$ 100,000
$ 1,0001$5,000
$ 500,000
$ 250,000
$ 500,000
$ 55,000
$ 25,000
$10,0001$20,000
$ 25,000
$ 2,000,000
$25,0001$50,000
$25,0001$50,000
$ 250,000
$ 10,000
$ 100,000
$ 250,000
$ 250,000
$ 0
SCHEDULE OF COVERED PROPERTY
Unit#
Description
Address
Roof Shape
Auto Inspection StatfQn
001 5907S.W. 70th Street
SOUTH MIJ>N,I, R 33141
Flat
CA.A he-c.:d start center
002 6125 SVi 6S STREET
SOUTH MIN,II, R 33143
Flat
PuMk Wor~s Office EvHding
003 4795 5.Vi. 75th Avenue
SOUTH MIAN!ii fl. 33143
Hip
Storage/;Vlc1t,CH' Pool Off~ce
004 4795 5. W. 75th Avenue
SOllTH MltJ},I, R 33143
Flat
I
I
I
I
I
Solid V-la5>tf' Bld~ -5 Bay Shop
(105 4795 S. W, 75th !'",enue
SOUTH MtAJlI!, fL 33143
Shed
Ck~( Garage
006 47955.\'/. 75th Avenue
SOUTH MIAYll, FL 33143
Flat
C1t~i$ Rep,:dr Shvp
D07 47955,\.'./. 75th ,6:·lf<.nue
SOUTH MIAMI, fL 3,14J
Unknown
Police 5tc.rage B~d-g
008 4795 S.W, 75th Ayenue
SOUTH Mlt-!n ~ fL 33143
Flat
I
I
I
I
Roof Pitch
Flat
Flat
Low (.,10)
Flat
Low (-10)
Flat
Dante B. Fa~cetl Parki Tends Pro Shop &: Restroom Btd'5
009 8600 RED R0.A[}
SOUTH MI;\N,l, R 33143
Flat I Flat
Fante B, Fa,cell Park .' 2 Gazebo>
010 8600 RED ROA[}
SOUTH MlpiJll 1 Fl 331.43
Pyra.mid I Medium lW to 30)
Y""r Buil, Etf. [late I Building Value I T o,a[ Insured Value
Term Date Contents Vatue Con'tTyper----n~~~~~--,_~~~~~~~~_._,~~CT~--~ Root Covering I Covering Replaced I Roof Yr Btl
1995 W!Oll 20 14 $44,O(l(
Wi01i2015 so
111 -Mf1C
Tar and Gl'avet I I
1970 W{{)1f2014 S471,200j
10/0112015
119 -JM
I
1968 10/0112014 $281.20<'l
$28851c
119 -JM
$7,31F! 10/01/2015
Tar and Gravet I I
1994 1010112014 $54,000
$54,00
1010112015 so
Built·up Tar" Gravel I I
10101120,4 5\35.250
$1e5,25C
10/01;2015 so
152 -He
! ar and Gravel. I I
1994 10/01/2014 $560,500
S560,50l
10/01/2015 so
111 -I.\tj(
Tar and Gravel. I I
10/0li2014 $63,DOC
SllL,26
1010112015 $59.26,
119 -JUt
Unkno'wn I I
1994 10/01/2014 $18,900
1010112015
119 -JM
Buitt·up Tar & Gravel I I
1967 10;0112014 $95,830
S95,88l
1010112015 $0
Bl-FR
Built·up Tar" Gr._""l I I
10/0112014 $65,000
S65,OOl
10101/2015 $0
152 -jlC
Asphalt Shingte I I
8
SCHEDULE OF COVERED PROPERTY
Continued
uescnpnon 'fear t5utn: Ul. uate I tiUHG1ng vatue I U111t# Totat Insured Value
Address Const Type Term Date Contents Value
Roof Shape I Roof Pitch Roof C oVeJing I Cove,;ng Replaced I Roof Yr Bit
Gantt:? B. Fascetl Park -6 Hat" Tru Tennis Court:; {Sb,500 1OJ01flO14 $123,500 r ........ .j. .... ,,,~,. f ... -'"I,.~" ... ,...I, 011 8600 RECJ ROAD 5123,50C
SOUTH A\IAMI, FL 33143 !Or01n01S SO
152 -HC
PIA I I1iA IliA I I
[}ant~ 8. FacseU Park I Pla.ygrovnd (S&;S{:'() Contents '10[01/2014 $104,000 ~.~_l".....1",.n. Oll 8600 RED ROAD S1(KooC
SOUTH MIA/,',I, Fl33143 1OI01!2015 $0
101 -Frame
WA I IliA IliA I I
Dante B_ Fa,,,,,,,ll Park· 2 RacquetbaU C()urts 10;01/2014 $28,665
013 &600 RED R0.40 528~bt.~
SOUTH MIAMI, fL 35143 1010112015 $0
l11-ldK
H/.A I I If A II!A I I
Dante B. Fascell Park· 1 Basketball Court 101O1!2014 513,000
014 BWO RED ROAD S13,ooC
SOUTH M1..tJ!J. fL 33143-
111 -MIK
10/[1112015 SO
~UA I iii ;;, IUA I I
Dante B. fasc€'H . 1 Tiki Hut lOJ01i2014 $10,000
015 3600 RED ROAD $iO,ooC
SOUTH f-AttJ/!L fL 33143 10;'(1112015 SO
119 -.1M
UnknOVfil I Unknvv/f! Unknown I I
Dante 8, Fa5ceH Comrnunity Storago:.-' 1%7 10101;2014 %3.000
016 8600 RED ROAD S63.00C
SOUTH ;\\l.M~L fL 33143-10101;2015 SO
131 -FR
Flat I Flal Built-up Tal' 8: Gr,wel I I
Fuch, Park Pavilkl1 (54550 Content, Included) 1995 1O!0111014 531,000
017 6445 SW 8 j STREET $35.55C
SOUTH MIAMi. FL 33143 10/01/2015 $4,55C
'101 -Frame
Hip I I\~,edium (10 to JO) A,pnalt Shingles I I
Fuchs Park ~ Bathroorn 10/01/2014 $&4,000
018 6445 SNl81 STREET $&4,OOC
SOUTH MIAM!, fL 33141 10/01/2015 $0
~ r} -JM
Flat I Flat Unknovm I I
Fuchs Park P{aygrouftd &: S'.(1lng Sets 1010112014 $70,769
019 6445 5W 81 STREET $70,76
SOUTH MIAN,I, FL 33143 10/01/2015 SO
119 -JM
WA I IIfA IliA I I
Palmer Po,rk -Field Storage Building 1977 1010112014 $45,500
020 6445 SVl81 STREET S45,5(lC
SOUTH !AlANd, FL 33143 10101/2015 $0
151 -lfC
Flat I Flat Buitt-up Tal' & Gravel I I
9
Unit #
(Ill
022
023
024
025
016
027
028
029
030
SCHEDULE OF COVERED PROPERTY
Continued
Description Year Built Eft. Date I Building Value I
Address C"",t Tyl'€ T"rm Date CQntents V"l ue
Roof Shape I Roof Pitch Roof Covering I Covering Replaced
Palmer Park Football Storage Bldg 1977 10/01;2014 $75)000
6701 SW 67TH AVE/IOE
SOUTH NdMN, Fl 33143 lOf01i2015 $45)73C
119 -JM
nat I Fl,.t BuHt~up Tar ft Gravel I
Pa{mer Paf~ Football Storage Room 1995 10101;2014 $33)000
6701 ,Vi 67TH AVEIIOE
SOUTH tidAl!.!., Fl.}31')3 10101/2015 $19,5OC
119 -JM
nat I Flat BuHt-up Tar &: GraveL I
Palmer Pa,,' Fh"ld Hwse 1977 lOroli201~ S 115,620
6100 5W 67TH AVEI1UE
SOUTH MI~M!, Fl.33143 119 -JIll
10/0112015 $9,141
Hip I Low « 10j t.5phalt Shingle I
Paimer Park PlaygfC>u~d 10/0112014 $26,000
6701 5W 67TH AVEI1UE
SOUTH MIAN,f, FL 33143 10/01/2015 SO
101 -Frame
iliA I IliA 1111'. I
Paimer ParK i HOO FT Of SFT High Fence 10/01i2014 $13,OOC
6701 SVI67TH AVEIIUE
SOUTH tr\IA}~~~~ FL 33143 10(01/2015 $0
152-PC
iiiA I IliA IliA I
"a1mer Park -1000 FT Of ·lOf 1 High fence 10/01i2014 $16,9OC
6701 SW 67TH ."VElIUE
SOUTH MIN,1i, FL 33143 1OiOl!2015 SO
151 ~ HC
WA I IJ:A IliA I
PatnJer Park -Restrc>Dnl B!d~ 1977 1010112014 $84,W:
6701 SW 67TH AVE/1UE
SOUTH lAIN,,!, FL 33143 1010112015 $0
lH-JM
flat I Flat Buiit-up Tar ft Gravel I
Pa~mer Park -Cor-...cess!on Bldg: '1977 10/01/2014 S54,OOC
6701 SW 67TH AVEIIUE
SOUTH /AlAN,!, Ft 33143 1010112015 $0
119 -JM
Flat I Flat Sui! (-up Tar & Gravel I
Office! Polke Substation 2000 lOi01/2014 $0
6900 5W 59TH PLACE
SOUTH 1,\IANit, Fl 33143 1010112015 528,665
119 -Jt·A
flat I Flat Buitt-up Tar a-GraVEl I
Bre:-v,;€'r Park -2: RacqtfE:'tbaH Cc.-urts. IOl01J20P $28,665
6300 SW 56T'rl STREET
SOUTH MIA],\!, FL 33143 1010112015 $0
119· Jf,t!
lilA I iliA 111.4. I
10
Total Insured Value
I RoofYr Bit
$120,m
I
552,51)(
I
5124,76,'
I
$26,00[
I
SB,OO(
I
$16S0C
I
584,60C
I
S54 10CK
I
$23,£6:
I
528,66:
I
Unit #
011
032
033
034
035
036
037
038
039
040
SCHEDULE OF COVERED PROPERTY
Continued
["'scnption Year Built Eff. Date I Building Value I
Address Const Type Term Date Contents Value
Roof Shape I Roof Pitch Ro"f Covering I Covenng Replaced
Brewer Park -1!2 aaskethaH Court 1010111014 S13.0OC
630[1 S'N 56TH STREIT
SOUTH MIAJ/;i. FL 33143 10101J2015 $0
119 -JM
lilA I 1t!.A. IliA I
Brt-"Nef Park -PLayground and S .. ,';ng Set 10/o1i201-1 $34,125
6300 51'! 56TH STREIT
SOUTH MIAMI, fL 331-13 10/0112015 $0
152 -liC
HIA I iliA iliA I
Bre"'/~r Park -2: Tennis CO'.Jrts; 10/0112014 $52,000
6300 SW 56TH STREIT
SOUTH MIAMI, FL 33143 10;'01;2015 $0
119 ~ IN;
iUA I II!A III A I
Brewer Paf" -460FT Of 1llFT High Fe""" 1010112014 57..800
000 SW 56TH STREIT
SOUTH MIAMI, FL 33143 10/0112015 SO
152 -HC
WA I IliA IliA I
BreWer Park -360FT Of 5FT High Fence 10101;2014 $3,900
6300 SW 56TH STREIT
SOUTH MIJW,I, FL 33143 10101f2015 SO
152 -fie
WA I IUA iliA I
Murray Park -2 Shade Structures 10/01/2014 $2,0(;]
5800 SW 66 STREIT
SOUTH ;"\JAN,I, FL 3314J 10/01:2015 $0
!l9 -JM
WA I iliA HlA I
Murray Park j CommlJr.ity Center 1985 1010112014 SJW.OC<J
6701 SW 58 PLA.CE
SOUTH MIAMI, FL 33141 H)lOI!2015 $0
111 -.v,lle
pelf'amid I Medium (10 to 3D) li'\etal I
Hope Butte-r Activity Center 1985 10/0112014 S271,68C
6701 SW 58 PLACE
SOUTH MIAN,I, FL 3314} 10101!2Of5 $0
119 -JM
Pyramid I Medium {10 to 30) A\E'till I
Offk~lp{lUce Substation 10:'Ol120!4 $0
5175 SIJ1!SET DRIVE
SOUTH MIAMI, FL s3143
11"-JM
10iOlf2G15 $32,5C<J
Unknown I Unknown Unknown I
City HaH i Potice 1956 1010112014 S3,839.9()(;
6130 SUnSET DRIVE
SOUTH MIAMI, FL 33143 10/0112015 $395,472
119 -JM
flat I Flat Built-up Tar Ii: Gravel I 2005
11
T otat Insured Value
I Roof Yr Bl.t
SB>OO(
I
SJ4~ 12
I
S52,&:lC
I
$7,80(
I
$3,%(
I
S2,OOC
I
S360,OO(
I
S271.68C
I
S32}50C
I
$4,23.5~37
I
SCHEDULE OF COVERED PROPERTY
Continued
Description Year Buitt Eff. Date Building Vatue
Unit # Total Insured Value<
Addres> ("nst Type Tenn Date Contents Value
Roof Shape I Roof Pitch Roof Covering I Covering Replaced I Roof Yr Bit
5lt'..1a tllartin B~d-g 1935 1OiOl120l4 S420.1Bii
041 6130 SIJI1SET URI\IE S476,S8~
SOUTH M1..cll,1, fL ~3143 10/0112015 $56,706
119 -Jill
Hip I Medium (10 to 30) Aspha_It Shingle I 2000 I
South Miami Comm (Enter i Gym ZOO} 1OiOl!2014 53,218,51
041 5800 SW 66 STREET S3,WB,56C
SOUTH Mt.t:N!l! FL 33143 lO/OI!2015 5 390,Oooj
111 -IIJI(
Flat I Flat Built-up Tar & Gravet I 2003 I
Jean VhUi!.O Park l Gazebo 10/0112014 519,5OC
043 7220 SW 6-151 COURT SI9.50(
SOUTH {.-\IAMl, FL 33143 10/0112015 $0
101 -frame
P}Tamid I Medium nO to 30) Asphalt Shingle-I I
Marh;:,aH VhHiamson Park .. Gazebo 10(01/2014 $65,OO{
044 6121 SW 68 STREET S65,OOC
SOUTH MIMA!, FL 331-H 1Oi01!2OlS $0
152 -(Ie
P"iramid I Unknown ,Asphalt 5h~ng{e I I
Ma,;sha.l \Villfa~ns{;.\n Fark l Playground and Swing Set to/Ol11014 $32,500
045 b121 SW 68 STREET S32,5[l{
SOUTH MI}.J~'H 1 FL 33143 10101/2015 SD
152 -liC
lilA I IlIA. fliA I I
tAarshal Williams;)I) Pad;, <' 3 bencheS 10[01 I 2014 Sl,17(
046 6'121 SW 68 STREET 51,17.-
SOUTH N!lp.j~!f> FL 33143 lOiOl1l015 $0
152 -II(
niA I iliA It/A I I
Marshall Vhlliamson Park·:2 ! ennis Courb 10101/2014 $52,000
047 6111 5W 68 STREET $52,00(
SOUTH ,\lIAMl. FL 33 \43 1OiOI/1015 $0
l11-lmC
IlfA I tl.IA fliA I I
AU Am-erlcc, Park i :3 Picnk; Tabte~~ 10101!2()14 S7llcq
049 6820 SW 64 AVEnUE S7,O~(
SOUTH MIAM!. FL 33143 1O!O1!2015 $0
152 -fie
HlA I IliA iliA I I
Sid Scout Property 1965 10101/2014 5234,060
050 6b09 S\ V 60 STREET $234.06(
SOUTH lI,AtAJ1J, fl 33143 1O/01i2ot5 $0
11'1-JM
Hlp I Med~um {10 to 30) Asphalt Shingle I I
Parking. Garage 2000 10101/2014 S8)~35 .• 52D
051 5829 S. W. 73 Street $8,435,521.
SOUTH MINN, FL 33143 tO/DIIlOtS $0
131 -FR
Flat I Flat Concre-t€-THe I I
12
Unit Ii
052
053
054
055
056
057
058
059
060
061
SCHEDULE OF COVERED PROPERTY
Continued
Description Yed,'Suitt Eff. Date BuUding Vatue I
Address Const, Type Term Date Contents Value
Roof Shape I R""f Pitch Roof Covering I Covering Replaced
mSOJ1 Park· Picnic Table '1OJ01!2014 $2,000
SW 58TH A'!E If SW SO :'T
SOUTH MI.AM!, FL 33143 '10101;'2015 $0
152, He
H/A I iliA fl/A I
Dbnn Park· GazEDo 10101/2014 525,°1
SVl58TH AVE &: 5VI 80 5T
SOUTH MIAMI, FL 33143 10101/2015 $0
152· He
Pyramid I Medium (Hl to 10) Asphalt Shingle I
N.a,rsnaH VdHiafn~on Pafkf4 Picnic Tab1t5-:. 1(j101i2014 $3, 12~
6121 S\V 6S STREET
South Mia.mi) FL 33143 1010112015 $0
152· He
PIA I I1!A IliA I
POUCE SUB STATion 1980 10101!2014 SO
67265\'/5'1 PLACE
SOUTH MIAMI, FL 33143 10101/2015 $H,OC{
119· JM
flat I Flat Tar and Gravel I
gUS SHELTER 1010112014 S50~(lOC
H SIDE OF SUICET DR & Ai'PROX S'YV 60 AVE
SOUTH htlAMI: FL J 31.43. 10/01/2015 $0
152, HC
Unknovln I Ur~known Unknm"'m I
£.US SHELTER 10;01/2014 SSD.Oon
11 SIDE DF SUIISET DR APPROX 100 FT VV OF SW 67 AVE
SOUTH MIAMI, FL 13143 1010112015 $0
152, iK
UnknO"it4n I iJnknovm Unknovffi I
BUS SHELTER lOiOli201.J $50,O(](
S 51 DE OF sur CET DR APPRDX 100 FT E Of 51'! 67 AVE
SOUTH MIM,\I, FL 13143 '10JOliL015 $0
152 -He
Unknown I Unkncwn Ur::Knovm I
£.US SHi:HER 10/01/2014 $50,00<..
S SIDE OF SUI ISET DR@SldAMI CITY HALL SITE (6130
SOUTH MIAMI, FL 33143 10101/2015 $0
152, HC
Unknov.fn I Unkncvd1 UnknoY,'fl: I
BUS SHELTER 'f0101/20\.1 $50,I)C(
E SIDE OF SW 62 AVE £\ ,APPROX SW £7 5T
SOUTH MIAMI, FL 33143 1010112015 $0
152, He
UnkfiO\A,>n I UnKnovm Unkno'"vji. I
Murray Park PDOI. Spla,h Pool, Restroom 2014 10/0112014 SUM,.jll
61215. W. 68th Street
South Miami> FL 33143 119 -IN!
1010112015 $0
Flat I I
Total Insur"d Vat ....
Roof yO' BIt
52,OOe
$Z5 toor
SJ~ 12L
526,00:
S50,OOC
SSG,OOl
$50,00(
SSO"OOl
550,OOC
51,384-41)
I 2014
I Total:1 $21,5'1},575 I $1,080,342 I $22,673,917
13
PROPOSED PROPERTY COVERAGE
Continued ...
Deductible:
All Other Perils: $ 2,500 Per Occurrence -Building & Contents and
Extensions of Coverage
Named Windstorm: 5% Per Occurrence -Subject to $15,000 Minimum
Flood: $2,500 Per Flood except zones A, V excess of NFIP, whether
purchased or not
Coverage Enhancements:
Boiler & Machinery
Flood -Per Occurrence and Aggregate
$22,673,917
$ 1,000,000
NOTE: Detached walls, fences, radio and TV antennas, trees, shrubs, plants free-standing property
improvements such as athletic equipment, windscreens, light poles, satellite dishes or signs are
not covered unless specifically scheduled on the policy.
Property and Extensions of Coverage include, but are not limited to the following exclusions:
• Earthquake/Earth Movement
• Terrorism
• Electronic Data
• Electronic Date Recognition
• Asbestos
• Pollution
• Fungus
• War, Nuclear
• Ordinance or Law -Limited per Extensions of Coverage
Note: The porT property program is a shared limit. The limits purchased are a per occurrence
limit and in the event an occurrence exhausts the limit purchased by POIT on behalf of the
members, payment to you for a covered loss will be reduced pro-rata based on the amounts of
covered loss by all members affected by the occurrence.
14
WINDSTORM & HAIL DEDUCTIBLE SAMPLE ILLUSTRATION
FLAT DEDUCTIBLE vs. PERCENTAGE Windstorm and Hail Deductible
This deductible would apply to a claim for damage caused by windstorm.
Building Replacement Cost Flat Ded. 2% Ded. 3% Ded. 5% Ded.
Bldg #1 ~ $1,000,000 $5,000 $20,000 $30,000 $50,000
Bldg #2 -$2,000,000 $5,000 $40,000 $60,000 $100,000
Bldg #3 -$3,000,000 $5,000 $60,000 $90,000 $150,000
Bldg #4 -$4,000,000 $5,000 $80,000 $120,000 $200,000
TOTALS:
Value -$10,000,000 $20,000 $200,000 $300,000 $500,000
Percentage wind deductibles are calculated as a percentage of the total replacement value.
The deductible for all other perils applies to an "occurrence", not per building.
15
SCHEDULE OF COVERED PROPERTY
PROPOSED INLAND MARINE COVERAGE
Insurer:
Preferred Governmental Insurance Trust
Not Rated by A.M. Best
Description of Property:
Parking Meter Equipment
Causes of Loss:
Special Form: Excluding Flood and Earthquake
Values of Insurance:
$ 417,896.00
Loss of Use coverage is not automatically included
Valuation:
Actual Cash Value
Deductible:
$1,000
Exclusions Include But Are Not Limited To:
Flood
Earthquake/Earth Movement
Terrorism
Biological or Chemical Materials
Electronic Data
Electronic Date Recognition
Asbestos
16
PROPOSED CRIME COVERAGE
Insurer:
Preferred Governmental Insurance Trust
Not Rated by A.M. Best
Type of Policy:
Combination Crime
Limits of Coverage:
Employee Dishonesty Incl. Faithful Performance $ 100,000
Per Loss
Covers loss of money, securities and other property by employee
dishonesty at all premises of the insured.
Forgery or Alteration $ 100,000
Covers loss by forgery or alteration of checks, drafts, and promissory
notes (except by an employee) that are made or drawn by the insured or
his agent.
Computer Fraud Including Funds Transfer Fraud $ 100,000
Covers against theft of money, securities, or property by using a
computer to transfer covered property from the insured's premises or
bank to another person or place. No coverage is provided for theft of
information or for computer vandalism.
Other Coverages Available:
C. Theft, Disappearance and Destruction
D. Robbery and Safe Burglary
E. Premises Burglary
G. Extortion
H. Premises Theft and Robbery Outside
I. Lessees of Safe Deposit Boxes
J. Securities Deposited with Others
Deductibles:
Employee Dishonesty
Forgery or Alteration
Computer Fraud
$1,000
$1,000
$1,000
17
PROPOSED GENERAL LIABILITY COVERAGE
Insurer:
Preferred Governmental Insurance Trust
Not Rated By A. M. Best
Type of Form:
Commercial General Liability -Occurrence Form
Limits of Liability:
Bodily Injury & Property Damage
Liability
Personal Injury & Advertising
Injury
Damage to Premises
LeasedlRented to You
Bodily Injury and Property
Damage Deductible
$1,000,000 Each Occurrence
Nt A General Aggregate
Included
Included
Included
Products & Completed
Operations Aggregate
Any One Person or
Organization
Any One Fire
Nt A Per Occurrence
Higher Liability Limits may be Available Upon Request
Exposure Basis:
Class
Municipality
Basis
Payroll
Amount
$4,058,046
Be sure to get Certificates of Insurance with "Adequate" Limits and Coverage from
Subcontractors, to avoid being charged as though Subcontractors were your Employees.
Coverage Enhancements:
Herbicide & Pesticide -$1,000,000 Aggregate Limit
Exclusions include but are not limited to:
•
•
•
•
•
•
•
•
•
•
Pollution
Asbestos
Mold
Fungus, Bacteria
Lead
Nuclear
Medical Payments
No Fault Sewer Back-Up
Liquor Liability
Copyright or Patent Infringement
18
PROPOSED EMPLOYEE BENEFITS LIABILITY COVERAGE
Insurer:
Preferred Governmental Insurance Trust
Not Rated by A.M. Best
Coverage Form:
Occurrence
Limits of Liability:
$ 1,000,000
N/A
Deductible:
N/A
Per Person
Aggregate
Employee Benefits Liability:
To pay on your behalf all sums which you shall become legally obligated to
pay on account of any claim made against you by an employee, former
employee, or the beneficiaries or legal representatives thereof and caused by
any negligent act, error or omission of yours, or any person for whose acts you
are legally liable in the administration of your Employee Benefits Program.
19
PROPOSED LAW ENFORCEMENT LIABILITY COVERAGE -_._---_._ .. _ .... _ ..... _._-----_._-_ ... -... _ ........ _ ... _ .. _--_ .....
Insurer:
Preferred Governmental Insurance Trust
Not Rated by A.M. Best
Type of Form:
Occurrence
Limits of Liability:
Per Person
Per Occurrence
Aggregate
Deductible:
N/A
Exposure Basis:
Class
Law Enforcement
$1,000,000
$1,000,000
Basis
Number of
Officers
20
N/A
Amount
50 Full Time o Part Time
2 Volunteers
PUBLIC OFFICIALS & EMPLOYMENT PRACTICES
LIABILITY COVERAGE
Insurer:
Ace American Insurance Company
Rated A+XV By A. M. Best Co.
Type of Form:
Claims Made
Extended Reporting Period: 12 months for 100% oflast annual premium
Limits of Liability:
Each Claim
Aggregate
$1,000,000
$1,000,000
Defense Costs are Within Limit of Liability -Capped at $1,000,000
Deductible:
$100,000 Public Officials Liability -Public Entity Liability-1 A2 and 1B
$150,000 Each Employment Practices Violation -lC
$250,000 Retention applies to all Zoning Claims
Exclusions Include But Are Not Limited To:
Network Security or Privacy Liability Exclusion
Bond Exclusion
False Claims Act Exclusion
*Specimen policy including exclusions and conditions delivered with proposal
21
PROPOSED COMMERCIAL AUTOMOBILE COVERAGE
Insurer:
Preferred Governmental Insurance Trust
Not Rated By A. M. Best
Limits of Liability:
Bodily Injury & Property Damage Liability $ 1,000,000
Liability Coverage Provided For:
Personal Injury Protection $
(Florida No-Fault)
Medical Payments $
Uninsured Motorists Non-Stacked $
Physical Damage: Per Scheduled Vehicles
Collision $
Comprehensive $
Physical Damage Coverage Provided For:
All New or Replacement Vehicles Must Be
Reported Immediately so as to avoid any
possible gap in coverage
10,000
Not
Included
Not
Included
1,000
1,000
Combined Single Limit
Symbol #: 1 Any Auto
Each Person -Symbol #: 5
Owned Auto Subject to No
Fault
Each Person -Symbol
Per Accident
Deductible
Deductible
Symbol #: 7 & 8 Scheduled
Autos Only and Hired
Autos Only
Higher Limits of Liability May Be Available Upon Request
Description of Vehicles:
Please See Attached Schedule of Automobiles -144 Total Units
Coverage Enhancements:
• Hired Auto Liability
• Non-Owned Auto Liability
• Hired Physical Damage
Limit: $75,000 Subject to deductible
NOTE: The vehicles listed on this policy must be owned by, titled to or leased to the Named Insured.
22
VEHICLE SCHEDULE
-----,--~-,-,-"-"----,-,,-----"'---"-"---------------~-,---
IJnil# Make ModellDescription
Qty Year VIN#
COl 8TM ClNR TRlR
1987 1287
001 OUMPIRUCK
1993 3377
002 ReCYCLE TRUCK
7192
002 BUCKET TRUCK
H190 411
003 TRUCK
2DOl 1520
004 PiCKUP
2001 3261
005 VOlvO \NXR64
20G3 4V2EC6UE93NW,,46E
006 TRASH TRUCK
2005 7533
007 TRASH CRANE
2004 662
DOB F450 BUCKi:::TTRUCK
2004 6749
D09 TRAiLER
2004 1773
009 CRO'-NN ViCTORiA
lB97 8963
010 3-:~'VHL CYCLt:
2004 4132
011 GARB.AGE TRUCK
2004 5VCEC6lF24H200002
012 CR.CYNN VlCTOR.!A
2005 9246
012 SWeEPER
1997 2272
on RANGER PICKUP
1997 483
013 CROV,/N V1CTORtA
2D05 9247
014 PICKUP
1998 SUM
014 CRO\'I,,'N V1CTOR~A
2005 9249
0'15 CRO'NN ViCTORIA
1f193 7544
Department Al Eft Comp Ded Comp Eft Term Value
Vehicle Type Al Term Coli Oed Coli Eft ~Oll ValU81l0n IAPD Rptd
Tvop
10/01114 NA so
Trailer -NO lOi01fl5 NA NIAI
iCo'01!!4 $:1,000 Kl01f14 10101115 525,000
HE'av,Truck 10/01115 $1,000 10i01t14 10{Ol115 Actual Caslll $25,00
10;01114 $1,000 10101114 lOf01l15 S3 I ,000
Heavy TWC.K 10/01115 $~,{!OO 10f01f14 HJiOln5 Actuai Cashl S3"t,OO
NA so
Heavy Tfl1C~ tOIOt!1S NA
10/01114 $1,000 'I01!J1i14 WfOlf15 5:39,000
H€4VY Truck 10iOU1E-$1,000 1Gi01!14 WI01!l5 Actual (~%hl S39,OO
10fOtn4 :V,OOO 1GJ01i14 '1010V15 $19,000
Light Truth: iO/Ott1E· Sl,OOO 1 Gl01t14 1010H15 Actual Cashl $19,00
1Q/o1114 St,OGO 10101!14 10iG1i15 S35,OOD
Garbage Truck 10iO 1115 $1,000 10101114 Wi01!15 Actuai Cashl S35,OO
JOi01i'l4. S1,000 10f01!14 10101115 S32,O()O
Garbage True¥. 10l01/i5 $1,000 '10/01114 10f01!15 Actuai Cash I $32,00
1OiOliN $1,DOO 10101/14 'IOi01!tS S32,mO
10i01l15 $1,000 lOiOl114 Hl!01!l 5 Actual Cashj S32,OO
1010ffi4 S1,OOO 10/01114 10101/15 $2B:000
He:lVY T mer: 1010tl15 $1,000 'lOi01!14 IOiO 1ii 5 Actua! Cash I S2,s,00
10/01114 Sl,Ooo 1C101f14 10!01IE, $1D,DG0
Trailsr -NO 10!OfJ15 31,000 1G1D1I14 m01!1S Actual cashl 510,00
POLICE iO!Oli14 NA so
PoHce Car 1CV01115
10;01/14 S1,000 10101114 10i01l15 S7,E,OO
Extr3 Light Sendee 10!01115 Sl,OOO 10101114 10{(l1!15 Adual Cashl $7,:,0'
Non Poi Ice 'lOiG Ii 14 $1,000 1Gl01114 Hli0il15 S35,WO
Garbage Truck iniGl/lE· 10101114 Hl10i!i511 Actual cashl 535,00
POliCE 10;01/14 51,000 10101114 iOl0lf15 519,322
Police Car 1 C\liJ1 iE, 51,000 10i01114 10!01!1:, Actu"l Cashl $19,32
NA $0
Heavy Truck 10/CUi5 NA NtAI
10101114 NA $0
UGhtTruck NA
POliCE 10101/14 10101114 10mtl1S 519,322
Police Car 'lOiO\l15 $1,000 10iD H'I 4 10iOnS Actual Cc<shl
10i01iI4 SD
liGht Truck leVGl115 NA NiAI
POliCE 10/01i"l4 S1,000 1 (401114 '10101115 519,322
PoHceCar $1,000 10i0'1l14 10f01!l5 Actual Cashl S19,32
POliCE NA 50
POiiceCar 10;0l/15 NA NfAj
23
Unit# Make
Qty Year
015
2005
1 2005
016
1998
017
2005
017
1998
018
2005
019
2005
020
2D07
020
1999
02'1
1989
021
20013
022
2006
022
1999
023
1999
023
200i)
024
2006
024
1999
025
2DO(}
025
1999
026
2006
027
2006
VEHICLE SCHEDULE
Continued
ModellOescription Department AL Eff Comp Oed Comp Eft Term Value
VIN# Vehicle Type AL Term Coli Oed Coli Eff
CRO~NN \;'~CTOR\A. POUCE 10101114 $1,000 10[01114 JOfOU15 S19,322
9250 PoHCBCar 10101115 10101114 10{01115 I Actual cashl $19,32
CRO~VN \;'1C i ORt,; POUCE S1,000 10/01114 10!01115 S19,322
9252 PoBc," Car 10/01115 $1,000 101D1114 10{01115 A.ctual caS!ll $19,32
CRO\'vN ViCTORi,t-. POLICE 10101/14 NA. SD
7545 PoHce Car 10101i15 NA Nf.!>.l
CROV~/N ViCTORiA POLICE WiO!i14 lGl01l14 iDIOmS
9253 PoHce Car 10}01l15 10iD1Ii4 1 O/OlllE, Actu,,1 cashl
POLICE 10lOtfl4 NA $D
7547 Police Car iO!01ll5 NA
F1S0 PiCKUP PGUCE
8300 Police Car 10l0tl15 10/01/14 10i01!!5 Actual Cashl S23.,DOC
~XPED;TION $1,000 10101f14 10!OHiS $22.500
8547 Light Truck 10lGlfl5 $1,000 10;0'1114 W!01l!5 Actual Cashl S22,50(
TRASH TRUCK lOfOli14 $1,000 lGl01114 10/01115 $47,000
Garbage TIlick $1,000 10101t14 10101115 Actual cashl $47,00(
F250 PICKUP lOfOti14 NA $0
Light Trllch 10/01115 NA
Fl5GPICKUP 1 %1il4 NA $0
1507 Ught Truck 1Ol01l15 NA
iRASHCRANE $1 ,DOll lGl01114 1O!01f15 $4S,DOO
8936 1C«Oli15 $1.000 10101114 WID1!15 Actual r23Shl ~4B.Oll
RANGER PICKUP 1OI01l14 $1.000 10101114 10iOll15 $21.500
8007 Ugh, Truck 10!O1!15 $ LOO{) 10101114 '1 OiOlil 5-ACtU31 cash I $21,50
CROWN VICTORIA POUCE IOlOl!14 NA Sll
2389 PoliceC3r 1010111i:-hA
CROWN VICTORIA POliCE 10101114 NA
2380 Police Cnr 10iOti15 NA NlAI
POLlCE 10101114 $1,000 10101f14 lOf01l15 S22,OOO
3762 Police Car 10101115 $1.000 10101114 10101115 Actual cashl $22,00(
CROVvN VtC ~ ORLA, POUCE 10101/14 Sl,OOO 10101114 10101115 $22,ODO
3763 PoiiceCal" 10iOlI14 1O!01115 AdUell cash) $22,00
CRO'=lVN ViC? ORL~ POliCE 10/0 lil 4 NA so
2394 Police Car NA
CRO'1vN \:'iGTORiA. PGUCE SI,OOO 10101/14 10/GU15 $22,000
3764 Police Car 10/01115 Si,OOO '10/01114 10101115 Actual Cash I 522,00!
CROWN ViCTOR1A POllCE 10J01!14 so
239£, PoHceCar 10101liS NA
CROWN ViCTOR!.A POUCE 10"01114 $1.000 10101114 10101/15 S22,OOO
376'1 PoHceCo.r 10lOW5 10/0'1/14 '1 O!01f1 S Actual C""tSh[
CRmVN VIC lOR!.'" POUCE 1Cv0lf14 $1.00D 10101l'14 WiOt!15 $22,000
376G Police Car 10iOli\5 SL000 10101i14 \0/01115 Aelual Cashl S22,O{)
24
Unit#
Qty
027
028
029
030
031
(132
033
033
ll34
035·
1J36
037
038
038
1
039
039
040
040
041
041
D42
Make
Year
1999
2006
2006
2006
2007
2007
2001
2007
2007
2007
2008
2uD?
2001
2007
2007
1994
2007
2001
2001
2007
2007
VEHICLE SCHEDULE
Continued
ModeliDescription
VIN#
Eeo 15 PASS VAN
6489
3759
CRO~NN ViCTORiA,
3758
CROi,tiN V1CTORtA
3757
RANGER PICKUP
9505
CREV~ GA.B TRUCK
1 FF,,'1f'lJ3DP17EA4733
F2~,C' PICKUP
1259
CRO"NN ViC 1 ORiA
4579
TRASH [RUCK
5792
E-450 PASS \/AN
15867
F250 4X2 TRUCK
8'f33
CROWN ViCTORiA
2130
PICKUP
3263
CRO~NN V1CTORJA
261
CROV"lN \:'fCTOR1A
262
S-lO
946:7
CRUNN Vie OR;A
253
EXCURSiON
7437
CROVvN ViCTC:Ri.A
3403
CROWN VICTOR!A
264
CROV/N VICTORl.';
"1644
Department AL Eff Comp Ded Camp Eff Tenn Value
Vellicle Type Al Term Call Ded Call Eft va~~~~Qn I APD Rptd
101011'14 NA so
Bus' 20 Pa;s, No 10,101,115 NA
POUCE
PCiiCB Car
POUCE
Police CiJr
POUCE
PoHce CJr
light Truer:
Light Truer:
LightTruck
POUCE
Police Gar
M8ciium T0J.d
Lig11f Truck
POLICE
Police Car
Light TrucK
POLICE
Ponce Car
POLICE
Ponce Car
UQhtTruck
POUCE
Police Gar
Light Truck
POliCE
Police Car
POLlCE
Police Car
POUCE
Police Car
25
101011'14
10101l15
10/01114
10/01115
10101/14
iDiOi/i5
10101114
KVOll15
10"'01114
10/01ns
10101i14
101011'15
lD/Oi114
10101115
iO/0li14
10J01!l5
1010'll14
10101!iS
10101i14
itVOli15
101Gl1l4
10/01/15
101G1l14
10/01/15
10101114
10!G1tl5
10101114.
WI01n5
W!G1114
WIG!115
10iOil14
1OiOil15
10/01114
10!01115
1O!G1Il4
'~OlGHi5
10101/14
10!OH15
10101;'14
10101115
$1,000
$1,000
51,000
$1,000
$1,000
$1,000
$1,000
$1,000
NA
$1,000
$1,000
51,000
$1,000
51,000
$'1,000
$1,000
$1,000
$1,000
NlI
NA
51,000
$1,000
51,000
51,000
NlI
NA
$1,000
NA
NlI
NA
tvA
Si,OOO
51,000
Sl,OOO
$1,000
10101114 10101115 $22,000
1 OiOl!14 1010111"', Actual C:1S111 $22.00
10/01114 10101115 $22,000
lG101f14 10101115 $22,000
1010'1114 1OlOlI1:, Actual Cashl S2200
lOl01114 10101115 $19,000
1OiO 'Ii 14 -TO/DIll 5 Actual cc,shl S19BO'
10/01114 tOlOm5 $22,000
10;01114 1 0101l I 5 i<,dual Cashl $22,0;]
$0
10/01!14 101IJ1l1E, $25,0(1)
10J01114 10JOlil5 Actual Cashl
10101/14 10101115 $45,000
lOi01!14 1OIOlll5 Aclual C~shl $45,00
10/0'll14 '10101115 $25,000
1 OiO 1f'14 10101115 Actual Cashl S26,W
10101!14 lOIOm5 $30,000
10/0'1114 fOiOi!E, Actual cashl 53000,
1O!G1!14 t(1j()1115 $25,000
1 ClO '1! 14 WIOJi15 Actual Cashl 525,.00'
so
10/01/14 to/01il5 $25,000
10101114 Actual cashl 515,W
10!Glf14 10101115 $25,000
10101114 10101115 Actual Cashl $2:\OD
so
MAl
10l01i14 10101115 S25,OL1D
lOi01i'14 iO!Oll!') Actual Cashl S15,00
$()
so
10101114 10101115 $25,00(1
lClO'I!14 10!OW5 Actual C3shl
1010'1114 10/01115 $25,000
10/0111410101115 Actual Cash 1 S25DO
Unit # Make
Oty Year
VEHICLE SCHEDULE
Continued
Model/Description Department AL Eff Comp Oed Comp Eff ~ Value
V1N# Vehicle Type AL Term Coli Oed Coli Eff ~ va~~~~l}n I APO Rptd
t-O~4~2--~------~-------C~~R~O~~~'N~V~iC~T~.C~'R~.i--:A------~----P~(~)L-i~C~E----+-1--0~iO~1--1~14~----N--A--~-------+--~ $0
2001 3404 Police Car
043 F450 SUPER PICKUP 10/01114
2007 7453 Medium Truck 10/01115
044 CRO'liN ViCTORiA POliCE 10J01114
2DOl 3408 Police Car , iO!Oi/i5
044 E-350 VftN 1GjOUi~
2D08 9179 Ugr,( Trllck 10/0"1/15
045 F250PICKUP 10!01114
20G8 4733 tojOlilS
045 FE,CPICKUP POliCE lO!OlI14
2001 8077 Police Car 10f01115
046 TRASH TRUCK 10;01114
2D09 61615 Garilage TrucK 10J01HS
046 PICKUP 10101114
1997 7334 Ught Truck 101011\5
047 PICKUP 10!01114
2DG8 4732 Ught ! ruck 101011\5
048 t:350 VAN 10/01114
1fl91 153 Ught T!llck
048 WATER TRUCK 10/01/14
20G8 64i5 Heavy Trtlck 10iG 1115
049 i5 PP .. SS VAN 10!01114
2008 6821 Bus "20 Pass. No 10/011l5
050 15P.A,SSVAN 1O!01114
2008 6820 Bus "20 Pass, No 10{01115
051 EXPEDiTION 10/01114
2008 6596 10/0 1115
052 1:5 PAS8 VAN 10!01114
2009 Bus <20 Pass, Nol010m5
053 CROViN Vi.C ~ OR1A POUCE 10!Oll\4
2009' 1415 PO!iceCar 10/01115
054 CRUhN ViCTOR:''', POLICE 1O/01il4
2D09 1415 Pollce Gar 10101115
055 CRO\VN \j~G ~ OR1.A POlleE 10[011,4
2DOg 1417 10/0 !it5
0513 DUMP TRUCK 10/01114
2010 7808
057 1Q!G1l14
200" 1381 Ligfll Trucf;
058 GAR6,4,Gt: TRUCK 1 O!O 11\4
2009 9492 (33rbage Truck 10101115
26
N" "
S1,{lOO
$1,000
NA
NA
$1,000
$1.000
$i,DOO
$1,000
lilA
NA
$1,000
$1.000
lilA
NA
$1,000
$\.000
Nt..
$1.110D
$<~,OOD
$\.OOD
SI,OOO
$1,000
$1;JOO
$U)OO
S1.()OO
SI,OOO
$1,000
Sl,OOO
$1,000
$1,000
$I.DOD
$1,000
SLOOO
St.Ooo
S1WO
NIAI
10!Dl114 10101115 $40,000
1 0/0 1tI 4 ,Ot01IiS Aciual Cash! $40.00
$0
NIAI
10101/14 10101115 $28,000
10/01114 1010111S Aciual Cash I S1S,OD'
10!01f14 iOlOm5 524,000
1C/o1iHl0f01i1:, Actual Cash! $24.00'
$0
10/01/14 lOf0il15 $45,000
10/01114 10!0111S Aciual cashl $45,JO,
NfAI
10['01114 10101115 $22,000
10!01!14 1010l/15 Actual C3shl $22,00
$0
iO{{J1114 lOiOii15 531,000
10/01114 1Oi01115 Actu;;1 CaSh! 531,00-
1G!Dlf14 iOlOm5 $25.000
$2:'.00,
10!01l14 10101115 $25,Oor
10fDl!14 10!D1115, Aclual cashl S25,00-
10fD1!14 10iOll15 S2f.',OOC
10/01114 iOi01i15 Actu31 Cashl
iOlD1i14 10[01115 S25,OO(
10!01f14 10101115 Aciual C3~-i'11 525,()O,
10101114 iOl0ll15 527,000
1 Gf01 114 10101115 Actual Cashl $,27,00
10101114 10101115 $27,000
10fOif141Oi01W', Actual CaSh! S27,00'
10!01114 iOl01l15 527,000
1 Of 01114 10101115 Aciual Cashl S27,00
10/01/14 10f01f15 S33,OOC
1QtDlI14 10101115 Aciual C3Shi $33,00,
10i1l1f14 10/01115 525,000
10101l'l4W!01l1:, Actual CaSh! $25.00'
1 Gf01!14 10fOll15 $40,OO{
10[01114 10101115 ActUz.1 Cas!11 $40,DO'
Unit# Make
Qty Year
059 Ford
20'10
060 Ford
2010
061 Ford
2010
062 Ford
l01D
D63 Ford
2010
064 Ford
2010
D65 Ford
2010
066 Forel
20Hl
067 Ford
2010
D6S GEM
201i
069 Ford
2011
07G Ford
071 Ford
20'11
072 Ford
2011
073 Ford
20'11
074 Ford
2011
075 Ford
2011
D76 Ford
20'12
077 Ford
078 Ford
079 Ford
20'11
VEHICLE SCHEDULE
Continued
ModeUDescription DepartmEmt ALEft Comp Ded Comp Eft Ternl Value
Coli Oed Coli Eft Coli
T.
VIN# Vehicle Type AL Term
Crown \/ictoria Police Interceptors iO}01l14 Sl,()OO 10101114 10/01115 S25,34()
1 FABP7BV2AX 141487 Poi!ce Car 10101/15 $1,000 iCiD1fl4 10/01115 Actual Cashl
GrCfNrl \.'lctOfl3 Police interceptor 10101114 SHOO 10/01/14 lOI01115 $25,340
2FABP7BV4.4X.1414fI1 Police Car lOi01i15 51,000 10i01fl41OfD1I15 AC1ual Cashj 525,,34,
1O!01i14 $1,000 101011i4 10101115 525,340
2FABP7B\.-'4PvX1414BS Police Car 10!01i~5 $1,000 10/01114 10101115 Actual Caslll $25,34
Crown \/ictoria Police ~nt~rceptor 10101114 SHOO 10101114 10101115 525,340
2Fll.BP7BV6:\X 1414B9 PoJicBCar St.DOO iC/D1114 10101115 Actual Caslll
1G'Oli14 $H)OO 10!01114 10101115 52f,,34G
2FABP7I3V2AX 141490 Poi!ceCm 10/0ll15 1 O!O 111 4 10lO1!15 Actual Cashj S25_34~
Crown Victoria Police lnterceptor $1.{)00 10iOl114 10101115 525,340
2FABP7BV6AX14 t492 Poilee Gar 10/01115 lG!D1f14 iO/D1115 Actual C3£.hj !-25,34
C'Own Victoria Police lmerceptor 1 %1i14 SHJOD 101011'14 iDi01f15 525,340
2FABP7BV8AX 1414f(1 POiice Car IO!Oll15 51.000 10iDl114 Wi01115 Ac1ual C3shl $25,34'
1 OiO li14 51,000 1 OlO 1114 10i01l15 $2f,,340
2FA.BP7BV5AX1421813 Police Car '1010 11'15 $1,000 iCI01I'I4 'lOiOlI15 ACtual Cash I 525,34'
CrOl.'r Victoria Police lnt€fCBptor lQ!Oli14 51,000 10101114 iOlom5 $25,340
2FABP713VOAX141485 Police Cor 10/0 1t~5 St,OOO lCAJ'fI14 10,'011\[, Ac1ual cashl !-25,34'
E2 1O!Oll14 $1,000 10101114 1 0/0111 S $14,575
5ASCPGM2BF055341 Extra Ugllt Service 1010.1/15 $1JJOO 10fD1f14 10,01115 Ac1ua! C;JShj S14.57
Cro'//li Victon3-lO!G1f14 51,000 10l!llf14 10101115 $31.47 "
2FABlBV5BX166584 Police Car 'lO!01H5 $1,000 10101114 1010m5 Aciual C3511j 531A7
Crown VlCtoria 10101/1.4 51,{lOO 1(lfD1f14 10101115 $31,479
2FABr-'78V7BX166578 PO{iCe Car lCiO'1!14 10/01115 Actual Cashl !-31,47
Cro\vn Victoria 10!01/14 51,000 10iDli14 iO/01f1S $31,479
2FABP7BV4BX 166604 Potc2Car iC101i15 101D'1f14 10/01115 Actual cashl S31.47
Grown Victoria 1C101il4 $1,000 1 Cl01!t4 10/01115 $31,479
2FABP7BVOBX 166597 PoHCECar 1C101115 1 Gi01114 10101115 Ac1ual C35hl $31,47
1 O!Oli14 $1,000 10!D1l14 10/01115 $29,725
ponce Car 1GOlil5 $1,000 1CJ01!14 10101115 Actual C3s111 '>29,72
CfO\vn Victon3 lQ!01i14 51.000 10101114 10/01115 $29,72_
2FABP7B\'9BX 1665>10 Police Gar 10/01115 1 G!O lIi4 10101115 Ac1ual Cashl S29,72
10/0 1114 $1,000 HllOif14 miO!l15 $29.725
2FABP78V1BX1665B9 PoHce Car leVQ 1.'15 SI,OOD 10:01114 10i01l15 Aciu:<1 CaShj 529,72
Econoiine 15 Passenger Vail Non Police iOi01ii4 $1.{)00 10lO1Jt4 '10101115 $23,473
1 FBSS3I3L4GDB30778 Bus "'20 PJSS, No 'lO/Q1d5 $1,000 1GJ01l14 10101115 Actual C3sl11 523,47
ero""'!"1 \'ictofia POiic& 1C101114 51,000 10101114 10101115 5213,5DO
2F'IBP7BV6BX15717f. FoMce Car 1o.!Q-U15 SI,OOO
Grown Vittorio PolicE' 10101i14 $1,000 Hl!Dlf14 iOlOmS $213.500
2FABP7BV8BX157176 PoHc£' Car 10iOU15 SLOOD 10i01114 'lDI01IE, Actual CaSllj 526,.50
Cro\vn V~C10!i3. P(,~ice 1010 1il4 $1.000 10101{14 iOiOmS $26,500
2FABP7BVBBX1571F Pol;ceCar 1 C10 1ilS 10!Oii14 10/01/15 Actual Cas!)1 S26.5{!
27
Unit # Make
Qty Year
DBO Ford
2011
081 For{i
2011
082 Ford
2011
OS3 Ford
1998
OM Nissan
20GO
085 Ford
2004
Chf'fs!er
2005
OS? internationa'
2006
OBS Forel
2DO~
D&9 GMC
2009
090 Ford
2010
091 Auto Car
2013
092 FreightEner
2013
093 GEM
2013
094 Tandem
2008
Tanclem
2008
096 Trailer
2013
097 Trailer
200&
088 Ford
1988
099 Tandern
2008
100 Trailer
2000
VEHICLE SCHEDULE
Continued
Model/Description OepartmlHlt AL Eff Comp Oed Comp Eft Term Value
Coli
Tarm
v~~~~on I APO Rptd VINIt Vehicle Type AL Term Coli Oed Coil Eff
Crt'Nll) Victoria Police 1O!G1!14 :iii,OOD 10/01114 10101/15 $26,500
2EA.BP7BV1 BX"157178 Police Car :)i1,OOO '10101114 1010lilE, ACiUal cashl $26)'0'
Po%ice 10101114 S1,OOD 10101114 10101115 $26,500
2FABP7BV3BX'I57179 Police Car 10101115 10/01114 10101115 Actual Cash I
CroVill \/ictoria 10101114 10/011'15 $26.500
2FABP7BV2BX'I62583 StDOD 10101114 10101115 ,AcWai Cashl $26,EO
, R,mger C'ick Up f'JQn PoHce 10/01/14 NA so
1FTZR11X6"VYA59706 Li~lht Truck 1 Of 0 1t15 NA
Non Ponce 10iOV14 NA
1 N4DL01D6YC212203 Private Passenger 10101115 NA NIAI
F250 Pick Up Non Police NA so
1 FTNW21P24EA04216 Light Truck 10J01l15 NA
3GO Non Police lOlG 1f14 lilA
2C3JA43R75H505771 NfAI
1Oi01lJ4 NA
f HTMr\'tAAR46H 17299'1 Heavy Tmck 1Ol0U15 NA
Cro\,·m V:ctoria Non Police 10101f14 NA
1 FAH971V59X124j '18 Private Passenger '10/01115 NA
Sweeper Schw;:uze ,Olon" NA so
J80C4V\'16697001079 Medium Truck '10/01115 NA
Police iOJ01!14 10,101/14 ,!(l101115 $26,000
2FABP7BV7AX142814 Pedee Car 10/01[15 $l,DW 10101/14 1 Ml1Il t, Actual CC1SI1I S26JlO,
,A,ex 10/01f14 10,101114 10101115 $269,409
5\/CAeR8FSDH215134 Gart>3ge Truck 10/01/15 Sl,OOO 10101114 10!0111S Actu;:;1 cashl $269,40
M2-106 Crane Truck Non-Poiice 10101114 S1,OGn 10i0'li14 10101/15 S1E4A42
1 FVACX881 DHFE4262 Heavy Truck 10.101115 10101f'14 10/01115 Actual Cashl $154,44
2P Non-Poiice '10/01114 $1,000 10i01t14 tO/01l15 $13,499
52CG2AGA3DOOO3228 Private Passenger 10JOlit5 $1,Doo 10101114 10101115 Actual Cash I $13,49
Trailer lilA so
18,mX1698111982128 TraHer-NO NA Actual Cashl
so
IS9071608M982129 Traiief-NO 1O}01!15 NA Aclual CaSh/
Trailer -Bad( up tmiler 10.101114 NA
200904 Trailef-NO 10/01!15 NA. Actual Cashl
CVR 10.101114 NA
',S907X 1878M9B2130 IfaHer-NO 10/01115 Actual Q;shl
CrOiNn ViCtoria iWOV14 NA $0
2FAFPTfp/6\NX137543 Private P;"lsse.nger 10!01!15 NA Actual Cashl
TRAiLER -TANDEM -lag XB2331 10JOlf14 NA $0
IS907X1698M982129 Trailer -NO ·~OI01!15 NA
POLlCE 10/01114 NA $0
:,kTBE12168D023363 TraHer-NO 10.101115 NA Actual Cashl
28
VEHICLE SCHEDULE
Continued
Unit# Make ModeliOescripiion Department AL Eft Comp Oed Comp Eft Term Vallie
Qty Year VIN# Vehicle Type AL Term Coli Oed Coli Eft Coli vaJiliffioll IAPO Rptd
Tllne
101 Trai!er Trai!H -TBD -Back up trailer 1 O!OlIt« NA
20'13 200W5 Trai:er-NO lQ'Oll15
102 Trader FVi 1010111 .. NA
2008 Trailer-NO lO/Glil5 NA
103 Tra!!er 1Ci,f01f14 NA
2013 213959 Trailer-NO 10/0ms NA
104 ford interceptor 10'01114 $1,000
2014 1FAHP2MT7EG120008 Police Car 10!01/t5 $1,{)00
105 ford tnterceptor Poi1c.e 10/01114
20'14 1FAHP2rAT9EG"120D09 Police Gar W!(l'l115 Sl,{)00
106 Ford lnterceptor Pelic.e 10'01114 $1,000
20'14 lFAHP2MT7EG120011 Police C;,.lf $1,000
107 ford Interceptor Po{ce $1,000
2014 1 FAHP2MTOEG 1200 13 Police Car 10!01i15, $j,OOO
108 ford interceptor Perce "10!G1ti4. "1,000
20'14 lfAH?2MT5EG120010 Police Car lO!GlilE, $1,000
109 W'Oiorcycle Pohce 10101114 ,,1,OO!)
1 HO'fFHM13E81325i)W IDlO1ilS $1,000
110 Harte! D:. icison Motorcycle Pol;ce lQ1[lU14 $1,000
20'14 lHD1FHM14E8624933 MotorcydB 10i01115 $1,DOO
'111 Ford lnlerceptor Po-§lce 1 OIGi tl4. SI,OOO
20'14 lFM5K&AR7EGC49S37 Polic:eCJf 10101115 $1,:000
Toyota Prius Code Enforcement lO!Olil4.
2014 JTDKDTB 32E 1557850 Prlyci'te Passenger 10!01nS $1,000
1'13 Toyota Prius Code Enforcement W!01114
2014 JTDKDT830El074963 Priv;:;ie Passenger 1 Dlom 2, Si,OOO
114 Toyota Prius Code Enforcement VJlG1tl4 SUlOO
2014 ,ITDKDT839El 074332 Private Fassenger 1010li1S $1,000
115 GEM E4 PoEce 10101114 $1,000
20'14 52CG4AGA6E0010816 Private r-'Jssenger 10101(15 $1,D00
162 Ford ~nterceptor Fo!it:e Wi01I14 NA
2014 lFAHF2MHL.G120012 Police CJf iO/OiIlS
1nS3!ert Traffic Trai1€f NA
2010 1 B9AF51 'lXA,PS2535.6 Trailer NA
168 Kend Trallef NA
2011 KT7X 1200 190482680 Treder 10101/15 NA
* Vehicle Schedule: Total number of covered units: 139
99 Units include comprehensive and collision per schedule
29
T~ .. ~
so
Actual Cashl
so
Actual CaShI
so
Actual Cashl
10101i14lOJOiil5 $35,000
iOfOl!14 10!01i1S 1! Gash Vaillel $35.!;O'
10101f14 10!0'1lJ5 535,000
10/D1/14 ·lO!01n5 l1 Cash Value I S35J)O'
10101114 iO/OUt5 535,000
1G.'Ol114 10rOlli5 1! Cash V31oo1
10101114 10101115 $35,000
1GIDlf14 lOIGI/iS li Gash Valtiel ::'35,00,
10101114 10!01115 535,000
10101114 10101115 l! Gash Vaillel
lGlOlf14 lOl0Jl15 534,000
1 010 1!14 10101i15 1 $34,00"
1GlDlf14 1010111S 534,000
10101f14 iO!O'li15 1 $34,00
10/01114 10101115 533,220
10101114 miOil15 J! Cash '/31081 533,22'
lC1011i4 521,312
10101114 $,21,31
1 GIO 1li4 1OiOl115 $21,312
10fD1114 lO{OVi 5 II Cash V31001 S21,3i
10101f14 iOJ01li5 521,31",
lOi01l14 10{01i15 11 Cash Valuel $2131
1 GiOlii4 tOiQ'lI1S 514,::>71
1G10H14 10101115 J! Cash V31oo1 S14,37
1Gf01fi4 10101/1S 535,000
Tota!
APD
Rptd
1
1
$0
$0
$3,025,308
53,025,308
SUMMARY OF PROPOSED PREMIUMS
Premiums as Proposed: *Expiring Renewal
Property Including Premium $130,713.00 $130,713.00
Boiler & Machinery Fees N/A N/A
Taxes & Surcharges N/A N/A
Total $130,713.00 $130,713.00
General Liability Premium $58,992.00 $88,993.00
Fees N/A N/A
Taxes & Surcharges N/A N/A
Total $58,992.00 $88,993.00
Automobile Premium $92,505.00 $96,764.00
Fees N/A N/A
Taxes & Surcharges N/A N/A
Total $92,505.00 $96,764.00
Inland Marine Premium $2,633.00 $2,883.00
Fees N/A N/A
Taxes & Surcharges N/A N/A
Total $2,633.00 $2,883.00
Crime/Fidelity Premium $750.00 $750.00
Fees N/A N/A
Taxes & Surcharges N/A N/A
Total $750.00 $750.00
Law Enforcement Liability Premium $49,090.00 $64,983.00
Fees N/A N/A
Taxes & Surcharges N/A N/A
Total $49,090.00 $64,983.00
Public Officials Premium $45,071.00 $48,505.00
Employment Practices Fees N/A N/A
Liability Taxes & Surcharges 946.49 630.57
Total $46,017.49 $49,135.57
TOTAL $380,700.49 $434,221.57
* Expiring Premium reflects annualized premiums on any midterm policy changes
Fees shown above may be fully earned at policy inception
30
Payment Option:
PGrr Package: 50% Down, 25% due at 75 days and 25% due @ 166 days
POLIEPL -Full payment at inception -Financing may be available
A 25% Minimum Earned Premium applies to the following policies:
Preferred Governmental Package
Quotes Subject To:
•
•
•
•
Signed and initialed PGIT and Acord applications
Signed Ace and Acord Applications -POL & EPL
Signed PGIT UM Form and Signature Page
Automobile procedure and policy concerning 15 passenger vans
Quotation is valid until the effective date of the policy.
This proposal is based upon the exposures to loss made known to the Agency, and is for illustration only. Any changes in these
exposures (i.e., new operations, new products, additional states of hire, etc.) need to be promptly reported to us in order that proper
coverage(s) may be put into place. All physical exposures insured by our policies must be owned by the named insured. This
proposal contains only a general description of the coverage(s) and does not constitute a policy/contract. For complete policy
information, including exclusions, limitations, and conditions, refer to the policy document.
31
A.M. BEST RATING OF PROPOSED COMPANIES
COMPANY COVERAGE BEST RATING ADMITTED
Preferred Governmental Insurance Commercial Property, Crime, Not Rated Yes
Trust Inland Marine, General
Liability, Law Enforcement
Liability, Commercial
Automobile
Ace American Insurance Co. Public OfficiallEPL A++XV Yes
GENERAL RATING
These rating classifications reflect BEST's opinion of the relative Qosition of each company in
comparison with others, based upon averages within the Property-Casualty insurance industry.
They are reflective of overall company services and standing within the industry.
A++ A+***
A A-***
B++ B+**
NR'
Superior
Excellent
Very Good
Not Rated
B B-***
C++ C+***
C C~*** ,
Good
Fair
Marginal
FINANCIAL SIZE CATEGORY
The Financial Size Category is an indication of the size of an Insurer and is based on reported
Policyholders' surplus plus conditional or Technical Reserve Funds, such as mandatory
secunties valuation reserve, other investment and op'erating contingency funds and/or
miscellaneous voluntary reserves reported as liabilities.
($ In thousands)
Class I $ Up to $ 1,000
Class II $ 1,000 To $ 2,000
Class III $ 2,000 To $ 5,000
Class IV $ 5,000 To $ 10,000
Class V $ 10,000 To $ 25,000
Class VI $ 25,000 To $ 50,000
Class VII $ 50,000 To $ 100,000
Class VIII $ 100,000 To $ 250,000
Class IX $ 250,000 To $ 500,000
Class X $ 500,000 To $ 750,000
Class XI $ 750,000 To $ 1,000,000
Class XII $ 1,000,000 To $ 1,250,000
Class XIII $ 1,250,000 To $ 1,500,000
Class XIV $ 1,500,000 To $ 2,000,000
Class XV $ 2,000,000 To $ More
This information has been provided to you so that consideration is given to the financial
con~ition of our proposed carriers. Thy financial ~nfopn';lti.ol). disclosed is the most recent
aVaIlable to Brown and Brown of Honda Inc -Miami DlvlSlon.
32
COMPENSATION
In addition to the commission or fees received by us for assistance with the placement, servicing, claims
handling, or renewal of your insurance coverage's, 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. 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 business, we may receive and retain interest on premiums
you pay from the date we receive them until the date the 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 BrokeriManaging General Agent: Public Risk Underwriters
This intermediary is owned in whole or part by Brown & Brown, Inc., the parent company of Brown & Brown
of Florida, Inc. -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 I 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.
Should you have any questions, or require any additional information, please contact this office at
1-800-889-0799 or if you prefer, submit your question or request online at
http://www.bbinsurance.com/customerinquiry.shtml.
33
PROPOSAL VARIANCE
Changes that need to be made prior to binding:
34
MINIMUM AND DEPOSIT PREMIUM
MINIMUM EARNED PREMIUM
The following terms are often misunderstood, particularly among insureds or producers not
accustomed to dealing with surplus lines insurance companies. It is important that the definitions
are understood.
MINIMUM AND DEPOSIT
This is the amount of premium due at inception. Although the policy is subject to adjustment
based on a rate per exposure unit, under no circumstances will the annual earned premium be
less than the minimum premium. Therefore, the policy may generate an additional premium on
audit, but not a return.
If such a policy is cancelled mid-term, the earned premium is the GREATER of the annual
minimum times the short rate or pro-rata factor, or the actual earned as determined by audit,
subject to a short rate penalty if applicable.
MINIMUM EARNED PREMIUM
A minimum earned premium endorsement can be attached to either a flat charge policy or an
adjustable policy. In either case, this amount is the LEAST that will be retained by the insurance
company once the policy goes into effect. The amount retained would be the GREATER of the
annual earned premium whether calculated on a pro-rate or short rate basis, or the minimum
earned premium.
FLA T CANCELLATIONS
Surplus lines insurance companies normally do not allow flat cancellations. Once the policy is in
effect, some premium will be earned.
If you need further explanation, please do not hesitate to contact us.
35
CLAIM REPORTING GUIDELINES
Make Brown & Brown, Inc. aware of any and all incidents immediately after they occur, whether
it be an auto accident, a theft, slip & fall, even a minor incident that appears will have no future
activity. Do not wait for a police report.
Gather as much concrete information as possible. For example, police reports, company incident
reports, conversation logs, medicals and pictures -anything that may assist in the handling of
your claim. Send this information either by mail, e-mail or fax to:
Brown & Brown of Florida, Inc. -Miami Division
Alexandra Sarria, Commercial Claim Specialist
14900 NW 79 Court, Suite 200
Miami Lakes, FL 33016
Phone: (305) 364-7812
Fax: (305) 714-4401
E-Mail: ASarrial@bbmia.com
If you have any questions or incur any problems, please contact our office and we will be glad to
assist you in any way we can.
36
DEFINITIONS
37
Coinsurance
Agreed Value
Replacement
Cost & Actual
Cash Value
Inflation Guard
Coverage
Extensions &
Additional
Coverages
Basic Form
Broad Form
Special Form
PROPERTY DEFINITIONS
Most building and business personal property policies have a coinsurance clause,
which requires the insured to carry insurance equal to at least a specified
percentage of the actual cash value of the property. If a loss occurs, and it is
determined that the amount of insurance carried is less than the amount required, a
penalty could be placed on the insured. (Example Attached)
When the agreed value option is used the coinsurance requirement is removed and
the insurer agrees to cover losses for its agreed value. As an example, the insured
has property insured for $100,000 and the agreed value is also $100,000, if a loss
occurs, any loss up to $100,000 is covered 100%. When this option is used the
insured and the insurance company agree on the value of the property before the
policy is issued. This option is usually assigned to one-of-a-kind property.
Property can be valued in several different ways. Insurance companies commonly
use two approaches to determine value, which also determines how a loss will be
paid: the replacement cost method and the actual cash value method. Insurers
consider replacement cost of a property item to be the cost to replace it with new
property of like kind. Actual cash value is replacement cost, minus the
accumulated depreciation for age and condition.
An insured can insure a building for its full value at the beginning of the policy
year, but at the end of the year, it might not be covered for its full value. This
problem can be corrected by adding inflation guard coverage. With inflation
guard, the policy limit increases gradually during the policy term so that the total
increase amounts to the desired percentage increase at the end of the policy term.
In addition to the limits stated in the Building and Personal Property coverage
form, the policy has a coverage extensions section and an additional coverages
section. The coverage extensions section provides limited coverage for newly
acquired or constructed property, property of others, certain out door property,
and the cost of research and reconstruct information on destroyed records. When
coverage is placed on the all risk form, two additional extensions are added for
property in transit and coverage for certain repair costs related to damage caused
by water. The two additional extensions are covered by certain perils only. The
additional coverage section provides coverage for indirect losses that result from a
direct loss. The coverage applies to removal of debris, preservation of property,
fire department service charges and pollutant cleanup and removal. The coverage
extensions and the additional coverages have limitations and are subject to certain
conditions.
Fire, lightning, explosion, windstorm or hail, smoke that causes sudden and
accidental loss or damage, aircraft or vehicles, riot or civil commotion, vandalism,
sprinkler leakage, sink hole collapse and volcanic action.
Fire, lightning, explosion, windstorm or hail, smoke that causes sudden and
accidental loss or damage, aircraft or vehicles, riot or civil commotion, vandalism,
sprinkler leakage, sink hole collapse, volcanic action, glass breakage, falling
objects, weight of snow, ice, or sleet, and water damage (accidental discharge or
leakage).
Excluding flood and earthquake.
38
EQUIPMENT BREAKDOWN DEFINITIONS
Definition of Equipment Boiler & Machinery insurance covers direct damage to
Breakdown Coverage (Boiler & covered property when caused by a covered cause of loss.
Machinery) Covered property is any property that is owned by the named
insured or is in the named insured's care, custody or control
and for which the named insured is legally liable. A covered
cause of loss is a sudden and accidental breakdown of the
insured's boiler & machinery equipment or any part of the
equipment described in the policy.
Expediting Expense Which pays the reasonable extra cost incurred to expedite
progress after a loss
Automatic Coverage Covers accidents to objects at newly acquired locations for up
to ninety days after the named insured acquires the property.
39
GENERAL LIABILITY DEFINITIONS
Premises/Operations
Products/Completed Operations
Personal Injury
Advertising Injury
Medical Payments
Fire Damage
Coverage is provided for damages arising out of ownership or
occupancy of the insured premises when maintained in a
reasonable manner. This also covers damages arising out of
operations performed by the insured business.
Products coverage is provided for damages arising out of
products manufactured, sold, handled or distributed by the
insured. Completed Operations covers damages occurring
after operations have been completed or abandoned, or after
an item is installed or built and released for it's intended
purpose.
Personal Injury means injury other than bodily injury.
Coverage is provided for injury resulting from offenses such
as false arrest, malicious prosecution, detention or
imprisonment, the wrongful entry into, wrongful eviction
from and other acts of invasion, or rights of private
occupancy of a room. Coverage for libel and slander is also
provided in the policy.
This coverage pays for damages done in the course of oral or
written advertisement that disparages, libels or slanders a
person's or organization's goods, products or services.
Coverage for these offenses is provided under advertising
injury coverage only if they occur during the course of
advertising the named insured's own goods, products or
services.
Medical Payments coverage pays medical expenses resulting
from bodily injury caused by an accident on premises owned
or rented by the insured, or locations next to such property, or
when caused by the insured's operations. These payments are
made without regard to the liability of the insured.
The fire damage limit provides coverage for fire damage
caused by negligence on the part of the insured to premises
rented to the named insured. If a fire occurs because of
negligence of the insured and causes damage to property not
rented to the insured, coverage would be provided under the
occurrence limit.
40
GENERAL LIABILITY DEFINITIONS
Continued ...
Contractual Liability Extends your coverage to liability assumed under contract, applies
to both oral and written agreements relating to named insured's
business.
Host Liquor Liability Covers your exposure for serving liquor to clients or employees at
company parties. Applies only to firms not engaged in business of
selling or serving alcoholic beverages.
Broad Form Property Damage Intended for firms, which perform work or services, rather than sell
Coverage or produce products. Usually intended for construction
contractors, repairers of automobiles, installers of property.
Incidental Medical Malpractice Extends term "bodily injury" to mean injury arising out of
rendering of or failure to render, during the policy period; medical,
surgical, dental, x-ray, or nursing services, or furnishing of food or
beverages in connection therewith or the dispensing or furnishing
drugs or medical, dental or surgical supplies
Non-Owned Watercraft (Under 26 feet in length) Provides coverage for liability, which
Liability Coverage arises from any watercraft as long as watercraft is not owned by
insured nor being used to carry persons or property for a fee.
Limited Worldwide Coverage Intended to extend the scope of "policy territories" to anywhere in
the world. Limited to the activities of any insured who is
domiciled in the United States and the original suit for damage is
brought within the United States, its territories, possessions, or in
Canada.
Extended Bodily Injury Amends definition of occurrence to; includes any intentional act by
Coverage or at the direction of the insured, which results in bodily injury, but
only if such bodily injury results from the use of "reasonable"
force for purposes of protecting persons or property.
Newly Acquired Organizations Automatic protection for newly acquired organizations until the
new organizations is specifically added to the policy or 90 days,
whichever occurs first.
Additional Persons Insured Includes as insureds; (1) Any spouse of a partner concerning
business activities of the partnership and (2) any employee of the
named insured while acting within the scope of his or her duties.
Does not apply to bodily injury or personal injury sustained by a
fellow employee which occurs during the course of employment.
Claims Made Form Only This coverage is provided automatically without an additional
premium charge if coverage is canceled, not renewed, or the
insurer renewal with a later retroactive date. The basic extended
reporting period starts at the end of the policy period and last for
five years for claims made against the insured within the five year
period and reported to the insurer within 60 days after the end of
the policy period.
41
UNDERSTANDING THE CLAIMS-MADE POLICY
---------------_. __ .. __ ._ .. __ ..... _._._ ... _-_._ .... _._._-_.-_ .. _. __ ._ ......... _ .. _-----._--._-_. -----_ .. __ .. _-_ ..... __ .. _---_. __ ..
The claims-made insurance policy provides financial protection for all claims presented during
the current policy year, providing the claim occurred after the prior acts date.
To understand the claims-made policy, we will define:
Current Policy Year:
The policy year begins on the effective date shown on the policy and expires on the expiration
date all shown on the policy. The policy's effective and expiration dates change with yearly
renewal of the policy. The prior acts or retroactive date remains the same, so you are protected
for incidents that occurred prior years by the current policy.
Prior Acts or Retroactive Date:
This is the date (shown on your policy) that dictates if a claim is eligible to be covered. Any
claim occurring after this date, presented during the current policy year, are eligible for coverage
by your current policy.
Supplemental Extended Reporting Period (Tail Coverage):
Should the policy be canceled or non-renewed, you are entitled to purchase insurance protection
for any claims which may be after the cancellation date. The premium charged for this insurance
is based upon the number of years you have been insured (prior acts years) and the limits
purchased.
42
AUTOMOBILE DEFINITIONS
Liability Coverage The liability coverage of the commercial auto policy provides
protection against legal liability ansmg out of the ownership,
maintenance, or use of any insured automobile. The insuring
agreement agrees to pay damages for bodily injury or property damage
for which the insured is legally responsible because of an automobile
accident resulting from the ownership, maintenance, or use of a
covered auto. The insuring agreement also states that in addition to the
payment of damages for which the insured is legally liable, the insurer
also agrees to defend the insured for all legal defense cost. The
defense cost is in addition to the policy limits.
Owned Automobiles Covers the liability arising out of the ownership, maintenance or use of
automobiles.
Personal Injury Coverage is included for vehicle passengers under No-Fault Law
Protections provisions.
Medical Payments The insuring agreement states that the insurer will pay all reasonable
Coverage and necessary medical and funeral expenses incurred by an insured
because of bodily injury caused by an accident. The insured is the
named insured, the insured's employees and guests, and any other
person occupying a covered auto. These payments are made without
regard to fault.
UninsuredlUnderinsur Protects insureds who are not contributorily negligent against bodily
ed Motorists injury caused by negligent under insured or uninsured drivers and hit-
and-run motorists.
Hired Automobiles Covers the liability for the use of hired automobiles in your business.
Non-Owned Covers the liability for the use of non-owned automobiles in your
Automobiles business. An example would be an employee using his own car on an
errand for you.
Comprehensive Pays for loss of or damage to automobiles from perils other than
collision.
Collision Pays for loss of or damage to automobiles from collision with another
object or upset.
Rental The business auto policy provides a coverage extension if an auto is
Reimbursement insured for comprehensive or specified cause of loss coverage, which
insures against loss of use of a covered auto only if the auto is a private
passenger type auto and is stolen. The coverage extension pays up to a
daily limit of $10 and a maximum limit of $300. Payments begin
forty-eight hours after the theft and ends when the insured auto is
returned or when the insurer has paid the insured for the auto. For
broader coverage, the insured can pay an additional premium for rental
reimbursement coverage. Rental reimbursement pays the cost of
renting a substitute auto for replacement of any covered auto that has
suffered a covered loss. The daily and maximum limit for this
coverage varies among insurers.
43
1
2
3
4
5
COVERED AUTO DESIGNATION SYMBOLS ----_.--~-~-.-----.-.. ----.-.-----.----.. -............ __ ....... __ ... _ ... _--------.---.-~---.. -.... --.---
Any "Auto" 6
Owned "autos" only. Only those 7
autos you own (and for liability
coverage any trailers you don't own
while attached to power units you
own.) This includes those "autos"
you acquire ownership of after the
policy begins.
Owned Private Passenger "Autos" 8
Only. Only the private passenger
"autos" you own. This includes
those private passenger "autos" you
acquire ownership of after the policy
begins.
Owned "Autos" other than private 9
passenger "autos" only. Only those
autos you own that are not of the
private passenger type (and for
liability coverage any "trailers" you
don't own while attached to power
units you own.) This includes those
autos not of the private passenger
type you acquire ownership of after
the policy begins.
Owned "Autos' subject to No-Fault.
Only those "autos" you own that are
required to have No-Fault benefits in
the state where they are licensed or
principally garaged. This includes
those "autos" you acquire ownership
of after the policy begins provided
they are required to have No-Fault
benefits in the state where they are
licensed or principally garaged.
44
Owned "autos" subject to a compulsory
uninsured motorists law. Only those
"autos" you own that because of the law
in the state where they are licensed or
principally garaged are required to have
and cannot reject Uninsured Motorists
coverage. This includes those "autos"
you acquire ownership of after the
policy begins provided they are subject
to the same state uninsured motorists
requirement.
Specifically Described "autos". Only
those autos described in ITEM THREE
of the Declarations for which a
premium charge is shown (and for
liability coverage any "trailers" you
don't own while attached to any power
unit described in ITEM THREE.)
Hired "Autos" Only. Only those autos
you lease, hire, rent or borrow. This
does not include any "auto" you lease,
hire, rent or borrow from any of your
employees or partners or members of
their households.
Non-Owned "Autos" Only. Only those
"autos" you do not own, lease, hire, rent
or borrow that are used in connection
with your business. This includes
"autos" owned by your employees or
partners or members of their households
but only while used in your business or
your personal affairs.
Employee Dishonesty
Forgery or Alteration
Theft, Disappearance &
Destruction
CRIME DEFINITIONS
Employee dishonesty is considered to be a criminal act
committed by an employee acting alone or in collusion
with others. There must be intent by the employee to cause
the employer a loss and to obtain a financial benefit for the
employee or someone else. Coverage is provided for
dishonest acts of employees of the named insured only.
Coverage insures against loss of money, securities, and
property other than money and securities. The blanket
form provides coverage for dishonest acts of all employees.
The limit for blanket coverage applies per loss, regardless
of how many employees are involved. The scheduled form
provides coverage only for the dishonest acts of employees
specifically listed in the policy. On the scheduled form, a
separate limit applies to each employee listed on the
schedule.
Forgery is generating a document or signature that is not
genuine.
Alteration is changing a document m a manner that is
neither authorized nor intended.
This form insures against loss caused by the forgery or
alteration of a covered item drawn against the insured's
accounts. A covered item might be a check, draft,
promissory note, bill of exchange or similar instrument.
Theft means any act of stealing.
Disappearance is unknown causes of loss. Disappearance
lacks the elements of knowing if the crime was a theft,
burglary or robbery.
Destruction is the loss of certain property, it is usually the
result of another cause of loss.
Section (1) of the form covers money and securities
against loss by theft, disappearance, or destruction inside
the premises. Section (2) covers money and securities
outside the premises in care and custody of a manager.
45
PREFERRED GOVERNMENTAL INSURANCE TRUST
"Preferred"
NOTICE AND ACKNOWLEDGEMENT OF FINANCIAL
CONDITION
Brown & Brown of Florida, Inc. -Miami Division, 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 AM. 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
providing 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 AM. Best Company, but we were unable to
secure such a quote.
• Coverage is being placed through Preferred Governmental Insurance Trust ("Preferred"), which is as a
Florida local government self-insurance fund established pursuant to Section 624.4622, Florida Statutes, as
such Preferred is not rated by the AM. Best Company.
• Preferred 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 Preferred may change rapidly and that such changes are beyond the control of
Brown & Brown.
• You should review the financial and membership information from Preferred and agree to abide by the
conditions of membership established by Preferred.
• You should consider the information provided, including the Preferred coverage quote and coverage
placement and review it with your accountants, legal counsel and advisors.
By: [NAME OF AUTHORIZED REPRESENTATIVE OF INSURED]
Named Insured:
Policy Number:
Policy Period:
Date of Notice:
City of South Miami
PKFLl01320211304
10/01114 TO 10/01115
09/15/2014
* A.M. Best Rating Guide: Rating for Stability: A++ to D = Highest to lowest rating
Rating for Assets! Surplus: 15 to 1 -Largest to smallest rating
46
Insurance Covera e Review
Insured: City of South Miami Policy Eff Date: =.:.:JO",-/ccO,-,-1I.::20~J~4,============~
Correction: AddINamedInsured: ______ ~--------------------------
Please advise if quotations for increased limits of liability or for any coverage listed below are requested:
E = Exposure; C = Coverage through Bro w n & Brown; Q = Quote for Uncovered Exposure
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 Undamaged Portion of Bldg Pollution Liability (l st Party)
B. Demolition Cost Pollution Liability ( 3rd Party)
C. Increased Cost of Construction Products Liability
Earthquake Product Recall
Rental Income Professional Liability
Difference in Condition Warehouse Legal Liability
Flood (Primary) Watercrafi Liability
Flood (Excess) Umbrella/Excess Liability
Wind INLAND MARINE
Off Premises Power Interruption Accounts Receivable
Overhead Transmission Lines Valuable Papers
Glass , Bailee Coverage
Spoilage Computer/EDP
AUTOMOBILE Contractors Equipment
Auto Liability Signs
Auto Physical Damage
Drive Other Car Liability Installation Floater
Drive Other Car Physical Damage Mobile Equipment
Hired/Non Owned Liability Rented/Leased Equipment
Hired Car Physical Damage Motor Truck Cargo
PIP: Ext Additional, Broad TransitlTransportation
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 Liabilit)' USL&H
Garage Dealers Physical Damage Jones Act
Truckers Liability Stop Gap Liability
Un-laden Liability Excess Employers Liability
Truckers Physical Damage AIRCRAFT
Trailer Interchange Aviation -Owned
CRIME Aviation -Non-Owned
Employee Dishonesty (1st Party) MISCELLANEOUS
Employee Dishonesty (3rd Party) InternationallForeign 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 insurance coverage is for informatIon purposes only and is not meant to be a complete list for all your insurance needs. The above analysis is
based solely on information provided by the client.
Insured Representative
Brown & Brown Representative Signature
Date -Place Completed with Insured
Comments: (may be continued on reverse)
Prepared by Brown & Brown Insurance -Rev 01.01.11