The URL can be used to link to this page

Res No 150-15-14489RESOLUTION NO.150-15-14489 A Resolution authorizing the CityManager to purchase Property,Crime, InlandMarine,General Liability,Law Enforcement Liability,Automobile Liability,and Automobile Damage Insurance. WHEREAS,the City,through its Agent of Record,Brown &Brown,has received insurance quotesfor Property,Crime,Inland Marine,General Liability,Law Enforcement Liability,Automobile Liability,and Automobile Damage Insurance. WHEREAS TheCityrenewalquotefrom PGIT forthe continuation ofthe existing coverage provides thebestcoverageoptionstomeettheCity's existing needs; WHEREAS,theCity Administration recommends thattheCitycontinue coverage with the PGIT forProperty,Crime,Inland Marine,General Liability,Law Enforcement Liability, Automobile Liability,andAutomobile Damage Insurance Coverageforthe 2015-2016 Fiscal Year based upon the current proposal; NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI,FLORIDA THAT: Section I.TheCityCommissionhereby authorizes theCityManagerto execute the renewalinsurancepolicyforProperty,Crime,Inland Marine,General Liability,Law Enforcement Liability,Automobile Liability,andAutomobileDamageInsurancewith PGIT for the 2015-2016 Fiscal Year. Section 3.This resolution shall take effect immediately upon adoption. PASSED AND ADOPTED this 24thday ofSeptember.2015. ATTEST: READ AND APPROVED AS TO FORM, LANGUAG£f«GALITY/ EXECUSWqrrHEREOF:. APPROVED: COMMISSION VOTE: Mayor Stoddard: ViceMayorHarris: Commissioner Welsh: Commissioner Liebman: Commissioner Edmond 4-0 Yea Absent Yea Yea Yea SouttfMinami THE CITY OF PLEASANT LIVING CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM To: From: Date: Subject: Background: The Honorable Mayor &Members oftheCity Commission StevenAlexander,City Manager September 15,2015 Agenda Item No.:3. Worker's Compensation,Property,General Liability,Automobile, Public Officials and Employment Practices Insurance TheCity solicited and received proposals for the City's Workers' Compensation,Property,GeneralLiability Automobile,PublicOfficials and Employment PracticesInsurance coverage for FY 2015-2016 from carriers currently writing municipal business in South Florida.The followingtablesummarizes the responsesreceived. FMIT INSURANCE DESCRIPTION FMIT PropertyCoverage $142,150 Inland Marine Included Equipment BreakdownCoverage Included CrimeandBondCoverage Included General Liability Coverage $59,575 Police Professional Liability Coverage $156,330 Automobile Coverage $93,098 FMIT Property,Auto and General Liability SubTotal $451,153 WorkersCompensation $186,124 FMIT TotalPremium $637,277 Sout iiami THE CITY OF PLEASANT LIVING CITY OF SOUTH MIAMI OFFICE OF THE CITY MANAGER INTER-OFFICE MEMORANDUM PGIT INSURANCE DESCRIPTION Property Coverage Inland Marine Equipment BreakdownCoverage CrimeandBondCoverage General Liability Coverage PoliceProfessional Liability Coverage Automobile Coverage PGIT $120,049 $836 Included $750 $88,993 $66,022 $123,238 PGIT Property,Auto and General Liability SubTotal $399,888 Workers Compensation $188,764 PGIT Total Premium $588,652 PUBLIC OFFICIALS &EMPLOYMENT PRACTICES LIABILITY In addition to the package quotations summarized above,the City received an independent quote forits Public Officials &Employment Practices Liability coverage.Both FMIT and PGIT declined to quote this line of coverage. ACE American Insurance Description Total Premium LimitofLiability $1,000,000 Deductible/SIR Each Claim: PublicOfficials/PublicEntity Liability -$100,000 Employment Practices Liability -$150,000 ZoningClaims $250,000 $50,887 SJ0ZS3- CITY OF SOUTH MIAMI ^m ith^Miami office of thecitymanager <XJUU I /V lldl I II IMTCD_riFFirC MCMOBAkini \KA THE CITY OF PLEASANT LIVING INTER-OFFICE MEMORANDUM Recommendation: Workers7 Compensation Policy After further negotiations within the last week,we were able to reduce the originalFMITproposal by $13,455.TheCity Manager recommends that the City renew its Workers'Compensation policy with FMIT for a total premium of $186,124.TheCity continues to receive the company's preferred rating because of the continuing coverage,including a5% credit foritsDrugFreeWorkPlacepolicy and an additional 2%credit for its newly created Safety Policy,This year's renewal represents a decrease of approximately 13%over last year's premium. Property,General Liability and Automobile Insurance The City Managerrecommendsthatthe City renewits policy with PGIT forits Property,General Liability and Automobile Insurance coverage for atotal premium of$399,888.This represents anincreaseof approximately 3.8%over lastyear's premium.This increaseis largely attributable tothe addition of several new vehicles tothe City's inventory.Assetforthabove,the PGIT proposal contains the most favorable ratesforthese lines of coverage and offers atwoyearrate guarantee. Public Officials and Employment Practices Liability The City Manager further recommends thatthe City renew its policy with ACE AmericanInsuranceCompanyforthe Public Officials and Employment Practices Liability policy fora premium of $50,887. South^Miami THE CITYOF PLEASANT LIVING Amount: ATTACHMENTS: CITY OF SOUTH MIAMI OFFICEOFTHE CITY MANAGER INTER-OFFICE MEMORANDUM Thebreakdownofthetotalpremiumcostsfor all lines ofinsuranceisset forth below: FMIT Workers'Compensation Actual Proposed FY 2014-FY 2015- 2015 2016 $214,533 $186,124 PGIT General Liability,Property&Automobile $385,086 $399,888 ACEPublic Officials and Employment Practices $49,136 $50,887 Total Premium Proposed Resolutions Proposal Package from FMIT ProposalPackagefromBrown&Brown $648,755 $636,899 ^m?'^J&Z2&& Department of Insurance and Financial Services PROPERTY COVERAGE FLORIDA MUNICIPAL INSURANCE TRUST Proposal for 2015-2016 Cityof South Miami Limit Real &Personal Property ElectronicData Processing: -Equipment. -Software: -Equipment Breakdown: $23,108,606 Included in Contents Included in Contents Included in Contents Coinsurance: Valuation Basis: Coverage Form: Deductibles: 80% Replacement Cost Special $5,000 Per Occurrence -Real&Personal Property,Other Property Named Storm Deductible is 5%ofthe scheduled Building,Personal Property,Other Property (including property intheopen)and Business Income.The percentages are calculated using theScheduleof Values on file with FMIT.The Named Storm deductible is calculated separately and applied individually toeach Building,Personal Property,OtherProperty and Business Income per occurence. Business Incomewaitingperiodis72hours. Note:Values rated at 80%of Total Insured Values. PROPERTY COVERAGE EXTENSIONS: > > > > > > > > > > > > > > > Excess Flood Coverage o Flood ZonesA&V deductible isexcessof NFIP ($500,000 per building) oOther Flood Zones-$100,000 deductible peroccurrence Terrorism NewlyAcquiredorConstructedProperty Newly Acquired BusinessPersonalProperty Business Income Extra Expense Valuable Papers &Records Signs-Not attached to Buildings oVehicular damage to signs Accounts Receivable Police Dogs &Horses o Death inlineofduty o Annual Maximum Electronic Data Processing Equipment (Software) >Antiques &Objects ofArt o Per Item o Annual Maximum Off Premises Power Failure Pollutant Clean Up &Removal Fungus Clean Up&Removal Personal Property Off Premises Personal Property of Others Preservation of Property Service Interruption Coverage Property In Transit Recertification of Equipment/Fire Extinguisher Recharge Debris Removal Building Ordinance Coverage,IncludingDemolition Property in the Open Leasehold interest Arson Reward $4,500,000 $5,000,000 $2,000,000 $500,000 $500,000 $1,000,000 $500,000 $25,000 $10,000 Maximum $500,000 $15,000 $30,000 $250,000 $15,000 $250,000 $100,000 $100,000 $25,000 $250,000 $50,000 $100,000 $100,000 $250,000 $2507Day 25%of Loss 25%of Loss $25,000 Per Location/$100,000 Aggregate $100,000 $5,000 INLAND MARINE COVERAGE: BLANKET INLAND MARINEEQUIPMENT-Items $15,000 or Less Limit:$1,000,000 Deductible:$500 BlanketInlandMarine coverage isdefinedas:Coverage forall unscheduled Inland Marineequipment,Emergency Portable Equipment and Communications Equipment valuedat $15,000 or less is subject to$500 deductible. (Note:AH Watercraft must be scheduled.) Coverage Basis:Actual Cash Value EQUIPMENT BREAKDOWN COVERAGE Subject toany applicable limits onthe Property,Allied Lines and Crime Declarations,the Equipment Breakdown Limit isthemostwe will pay for lossordamage arising from any"one accident." Thesecoveragesapplytoalllocationscoveredonthe policy,unlessotherwisespecified. I.Coverages Limits Equipment Breakdown Business Income Extra Expense Expediting Expense Hazardous Substances Spoilage Data Restoration "Fungus."WetRot,DryRotAnd Bacteria Service Interruption* Water Damage II.Deductibles Direct Coverages Indirect Coverages III.Other Conditions SubjecttotheRealandPersonalProperty Limit described in proposal or $50,000,000,whichever is less. Subject tothe Business IncomeLimit described in proposal. Subject totheExtra 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 Includedin Property Coverage. SubjecttotheRealand Personal Propertydeductible described in proposal. SubjecttotheTimeElement deductible described in proposal. 'Unless theinterruption exceeds 24hours,we will notpayforanylossunderServiceInterruption. "Coveredequipment"does notinclude"electricalgenerating equipment";however,thisexclusion does notapply to emergency generators. GENERAL LIABILITY COVERAGE Comprehensive General Liability Police Professional Liability Limit Per Occurrence: Annual Aggregate: Deductible: Limit Per Occurrence: Annual Aggregate: Deductible: Limits $1,000,000 Unlimited Limits $1,000,000 Unlimited $0 ImportantNote:Thedeletionof any ofthe above coverages does notautomatically reduce the premium.These premiums are based onallofthe above coverages.Anydeletionsof coverage will alterthe experience modificationfactororiginally used and may result ina higher premium. ADDITIONAL BENEFITS: >Defense Costs paidinadditiontopolicylimits >Premises Operations >Products/Completed Operations >Contractual Liability (DesignatedContracts Only) >Owners&Contractors'Protective Liability >Personal Injury Liability >HostLiquor Liability >IncidentalMedicalMalpractice Liability >Watercraft Liability >FireLegal Liability -Maximum $500,000inanyoneTrustYear >Broad Form Property Damage-Maximum $500,000 inanyoneTrustYear >Advertising Injury Liability >Skate Facility Liability >Employment Practices Liability >Employee Benefits Program AdministrationLiability >Extra Contractual Legal Expense -$100,000 Aggregate Limit o(EEOC.FloridaCommissiononHumanRelations.Ethics) >No-fault Sewer Backup Expense -$100,000 Aggregate Limit >Crisis Intervention >HRHelpline-Full Legal Support andOnline Services >Herbicide/Pesticide Spraying o Limit isthe General Liability limit or $1,000,000 aggregate perfundyear,whicheveristhe lesser amount. >BertHarrisAct/Inverse Condemnation -$300,000 Limit Per Occurrence/Aggregate.Limit includes Defense Costs. o Deductible is $5,000 orthepolicy deductible,whichever is greater. >Cyber Coverages includingPrivacy,NetworkSecurityandDataBreach-$250,000 Annual Aggregate.Claims Made. >Cyber Risk Management Tools Web Site. AUTOMOBILE COVERAGE Limits Comprehensive Automobile Liability $1,000,000 Deductible:$0 Personal Injury Protection $10,000 Deductible:$0 Automobile Physical Damage Comprehensive Coverage $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 -ownedprivate passenger vehicles,SUVs,Pickup Trucks >Member's Personal Effects Note:ForMembersthatchooseadeductible-Membersare only responsibleforthedeductibleifa judgmentorsettlementoccurs.Legal expenses areoutsidethedeductibleandpaidsolelybytheTrust for General Liability and/or Automobile Liability. CRIME &BONDCOVERAGE Limits Bond Coverage: EmployeeTheft -PerLoss $100,000 Deductible:$1,000 Faithful Performance-PerLoss $100,000 Deductible:$1,000 Finance Director $100,000 Deductible:$0 Coverage Line Real &Personal Property Inland Marine Equipment Breakdown Coverage Crime &Bond Coverage General Liability Coverage Police Professional Liability Automobile Coverage Total Premium PREMIUM SUMMARY Annual Premium $142,150 INCLUDED INCLUDED INCLUDED $59,575 $156,330 $93,098 $451,154 Note:Coverage summaries providedherein are intended as anoutlineof coverage onlyandare necessarily brief.In the event of loss,all terms,conditions,and exclusions of actual Agreement and/or Policies will apply. First Installment 25%minimum due October 1.2015 INTEREST FREE INSTALLMENT PLAN Second Installment Third Installment Fourth Installment 25%minimum due 25%minimum due 25%minimum due January 1,2016 April1,2016 July 1.2016 Paymentwillbeforwardedtothe Florida LeagueofCitiesin Tallahassee 10 Insurance Proposal Submitted Especially For: City of South Miami Policy Term: 10/01/15 to 10/01/16 Date of Presentation: 09/14/15 Presented By: Robert Hollander Executive vice President Brown &Brown -Miami Division 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 6th largest in the US.The company provides a variety of insurance products and services to corporate,institutional,professional andindividual clients.Headquartered inDaytonaBeach and Tampa,Brown&Brown is publicly tradedontheNew York Stock Exchange (BRO)andhasbeenincludedin Forbes' listofthe"200BestSmallCompaniesin America".The company handles clients' premiumsinexcessof12Billionannuallyandhasinexcessof6,500employees. Wehave insurance professionalswhospecializeinevaluating and protecting your personal assets -home,auto,watercraft and life. Wealso have an experienced employee benefits department whocanassistyou with group health,disability,life and dental. While sizeisnotthesole criteria for choosing an insurance agent,itdoes enable us toofferourclientscloutinthe marketplace andunmatchedservicecapabilities. Please feel free to visit our website at www.bbinsurance.com Thisproposalcontainsonlyageneraldescriptionofthecoverage(s)anddoes notconstituteapolicyorcontract.Pleaserefertoyourpolicyfortheactual terms and conditions.Inthe event ofa difference,the policy will prevail. Policyformsareavailableuponrequest.ThisProposalisbaseduponthe exposuresmadeknowntothisAgency;anychangesintheseexposuresshould bereported promptly toBrown&Brown ofFlorida,Inc. ACCOUNT SERVICING TEAM Robert Hollander Executive Vice President 305-364-7818 rhollander@bbmia.com Nancye Batista,AAI Account Manager 305-364-7816 nbatista@bbmia.com Alexandra Sarria Claims Representative 305-364-7812 asarrial @ bbmia.com Jessica Urbina Account Manager Associate 305-364-7866 jurbina@bbmia.com rown jrown INS URANCE 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 TABLE OF CONTENTS I.Marketing Efforts II.Schedule of Named Insureds III.CoverageSections oProperty o Inland Marine o Crime o Commercial General Liability o Law Enforcement o Commercial Automobile oPublic Official/Employment Practices Liability IV.Summary V.Illustrations and Definitions SCHEDULE OF NAMED INSUREDS City of South Miami This list includes all of the named insured's we presently have onyourpolicies.Should any revisionsto this listing be required,please notify our office immediately. Please Verify the Accuracy of Each Name and Update List,If Needed. PROPOSED PROPERTY COVERAGE Insurer:Preferred Governmental Insurance Trust Location of Premises: Per Schedule Attached Description of Property: BlanketBuilding&ContentsLimit,per attached schedule $22,690,710 Values Insuredare Ultimately Chosen bythe Client.Inviewofthe continually changing costof construction and building materials,we strongly suggest thatyou review yourproperty values annually. ANY changes inthe occupancy ofan insured location should be reported toour office immediately. Changesinoccupancycanpotentiallyreduceor negate thecoverage affordedbyyourpropertypolicy. Description of Coverages Proposed: Policy Form: Building&PersonalPropertyCoverageForm-Special Causes of Loss: Special Form:Excluding Earthquake/EarthMovement Coinsurance: Building &Personal Property:N/A Valuation: Replacement Cost Flood Limit: Per Occurrence and Aggregate:$1,000,000 Excess of NFIP Whether Purchased or Not PROPOSED PROPERTY COVERAGE Continued Property Extensions of Coverage: Forafull description ofterms,definitionsandconditions ,pleaserefertothepolicy documents. Limit Coverage Accounts Receivable $250,000 Additional Expense $100,000 Animals $1,000/$5,000 Loss of Business Income $500,000 Debris Removal $250,000 Demolition,Ordinance and ICC $500,000 Expediting Expense $55,000 FireDepartmentCharges $25,000 FungusCleanupExpense $10,000/$20,000 Lawns,Plants,Trees and Shrubs $25,000 New Locations $2,000,000 PersonalPropertyof Employees $25,000/$50,000 PollutionCleanup Expense $25,000/$50,000 PreservationofProperty $250,000 Recertification $10,000 Service Interruption Coverage $100,000 Transit $250,000 Errors and Omissions $250,000 VehicleProperty Coverage 7 $0 PROPOSED PROPERTY COVERAGE Continued... Deductible: AH Other Perils:$2,500Per Occurrence -Building &Contents and Extensions ofCoverage Named Windstorm:.5%Per Occurrence -Subjectto$15,000 Minimum Flood:$2,500PerFloodexceptzonesA,VexcessofNFIP,whether purchased ornot Coverage Enhancements: Boiler &Machinery $22,690,710 NOTE:Detachedwalls,fences,radioandTV antennas,trees,shrubs,plants free-standing property improvements suchasathletic equipment,windscreens,lightpoles,satellitedishesorsignsare not covered unless specifically scheduledonthepolicy. 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 OrdinanceorLaw-Limited perExtensionsofCoverage Note:ThePGITpropertyprogramisasharedlimit.Thelimitspurchasedareaper occurrence limitandintheeventanoccurrence exhausts thelimit purchased byPGITonbehalfofthe members,payment toyoufora covered loss willbe reduced pro-rata based onthe amounts of covered loss byall members affected bythe occurrence. WINDSTORM &HAIL DEDUCTIBLE SAMPLE ILLUSTRATION FLAT DEDUCTIBLE vs.PERCENTAGE Windstorm and Hail Deductible Thisdeductiblewouldapplytoaclaimfordamagecausedbywindstorm. Building Replacement Cost FlatDed.2%DwL 3%Ded.|%Ded. Bldg#l -$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 Percentagewind deductibles arecalculatedasapercentageofthetotalreplacementvalue. The deductible forallotherperilsappliestoan "occurrence",notperbuilding. SCHEDULE OF COVERED PROPERTY Unit* Description Year Built ^HTHS™JuSding value Total towed valueAddress Const Type Term Date Contents value RoofShape Roof Pitch Roof Covering 1 CoveringReplaced ROQf YTBtt 001 AMD inspection Station 5907 S.W.70th Street SOUTHMIAMI,FL 33143 1995 10/01/2015 $44,000 $44,00C 111 -MHC 10/01J2017 $0 Flat Flat Tar and Gravel 002 CAA head start center 6125 5W 68 STRfFT SOUTHMIAMI,FL 33143 1970 10/01/2015 $471,200 $476,687 119-JM 10/OI/Z017 $5,487 Flat Flat Builtuproof w/out gravel 003 PublicWorks Office BuiUfing 4795 SJW.75th Avenue SOUTH MIAMI,FL 33143 1968 10/01/2015 $231,200 $2B8>5U 119-JM 10/01/2017 $7,318 Hip LOW (<10)Tar and Gravel 004 Storage/Motor Pool office 4795 S.W.75th Avenue SOUTHMIAMI,FL 33143 1994 10/01/2015 $54,000 $54,006 131 -FR 10/01 f20T7 $0 Ft*Flat Buiit-upTar ft Grave* 005 solid waste Bldg -s Bay $W 4795 $:w.75th Avenue SOUTHMIAMI,FL 33143 1980 10/01/2015 $185,25rj $US,25C 152 -HC 10/01/2017 $0 Shed LOW (<10)Tar and Grave! 006 City Oarage 4795 s_w.75th Avertie SOUTHMIAMI,FL 33143 1994 10/01/2015 $560,500 $56O,S0C 111 -MtfC 10/01/2017 $0 Flat LOW (<1D)Tar and Gravel 007 City's Repair Shop 4795 SLW.75th Avenue SOUTHMIAMI,FL 23143 10/01/2015 $63,000 $122,267 119-JM 10/01/2017 $59,267 Unknown Unknown Unknown 008 Police Storage Bldg 4795 S.W.75th Avenue SOUTHMIAMI,FL 33T43 1994 10/01/201*$18,900 $18.90C 119-JM 10/01 /20T7 $0 Fiat FUt Built-up Tar &Gravel OOf Dam*B.Faseeii Park/Tennis Pro Step ft Restroom Bldg £600 RED ROAD SOUTHMIAMI,FL 33143 1967 10/01/2015 $95,ttC $?5,18( • 131-FR 10/01/2017 $1 Flat Fiat BtaltHjpTarftGravel oto Dante B,Fascell Park -2 Gazebos 3600 RED ROAD SOUTH MIAMI,Ft 33143 10/01/2015 $65 JW] $65,O0C 1 1S2-NC 10/01/2017 $< Pyramid Medium(10 to 30)Asphalt Shingle 10 01* SCHEDULE OF COVERED PROPERTY Continued Descrtptzon Address vSB?- Contents value Total Insured Valve Roof Shape Roof Pitch CaretType Roof Covenng Covering Replaced Roof YTBtt DanteB.Fascetl Park-6HarTru Tennis Courts ($6,500 SOUTHMIAMI,FL 33143 N/A N/A oante e.FacseUPark/Playground ($6,500 Contents 8600 RED ROAD SOOTH MIAMI,FL 33143 N/A N/A Dante ft.FasceQ Park-2 Racquetball Courts 8600 RED ROAD SOUTHMIAMI,FL 33143 N/A Dante s.Fascetl Park -1 Basketball court 8600 RED ROAD SOUTHMIAMI,FL 33143 oame 8.Faxell -1 T8d Hut 86O0 RED ROAD SOUTH MIAMI.FL 33143 Unknown Dante B.Fascetl Community storage 8600 RED ROAD SOUTHMIAMI,FL 33143 Flat flat Fuchs Parte Pavilion($4550 Contents toduded) 6445 SW 81 STREET SOUTH MIAMI,FL33143 Hip Fudtf Park.-Bathroom 6445 SW 81 STREET SOUTHMIAMI,FL 33143 Flat Median (>otn 30) Fuehs Pa*Piayfround &Swing sets 6445 SW 81 STREET SOUTHMIAMI,FL 33143 N/A PalmerPark-Ffeftd Storage BuiUhng 6445 SW 81 STREET SOUTH MIAMI,FL 33143 Flat 11 $123,5 $T23.50C $104,000 $0 $104,000 $78,665 $0 $28,665 10/01/2017 $13,000 $0 $13,000 10/01/Z015 $10,000 $0 510.00C Unknown $63,000 $0 $63,DO0 Built-up Tar &Gravel 10/O1/2O15 $31,000 $4,550 $35,55t Asphalt shingles $84^00 $0 S84,00C Unfcnofm $70,769 $0 $70,76? $45,500 $45,50C Built-up Tarft Gravel SCHEDULE OF COVERED PROPERTY Continued Unit* Description Address Year Bum.TRF BvtUnng value Total Insured value const Type Term Date Concents Value Roof shape|Roof Pitch ftrjofCovering I CoweringReplaced Roof Yr Bit 021 PalnerPark FootbaB Storage Bldg 6701SW67TH AVENUE SOUTHMIAMI,FL 33143 1777 10/01/2015 $75,000 $120,73£ 119-JM 10/01/2017 $45,730 Flat Flat Buftt-upTarftaravei 021 Palmer ParkFootball Storage Room 6701 SW67TH AVENUE SOUTHMIAMI,FL 33143 1955 10/01/2015 $33,000 $52,500 119-JM 10/01/2017 $19,500 Flat Ftat Built-upTarft Orarel 023 Palmer Park Ftetd House 6100 SW 67TH AVENUE SOUTHMIAMI,FL 32143 1977 10/01/2015 $115,620 5114,767 119 -JM 10/01/2017 $9,147 Hip LOW (<10)AsphaltShingle 024 Palmer ParkPlayground 6701 SW 67TH AVENUE SOUTHMIAMI,FL 33143 10/01/2015 $26,000 $26,000 102-prro 10/01/2017 $0 N/A N/A N/A 025 Palmer Park /1200 FT of 5FTHighFence 6701 SW 67TH AVENUE SOUTHMIAMI,FL 33143 10/01/2015 $13,000 $13,DOC 102-prro 10/01/2017 $0 N/A N/A N/A 016 Palmer Park -1000 ft of iorr High Fence 6701 SW 67TH AVENUE SOUTH MIAMI,FL 33143 10/01/2015 $16>900 $16,900 102 -prro 10/01/2017 $0 N/A N/A H/A 1 027 Palmer Park -Restroom Bldg 6701 SW 67TH AVENUE SOUTHMIAMI,FL3.3143 1977 10/01/2015 $84,600 SB4.6UC 119-JM 10/01/2017 $c Flat |Flat Built-up Tarft Gravel 028 Palmer Park -concession Bldg 6701 SW 67TH AVENUE SOUTHMIAMI,FL 33143 1977 10/01/2015 $54,001 $54,00C 119-JM 10/01/2017 $t Flat Flat Built-upTarft Onwet 029 office /police Substation 6900 SW59TH PLACE SOUTHMIAMI.FL 31143 2000 10/01/2015 *J S $28,66! 119-JM 10/01/2017 $28,661 Flat Flat Built-up T»ft Oravel OJO Brewer Paifc -2 RacouetbaU Courts 6300 SW 56TH STREET SOUTHMIAMI,FL 33143 10/01/201!•$28,665 0 $2B>66? 119-JM 10/01/201^r $< N/A N/A H/A 12 SCHEDULE OF COVERED PROPERTY Continued Description Address Elf.Date "SSBnfvSEe" Contents Value Total insured value Roof shape Const Type RoofCovenng covering Replaced I RoofYr Bit Brewer Park -1 n BasketbaU court 6300 SW 56TH STREET SOUTH MIAMI,FL 33143 N/A BrewerPark-PlaygroundandSwing set 6300 SW 56TH STREET SOUTHMIAMI,FL 33143 N/A Brewer Park •2 Tennis Courts 6300 SW 56TH STREET SOUTH MIAMI,FL 33143 BrewerPark-460FT of lOFT High Fence 6300 SW 56TH STREET SOUTH MIAMI.FL 33143 N/A BrewerPark -36QFT Of5FTHighFence 6300 SW 56TH STREET SOUTHMIAMI,FL 33143 H/A MuTra7p»3^sl3de^5!ictiires 5000 SW 66 STREET SOUTH MIAMI,FL33143 N/A Murray Park /Community Center 6701 SW 58 PLACE SOUTH MIAMI,FL 33143 Pyramid HopeButter Activity Center 6701 SW 58 PLACE SOUTHMIAMI,FL 33143 Pyramid Offke/Pooce Substation 5575 SUNSET DRIVE SOUTH MIAMI,FL 3JT43 Unknown City Hall/Police 6130 SUNSET DRIVE SOUTH MIAMI,,n-33143 Flat Medium (ioto 30) Medium(10to30) 10/01/2015 10/01/2015 Metal Metal 10/01/2015 Unknown 10/01/2017 Built-upTarftGravel 13 $13,000 SO $13,000 $34,125 $0 534,125 5*2,000 $0 $52,D0C $7,800 $0 $3,900 $0 %\\ $2,000 $0 $2,Ctt $360,000 $0 5360,00] $271,680 $0 $271,68£ $0 $12,500 $32,500 $3,839,900 $395,472 $4,235,372 SCHEDULE OF COVERED PROPERTY Continued unit* Oescniroon Year Built "TJFTSt?"1 Building Value Total insured valueAddress Const Type Term Oate Contents value Roof Shape j Roof Pitch Roofcovermg |Covering Replaced |Roof Yr Bit 041 Silva Martin flVfcj 6130 SUNSET DRIVE SOUTH MIAMI,FL33143 1935 10/01/2015 $420,180 $476,881 119-JM 10/01/2017 $56,706 Hip Medium (10 to 30)Asphalt Shvigle 2000 042 South Miami Coram Center /Gym 5800 SW 66 STREET SOUTHMIAMI,FL 33143 2003 10/01/2015 £3,218,560 $3,608,56C 111 -MNC 10/01/2017 $390,000 Flat Flat Built-up Tarft oravel 2003 043 Jean WiOts Park /oazebo 7220 SW 61 ST COURT SOUTHMIAMI,FL 33143 10/01/2015 $19,500 $19,500 101-Frame 10/01/2017 $0 Pyramid Medium <1 o to 30)Asphalt Stogie 044 MarhsaU Williamson Park/Gazebo 612.1 SW 66 STREET SOUTHMIAMI,FL33143 10/Q1/2015 $65,000 $65,000 152 -NC 10/01/2017 $0 Pyramid Unknown Asphalt Shmgie 045 Marshal Wtujamson Park/PlaygroundandSwingSet 6121 SW 6*STREET SOUTHMlAMI,FL33143 10/01/2015 $32,500 $32,50C 102-PFTO 10/01/2017 $0 N/A H/A N/A 046 Marshal Williamson Park /3-Benches 6121 5W 68 STREET SOUTH MIAMI,FL33143 10/01/2015 $1,170 $1,171 102-prro 10/01/2017 $0 N/A N/A N/A 047 Marshall waiumson Park -2 Tennis Courts 6121 SW 68 STREET SOUTHMIAMI,FL 33143 10/01/2015 $52,000 $52,00C 111 -MNC 10/O1/2017 50 N/A N/A H/A 048 All America Park /3 Picnic Tabtes 6820 SW 64 AVENUE SOUTHMIAMI,FL 33143 10/01/2015 $7,000 $7,ooc 102-prro 10/01/2017 $C N/A N/A H/A 049 Qui Scout Property 6609 SW 60 STREET SOUTHMIAMI,FL 33143 1965 10/01/2015 $234,06C $234,06C ii»-jm 10/01/2017 tf Hip Medium (id to3D)AsphaltShingle 050 Parkins Oarage S829S.W.73 street SOUTH MIAMI,FL33143 2000 10/01/20I!i $8,435,521 3 $8,435,52C 131 -FR 10/01/201;f * Flat Flat concrete Tile 14 SCHEDULE OF COVERED PROPERTY Continued UrutV Description Year Built "TrRSe™OuiUfcns value Total insured Value Address Const Type Term Date Contents value Roof Shape Roof Pitch Roofcoverhg j covering Replaced Roof Yr Bit 05-1 Dbcbi Park -Picnic Table SW 58TH AVE ftSWTOST SOUTHMIAMI,FL 33143 1O/O1/2015 $2/100 $2,00(2 102-prro 10/01/2017 $0 N/A H/A H/A 052 Orson Park -Gazebo SW 5BTH AVE ftSWSO ST SOUTHMIAMI,FL 33143 10/0172015 $25,000 $25,000 152-NC 10/01/2017 $0 Pyramid Medium (10 to 30)Asphalt Shrove 053 Marshall Wittianuon Park/4 Picnic Tables 6121 SW61 STREET SouthMiami,FL33143 10/01/2015 $3,120 $3,12C 102-prro 10/01/2017 SO N/A N/A H/A 054 POLICE SUB STATION 6726 SW 59 PLACE SOUTHMIAMI,FL 33143 I960 10/01/2015 So $26,90C 119 -JM 10/01/2017 $26r00Q Flat Flat Tar and Gravel 065 BUS SHELTER N SflJE OF SUNSET OR ft APPROX SW 60 AVE SOUTHMIAMI.FL 33143 10/01/2015 $50,000 $5O,0OC 152 -NX 10/0172017 $0 Unknown Unknown Unknown 0*6 BUS SHELTER H SIDE OF SUNSET OR APPROX 100 FTWOF SW 67 AVE SOUTHMIAMI,FL 33143 10/01/2015 $50,000 $50/000 152 -MC 10/01/2017 $0 Unknown Unknown Unknown 057 BUS SHELTER S SIDE OF SUHSET DR APPROX 100 FT EOF SW 67 AVE SOUTH MIAMI,FL 33143 1Q/Q1/2015 $50,000 $50,000 152-HC 1O/01/2017 $0 Unknown Unknowa unknown 051 BUS SHELTER S SIDE OF SUHSET OR #S MIAMI CITY HALL STTE (6130 SOUTHMIAMI,FL 33143 10/01/2015 $50>O00 $50,900 152-MC 10/01/2017 $c Unknown Unknown Unknown 059 BUS SHELTER E SOE OF SW 62 AVEft APPROX SW 67ST SOUTHMIAMI,FL 33143 10/01/2015 $50,O0C Skvoqc 152-HC 1O/01/2O17 $0 Unknown unknown Unknown 060 MurrayParkPod,SpUsfa Pool,ftestroom 612.1 S.w.BBth Street south Miami,FL33143 2014 10/01/2015 $1,384,411 $1,364,411 119 -Ml 10/01/2017 Sfl Flat 2014 15 SCHEDULE OF COVERED PROPERTY Continued oescnptton Address Root shape 10^10 Tiki Hut 63B0 SW 76 Street South Miaou,FL 33t43 wood Fence 6380 sw 7a street $0<itfcMiami,FL33Y43 Mini Dog Waste station 63B0SW 78 Street South Miami,FL33143 Water FouRaxn 6380 SW 78 Street South Miami,FL 33143 MessageBoard 6380 SW 78 Street South Miami,FL 33T43 DogPaTxiSSs^^^ 6380 SW 71 street South Miami,FL 33t43 DogPlayEquipment Obstacles 6380 SW 78 Street South Miami FL 33143 wood Double Oate Enclosure 6380 SW 78 Street South Miami,FL 33143 Roof Pitch ^SarTHf const Type 119-JM 102-PfTO 102 -prro 2015 151- Purnp/LTft Station 20t5 102-PTTO 102-prro THS^jvafije" contents value Total insured Value f Covering coveruvg Replaced ROOfYrBIt 10/01/2017 10/01/2015 10/01/2017 10/01/2015 10/01/2017 Total: $3,460 $0 $1,169 $0 $234 $0 $3rOO0 $0 $1,013 $0 $65 ~~$Q $3rJ77 $0 ^*»." $o $3,460 $1,161 $234 $3,00C $1,013 $3,371 $4,473 $21,610,368 $1,060,342I $22,610,710 16 SCHEDULE OF COVERED PROPERTY PROPOSEDINLAND MARINE COVERAGE Insurer;Preferred Governmental Insurance Trust Description of Property:Values of Insurance: Parking Meter Equipment -BlanketUnscheduled$417,896.00 Subject to $25,000 Any One Item Excludes Watercraft Causes of Loss: SpecialForm:ExcludingFloodandEarthquake 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 ElectronicDateRecognition Asbestos 17 PROPOSED CRIME COVERAGE Insurer:Preferred Governmental Insurance Trust Type of Policy: Combination Crime Limits of Coverage: JL^i^byee JCtishOT^i ^^i; Coverslossofmoney,securitiesandotherpropertybyemployee dishonesty atall premises of theinsured. •Forgery;or'Altei^^ Coverslossbyforgeryor alteration ofchecks,drafts,andpromissory notes (except byan employee)thataremadeordrawnbythe insured or hisagent. ;Computier F^t^Irc ;£;k.M:M Coversagainsttheftofmoney,securities,orpropertybyusinga computer to transfer coveredpropertyfromtheinsured'spremisesor bankto another personorplace.Nocoverageisprovidedfortheftof information orforcomputervandalism. Theft Disappearance orDestruction $10,000 Other Coverages Available: D.Robberyand Safe Burglary E.Premises Burglary G.Extortion H.Premises Theft and Robbery Outside I.LesseesofSafe Deposit Boxes J.Securities Deposited withOthers Deductibles: EmployeeDishonesty $1,000 ForgeryorAlteration $1,000 ComputerFraud $1,000 Theft,Disappearance or $1,000 Destruction 18 PROPOSED GENERAL LIABILITY COVERAGE Insurer:Preferred Governmental Insurance Trust Type of Form: Commercial General Liability -Occurrence Form Limits of Liability: BodilyInjury&PropertyDamage $1,000,000Each Occurrence Liability N/A GeneralAggfegate Products/CompletedOperations Included \-- PersonalInjury&Advertising,Included AnjfOne Person or Injury Organization: DamagetoPremises -Included Any One Fire ' Leased/Rented to You k **"*- Bodily Injury and Property N/A Per Occurrence Damage Deductible HigherLiability Limits maybeAvailable Upon Request Exposure Basis: ^Bsisis:;?:?••':•?#-j;;£•XAmount $r- Municipality Payroll $4,658,646 Besuretoget Certificates ofInsurance with "Adequate"Limits and Coverage from SubcontractorSy to avoid being charged as though Subcontractors were your Employees. Coverage Enhancements: Herbicide &Pesticide-$1,000,000 Aggregate Limit SewerBackupandWaterDamageLimit-$10,000/$200,000 Exclusions include but are not limited to: •Pollution •Asbestos •Mold •Fungus,Bacteria •Lead •Nuclear •Medical Payments •Liquor Liability •Copyright orPatent Infringement 19 PROPOSED EMPLOYEE BENEFITS LIABILITY COVERAGE Insurer:Preferred Governmental Insurance Trust Coverage Form: Occurrence Limits of Liability: $1,000,000 Per Person N/A ""*Aggregate Deductible: N/A Employee Benefits Liability: 20 PROPOSED LAW ENFORCEMENT LIABILITY COVERAGE Insurer:Preferred Governmental Insurance Trust Type of Form: Occurrence Limits of Liability: PerPerson $1,000,000 PerOccurrence $1,000,000 Aggregate N/A Deductible: N/A Exposure Basis: 5•Class ••;•:;:;•:;;;;£%v Basis.^[V.^?!*£;;^^M9W%?^)^ Law Enforcement Number of Officers 45 Full Time 0 Part Time 2 Volunteers 21 PROPOSED COMMERCIAL AUTOMOBILE COVERAGE Insurer:Preferred Governmental Insurance Trust Limits of Liability: BodilyInjury&Property Damage Liability $1,000,000 ;-CombinedSingle Limit •-. Liability Coverage Provided For::Symbol #::1 Any Auto i -;\ Personal Injury Protection .$10,000 EachPerson-Symbol #:5 (Florida No-Fault)""Owned Attto Subject toNo Fault MedicalPayments $Not Each Person -Symbol. Included Uninsured Motorists Non-Stacked $Not -Per Accident Included Physical Damage:*Per Scheduled Vehicles >'1 .t\I >- Collision $1,000 Deductible \> Comprehensive $1,000 Deductible Physical Damage Coverage Provided For:t*^<Symbol #:7&8 Scheduled 'AutosQnly and Hired r *All New or Replacement Vehicles Must B<^AUtosOnly 1 * Reported Immediately soasto avoid any .\:'\ possible gapin coverage Higher Limits of Liability May Be Available Upon Request Description of Vehicles: Please See Attached Schedule of Automobiles -153 Total Units 136Contain Comprehensive andCollision 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 toor leased tothe Named Insured. 22 Unit!Make Qty Ynt 001 1887 002 1900 003 Font 1900 004 2001 G06 2001 006 Vohro 2003 007 2005 008 2004 009 2004 010 2004 011 Ford 1007 012 2004 013 2Q04 014 Font 2005 015 1907 010 Ford 1907 017 Font 2005 018 1088 010 Fort 2005 020 Ford 2006 021 Ford 1908 VEHICLE SCHEDULE Model/Description VIM* StmCfcrTrir 1287 Recycle Truck 7102 Bucket Truck 411 Truck 1520 Pickup 3262 WXR94 4V2EC6UEA3N348408 Trash Truck 7533 Trash Crane 662 F450 Bucket Tiuck 5740 TiaJfer 1773 Crown Victoria 3WNCyde 4182 Garbage Truck 5VCEGUF24H2OO0O2 Crown Vetera 0246 Sweeper 2272 RangerPickup 483 Crown Victoria 0247 Pickup 5084 Crown Victoria 0249 Oo*5 Victoria 0250 Crown Victoria 7545 Department Vehicle Type Traitor-NO Heavy Truck Heavy Truck Heavy Truck Liflrt Truck Garbage Truck GarbageTruck Garbage Truck Heavy Truck Trailer-NO Police PdioeCar Extra LightService Non Police Garbage Truck Police Police Car HeavyTruck UaWTwck __ Pofoe PtofoeCar UghtTnick Police PcfoeCar Police Police Car Pofce PofeeCar 23 jjlj2^|j52gji |j^^jyj^jj|^^|^u^jjjggjgj KriM.^i^llilj.yjj^l E£u22iKI»b^^ jjjjj^jjgjjjg 0701/15 P Crt)in7 VEHICLE SCHEDULE Continued Unit*Make ModeVDescnpfion Department ALEff jII11S51 $K3£3 'mzsm zmmz-^tzm <*y Year YIN*Vehicle Type ALTerat CoIOed CoBEff Coll I valuation lAPORptdl 022 Ford Crown Victoria ..Police 10/01/15 1 2005 0252 PdbeCar 1ih'mtf»i»",-wi'Miimi''.'»irw^»i'PMii'^ 023 Ford Crown Victoria Police 10101/15 ISJiSffi 10/01/15 l5StAt7l119987547PoliceCar10/01/17 m |^^nr^r^^ff^ 024 Ford Crown Victoria PbJJce 10701/15 1 2005 0253 Police Car |vumwL&^u^i^^tzii^mMte 025 Ford F250 Pickup PWiee |10)09715 (^^SI^PSS^I^SSBi^^^^^^rlSSSS 1 2005 8300 Police Car [1 KTiTrTFiy^^Ptilt.r»^PItttttj'ifiP9llitMItir.JPy.r^TF!I*f?rwww^*-*-KO?< 026 Ford Expedlsn 10/91/15 iJctalCa^r^^^W120058547LightTruckIQJDlflTS^O^WDlf^WIQ1/17 027 Trash Truck 10701/15 SSB?1 *S3lC^^^475l120077296GarbageTmck1G70U17$1,000 10701/15 10/01/17 028 Ford F250Pickup 10701/15 nm; ^(SfS/^^^fo/SS 1 1999 1506 UghtTiuck 10701/17 lojrjvis 10*11/15 loiovir 10/01/17 029 Trash Crane IOfll/15 ^8S53S 1 2006 8836 Garbage Truck 1D/Dtfl7 $1,000 030 Focd FISfl Pickup 10/01/15 ?.V'•.('"':';.•"pvSIS£3 1 1909 1507 UghtTiuck lOFOt/17 WA 10701/15 10701115 10/01/17 031 Ford Ranger Pickup 10701/15 1 2006 8007 UojhtTcuck 1D70OT7 w&m 10701/17 ^ctotfC^r^^Sl^ 032 Ford Crown Victoria Potae 10101(15 1 2006 3762 PofeeCar T^TlTa•xlT:Y;^lt'l^^'"^•(•^^'''lT;T7>vl^•';^t,-^''^'^':''^, 033 Ford Crown Victoria Pofcce 10/01/15 ^EffiSfil jjjgnjjj^ 1 1999 2390 PofeeCar 10701/17 N/A 034 Focd Crown Victoria Police 10101/15 H1JXB120063783PoliceCar10701/17 035 Focd Crown Victoria.Police 10701/15 B119992394PdioeCar10701/17 036 Ford Crown Victoria Police 1001/15 1 1990 2395 Pence Car 1070lfT7 9j^Jg||^^|^4^ 037 Ford Crown Victoria Pofioe I '10701/15 i 2006 3764 Police Car IKTimTT4>iBK"itr<iwwlBl<ri|iU^'MK[irl'V>rjy.^-^^t*^!wmwI**kt >• 038 Ford Crown Victoria Police 10701/15 1 2006 3761 Pofice Gar 10101/17 S1JQQ0 1 10/01/15 1 10n)i/T/I AotaaiCawi %/JJmi 039 Focd F.C015 Pass Van 10101/15 m;m fioroins|iwtt7]w»|13119996489Bus<2fl Pass,Ho 10701/17 HA 440 Ford Crown Victoria Police 10101/15 51JD00120063760PoliceGar10/01/17 041 Ford Grown Victoria Police 10701/15 1 2008 3759 Police Car IfBT^TTTTl—-ir^"',wWlliV>rihlli,VififJITi VTii i wliwl^fr ^'m 042 Ford Crown Victoria Pofice 10701/15 gpPPffii •';';'::']';••';'.'?.r~'?'-\'.':?':'M :<-X:&."~':±\'i :•'::^:-y:h Vf •':, 1 2006 3758 Police Car 10701/17 [51.900 llO/OlflS•10JD1/17 |Actual Cash]S22.GG 24 VEHICLE SCHEDULE Continued Unrtf Slake Model/Description I Department *«-Mm Qty Year VMi Vehicle Type AXTerm ColDed CollBf 1 CcB l?aTu!3ioV Tirpe |APORptd| 043 Ford Crown Victoria Pofoe 10/01/15 irS^pOJOVlf120063767PoliceCar10/01/17 *lljO0 Actual Gas*i|S22.0Q{ 044 Ford RangerPickup 10)01/15 ISilS Actual Casl (^JIMM120079505LightTruck10/01/17 $1JW0 10701/15]10/01/17 045 Crew Cab Truck 10/01/15 iMfig 1 2007 1FFWW30P17EA4733 LightTruck 10701/17 51.000 10J01/15 10701/17 1001/17 Actual Casti|122,001 046 Ford F25D Pickup 10701/15 fiSIS:^ 1 2001 1259 Mght Truck 10701/17 10701/15 ^^K 047 Ford Crown Victoria Pofice 10701/15 ToAW15 m^T/St»1 2007 4679 Police Car 10701/17 $t]E> 048 Trash Truck ton 1/15 1 2007 5792 Garbage Truck 10701/17 ^5»10)01/15 10701/17 049 Ford E-450 Pass Van 10701/15 S?W<33 KftSS f^SS120076887MediumTruck10701/17 $1,000 10701/15 lWl7U|~AcfcjalCasi 050 Ford F250 4x2 Truck 10701/15 $1,000 10701/15 10701/15 loS^pfcSrfCag j^^i120088133LightTruck10701/17 051 Ford l Crown Victoria PoBce 10701/15 1 2007 260 Pofice Car 10701/17 "^So 1D^Vf7|AchHiC«h|$25.001 052 Ford Crown Victoria Police 10701/15 ^rnprt^-Ff !;CW--T:H £x.<:^3>^ 1 2007 261 Police Car 10701/17 $1,000 10701/15 |1001/17 Actual Cas 053 PICKUP 10/01/15 1 2001 3263 LightTruck 1QW1/17 r*A 10701/16 10(01/17 054 Ford Crown Victoria Pofice 10701/15 Sic05SW S@fl?^sp^^^1 2007 262 PdbeCar .10701/17 SliWO 10/01/^"1t»1/i7 |Actual Gas 055 S-10 10X11/15 K'S^;jS^^C:K;f7-PBBSK 1 1994 9467 UgMTruck 10701/17 10701/15 10701/15 1001/17 056 Excursion KV01/15 KSSSt^SSSSs 1 2001 7437 UghtTiuck 10701/171 WA 10701/17 057 Ford Crown Victoria Pofice 10/01/15 CTffljfej S;:pKM 1 2007 283 Police Car iT?>T7TrlBifiii,'MH|)'iV|f^m''-fifi|l "1 'iM i1 | 058 Ford Crown Victoria.Police 1GW1/i5 [|W|Mpi ^^^^^^^^^_^1 2001 3403 Pdice Car 10701/17 P^Ja^ 059 Ford Clown Victoria Pofice 10701/15 l^^^i 1 2007 264 Pence Car itfti'Uri>awwTTR0»«Ti3^E£2w£3wwESEB 080 Ford Clown Victoria Police |10/01/15 MtBfKNS^ffWJft^ 1 2007 1644 Police Car Iw^iwiMtf^w*1^^1 ' 001 Ford Crown Victoria Pofice 10701/15 iJSSHil 1 2001 3404 Police Car 10701/17 WA 10701/15^^TluTWm JlttolS t^[JUAjgoi 062 Ford F450Super Pcfcup 10701/15 1 2007 7463 Medium Track 10701/17 063 &360Van 10701/15 1 2008 9179 UghtTiuck 10701/17 j "XIDOO 10701/15 (10J01/17 25 VEHICLE SCHEDULE Continued Unit*Make Model/Description Department ALEff Qty Year VWi Vehicle Type AtTern CoSOed CeUEtT Coll 10701/17 ^""^TAJPOr^td 064 Ford Crown Victoria Police 10/01/15 10/01/15120013408PoliceCar10701/17 065 Ford F250 Pickup 10701/15 1 2008 4733 LightTruck 10701/17 $ljD00 10101/15 10701/17 ActualCashj $24.0W 066 Ford F250Pickup Police 10701/15 Mimm 10701/15 SEps 1 2001 8077 Police Car 10701/17 N/A 10J01/17 N<A|* 067 Pickup 10701/15 10A71/1S 10701/17 ^A?|^.^-,;^?ji^y7,^i:-?rf-1 1 1S97 7334 UghtTruck 10701/17 N/A 008 Trash Truck 10701/15 Qt:^t f:F;'j )£•& 10701/15 1D7D1/1? .7^3cS|^$^S( 1 2009 8166 GarbageTruck 10/01/17 $1,000 069 Pickup 10701/15 1 2008 4732 UghtTruck 10701/17 $ijoo 10701/15 10701/17 070 E350VAN 10701/15 N/A V"«'"i •:':<fitV^'•$"[•?<y*?;'-•:! 1 1991 153 LightTruck 10701/17 1Q701715 [imomT MOTo'tSs 10701/17 fBA|« 071 Water Truck 10701/15 i|fiyji~-'4Ai:^ 1 2008 6415 HeavyTruck 10X01/17 $*,*»1SdV?7|ActualCashj $3l,«H 072 15 Pass Van 10701/15 1 2008 6821 Bus <20 Pass.No 10701/17 $1,000 lOJQIOT 1 ActoalCashj $25.00( 073 15 Pass Van 10701/15 ~Wf-iK 'M)^-"^ 1 2008 6820 Bfcs <20 Pass.No 10701/17 $1,000 10811/15 10701/17 1 AdJuafCasH SZS.OtX 074 Ford .Espedsfion 10101/15 ^•'•••?;^£:.:..*^C»j*"Jv'«;v '/-j:': 1 2008 6696 UghtTruck 10701/17 $1JD00 [10/01/15 [10J01/17 |AcfaaJCash|*25.QQ( 075 15 Pass Van 10/01/15 ISlB'fft'M 1 2009 9630 Bus <20 Pass,No E£2J^KJ2*w»w!lw4*M*]lwwwnw^ 076 Ford Crown Victoria Pblioe 11"701715 M^IJMSffl^Si^8S!rSiB«MM8lg8^Mi 1 2009 1415 Police Car 111 "i FillMnT!'•MlF,tiriU,IKI'T',iyi>*KwwwwUwwi wwK^ww' 077 Ford Crown Victoria Police 10/01/15 ^^^^^gj^^gj^Mj^jjg^^^g^ra 1 2009 1418 Police Car 10701(17 fIJPOO |10701/15 11Q7P1/17 [Actual Cash)tUJXX\ 078 Ford Crown Victoria Police 10/01115 iv&:^Sm&'M'M W$&:0&M&M5 1 2009 1417 PdnceCar 10701/17 $1#»10/01/15 \10701/17 T^i/i^ioJoiSV AduatCashj $27.0W| 079 ChimpTruck 10701/15 u5»-IK5^?SH^?^.ftv;^i 1 2010 7808 Heavy Truck 10701/17 AckialCashj $33,001 080 Ford F250 10701/15 mm |lBu^[1P70«t?1 2000 1381 UphtTfix*WD1/17 $1JD00 Actual Cash($25.00* 081 Garbage Truck 10701/15 Bmm ?SS:^^S!^Si?^u:, 1 2099 9492 Garbage Truck 10701/17 $1JWD |10701/15 |10701/17 ActoaJCash|$4flJ0Qj 082 Ford GrownVictoria Poftce Interceptor 10701/15 1 2010 lFABP7aV2AX141487 Police Cai 11 ^flT^aTTTrJ^W-TT^T^B Hi^il 1i i^i ET1V'TTJU W.**.^^I*??T^^^t ^Ifcl !* 083 Ford GrownVictoriaPofice frierbeptor |]iuvoi/i5 BSfflllMBI^^ 1 2010 2FABP7SV4AX141491 Police Car IliwwwieSBwtwHWwllUlww^ 084 Ford Crown Victoria Pofoe Interceptor 11 10701/15IKIC&^M &$SS;%£&&&))&^M\;':W}Bi ii&& 1 2010 2FABP7BV4AX141488 Police Car |10701/17 $1JOOO IwBwjJwwl jimjjyy I a.c™f»g^7www^,»^ryl< 26 Unit*Make Qty 2010 086 Ford 2010 087 Ford 2010 088 Ford 2010 Ford 2010 090 Ford 2010 091 GEM 2011 002 Ford 2011 093 2011 094 Ford 2011 095 Ford 2011 096 Ford 2011 097 Ford 2011 09$Ford 2011 Ford 2012 100 Ford 2011 101 Ford 2011 102 Ford 2011 103 Ford 2911 Ford- 2011 105 Ford 2011 VEHICLE SCHEDULE Continued Model/Description Department VBif Vehicle Type CrownVictoria Roficelrtteroeptor 2FABP7BV6AX141469 Police Gar CrownVictoria Pofice Interceptor 2FABP7BV2AX141490 Police Car Crown Victoria Pofice Interceptor 2FAIBP7BV6AX141492 Police Car mismmasmwsMavMSitssEi^E^i CrownVictoria PoSce liuerceptor 2FABP7HVBAX141493 Police Car I'^mm^mmmammtssiSiWmsM CrownVictoria Pbfioe Interceptor 2FABP7BV5AX14218t3 Police Car 10701/17 Crown Victoria PoficeInterceptor 107D1/15 2FABP7BV0AX1414B6 Police Cat tmmmmmzm nxmatmftf*tgg^pwggjj E2 5ASCP6A42BF055341 ExfralJghtSennce m^sams^mmmsits^SkmESM Crown Victoria 2FA07BV5BX166594 Police Car mMamai^Bmas^aMSS^msM Crown Victoria 2FABP7BV7BX166578 Police Car iiiTCirrawwmiiMiigd^ Crown Victoria 10701/15 2FABP7BV4BX166604 Police Car 10/01/17 Crown Victoria 10701/15 2FABP7BV0$X1<S6597 Pericecal Ea^jyLaiiTTiTirnjfit^nrriwiii'ff'r Crown Victoria 2FABP7BVaBX159445 Police Car Crown Victoria 2FA8P7BV9BX166596 Police Car Ilin^iririwwn^v-.Mgii^^^lgnMi^tj^^t^^MBr?^ Crown Victoria 10701/15 2FABP7BV18X166569 Potto*Car 1070 1/17 Bowline 15 Pass Van Non Police 10701/15 1FBSS3BL4CO83077B Bits <20 Pass.No 10701/17 Crown Victoria Pofice 2FABP7BV68X157175 Pofice Car Crown Victoria .Pofice 2FA8P7BVaBX15717d Crown Victoria Police Car Pofice \mmw2^mmmMM£E52ME& 2FABP7BV8BX157177 Police Car MMamSLSMmiM^miKS3ESma^ Crown Victoria Police 2FABP7BV1fiX15717a PdfceCar WEMSimSSMfSSmtSWiMSSSi- Crown Victoria Pofice 2FAfiP7BV38X157179 Pol tee Car .mmmmtsssi. Crown Victoria Police iKmtmji^^ 2FABP7BV2BX162583 Police Car 27 VEHICLE SCHEDULE Continued Unit*Make Model/Description Department ALEff <*y Year VW#Vehicle Type ALTerm CoSOed CottEff Coll .T«m Vato3SrT[«5^ptd 106 Ford Ranger PickUp Mm Police 10/01/15 1 1988 1FTZR11X6WYA50706 UghtTruck 10701/17 NA 107 Nissan Ar&naXE4dr Moo Police 10701/15 ISSi 1 2000 1fMCtO1D6YC2l2203 Private Passenger 10701/17 NA 108 Ford F250PickUp Won Police ^^mmmmmmmm 1 2004 1FTNW21P24EAD4216 UghtThick 10701/17 NA 109 Chrysler 300 Nton Police 10701/15 $H1IH< 1 2005 2C3JA43R75H505771 Private Passenger 10/01/17 110 International Trash 10701/15 ^f^vi?-'?^ 1 2006 1 HTM MAAR46H172991 Hear/Truck 1001/17 NA 111 Ford Crown Victoria Nan Police 10701/15 S 2009 1FAH971V59XI24118 Private Passenger 10701/17 NA 112 GMO Sweeper Schwarxe 10701/15 1 2009 J8DC4W15697001079 Medium Truck 10/01/T7 NA 113 Ford Crown Victoria Pofice 10/01/15 $26J0Q{a 2010 2FABP7BV7AX142814 1,.i-1 u mmMmv>'>-WK?mmmnwtv*i'f*i\ 114 Auto Gar ACX Garbage Track 10/01/15 g^g^^ 10/01/15 $269,401120135VCACR8FSDH215134GarbageTruck10101/171 $t,000 1IM01/17 AdualCashj 115 FrenJrSner M2-1D8 Crane Truck Non-PoDcc 10/01/15 gi!!£2@ 10701/15 10701/17 ArillCashJSte^1 2013 1FVACXBS1DHFE4262 HeawyTruck 10701/17 SUMO 118 GEM 2P Non-Police 10701/15 IftlISSW?Wm 10101/17 liSS:MliS:KffifiS 1 2013 52CG2AGA3D0003228 Private Passenger 10/01/17 $1iW0 10J01/15 AckjalCashj 513.491 117 Tandem Trailer 10/D1/15 illll 1 2008 1S907X1698M982128 Trader-NO 10/01/17 NA 118 Tandem TRAfLER-TANDEM-Tao.XB2331 10701/15 ^^A;'>-l-ix;?E^MM&l liSSl&lffifSlS 1 2008 1S9D7X1698U8B2129 Trarfer-NO 10701/17 NA 119 Traier Trailer-Back up traier 10/01/15 *-^^fM-S f 2013 200904 Traier-NO 10701/17 120 Traier CVR 10/01/15 ©£^^;SiP2i 1 2008 1S9Q7X1676H982130 Traier-MO 10701/17 NA NA N/A 121 Ford Crown Victoria 10701/15 ffiS^^iMS^ 1 1998 2FAFP71W6WX137543 Private Passenger 10/01/17 122 Tandem Trailer 10701/15 1 2008 18907160811082129 Trader-NO 10701/17 NA 123 Traier Post256-Tag«XB5488 Force 10701/15 ifepSS 1 2000 5RTBE1216BO023363 Trafler-NG ]10701/17 NA 124 Traier Trailer-TBD -Backup kaier 10701/15 ^SSlP 1 2013 200005 Trader-NO 16701/17 NA 125 Traier assxa PW 10701/15 1 2008 Traaer-NO 10701/17 126 Traier Tantt7ian«n PW 10701/15 ISS&iMii:W$MS!$^§\£ 1 2013 213959 Trauer-NO 10701/17 28 VEHICLE SCHEDULE Continued Una*Make Model/Description Department EUlSESSiK^ii <*y Year YIN*Vehicle Type ALTerm CoBDed CoHEff con VatoborTTASoTSSType,j 127 Ford Interceptor Police 10701/15 ^^ScShp^3^0W120141FAHP2MT7EG120008PoliceCar10701/17 51JDO0 10701/15 10701/17 128 Ford kiterceptor Police 10701/15 10701/17 *^iCas^^»jOa120141FAHP2MT9EG120009PoliceCar10701/17 51000 10701/15 129 Ford Interceptor Police 10(01/15 10701/17120141FAf#>2MT7EG120OH Police Car 10/01/17 .51,000 10701/15 Actual Cash)$35,001 130 Ford kiterceptor Police 10/01/15 1 2014 1FAKP2MTOEGT20Q13 Pdice Car |C2II21KiiiMllii^l^^li£iiSB^k^i^ 131 Ford hterceptpr Police 10/01/15 10701/17 ^Sc»np^^^1 2014 1FA}ff>2MT5EG120010 PdfceCar 10/01/17 $1;0PO 10/01/15 132 HarfeyDa idsoo Motorcycle Pofice 10701/15 10701/15 10701/17 aSc^|^^^o«1 2014 1HD*FHM13EB625609 Motorcycle 10/01/17 $1,000 133 HarfeyDa idson Motorcycle Police 10/01/15 ®0SSS 1 2014 1H01FHM14FB624933 Motorcycle 10/01/17 ;51.000 10701/15 ilii Actual Cash]534.0DC 134 Ford Interceptor Police 10701/15 51JM0 10/01/15 AdiurtD^$33^1 2014 1FM5KfiAR7EGC49837 Police Car 10/0U17 135 Toyota Prkis Code Enforcement 10101/15 1O01/15 10701/17 ^c^Ca^jS^i:1 2014 JTDKOTB32E1587950 Private Passenger 10701/17 wnpssja^ 136 Toyota Prius CooV Enforcement 10101/15 iGJnS? 1 2014 JTDKOTB30E1074963 Private Passenger 10701/17 S1.MM 10701/15 1 10701/17 ActualCas^lS5i; 137 Toyota Priu*Code Enforcement 10701/15 1 2014 JTDKOTB3SE1u74332 Private Passenger 10701/17 litfn 10101/15 10701/17 ArjfaiaJCasri|^521,31; 138 GEM £4 Police 10701/15 10/01/151201452CG4A6A6BM10816PrivatePassenger10701/17 51.000 WSSM 1001/17 Actual Cash|514.37' 139 Ford irterceptor Po&oe 10701/15 111131 w^m 1 2014 1FA8P2MT9CO120012 Pofice Car •hHillWH 111 i I'll III i lliilill '1 ilM ' 140 lnsatert Traffic Trailer Police 10701/15 Hg^lfi i»»jiv.'5"-x-5^-vC^.^^C".'.'7?."'?l^.^':\r^)?-r^,:.'77.-l.'^~-\'.i^:.7.'F^-. 1 2010 1B9AF511XAP825356 Traaer-NO 1001/17 N/A tTKjIflijJ fcOVPijjM ^^^^^K^]^^^HHflt* 141 Kend TraJer Pofice 10701/15 PBSH ^Sfti^Mtt^ifi RS^^SIHS®?SS 1 2011 XT7X1200190482680 Trailer-NO 10701/17 ||HH^9a^|K|||J| 142 Ford Interceptor Pofice 10/01/15 1 2015 iFAHP2MT8FG109228 Police Car 143 Ford Interceptor Pofice 1 2015 1FAHP2MT6FG109231 Police Car 144 Ford krterceptor Police 10/01/15 [§j§^mi IS^pSJvS^W^&^;^£^M 1 2015 1FA>F2MT8FG1092X Police Gar.10701/17 51.000 lai^ihi^gre^ 145 Ford toterceptor Pofice 10/01715 1 2015 1FAHP2MToFG109227 Police Car [•fVifi^»iy,'/MH'V)^nifcLii!ikrii i —Vll 146 Ford interceptor Pofice 10A>1/15 ^^SSS^]f 5\K^WuSfi t\M^fiWK^-u% 1 2015 1FAHP2MTXFG109229 Polroe Car 107D1/17 51jD00 iraiira*wiTOT*yi w*nm*??^mvix>iL 147 Ford kiterceptor Pofice 10701/15 i|£^I^SB$W^t^f^WZWy^x 1 2015 TBO Police Car HJ22S2 miUMim^IBMiiQ 1ft£=2IjHBB22it 29 VEHICLE SCHEDULE Continued Unitf Make ModeVDescriptJon Department ALEff ^Si^Si^j^S^K WMJ$M££M$M& <*y Year VIM*Vehicle Type AL Terra CoiDed CoHEff Coll Vahation JAPD Rptd 148 Ford Interceptor Police 10701/15 1 2015 TBO Police Car 10701/17 51j90Q 107101/15 10701/17 ActoaJCashj $30.79: 149 Ford kiterceptor Police 10701/15 1 2015 TBO Police Car 10701/17 51JMQ 10/01/15 10J01/17 Actual C3sV|yaj*: 150 Ford Interceptor Police 10701/15 ^WIjM 1 2015 TBO Police Car 10701/17 •M>i>o:iMM»liV»lf«l^BTiTiTTgyiM>.^T?.t»e^iBMT7g7^ 151 Ford Interceptor Police 10701/15 51JM0 f<S5T{p§K v^^^iliiH^ 1 2015 TBO Poise Car 107D1/17 n-vifiMii'Vifirir.'iniriii^f 152 Ford Interceptor PdHce 10/D1/15 ppisiiisMiismi mmmmgmm 1 2015 TBD Police Car 10701/17 514300 10/01/15 |10101/17 Actual CasH $38.93< 153 Ford krterceptor Police 1Q7D1/15 ^P^ i 2015 TBO Police Car 10701/17 51.000 10/01/15 10/01/17 Actual Cash]$38,931 Total S3.415.047 APD Rptd 53.415.047 30 PUBLIC OFFICIALS &EMPLOYMENT PRACTICES PROPOSED LIABILITY COVERAGE Insurer:Ace American Insurance Company Type of Form: Claims Made -Retro Date Per Policy Form Extended Reporting Period:12 monthsfor100%oflastannualpremium Limits of Liability: EachClaim ::.$1j000,000' Aggregate ..-••$i;OOO,OO0: DefenseCostsare Within Limit of Liability -Capped at$1,000,000 Deductible: $100,000 Public Officials Liability -PublicEntityLiability-1A2 and IB $150,000EachEmploymentPracticesViolation-1C $250,000RetentionappliestoallZoning Claims Exclusions Include But Arc Not Limited To: NetworkSecurityorPrivacyLiabilityExclusion Bond Exclusion False Claims Act Exclusion 31 SUMMARY OF ESTIMATED PROPOSED PREMIUMS Premiums as Proposed: Property Including Boiler &Machinery General Liability Automobile Inland Marine Crime/Fidelity Law Enforcement Liability Public Officials Employment Practices Liability Premium Fees Taxes & Surcharges Total Premium Fees Taxes & Surcharges Total Premium Fees Taxes & Surcharges Total Premium Fees Taxes & Surcharges Total Premium Fees Taxes & Surcharges Total Premium Fees Taxes & Surcharges Total Premium Fees Taxes & Surcharges Total ^Expiring Renewal $130,713.00 -N/A N/A $130,713*00 $88,993.00 'N/A "''N/A $88,993.00 $105,124.00 N/A *N/A'/ ,$105,124,00 ^$2,883.00 \u'''N/A :<>N/A ,$2,883,00' \*\$750.0i)M "V ,-N/A $120,049.00 N/A 'N/A $120,049.00 $88,993.00 .N/A •'-:N/A $88,993.00 $113,238.00 '\N/A -;'-.N/A: $123,238.00 $836.00 •/N/A .,•-N/A I $836,00 *,•;;,.:v($750.00 •._'-«-•:•N/A, .*.^••••..'.N/A' $750*00 .,;$750,00 $6^983.00^ N/A' v.-r-V-r^trN/A'-'V'%?;n&' ,,$^83,00,;Xs ;$6^,022.00 .;]^$5o)887:ob:/V^8;505.bb": u 4-:1 ,••:**.;N/Af "$4M35«57 \Vi $50,887,00 *Expiring Premium reflects annualized premiums on any midterm policy changes Feesshownabovemaybefullyearnedatpolicyinception Automobile:153TotalUnits -136 ContainComprehensive &Collision 32 Important Note: This quotation provides for two annual twelve month periods from 10/01/15 to 10/01/16 and for 10/01/16 to 10/01/17: All Aggregate limits reset for the period 10/01/2016 12:00:00 AM to 10/01/2017 12:00:00 AM. Losses applying to one annual coverage period will not erode the aggregate limits of another annual coverage period. The premium fortheperiod 10/01/2016 12:00:00 AMto 10/01/2017 12:00:00 AM willbe determinedbasedonupdated exposure valuesforthisperiod. Ratesfortheperiod10/01/201612:00:00AMto10/01/201712:00:00AMwillbeidenticalto thosefortheperiod commencing 10/01/201512:00:00AM,withpremiumssubjecttothe following: 1.NCC1Experience modification factorswillbeappliedaspromulgated. 2.Changesto Schedules:Property,Inland Marine,and Automobile 3.Payroll 4.Number of Employees In the event of cancellation of any line of business within 90days after thefirstday of either annual coverage period,the premium for such line(s)shallbe 25%minimum earned. Inthe event of cancellation of any line of businessfollowingtheinitial90days of each annual coverage period,a penalty equalto60days premium ofsuchline(s)of business shallbecomeearned,anyprovision of theagreementtothe contrary notwithstanding. Thispenaltyisearnedandpayableregardless of whennotice of suchcancellationisgiven, or the effective date of such cancellation. Payment Option: PGIT Package:50%Down,25%dueat75 days and 25%due@ 166 days POL/EPL -Full payment at inception -Financing may be available A25%MinimumEarnedPremium applies tothe following policies: PreferredGovernmentalPackage Quotations Subject To: •Signed and initialed PGITand Acord applications •SignedAceandAcordApplications-POL&EPL •Review of Currently Valued Loss Runs Prior To Binding: Ace American POL/EPL •Signed PGITUMFormand Signature Page Quotation is valid untilthe effective date ofthe 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. 33 A.M.BEST RATING OF PROPOSED COMPANIES COMPANY COVERAGE BEST RATING AtjMiTtEn Preferred Governmental Insurance CommercialProperty,Crime,Not Rated Yes Trust Inland Marine,General Liability,Law Enforcement Liability,Commercial Automobile Ace American Insurance Co.Public Official/EPL A++XV Yes GENERAL RATING TheseratingclassificationsreflectBEST'Sopinionoftherelativepositionofeachcompanyin comparison withothers,baseduponaverageswithintheProperty-Casualtyinsuranceindustry. Theyarereflectiveofoverall company servicesandstandingwithintheindustry. A++,A+*** B++,B+** NR Superior Excellent VeryGood Not Rated B,B-*** C++,C+*** Good Fair Marginal FINANCIAL SIZE CATEGORY The Financial Size Category isan indication ofthesizeofan Insurer and is based on reported Policyholders'surplusplusconditionalor Technical ReserveFunds,suchas mandatory securitiesvaluationreserve,otherinvestmentandoperating contingency fundsand/or miscellaneous voluntary reserves reported as liabilities. ($In thousands) Class I $Upto $1,000 Class II $1,000 To $2,000 Class III $2,000 To S 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 XI11 $1,250,000 To s 1,500,000 Class XIV $1,500,000 To $2,000,000 Class XV $2,000,000 To $More This information hasbeen provided toyousothat consideration is given tothe financial conditionofourproposed carriers.The financial information disclosed isthemostrecent available to Brown and Brown of Florida Inc -Miami Division. 34 COMPENSATION Inadditiontothecommissionorfeesreceivedbyusforassistancewiththeplacement,servicing,claims handling,or renewal of your insurance coverage's,other parties,such as excess and surplus lines brokers, wholesalebrokers,reinsurance intermediaries,underwriting managersandsimilarparties,someofwhichmay beownedinwholeorinpartbyBrown&Brown,Inc.,mayalsoreceivecompensationfortheirrolein providinginsuranceproductsorservicestoyoupursuanttotheirseparatecontractswithinsuranceor reinsurance carriers.Additionally,itispossiblethatwe,orour corporate parentsor affiliates,mayreceive contingentpaymentsorallowancesfrom insurers basedonfactorswhicharenotclient-specific,suchasthe performance and/orsizeofanoverallbookofbusinessproducedwithaninsurer.Wegenerallydonotknowif suchacontingentpaymentwillbemadebyaparticularinsurer,ortheamountofanysuchcontingent payments,untilthe underwriting yearisclosed.Thatcompensationispartiallyderivedfromyourpremium dollars,afterbeing combined (or "pooled")withthepremiumdollarsofotherinsuredsthathavepurchased similartypesofcoverage.Wemayalsoreceiveinvitationstoprogramssponsoredandpaidforbyinsurance carrierstoinformbrokersregardingtheirproductsandservices,includingpossibleparticipationincompany- sponsoredeventssuchastrips,seminars,andadvisorycouncilmeetings,baseduponthetotalvolumeof businessplacedwiththecarrieryouselect.Wemay,onoccasion,receiveloansorcreditfrominsurance companies.Additionally,intheordinarycourseofbusiness,wemayreceiveandretaininterestonpremiums youpayfromthedatewereceivethemuntilthedatethepremiumsareremittedtotheinsurancecompanyor intermediary.Intheeventthatweassistwith placement andotherdetailsof arranging forthe financing of your insurance premium,wemayalsoreceiveafee from the premium finance company. WholesaleBroker/ManagingGeneralAgent:PublicRiskUnderwriters This intermediary isownedin whole orpartby Brown &Brown,Inc.,the parent company of Brown &Brown of Florida,Inc.-Miami Division.Brown &Brown entities operate independently and arenot required to utilize other companies owned by Brown &Brown,Inc.,but routinely do so.In addition to providing access tothe insurance company,the Wholesale Insurance Broker /Managing General Agent may provide additional services including,butnot 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 orif you prefer,submit your question or request online at http://www.bbinsurance.com/customerinquiry.shtml. 35 PROPOSAL VARIANCE Changes that need tobe made priorto binding: 36 MINIMUM AND DEPOSIT PREMIUM MINIMUM EARNED PREMIUM The following termsareoften misunderstood,particularly among insureds orproducers not accustomed todealingwithsurpluslines insurance companies.It isimportantthatthe definitions are understood. MINIMUM AND DEPOSIT Thisistheamountofpremiumdueatinception.Althoughthepolicyissubjecttoadjustment basedonarateperexposureunit,underno circumstances willtheannualearnedpremiumbe lessthantheminimumpremium.Therefore,thepolicymaygenerateanadditionalpremiumon audit,but not a return. Ifsuchapolicyiscancelledmid-term,theearnedpremiumistheGREATERoftheannual minimum timestheshortrateorpro-ratafactor,ortheactualearnedasdeterminedbyaudit, subjecttoashortratepenaltyifapplicable. MINIMUM EARNED PREMIUM A minimum earned premium endorsement canbe attached to either a flat charge policy oran adjustable policy.In either case,this amount isthe LEAST that will be retained bythe insurance company oncethe policy goesintoeffect.Theamount retained wouldbethe GREATER ofthe annualearnedpremium whether calculated ona pro-rate orshortratebasis,orthe minimum earned premium. FLAT CANCELLATIONS Surplus lines insurance companies normally do not allow flat cancellations.Once the policy isin effect,some premium willbeearned. Ifyouneedfurtherexplanation,pleasedonothesitatetocontactus. 37 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.Donotwaitfora 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 yourclaim.Sendthis information eitherby mail,e-mail orfaxto: Brown &Brown of Florida,Inc.-Miami Division Alexandra Sarria,CommercialClaimSpecialist 14900 NW 79 Court,Suite 200 Miami Lakes,FL33016 Phone:(305)364-7812 Fax:(305)714-4401 E-Mail:ASarrial@bbmia.com Ifyouhave any questions orincurany problems,please contact our office and we will be glad to assistyouinanywaywecan. 38 DEFINITIONS 39 Coinsurance Agreed Value Replacement Cost &Actual Gish Value Inflation Guard ;C,oyetage Extensions & B&icFOiin Broad Form ial Form PROPERTY DEFINITIONS Most building and business personal property policies have a coinsurance clause, which requires the insured to carry insurance equal toat least a specified percentageoftheactualcashvalueofthe property.Ifaloss occurs,anditis determined that the amount of insurance carried is less than the amount required,a penaltycouldbeplacedontheinsured.(ExampleAttached) Whentheagreedvalueoptionisusedthe coinsurance requirementisremovedand theinsureragreestocoverlossesforitsagreed value.Asan example,theinsured has property insuredfor $100,000 andthe agreed valueisalso $100,000,ifaloss occurs,anylossupto$100,000iscovered 100%.Whenthisoptionisusedthe insuredandtheinsurancecompanyagreeonthevalueofthe property beforethe policyisissued.Thisoptionisusuallyassignedtoone-of-a-kind property. Propertycanbevaluedinseveraldifferentways.Insurancecompaniescommonly use two approaches to determine value,which also determines how a loss will be paid:the replacement cost methodandtheactualcashvaluemethod.Insurers considerreplacementcostofapropertyitemtobethecosttoreplaceitwithnew property of likekind.Actualcashvalueis replacement cost,minusthe accumulated depreciation for age and condition. Aninsuredcaninsureabuildingforitsfullvalueatthebeginningofthepolicy year,butattheendoftheyear,itmightnotbecoveredforitsfullvalue.This problem canbe corrected byadding inflation guardcoverage.With inflation guard,thepolicylimitincreasesgraduallyduringthe policy termsothatthetotal increase amountstothedesiredpercentageincreaseattheendofthe policy term. In addition tothe limits stated inthe Building and Personal Property coverage form,thepolicyhasacoverageextensionssectionandanadditionalcoverages section.Thecoverageextensionssectionprovideslimitedcoveragefornewly acquiredorconstructedproperty,propertyofothers,certainoutdoorproperty, andthecost of research and reconstruct information on destroyed records.When coverageisplacedontheallriskform,twoadditionalextensionsareaddedfor propertyintransitandcoverageforcertainrepaircostsrelatedtodamagecaused by water.Thetwoadditional extensions arecoveredbycertainperilsonly.The additionalcoveragesectionprovidescoverageforindirectlossesthatresultfroma directloss.Thecoverage applies toremovalofdebris,preservation of property, firedepartmentservicechargesandpollutantcleanupand removal.Thecoverage extensionsandtheadditionalcoverageshavelimitationsandaresubjecttocertain conditions. Fire,lightning,explosion,windstormorhail,smokethatcausessuddenand accidental lossor damage,aircraftorvehicles,riotorcivil commotion,vandalism, sprinkler leakage,sink hole collapse and volcanic action. Fire,lightning,explosion,windstorm orhail,smokethatcausessuddenand accidentallossordamage,aircraftorvehicles,riotorcivilcommotion,vandalism, sprinklerleakage,sinkhole collapse,volcanic action,glass breakage,falling objects,weightofsnow,ice,or sleet,andwaterdamage (accidental discharge or leakage). Excluding flood and earthquake. 40 EQUIPMENT BREAKDOWN DEFINITIONS Definition of Equipment Breakdown Coverage(Boiler.& Machinery) Boiler&Machineryinsurancecoversdirectdamageto coveredpropertywhen caused byacoveredcauseof loss. Coveredpropertyisanypropertythatisownedby the named insured orisinthe named insured's care,custody or control andforwhichthe named insuredislegallyliable.Acovered cause of loss is a sudden and accidental breakdown of the insured's boiler&machinery equipment orany part ofthe equipment described in the policy. Expediting Expense Which paysthe reasonable extra cost incurred to expedite progress after a loss Automatic Coverage Coversaccidentstoobjectsatnewlyacquired locations forup to ninety days after the named insured acquires the property. 41 GENERAL LIABILITY DEFINITIONS Premises/Operations Products/Completed Operations Personal Injury- Advertising Injury ;Medical Payments *•/ Fire Damage Coverage is provided for damages arising outof ownership or occupancyoftheinsuredpremiseswhen maintained ina reasonable manner.Thisalsocoversdamagesarisingoutof operations performed by the insured business. Productscoverageisprovidedfordamagesarisingoutof productsmanufactured,sold,handledor distributed bythe insured.CompletedOperationscoversdamagesoccurring afteroperationshavebeencompletedorabandoned,orafter an item is installed or built and released for it's intended purpose. PersonalInjurymeansinjuryotherthan bodily injury. Coverageisprovidedforinjuryresultingfromoffensessuch asfalsearrest,maliciousprosecution,detention or imprisonment,thewrongfulentryinto,wrongfuleviction fromandotheracts of invasion,orrights of private occupancy ofaroom.Coverage for libel and slander isalso provided inthe policy. Thiscoveragepaysfor damages doneinthe course of oralor writtenadvertisementthatdisparages,libelsorslandersa person's or organization's goods,productsorservices. Coveragefortheseoffensesis provided underadvertising injurycoverageonlyiftheyoccurduringthecourseof advertisingthenamed insured's owngoods,productsor services. MedicalPaymentscoveragepaysmedicalexpensesresulting frombodilyinjurycausedbyanaccidentonpremisesowned orrentedbytheinsured,orlocationsnexttosuchproperty,or whencausedbythe insured's operations.Thesepaymentsare madewithoutregardtotheliabilityoftheinsured. Thefiredamagelimitprovidescoverageforfiredamage causedbynegligenceonthepartoftheinsuredtopremises rented to the named insured.If a fire occurs because of negligenceoftheinsuredandcausesdamagetopropertynot rentedtotheinsured,coveragewouldbeprovidedunderthe occurrence limit. 42 GENERAL LIABILITY DEFINITIONS Continued... Contractual Liability Host Liquor Liability Broad Fprm Property Damage Coverage Incidental Medical Malpractice Noia-Owned Watercraft LiabilityCoverage . LimitedWorldwide Coverage* kExtended Bodily Iitfiiry ^'Coverage i:- Newly Acquired Organizations Additional Persons Insured Claims Made FormOnly Extends yourcoveragetoliabilityassumedunder contract,applies to both oralandwrittenagreementsrelatingtonamedinsured's business. Coversyour exposure forservingliquortoclientsor employees at companyparties.Appliesonlytofirmsnotengagedinbusinessof sellingorservingalcoholic beverages. Intended forfirms,whichperformworkor services,rather thansell or produce products.Usually intended for construction contractors,repairers of automobiles,installers of property. Extendsterm"bodily injury"tomeaninjuryarisingoutof rendering of orfailuretorender,duringthepolicyperiod;medical, surgical,dental,x-ray,ornursingservices,orfurnishing of foodor beveragesinconnection therewith orthedispensingorfurnishing drugsormedical,dentalorsurgicalsupplies (Under26feetin length)Provides coverage for liability,which arises from any watercraft aslongas watercraft isnotownedby insurednorbeingusedtocarrypersonsorpropertyforafee. Intendedtoextendthescopeof"policyterritories"toanywherein theworld.Limitedtotheactivitiesofanyinsuredwhois domiciled inthe United States andthe original suitfor damage is brought within theUnited States,its territories,possessions,orin Canada. Amends definition of occurrence to;includes any intentional actby oratthe direction ofthe insured,which results in bodily injury,but onlyifsuchbodilyinjuryresultsfromtheuseof"reasonable" forceforpurposesof protecting personsorproperty. Automatic protection for newly acquired organizations until the new organizations is specifically added tothe policy or90 days, whichever occurs first. Includes as insureds;(1)Any spouse ofa partner concerning business activities of the partnership and (2)any employee of the named insured whileacting within thescopeofhisorher duties. Does not apply to bodily injury or personal injury sustained bya fellow employee which occurs during the course of employment. This coverage isprovided automatically without an additional premiumchargeifcoverageiscanceled,not renewed,orthe insurer renewalwithalater retroactive date.Thebasic extended reportingperiodstartsattheendofthepolicyperiodandlastfor five years for claims made against the insured within the five year periodandreportedtotheinsurerwithin60daysaftertheendof the policy period. 43 UNDERSTANDING THE CLAIMS-MADE POLICY The claims-made insurance policy provides financial protection for all claims presented during thecurrent policy year,providing theclaim occurred aftertheprioracts date. To understand theclaims-madepolicy,wewilldefine: Current Policy Year: Thepolicyyearbeginsontheeffectivedateshownonthepolicyandexpiresontheexpiration dateallshownonthepolicy.The policy's effectiveandexpirationdateschangewithyearly renewalofthepolicy.Theprioractsorretroactivedateremainsthesame,soyouareprotected forincidentsthatoccurredprioryearsbythecurrentpolicy. Prior Acts or Retroactive Date: Thisisthedate(shownonyourpolicy)thatdictatesifaclaimiseligibletobecovered.Any claimoccurringafterthisdate,presented duringthecurrentpolicyyear,areeligibleforcoverage byyour current policy. Supplemental Extended Reporting Period (Tail Coverage): Shouldthepolicybecanceledor non-renewed,youareentitledtopurchaseinsuranceprotection foranyclaimswhichmaybeafterthe cancellation date.Thepremiumchargedforthis insurance isbaseduponthenumberofyearsyouhavebeeninsured(prioractsyears)andthelimits purchased. 44 AUTOMOBILE DEFINITIONS Liability Coverage Theliability coverage ofthe commercial autopolicyprovides protection against legal liability arisingoutofthe ownership, maintenance,oruseofanyinsuredautomobile.The insuring agreementagreestopay damages forbodilyinjuryorpropertydamage forwhichtheinsuredislegallyresponsiblebecauseofan automobile accidentresultingfromtheownership,maintenance,oruseofa coveredauto.Theinsuringagreementalsostatesthatinadditiontothe paymentofdamagesforwhichtheinsuredislegallyliable,theinsurer alsoagreestodefendtheinsuredforalllegaldefensecost.The defense cost isin addition tothe policy limits. Owned Automobiles Coverstheliabilityarisingoutofthe ownership,maintenance oruseof automobiles. Personal Injury Protections Coverage isincludedforvehicle passengers under No-Fault Law provisions. Medical Payments "Coverage Theinsuringagreementstatesthattheinsurerwillpayall reasonable andnecessarymedicalandfuneral expenses incurredbyaninsured because of bodilyinjurycausedbyanaccident.Theinsuredisthe namedinsured,theinsured'semployeesandguests,andanyother person occupying a covered auto.These payments aremade without regard tofault. Uninsiired/Underinsur ed Motorists Protectsinsuredswhoarenotcontributorilynegligentagainstbodily injurycausedbynegligentunderinsuredoruninsureddriversandhit- and-run motorists. ;Hired Automobiles .Coverstheliabilityfortheuseofhiredautomobilesinyour business. Non-Owned ,Automobiles Coverstheliabilityfortheuseof non-owned automobiles inyour business.Anexamplewouldbeanemployeeusinghisowncaronan errand for you. .Comprehensive Paysforlossofordamagetoautomobilesfromperilsotherthan collision. ,Collision •i —TT^'•>•' Paysforlossofordamagetoautomobilesfromcollisionwithanother object orupset. ..\Rental;, Reimbursement '. '<- Thebusinessautopolicyprovidesacoverageextensionifanautois insuredfor comprehensive or specified causeofloss coverage,which insures against lossofuseofa covered auto onlyiftheautoisa private passengertypeautoandis stolen.The coverage extensionpaysuptoa dailylimitof$10anda maximum limitof$300.Payments begin forty-eighthoursafterthetheftandendswhentheinsuredautois returned orwhenthe insurer has paid the insured fortheauto.For broadercoverage,theinsuredcanpayanadditionalpremiumforrental reimbursement coverage.Rentalreimbursementpaysthecostof rentingasubstituteautofor replacement ofanycoveredautothathas sufferedacoveredloss.Thedailyandmaximumlimitforthis coverage varies among insurers. 45 /:'•;5--' COVERED AUTO DESIGNATION SYMBOLS Any "Auto" Owned "autos"only.Only those autosyou own (andfor liability coverage any trailers you don't own while attached topower units you own.)This includes those "autos" you acquire ownership of after the policy begins. Owned Private Passenger "Autos" Only.Only the private passenger "autos"youown.This includes those private passenger "autos"you acquire ownership ofafterthepolicy begins. Owned "Autos"otherthanprivate passenger "autos"only.Only those autos you ownthatarenotofthe private passenger type(andfor liability coverage any "trailers"you don't own while attached topower unitsyouown.)Thisincludesthose autosnot of theprivatepassenger typeyouacquireownershipofafter thepolicy begins. Owned "Autos'subject to No-Fault. Onlythose "autos"youownthatare requiredtohaveNo-Faultbenefitsin the state where theyare licensed or principally garaged.Thisincludes those "autos"you acquire ownership ofafterthepolicybeginsprovided theyare required to have No-Fault benefits in the state where they are licensed or principally garaged. iff. 46 Owned "autos"subjecttoa compulsory uninsured motorists law.Onlythose "autos"you own that because of the law inthestate where theyare licensed or principallygaragedarerequiredtohave andcannot reject Uninsured Motorists coverage.This includesthose "autos" youacquireownershipofafterthe policy begins provided theyare subject to the same state uninsured motorists requirement. SpecificallyDescribed"autos".Only those autos described in ITEM THREE of the Declarations for which a premiumchargeisshown(andfor liability coverage any "trailers"you don't own while attached toanypower unit described in ITEM THREE.) Hired "Autos"Only.Onlythoseautos youlease,hire,rentorborrow.This doesnot include any "auto"youlease, hire,rentor borrow fromany of your employees orpartnersor members of their households. Non-Owned "Autos"Only.Onlythose "autos"youdonotown,lease,hire,rent or borrow that are used in connection withyourbusiness.This includes "autos"owned byyouremployeesor partners ormembersoftheirhouseholds butonlywhileusedinyourbusinessor yourpersonalaffairs. CRIME DEFINITIONS Employee Dishonesty Forgery or Alteration Theft,Disappearance & Destruction Employee dishonesty is considered tobeacriminalact committed byanemployeeactingaloneorincollusion with others.There must be intent bythe employee to cause the employer alossandtoobtaina financial benefitforthe employeeorsomeoneelse.Coverageisprovidedfor dishonestactsofemployeesofthenamedinsuredonly. Coverageinsuresagainstlossofmoney,securities,and propertyotherthanmoneyandsecurities.Theblanket formprovidescoveragefordishonestactsofallemployees. Thelimitfor blanket coverage appliesperloss,regardless ofhowmanyemployeesareinvolved.Thescheduledform providescoverageonlyforthedishonestactsofemployees specificallylistedinthepolicy.Onthescheduledform,a separatelimitappliestoeachemployeelistedonthe schedule. Forgeryisgeneratingadocumentorsignaturethatisnot genuine. Alterationis changing a document ina manner thatis neither authorized nor intended. This form insures against losscausedbythe forgery or alterationofa covered itemdrawnagainsttheinsured's accounts.A covered item might bea check,draft, promissory note,bill of exchange or similar instrument. Theftmeansanyactofstealing. Disappearance is unknown causesofloss.Disappearance lackstheelementsofknowingifthecrimewasatheft, burglaryorrobbery. Destruction isthelossofcertain property,itis usually the result of another cause of loss. Section(1)oftheformcovers money and securities againstlossbytheft,disappearance,ordestructioninside the premises.Section(2)coversmoneyand securities outsidethepremisesincareandcustodyofamanager. 47 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")donot certify,warrant or guarantee the financial soundness or stability ofany 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 entityor otherwisepredictwhetherthe financial conditionofanysuchentity might improveor deteriorate,wearehereby providingyouwithnoticeand disclosure of financial conditionsothatyoucanmakean informed decision regarding theplacementofcoverage.Accordingly,with receipt ofthisnoticeyouacknowledgethefollowingwithregardto the placement andanysubsequentrenewalof the coverageindicatedbelow: •Brown&Brown attemptedtopresent otheroptionsforyourinsuranceplacement,including quotations withinsurancecarriersholdingan "A-"orbetterratingfromA.M.BestCompany,but wewere unable to securesuchaquote. •Coverageisbeingplacedthrough Preferred Governmental Insurance Trust ("Preferred"),whichisasa Floridalocalgovernmentself-insurancefundestablishedpursuanttoSection624.4622,FloridaStatutes,as such Preferred isnotratedbytheA.M.BestCompany. •Preferred isnotsubjecttotheprotectionsaffordedbyanystateguarantyfundorassociation. •Thefinancialconditionofinsurancecompaniesandothercoverageprovidersincludinglocalgovernment self-insurancefundslike Preferred maychangerapidlyandthatsuchchangesarebeyondthecontrolof Brown &Brown. •You should reviewthe financial and membership information from Preferred andagreetoabidebythe conditions of membershipestablishedby Preferred. •Youshouldconsidertheinformation provided,includingthe Preferred coveragequoteand coverage placementandreviewitwithyouraccountants,legalcounselandadvisors. By:[NAMEOFAUTHORIZEDREPRESENTATIVEOFINSURED] Named Insured:City of South Miami Policy Number:PKFL1013202U304 Policy Period:10/01/15 TO 10/01/16 Date of Notice:09/15/2015 *AM.Best Rating Guide:Rating forStability:A++toD =Highest tolowest rating Ratingfor Assets/Surplus:15to1-Largesttosmallestrating 48 Insured: Correction: City of South Miami Insurance Coverage Review ,Term: Addl Named Insured: 10/01/15-10/01/16 Please advise if quotations for increased limitsof liability orforany coverage listedbelowarerequested: E=Exposure;C=Coverage through Brown&Brown;Q=Quote for Uncovered Exposure E C Q PROPERTY Y/N Y/N Y/N Buildings Business Personal Property Personal PropertyofOthers Tenants Betterments&Improvements Business Income Exfra Expense t Leaseholders Interests Boiler&Machinery(EquipmentBreakdown) BuildingOrdinanceorLaw A.Loss toUndamagedPortionof Bldg B.DemolitionCost C.Increased Costof Construction Earthquake Rental Income Difference inCondition Flood (Primary) Flood(Excess) Wind Off Premises PowerInterruption Overhead Transmission Lines Glass Spoilage AUTOMOBILE Auto Liability DriveOtherCar Liability DriveOtherCarPhysicalDamage Hired/NonOwned Liability HiredCarPhysicalDamage PIP:ExtAdditional,Broad Rental Reimbursement(PPT) Rental Reimbursement (Com.Vehicle) Uninsured Motorist (Primary) Uninsured Motorist (Excess) Garage Liability Garage keepers Liability Garage DealersPhysicalDamage Truckers Liability Un-laden Liability TruckersPhysicalDamage TrailerInterchange CRIME EmployeeDishonesty(1stParty) EmployeeDishonesty(3rdParty) ERISA Bond Forgeryor Alteration FiduciaryLiability Money&Securities BONDS Bonds (describe) This list ofinsurance coverage is for information purposes only and is not meant tobeacomplete list for all your insurance needs.The above analysis isbased solely on informationprovidedbytheclient. InsuredRepresentative E CQ LIABILITY Y/N Y/N Y/N General Liability Directors&Officers Liability E Commerce/E-8usiness Liability Employee BenefitsLiability Liquor Liability Employment Related Practices Liabflity ThirdParty Discrimination Errorsor Omissions Liability Owners/Contractors Prot Liability Pollution Liability (1slParty) Pollution Liability (3*Party) Products Liability Product Recall Professional Liability WarehouseLegal Liability Watercraft Liability Umbrella/Excess Liability INLANDMARINE Accounts Receivable Valuable Papers BaileeCoverage Computer/EDP ContractorsEquipment Signs Installation Floater Mobile Equipment Rented/LeasedEquipment Motor TruckCargo Transit/Transportation Builders Risk/COC OceanCargo WORKERS COMPENSATION WorkersCompensation Other States USL&H Jones Act StopGap Liability Excess Employers Liability AIRCRAFT Avialion-Owned Aviation-Non-Owned MISCELLANEOUS International/Foreign Exposures Kidnap &Ransom Travel Accident Credit Insurance Mold/Fungi EIFS Terrorism Subsidence Date*PlaceCompletedwith Insured Brown&8rownRepresentativeSignature Comments:(maybecontinuedonreverse) PreparedbyBrown&BrownInsurance -Rev 01.01.11 49