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Res No 151-15-14490RESOLUTION NO.151-15-14490 A Resolution authorizing theCity Manager to purchase Public Officials and Employment Practices LiabilityInsurance. WHEREAS,the City,through its Agent of Record,Brown &Brown,solicited insurance quotes for Public Officials and Employment Practices Liability Insurance. WHEREAS The City received a renewal quote from ACE for the continuation of the existing coverage,but received no other proposals for the necessary coverage WHEREAS,the City Administration recommends thatthe City renew its coverage with ACE for Public Officials and Employment Practices Liability Insurance for the 2015-2016 Fiscal Yearbaseduponthe current proposal; NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF SOUTH MIAMI,FLORIDA THAT: Section I.The City Commission hereby authorizes the City Manager toexecutethe insurance policy for Public Officials and Employment Practices Liability Insurance with ACE for the 2015-2016 Fiscal Year. Section 3.This resolution shall take effect immediately upon adoption. PASSED ANDADOPTEDthis24 th day ofSeptember,2015. ATTEST: CITY CLERK READ AND APPROVEDAS TO FORM, LANGUAGE LTCAlItY, EXECJ^eHpTHEREOF: <{hy>^&*tJ)a > APPROVED: COMMISSION VOTE:4-0 MayorStoddard:Yea ViceMayor Harris:Absent Commissioner Welsh:Yea Commissioner Liebman:Yea Commissioner Edmond Yea South'Miami THECITYOFPLEASANTLIVING CITY OF SOUTH MIAMI OFFICEOFTHE CITY MANAGER INTER-OFFICE MEMORANDUM TO:The Honorable Mayor &Members ofthe City Commission From:Steven Alexander,CityManager Date:September 15,2015 Agenda Item No.:3. Subject: Background: 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 Insurancecoveragefor FY 2015-2016from carrierscurrently writing municipal business inSouth Florida.The followingtablesummarizes the responsesreceived. FMIT INSURANCE DESCRIPTION FMIT Property Coverage $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 Prooertv.Auto and General Liability SubTotal $451,153 Workers Compensation $186,124 FMIT Total Premium $637,277 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 Crime and BondCoverage 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 TotalPremium $588,652 PUBLIC OFFICIALS &EMPLOYMENT PRACTICES LIABILITY In additiontothepackagequotationssummarizedabove,the City receivedanindependentquoteforits Public Officials &Employment Practices Liability coverage.Both FMIT and PGIT declined to quote this line of coverage. ACE American Insurance Description Total Premium Limit of Liability $1,000,000 Deductible/SIR EachClaim: Public Officials/Public Entity Liability -$100,000 EmploymentPractices Liability -$150,000 ZoningClaims-$250,000 $50,887 THE CITYOF PLEASANT LIVING CITY OF SOUTH MIAMI Qm itWfMiami OFFICE OF THE CITY MANACERDUUUI/Ylldl III INTER-OFFICE MEMORANDUM Recommendation: Workers'Compensation Policy After further negotiations withinthelastweek,wewereable to reduce the original FMIT proposal by $13,455.The City Managerrecommends thatthe City renewits Workers'Compensation policy with FMIT fora totalpremiumof $186,124.The City continuesto receive thecompany's preferredratingbecauseofthecontinuingcoverage,includinga5% credit foritsDrugFreeWorkPlacepolicy and an additional 2%credit for its newly created Safety Policy.This year's renewal represents a decrease of approximately 13%overlast year's premium. Property,General Liability and Automobile Insurance The City Manager recommends that the Cityrenewitspolicywith PGIT foritsProperty,General Liability andAutomobileInsurancecoveragefor a total premium of $399,888.This represents an increase of approximately3.8%overlastyear'spremium.This increaseislargely attributable tothe addition of several new vehicles tothe City's inventory.Assetforthabove,the PGIT proposal contains the most favorable ratesfortheselinesofcoverageandoffersatwoyearrate guarantee. Public Officials and Employment Practices Liability The City Manager further recommends thatthe City renew its policy with ACE American Insurance Company forthe Public Officials and Employment Practices Liability policy fora premium of $50,887. \#\CITY OF SOUTH MIAMI SOUthrMarrii office of the city manager the city of pleasant living INTER-OFFICE MEMORANDUM Amount:The breakdown ofthe total premium costs for all lines of insurance is set forth below: Actual Proposed FY 2014-FY 2015- 2015 2016 FMIT Workers'Compensation $214,533 $186,124 PGIT General Liability,Property &Automobile $385,086 $399,888 ACE Public Officials and Employment Practices $49,136 $50,887 Total Premium $648,755 $636,899 ATTACHMENTS:Proposed Resolutions Proposal Package from FMIT Proposal PackagefromBrown&Brown 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 productsandservicestocorporate,institutional,professionalandindividual clients.Headquartered inDaytona Beach and Tampa,Brown&Brown is publicly tradedontheNew York Stock Exchange (BRO)andhasbeen included in Forbes9 list of the"200BestSmallCompaniesinAmerica".Thecompanyhandles clients' premiums in excess of 12 Billion annuallyandhasin excess of 6,500 employees. We have insurance professionals who specialize in evaluating and protecting your personal assets -home,auto,watercraft and life. Wealsohavean experienced employeebenefitsdepartmentwhocanassistyou withgrouphealth,disability,lifeand dental Whilesizeisnotthesolecriteriaforchoosinganinsuranceagent,itdoesenableus toofferourclientscloutinthemarketplaceandunmatchedservicecapabilities. Please feel free to visit our website at www.bbinsurance.com Thisproposalcontainsonlyageneral description ofthecoverage(s)anddoes notconstituteapolicyorcontract.Pleaserefertoyourpolicyfortheactual termsand conditions.Inthe event of a difference,the policy willprevail. Policyformsareavailableuponrequest.ThisProposalisbaseduponthe exposuresmadeknowntothisAgency;anychangesintheseexposuresshould bereportedpromptlytoBrown&BrownofFlorida,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 ju rbina @bbmia.com rown "(Si- row n insurance! 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 IL 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 Official/Employment PracticesLiability IV.Summary V.Illustrations and Definitions SCHEDULE OF NAMED INSUREDS City of South Miami Thislistincludesallofthenamedinsured'swepresentlyhaveonyour policies.Shouldany revisions tothislistingberequired,please notifyourofficeimmediately. 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,perattachedschedule $22,690,710 ValuesInsuredareUltimately Chosen bythe Client.Inview ofthe continually changingcost of construction andbuildingmaterials,westronglysuggestthatyoureviewyourpropertyvaluesannually. ANY changes inthe occupancy ofaninsuredlocation shouldbe reported toouroffice immediately. Changesinoccupancycan potentially reduceornegatethecoverage afforded byyour property policy. Description of Coverages Proposed: Policy Form: Building&Personal Property Coverage Form-Special Causes of Loss: SpecialForm:ExcludingEarthquake/EarthMovement Coinsurance: Building&PersonalProperty:N/A Valuation: Replacement Cost Flood Limit: PerOccurrenceandAggregate:$1,000,000 Excess of NFEP Whether Purchased or Not PROPOSED PROPERTY COVERAGE Continued Property Extensions of Coverage: Forafull description ofterms,definitions and conditions,please refer tothe policy documents. Limit Coverage 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 PersonalPropertyofEmployees Pollution CleanupExpense Preservation of Property Recertification ServiceInterruptionCoverage Transit Errors and Omissions Vehicle PropertyCoverage $250,000 $100,000 $1,000/$5,000 $500,000 $250,000 $500,000 $55,000 $25,000 $10,000/$20,000 $25,000 $2,000,000 $25,000/$50,000 $25,000/$50,000 $250,000 $10,000 $100,000 $250,000 $250,000 $0 PROPOSED PROPERTY COVERAGE Continued... Deductible: All Other Perils:$2,500PerOccurrence -Building&Contentsand ExtensionsofCoverage Named Windstorm:5%PerOccurrence-Subjectto $15,000 Minimum Flood:$2,500PerFloodexceptzonesA,Vexcess of NFDP,whether purchased or not Coverage Enhancements: Boiler &Machinery $22,690,710 NOTE:Detachedwalls,fences,radioandTV antennas,trees,shrubs,plantsfree-standingproperty improvements such as athletic equipment,windscreens,lightpoles,satellite dishes orsignsare notcoveredunless 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 •Ordinance orLaw-Limited per Extensions of Coverage Note:ThePGIT property program isa shared limit.The limits purchased areaper occurrence limitandintheeventan occurrence exhausts thelimit purchased by PGIT onbehalfofthe members,payment to you fora covered loss will be reduced pro-rata based onthe amounts of covered lossbyall members affected bythe occurrence. WINDSTORM &HAIL DEDUCTIBLE SAMPLE ILLUSTRATION FLATDEDUCTIBLE vs.PERCENTAGE Windstorm and Hail Deductible This deductible wouldapplytoaclaimfordamagecausedby windstorm. Building Replacement Cost Flat Ded.2%Ded.3%Ded.5%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 Percentage wind deductibles are calculated asa percentage ofthe total replacement value. The deductible forallother perils applies toan "occurrence",notper building. 005 SCHEDULE OF COVERED PROPERTY Oescnption Address Roof shape Auto inspection Station 5907 S.w.70tfi street SOUTHMIAMI,FL 33143 Flat caa head start center 6125 SW 68 STREET SOUTHMIAMI,FL 33143 Hat Puttk worts Office Building <7*5 s.w.75th Avenue SOUTHMIAMI,FL 33143 Hip Storage/Motor Poo4Office 4795 S.W.75th Avenue SOUTH MIAMI,FL 33143 Flat SolidWasteBldg -5Bay shop 4795 S.W.75th Avenue SOUTHMIAMI,FL 33143 Shed City Garage 4795 s.w.75th Avenue SOUTH MIAMI.FL 33143 Flat City'sRepairShop 4795 s.w.75th Avenue SOUTHMIAMI,FL 33143 Unknown PoliceStorageBldg 47*5 S.w.75th Avenue SOUTHMIAMI,FL 33143 Flat Roof Pitch rut Hat LOW (<10) Low(<10) Low (<10) Unknown hat OanteB.Fascetl Park/Tennis ProShop a Restroom Bldg 8600 RED ROAD SOUTHMIAMI,FL 33143 Flat Oante B.Fascetl Park•2 Gazebos 8600 RED ROAD SOUTH MlAMIr FL 33143 Pyramid Medium{10to30) TeanSnlt Const Type ~sr Term Date iSSBingvSIue" Contents Value Total Insured Value Roofcoverng I Covering Replaced IRoofYr Bit $44,000 $44,0OC Tar and Gravel 1970 10/01/2017 $471,200 $5,467 $476,6*7 Builtuproof w/out gravel $231,200 $7,318 $288,51* Tar and Gravel $54,000 $54,00C $0 Built-up Tar a Gravel $185,250 $18$,25C $0 Tar and Gravel $560,500 50 $560,50C Tar and Gravel $63,000 $59,267 $122,267 Unknown 10/01/2017 $18,900 $0 $18,90C Built-upTar a Gravel 131-FR 10/01/2015 10/01/2017 $95,680 $0 Built-upTarftGravel $95,88C 152-NC AsphaltShingle $65tooo $0 $65,00C 10 SCHEDULE OF COVERED PROPERTY Continued Unit* Description Year Built ^rfTSte™Building Value Total insured value 1 Address Const Type Terra Date Contents Value Roof Shape |Roof Pitch RoofCovering covering Replaced |Roof Yr Bit 011 Dante B.Fascell Park-6HarTru Tennis Courts ($6,500 8600 RED ROAD SOUTH MIAMI,FL 33143 10/01/2015 $123,500 $123,500 152-NC 10/01/2017 $0 N/A N/A N/A 012 Dame B.FacsettPark/Playground ($6,500 Contents 8600 RED ROAD SOUTHMIAMI,FL33143 10/01/2015 $104,000 $104,000 102 -PITO 10/01/2017 $d N/A N/A N/A 013 DanteB.FascetlPark-2 Racquetball Courts 8600 RED ROAD SOUTHMIAMI,FL 33143 10/01/201S $28,665 $28,663 111 -MNC 10/01/2017 $o N/A N/A N/A 014 Dante B.Fascell Park -1 Basketball court 8600 RED ROAD SOUTHMIAMI,FL 33143 10/01/2015 $13,000 $13,00C 111 -MNC 10/01/2017 $0 N/A N/A N/A 015 Dante a.Fascell -1 Tiki nut 8600 RED ROAD SOUTHMIAMI,FL 33143 10/01/2015 $10,000 $1O,00Q 119 -JM 10/01/2017 $0 unknown 1 Unknown Unknown 016 DanteB.Fasceii Community Storage 8600 RED ROAD SOUTHMIAMI,FL 33143 1967 10/OJ/2O15 $63,000 $63T00C 131 -FR 10/01/2017 $0 Hat I Hat Built-upTarftGravel 017 FuchsParkPavilion($4550 contents included) 6445 SW 81 STREET SOUTHMIAMI,FL 33143 1995 10/01/2015 $31,000 $35,550 101 •Frame 10/01/2017 $4,550 Hip Medium <io to30)Asphalt shingles 018 Fuchs Park -Bathroom 6445 SW 81 STREET SOUTHMIAMI,FL 33143 10/01/2015 $84,000 $84,000 119 -JM 10/0W2O17 $oJ Flat Flat Unknown 019 FuchsParkPlaygrounda SwingSets 6445 SW 81 STREET SOUTHMIAMI,FL 33143 10/01/2015 $70,769 $70,76«J 119-JM 10/01/2017 $0 N/A N/A N/A 020 Palmer Park -FieldStorageBuildvtg 6445 SW 81 STREET SOUTHMIAMI,FL 33143 1977 10/01/2015 $45,500; 152-NC 10/01/2017 $0 Flat Flat Built-upTarftGravel 11 on 024 025 030 SCHEDULE OF COVERED PROPERTY Continued Description Address ^5rT3Ht Term Date contents vatue Total insured Value Roof shape Roof Pitch const Type Roof Coverng covering Replaced Roof Yr Bit PalmerPark Football storage Bldg 6701 SW 67TH AVENUE SOUTHMIAMI,FL 33143 Flat PalmerParkFootballStorageRoom 6701 SW 67TH AVENUE SOUTHMIAMI,FL 33143 Flat Palmer Park Field House 610O SW 67TH AVENUE SOUTHMIAMI,FL 33143 Flat Flat Hip Low(<10) PalmerParkPlayground 6701 SW 67TH AVENUE SOUTHMIAMI,FL 33143 PalmerPark/1200 FT Of 5FTHighFence 6701 SW 67TH AVENUE SOUTHMIAMI,FL 33143 N/A PalmerPark-Restroom Bldg 6701 SW 67TH AVENUE SOUTHMIAMI,FL 33143 Flat Palmer park -1000 ft of lOFTHnJn 6701 SW 67TH AVENUE SOUTH MlAMJ,FL 33143 Palmer Park-concession Bldg 6701 SW 67TH AVENUE SOUTH MIAMI,FL 33143 Flat office /Police substation 6900 SW59TH PLACE SOUTH MIAMI,FL 33143 Flat BrewerPark-2 Racquetball Courts 6300 SW56TH STREET SOUTHMIAMI,FL 33143 Flat Flat 1995 119-JM 119-JM 12 $75,000 $45,730 $120,730 Built-upTarftGravel 10/01/2015 10/01/2017 $33,000 $19,500 $52,500 Built-upTarft Gravel 10/01/2017 $115,620 $9,147 $124,767 Asphalt Shingle $26,000 S26.00C $0 10/01/2017 $13,000 $0 $13,00t $16,900 $0 $16,90C 10/01/2017 $84,600 $0 $84,600 Built-upTarftGravel 10/01/2017 $54,000 $0 $54,Q0C Built-upTarftGravel $0 $28,665 10/01/Z017 $28,665 Built-upTarft oravel 10/01/2015 so $28,66! SCHEDULE OF COVERED PROPERTY Continued unit* Description Year Built ^JRite™Buiidmg Value Total insured value Address Const Type Term Date contents vatue Roof Shape |Roof Pitch RoofCovering |Covering Replaced ]RootYr sic 031 Brewer Park -1 n Basketball Court 6300 SW 56TH STREET SOUTH MIAMI,FL 33143 10/01/2015 $13,000 $13,00C 119-JM 10/01/2017 $0 N/A N/A N/A 032 BrewerPark-PlaygroundandSwingSet 6300 5W 56TH STREET SOUTHMIAMI,FL 33143 10/01/2015 $34,125 $34,12! 152-NC 10/01/2017 SO N/A N/A N/A 033 Brewer park -2 Tennis court.* 6300 SW 56TH STREET SOUTHMIAMI,FL 33143 10/01/2015 $52,000 $52,000 119-JM 10/01/2017 $0 N/A N/A N/A 034 BrewerPark-460FT Of10FTHighFence 6300 SW 56TH STREET SOUTH MIAMI,FL 33143 10/01/2015 $7,800 $7,800 102 -prro 10/01/2017 $c N/A N/A N/A 035 Brewer Park-360FTOf5FTHighFence 6300 SW 56TH STREET SOUTHMIAMI,FL 33143 10/01/2015 $J,9W $3,9W 102 -prro 10/01/2017 $0 N/A N/A N/A 036 Murray Park•2 shade Structures 5800 SW 66 STREET SOUTHMIAMI,FL 33143 10/01/2015 $2,000 $2,00C 119-JM 10/01/2017 $0 N/A N/A N/A 037 MurrayPark/Community Center 6701 SW 58 PLACE SOUTHMIAMI,FL 33143 1985 10/01/2015 $360,000 $360,000 tit -MNC 10/01/2017 $0 Pyramid Medium(10to30)Metal 038 Hope Butler Activity Center 6701 SW 58 PLACE SOUTHMIAMI,FL33143 1985 10/01/2015 $271,680 $271,680 119 •JM 10/01/2017 SO Pyramid Medium (io to 30)Metal 039 Office/Police Substation 5975 SUNSET DRIVE SOUTHMIAMI,FL 33143 10/01/201$$0 $32,50C 119-JM 10/01/2017 $32,500 Unknown Unknown unknown 040 City Hall/Police 6130 SUHSET DRIVE SOUTHMIAMI,FL33143 1956 10/01/2015 $3,83?,9O0 $4,235,372 119 -JM 10/01/2017 $395,472 Flat Flat Built-upTarftGravel 2005 13 SCHEDULE OF COVERED PROPERTY Continued Unrtff Description Year Built TSRSe™Building value Total insured Vatue Address Const Type Term Date Contents Value Roof Shape |Roof Pitch Roof Covering 1 Covering Replaced |Roof Yr Bit 041 Silva MartinBldg 6130 SUNSET DRIVE SOUTH MIAMI,FL 33143 1935 10/01/2015 $420,180 $476,880 119 -JM 10/01/20I7 $56,706 Hip I Medium (10 to 30)Asphalt Shingle 2000 042 SouthMiami Comm Center /Oym 5800 SW 66 STREET SOUTHMIAMI,FL 33143 2003 10/01/2015 $3,218,560 $3,606,560 111 -MHC 10/01/2017 $390,000 Flat IFlat Built-up TarftGravel 2003 043 Jean Willis Park /Gazebo 7220 SW 61ST COURT SOUTHMIAMI,FL 33143 10/01/2015 $19,500 $19,500 10/01/2017 $0 Pyramid Medium (io to 30)Asphalt Shingle 044 Marhsall Williamson Park /Gazebo 6121 SW 68 STREET SOUTHMIAMI,FL 33143 10/01/2015 $65,000 $65,000 152 -NC 10/01/2017 $0 pyramid Unknown Asphalt shingle 045 MarshalWilliamsonPark/PlaygroundandSwing Set 6121 SW 68 STREET SOUTHMIAMI,FL 33143 10/01/2015 $32,500 $32,500 102 -PITO 10/01/2017 SO N/A N/A N/A 046 Marshal Williamson Park /3 Benches 6121SW68STREET SOUTHMIAMI,FL 33143 10/01/2015 $1,170 $1,170 102-prro 10/01/2017 $0 N/A N/A N/A 047 Marshall Williamson Park -2 Tennis Courts 6121 SW 68 STREET SOUTHMIAMI,FL 33143 10/01/2015 $52,000 $52,OOC 111 MHC 10/01/2017 $0 N/A N/A N/A 048 All America Park /3 Picnic Tables 6820 SW 64 AVENUE SOUTHMIAMI,FL 33143 10/01/2015 $7,000 $7,000 102 -prro 10701/2017 $0 N/A N/A N/A 049 Girl Scout Property 6609 SW 60 STREET SOUTHMIAMI,FL 33143 1965 10/01/2015 $234,060 $234,060 119-JM 10/01/2017 $c Kip Medium (10 to 30)AsphaltShingle 050 ParkingGarage 5829 s.w.73 Street SOUTHMIAMI,FL 33143 1000 10/01/2015 $8,435,52<) $8,435,520 J 131 -FR 10/01/2017 U Flat Flat Concrete Tile 14 SCHEDULE OF COVERED PROPERTY Continued Unit* Description Year Built TJHSte™Building value Total insured Value 1 Address Const Type Term Date Contents Vatue Roof Shape [Roof Pitch Roof Covering Covering Replaced Roof Yr Bit 051 Dison Park •Picnic Table SW 58TH AVEftSW80ST SOUTHMIAMI,FL 33143 10/01/2015 $2,000 $2,000 102 -PITO 10/01/2017 $0 H/A N/A N/A 052 Dison Park -Gazebo SW 58TH AVEftSW 80 ST SOUTH MIAMI,FL 33143 10/01/2015 $25,000 $25,000 152-NC 10/01/2017 $0 pyramid Medium (10to30)Asphalt Shingle 053 Marshall Williamson Park/4 Picnic Tables 6121 SW 68 STREET south Miami,FL 33143 10/01/2015 $3,120 $3,120 102 -PITO 10/01/2017 $0 N/A H/A N/A 054 POLICE SUB STATION 6726 SW 59 PUCE SOUTHMIAMI,FL 33143 1980 10/01/2015 $0 $26,000 119 -M 10/01/2017 $26,000 Flat Flat Tar and Gravel 055 BUS SHELTER NSIDEOFSUNSET DR &APPROX SW 60 AVE SOUTH MIAMI,FL 33143 10/01/2015 $50,000 $5O,Q0C 152-NC 10/01/2017 $0 Unknown Unknown Unknown 056 BUS SHELTER NSIDEOF SUNSET OR APPROX 100 FTWOFSW 67 AVE SOUTHMIAMI,FL 33143 10/01/2015 $50,000 $50,000 152-NC 10/01/2017 $0 Unknown Unknown Unknown 057 BUS SHELTER SSIDEOF SUNSET OR APPROX 100 FTEOFSW67AVE SOUTHMIAMI,FL 33143 10/01/2015 $50,000 $50,000 152-NC 10/01/2017 $0 Unknown Unknown Unknown 058 BUS SHELTER S SIDE OF SUNSET DR*S MfAMI CITY HALL SITE(6130 SOUTHMIAMI,FL 33143 10/01/2015 $50,000 $5O,00C 152-NC 10/01/2017 so Unknown unknown Unknown 0S9 BUS SHELTER E SIDE OFSW 62 AVEft APPROX SW 67 ST SOUTHMIAMI,FL33143 10/01/2015 $50,000 $50,OOC 152-NC 10/01/2017 $0 Unknown Unknown unknown 060 MurrayParkPool,SplashPool,Restroom 6121 S.W.68th Street South Miami,FL 33143 2014 10/01/2015 $1,384,411 $1,384,411 119 -JM 10/01/2017 $0 Flat 2014 15 067 SCHEDULE OF COVERED PROPERTY Continued Description Address Roof Shape 10x10 Tiki Hut 6380 SW 76 street South Miami,FL 33143 wood Fence 6380 SW 78 Street South Miami.FL 33143 MiniDog Waste Station 6380 sw 78 street South Miami,fl 33143 Water Fountain 6380 SW 76 Street South Miami,FL 33143 MessageBoard 6380 SW 78 Street South Miami,FL 33143 Dog park Rules sign 6380 sw 78 Street SouthMiami,FL 33143 DogPlayEquipment obstacles 6380 SW 78 Street SouthMiami,fl 33143 wood Double oate enclosure 6380 SW 78 Street South Miami,FL 33143 Roof Pitch Const Type 2015 2015 251 - Pump/Lift Station 2015 102 -prro 16 w nldrngValu contents value Total insured Value Roof covering covering Replaced Roof Yr Bit Total: $3,460 $0 $1,169 $0 $234 $3,000 $0 $1,013 $0 $65 ~~$0 $3,377 $0 $4,475 $0 $3,460 $1,169 $234 $3,000 $1,013 $65 $3,377 $4,475 $21,610,368 $1,080,342 I $22,690,710 SCHEDULE OF COVERED PROPERTY PROPOSEDINLAND MARINE COVERAGE Insurer:Preferred Governmental Insurance Trust Description of Property:Values of Insurance: Parking Meter Equipment -Blanket Unscheduled $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 Electronic Date Recognition Asbestos 17 PROPOSED CRIME COVERAGE Insurer:Preferred Governmental Insurance Trust Type of Policy: Combination Crime Limits of Coverage: Employee Dishonesty Incl.Faithful Performance $1009000 Per Loss Coverslossofmoney,securitiesandotherpropertybyemployee dishonesty atall premises of the insured. ForgeryorAlteration $100,000 Coverslossbyforgeryoralterationofchecks,drafts,and promissory notes (except byan employee)thataremadeordrawnbythe insured or hisagent. ComputerFraudIncludingFundsTransferFraud$100,000 Coversagainsttheftofmoney,securities,orpropertybyusinga computer totransfercoveredpropertyfromtheinsured'spremisesor banktoanotherpersonorplace.Nocoverageisprovidedfortheftof information orfor computer vandalism. Theft Disappearance orDestruction $10,000 Other Coverages Available: 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: 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 General Aggregate Products/Completed Operations Included PersonalInjury&Advertising Included Any One Person or Injury Organization DamagetoPremises Included Any OneFire Leased/Rented to You BodilyInjuryandProperty N/A Per Occurrence Damage Deductible Higher Liability Limits may be Available Upon Request Exposure Basis: Class Basis Amount Municipality Payroll$4,058,046 Be sure toget 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 Sewer Backup and Water Damage Limit -$10,000/$200,000 Exclusions include but are not limited to: •Pollution •Asbestos •Mold •Fungus,Bacteria •Lead •Nuclear •Medical Payments •Liquor Liability •CopyrightorPatent Infringement 19 PROPOSED EMPLOYEE BENEFITS LIABILITY COVERAGE Insurer:Preferred Governmental InsuranceTrust Coverage Form: Occurrence Limits of Liability: $1,000,000 PerPerson N/A Aggregate Deductible: N/A Employee Benefits Liability: Topayonyourbehalfallsumswhichyou shall becomelegallyobligatedto payonaccount of any claim made against youbyanemployee,former employee,orthe beneficiaries orlegal representatives thereofandcausedby anynegligentact,errororomission of yours,oranypersonforwhoseactsyou arelegallyliableintheadministration of your Employee Benefits Program. 20 PROPOSED LAW ENFORCEMENT LIABILITY COVERAGE Insurer:'Preferred Governmental Insurance Trust Type of Form: Occurrence Limits of Liability: Per Person $1,000,000 Per Occurrence $1,000,000 Aggregate N/A Deductible: N/A Exposure Basis: Class Basis Amount 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&PropertyDamageLiability$1,000,000 Combined Single Limit LiabilityCoverageProvidedFor: PersonalInjuryProtection $10,000 (Florida No-Fault) Medical Payments Uninsured Motorists Non-Stacked PhysicalDamage:*Per Scheduled Vehicles Collision Comprehensive Physical Damage CoverageProvidedFor: *A11 New or Replacement Vehicles Must B< Reported Immediately soasto avoid any possible gap in coverage $Not Included $Not Included $ $ 1,000 1,000 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 ofLiabilityMayBeAvailable Upon Request Description of Vehicles: Please See Attached Schedule of Automobiles -153 Total Units 136Contain Comprehensive and Collision Coverage Enhancements: •Hired Auto Liability •Non-Owned Auto Liability •Hired Physical Damage Limit:$75,000 Subject todeductible NOTE:The vehicles listedonthispolicymustbe owned by,titledtoorleasedtotheNamed Insured. 22 VEHICLE SCHEDULE Unit*Make Model/Description Department ALEff CorapDtd CootpEfF iJ&m^;;;;::^:;;:;f;^»;v.|g;:J. Qty Year V1N#Vehicle Type ALTerm Coll Ded CoflEff CoH Valuation .TYBSin-r APDRptd 001 StroClnrTrtr 10/01/15 •:•:•£)*£&-10V0t/15 tpJOI/t?.:;;:^ij^M«^v^» 1 1987 1287 Traiter-NO 10701/17 N/A 10701/15 10701/17 nm|k 002 Recycle Truck 10/01/15 mmi 10701/15 MMM;^g,:;?:^,:;;;^ppfj 1 1990 7192 HeavyTruck 10701/17 $1,000 10701/15 lttOl/17 Actual Cash)S31.00( 003 Fori Bucket Truck 1G7D1/15 ^:...NJ&ft W*w&I0JO1/17 ^mnm::m 1 1090 411 HeavyTruck 10/01/17 N/A 10701/15 10J01/17 N/A|K 004 Truck lOD 1/15 -$$m?107*1/15 mm :Iffi;:S;r..;.,^pw 1 2001 1520 Heavy Truck 10701/17 $1,000 10701/15 10701/17 Actual Cash)$39,001 005 Pickup 10/01/15 S*JP8^10701/15 MW/t?\mm&:m§&& 1 2001 3262 LightTruck 10701/17 $1,006 10701/15 10701/17 Actual Cash $19.0iK 006 Volvo WXR64 10701/15 •lijfjp*--;"lomi/ts t(»i/i7 U^:My^\-'^;&JMl 1 2003 4V2EC0UE93N348468 Garbage Truck 10701/17 $1,000 10701/15 10/01/17 Actual Cash]$354O01 007 Trash Truck 10/01/15 :-i*Si'1070U15 «O0«ft7;£^^?i*^nMBffl 1 2006 7533 GarbageTruck 10701/17 $1,000 10701/15 10701/17 Actual Cash]$32.00( 008 Trash Crane 10701/15 tim mm mm K^-:^-':^*^ 1 2004 662 GarbageTruck 1070V17 $1,000 10701/15 10/01/17 Actual Cash]$32.00{ 000 F450 Bucket Truck 10/01/15 mmm 10701/15 10701/17 mmm%M*mm 1 2004 6749 HeavyTruck 10701/17 $1,000 10701/15 10701/17 Actual Cash]$28.O0( 010 Trailer 10701/15 mijOto::;M*fo%n$iojom;mMm^-^Mfi® 1 2004 1773 Trailer.NO 10701/17 $1,000 10701/15 10701/17 Actual Cash $10.00C Oil Ford Crown Victoria Police 107D1/15 i-^mnL 10At/15 10701/17 -:\:TM^-m:\m 1 1007 8963 Police Car 10701/17 N/A 10701/15 10701/17 N/A]SC 012 3WN Cycle 10701/15 •S*itf*t m*i*i^J/ffil-mmmmsmm» 1 2004 4182 Extra Light Service 10701/17 $1,000 10701/15 10701/17 Actual Cash)$7,60C 013 Garbage Truck Non Police 10701/15 :S*M*fr;:luVWiS *M«mT:$~w^mm 1 2004 5VCEC6LF24H200002 GarbageTruck 10701/17 $1,000 10V01/15 10701/17 Actual Cash]$35.0(K 014 Ford Crown Victoria Police 10701/15 ^iMWm iDVOVtS pDim K:v.=-UkUfiS3W» 1 2005 9246 Police Car 10701/17 $1,000 10701/15 10/01/17 Actual Cash[$10.32: 015 Sweeper 10701/15 tf^fs t07p1/i5 JWWK mm¥mm*m 1 1907 2272 HeavyTruck 10/01/17 N/A 10V01/15 10701/17 N/A V 016 Ford Ranger Pickup 10701/15 mmm lfl/Of/15 Ipl/ifc .p^yii:;^^--j:;ji|j^ 1 1007 483 LightTruck 10701/17 N/A 10701/15 10)01/17 N/AJ y 017 Ford Crown Victoria Police 10701/15 mm*WW$<mm ^.^'ki€^;*f«» 1 2005 9247 Police Car 10701/17 $1,000 10701/15 10701/17 Aetna/Cashj $19.32: 018 Pickup 10701/15 ^M-i*\#£#Rj Jffi?#&mmm^ma* 1 1908 5084 LightTruck 10701/17 N/A 10701/15 10701/17 WA|K 019 Ford Crown Victoria Police 10701/15 %ii$&M worn ###*Vr -i^aMtltpaa 1 2006 9249 PotioeCar 10701/17 $i!ooo 10701/15 10701/17 Actual Cashj $19.32; 020 Ford Crown Victoria Police 10701/15 S3M$#i ffi)l$$l i*$W mm>mmm 1 2005 9250 Police Car 10/01/17 $1,000 10701/15 10701/17 Actual Cash]119.32; 021 Ford Crown Victoria Police 10701/15 m<m 1070^5 %aNMffs 1 1998 7545 Police Car 10/01/17 N/A 10701/15 10701/17 WA|U 23 VEHICLE SCHEDULE Continued Unrti Make Model/Description Department ALEff CowpDfd CotipEff .T«i»':':^:W:^^.m-\ Qty Year vim#Vehicle Type ALTerm CoOOed Coll Elf Coll Valuation lAPDRptdl 022 Ford Crown Victoria Police 10701/15 mw&10701/15 10701/17 :?K:p:m:&:;y>&93& 1 2006 9252 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cash]519.32: 023 Ford Crown Victoria Police 10701/15 •••:;v;mi;^1Qrt!/t5 jwi#[m^m^mr^ 1 1998 7547 Police Car 10701/17 N/A 10/01/15 10/D1/17 N/A|tl 024 Ford Crown Victoria Police 10701/15 txwmM 10701/15 PWflfr'WX^-'&./•!&$$# 1 2005 9253 Police Car 10701/17 $1,000 10701/15 1QAH/17 Actual Cash)$19.32: 025 Ford F250 Pickup Police 10701/15 •'•••HW?^.10/01/15 MW^fiTi ZiMmMM&flM 1 2005 8300 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cashj $23,001 020 Ford Expedition 10/01/15 ntfmM 10701/15 10701/17 ^y'.:^-.n$W& 1 2005 8647 LightTruck 10701/17 $1,000 10701/15 10701/17 Actual Cash]$22.50( 027 Trash Truck 10701/15 :!-$tJJ0ft"i tOA)l/t5 immt ^njm-z-^twSM 1 2007 7298 Garbage Truck 10701/17 $1,000 10701/15 10/01/17 Actual Cash]$47.00( 028 Ford F250Pickup 10701/15 m*ms iftSirMl iqtioi/i?;/•J:>;;\>;;:--.;lg?|p 1 1999 1506 LightTruck 10701/17 N/A 10701/15 10701/17 WA|$( 029 Trash Crane 10701/15 :-*W*i;!10701/15 W*W\'m\mm^**?#* 1 2000 8938 Garbage Truck 10701/17 $1,000 10701/15 10701/17 Actual Cashj $46k00( 030 Ford F160 Pickup 10701/15 mm&F^J$:^10/01/17:mmm^:mjn 1 1890 1507 LightTruck 10701/17 N/A 10701/15 10701/17 N/A|$( 031 Ford Ranger Pickup 10701/15 •:?$S»W 10701/15 10701/17 •y&^^imMW 1 2000 8007 LightTruck 10701/17 $1,000 10/01/15 10701/17 ActuaiCash]$21.50( 032 Ford Crown Victoria Police 10701/15 •:=$}"Jv«r<10JOM15 immi MWM^WiMt&$# 1 2008 3762 Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash]$22.00( 033 Ford Crown Victoria Police 10701/15 mmm yH'ttWfttlK 5i«Mctfi 1 1999 2390 Police Car 10701/17 N/A 10701/15 10701/17 N/A|$C 034 Ford Crown Victoria Police 10701/15 umm ]3HBH8H£10701/17 ;;./;r.:y;:^:-::i$SSj006 1 2000 3703 Police Car 10701/17 $1,000 10701/15 10/01/17 Actual Cash|$22,001 035 Ford Crown Victoria Police 10701/15 M^SS TfWtMiK 10*1/17;:-v^^^^^i^;$o 1 1999 2394 Police Car 10701/17 N/A 10701/15 10701/17 N'A|$C 030 Ford Crown Victoria Pofice 10701/15 r??."HW'.^WM£10JD1/17 i^WtmiWI^GtM 1 1900 2395 Police Car 10701/17 N/A 10701/15 10/01/17 N/A[$C 037 Ford Crown Victoria Police 10701/15 >mm&iojoi/i$t0701/l7 !^i\m?i$mtfMf 1 2000 3764 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cash)$22.0QC 038 Ford Crown Victoria Police 10701/15 iw$m mmm mmMmmm 1 2008 3781 Police Car 1070V17 SI .000 10/01/15 10/01/17 Actual Cash}$22jD0C 039 Ford ECO 15 Pass Van 10701/15 mmm 10701/15 10/01/17 my>vMmm$ 1 1999 6489 Bus <20 Pass.No 10701/17 N/A 10/01/15 10/01/17 N/AI * 040 Ford Crown Victoria Pofice 10701/15 'mmi 3WHBS ^tm t:MvM&x&S&W 1 2008 3760 Police Car 10701/17 $10)00 10701/15 10J01/17 Actual Cashl $22,001 041 Ford Crown Victoria Police 1001/15 :4#W*3 jio$ms ^W*i^i^.y&i^ii.wOT 1 2000 3759 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cash|$22,001 042 Ford Crown Victoria Police 10701/15 H1«INPJ IIMWC \mvit "!;>'•-••'•.'•;':':Vi:'.'•••.v:/•-.•W""?*Z? 1 2008 3758 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cashj $22,001 24 VEHICLE SCHEDULE Continued Unrtf Make Model/Description Department ALEfff cWM CooipErl :^;Tprtflv m^wM&*imM Qty Year VIN#Vehicle Type ALTerm CotiOed CollEff Coll Jean Valuation ,T^pe APDRptd 043 Ford Crown Victoria Pofioe 10701/15 $1*00 1(W01/15 tmmt mmm^^&i&Q 1 2006 3767 Police Car 10701/17 $1,000 10/01/15 10701/17 ActuaiCash]$22,001 044 Ford Ranger Pickup 10/01/15 tmmm !<WQ1/15 lo/oi/r/S:;^'::':^ii 1 2007 9505 LightTruck 10/01/17 $1,000 10701/15 I0701/t7 Actual Cashj $1fi.80( 045 Crew Cab Truck 10701/15 ::M'8P.:.J WW#fflSfffii muWmmM&t 1 2007 1FFWW30P17EA4733 LightTruck 10/01/17 $1,000 10/01/15 10701/17 Actual Cashj $22.00( 046 Ford F250Pickup 10/01/15 ••mmm 10701/16 10701/17 •::;;:•-•.7-V'/-fW,';-'.W 1 2001 1259 LightTruck 10/01/17 N/A 10701/15 10701/17 N/A]S< 047 Ford Crown Victoria Police 10701/15 •^#aw:^10701/15 w$*m W;:mm;mm 1 2007 4579 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cashj $25.00( 048 Trash Truck 10/01/15 Slijpoo:^10/01/15 10J01/17 <^-:L-^:-^.mjoop 1 2007 5792 GarbageTruck 10701/17 $1,000 10/01/15 10/01/17 ActuaiCash]$45,O0( 049 Ford E-450 Pass Van 10701/15 .>i*JW$10JOi/^$fmvffi gmwi&BM&$ 1 2007 6867 Merf&ro Truck 10701/17 $1,000 10701/15 10/01/17 ActuaiCash]$20.00( 050 Ford F250 4x2 Truck 10701/15 :W$M#M.iMite mm •••••,&•':••""•'''*$$$ 1 2008 8133 LightTruck 10701/17 $1,000 10/01/15 10701/17 Actual Cash)$30.00( 051 Ford Crown Victoria Police 10701/15 •*£lMf.J&TOf .^MK .»rf:i^^«T;-;--^|»7jflio 1 2007 260 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cashj $25.00( 052 Ford Crown Victoria PoKce 10/01/15 ^ftiotta 10A1/15 twinr ^:'^SvSlBS«!B 1 2007 281 Police Car 10/01/17 $1,000 10701/15 10701/17 Actual Cash]$25.00( 053 PICKUP 10701/15 mm^o ttuotrfc MtoHT; 1 2001 3263 Light Truck 10/01/17 N/A 10701/15 10701/17 wa)$( 054 Ford Crown Victoria Pofioe 10701/15 •Myfan I0/W/&JMM ^Mlii2mv^kl^6jBOiD 1 2007 262 Police Car 10701/17 $1,000 10J01/15 10701/17 ActuaiCash]$25,001 055 S-10 10/01/15 ^MWM 0mm wmm ?Wzm§;MiWff$ 1 1994 9467 LightTruck 10701/17 NTA 10701/15 10701/17 N/A|$( 056 Excursion 10/01/15 mum ;«wowi5 ^VJ7;W'Kf::^;--^HlI*Q 1 2001 7437 LightTruck 10701/17 N/A 10701/15 10)01/17 WAJ $( 057 Ford Crown Victoria Police 10701/15 1(MW15 !W#?:Vv£d.*1MH» 1 2007 263 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cash]$25.00( 058 Ford Crown Victoria Police 10701/15 WaW$&1070V15 :ffim mwm^^w^iQ 1 2001 3403 Police Car 10701/17 N/A 10701/15 10701/17 WA]$( 059 Ford Crown Victoria Police 10701/15 :?##&&ilpWI?ymm iMMSfiffi&^ 1 2007 264 Police Car 10701/17 $1jD00 10701/15 10701/17 ActualCashl S25.0G< 060 Ford Crown Victoria Police 10/01/15 mmm mm i» 1 2007 1644 Police Car 10701/17 $1,000 10701/15 10J01/17 ActuaiCash]$25.00( 061 Ford Crown Victoria PoBce 10701/15 10J01/15 ?«MW&tmmm*mmm 1 2001 3404 Police Car 10701/17 N/A 10701/15 10701/17 N/A|$C 062 Ford F450SuperPickup 10701/15 faster 10701/15 <«70</t7 '^mi-r-ifflUM 1 2007 7463 Medium Truck 10701/17 $i,too 10701/15 Iu701/17 ActuaiCash]*0.0tH 003 E-350Van 10701/15 ^vm ••:.10701/15 .mm •::*Mi'%Mt ??&rf.j ;$28.tiOG 1 2008 9179 LightTruck 10/01/17 $1,000 10701/15 10701/17 ActuaiCash]$28,001 25 VEHICLE SCHEDULE Continued Unrti Make Model/Description Department [ALEff CcMRpDed &*J>^Term :•^•,:;:.;;yalu«^:^::;|f <»Y Year VINf Vehicle Type AX Terra CoUDed CollEfff Coil Trf*"?i Valuation Type APDRpld 064 Ford Crown Victoria Police 10701/15 ^mm W01AI5 ]^M:W$Wmx&lW-$¥l 1 2001 3408 Police Car 1070V17 N/A 10701/15 10701/17 N/A|V 065 Ford F250Pickup 10701/15 .:;«tt»-f Jflft#*S mtm -'mmmmmm 1 2008 4733 Light Truck 10701/17 $1,000 10701/15 10AI1/17 ActuaiCash]$24.00( 066 Ford F260 Pickup Police 10701/15 znmm !iiii •WMtitt ^mm^mm 1 2001 8077 Police Car 10701/17 N/A 10/01/15 10701/17 N/AJ $( 067 Pickup 10701/15 ..^m:\ii 10701/16 ^0J01/17 •cl-::>4lK^#V:y$q 1 1997 7334 LightTruck 10/01/17 N/A 10701/15 10701/17 N/Aj « 068 Trash Truck 10701/15 T««fet:S*Wt*.iftfiJt*••K^W^y^SM 1 2009 6166 Garbage Truck 10701/17 $1,000 10701/15 10701/17 ActuaiCash $45.0(M 069 Pickup 10701/15 ;bHw(r-:<^#mmt m^st^mmto 1 2008 4732 Light Truck 10701/17 $1,000 10701/15 10J01/17 Actual Cashj $22.00( 070 E350VAN 10701/15 :Mm&&wm.:*&faK it&?i$$/¥$MMM 1 1991 153 LightTruck 10701/17 N/A 10/01/15 10701/17 N/A|V 071 Water Truck 10701/15 •:;$jjioatF.10701/15 iwwirtt •i'r'"'•':.':•;;:-f •:—:--.jfcVI OOP 1 2008 6415 Heavy Truck 10701/17 $1,000 10/01/15 10701/17 ActuaiCash]'$31.00C 072 15 Pass Van 10701/15 mto&m i-WWftfe,*MVW i$$£%\::^;&f^ 1 2008 6821 Bus <20 Pass.Ho 10701/17 $1,000 10701/15 10701/17 ActuaiCash]$25.00( 073 15 Pass Van 10701/15 WW**:$M'1£10701/17 iY%'*^r.iW&f& 1 2008 6820 Bus <20 Pass,No 10701/17 $1,000 10701/15 10701/17 Actual Cashl $25.00< 074 Ford Expedition 10701/15 ¥wm mm :?0W#*:iSl?M!fi^^l?MW 1 2008 6699 LightTruck 10701/17 $1,000 10701/15 10/01/17 ActuaiCash]$25.ufK 075 15 Pass Van 10701/15 IflftWJJl SHSIfti ^Wm: 1 2009 9630 Bus <20 Pass.No 10701/17 $1,000 10701/15 10701/17 Actual Cashj $25.00( 076 Ford Crown Victoria Police 10701/15 wmm$•^fi^WW WiW:m^?^^j^: 1 2000 1415 Police Car 10701/17 $1,000 10701/15 10/01/17 ActuaiCash]$27.00< 077 Ford Crown Victoria Police 10701/15 ^M8te#w&#10*1/17;vmm-smm 1 2000 Mia Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash]$27,001 078 Ford Crown Victoria Police 10701/15 •mm^mm 10701/17;:mmum&m 1 2009 1417 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cash]$27.00( 079 Dump True*10701/15 'asfNjm rP$*<mm MiSiiB^I^|ppq 1 2010 7808 Heavy Truck 10701/17 $1,000 10701/15 1O01/17 Actual Cashj $33.00( 080 Ford F250 107D1/15 mmm $mm rate mmmmmm 1 2009 1381 Ught Truck 10701/17 $1,000 10701/15 10701/17 Actual Cash]$25.00( 081 Garbage Truck 10701/15 I^ilflWIi*WfM,m#m ^ii^agiirif^ipfi 1 2009 9492 Garbage Truck 10701/17 $1,000 10701/15 10701/17 Actual Cashj $40,001 082 Ford CrownVictoriaPoGoeInterceptor 10701/15 mm?-tortl/15 lojomt zm&&.-mm!m 1 2010 1FABP7BV2AX141487 Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash]$25.34( 083 Ford CrownVictoriaPoficeInterceptor 10/01/15 :mmx ;ij$w?j$'IJWW?:3-gH|f^g.3|^HjW 1 2010 2FABP7BV4AX14I491 Police Car 10701/17 $1,000 10/01/15 10*01/17 ActuaiCash)$25.34( 084 Ford Crown Victoria Police Interceptor 10/01/15 mmm ifH9MU!i 10701/17 mz^mm^mw 1 2010 2FABP7BV4AX141488 Police Car 10O1/17 $1,000 10701/15 10701/17 ActuaiCash]$25.34( 26 VEHICLE SCHEDULE Continued |Unit#Make Model/Description Department ALEff CompOeJ CompEff ..-T<Hm:,|;v;^HifeSP^^"vr:;"-• Qty Year V1N#Vehicle Type ALTerm CoHDed CotlEff Coll Valuation Tvoe APDRptd 085 Ford Crown Victoria Police Interceptor 10/01/15 .^iftoinS 'jMM-$$*&:'.>::-ymj-:•nmw 1 2010 2FA9P7BV6AX141489 Police Car 10/01/17 $1,000 10/01/15 10/01/t7 Actual Cashl $25.34( 086 Ford Crown Victoria Police Interceptor 10701/15 :;WM%10JO1/1S 1(W^/1^*tf?r;>jS>.&£:'?*&;*&£$> 1 2010 2FA8P7BV2AX1414Q0 Police Car 10701/17 $1,000 10/01/15 10/01/17 ActuaiCash]$25,341 087 Ford CrownVictoria Pofice Interceptor 104)1/15 \±m$mi nojoifti •Wtw ^;:mm^::^m 1 2010 2FABP7BV6AX141492 Police Car 1O01/17 $1,000 10/01/15 10701/17 ActuaiCash $25,341 088 Ford CrownVictoria Pofice Interceptor 10101/15 "**Sfi*^10701/16 *$i#r.•:-<\;:;r'•.}..>;'.,riT;';;..,y:$&m 1 2010 2FABP7BV8AX141493 Police Car 10701/17 $1,000 10701/15 10/01/17 ActuaiCash $25.34( 089 Ford CrownVictoriaPoliceInterceptor 10/01/15 K$pOO.i:';Httf .fiwtt-•:-:l?s:--^.-::.i:•:•/•-126.346 1 2010 2FABP7BV5AX1421813 Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash $25.34t 090 Ford CrownVictoria Police Interceptor 10701/15 •;';:|ijjoo;.;«M0irt6 10701/17 .:!.';i^i-illiS 'u'.\Mf&m 1 2010 2FA8P7BV0AX141486 Police Car 10/01/17 $1,000 10701/15 10701/(7 ActuaiCash $25.34( 091 GQA E2 10/01/15 4#$fc4 W$M itoium •:,^.':--:V;^--:;--.^mm 1 2011 5ASCPGA42BF055341 ExtraLight Service 10701/17 $1,000 10701/15 10701/17 ActuaiCash $14.57* 092 Ford Crown Victoria 10701/15 g&wii--I0JO1/15 \f0Uf%':4$;:ffit!U^^8 1 2011 2FAB7BV6BX166594 Police Car 1070V17 $1,000 10701/15 10701/17 ActuaiCash $31.47$ 093 Ford Crown Victoria 10701/15 i^jllSflB^!W$$Mi ••ijDTOjj/^MfpW 1 2011 2FABP78V7BX166578 Police Car 10701/17 $1,000 10/01/15 10701/17 ActuaiCash $31.47< 094 Ford Crown Victoria 10701/15 :mm:}?1^01/15 J07OIW i£££fiM ,5:-gS$j4U 1 2011 2FABP78V4BXI66604 Police Car 10/01/17 $iioo 10701/15 1Q7D1/17 ActuaiCash $31,471 005 Ford Crown Victoria 10701/15 .xwm&|(Uqi/i*•WMU "flB^MM-.i^ttOW 1 2011 2FABP78V0BX166597 Police Car 10701/17 $1,000 10/01/15 10701/17 ActuaiCash $31,471 096 Ford Crown Victoria 10701/15 ifSHSfclj wmM ••.SW9IP y.;i^;;pfe)i!-;mmm 1 2011 2FABP7BV6BX159445 Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash $28.72* 007 Ford Crown Victoria 10701/15 i$MPi $$m .^jgfUirtig '•::?:;:-:"':^-,V.t-:':::J '?mm 1 2011 2F7VBP78V9BX166590 Police Car 10/01/17 $1,000 10701/15 10701/17 Actual Cash|$28.72* 098 Ford Crown Victoria 10/01/15 H&ofcK ;M#f/fc:fW.W*":"^-vfi^Wi'."sSSS* 1 2011 2FABP7BVt8X166569 Police Car 10701/17 ii.ooo 10701/15 10/01/17 ActuaiCash i29.^ 099 Ford Ecoooline 15 Pass Van Non Police 10/01/15 '••^M?.mm WW&i'mmi fettft*?* 1 2012 1FBSS38L4CDB30778 Bus <20 Pass.No 10701/17 $1,000 10701/15 10701/17 ActuaiCash $23.47: 100 Ford Crown Victoria Police 10701/15 :;ii&#nim $W#&'imim ••••'i^M •jvt!*v^'ji-'i?•"rnsmm 1 2011 2FABP7eV6BX157175 Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash $20.50( 101 Ford Crown Victoria Police 10701/16 mmm mm&W$&.:^i vr'£*\=£:)t£M-mm 1 2011 2FABP7BV8BX157176 Police Car 10/01/17 $1,000 10JO1/15 10701/17 ActuaiCash $26,501 102 Ford Crown Victoria Pofice 10701/15 mmm 3MB8I:'StftW •&.-?$$;$£^imm 1 2011 2FABP7BV88X157177 Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash $26,501 103 Ford Crown Victoria Police 10701/15 Wf*ffl$•mM •1W«^-*:yif8H!» 1 2011 2FABP7BV1BX157179 Police Car 10701/17 $1,000 10/01/15 10701/17 ActuaiCash $26^01 104 Ford Crown Victoria Police 10701/15 XilHIWK mm #$51 :.T:\-T-ts!nTy,-t 4®KfeSpO 1 2011 2FABP7BV3BX157179 Police Car 10701/17 iiiob 10701/15 10701/17 ActuaiCash]i28,50t 105 Ford Crown Victoria Police 10701/15 '>:g*fJtofei mom*^$®M mmm 1 2011 2FA8P7BV28X162583 Police Car 10/01/17 $1,000 10701/15 10701/17 ActuaiCash $26,501 27 VEHICLE SCHEDULE Continued Unit*Make Model/Description 1 Department ALEff Comp Oetf|CompElf \wm"\—~Ta>t Qty Year VJN#Vehicle Type ALTerm Coil Ded Coll Efff Con Tifm Valuation Tvoe APD Rptd 106 Ford Ranger PickUp Hon Police 10701/15 NA :•-•''.-•V.£!••:*=•.""--:\!.$0 1 1998 1FTZRHX6WYA59706 LightTruck 10701/17 NA NVA] 107 rfesan AfiimaXE4dr Won Police 10/01/15 .HNvV'V '"-••IP 1 2000 1N4DI.01D6YC212203 Private Passenger 10701/17 NA N/A| 108 Ford F250PickUp Non Police 10701/15 NA,:-.I-",'* 1 2004 1FTNW21P24EA042I6 LightTruck 10701/17 NA N/A| 109 Chrysler 300 Non Police 10701/15 -*A =.•••$0 1 2005 2C3JA43R75H505771 Private Passenger 10701/17 NA N/A| 110 Internationa)Trash 10701/15 ,.na:-:•.:.--"$0 1 2006 IHTMMAAR48H172991 Heavy Truck I0VO1/17 NA N/A 111 Ford Crown Victoria Mori Police 10701/15 .NA ••"-,'•;•;••>:••*P 1 2009 1FAK971V59X124118 Private Passenger 1001/17 NA N/Al 112 6MC Sweeper Schwarae 10701/15 :':KA \:==.•:•:"•"i-.-$0 1 2000 J8DC4W16697001079 Medium Truck 10701/17 NA WA| 113 Ford Crown Victoria Police 10/01/15 vm W01/15 10701/17 >;r:^n;»6jBpp 1 2010 2FABP7aV7AX142814 Police Car 10701/17 $1,000 10/01/15 10701/17 AcbjaiCash]$28,001 114 Auto Car ACX Garbage Truck 10701/15 $IJ9»10*1/16 10J01/17i ji.i.;$269,409 1 2013 5VCACR8FSDH215134 GarbageTruck 10701/17 $1,000 10/01/15 10701/17 ActuaiCash]$269.40f 115 Freightffier M2-106 Crane Truck Non-Police 10701/15 :;:IMktp:--10701/15 10701/17 •.•:'$154,442 1 2013 1FVACXBS10HFE4262 HeavyTruck 10701/17 $1,000 10701/15 10701/17 ActuaiCash $154.44: 116 GEM 2P Non-PoKce 10701/15 ;S1D0Q 10VO1/15 10701/17;.:;.-;:vli^nmm 1 2013 52CG2AGA3DO0Q3228 Private Passenger 10701/17 $1,000 10/01/15 10701/17 ActuaiCash $13,491 117 Tandem Trailer 10701/15 XW .:\y^v'i:.'l,\':\\-yr r;w:Vv^to 1 2008 1S907X1696M982126 Trailer-NO 10701/17 NA N/A] 116 Tandem TRAILER-TANDEM-TagXB2331 10V01/15 \\?M-2 >'\i'*W:•;.;•':'.*P 1 2008 IS907X1698M982129 Trailer-NO 10701/17 NA N/A] 119 Traier Trailer-Back up traier 10701/15 iUiM--.'J •.\',,.,•:.;$c 1 2013 200904 Traier-NO 10/01/17 NA N/A, 120 Traier CVR 10701/15 $A$*:-;•"•:;::.^a:::$0 1 2008 1S907X1678M982130 Trailer-NO 10701/17 NA N/A| 121 Ford Crown Victoria 10701/15 .-.m .•.v --•'.^{1 \~:-=i-ii '^l!:?\;;-:.;"IP 1 1998 2FAFP71W6WX137543 Private Passenger 10701/17 NA N/A] 122 Tandem Trailer 10701/15 •^haW h'\:^!."'•\AC\"•:'•.:.•;--•-il*.;;-fj-y|b 1 2008 1S9071608M982129 Trailer-NO 10701/17 NA N/A) 123 Traier Post 256-Tag #XB5488 Police 10701/15 &»^r*=J.h^-•'<:*•<•*':."•?'-;..•.» 1 2000 5RTBE1216BO023363 Trailer-NO 10701/17 NA N/A] 124 Traier Trailer-TBO -Back up traier 10701/15 lfr:Jtyffiv *'',>'<'""'•V :,£.::":£-':'*> 1 2013 200905 Trailer-NO 10701/17 NA N/A] 125 Traier MlSSXfi PW 10701/15 >;;W \*:':l •:..:::i:^,s*.;rr» 1 2008 Trailer-NO 10701/17 NA hVA| 126 Traier T^#9I^Oftfl PW 10701/15 >:-NA^V :rf-.M •i Hi ^'i -':>rfP 1 2013 213959 Trailer-NO 1D/0W7 NA N/A] 28 VEHICLE SCHEDULE Continued Unit*Make Model/Description Department ALEff CompOed CpmpEff l>na •-.Value • Qty Year VTN#Vehicle Type At Term Coll Ded CollEff Coll Term Valuation lAPDRptd Tvoe 1 ^ 127 Ford Interceptor Police 10701/15 ^mmy 1W01/15 1001/17 V---'--Vi&yuWiMta 1 2014 1FAHP2MT7EG120008 Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash]$35.0Q( 126 Ford Interceptor Police 10*01/15 :-:Vji#S#^W$$?l8$t*fiy W^VK]JW&&ti 1 2014 1FAHP2MT9EG120009 Police Car 10701/17 $1,000 10/01/15 10701/17 ActuaiCash]$35.O0( 129 Ford Interceptor Police 10/01/15 L:|ffjBpp-:;:;.10701/15 ria©i/«;•d'ii*-;:u.u#35^op 1 2014 1FAHP2MT7EG120011 Police Car 10701/17 $1,000 10701/15 10701/17 ActualCashj $35.00( 130 Ford Interceptor Police 10/01/15 tiMl-•MSPWB.\WW?i :^ypyy-'y.^5m 1 2014 1FAHP2MTOEG120013 Police Car 10701/17 '"iiM 10/01/15 10701/17 Actual Cash]$35.uflC 131 Ford interceptor Police 10701/15 ;mopD:"--10701/15 tokittt •'•?:.r v'?.iy.1 ££").£&&$$ 1 2014 1FAHP2MT5EG120010 Police Car 10/01/17 $1,000 10701/15 10701/17 ActualCashj $35.0Q( 132 HarfeyDa idson Motorcycle Police 10701/15 rWMvr 10701/15 W^%:-:.^,m-^,^4^ 1 2014 1HD1FHM13EB625699 Motorcycle 10701/17 $1,000 10701/15 10701/17 ActualCashj $34.00( 133 HarieyDa idsoft Motorcycle Police 10701/15 -MfM'i-10701/15 10701/17 \\miy^\^jm 1 2014 1HD1FHM14EB624933 Motorcycle 10701/17 $1,000 10701/15 10/01/17 ActualCashj $34.00( t34 Ford interceptor Police 10/01/15 ,:WU#W 10/01/15 10701/17 ^:^::r.^f:"-.-:'^v-f^?p 1 2014 1FM5KSAR7EGC49837 Police Car 10701/17 $1,000 104)1/15 10701/17 ActualCashj $33.22( 135 Toyota Prius Code Enforcement 10701/15 'mmm 10701/15 10J01/17 yyMvyM&n 1 2014 JTOKDT832E1567050 Private Passenger 10701/17 $1,000 10/01/15 1001/17 ActualCashj $21.31: 136 Toyota Prius Code Enforcement 10701/15 .;V$1JX*r;:lOJoi/ia WWW m^mm^&M 1 2014 JTDKDTB30E1074963 Private Passenger 10701/17 $1,000 10701/15 10701/17 Actual Cash!$21.31: 137 Toyota Prius Code Enforcement 1O01/15 ;:1fjU»0S-*P#™$10701/17 jxmm-ywmim 1 2014 JTOKDTB39E1074332 Private Passenger 10701/17 $1,000 10701/15 10701/17 ActualCashj $21.3i: 138 GEM E4 Police 10701/15 a&Qwp p0tf|£10701/1?•^myyymzii 1 2014 52CG4AGA6E0010816 Private Passenger 10701/17 $1,000 10701/15 10701/17 ActualCashj $14.37 138 Ford Interceptor Police 10/01/15 f^%\mB'-10701/15 1P#W1£wmm^^x&m 1 2014 1FAHP2MT9EG120012 Police Car 10701/17 $1,000 10/01/15 10/01/17 ActualCashj $35.D0( 140 tnsalert Traffic Trailer Police 10/01/15 •:::-m:^-iotouip lOTOmrl m£^4y\m^& 1 2010 1B9AF511XAP825356 Trailer-NO 10701/17 N/A 10/01/15 10701/17 WAJ $( 141 Kend Trailer Police 10701/15 •m*>m mm iimyw 1 2011 KT7X12001904B2680 Trailer-NO 10/01/17 WA 10701/15 10701/17 K/A $C 142 Ford Interceptor Police 10701/15 y$mm aWHWft':Ji0Ji/ffi spi^^-Mi 1 2015 1FAHP2MT8FG109228 Police Car 10701/17 $1,000 10701/15 10/01/17 Actual Cashj $38.97* 143 Ford Interceptor Police 10701/15 WMM&.loliiris liMi/tiv .•,"i--.>>:;il Vrt^llSteftta 1 2015 1FAHP2MT8FG109231 Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cashj $36.07? 144 Ford Interceptor Police 10701/15 liilfW.t:S#VJ5 WM#>m^mm^mm* 1 2015 1FAHP2MT6FG109230 Police Car 10701/17 $1,000 10701/15 10701/17 ActuaiCash]$36.97! 145 Ford Interceptor Police 10701/15 •M-^jmjX i0yi*>mm mzmmsmmB 1 2015 1FAHP2MT6FG109227 Police Car 10701/17 $1,000 10/01/15 10701/17 ActualCashj $36.97; 146 Ford Interceptor Police 10701/15 mlfttW^-'SPfgftK ffliHKS mMmm^wm 1 2015 1FAHP2MTXFG109229 Police Car 10/01/17 $1,000 lOTOWiS 10701/17 ActualCashj $3697! 147 Ford Interceptor Police 10701/15 w\mwM>10701/15 10701/17 <*•••<.•>•-;.v^i3*,«o 1 2015 TBO Police Car 10/01/17 $1,000 10701/15 10701/17 ActualCashj $34.91 i 29 VEHICLE SCHEDULE Continued Unrt#Make Model/Description Department ALEff •cTrrTTW ?o«pErf ^Tfinfei.1 siina.:.^B^V:^ Qty Year VIM#Vehicle Type ALTerm Coll Ded CollEff CoB Valuation Tvpe APD Rptd 146 Ford ktterceptor Police 10701/15 .•yiftwr-;iu7fii/ia IJMM'i*^.H,>V>--.'-l(^f»i!K 1 2015 TBO Police Car 10VD1/17 $1000 10701/15 10/01/17 ActualCashj $30.70: 149 Ford totercepior PoBce 10/01/15 •:jjttjdfl6it AWVti i07bi/ir;!!MS!;hiW W*^N^tflfc 1 2015 TBD Police Car 10701/17 $1,000 10/01/15 10/01/17 ActualCashj $30.79: 150 Ford trtterceptor PoBce 1O01/15 W&Mtiv-tO/61/15 10701/17 ;mmyim^&?J** 1 2015 TBO Police Car 10701/17 $1,000 10701/15 10701/17 Actual Cashj $27.74: 151 Ford Interceptor Pofice 10701/15 •H^IW-U IOAt/151 |w>W'W^W:¥JM%& 1 2015 TBD Police Car 10/01/17 $1,000 10/01/15 10701/17 ActualCashj $27.74; 152 Ford hterceptor Police 10101/15 :l*i**V 10701/15 10/01/17 i^S^Ui^^fSMW 1 2015 TBD Police Car 10701/17 $1,000 10/01/15 10701/17 ActuaiCash $38.93* 153 Ford Interceptor Police 10701/15 Ai*im^^1«Wfr 10>01/17 ggw-.^ymim 1 2015 TBD Police Car 10701/17 $1,000 10/01/15 10i0t/17 Actual Cashj $38,031 Total $3,415,047 APD Rptd $3,415,047 30 PUBLIC OFFICIALS &EMPLOYMENT PRACTICES PROPOSED LIABILITY COVERAGE Insurer:Ace American Insurance Company Type of Form: Claims Made -Retro Date Per PolicyForm Extended Reporting Period:12 monthsfor 100%oflastannual premium Limits of Liability: EachClaim $1,000,000 Aggregate $1,000,000 DefenseCostsare Within Limit of Liability -Cappedat$1,000,000 Deductible: $100,000 Public Officials Liability -Public Entity Liability-1A2and IB $150,000EachEmploymentPractices Violation -1C $250,000 Retention applies toallZoning Claims Exclusions Include But Are Not Limited To: NetworkSecurityorPrivacyLiabilityExclusion Bond Exclusion False Claims Act Exclusion 31 SUMMARY OF ESTIMATED PROPOSED PREMIUMS Premiums as Proposed:*Expiring Renewal Property Including Boiler &Machinery Premium Fees Taxes & Surcharges Total $130,713.00 N/A N/A $120,049.00 N/A N/A $120,049.00$130,713.00 General Liability Premium Fees Taxes & Surcharges Total $88,993.00 N/A N/A $88,993.00 N/A N/A $88,993.00$88,993.00 Automobile Premium Fees Taxes & Surcharges Total $105,124.00 N/A N/A $123,238.00 N/A N/A $123,238.00$105,124.00 Inland Marine Premium Fees Taxes & Surcharges Total $2,883.00 N/A N/A $836.00 N/A N/A $2,883.00 $836.00 Crime/Fidelity Premium Fees Taxes & Surcharges Total $750.00 N/A N/A $750.00 $750.00 N/A N/A $750.00 Law Enforcement Liability Premium Fees Taxes & Surcharges Total $64,983.00 N/A N/A $66,022.00 N/A N/A $64,983.00 $66,022.00 Public Officials Employment Practices Liability Premium Fees Taxes & Surcharges Total $48,505.00 N/A 630.57 $49,135.57 $50,887.00 N/A TBD $50,887.00 TOTAL $442,581.57 $450,775.00 Expiring Premium reflects annualizedpremiums on any midterm policy changes Feesshown above maybe fully earned at policy inception Automobile:153 Total Units -136 Contain Comprehensive &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 forthe period 10/01/2016 12:00:00 AM to 10/01/2017 12:00:00 AM. Losses applying toone annual coverage period will not erode the aggregate limits of another annual coverage period. Thepremiumfortheperiod 10/01/2016 12:00:00 AMto 10/01/2017 12:00:00 AMwillbe determinedbasedonupdatedexposurevaluesforthis period. Ratesfortheperiod10/01/201612:00:00AMto 10/01/2017 12:00:00AMwillbeidenticalto thosefortheperiodcommencing 10/01/2015 12:00:00AM,withpremiumssubjecttothe following: 1.NCCI Experience modification factorswillbeappliedas promulgated. 2.Changes to Schedules:Property,Inland Marine,and Automobile 3.Payroll 4.Number of Employees In the event of cancellation of any line of business within 90 days after the first day of either annual coverage period,the premium for such line(s)shallbe 25%minimum earned. In the event of cancellation of anyline of business following the initial90daysofeach annual coverage period,a penalty equal to60days premium of suchline(s)of business shallbecomeearned,any provisionofthe agreement tothe contrary notwithstanding. This penalty isearnedand payable regardless of when notice of such cancellation isgiven, or the effective date of such cancellation. Payment Option: PGIT Package:50%Down,25%dueat75daysand25%due@166days POL/EPL -Fullpaymentatinception-Financingmaybeavailable A25%Minimum EarnedPremiumappliestothefollowing policies: Preferred Governmental Package Quotations Subject To: •Signed and initialed PGITand Acord applications •SignedAceandAcordApplications-POL&EPL •Review of Currently ValuedLossRunsPriorTo Binding: Ace American POL/EPL •SignedPGITUMFormandSignaturePage Quotation is valid until the effective date of the policy. This proposal is based uponthe exposures toloss made known totheAgency,andis for illustration only.Any changes in these exposures (i.e.,new operations,new products,additional states of hire,etc.)need tobe promptly reported tousin order that proper coverage(s)maybeputinto place.AH physical exposures insured byour policies must beownedbythe 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 ADMITTED 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 Theseratingclassificationsreflect BESTs opinionoftherelativepositionofeachcompanyin comparisonwithothers,baseduponaverageswithintheProperty-Casualtyinsuranceindustry. Theyarereflectiveofoverallcompanyservicesandstandingwithintheindustry. A++,A+*** B++,B+** NR Superior Excellent VeryGood Not Rated B,B-*** C++,C+*** Good Fair Marginal FINANCIAL SIZE CATEGORY The Financial Size Category isanindicationofthesizeofanInsurerandisbasedon reported Policyholders'surplusplus conditional or Technical Reserve Funds,suchas mandatory securitiesvaluationreserve,otherinvestmentandoperatingcontingencyfundsand/or miscellaneous voluntary reservesreportedasliabilities. ($In thousands) Class I $Upto $1,000 Class n $1,000 To $2,000 Class HI $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 hasbeen provided toyousothat consideration isgiventothe financial conditionofourproposed carriers.The financial information disclosedisthemostrecent 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,suchas excess and surplus lines brokers, wholesale brokers,reinsurance intermediaries,underwriting managers andsimilar parties,someofwhichmay beownedinwholeorinpartbyBrown&Brown,Inc.,mayalsoreceive compensation fortheirrolein providing insurance products or services to you pursuant to their separate contracts with insurance or reinsurancecarriers.Additionally,itispossiblethatwe,orourcorporateparentsoraffiliates,mayreceive contingentpaymentsor allowances frominsurersbasedon factors whicharenotclient-specific,suchasthe performance and/or sizeofanoverallbookofbusinessproducedwithaninsurer.Wegenerallydonotknowif suchacontingentpaymentwillbemadebyaparticularinsurer,ortheamountofanysuchcontingent payments,untiltheunderwritingyearisclosed.That compensation ispartiallyderivedfromyourpremium dollars,afterbeingcombined(or"pooled")withthepremiumdollarsofotherinsuredsthathavepurchased similartypesofcoverage.Wemayalsoreceiveinvitationstoprogramssponsoredandpaidforbyinsurance carrierstoinformbrokersregardingtheirproductsandservices,includingpossibleparticipationincompany- sponsored eventssuchastrips,seminars,andadvisorycouncilmeetings,baseduponthetotalvolumeof business placedwiththecarrieryouselect.Wemay,onoccasion,receive loansor credit from insurance companies.Additionally,intheordinarycourseofbusiness,wemayreceiveandretainintereston premiums youpayfromthedatewereceivethemuntilthedatethepremiumsareremittedtotheinsurancecompanyor intermediary.Intheeventthatweassistwithplacementandotherdetailsofarrangingforthefinancingof yourinsurancepremium,wemayalsoreceiveafeefromthepremiumfinancecompany. Wholesale Broker/Managing GeneralAgent:PublicRiskUnderwriters This intermediary isownedin whole orpartbyBrown&Brown,Inc.,theparent company of Brown &Brown of Florida,Inc.-Miami Division.Brown&Brown entities operate independently andarenot required to utilize other companies owned by Brown &Brown,Inc.,but routinely doso.In addition to providing access to the 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%ofthe 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 prior to binding: 36 MINIMUM AND DEPOSIT PREMIUM MINIMUM EARNED PREMIUM The following termsare often misunderstood,particularly among insureds orproducers not accustomedtodealingwithsurpluslinesinsurancecompanies.Itisimportantthatthedefinitions are understood. MINIMUM AND DEPOSIT Thisistheamountofpremiumdueatinception.Althoughthepolicyissubjecttoadjustment based onarateper exposure unit,underno circumstances willthe annual earned premium be lessthantheminimumpremium.Therefore,thepolicymaygenerateanadditionalpremiumon audit,but not a return. Ifsuchapolicyiscancelledmid-term,theearnedpremiumistheGREATER of theannual minimum timestheshortrateorpro-ratafactor,ortheactualearnedas determined byaudit, subject toashortrate penalty if applicable. MINIMUM EARNED PREMIUM Aminimumearnedpremium endorsement canbeattachedtoeitheraflatchargepolicyoran adjustablepolicy.Ineithercase,thisamountistheLEASTthatwillberetainedbytheinsurance company oncethe policy goesintoeffect.The amount retained wouldbethe GREATER of the annualearnedpremiumwhethercalculatedonapro-rateorshortratebasis,ortheminimum earned premium. FLAT CANCELLATIONS Surplus lines insurance companies normally donot allow flat cancellations.Once the policy isin effect,some premium willbeearned. Ifyouneedfurtherexplanation,pleasedonothesitatetocontactus. 37 CLAIM REPORTING GUIDELINES Make Brown &Brown,Inc.aware ofany and all incidents immediately after they occur,whether itbeanauto accident,a theft,slip&fall,evena minor incident that appears will haveno future activity.Donotwaitforapolicereport. Gatherasmuch concrete information as possible.For example,police reports,company incident reports,conversationlogs,medicalsandpictures-anythingthatmayassistinthehandlingof yourclaim.Sendthisinformationeitherbymail,e-mailorfaxto: 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 Ifyouhaveanyquestionsorincuranyproblems,pleasecontactourofficeandwewillbegladto assist youinanywaywecan. 38 DEFINITIONS 39 Coinsurance Agreed Value Replacement Cost &Actual Cash Value Inflation Guard Coverage Extensions & Additional Coverages Basic Form Broad Form Special Form PROPERTY DEFINITIONS Mostbuildingand business personal property policies haveacoinsurance clause, which requires the insured to carry insurance equal toat least a specified percentage ofthe actual cashvalueofthe property.Ifaloss occurs,anditis determined that the amount of insurance carried is less than the amount required,a penalty could be placed on the insured.(Example Attached) Whenthe agreed valueoptionis used the coinsurance requirement isremovedand theinsureragreestocoverlossesforitsagreed value.Asan example,theinsured haspropertyinsuredfor$100,000andtheagreedvalueisalso$100,000,if aloss occurs,anylossupto$100,000iscovered100%.Whenthisoptionisusedthe insuredandtheinsurancecompanyagreeonthevalue of thepropertybeforethe policy is issued.This option isusually assigned to one-of-a-kind property. Propertycanbevaluedinseveraldifferentways.Insurancecompaniescommonly usetwo approaches to determine value,which also determines howa loss willbe paid:the replacement cost methodandtheactualcashvaluemethod.Insurers considerreplacementcostofapropertyitemtobethecosttoreplaceitwithnew property of likekind.Actual cashvalueis replacement cost,minus the accumulated depreciation forageand condition. Aninsuredcaninsurea building foritsfullvalueatthe beginning of thepolicy year,butattheendoftheyear,itmightnotbecoveredforitsfullvalue.This problemcanbecorrectedbyaddinginflationguardcoverage.Withinflation guard,thepolicylimitincreasesgraduallyduringthepolicytermsothatthetotal increaseamountstothedesiredpercentageincreaseattheendofthepolicyterm. In addition tothelimits stated inthe Building and Personal Property coverage form,thepolicyhasacoverageextensionssectionandanadditionalcoverages section.Thecoverageextensionssectionprovideslimitedcoveragefornewly acquiredorconstructedproperty,propertyofothers,certainoutdoorproperty, andthe cost of research and reconstruct information on destroyed records.When coverageisplacedontheallriskform,twoadditionalextensionsareaddedfor propertyintransitandcoverageforcertainrepaircostsrelatedtodamagecaused by water.Thetwoadditional extensions arecoveredbycertainperilsonly.The additionalcoveragesectionprovidescoverageforindirectlossesthatresultfroma directloss.Thecoverage applies toremovalofdebris,preservationof property, fire departmentservicechargesandpollutantcleanupandremoval.Thecoverage extensionsandtheadditionalcoverageshavelimitationsandaresubjecttocertain conditions. Fire,lightning,explosion,windstorm orhail,smokethatcausessuddenand accidentallossor damage,aircraftorvehicles,riotorcivilcommotion,vandalism, sprinkler leakage,sink hole collapse and volcanic action. Fire,lightning,explosion,windstorm orhail,smokethatcausessuddenand accidentallossordamage,aircraftorvehicles,riotorcivilcommotion,vandalism, sprinkler leakage,sinkhole collapse,volcanic action,glass breakage,falling objects,weightof snow,ice,or sleet,andwaterdamage (accidental discharge or leakage). Excluding flood and earthquake. 40 EQUIPMENT BREAKDOWN DEFINITIONS Definition of Equipment Breakdown Coverage (Boiler & Machinery) Boiler &Machinery insurance covers direct damage to coveredpropertywhencausedbyacoveredcauseofloss. Coveredpropertyisany property thatisownedbythenamed insured orisinthe named insured's care,custody or control andforwhichthe named insured islegally liable.A covered 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 incurredto expedite progress after a loss Automatic Coverage Coversaccidentstoobjectsat newly acquired 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 occupancy ofthe insured premises when maintained ina reasonablemanner.Thisalsocoversdamagesarisingoutof operations performed by the insured business. Productscoverageisprovidedfordamagesarisingoutof productsmanufactured,sold,handledordistributedbythe insured.Completed Operationscovers damages occurring afteroperationshavebeen completed orabandoned,orafter an item is installed or built and released for it's intended purpose. PersonalInjurymeansinjuryotherthanbodilyinjury. Coverageisprovidedforinjuryresultingfromoffensessuch asfalsearrest,maliciousprosecution,detention or imprisonment,thewrongfulentryinto,wrongfuleviction fromandotheracts of invasion,orrightsof private occupancy of aroom.Coverage for libel and slander isalso provided inthe policy. Thiscoveragepaysfordamagesdoneinthecourse of oralor written advertisement that disparages,libels or slanders a person'sororganization'sgoods,productsorservices. Coveragefortheseoffensesisprovidedunderadvertising injurycoverageonlyiftheyoccurduringthecourseof advertisingthenamed insured's owngoods,productsor services. MedicalPaymentscoveragepaysmedicalexpensesresulting frombodilyinjurycausedbyanaccidentonpremisesowned orrentedbytheinsured,orlocationsnexttosuchproperty,or whencausedbytheinsured'soperations.Thesepaymentsare madewithoutregardtotheliabilityoftheinsured. Thefiredamagelimitprovidescoverageforfiredamage causedby negligence onthepartoftheinsuredtopremises rented to the named insured.If a fire occurs because of negligenceoftheinsuredandcausesdamagetopropertynot rentedtotheinsured,coverage wouldbeprovidedunderthe occurrence limit. 42 GENERAL LIABILITY DEFINITIONS Continued... Contractual Liability Host Liquor Liability Broad Form Property Damage Coverage Incidental Medical Malpractice Non-Owned Watercraft Liability Coverage Limited Worldwide Coverage Extended Bodily Injury Coverage Newly Acquired Organizations Additional Persons Insured Claims Made Form Only Extends yourcoveragetoliabilityassumedundercontract,applies tobothoralandwrittenagreementsrelatingtonamedinsured's business. Coversyourexposureforservingliquortoclientsor employees at companyparties.Appliesonlytofirmsnotengagedinbusinessof sellingorservingalcoholicbeverages. Intendedforfirms,whichperformworkorservices,ratherthansell orproduceproducts.Usuallyintendedforconstruction contractors,repairers of automobiles,installers of property. Extendsterm"bodilyinjury"tomeaninjuryarisingoutof renderingoforfailuretorender,duringthe policy period;medical, surgical,dental,x-ray,ornursing services,or furnishing of foodor beveragesinconnectiontherewithorthe dispensing orfurnishing drugs or medical,dentalorsurgicalsupplies (Under26feetinlength)Provides coverage forliability,which arisesfromany watercraft aslongas watercraft isnotownedby insurednorbeingusedtocarry persons or property forafee. Intendedtoextendthescope of "policyterritories"toanywherein theworld.Limited tothe activities of any insured whois domiciledintheUnitedStatesandtheoriginalsuitfordamageis broughtwithintheUnitedStates,itsterritories,possessions,orin Canada. Amendsdefinitionof occurrence to;includesanyintentionalactby oratthedirectionoftheinsured,whichresultsinbodilyinjury,but onlyifsuchbodily injury resultsfromtheuseof"reasonable" forceforpurposesof protecting personsorproperty, Automaticprotectionfornewlyacquiredorganizationsuntilthe neworganizationsis specifically addedtothepolicyor90days, whichever occurs first. Includes as insureds;(1)Anyspouseofapartner concerning business activities ofthe partnership and(2)any employee ofthe namedinsuredwhileactingwithinthescopeofhisorherduties. Doesnotapplytobodilyinjuryorpersonalinjurysustainedbya fellowemployeewhichoccursduringthecourseofemployment. Thiscoverageisprovided automatically withoutanadditional premiumcharge if coverage is canceled,notrenewed,orthe insurer renewal with a later retroactive date.The basic extended reportingperiodstartsattheendofthepolicyperiodandlastfor five yearsforclaimsmadeagainsttheinsuredwithinthefiveyear periodandreportedtotheinsurerwithin60daysaftertheendof the policy period. 43 UNDERSTANDING THE CLAIMS-MADE POLICY The claims-made insurance policy provides financial protection for all claims presented during the current policy year,providing theclaim occurred aftertheprioracts date. Tounderstandthe claims-made policy,wewilldefine: Current Policy Year: Thepolicyyearbeginsontheeffectivedate shown onthe policy and expires ontheexpiration dateallshownonthepolicy.Thepolicy'seffectiveandexpirationdateschangewithyearly renewal ofthepolicy.Theprioractsorretroactivedateremainsthesame,soyouare protected forincidentsthatoccurredprioryearsbythecurrentpolicy. Prior Acts or Retroactive Date: Thisisthedate(shownonyourpolicy)thatdictatesifaclaimis eligible tobecovered.Any claimoccurringafterthisdate,presentedduringthecurrentpolicyyear,areeligibleforcoverage by your current policy. Supplemental Extended Reporting Period (Tail Coverage): Should thepolicybe canceled or non-renewed,youareentitledto purchase insuranceprotection foranyclaimswhichmaybeafterthecancellationdate.Thepremiumchargedforthisinsurance isbaseduponthenumberofyearsyouhavebeeninsured(prioractsyears)andthelimits purchased. 44 AUTOMOBILE DEFINITIONS Liability Coverage Theliabilitycoverage of the commercial auto policy provides protection against legal liability arising out of the ownership, maintenance,oruse of anyinsured automobile.Theinsuring agreement agreestopay damages for bodily injury or property damage forwhichtheinsuredis legally responsible because ofan automobile accidentresultingfromtheownership,maintenance,oruseofa covered auto.The insuring agreement also states thatin addition to the payment of damages for which theinsuredis legally liable,the insurer alsoagreestodefendtheinsuredforalllegaldefensecost.The defensecostisinadditiontothepolicylimits. Owned Automobiles Coverstheliabilityarisingoutoftheownership,maintenanceoruseof automobiles. Personal Injury Protections CoverageisincludedforvehiclepassengersunderNo-FaultLaw provisions. Medical Payments Coverage The insuring agreement statesthattheinsurerwillpayall reasonable andnecessarymedicalandfuneralexpensesincurredbyaninsured becauseofbodilyinjurycausedbyanaccident.Theinsuredisthe named insured,the insured's employees and guests,andanyother personoccupyingacoveredauto.These payments aremadewithout regard to fault. Uninsured/Underinsur ed Motorists Protects insureds whoarenot contributorily negligent against bodily injurycausedbynegligentunderinsuredoruninsureddriversandhit- and-run motorists. Hired Automobiles Coverstheliabilityfortheuseof hired automobiles inyour business. Non-Owned Automobiles Covers the liability forthe use of non-owned automobiles in your business.An example wouldbeanemployeeusinghisowncaronan errand foryou. Comprehensive Pays forlossofor damage to automobiles from perilsotherthan collision. Collision Paysforlossofordamagetoautomobilesfromcollisionwithanother object or upset. Rental Reimbursement The business autopolicy provides acoverage extension ifan auto is insured for comprehensive or specified causeof loss coverage,which insures against loss of use ofa covered auto only if the auto isa private passenger typeautoandis stolen.Thecoverageextensionpaysuptoa daily limit of $10 and a maximum limit of $300.Payments begin forty-eighthoursafterthetheftandendswhenthe insured autois returnedorwhentheinsurerhaspaidtheinsuredfortheauto.For broader coverage,the insured can pay an additional premium for rental reimbursement coverage.Rental reimbursement paysthecostof renting a substitute autofor replacement ofany covered autothathas suffered a covered loss.Thedailyand maximum limitforthis coverage varies among insurers. 45 COVERED AUTO DESIGNATION SYMBOLS Any "Auto" Owned "autos"only.Onlythose autosyou own (andfor liability coverage any trailers you don't own whileattachedtopowerunitsyou own.)This includes those "autos" youacquireownershipofafterthe policy begins. Owned Private Passenger "Autos" Only.Onlytheprivatepassenger "autos"youown.This includes those private passenger "autos"you acquire ownership of after the policy begins. Owned "Autos"otherthanprivate passenger "autos"only.Onlythose autosyou own that arenot of the private passenger type(andfor liability coverage any "trailers"you don't ownwhileattachedtopower units you own.)This includes those autosnot of the private passenger typeyouacquire ownership ofafter thepolicy begins. Owned "Autos'subjecttoNo-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 ofafterthe policy begins provided theyare required to have No-Fault benefitsinthestatewheretheyare licensed or principally garaged. 46 Owned "autos"subjecttoacompulsory uninsuredmotoristslaw.Onlythose "autos"you own that because of the law inthestatewheretheyarelicensedor principallygaragedare required tohave and cannot reject Uninsured Motorists coverage.This includes those "autos" you acquire ownership of after the policybeginsprovidedtheyaresubject to the same state uninsured motorists requirement. SpecificallyDescribed "autos".Only those autos described in ITEM THREE of the Declarations for which a premium charge is shown (andfor liability coverage any "trailers"you don't own while attached toany power unit described in ITEM THREE.) Hired "Autos"Only.Only thoseautos you lease,hire,rentor borrow.This doesnot include any "auto"youlease, hire,rentor borrow fromany of your employees or partners or members of their households. Non-Owned "Autos"Only.Only those "autos"youdo not own,lease,hire,rent or borrow that are used in connection with your business.This includes "autos"owned by your employees or partnersormembers of theirhouseholds butonlywhileusedinyourbusinessor your personal affairs. CRIME DEFINITIONS Employee Dishonesty Forgery or Alteration Theft,Disappearance & Destruction Employee dishonesty isconsideredtobeacriminalact committedbyanemployeeactingaloneorincollusion with others.There must be intent by the employee to cause theemployeralossandtoobtaina financial benefitforthe employeeorsomeoneelse.Coverageisprovidedfor dishonestactsofemployeesofthenamedinsuredonly. Coverageinsuresagainstlossofmoney,securities,and property other than moneyand securities.The blanket formprovides coverage for dishonest acts of all employees. Thelimitfor blanket coverage appliesperloss,regardless ofhowmany employees areinvolved.The scheduled form providescoverageonlyforthe dishonest actsofemployees specifically listedinthepolicy.Onthe scheduled form,a separate limitappliesto each employee listedonthe schedule. Forgeryis generating a document or signature thatisnot genuine. Alterationis changing a document inamannerthatis neither authorized nor intended. Thisforminsuresagainstlosscausedbytheforgeryor alterationofacovereditemdrawnagainsttheinsured's accounts.A covered item might bea check,draft, promissory note,bill of exchange or similar instrument. Theft meansanyact of stealing. Disappearance isunknowncausesofloss.Disappearance lackstheelementsofknowingifthecrimewasatheft, burglaryorrobbery. Destruction isthelossofcertainproperty,itisusuallythe result of another cause of loss. Section(1)oftheformcoversmoneyand 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 toplaceyourcoverage withan insurance carrier with anA.M.BestCompanyfinancialratingof "A-'*orbetter.*WhileBrown&Browncannotcertify,warrantor guarantee the financial soundness or stability ofany insurance carrieror alternative risk transfer orpoolingentityor otherwise predict whether the financial condition ofanysuchentity might improve or deteriorate,weare hereby providing you with noticeand disclosure of financial condition sothatyoucanmakean informed decision regarding theplacementof coverage.Accordingly,withreceiptofthisnoticeyou acknowledge the following withregardto theplacementandanysubsequentrenewalofthecoverageindicatedbelow: •Brown&Brown attemptedtopresent otheroptionsforyourinsuranceplacement,includingquotations withinsurancecarriersholdingan "A-"orbetterratingfromA.M.BestCompany,but wewereunableto securesuch a quote. •Coverage isbeing placed through Preferred Governmental Insurance Trust ("Preferred"),whichisasa Floridalocalgovernmentself-insurancefundestablishedpursuanttoSection624.4622,Florida Statutes,as such Preferred isnotratedbytheA.M.BestCompany. •Preferred isnotsubjecttotheprotectionsaffordedbyanystateguarantyfundorassociation. •Thefinancialconditionofinsurancecompaniesandothercoverageprovidersincludinglocalgovernment self-insurancefundslike Preferred maychangerapidlyandthatsuchchangesarebeyondthecontrolof Brown &Brown. •Youshouldreviewthefinancialandmembershipinformationfrom Preferred and agreetoabidebythe conditionsof membership established by Preferred. •Youshouldconsidertheinformationprovided,includingthe Preferred coveragequoteandcoverage placementandreviewitwithyour accountants,legalcounseland advisors. By:[NAMEOFAUTHORIZEDREPRESENTATIVEOFINSURED] Named Insured:City of South Miami Policy Number:PKFL101320211304 PolicyPeriod:10/01/15 TO 10/01/16 Date of Notice:09/15/2015 *A.M.Best Rating Guide:Rating forStability:A++toD =Highesttolowestrating Rating for Assets/Surplus:15to1-Largesttosmallest rating 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 listedbeloware requested: E=Exposure;C=Coverage through Brown &Brown;Q=Quote for Uncovered Exposure PROPERTY Y/N Y/N Y/N Buildings Business PersonalProperty Personal Propertyof Others TenantsBetterments&Improvements Business Income Extra Expense Leaseholders Interests Boiler&Machinery(EquipmentBreakdown) Building OrdinanceorLaw A LosstoUndamagedPortionofBldg B.Demolition Cost C.Increased Cost of Construction Earthquake Rental Income Difference in Condition Flood(Primary) flood (Excess) Wind OffPremises PowerInterruption Overhead Transmission Lines Glass Spoilage AUTOMOBILE Auto Liability DriveOtherCar Liability DriveOtherCarPhysicalDamage Hired/Non Owned Liability HiredCarPhysicalDamage PIP:Ext Additional,Broad RentalReimbursement(PPT) RentalReimbursement(Com.Vehicle) Uninsured Motorist (Primary) UninsuredMotorist(Excess) Garage Liability Garagekeepers Liability GarageDealersPhysicalDamage Truckers Liability Un-laden Liability TruckersPhysicalDamage Trailer Interchange CRIME EmployeeDishonesty(1stParty) EmployeeDishonesty(3rdParty) ERISA Bond ForgeryorAlteration Fiduciary Liability Money &Securities BONDS Bonds (describe) E CIQ LIABILITY Y/N Y/N Y/N General Liability Directors &Officers Liability ECommerce/E-Business Liability Employee BenefitsLiability Liquor Liability Employment RelatedPractices Liability ThirdParty Discrimination ErrorsorOmissions Liability Owners/ContractorsProt Liability Pollution Liability (18'Party) Pollution Liability (3*Party) ProductsLiability Product Recall Professional Liability WarehouseLegal Liability Watercraft Liability Umbrella/Excess Liability INLANDMARINE Accounts Receivable ValuablePapers BaileeCoverage Computer/EDP ContractorsEquipment Signs InstaOation Floater Mobile Equipment Rented/LeasedEquipment Motor TruckCargo Transit/Transportation Builders Risk/COC OceanCargo WORKERS COMPENSATION Workers Compensation Other States USL&H Jones Act StopGap Liability ExcessEmployers Liability AIRCRAFT Aviation-Owned Aviation-Non-Owned MISCELLANEOUS International/Foreign Exposures Kidnap&Ransom Travel Accident Credit Insurance Mold/Fungi EIFS Terrorism Subsidence This list ofinsurance coverage isfor 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 providedbytheclient. Insured Representative Brown&BrownRepresentativeSignature Oate•PlaceCompletedwithInsured Comments:(maybecontinuedonreverse) Prepared byBrown&Brown Insurance-Rev01.01.11 49