Res No 182-16-14737RESOLUTION NO.182-16-14737
AResolutionauthorizing the City Manager topurchaseProperty Insurance,including Boiler
and Machinery;General Liability Insurance;Automobile Liability and Damage Insurance;Inland
Marine Insurance;Crime/Fidelity Insurance;Law Enforcement Liability InsuranceandWorker's
Compensation Insurance from Preferred Governmental Insurance Trust (PGIT).
WHEREAS,the City,throughitsAgentof Record,Brown &Brown,hasreceivedinsurancequotes
forProperty Insurance including Boiler and Machinery,General Liability Insurance,Automobile Liability
and Damage Insurance,Inland Marine Insurance,Crime/Fidelity Insurance,Law Enforcement Liability
Insurance,and Worker's Compensation Insurance.
WHEREAS,the City renewal quote from PGIT isforalllinesofcoverageforthecontinuationof
theexistingcoveragesprovides the bestcoverageoptionsto meet theCity'sexistingneeds;
WHEREAS,the CityAdministration recommends that the City continue coverage with PGIT for
PropertyInsurance,General Liability,Automobile,Inland Marine,Crime/Fidelity,Law Enforcement
Liability and Worker's Compensation for2016-2017 Fiscal Yearbasedupon the current proposal;
NOW THEREFORE BEIT RESOLVED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF
SOUTH MIAMI,FLORIDA THAT:
Section 1.TheCityCommission hereby authorizes the City Manager to execute the renewal
insurance policyfor PGIT for Property Insurance includingBoilerand Machinery,General Liability
insurance,Automobile insurance,Inland Marine insurance,Crime/Fidelity insurance,Law Enforcement
Liability insurance,Worker's Compensation insurance for 2016-2017 FiscalYear.
Section 2.This resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED this 20thbav of SePt-.2016.
ATTEST:
READ AND APPROV§
LANGUAGE,LE^AlJTYi
EXEC!ITIOMyHFF
STO FORM,
APPROVED:
COMMISSION VOTE:5-0
Mayor Stoddard:Yea
Vice Mayor Welsh:yea
Commissioner Edmond:Yea
Commissioner Harris:Yea
Commissioner Liebman Yea
1-hVMi-Soutlf Miami
THE CITY OF PLEASANT LIVING
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
To:
From:
Date:
The Honorable Mayor &Members of the City Commission
Steven Alexander,City Manager
September 20,2016 Agenda item No.:_
Subject:A Resolution Authorizing the City Manager to Purchase Property Insurance,
Including Boiler and Machinery;GeneralLiability Insurance;Automobile Liability
and Damage Insurance;Inland Marine Insurance;Crime/Fidelity Insurance;Law
Enforcement Liability Insurance And Worker's Compensation Insurance From
Preferred Governmental Insurance Trust (PGIT).
Background:The City solicited and received proposals for property insurance,including boiler
and machinery;general liability insurance;automobile liability and damage
insurance;inland marine insurance;crime/fidelity insurance;law enforcement
liability insurance and worker's compensation insurance from carriers currently
under writing municipal business in South Florida.The following table
summarizes the responses received.
Florida Municipal Insurance Trust (FMIT)Insurance
Workers Compensation
FMIT Total Premium
PGIT Insurance Description
Property Coverage
General Liability
Automobile
Inland Marine
Crime/Fidelity
Law Enforcement Liability
Worker's Compensation
Please note:Basedon $156,894 pending National
Councilon compensation insurance (NCCI)rate
increase,with acapof$175K.
PGIT Property.General Liability.Automobile.
Inland Marine.Crime/Fidelity.Law
Enforcement and Worker'Compensation Total
FMIT
$182,770
$182/770
PGIT
$120,299
$94,377
$121,847
$836
$750
$70,012
$175,000
$583.121
\WJf 'CITY OF SOUTH MIAMI
^ni ith"Miami office of the citymanagerOVJUUIIVlldl1IIINTER-OFFICE MEMORANDUM
THE CITY OF PLEASANT LIVING
RECOMMEND ACTION:Thestaff recommends thatthe City obtainits Workers'Compensation policy with PGIT
for maximum premiums of $175,000.PGIT offersthemost competitive ratesfor
Workers'Compensation Insurance.The City continuesto receive thecompany's
preferredratingbecauseofthe multiple linesofcoverages,including a 5%creditfor
our Drug Free Work Place policy anda 2%creditforour newly implementedSafety
Policy.Thisyear'srenewalrepresentsa decrease ofapproximately6%overlast year's
Workers'Compensation Insurancepremium.
Thestaffrecommends that the City renewits policy with PGIT foritsProperty,General
Liability,Inland Marine,Crime/Fidelity,Law Enforcement Liability foratotalpremium
of $408,121.This representsa decrease of approximately 2%overlastyear's premium.
As set forthabove,the PGIT proposal contains the most favorable rates for these lines
ofcoveragesandoffersatwoyearrate guarantee onProperty,General liability and
Automobiles.
Attachments:Proposed Resolutions
Proposal Package fromFMIT
Proposal Package fromBrown&Brown
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
*Expiring Premium reflectsannualizedpremiums onany midterm policychanges
Feesshownabovemaybefully earnedatpolicyinception
ExpiringPropertyValue $22,690,710 vs $22,752,937 Renewal
Expiring Vehicle Number 153 vs 147 Renewal
Expiring Municipal Payroll $4,058,046 vs $4,303,578 Renewal
Expiring Law Enforcement FT Officers 45vs 48 Renewal
33
Payment Option:
PGITPackage:50%Down,25%dueat75daysand25%due@166days
POL/EPL:Fullpaymentatinception-Financingmaybeavailable
WorkersCompensation:25%Downand9EqualInstallments
A25%Minimum Earned Premium appliestothefollowing policies:
Preferred Governmental Package andPreferredGovernmental Workers Compensation
Quotations Subject To:
•Signed Acord applications
•SignedAceandAcord Applications -POL&EPL
•ReviewofCurrentlyValuedLossRunsPriorToBinding:
Ace American POL/EPL
Quotation is valid until the effective date of the policy.
This insurance proposal is prepared based on data furnished byyou for our review.Itis not tobe
construed as an exact or complete analysis of the policies or as legal evidence of insurance.Itis
only a brief outline of your insurance coveraee and isfor information purposes only.In the event
of difference,the provisions of the policy will prevail.Please read your policy carefully for a
thorough understanding ofall terms,conditions and exclusions.
34
Coverage
Workers'Compensation
Experience Modification
TOTAL NET PREMIUM
GRAND TOTAL PREMIUM
"•"""
Department ofInsuranceandFinancial Sen/ices
FLORIDA MUNICIPAL INSURANCE TRUST
RENEWAL QUOTE FOR 2016-2017
Cityof South Miami
FMIT 0563
Deductible Limit Premium
$0
1.04 10/1/16
M
TotalPayroll
$7,916,484 $182,770
$182,770
$182,770
Includes:Drug Free Credit:Yes
Safety Credit:Yes
Note:Coverage summaries provided herein are intended as an outline of coverage only and are
necessarily brief.Inthe event ofloss,allterms,conditions,and exclusions of actual Agreement and/or
Policies will apply.
Insurance Proposal Submitted Especially For:
City of South Miami
Policy Term:
10/01/16 to 10/01/17
Date of Presentation:
08/26/2016
Presented By:
Robert Hollander
Executive Vice President
Brown &Brown -Miami Division
INTRODUCTION
Wewouldliketotaketheopportunitytothankyoufor allowing ustoworkclosely
withyouinourefforttodevelopacomprehensiveRiskSolutionProgramforyour
business.Brown&Brown,Inc.isthelargest independent agencyorganizationin
Florida and the 6th largest in the US.The company provides a variety of insurance
productsandservicestocorporate,institutional,professionalandindividual
clients.HeadquarteredinDaytonaBeachandTampa,Brown&Brownispublicly
traded ontheNewYork Stock Exchange (BRO)andhasbeen included in Forbes'
list of the"200BestSmallCompaniesin America".Thecompanyhandles clients'
premiumsinexcessof12Billionannuallyandhasinexcessof6,500employees.
We have insurance professionals who specialize in evaluating and protecting
your personal assets -home,auto,watercraft and life.
We also have an experienced employee benefits department whocan assist you
with group health,disability,life and dental
While sizeis not thesole criteria for choosing an insurance agent,itdoesenableus
to offer our clients clout inthe marketplace and unmatched service capabilities.
Please feel free to visit our website at www.bbinsurance.com
This insurance proposal is prepared based on data furnished by you for our
review.It is not to be construed as an exact or complete analysis of the
policies or as legal evidence of insurance.It is only a brief outline of your
insurance coverage and is for information purposes only.In the event of
difference,the provisions of the policy will prevail.Please read your policy
carefully for a thorough understanding of all terms,conditions and
exclusions.
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
Karla Bernet
Account Manager Associate
305-714-4499
kbernet@bbmia.com
Town
)rown
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.Schedule of Named Insureds
II.Coverage Sections
o Property
o Inland Marine
o Crime
o Commercial General Liability
o Law Enforcement
o Commercial Automobile
oPublic Official/Employment PracticesLiability
o Workers Compensation
HI.Summary
IV.Illustrations and Definitions
SCHEDULE OF NAMED INSUREDS
City of South Miami
This list includes all of the named insured's we presently have on your policies.Should any
revisions to this listing be required,please notify our office immediately.
Please Verify the Accuracy of EachNameandUpdateList,If Needed.
PROPOSED PROPERTY COVERAGE
Insurer:Preferred Governmental Insurance Trust
Location of Premises:
Per Schedule Attached
Description of Property:
Blanket Building &Contents Limit,per attached schedule $22,752,937
Values Insured are Ultimately Chosen bytheClientInview of the continually changing costof
construction andbuilding materials,we strongly suggest thatyoureviewyourproperty values annually.
ANYchangesinthe occupancy ofan insured location shouldbereportedtoouroffice immediately.
Changesinoccupancycanpotentiallyreduceornegatethecoverage ,
afforded by your property policy.
Description of Coverages Proposed:
Policy Form:
Building &Personal Property Coverage Form -Special
Causes of Loss:
Special Form:Excluding Earthquake/Earth Movement
Coinsurance:
Building &Personal Property:N/A
Valuation:
Replacement Cost
Flood Limit:
Per Occurrence andAggregate:$1,000,000
Excess of NFIP Whether Purchased or Not
PROPOSED PROPERTY COVERAGE
Continued
Property Extensions of Coverage:
Forafull description of terms,definitions and conditions,please refer tothe policy
documents.
Limit
Accounts Receivable
Additional Expense
Animals
Loss of Business Income
Debris Removal
Demolition,Ordinance and ICC
Expediting Expense
Fire Department Charges
Fungus Cleanup Expense
Lawns,Plants,Trees and Shrubs
New Locations
Personal Property of Employees
Pollution Cleanup Expense
Preservation of Property
Recertification
Service Interruption Coverage
Transit
Errors and Omissions
Vehicle Property Coverage
Coverage
$250,000
$100,000
$l,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:
Named Windstorm:
Flood:
Coverage Enhancements:
Boiler &Machinery
$2,500PerOccurrence-Building&Contents and
Extensions of Coverage
5%PerOccurrence-Subjectto$15,000 Minimum
$2,500PerFloodexceptzonesA,Vexcessof NFIP,whether
purchased ornot
$22,752,937
NOTE:Detachedwalls,fences,radioandTV antennas,trees,shrubs,plantsfree-standingproperty
improvements suchasathletic equipment,windscreens,lightpoles,satellitedishesorsignsare
notcoveredunlessspecificallyscheduledonthepolicy.
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-LimitedperExtensionsofCoverage
Note:ThePGITpropertyprogramisasharedlimit.Thelimitspurchasedareaperoccurrence
limitandintheeventanoccurrenceexhauststhelimitpurchasedbyPGITonbehalfofthe
members,paymenttoyoufora covered losswillbereducedpro-ratabasedontheamountsof
covered lossbyall members affected bythe occurrence.
WINDSTORM &HAIL DEDUCTIBLE SAMPLE ILLUSTRATION
FLAT DEDUCTIBLE vs.PERCENTAGE Windstorm and Hail Deductible
This deductible wouldapplytoaclaimfor damage causedby windstorm.
MMM!^^
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
Percentagewinddeductiblesarecalculatedasapercentageofthetotal replacement value.
Thedeductibleforallotherperilsappliestoan "occurrence",notperbuilding.
SCHEDULE OF COVERED PROPERTY
uirit#
Description Year Built Eft Date Building value
Address Const Type
Term Oate Contents Value
Roof Shape Roof Pltdl RoofCovering CoveringReplaced RoofYrBfc
€04
CMMtMofltur
61SSW 6ft Street 1*70 ID/01 /2016 $471,200
$476,687
119 -JM 10/01/2017 $5,487
Flat BuAtuproof w/out gravel Flat
002
n6tew»tfa;Oflfc*Btfttft*
479SSW75ll>A*efiue
1968 10/01/2016 §281,200
$288,S1£
119 -JM 10/01/2017 $7,31«
Hip Tar and Gravel LOW (<10)
•003
StQfwOfcftnr Foot offte
4795 5W 75th Awnue
South Man*,FJL.33143
1994 10/01/2014 $5-4,000
$54,000
131-FR 10/01/2017 $D
Flat Built-up Tar &Gravel Flat
oo*
•4795 SW TStfiAvenue
SmfthMnn^FLUra
1980 10/01/2014 $185,250
$1&^2£C
152-NC 10/01/2017 $D
shed Tar and Gravel LOW (<10)
005 4795 SN 75th Amue
5bt*hMra*rFL 33143
1994 10/01/2016 $560,500
$560,500
111 -JAMC 10/01/2017 $0
Flat Tar and Gravel LOW (<ID)
006-
4795 SW 75th Arcnue
South Mraa.aUttS
1992 10/01/2016 $63,000
$122,267
1*9 -JM 10/01/2017 $59,267
Flat steel -standing Steam LOW {<10)1
007
1994 10/01/2016 $18,900
$18,900
H9-JM 10/01/2017 $0
Flat Built-up Tar &Gravel Flat
OOS
MOO Red Read
Sauth Miami FL&M3
1967 1D/01/2016 $95,880
$«,aac
131 -FR 10/01/2017 $D
Flat Binlt-up Tarft gravel Flat
009
BMW Red Road
5cadhtfiB0*rFL33M3
19*5 10/01/2016 $65r00C
$65,000
152-HC 10/01/2017 $0
Pyramid Asphahshinge Medium (io to 30)
OfO
fifiOORedRnod
5adh Miami,FL 33143
1985 10/01/2016 $123,500
$123,500
102 -PITO 10/01/2017 $c
N/A N/A N/A
OH
2600 fled Rood
5t»th Miami,FL33W3
1975 10/01/2016 $1Q4,0Q€
$104,000
102-PiTO 10/01/2017 $«
H/A N/A N/A
10
SCHEDULE OF COVERED PROPERTY
Continued
unit*
Description YearHuitl Eft.Date BuildingValue
Address Term Dace Contents Value
Roof shape Roof Pitch RoofCovering CoveringReplaced RoofYr Btt
012
SfcCOtied Rood
SmnhMfami,a33MJ
1975 10/01/2016 $23,665
$28,665102-HTO 10/01/2017 $0
N/A H/A N/A
013
0»fc*.FJB^Parfi-1&Htotb*aCwt
&00 fled toad
South Miami,FL3314S
1980 10/01/2016 $13,000
$13,000
102-WTO 10/01/2017 $0
N/A N/A N/A
014
QvttB&f&itftt'fTitfttn.
HgHfedBtmi
South Miam.a 33143
1385 10/01/2016 $10,000
$10,000119-JM 10/01/2017 $0
Pyramid Wood Shakes Medium (10 to 301}
015
ttanfe BuFaacsU Gmumntty fiowit
HCOIferfRMd
5a*hM§uni,FL 33143
1967 10/01/2016 $63,000
$63,orjG
131-FR 10/01/2017 $0
Flat Builtup roofwitth gravel LOW(<ID)
Ol 6
tate p«*PwWow (S*H>^*twa.tnftMteQ
6445 SW fitStreet
SouthMiami,FL 23143
1995 10/01/2016 $31,000
$35,550
101-Frame 10/01/2017 $4,550
Hip AsphaltShingles Medium (10 to30)
017
6445 Sttm Street
Sadt Mans,FL 33143
1992 10/01/2016 $84,000
$&4,0OC
119-JM 10/01/2017 $n
Flat light Metal Paneb LOW(<10)
Oia
FucfcPu^ptmgnonrKl ft SwtegSMs
644SSW 81 Street
5bUh Miami,R.3U41
1993 10/01/2016 $70,763 •
$70,769
1G2-WTO 10/01/2017 $«
N/A HfX H/A
€49
p«m«rn|fc.-Ffttl 9mmWS**
6445 SW 81 Street
5aUhMsfiB#FL3SI43
1977 10/01/2014 $45,500
S45.5CK
152 -HC 10/01/2017 $c
Flat Buiit up roof with gravel L0W(<1O)
O20
6701 SW fifth Aksuk
SauthAfam,FL33Hi
1*77 10/01/2016 $75,000 •
$120,730
119-JM 10/01/2017 $45,730
Flat Built up roof with gravel LOW(<10)
021
Msw pwfcRMttftt.Storag*toon
6701SW 67th fewiur
South Mtaii,FL33t43
1995 10/01/2016 $33,000
$52,500
119-JM 10/01/2017 $19t5O0
Flat Buiitup roof with gravel LOW (<10)
022
FjfaMrFwfiFWfcMfovM
61G0SW67khibenue
South MM.FL33W
1977 10/01/2016 $115,62*
$124,763
119-JM 10/01/2017 $9,143
Hip Asphalt Shingle LOW(<10)
ll
SCHEDULE OF COVERED PROPERTY
Continued
unit*
Description Year Built:Eff-Oate Building Value
Total insured value
Address
Const Type.
Terra Date ContentsValue
Roof Shape Roof Fetch ItoofCovering CoveringReplaced RflflfYrBft
023
pernor pwkPtowrawi
6701 SW 67th Avenue
5o»Afi«uTOtfL33MJ
1577 10/01/2016 526,000
$26,000 .
102-WTO 10/O1/2O17 SP
H/A «/A N/A
024 67015W67th AnsBie
5bifihMsMn,FLS3143
1*7J 10/01/2016 $i3,qoo
$13,000
102-prra 10/01/2017 $o
H/A N/A ft/A
025
670lSWfi7th/tf«iue
South M»tw^FLS3143
197a 10/01/2016 $16^900
$16,900
102-prro 10/01/2017 So
N/A N/A N/A
02«
'Mfovtutu?RestTKc*attg
67013W67th Avenue;
South Min!^ft 33143
1977 10/01 /2016 $B4,608 •
$34T6W
119-JM 10/01/2017 $0
Flat Built up roofwithgravel LOW (<10)
027
.Mmer Reft •CcKWmtooSld|
fiTOJSWftTth Awiue
SatflhttiOTivFL 33M3;
1977 10/01/2016 $54,000 •.••
$54,000
119-4«iO/01/2017 ,$0
Flat Built-up Tar ft Gravel Flat
028 Sou*Man*,FL 33143
1989 10/01/2016 $28,665
$28,665
119-JM 10/01/2017 $0
;fi'm.Built up roof with gravel (JQW(<10)
02*6S0QSWSftth Street
S*rfrMi*m,ft 33143
19B8 10/01/2016 $13;poc
$13,000
102-WTO 10/01/20l7 $o
;N/A-:.MM H/A
030
Vmm PwK..FtaypQupdand &rt«Sft
6SBSWS6*Street
SaotfcttwrstFL33143
1988 10/01/2016 $34,125
$34/125102-rtiTJ 10/01/2017 V$o
N/A MM H/A
051 6IOOSW5ftih Street
South Mara,FL33W
1990 10/01/2016 $52,000
$52,000
...::•102-PTTQ 10/01/2017 •so
H/A N/A ft/A
052 SoiAhMak^.FL33*43
1990 10/01/2016 $7,aoc
$7^800
102-P1TO 10/01/2017 $o
H/A H/A N/A
033
Iftwcr Pafc.MOift«Sft fffc*nifidk
6K»SW5tth Street
SmrtftMana.FL33145.
1990 10/01/2016 $3,9«
$3,900
102 -WTO 10/01/2017 $c
N/A N/A H/A
12
SCHEDULE OF COVERED PROPERTY
Continued
Unix.9 Description yearSutlt Of.Date BuildingValue
Address
Certs*Type
Term Date contents value
Roof Shape Roof Pitch RoofCovering Covering Replaced RwifYrBtt
034
5800SW 66Street
South Mana,FL 33143
1990 10/01/2016 $2,000
$2,000119-JM 10/01/2017 so
GaMe end without bracing AsphaltShingle LOW(<ID)
035
MjowPwfc /CORKmaAp Cufcir
670l5W5BPuBe
South Marai.FL 33V»
1985 10/01/1016 $360,000
$360,000
111 -MNC 10/01/2017 SO
pyramid SteeL -Standing seam Medium (1010 30)
036
BGWBB?**'
SfiUthMumi.FL3M43
19S5 10/01/Z016 $271,680
$271,680
119-JM •10/01/2017 $»
Pyraond steel-Standing seam Metfuon (id to 30}
037
«to/F^$uhifetftan
S97S Sunset Orive
South Mfana.FL 33143
1991 10/01/2016 So
$32,500
119-JM 10/01/2017 $32,500
GaWe em*without tuaring Asphalt Shingle LOW(<10)
OSS
OByHjU/Poitou
61SDSunaet Drive
South MoraLFL 33143
1956 10/01/2D16 $3,839,900
$4,235,372
119-JM 10/01/2017 $395,472
Flat Quitt uproofwithgravel LOW(<10)
039
SStratfvttaBto
6130Sunset Onw
South MtaraiFL3314S
1935 10/01/2016 $420,1*0
$476,886
119-JM 10/01/2017 $56,708
Hip Asphalt Sh'ragle Medfuni(loto30j 1
040
Sarin MMmfCbmi Cuitor /Gym
5900SW 66 Street
South Maura.FL 33143
2003 10/01 /2016 $3,218,560
$3,608,561]
111-MNC 10/01/2017 $390,000
Flat Builtuproof with gravel LOW (<10)
041
JfMWalantt/Qizetto
7Z2D5W61si Court
South MBia,FL33t43
1991 10/0112016 $19,500
$19,500
ioi -Frame 10/01/2017 $0
Pyramid Asphalt Shingle Medium (10 to 30}
042
61215W 63Street
South Morai.FL 33143
1991 T0/Q1/2016 $65,000
$65,000
152-HC 10/O1/2O17 $0
pyramid Asphalt Strings Unknown
043
ftenbii w«Bw»«»l*k/Wmcwodiwl wt»s»t
6121 SWfiB Street
South Mam.Ft 33143
1991 10/01/2016 $32,504
$32,500
102-PJTO 10/01/2017 $9
N/A N/A N/A
044
MBntaawBtonKsPBk-iTfeenfecar*
6121SW 68 Street
South MbkbLFL 33143
1991 10/01/2016 $52,001
$52,000
102-PITO 10/01/2017 $*
N/A N/A N/A
13
SCHEDULE OF COVERED PROPERTY
Continued
unk#
Description Year Built Erf,Date BuildingValue Totat insured vaBue
Address
Const Type
Term Date Contents value
Roof Shape Roof Pitch RoofCovering Covering Replaced Roof Yr Bit
045
QklSuutFrawfy
6603 SW6t>Street
South JSma.FL 33143
1965 10/01/2016 $234,060
$234,060
119-JM 10/01/2017 So
Hip Asphalt Shingle Medium (to to 3fl)
046
MWftt&flw
S829S.W.n Street
Southlftoral.a33143
2000 10/01/2016 $8,435,520
$8,435,520
131 -FR fO/01/2017 SO
Flat Concrete Tile LOW (<10)
047
PbM>pj«tt»<*iatfa<>
SWSStfiA«ttSWHJ9t
South MuaaLFL 33143
1992 10/01/2016 $25,000
$25,000
152 -NC 10/01/2017 $0
Pyramid Asphalt Shingle Medium (10 to 30)
048
6724SWS9 Plane
South MtaRa.FL33143
1980 10/01/2016 $0
$26,000
119-JM 10/01/2017 $26,000
Flat Tar and Gravel LOW {<10)
049
BttSfoflt*?
H Side efSunset Or8
Appro*5W 60 Aw
SotAhMnni.FL 33143
1992 t£>/0l/2016 $50,000
$50,000
152 -HC 10/Q1/2017 $o
Flat Light Metal Panefis LOW {<10}1
050
«»3»£tflr
H SiosefSunset Or&
Appras WOft W of SW67Aje
SouthM»nwFL33143
1992 10/01/2016 $50,000
$50,00C
152-MC 10/01/2017 $0
Flat Li&htMetalPanels LOW(<10)
051
S5«fe ofSonet D>8
Apana tOOftEofSW67 tox
SauthMunx.FL 33143
1991 10/01/2016 $50,000
$50,000
152-NC 10/01/2017 $o
Flat light Metal Panels LOW(<10)
052
5 SwfeofSunset Br &
S tisori Gty HailSite(6130)
South Mwm.FL 33143
1992 10/01/2016 $50,000
$50,000
152-MC 10/01/2017 $0
Flat tight MetalPanels LOW (<10)
053
Bo»$tna.W
ESifcflFSW£t*e&
Aparaa5W67St
South Mania 33143
1992 10/01/2016 $50,000
$50,000
152-NC tO/01/2D17 $o
Flat Light Metal Panels LOW {<10)
054
Wrmpsftfitfj.spteft pad.fisstrcam
61215HfifthSreet
SsafihMBM».a33H3
2014 10/01/2016 $1,384,411
$1,384,411
119-JM 10/O1/2017 so
Flat Builtup roof withgravel LOW (c10)
055
638DSW7B Street
SouthM»a,a33H3
2015 10/01/2016 $4,47!
$4,475
102 -PTTO 10/01/2017 $C
14
SCHEDULE OF COVERED PROPERTY
Continued
Unttff
Description Year Built FJT.Date BuildingValue
Total insured Value
Address
Const Type
Terra Date Contents Value
Roof shape Roof Pitch RoofCoveringCovering Replaced Roof Vr Bit
056
6130Sunset Dmo
South Mnrr«\a33143
2003 10/01/2016 $160,503
$16D,5O0
119-JM 10/01/2017 SO
I Totat:$21,701,260 Si,051,677 1 $22,752,937
15
PROPOSED INLAND MARINE COVERAGE
Insurer:Preferred Governmental Insurance Trust
Description of Property:Values of Insurance:
ParkingMeterEquipment-Blanket Unscheduled $417,896.00
Subject to $25,000 AnyOneItem
Excludes Watercraft
Causes of Loss:
Special Form:Excluding Flood and Earthquake
Loss of Use coverage is not automatically included
Valuation:
Actual Cash Value
Deductible:
$1,000
Exclusions Include But Are Not Limited To:
Flood
Earthquake/Earth Movement
Terrorism
Biological or Chemical Materials
Electronic Data
Electronic Date Recognition
Asbestos
16
PROPOSED CRIME COVERAGE
Insurer:Preferred Governmental Insurance Trust
Type of Policy:
Combination Crime
Limits of Coverage:
Coversloss of money,securitiesandother property by employee
dishonesty atall premises of the insured.
Coverslossbyforgeryoralterationofchecks,drafts,and promissory
notes(exceptbyanemployee)thataremadeor drawn bythe insured or
hisagent.
Covers againsttheft of money,securities,or property by usinga
computer to transfer covered property fromthe insured's premises or
banktoanotherpersonorplace.Nocoverageisprovidedfortheftof
information orfor computer vandalism.
Theft Disappearance or Destruction
Other Coverages Available:
D.Robbery andSafe Burglary
E.Premises Burglary
G.Extortion
H.Premises Theft and Robbery Outside
I.Lessees of Safe Deposit Boxes
J.Securities Deposited withOthers
Deductibles:
Employee Dishonesty
Forgery or Alteration
Computer Fraud
Theft,Disappearance or
Destruction
$1,000
$1,000
$1,000
$1,000
17
$10,000
"$}
PROPOSED GENERAL LIABILITY COVERAGE
Insurer:Preferred Governmental Insurance Trust
Type of Form:
Commercial General Liability -Occurrence Form
Limits of Liability:
Bodily Injury &Property
Liability
Products/Completed Operations
•Ms-fee-v:,^m*£^mtm?;^^
Personal Injury &Advertising
Injury
Damage to Premises
Leased/Rented to You
Bodily Injury and Property
Damage Deductible
N/A Per Occurrence
HigherLiability Limits maybeAvailableUponRequest
Exposure Basis:
Municipality Payroll $4,303,578
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-$1,000,000AggregateLimit
Sewer Backupand Water DamageLimit-$10,000/$200,000
Exclusions include but are not limited to:
Pollution
Asbestos
Mold
Fungus,Bacteria
Lead
Nuclear
Medical Payments
Liquor Liability
Copyright or Patent Infringement
18
PROPOSED EMPLOYEE BENEFITS LIABILITY COVERAGE
Insurer:Preferred Governmental Insurance Trust
Coverage Form:
Occurrence
Limits of Liability:
Deductible:
N/A
Employee Benefits Liability:
19
PROPOSED LAW ENFORCEMENT LIABILITY COVERAGE
Insurer:Preferred Governmental Insurance Trust
Type of Form:
Occurrence
Limits of Liability:
Per Person
Per Occurrence
Aggregate
Deductible:
N/A
Exposure Basis:
Tr >Class
Law Enforcement
f Basis
Number of
Officers
20
Amount
48 Full Time
1 Volunteer
PROPOSED COMMERCIAL AUTOMOBILE COVERAGE
Insurer:Preferred Governmental Insurance Trust
Limits of Liability:
Personal Injury Protection
(Florida No-Fault)
Medical Payments
Uninsured Motorists Non-Stacked
*All New or Replacement Vehicles Must B*
Reported Immediately soasto avoid any
possible gapin coverage
Auto Symbols 7&8
HigherLimits ofLiabilityMayBeAvailableUponRequest
Description of Vehicles:
Please See Attached Schedule of Automobiles which indicates those vehicles that include
Comprehensive and Collision
Coverage Enhancements:
•HiredAuto Liability
•Non-OwnedAutoLiability
•HiredPhysical Damage
Limit:$75,000 Subject todeductible
NOTE:Thevehicleslistedonthispolicymustbeownedby,titledtoorleasedtotheNamedInsured.
21
VEHICLE SCHEDULE
Unit*Make Model/Description Department ALEff liii
Coll Valuationif|
Type 1QtoYearVIN#Vehicle Type ALTerm CoSIOed CollEff kPORptd
001 Stm CinrTrfr 10010016
N/A NM MA118B712S7Tralter-ND 10O1O01?
0Q2 Recycle Track lOJBIODfEt
$1,000 1O01£016 10IDIO017 AcbialGasftl $aiJK».1 1690 7182 Heavy Truck 1MJU2D17
D03 BucfcetTruck IMttSBIB
MA118130411HeavyTrack10010017N/A MM
004 Truck 100122016
jwSIcS|$30,000120011520HeavyTrack1001001751,000 10010016 101018017
005 Pickup 1MHJ2016 mi AcSa^Cash|$10,000120013202iigMTrue*10010017 51.000 1001/2016 10010017
008 Vofoa>WXR84 ^smmmiiwmtmwmm
1 2003 4V2ECeUEG3«3484fld Garbage Track 1MHC017 (1,000 10*01/2016 10010017 Actual Casih|$36,000
$32,000
007 Trasti Track •TS5^ii3ffiliiSEf>Si 11;WM
1 2065 7533 Garbage Track IQQIOOt?$1,000 101010016 iuavffit AduaiCash|
008 Trash Crane 1001QD1B
101010016 iofaiaai7 iSaaTclSf $32,00012004682GaitageTruck10010017$1,000
009 Fad F458 BucfcetTruck 10O1O01B
100102016 ianiaai7 AdtualCaShil
jSEcSf
$28,000
$10,000
1 2004 6740 Heavy Truck 1GWU2D17 $1,000
Q1D Traier 10KHOD1G
$1,000 mit/Hf iSoiioir120041773Trailer-NO 1MHGD17
011 Fad Oram Victoria Police 1MHGD15
N/A MA MA119978803PoGceCar101010017
012 3VmOpfe ^^ffl^l^^K®^^@l!lSliiilSSSil?£l
1 2814 4182 Extra LioW Service
013 Garbage Truck MonPofoe 1001/2016
1 207J4 5VCEC8lF24H2H)fl02 Garbage Track 1OB1O01?$1,000 1Q&U2016 10010017 AcSalCsSf $35,000
014 Fad Crown VEcfaria Pcttce 10010016
10010016 laoioarr AduaibasJi|$10,322120058246PofceCar1U01O01?$1,080
015 Sweeper 1U01O016
1 1807 2272 HeavyTrack 10W1OD1?N/A MA MA
Olfl Fad Ranger Pbc&wi 10010016
N/A MA MA
1MHJQQ17
MA
Actual Cadil
Adu^CadTT
$19,322
1 1807 483 LightTruck 10010017
017 Fad Crown Victoria Police 10010016 SJgKp
1 2005 8247 PdiceCar 10MGD17 $1,000 looiaoie
018 Pickup 10010015
N/A118885084tightTruck10Q19D17
oig Fad CrownVictoria Police 10010015
1 2005 8249 Police Car 1001001?$1,000 ioroi/2016 rSiSr ^^^
020 Fad CnmnVictoria Police lOMOOIS
1 2005 8250 PcSceCar •l-U^JMB^oiMtU^iE^t^^
021 Fad Crown Victoria Police 10810016
^^^^P^A^^^^^^^^^1 1688 7545 PdJceCar 10010017
022 Fad CrownVictoria PoGoe
$18.322120058252PoGceCar
023 Fad CrownVictoria Pdioe 10010016
HHMMMH.
1 1888 7547 PoficeCar 101010017 N/A MA
22
VEHICLE SCHEDULE
Continued
Unit*Hake HadeUQescriptioTi Department ALEff
Coll mSt tPDHptd
523,000
Wa Year VTN#Vehicle Type AL Terra GoflQetf CoOEff
025 Ford F250Pickup Police 1O0UZO16
10010016 301010017 AdhScaSp12QD50300PoliceCar1001/2017 $1,000
026
1
Fold EJpedSari 1Q01/ZD16
10010017 $1,000 10002016 10JQ1O817 AriuaKJashj2005B547LightTrack
027 Trash Truck
•B 20D7 7280 GarbageTrack
028 Ford F250 Pickup
1 1889 1500 LightTruck 1Q81O01?N/A NBA NA
028 Trash Crane 10010016 liHSB
$10,000121008038GarbageTrack1O01OD17$1,000 10010016 1DJ01CT17 Actual Cash!
030 Fold F150 Pickup 1B01OD16
1 I860 1507 LiehtTrock 10010017 N/A HGA MA
Actual CastiF $21,500
031 Foid Ranger Pockup 10010016
$1,000 1001/2016 101010017H20060007LiehtTrack10010017
034 Font Crown Victoria Pdfce 10010016
$1,000 10010016 101010017 ActaalcSp $22,0001120083703PoliceCar1Q01OOT7
035 Fad CrawnVstoria PoEce 10010016
mmimm®
1 1889 2304 PoficeCar 1Q01OD17
03(7 Ford Crown Victoria Police ^^^BSSX^IiilESMa $aB|
$5omj
1 2900 3784 PoliceCar
038 Fad Crown Vectoria Police
1 2008 3781 Police Car
039 EC015 Pass Van
1 1868 8480 Bus <2D Pass*No 1100100171 N/A 1 MBA.1 NW.1 1
042 Fad Crown Victoria PoCce
lESEffliffillllKMaiilSlSi islllillisIII
1 2000 3756 PoliceCan
044 Fad RangerPickup
1 2007 8605 LigtitTrack 10010017 $1,000 ]1001/2016 101010017 Actual Cashl $10,800
045 Grew Cab Track 10010016
^BTSB 101010017 AcfeiXcaShj120071FFWW30P17EA4733LJDjhiTBUck10010017
046 Fad F250Pickup WEMzmigmifg^wsvZ'x
NA123011250MsMTrack1001130171WA""['"HBA"
047 Fad Clown Vactaria 'Pcfice 1D01OD16
10)010017
101010017
10010017
10KHGD17
AcfciatCaSir $25,00012D074570PoliceCar1D01O017wlnoo™1 iixnjao?
1001/2016
iow/aai6
048 Trash Truck 10010016
00 Acbs^Ca^Tr
jffiSSoSp
$«w0Q8
$28,000
$30,000
$25,000
1 2007 5782 Garbage Track 10010017 w
049 &45Q Pass Van 10010016 IKS
SO12)07 8867 Medium Truck 10010017 $1.C
050 Fad F250 4X2 Truck 10010016 I^C'^X ^Pliip^'W^-T?
AcluScSiP120008133MsfatTfuck10010017$1,000 10010016
051 Fad CnnrnVjctoria PdTce 02010016
$1,080 1001/2016 10101001712007280PoliceCar10010017
052 Fad Crown Victoria Police 10010916
1 2007 201 PoliceCa/
v^HxmmmsmsmmMmmmi
$25,000
093 Pickup
T 2001 3283 LiQhtTmck ||1Q0U2D171 N/A |MA 1 NJA ||
23
VEHICLE SCHEDULE
Continued
Unit*Make Model/Descripbo^Department AtEtT
APORptd
Q*Year ViN#Vehicle Type AL Terra CollOi CollEff Coil Valuation 1Tvpe1
054 Ford Crown Victoria Police 1O01OO16
1 2007 202 PoSceCar |
IZKB^mmmmmxmmmmm msmmmmmmd055Cnevrote*S-10
1 1884 8487 LtgfrtTruck 1Q01OO17 H/A
\
MA
MA
MA
MA
058 Ford Excursion 10010016
1 2001 7437 LightTruck 10010017 N/A
057 Ford Crown Victoria Police 1O01OO16
1QSJU2016 1QJ01O017
ill!
$25,00012007283PoliceCar10010017$1JKN ,Actual Cash|
058 Ford CravwiVhcboria Police 10010016
N/A120013403PoliceCar10010017 MA MA
058 Ford Crown Victoria Police 1001/2015
•016 IBJOlOOTT Acta12007264PoliceCar10010017$1,000 100V ICashl $25,000
080 Ford Crown Victoria PoBoe 1O01OO16 H^Hii^
1 2007 1844 Police Car $25,000
082 Ford F450 Super Pkkup
1 2B07 7483 Medium Truck 1O01OO17 $1,000 10010016 100100171 Actual Cash $10,000
083 E-350Van 10010016
$1.00 i iamooi6 lOT^17|AcScash $20,000
$24,000
1 2008 8178 LiBTitTruck 1O01OO17
084 Ford Crown Victoria Police 10010015
1 2001 3400 Police Car 10010017 N/A w K
085 Ford F250Rckop 1O01OO1&
$1,000 10010017120084733UfitftTnick1O01OO17laorUSDie Actual Cash
068 Fad F250P**up Police 10010016 wM iH •HI ••I111III
1 2001 8077 Police Gar 10010017 N/A MA MA
087 Pickup 100119016
N/A MA MA118077334UgfifTruck10010017
080 Trash Truck 10O1O015
D 1DSMO016 1DJD1O017120088168GarbageTruck1O01OO17$1.00 Actual Cash $45,000
060 Pickup 1O01O01&
10910016 10010017 Actual Cash $22,000120084732LftjNtTruck10010017$1.000
070 E35GVAN 1O01OO16 S1BIE BBSS SB-Bf
1 1881 153 tigMTruck 1O01OD17 N/A |MA MA 1
071 WalerTrack lEESESaiOSSSSSilSn
s^3E2iSbDm ES202Sk^KSEEn2120006415HeawyTruck10010017$1,000 loraii
072 15 Pass Van 1Q01OD16 ir^tCT^|iunSi7 Actual Cas*1 2008 8821 Bus <2Q Pass,No 1D01O0T7 $1.00
073 15 Pass Van 1O01OO16
1 2QD8 6820 Bus<20Pas5vMo •WWMM<,»JtWiMiIMMUWiWWBa
074 Fad ExpecTKon 1O01OO16
0120086886LfftttTruck10010017$1.00
075 15 Pass Van 10010016
t^^^L^1 2809 8630 Bis <3>Pass*No 10010017
078 Fad Crown Victoria Police ||[?!TrfCT?
1 2008 1417 Police Car ^^^ISilBSSBBB070FadCrownVictoria
1 2Q10 7B08 Heavy Truck |8l»'.'tr/.-i5ri Bifiym IS £2 llj^ymj lESSjggj
24
VEHICLE SCHEDULE
Continued
:«nlt#;Hake Model/Description :Deparintent.ALHf
Ccfl<»*Year:IAN*Vehicle Type ALTenh CoBOed Cafi *APORptd
..MO.F«*F2J50\10010016 illl^jlp
AcbialGas^t•i..2000;1381 MBtAXriifik 1001/2017 Jt.OOOv.1*010016 10010017 $25,000
081 .GarbageTruck.iT^p^rn^^jgTH^t^^?:-ri !^vnTi^a gMtifSP
$40,000
;K5.34Q
;-i;.izooa;.'8402 Garbage Truck |
083 .Fad Cro>fnVlctoraPb!k»ln6^^10010016 S^ligiiig^ii;:fc &j*T ^Ajif^"v^i4i#i+f^cerCair.;10010017
ow .Had ;:abw£vici^..JSSSBmMmmssmspsil
vt::sifO 3^r^WAXl4148«^~PitfceCar 1O01O01?•31.000 109112016 1QJD1QQ17 ^Seasri|$25,340
085 Fad .GfowrVVtctcrata 10010016
^$lSr !MrS6 ^Effism?^Sc^j'£•'".2010 ,j^P7B#U?^^F&iceCSr 10010017 ,'z&MQ
088 £«*;\GfcnmVfal^10010016
lttQl/2016•i;20ID-V ^NSPi&hMwm Police Car 1001/201?
^^^^n itmS Ac^alCash
^c^Casl
-$S5i340
087 Fad •CtamV&nra iPd^fcterc^jtor.;"EES1B1IIIypaPlETiSl liisiis
1 izoioJ 2FABP7BV8AX141493 PdiceGar 1001/2017 ^:$liOBO-r iojoiGuig 7ij$?ip4a
088 .-Fad'"Ctawn Victoria Policed .10010016 tmmm
1 :,:2DH|:'2FABraWri5A^^PcrtceXJar:';:^$25,340
DOS ."rtbfd*CrownVjdofia Ptotice &rfercfiptor -'
1 :2BfD 2FABP7BV0AX1414BS P«k»Car:|io0iooi7,|,$1:000 i .109112016 iHB&gi?.yVcbaJCasr)$25,340
080 ..•"SEM;"E2 ES^SlSlifH^T"T
laoisaiT Actual Casfi
Willi
'•t.";•&!••fiASCPGA42BFD55341 Extra UtftfSerwce |ii«iiooi?p«iOWv -10SHam :$14.57S
091 Fad Cfown.Vtctona1 EESHaililS
10010017 Actu^Cash
SIJBjI
1 20*1 2FAB7BV5BX166604 Police Car 1101012017 ~jftooo 107010016 $31,478
002 Fad Crown Victoria 110010015 i^Mte
1-•20*1 2FABP7BV7BX18857S Police Car
!rEffiJHill}l|liffiIiSilSI;fl Ifiiiif
::-$3i:4?B
"V$3147B
083 Fad Grown VrotDda
1 •2011 2FABP7BV4aX169604 Police Car
P»Fail Crown Victoria.
:1:2011 2FABP7BV0BX18Q587 Police Car 10010017 $1:000.:10W/S016 100150171 ActualCash $31,470
095 Fad Crown Vtctctia 1001/2016
'iiwtxns ™K^p^^S.-vL =M*i 2FAtmV86£^45r PxdiceCar 1001/2017 z&jam.--IKffl.725
096 Fad Crc^wiVJrioria 10015015 ffiSSliSSSKS iilBSll
•;i-->Mst 2FAfiP7BV0BX156596 Police Car irniif^ii^iiiifiiMiaiftiiiiiir^Tirfii
l|44^BJl^!iS|Bgi:g|^ii§il||
iffli
097 Fad:Crotm Victoria;
''#.'"-ism".2FAaP7BV1BX186580 Police Car
098
•1-
Fad
""-2013"
.Gccmsine 15 Passenger Van
1FBSSfc^4fJOB3077«r""W'
NonPofcce
Bus <20 Pass,No
[10010016 I^PJUPiMMi^^^PI^^MB
liM^MilffiM :mm
098 Fad CrownATtrioria Police 1OCM2016
••i.'•2011 "•2FABP7BV6eX157175 PofBce'Car-1O01OO17 •••:iflJWi-J UBOKIiOipmr
100 .f«4 Crown Victoria Police lanifloie
1 2011 2FABP7BV6BX157170 Police Car IE3^H01^iS[^[]£^KEEI££|$ML500
101 Fad Crown Vactoia Police 100tffl016(^^gj^^^^^g^g^J^^^^^^B0^W^
'-i'"*201i 2FABP7BV8flX15717?PafceCar |,••:$gai50Q
102 Fad .Crown Victoria Police
i "2011 •2rfA6P7BvT&^ia^178 PoiiceCar:
103 Fad Crown Vrctoria Police
1 20*1 2FABP7BV38X157179 PoiiceCar SE|E2£j|lUiliil^udMmiwrxmrtt
25
VEHICLE SCHEDULE
Continued
Uort#Hake HodeVOesoqifion Department ALEff
CollEff LPORptdQlyYearViN#Vehicle Type ALTerm CoODed ^cSil Valuation 1A
104 Fad Crew Victoria Police 1Q701O016
1 2011 2FAaP7BV2BX1625B3 PoGceCar |wmKm*MmmMKEEmMzm\
105 Ford Ranger PickUp NonPofce 1O01OO16
1 1988 1FTZR11X6WrAo9708 Lfgftf Truck 10010017 tw w
108 Nissan AtttmaXE4or MonPoice 10010016
tm N»
mm
1 2000 1N4DLO1O8YC212203 Private Passenger 10010017
107 Fad F25flPickUp Not Pare 1O01OO1B
WA120041FTWW21P24EA042t6MottTradc1Q01OO17 MA MA
108 Chrysler 300 MonPofice 1O01OO1&
KEA HEA120052C3JA43R75H5G5771PrivatePassenger10010017N/A
109 kktefnabonal Trash 10010016
N/A WA KA12Q0Q1HTMMAAR46H172BaiHeavyTruck1001/2017
111 <3WG Sweeper Scowace 10015016
KA12000J8OC4W16S97O01D7OMedturnTruck10010017N/A MA
112 Ford Cnmn Victoria Police ^BUBllillUlilB120102FABP7BV7AX142814PoliceCar
113 Auto Car ACX Garbage Truck 10010016
$Soffll
$1,000
1 2013 5VCACR8FSOH215134 Garbage Truck 10010017 10010016
1O01OO16
10910016
10010016
iDJQia017
101010017
10I01O017
10010017
ActaaHCasrip
AckrfCaaS|
$184,442
$13,488
114 Fnefgjbl&her M2-10O Crane Truck Non-Police 1O01SO16
1 2013 1FVACXBS1DHFE4282 HeavyTruck 10010017
115 GEM 2P Non-Police 10010016
$1,0001201352CG2AGA3Q0003228PrivatePassenger10010017
118 Tandem Traier 1O0IOO16
Actual Casn J
AcfexalCai&r
lifts
1 2008 lS807X1888MBfi212&Trailer-KO 1O01OO17 $1,000 .10
$0
117 Tandem Traiter-Tandem -TagXB2331 10010016
1OT1^6[irOTuW7t2008IS807X1898M88212STra3er-NO 1O01OO17 $1,000
118 Trailer Traier-Back up irafler ESSEiJSKiSSW
$0
$0
$0
1 2013 200904 Trailer-NO 1O01OO17 $1,000 1VDU2D1&
1001^16
100100171 Actual Casrtl
119 Tra&ff CVR 10010016
1 2008 1SQD7X1878U882130 Trafer-NO 1001001?$1,000 IQQIOOf?
101010017
ActualCasftl
120 Fad Crown Victoria 10010016
101010016119882FAFP71W&WX137543 Private Passenoer 10910017 $1,000
121 Tandem Traier 1O01OD16
1O01OO17 $1,000 1VB1O01&
1VD1O016
10010017
iranooi7
Actual CashP
abSSgST
$0
$0
1 2088 f5fi07ie0flM8S2128 Trailer-NO
122 Traiter Post 256-Tag#XB54B8 Police 10010016
1 2000 5RTBE1216BD023303 Traifer-NO 10015017 $1,000
123 TraSer Trailer-TBD -flack up trailer 1001/2016
1 2013 200905 Tra3er-WO ''•'•''-••'-'i^yii^$0
50
124 Trailer iicuei->our-actum uuadsitn iidnur PW
1 2008 Trailer-WD
125 Tracer it«n9-lotjt-owtccjievtny-
--indzyvti&a _.._PW 110010016 |ffig|j^)^^^ffig|l|j^j|||^j||^^^^^ffi^g
$0
$35,800
1 2013 213959 Tfa3er-NO CZ^aiif-llL^a^L,aaaif."[^l
128 Fori CrownVictoriaPeine Interceptor Police
1 2014 1FAHP2MT7EG120QOB Police Car
127 Fad CrownVictoria Police Interceptor Po&ce \ti.i .iu *\\mbw^'jMjjTf^p ffijj ^offf^j llfSillJlliin12Q141FArff*2MTO£G120Q09 PoficeCar Hl>','iU<'r.iBiL^A lUjygjjIjj HgtgtRlISElsSEai
26
VEHICLE SCHEDULE
Continued
«nitff Make Model/Description Department ALEff
collar conQtyYearV1N#Vehicle Type ALTerm ColIDed Valuation!
Tvne I
!\PDRpfd
128 Ford CrownVictoriaPoliceInterceptor Police 10010016
$1,000 10010016 10010017
lisiiiilt
1 2014 1FAHP2MT7EG120011 Police Car 1O0U2017 Actual Cash|$35,000
128 Fad CrownVictoria Pdice Interceptor Police |•••••••••::;''r.f™-i.-mr,f".'';-:r..1 cit.?:.-.;:;•.•:r^V-D kV.-t'-'--:--'--'.'-Vi-3i1
$35,000120141FAWa2MT0EG12Q013PotkseGar|
iSjsaiisipiii^®laawmms^m130FadCrownVictoriaPdrceInterceptorPolice|
1 2014 1FAW2IWrr5EG12Q01O Police Car 10010017 $1,000 10010016 10D1OD17 Actual Cash|$35,000
133 Fad CrownVictoriaPoliceInterceptor Police 1O0U2D16
$1,000 10002016120141FK5K8AR7EGC48837PoliceCar10010017 1OHHO017 Actual Cash|$33^20
134 Toyota Prius Code Enforcement 10010016
101010017
IBlii
1 2014 JTDXDTB32E1567850 Private Passenger 1O01O017 $1,000 1QU01OO16 ^aaa^S|$21,312
135 Toyota Prius Code Enforcement 10010016
1 2014 JTOKDTB30E1074B83 Private Passenger WPWP-^M.«MW.it,-.il.«l,.,IM..H».B»PtJW«»Vll1|M
138 Toyota Prius Co4e Enforcement 10010016
10O1OD16 10910017 Wh^l^S|^m31212014JTDKDTB38E1074332PrivatePassenoer1O01O017$1,000
137 GEM Bt PoTJce 10010016
$1,800 10010016 10010017 /SalCa^|^«4^11201452CG4AGA8E001D81BPrivatePassenger10010017
138 Ford Croon VictoriaPoliceInterceptor Pofice 10010016 «km&ikmmmmm.
1 2014 1FAtP2MnTC£G120012 Police Car
wmmmmmmmmmmmmmmmm138tosaftertTrafficTrailerPolice
1 2010 1BQAF511XAP82535fl Trader 1O01OOT7 N/A MCA
MA
1001/2016
MA
140 Kend Traier Pdtce 10010016
MA12011KT7X12D0180482880Trader10010017N/A
$1,000
141 Fad Crown Victoria Police Interceptor Police 1001/2115
1OD1O017120151FAHP2MT8FG108228PoliceCar1O01O017 A^alCashj $38;B75
142 Fad CrownVictoria Police Interceptor Police HE5353B l^;Wv%&$&•<i&w %iz$m&1:&i^w®^^>?•'#?!•!
1 2015 1FAHP2MT8R5109231 Police Car
143 Fad Crown Victoria Pelsee Interceptor Police
1 2015 1FAW2MT6FG10S230 PoliceCar
144 Fad CrownVictoriaPoliceInterceptor Police 10010016
Acfcal&5ir ^8.075120151FAr932MTr3FG108227PoliceCar10010017$1,000 10010016 101010017
145 Fad CrownVictoria Police Interceptor Police 1001/2016 iHHl MSSS1
AcaalCa5hr $38J>75120151FAHP2MTXFG108228PoficeCar10010017$1,000 10OU2D1&10010017
146 Fad CrownVictoria Pofoe Interceptor Police IIE2E29 ^fui^Il]ffi£Zi$$B$W$&ilW fM$^W^&%W^ii
1 2015 1FU5K8ARXFGC517B2 Police Car
147 Fad CrownVictoriaPoliceinterceptor Police 10010016
1 2015 1FAW2MT2FG154147 Police Car 1O01O017 $1,000 10010016 10010017
148 Fad CrownVictoriaPoliceInterceptor Police 1O01O016
1001/2015 10010017 Actual Casri $30,702120151FAHP2MT4FG154148PoliceCar1O01OD17$1,000
140 Fad CrownVictoriaPoliceInterceptor Police 10010016
1 2015 1FArS3l2MK1FG154148 Police Car
||i'^ff^'\^if-^;oijj IfSSSSil ESS!III!illlHSISSIS
IIB!HaiSKIli@IlII^i3i iiiSIHiSii
150 Fad Crown VJctona PoliceInterceptor Police
1 2015 1FAKP2MHO{FG154145 Police Car
151 Fad CrownVictoria Polsee Interceptor Police
1 2015 TBD Police Car
152 Fad CrownVictoria Police Interceptor Police
1 2015 TBD PoJkxCar H2SE3E |att**fr?i1IIOVMOI li&VMMi (liEELSa KS
27
VEHICLE SCHEDULE
Continued
Unit*Make MorieUDescrrprJon Department «•£«mm*i
CollEtT
10010016
WDRpfd
$24.286
$23,636
Qty Year V1H#Vehicle Type ALTenn CalOedl Coil
10D1O017
Vatuafiin N
IVml
ActoalCashF
153 Toyota Prius Code Enforcement 10016016
$1,00012Q1BJTDKDTB3SG1123838PrivatePassenger1O01OO17
154 Toyota Prius Code Enforceinert 10010016
n.oca 10O1OOI6 1001/2017 AcfejalcSr12018JTDKDTB34G1123ea9PrivatePassenger10010017
<
155 Ford Taunts Police 10010016
$1,080 10010016 10010017
101002017
1 2018 1FAf032lifl8GG116213 Private Passenger 10010017 Actual Cashl
ActualCash
$38,222
$38,222
$3flL222
158 Ford Taunts Police.1Q01O016
1 2018 1FAHP2MT1GG116298 Private Passenger 10010817 $1,000 10002016
157 Fad Taurus Police 10010016
1 2018 1FAHP2MTSGG11G218 Private Passenger |fcl.M;.ildaa»i«J«
158 Fad Taurus Police 1 10010016 i^i^^^^p^H^s^^^^^^si
1 2016 1FAHP2MTXGG116215 Private Passenger |
cs^iiii:^i^imssii
m^issA
158 Fad Taurus Police |
1 2018 1FAHP2MT4GG118212 Private Passenper
160 Fad Taurus Police 10010016 1SE1
1001/2017 ActoSfStsTtT120181FAHP2MT3GG116217PrivatePassenger10010017$1,000 1OO1O016
181 Fad Taurus Police 10010016
1 2018 1FAHP2MT86G11S214 Private Passenger 10010017 $1,000 iQsrwzoifi iSmffi^r/^aTCasxir
XQ24 Fad GreimViiclaEi:PoDce P't^'iHI MBitWB$teC$£l£ii£l&&?i$lIM&lfl
$10,322120050253PofticeCar1O01O016$1,000 IllSSi^SiX032FadCrownVictoriaPolice10010016
$22,000120083782PdioeCar
X033 Fad CrownVictoria Police mmm
1 1888 2380 PoliceCar 1O.01OB16 N7A MA Ktfk
MA
XD38 Fad Crown VtJetoria-Pofice 10010016
N/A
$1,000
KA
10010016
SBfeill
1 1880 2385 PoliceCar 10010016
XD4Q Fad Crown Victoria Police 10016016
10SHS016 ActoaJCashT 522JD0C120083780PoliceCar1001/2016
XD41 Fad Crown Victoria Police 1D01O016 MTFvvfT^M
1WC10015 ActoatGasTT $2^000
$22,000
1 2Q08 3758 Police Car 1001/2016 $1,000 TlD^DWBie
X043 Fad Crown Victoria Pofice 10010016 ^fflCTW|ActodCa*r120083757PtiSceCar10010016$1,000 10010016
X081 Ford Crown Vislona Police 100122015
A MA «wT^^n[
$27,000
1 2001 3404 PdBceCar 10010016 m
XD78 Fad Crown V«toria PoEce 1O01OO16
10002116120091415FdDceCar10010016$1,000 101015016
iiraiaoiB
"AaaaTCasfil
X077 Fad Crown Victoria Police 10010016
$1,000 10O1OOI6 Actual Casfi $27,00012Q081418PoliceCar1O0UZ01&
XD82 Fad CrownVictoriaPoliceInterceptor 10010016
1001/2016 AduaScSq $25,340120101FABF7BV2AX141487PoliceCar10010016$1,000 1QOU2D16
X110 Fad CnovmViJrtona MonPcfee 10010016 $ijj
1 2009 2FAHP71V5QX121418 Private Passenger 1001O016
X131 Hariey Wotorcycte Poliee 10010016 Mm IPHEKiSSE
1 2014 1HD1FHM13EB825S88 Motorcycfe 10010016 VHftf AaualCasf^
X132 Hariey Moiorcycte Police |K M•!»^-^Mj^^~"^"^:i:rHg^i p;f^jh^lr!-^^tj^At^tarrjg |||plpggIIH120141HQ1FHM14B3824033MotorcycteICE22EIIBEnrj|IHj^j^yibittbfliu |E2EUSSa|
28
VEHICLE SCHEDULE
Continued
Unit*Make HodeUaescffpOon:OegraifaiMent ALEff
m Year VTN#Vehicle Type ALTerm CcJIDed CallEff Coil [VaSuateon APORptd
1 Total I $3,706.1021
uxoaaJ w*M
Vehicles Noted on Schedule as X024,X032,X033,X036,X040,X041,X043,X061,X076,
X077,X082,XI10,X131,X132 havebeendeletedfromtherenewal schedule and rating basis.
29
PROPOSED WORKERS'COMPENSATION COVERAGE
Classifications &Exposures:
Premium
Standard Limitsof Liability
Increased LimitsofLiability
Workplace Safety Program Credit
$100,000/$500,000/$100,000
1,000,000/1,000,000/1,000,000
2%
Experience Modification 1.04 mpm
Certified Acts of Terrorism ^mm
Expense Constant
Higher Limits of LiabilityMyBeAvailableUponRequest
Policyis Subject to Audit
Additional States of Hire must be reported when payroll begins inthatState
Certificates of Workers Compensation Insurance arerequiredonallworkperformedby
persons other thanits employees
Subject To:
Signed PGIT WC Application
SignedDrugFreeandSafetyProgramApplications
31
PROPOSED WORKERS'COMPENSATION COVERAGE
Continued
Note:
This proposal isbasedon NCQ approved rates effective 01/01/2016.Ifthe pending NCCI rate changes beconrw
effective onorbefore October 1,2016,the 2016-2017 coverageagreement will beissuedatthenewrates.
However,IftheproposedrateIncreaseis effective after 10/l/16r thenour:
a)1Q/1/16 to10/1/17 Coverage agreements will renew/be issued atthecurrent1/1/2016rates
as quoted herein.
b)2YrAgreements (10/1/16 to 10/1/18),will nothavetherateincreaseapplied until the
10/1/18 Renewal
IMPORTANT NOTE:
Thisquote covets two(2)annualtwelvemonthperiods,from 10/01/201612:00:00 AM to10/01/201712:00:00AMandfrom10/01/2017
12:00:00 AMto 10/01/201812:00:00 AM.The following conditionsapplyfnadditionto all otherconditions of thisquote:
A.AllAggregate limitsresetforthe period 10/01/201712:00:00 AM to 10/01/201812:00:00 AM.Losses app^ing tooneannual
coverageperiodwillnoterodetheaggregatelimitsof anotherannualcoverageperiod.
B.Thepremiumfortheperiod10/01/2017 12:00:00 AMto 10/01/201812:00:00 AMwillbedeterminedbasedonupdatedexposure
values for this period.
C.Ratesfor the period 10/01/2017 12:00:00 AMto 10/01/2018 12:00:00 AM will beidenticalto those for the period commencing
10/01/2016 12:00:00 AM,with premiums subject to the following:
1.NCCIExperiencemodificationfactorswillbeappliedas promulgated.
2.ChangestoScheduledProperty,InlandMarine,andAutomobile
3.Payroll
4.Number of Employees
D.In the event ofcancellationofanyline of business within90daysafter the firstdayofeitherannual coverage period,the premium
forsuch (ine<s)shallbe25%minimumearned.Intheeventof cancellation ofany line of businessfollowingtheinitial90 daysof
eachannualcoverage period,,apenaltyequalto60dayspremiumofsuch line(s)ofbusinessshall become earned,anyprovisionof
the agreement to the contrary notwithstanding.
1.Thispenaltyisearnedandpayableregardlessofwhennoticeofsuchcancellationisgiven,or effective dateofsuch
cancellation.
32
A.M.BEST RATING OF PROPOSED COMPANIES
COMPANY;\\c Kt4leQ¥EgjW V w j;jBeSt j^ti&g ajpiv^i-]^^
Preferred Governmental Insurance
Trust
Ace American Insurance Co.
CommercialProperty,Crime,
Inland Marine,General
Liability,Law Enforcement
Liability,Commercial
Automobile
Public Official/EPL
Not Rated Yes
A++XV Yes
GENERAL RATING
TheseratingclassificationsreflectBEST'Sopinionoftherelativepositionofeachcompanyin
comparison withothers,basedupon averages withinthe Property-Casualty insurance industry.
Theyarereflectiveofoverallcompany services andstandingwithintheindustry.
A++,A+***
B++,B+**
NR
Superior
Excellent
VeryGood
Not Rated
B,B-***
C++,C+***
Good
Fair
Marginal
FINANCIAL SIZE CATEGORY
TheFinancialSizeCategoryisanindication of thesizeofanInsurerandisbasedonreported
Policyholders'surplusplusconditionalorTechnicalReserveFunds,suchasmandatory
securities valuationreserve,other investment and operating contingency fundsand/or
miscellaneous voluntary reserves reported as liabilities.
($In thousands)
Class I $Upto $1,000
Class E $1,000 To $2,000
Class m $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 VE $50,000 To $100,000
Class VHI $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 hasbeenprovidedtoyousothat consideration isgiventothefinancial
condition of our proposed carriers.The financial information disclosed isthe most recent
available to Brown and Brown of Florida Inc.-Miami Division.
35
COMPENSATION
In addition tothecommissionor fees'received byusforassistancewiththeplacement,servicing,claims
handling,orrenewalofyourinsurancecoverage's,otherparties,suchasexcessandsurplus lines brokers,
wholesalebrokers,reinsuranceintermediaries,underwritingmanagersandsimilarparties,someofwhichmay
beownedinwholeorinpartbyBrown&Brown,Inc.,mayalsoreceivecompensationfortheirrolein
providinginsurance products orservicestoyoupursuanttotheirseparatecontractswithinsuranceor
reinsurance carriers.Additionally,itispossiblethatwe,orourcorporateparentsoraffiliates,mayreceive
contingent payments or allowances from insurers basedon factors whicharenot client-specific,suchasthe
performance and/or sizeofanoverallbookofbusinessproducedwithaninsurer.Wegenerallydonotknowif
suchacontingentpaymentwillbemadebyaparticularinsurer,ortheamountofanysuchcontingent
payments,untilthe underwriting yearis closed.That compensation ispartiallyderivedfromyourpremium
dollars,afterbeingcombined(or "pooled")withthepremiumdollarsofotherinsuredsthathavepurchased
similartypesofcoverage.Wemayalsoreceiveinvitationstoprogramssponsoredandpaidforbyinsurance
carrierstoinformbrokersregardingtheirproductsandservices,includingpossibleparticipationincompany-
sponsored eventssuchastrips,seminars,andadvisorycouncilmeetings,baseduponthetotalvolumeof
businessplacedwiththecarrieryouselect.Wemay,onoccasion,receiveloansorcreditfrominsurance
companies.Additionally,inthe ordinary courseofbusiness,wemay receive andretain interest on premiums
youpayfromthedatewereceivethemuntilthedatethepremiumsareremittedtotheinsurancecompanyor
intermediary.Intheeventthatweassistwithplacementandotherdetailsofarrangingforthe financing of
yourinsurancepremium,wemayalsoreceiveafeefromthepremiumfinancecompany.
Wholesale Broker/Managing General Agent:Public Risk Underwriters
ThisintermediaryisownedinwholeorpartbyBrown&Brown,Inc.,theparentcompanyofBrown&Brown
ofFlorida,Inc.-MiamiDivision.Brown&Brownentitiesoperate independently andarenot required to
utilizeothercompaniesownedbyBrown&Brown,Inc.,butroutinelydoso.Inadditiontoprovidingaccess
tothe insurance company,the Wholesale InsuranceBroker/ManagingGeneralAgentmayprovideadditional
services including,butnot limited to:underwriting;loss control;risk placement;coverage review;claims
coordination withinsurance company;andpolicyissuance.Compensation paidforthoseservicesmaybeup
to15%ofthe premium youpayforcoverage,andanycompensationpaidforthoseservicesisderivedfrom
yourpremiumpayment.Thefee,ifany,fortheWholesaleInsurance Broker's/Managing General Agent's
services above is$No Fee.
Ifwearebeingcompensated based uponafixeddollaramountorfixed percentage fee,meaningthatthe
contract specifies our compensation andstates anywhere inthe document that additional compensation willnot
bepaidtousoranyotherparty,anyadditional compensation tousoranyotherparty,including wholesale
brokersorthirdpartyintermediaries,isstrictlyprohibited.Likewise,ifourcontractsetscompensationbased
uponafixeddollaramountorfixedpercentagefee,andthecontractspecifiesthatadditionalcompensation
shallbecreditedtotheinsured,anyadditionalcompensationtoanyparty,including brokers,wholesalebrokers
orthirdpartyintermediaries,mustbepromptlyreturnedto you.Ifourcontractisnotbaseduponsuchfixed
feeterms,noownedoraffiliatedparty,includingbrokers,wholesalebrokersor third partyintermediaries,may
accept anytype of compensation without fulldisclosurebythe undersigned broker toyouofthedollar amount
or percentage of compensation prior tobindingyourcoverage.
Should youhaveany questions,or require any additional information,please contact thisofficeat
1-305-714-4400orifyouprefer,submityourquestionorrequestonline
http://www.bbmsurance.com/customerinquiry.shtrnl.
36
at
PROPOSAL VARIANCE
Changes that needtobemade prior to binding:
37
MINIMUM AND DEPOSIT PREMIUM
MINIMUM EARNED PREMIUM
Thefollowingtermsareoftenmisunderstood,particularlyamonginsuredsorproducersnot
accustomedtodealingwithsurpluslinesinsurance companies.Itisimportantthatthedefinitions
are understood.
MINIMUM AND DEPOSIT
Thisistheamountofpremiumdueatinception.Althoughthepolicyissubjectto adjustment
basedonarateperexposureunit,undernocircumstanceswilltheannualearnedpremiumbe
lessthantheminimumpremium.Therefore,thepolicymaygenerateanadditionalpremiumon
audit,but not a return.
Ifsucha policy is cancelled mid-term,the earned premiumisthe GREATER of theannual
minimum timestheshortrateor pro-rata factor,ortheactualearnedas determined byaudit,
subject toa short rate penalty if applicable.
MINIMUM EARNED PREMIUM
A minimum earned premium endorsement canbeattachedtoeitheraflat charge policy oran
adjustable policy.Ineithercase,this amount isthe LEAST thatwillbe retained bythe insurance
company oncethepolicygoesintoeffect.Theamount retained wouldbethe GREATER of the
annual earned premium whether calculated ona pro-rate or short rate basis,orthe minimum
earned premium.
FLAT CANCELLATIONS
Surplus lines insurance companies normally donotallowflat cancellations.Once the policy isin
effect,some premium willbeearned.
If youneed further explanation,please do not hesitate to contact us.
38
CLAIM REPORTING GUIDELINES
MakeBrown&Brown,Inc.awareofanyandallincidents immediately aftertheyoccur,whether
itbeanautoaccident,atheft,slip&fall,evenaminorincidentthatappearswillhavenofuture
activity.Donotwaitforapolicereport.
Gatherasmuchconcreteinformationas possible.Forexample,policereports,company incident
reports,conversationlogs,medicalsandpictures-anythingthatmayassistinthehandling of
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
If youhaveanyquestionsor incur anyproblems,please contact ourofficeandwewillbegladto
assist youin any way wecan.
39
DEFINITIONS
40
il^&^ifciite^iifciiii^
m*:l$
•Hi
&-y,i-tfyzr-zy?
PROPERTY DEFINITIONS
Mostbuildingandbusinesspersonalpropertypolicieshaveacoinsuranceclause,
which requires theinsuredtocarry insurance equaltoatleastaspecified
percentage of theactualcashvalueoftheproperty.Ifalossoccurs,and itis
determinedthattheamountof insurance carriedislessthantheamountrequired,a
penalty could be placed on the insured.(Example Attached)
Whentheagreedvalueoptionisusedthecoinsurancerequirementis removed and
the insurer agreesto cover lossesforitsagreedvalue.Asanexample,theinsured
has property insured for $100,000 andthe agreed value isalso $100,000,if aloss
occurs,anylossupto$100,000iscovered100%.When thisoptionisusedthe
insuredandtheinsurancecompanyagreeonthevalueofthepropertybeforethe
policy is issued.This option is usually assigned to one-of-a-kind property.
Property canbevaluedinseveraldifferentways.Insurance companies commonly
usetwo approaches to determine value,which also determines howalosswillbe
paid:the replacement cost method andthe actual cash value method.Insurers
consider replacement costofapropertyitemtobethecosttoreplaceitwithnew
propertyoflikekind.Actualcashvalueis replacement cost,minusthe
accumulateddepreciationforageandcondition..
Aninsuredcaninsureabuildingforitsfullvalueatthebeginningof.thepolicy
year,but attheendoftheyear,itmightnotbe covered foritsfullvalue.This
problem canbe corrected byadding inflation guard coverage.With inflation
guard,the policy limitincreasesgraduallyduringthe policy termso that thetotal
increase amounts tothedesired percentage increase attheend of the policy term.
In addition tothe limits statedinthe Building and Personal Property coverage
form,the policy hasa coverage extensions section andan additional coverages
section.The coverage extensions section provides limited coverage for newly
acquiredor constructed property,property of others,certainoutdoorproperty,
and the cost of research and reconstruct information on destroyed records.When
coverage is placed ontheallriskform,two additional extensions are added for
property in transit and coverage forcertain repair costs relatedto damage caused
bywater.The two additional extensions are covered by certain perils only.The
additional coverage section providescoveragefor indirect lossesthat result froma
directloss.The coverage appliestoremoval of debris,preservation ofproperty,
fire department servicechargesandpollutantcleanupandremoval.Thecoverage
extensions andtheadditionalcoverageshave limitations andare subject to certain
conditions.
Fire,lightning,explosion,windstormorhail,smoke thatcauses sudden and
accidentallossordamage,aircraftorvehicles,riotorcivilcommotion,vandalism,
sprinkler leakage,sink hole collapse and volcanic action.
Fire,lightning,explosion,windstormorhail,smoke thatcauses sudden and
accidentallossordamage,aircraftorvehicles,riotorcivilcommotion,vandalism,
sprinklerleakage,sinkholecollapse,volcanicaction,glassbreakage,falling
objects,weightofsnow,ice,orsleet,andwaterdamage(accidentaldischargeor
leakage).
|^|iiil|i|^|ffil|i|Excluding flood and earthquake.
41
EQUIPMENT BREAKDOWN DEFINITIONS
Boiler &Machinery insurance covers direct damage to
coveredpropertywhencausedbyacoveredcauseofloss.
Coveredpropertyisanypropertythatisownedbythenamed
insured orisin the named insured's care,custody or control
andforwhichthe named insuredis legally liable.Acovered
cause of loss isa sudden and accidental breakdown of the
insured's boiler&machinery equipment orany part ofthe
equipment described in the policy.
Whichpaysthereasonableextracostincurredtoexpedite
progress after a loss
Coversaccidentstoobjectsatnewly acquired locations forup
to ninety days after the named insured acquires the property.
42
GENERAL LIABILITY DEFINITIONS
Coverage is provided for damages arisingoutofownershipor
occupancy ofthe insured premises when maintained ina
reasonable manner.Thisalsocoversdamages arising outof
operations performed bythe insured business.
Productscoverageisprovidedfordamagesarisingoutof
products manufactured,sold,handledor distributed bythe
insured.CompletedOperationscoversdamagesoccurring
afteroperationshavebeencompletedorabandoned,orafter
an item is installed or built and released for it's intended
purpose.
PersonalInjurymeansinjuryotherthan bodily injury.
Coverageisprovidedforinjury resulting from offenses such
asfalsearrest,malicious prosecution,detention or
imprisonment,thewrongfulentryinto,wrongfuleviction
fromandotheractsofinvasion,orrightsof private
occupancy of a room.Coverage for libel and slander isalso
provided inthe policy.
Thiscoveragepaysfordamagesdoneinthe course of oralor
writtenadvertisementthatdisparages,libelsorslandersa
person's or organization's goods,products or services.
Coverage fortheseoffensesis provided under advertising
injurycoverageonlyifthey occur duringthe course of
advertising the named insured's owngoods,products or
services.
MedicalPayments coverage pays medical expenses resulting
frombodilyinjury caused byan accident on premises owned
or rented bythe insured,or locations next tosuch property,or
when caused bythe insured's operations.These payments are
madewithoutregardtotheliabilityoftheinsured.
Thefiredamagelimit provides coverage for fire damage
caused by negligence onthe part of the insured to premises
rented to the named insured.If a fire occurs because of
negligence of the insured and causes damage to property not
rented tothe insured,coverage would be provided under the
occurrence limit.
43
GENERAL LIABILITY DEFINITIONS
Continued...
Extendsyourcoveragetoliabilityassumedundercontract,applies
tobothoralandwrittenagreementsrelatingtonamedinsured's
business.
Coversyourexposureforservingliquortoclientsor employees at
companyparties.Appliesonlytofirmsnotengagedinbusinessof
sellingorservingalcoholicbeverages.
Intendedforfirms,whichperformworkorservices,ratherthansell
orproduceproducts.Usuallyintendedforconstruction
contractors,repairersofautomobiles,installersofproperty.
Extendsterm "bodily injury"to mean injury arising outof
renderingoforfailuretorender,duringthepolicyperiod;medical,
surgical,dental,x-ray,ornursingservices,orfurnishing of foodor
beveragesinconnectiontherewithorthedispensingorfurnishing
drugsormedical,dentalorsurgicalsupplies
(Under26feetinlength)Provides coverage for liability,which
arisesfromany watercraft aslongas watercraft isnotownedby
insured norbeingusedtocarrypersonsor property forafee.
Intended toextendthe scope of "policy territories"to anywhere in
the world.Limited to the activities of any insured who is
domiciled inthe United States andthe original suit for damage is
broughtwithintheUnitedStates,itsterritories,possessions,orin
Canada.
Amends definition of occurrence to;includes any intentional actby
oratthedirectionofthe insured,which results in bodily injury,but
only if suchbodily injury resultsfromtheuseof "reasonable"
forceforpurposesofprotectingpersonsorproperty.
Automatic protection for newly acquired organizations untilthe
new organizations is specifically addedtothepolicyor90days,
whichever occurs first.
Includes asinsureds;(1)Any spouse of a partner concerning
businessactivitiesofthe partnership and(2)any employee of the
named insured while acting withinthescope of hisorherduties.
Doesnotapplyto bodily injury or personal injury sustained bya
fellow employee which occurs during the course of employment.
This coverage is providedautomatically withoutanadditional
premium chargeif coverage is canceled,not renewed,orthe
insurer renewal with a later retroactive date.The basic extended
reporting periodstartsattheendofthe policy period and last for
fiveyearsforclaimsmadeagainstthe insured withinthefiveyear
periodand reported tothe insurer within 60days after theendof
thepolicyperiod.
44
WORKERS'COMPENSATION DEFINITIONS
Thiscoverage agreement obligates theinsurertopayall compensation and
otherbenefitsrequiredoftheinsuredbytheworkerscompensationlawor
occupational disease lawofanystatelistedinthe policy.The coverage
appliestobodily injury byaccidentandbydisease.
Coverage(A)showsnodollarlimitforthebenefitsprovidedsinceany
applicable limits would bethose established within thelaw.Benefits under
Coverage(A)arepaidtotheemployeewithoutregardto fault.
Thiscoverage protects employers fortheirlegalliabilityforbodilyinjuryby
accidentordiseasetoanemployeearisingoutofandinthecourseofthe
employee'semploymentwhennotcoveredundertheworkerscompensation
law.Beforebenefitsarepaidunderthis coverage,the employee mustprove
theemployerisliablefortheinjury.
1.Bodily Injury By Accident
ThisamountisthemostaninsurerwillpayunderCoverage(B)forallclaims
arisingfromanyone accident,regardlessofhowmanyemployeesare
involved intheaccident.Thestandard limit is $100,000 foranyoneaccident,
which can be increased.
2.Bodily Injury By Disease (Policy Limit)
ThisistheaggregatelimittheinsurerwillpayunderCoverage(B)forall
claimssustainingbodilyinjurybydiseaseduringthepolicy period.The
standard policy limit is$500,000,whichcanbe increased.
3.BodilyInjuryByDisease(EachEmployee)
ThisamountisthemostaninsurerwillpayunderCoverage(B)fordamages
duetobodily injury by disease toanyone employee.The standard iimit of
liability foreach employee is $100.000,which canbe increased.
In some states,workers compensation lawallowsaninsuredto include or
exclude Executive OfficersandPartners,orboth,fromcoverage.Adding this
endorsement can designate the individuals not covered under the policy.
Thisisafactorthatdealswiththeratingofthepolicy.The Experience
Modification figureisbasedontheinsured'slossexperience.Thefactoris
used to increase or decrease the manual rates of insurance.
Thisprovidesworkerscompensationcoveragesiftheinsuredexpands
operations into other statesnot declared atthe time the policy is issued or
renewed.Ifthe insured electsthis coverage and operations begininastate
listed under otherstates,theinsurer provides the same coverage as if thestate
wasdeclaredinthepolicyatthetimeofpolicy issuance.
Thisisa federal act,which is similar tothestate workers compensation act.
The federal actwas designed to provide workers compensation benefits to
employees whoworkinmaritime employment upon the navigable watersof
the United Statesandwhoare usually considered outside the scope of state
workers compensation laws.Whenthe USL&HWA endorsement isaddedto
the standard policyitappliestoworkdoneinthestates scheduled onthe
policy and extends the definition of the workers compensation law to include
the USL&HWA.
45
UNDERSTANDING THE CLAIMS-MADE POLICY
The claims-made insurance policy providesfinancialprotectionforallclaimspresentedduring
the current policy year,providing the claim occurred afterthe prior actsdate.
To understand the claims-made policy,wewilldefine:
Current Policy Year:
The policy year begins onthe effective date shown onthepolicyand expires onthe expiration
dateallshownonthepolicy.The policy's effectiveand expiration dateschangewithyearly
renewal ofthepolicy.The prior actsor retroactive dateremainsthe same,soyouare protected
for incidents that occurred prior yearsbythecurrentpolicy.
Prior Acts or Retroactive Date:
Thisisthedate(shownonyourpolicy)thatdictatesifaclaimiseligibletobecovered.Any
claimoccurringafterthisdate,presentedduringthecurrentpolicyyear,areeligibleforcoverage
by your current policy.
Supplemental Extended Reporting Period (Tail Coverage):
Shouldthepolicybecanceledor non-renewed,youareentitledtopurchaseinsuranceprotection
foranyclaimswhichmaybeafterthecancellationdate.Thepremiumchargedforthisinsurance
isbaseduponthenumberofyearsyouhavebeeninsured(prioractsyears)andthelimits
purchased.
46
<l.•JJ..IJ I >'
s^p
AUTOMOBILE DEFINITIONS
Hififl
m
Theliabilitycoverageofthecommercialautopolicyprovides
protectionagainstlegalliabilityarisingoutoftheownership,
maintenance,oruseofanyinsured automobile.Theinsuring
agreement agreestopaydamagesforbodilyinjuryor property damage
forwhichtheinsuredislegallyresponsiblebecauseofan automobile
accidentresultingfromtheownership,maintenance,oruseofa
covered auto.The insuring agreement alsostatesthatin addition tothe
payment ofdamagesforwhichtheinsuredis legally liable,the insurer
alsoagreestodefendthe insured foralllegaldefensecost.The
defense cost is in addition to the policy limits.
CoverstheUabilityarisingout of theownership,maintenance oruseof
automobiles.
Coverageisincludedforvehiclepassengersunder No-Fault Law
provisions.
The insuringagreementstatesthatthe insurer willpayall reasonable
andnecessarymedicalandfuneralexpensesincurredbyaninsured
because of bodily injurycausedby an accident.The insured isthe
named insured,theinsured's employees andguests,andany other
person occupying acoveredauto.These payments are made without
regardtofault.^
Protects insuredswhoarenot contributorily negligent against bodily
injury caused by negligent under insured or uninsured drivers andhit-
and-run motorists.
Covers the liability fortheuse of hired automobiles in your business.
Coversthe liability fortheuseof non-owned automobiles inyour
business.Anexamplewouldbean employee usinghisowncaronan
errandfor you.
Pays forloss of or damage to automobiles from perils other than
collision.
Paysforlossofordamagetoautomobilesfromcollisionwithanother
objector upset.
Thebusinessautopolicyprovidesacoverageextensionifanautois
insured for comprehensive or specified cause of loss coverage,which
insuresagainstlossofuseofa covered autoonlyiftheautoisa private
passenger typeautoandisstolen.The coverage extension paysuptoa
dailylimitof$10andamaximumlimitof$300.Paymentsbegin
forty-eight hours afterthe theft andends when the insured autois
returned orwhen the insurerhaspaidthe insured fortheauto.For
broader coverage,theinsuredcanpayanadditional premium forrental
reimbursementcoverage.Rentalreimbursementpaysthecostof
rentingasubstituteautofor replacement ofanycoveredautothathas
suffered acoveredloss.Thedailyand maximum limit forthis
coverage variesamonginsurers.
47
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mmmm
mmrnmm
COVERED AUTO DESIGNATION SYMBOLS
Any "Auto"
Owned "autos"only.Only those
autosyouown(andfor liability
coverage any trailers you don't own
while attached to power units you
own.)This includes those "autos"
you acquire ownership of after the
policybegins.
Owned Private Passenger "Autos"
Only.Only the private passenger
"autos"you own.This includes
those private passenger "autos"you
acquire ownership ofafterthe policy
begins.
Owned"Autos"otherthanprivate
passenger "autos"only.Only those
autos you own that are not of the
private passenger type(andfor
Uability coverage any "trailers"you
don't ownwhile attached to power
units you own.)This includes those
autosnotofthe private passenger
typeyou acquire ownership of after
thepolicy begins.
Owned "Autos'subject to No-Fault.
Only those "autos"youownthatare
required to have No-Fault benefits in
thestatewheretheyare licensed or
principally garaged.This includes
those "autos"you acquire ownership
ofafterthepolicybeginsprovided
theyare required tohave No-Fault
benefits inthestatewheretheyare
licensed or principally garaged.
IS!
mi
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ili
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ill®
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48
Owned "autos"subject toa compulsory
uninsured motorists law.Only those
"autos"youownthatbecauseofthelaw
inthestate where theyare licensed or
principallygaragedarerequiredtohave
and cannot reject Uninsured Motorists
coverage.Thisincludesthose "autos"
youacquireownershipofafterthe
policybegins provided theyare subject
to the same state uninsured motorists
requirement.
Specifically Described "autos".Only
those autos described in ITEM THREE
of the Declarations for which a
premium charge isshown(andfor
liability coverage any "trailers"you
don't own while attached toany power
unit described in ITEM THREE.)
Hired "Autos"Only.Only those autos
youlease,hire,rent orborrow.This
does not include any "auto"you lease,
hire,rentor borrow fromany of your
employees or partners or members of
their households.
Non-Owned "Autos"Only.Only those
"autos"youdonotown,lease,hire,rent
or'borrow that are used in connection
with your business.This includes
"autos"ownedbyyour employees or
partners or members of their households
but only while used inyour business or
your personal affairs:
CRIME DEFINITIONS
ecfinT/OV Alteration r#ft£r
Employeedishonestyis considered tobea criminal act
committedbyanemployeeactingaloneorin collusion
with others.Theremustbeintentbythe employee tocause
the employer alossandto obtain afinancial benefit for the
employeeorsomeoneelse.Coverageisprovidedfor
dishonestactsofemployeesofthenamedinsuredonly.
Coverageinsuresagainstlossofmoney,securities,and
property otherthan money and securities.The blanket
formprovidescoveragefordishonestactsofallemployees.
Thelimitforblanketcoverageappliesperloss,regardless
ofhowmanyemployeesareinvolved.The scheduled form
providescoverageonlyforthedishonestactsofemployees
specificaUylistedinthepolicy.Onthescheduledform,a
separatelimitappliestoeach employee Ustedonthe
schedule.
Forgeryisgeneratingadocumentorsignaturethatisnot
genuine.
Alterationischangingadocumentinamannerthatis
neither authorized nor intended.
Thisforminsures against losscausedbythe forgery or
alterationofacovered item drawnagainstthe insured's
accounts.A covered item might bea check,draft,
promissory note,biU of exchange or similar instrument.
Theft meansanyact of stealing.
Disappearance is unknown causesofloss.Disappearance
lacksthe elements of knowing if the crime wasa theft,
burglary or robbery.
Destruction istheloss of certain property,itis usually the
result of another cause of loss.
Section (1)of the form covers money and securities
againstlossbytheft,disappearance,ordestructioninside
thepremises.Section (2)coversmoneyand securities
outside the premises in care and custody of a manager.
49
PREFERRED GOVERNMENTAL INSURANCE TRUST
"Preferred"
NOTICE AND ACKNOWLEDGEMENT OF FINANCIAL
CONDITION
Brown&BrownofFlorida,Inc.,-Miami Division,anditsparent company,Brown&Brown,Inc.(collectively
"Brown &Brown")donotcertify,warrant or guarantee the financial soundness orstabilityofany insurance carrier
or alternative risk transfer or pooling entity.We endeavored toplaceyour coverage withan insurance carrier with
anA.M.BestCompanyfinancialratingof "A-"orbetter.*WhileBrown&Browncannotcertify,warrantor
guaranteethefinancialsoundnessorstabilityofanyinsurancecarrieroralternativerisktransferorpoolingentityor
otherwisepredictwhetherthefinancialcondition of anysuchentitymightimproveordeteriorate,wearehereby
providingyouwithnoticeanddisclosureoffinancialconditionsothatyoucanmakeaninformeddecisionregarding
theplacementofcoverage.Accordingly,withreceiptofthisnoticeyouacknowledgethefollowingwithregardto
the placement andany subsequent renewal of the coverage indicated below:
•Brown&Brown attemptedto present otheroptionsforyourinsuranceplacement,includingquotations
withinsurancecarriersholdingan "A-"orbetterratingfromA.M.BestCompany,but wewere unable to
securesuchaquote.
•Coverageisbeing placed through Preferred Governmental Insurance Trust ("Preferred"),whichisasa
Floridalocalgovernment selfinsurancefundestablishedpursuanttoSection 624.4622,FloridaStatutes,as
such Preferred isnotratedbytheA.M.Best Company.
•Preferred isnot subject tothe protections affordedbyanystateguarantyfundorassociation.
•Thefinancial condition of insurance companies andother coverage providers including local government
self-insurancefundslike Preferred maychangerapidlyandthatsuchchangesarebeyondthe control of
Brown &Brown.
•Youshouldreviewthe financial and membership information from Preferred andagreetoabidebythe
conditions of membership established by Preferred.
•Youshouldconsidertheinformation provided,includingthe Preferred coverage quoteand coverage
placementandreviewitwithyouraccountants,legalcounselandadvisors.
By:[NAME OF AUTHORIZED REPRESENTATIVE OF INSURED]
Named Insured:
Policy Number:
Policy Period:
Date of Notice:
City of South Miami
TBD
10/01/16 TO 10/01/17
08/17/2016
*A.M.Best Rating Guide:Rating for Stability:A++to D=Highest to lowest rating
Rating for Assets/Surplus:15to1-Largest to smallest rating
50
Insured:CityofSouth Miami
Insurance Coverage Review
PolicyTermDate:10/01/2016-17
Please advise ifquotations for any coverage listed below arerequested:
E=Exposure;C=Coverage through Brown &Brown (if indicated with an "L",such coverage is being provided on a limited basis through an extension or enhanced
E c Q
PROPERTY Y/N Y/UN Y/N
Buildings
BusinessPersonalProperty
PersonalPropertyofOthers
TenantsBetterments&Improvements
Business Income/Rental Income
ExtraExpense
Leaseholders Interests
Boiler &Machinery (Equipment Breakdown)
Building OrdinanceorLaw
A.LosstoUndamaged Portion of Building
B.Demolition Cost
C.Increased Cost of Construction
Earthquake
Difference in Condition
Flood (Primary)
Flood(Excess)
Wind
OffPremisesPower Interruption
Overhead Transmission Lines
Glass
Spoilage
AUTOMOBILE
Auto Liability
AutoPhysicalDamage
DriveOtherCar Liability
DriveOtherCarPhysicalDamage
Hired/Non Owned Liability
HiredCar Physical-Damage
PIP:ExtAdditional,Broad
RentalReimbursement(PPT)
Rental Reimbursement (Commercial Vehicles)
Uninsured Motorist
Underinsured Motorist
Garage Liability
GarageKeepers Liability
GarageDealersPhysicalDamage
Truckers Liability
Un-laden Liability
Trucker'sPhysicalDamage
TrailerInterchange
CRIME
EmployeeDishonesty(1stParty)
EmployeeDishonesty(3rdParty)
ComputerFraud/FundsTransfer
ForgeryorAlteration
SocialEngineering
Money&Securities
BONDS
ERISA Bond
Other Bonds
E c Q
LIABILITY Y/N Y/L//N Y/N
General Liability
Liquor Liability
Employee Benefits Liability
Errors or Omissions/Professional Liability
Cyber Liability (1st Party)
Cyber Liability (3rd Party)
Intellectual Property
Directors &Officers Liability
Fiduciary Liability
Employment RelatedPractices Liability
ThirdParty Discrimination
Owners/Contractors Protective Liability
Pollution Liability (1st Party)
Pollution Liability (3rd Party)
Products Liability
Product Recall
Warehouse(orBailee's)Legal Liability
Watercraft Liability (Hull &P+l)
Umbrella/Excess Liability
INLAND MARINE
Accounts Receivable
ValuablePapers
BaileeCoverage
Computer/EDP
ContractorsEquipment
Signs
Installation Floater
Mobile Equipment
Rented/LeasedEquipment
MotorTruckCargo
Transit/Transportation
Builders Risk/COC
OceanCargo
WORKERS COMPENSATION
WorkersCompensation
Other States
USL&H
Jones Act
StopGap Liability
Excess Employers Liability -
AIRCRAFT
Aviation-Owned/Non-Owned
MISCELLANEOUS
International/Foreign Exposures
Kidnap &Ransom
Travel Accident
Credit Insurance
Mold/Fungi
EIFS
Terrorism
Subsidence/Sinkhole
Thislistofinsurance coverage isforinformation purposes only andisnot meant tobea complete listforallyourinsurance needs.Theabove analysis isbasedsolely
on information providedbytheclient.Coverageindicatedbyan "L"reflectscoverageprovided ona limited basiswhichmaynotbeasbroadascoveragepurchased
onastand-alonecoverageform,andmay include lowerlimits,sub-limits,orfewcoveredperils.
Insured Representative
Brown&BrownRepresentativeSignature
_SL
Date•PlaceCompletedwithInsured
Rev.04-26-16