Res No 160-18-15193RESOLUTION NO. 160-18-15193
A Resolution authorizing the City Manager to purchase 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
Preferred Governmental Insurance Trust (PGIT) for Fiscal Year 20 18-20 19.
WHEREAS, the insurance marketplace for Municipalities is limited; and
WHEREAS, the City staff, through its Agent of Record, Brown & Brown, has solicited and has
received independent insurance quotes 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; and
WHEREAS, the City renewal quote from PGIT is for several lines of coverage; and
WHEREAS, the City Manager recommends that the City continue coverage with PGIT 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 for 2018-2019 Fiscal Year based upon the current
proposal; and
WHEREAS, the City continues to receive the company's preferred rating because of the
multiple lines of coverages, including a 5% credit for our Drug Free Workplace policy and a 2% credit
for our Safety Policy; and
WHEREAS, the premium amount shall be charged to departmental line items in their
respective account numbers.
NOW THEREFORE BE IT RESOLVED BY THE MAYOR AND CITY
COMMISSION OF THE CITY OF SOUTH MIAMI, FLORIDA THAT:
Section I. The City Manager is authorized to purchase the renewal insurance policy for PGIT
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 Insurances for the 2018-2019 Fiscal Year.
Section 2. Severability. If any section, clause, sentence, or phrase of this resolution is for
any reason held invalid or unconstitutional by a court of competent jurisdiction, the holding shall not
affect the validity of the remaining portions of this resolution
Section 3. This resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED this 4th day of September, 2018.
Page 1 of2
Res. No. 160-18-15193
ATTEST: APPROVED:
CITY CL'@Rj(""'
p7; )j II f/ljf;)l,/JaJkI
MAY
COMMISSION VOTE: 5-0
Mayor Stoddard: Yea
Vice Mayor Harris: Yea
Commissioner Gil: Yea
Commissioner Welsh: Yea
Commissioner Liebman: Yea
Page 2 of2
City Commission Agenda Item Report
Meeting Date: September 4,2018
Submitted by: Samantha Fraga-Lopez
Submitting Department: Human Resources
Item Type: Resolution
Agenda Section: CONSENT AGENDA
Subject:
Agenda ~em No:5.
A Resolution authorizing the City Manager to purchase 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 Preferred
Governmental Insurance Trust (PGIT) for Fiscal Year 2018-2019.3/5 (City Manager-Human Resources)
Suggested Action:
Attachments:
Memo]GIT.docx
Reso]GIT WL.docx
PGIT Proposal.pdf
1
THE CITY OF PLEASANT LIVING
To:
FROM:
DATE:
SUBJECT:
Background:
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
The Honorable Mayor & Members of the City Commission
Steven Alexander, City Manager
September 4,2018 Agenda Item No.: __
A Resolution authorizing the City Manager to purchase 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
Preferred Governmental Insurance Trust (PGIT) for Fiscal Year 2018-2019.
The City staff and, through its agent of record, Brown & Brown, solicited and
received renewal proposal 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 PGIT. The
following table is the breakdown of the City's coverages and costs:
PGIT Summary of Proposed Premiums:
Property Coverage
General Liability
Automobile
Inland Marine
Crime/Fidelity
Law Enforcement Liability
Worker's Compensation
~OTAL
$126,599
$106,802
$127,945
$ 941
$ 750
$ 115,936
$145,680
$624,6531
The City continues to receive the company's preferred rating because of the
multiple lines of coverage, including a 5% credit for the Drug Free Workplace
Policy and a 2% credit for the Safety Policy.
Recommended Action:
PGIT offers the most competitive rates. The staff recommends that the City
renew its policy with PGIT for its property insurance including boiler and
machinery; general liability insurance; automobile liability and damage
insurance; inland marine insurance; crime/fidelity insurance; law enforcement
2
THE CITY OF PLEASANT LIVING
Attachments:
CITY OF SOUTH MIAMI
OFFICE OF THE CITY MANAGER
INTER-OFFICE MEMORANDUM
liability insurance and worker's compensation insurance from PGIT for a total
premium of $624,653.
Proposed Resolution
Renewal package from PGIT
3
INSURANCE PROPOSAL SUBMITTED ESPECIALLY FOR:
CITY OF SOUTH MIAMI
POLICY TERM:
10101/18 TO 10101119
DATE OF PRESENTATION:
AVGUST17,2018
PRESENTED By:
ROBERTIloLLANDER
EXECUTIVE VICE PRESIDENT
BROWN & BROWN -MIAMI DIVISION
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INTRODUCTION
We would like to take the opportunity to thank you for allowing us to work closely
with you in our effort to develop a comprehensive Risk Solution Program for your
business. Brown & Brown, Inc. is the largest independent agency organization in
Florida and the 6th largest in the US. The company provides a variety of insurance
products and services to corporate, institutional, professional and individual
clients. Headquartered in Daytona Beach and Tampa, Brown & Brown is publicly
traded on the New York Stock Exchange (BRO) and has been included in Forbes'
list of the "200 Best Small Companies in America". The company handles clients'
premiums in excess of 12 Billion annually and has in excess of 6,500 employees.
We have insurance professionals who specialize in evaluating and protecting
your personal asset5' -home, auto, watercraft and l~re.
We {llso have an experienced employee benefits department who call assist you
with group health, disability, life and dental.
While size is not the sole criteria for choosing an insurance agent, it does enable us
to offer our clients clout in the marketplace and unmatched service capabilities.
Please feel free to visit our website at www.bbinsurance.com
This insurance proposal is prepared based Oil data furnished bv )IOU fOr our
review. It i~' not to be construed as an exact or complete analJlsis of the
policies or as legal evidence of insurance. It is olliv a brief outline of your
insurance coverage and is fOr infOrmation purposes only. In the ellent of
difference, the provisions of the policy will prevail. Please read your policy
carefully fOr a thorough understanding of all terms, conditions and
exclusions.
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ACCOUNT SERVICING TEAM
Robert Hollander
Executive Vice President
305-364-7818
rhollander@bbmia.com
Nancye Batista, AAI
Commercial Lines Team Leader
Account Manager
305-364-7816
nbatista@bbmia.com
Alexandra Sarria
Claims Representative
305-364-7812
asarria l@bbmia.com
'
own
&: rown
14900 NW 79th Com't, Suite 200
Miami Lakes, FL 33016
Telephone: 1-800-432-8844, (305) 364-7800 or (305) 714-4400 Fax: (305) 714-4401
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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
o Public Official/Employment Practices Liability
o Workers Compensation
Ill. Summary
IV. Tllustrations and Definitions
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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.
I
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10
PROPOSED PROPERTY COVERAGE --------_._ .. _-_.. -----------
Insurer: Preferred Governmental Insurance Trust
Location of Premises:
Per Schedule Attached
Description of Property:
Blanket Building & Contents Limit, per attached schedule $22,763,841
Values Insured are Ultimately Chosen by the Client. In view of the continually
changing cost of construction and bllilding material5, we strongly suggest that you
review YOllr property values annually. ANY changes in the occupancy of an insured
location should be reported to our office immediately. Changes in occupancy can
potentially reduce or negate the coverage afforded by your property policy
Description of Coverages Proposed:
Policy Form:
Building & Personal Property Coverage F0l111 -Special
Causes of Loss:
Special Form: Excluding Earthquake/Earth Movement
Coinsurance:
Building & Personal Property: NI A
Valuation:
Replacement Cost
Flood Limit:
Per Occurrence and Aggregate: S I ,000,000
Excess ofNFIP Whether Purchased or Not
6
11
PROPOSED PROPERTY COVERAGE
Continued
Property Extensions of Coverage:
For a full description of terms, definitions and conditions, please refer to the policy
documents.
Debris Removal· limit shown or 25% of loss, whichever is greater, per occurrence
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12
PROPOSED PROPERTY COVERAGE
Continued •..
Deductible:
All Other Perils:
Named Storm:
Flood:
Coverage Enhancements:
$ 2,500 Per Occurrence -Building & Contents and
Extensions of Coverage
5% Per Occurrence -Subject to $15,000 Minimum
$2,500 Per Flood except zones A, V excess ofNFIP, whether
purchased or not
Boiler & Machinery -Limit: $22,763,841-$2,500 Deductible Per Occurrence
NOTE: De/ached walls, fences, radio and TV antennas, trees, shrubs, plants Fee-standing
property improvements stich as athletic equipment, windscreens, iightpoies, satellite
dishes or signs are 110t covered unless ,17)eci/ical(v scheduled on the policy.
Property and Extensions of Coverage include, but are not limited to the foDowing exclusions:
"Emihquake/Earth Movement
• TCITorism
"Electronic Data
• Electronic Date Recognition
"Asbestos
'Pollution
"Fungus
-War, Nuclear
"Ordinance or Law -Limited per Extensions of Coverage
~: The PGIT property program is a shared limit. The limits purchased are a per occurrence
limit and in the event an occurrence exhausts the limit purchased by PGIT 011 behalf of the
members, payment to you for a covered loss will be reduced pro-rata based on the amounts of
covercd loss by all members affected by the OCCUlTence.
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13
WINDSTORM & HAIL DEDUCTIBLE SAMPLE ILLUSTRATION
FLAT DEDUCTIBLE vs. PERCENTAGE Windstorm and Hail Dednctible
This deductible would apply to a claim for damage caused by windstonn.
Bi!ildfii.giRelil.!l~~.n:()/ltCQsi: . ,\FI)lfDlld ... 2°,to,J}c(1, '.3"%!Deik·. $.%iD~\I ..
Bldg. #1-SI,OOO,OOO $5,000 $20,000 $30,000 $50,000
Bldg. #2 -52,000,000 $5,000 $40,000 $60,000 $100,000
Bldg. #3 -83,000,000 $5,000 $60,000 $90,000 $150,000
Bldg. #4 -$4,000,000 $5,000 $80,000 $120,000 $200,000
TOTALS:
Value -$10 000,000 $20,000 $200,000 $300,000 $500,000
Percentage wind deductibles are calculated as a percentage of the (otal replacement value.
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SCHEDULE OF COVERED PROPERTY ------------------
loc# Oucrlption .Addrol3S8 Const Type Eff. T~rm. Building C(lnt1:lnls
O<lte Ville Value value
001 CM head start 6125 SN 68 Street '119-JM 1010112018 10/0112019 $471,200 $5,487
center South Miami FL 33143
002 PuIlHc Woo::s Office 4795 SW 75th Avef1U1~ 119-JM 10101/2018 1010112019 5281,200 $7,318
BUilding SouiltMiami Fl33143
003 StorageJft1otor Pool 4795 SW 75th Avenue 131-FR 10/01/2018 1010112019 554,000 $0
Offic;e South Miami FL 33143
004 Scli<l' Waste Bldg -5 4795 SW75th AV61ltle 152 -NC 101011201S 1010112019 $1B5,2....t;{} SO
Bay Shop South Mia.mJ Fl33"143
005 City Garage 4795 SW 75th Avenue 111-MNC 101(}1/2018 10101(2019 $560,500 SO
South Mlaml FL 33143
006 City's Repair Shop 4795 SW 75th Avenue 119 -JM 10/01/20t8 1010112019 $63,000 S59,267
South Miami FL 33143
007 Police storage BldQ 4795 SW 75th Avenue 119 -JM 10101/2018 10/0112019 $18,900 SO
South Miami FL 33143
OOS Dante B. FaSt&1I 8600 Red Road 13'1 N FR 1010112018 1Of01r1019 $95,880 ;0
ParW Tennis Pro South Miami FL 33143
Shop & Resuoorn
Bldg
009 Dante S. Fa':lcel! 8600 Red Road 152-NG 10ID11201B 1010112019 $65,000 SO
Par~ -2 Gazetlos South Miami Fl33143
010 Dante B. Fascell 8600 Red Road 102-PITO 10101/2018 1010112019 $123,500 SO
Part -6 HarTru South Miamj FL 33143
Temis Courts
{$6,5OQ Contents
011 Dante B. Facsell 8600 Red Road lv,," PITO 10101/2018 1010112019 S104,OOO $0
Pam I Playground South M!ami FL 33143
(S6,500 Contents
Included)
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SCHEDULE OF COVERED PROPERTY
LOt; .. UI$~I.aJ'ItIUU "'UUlIt~~ ... ..,1111\ 'YIIU t:U. UIlIII. ouum"y \,.UIll<;tUU::l
DMe D," Value v(llue
012 O;;mte B, F~cell 8600 Red R<lad .u<-c .v 10fD112018 101{l112019 $28,665 $0
Pal1<: ~ 2 Racquffil>all South MIami FL 33143
<' ... ourts
013 Dante B. Fasce11 61500 Red Road 102-PITO 1010112018 1010112019 $1l000 $Q
Park v 1 Basketball Soufu Miami FL 33143
Court
",. Dante.a. FasoeU· 1 13600 Red Road m-JM 1010'112018 10/0112019 $10,000 $Q
Tiki Hut South Miami FL33143
015 Dante R Fasten 8600 Red Road 131-FR 10101/201-8 10/0112019 $63,000 SO
Community Storage South Miami FL 33143
016 Fuchs Part Pav!fton 6445 SW 31 Street H11-Frame -10/01(2018 10/0112019 $31,000 $4,550
($4550 Contenw South Mlanli FL 33143
Include{.!)
017 F\!chs Park ~ 6445 SW $1 Street 119·JM 10101/2.018 1010112019 $84,000 $0
Bathroom South Miami FL 33143
018 Fuchs park 6445 &N 81 street 102-PITO 10101/21J18 1QfQ112019 $70,769 SO
Playground & SWing South Miami R. 33143
Sets
019 PalmerPmK-Field 6445 SW B1 Street 152-NC 1010112018 1010112019 $45,500 SO
Storage Building South Miami FL 33143
020 Palmer Pam FoolliaU 6701 SW67thAvenue 119-JM 1010112018 1010112019 $75,000 545,730
storage Bldg Soulh Miami Fl33143
021 Palmer Pam Footbnll 6 (01 SW 67th Avenue 119-JM 101(11/2018 1010112019 $33,000 $19,500
Storage Room South MlamJ FL 33143
022 FaiRlee Pam Field 6100 SW 67th Avenue 119-JM 10/0112018 10101J2019 5115,620 59,147
House South Miami Fl3l143
023 PalmerPaJ1( 6701 SW 67th Avenue 102-PITO 10101f.!D18 10/01/2019 $26,000 SO
Playgrouno South Miami Fl33143
02' Palmer Park 11200 ft 67Q1 SW 67th Avenue ,02-PITO 10101/2018 1010112019 $13,000 SO
of 51t High Fence South Miami FL 33143
025 Palmel Park -1000 fl 6701 SW 67UJ Avenue 102-PITO 10101/2018 10/01(2019 516,900 $I)
Of 10 ft High Fence Soulh Miami FL 33143
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SCHEDULE OF COVERED PROPERTY
l-OI;I<> Utl~11J.1l1UU AUUlltliitl \'I)U-\I\ IIIP!: CII. Itlllll. DUIi\lIlI!J 1..UUWIU1;i
Dot, Oal, Vtllue VQlu~
026 Palmer Park • 6701 SW 67th Avenue 119"Nt 10101/2018 101{]1J2019 $84,600 SO
Ri?stroom Bldg South Miami FL 33143
027 Palmer Park· 6701 SW 67th Avenue 119 ·JM 1OJ0112018 1010112019 $54,000 SO
Goncooskln Bldg South Miami FL 33143
02. Brewer Park • 2 63()O SW 561h Street , ... ,", 1010112018 1010112019 $26,665 $0
RacquetbaU CotIIt$ South Miami FL '33143
029 Brewer Park ~ 112 6300 SW 56th StrQat 102~ PITO 10101120113: 1010112019 $13,000 '0
Basketball Court Souih Miami FL 33143
030 BT~wefPark·· 6300 SW 56th Street 102·PITO 1010112018 10101i2019 $34.125 SO
Playground and Sooth Miami Fl 33143
Swingl3e1
031 Bmv/ef Park· 2 6300 SW 56th Street 102~PtTO 1010112016 1QlQ112019 $52,000 ${)
Tennis COUJtli-South Miami FL 33143
032 Brewer Park -460 tt 6300 SW 56lh street 102· PITO '1010112018 10/0112019 $7,81)0 00
Of 10ft High Fence South Mi~mi Fl33"143
033 Brewer Park -360 ft 6300 SW 56th Street 102· PITO 1010112018 1OKJ1f2019 $3,900 $0
or 5 ft High FEinoo SOUth Miami FL 33143
034 Murray Park -2 5800 SW 66 Street 119--JM 101011201$ 1010112019 $2,000 ${)
Shade: Structures South MiamI Fl 33143
035 Murrny Parlll 6101 SW sa Place 111·MNC 1010112018 1010112019 5360,000 $0
Communi\y Center South MIami FL 33143
036 Hope Butler Activity 6701 SW 58 Place 119-JM 1010112018 1GID1f2019 $271,6E1{} $0
Center South Miami FL 33143
037 Offics/PoRce-5975 Sunset Dlive 119 -JM 10JOtf2018 10/0112019 $0 532.500
Substation Soulh Miami FL 33143
03. Ctty Hall / Police 6130 SUnset Drive 119 ·JM 1010112018 1010112019 $3,839,900 S395,472-
South Mtaml FL 33143
.
039 Silva Martin Bldg 6130 SUnset Drive 119 -JM 10/0112018 1010112019 $420,180 $56,706
Soulh Miami Fl. 33143
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SCHEDULE OF COVERED PROPERTY ----------~~-=~~---------------------
""u ... ~ W~l,:n.;r!I'\IUn .... UU!~'01~ \.Ulltl,llYVIt c;.u • l\tun. DunUlliV ,-\)U\t:m"
0 .... Date Value value
040 South Miami Comm 5801) SW 66 Street 111-MNG 10101/2018 10/{l112019 S3,21e,560 $39{!,OOO
Center/Gym SouUl MiamI Fl33143
041 Jean IMIlis Pam I 7220 SW 51st Court 101 ~ Frame 1010112018 10/()1l2019 S19,500 $0
Gazebo South Miami FL 33143
042 MarlisallWillfamron 6121 SW 68 Street 152-NG 101l)1/2il18 101l)1/2il19 $65,000 $0
Pam I Gazebo South Miami FL "33143
043 MarshaiWilll.3mson 6121 SW 68 Stillel m2~PITO 10/0112018 10Kl112019 $32,500 $0
PaIlII Playground South Miami FL 33143
and SWillg set
044 May$hall Williamoon 6121 SW 6a Street 102-PITO 10101/2018 1010112019 $52,000 $0
Pari'; ~ 2 Tennis South Miami Fl 33143
Coorts
045 Girl Scout Property 6609 SW 60 Street 119 ~JM 10/o11201B 10/{}1t2019 $234,060 SO
Soulh Miami FL 33143
046 Patting Ga.mge 5829 S. W. 73 Street 131 ~ FR 1010112018 lD!{)1f2019 58,435,520 $0
South Miami FL 33143
047 Dison Park -Gazebo SW 58th AVl': & SW SO 152-NC 1010112018 1Om112019 $25,000 SO
St South Miami FL
33143
048 Pollee. Sub Statioo 6126 SW 5.9 Place 119· JM 1010112011.1 1010112019 .0 $26.000
Sooth Mi:lmi Fl 33143
049 I3us Shelter N Side of Sunset Dr & 152wNC 1010112018 1010112019 550,000 $0
South Miami Fl33143
050 Bus Sooner N Side ofSun!?BtDr& 152· NC 1010112018 10101f2019 $50,000 $0
South Miami Fl 33143
051 Bus Shelter S Side of Sunset Or & 152-NC 101011201& 1010112019 $50,000 .0
South Miami FL 33143
~-O52 Bus Srnilier S Side Qf Sunset Dr & 1S2-NC 10/0112018 10101f.lU19 550,000 SO
South MIami Fl33143
053 Bus Shelter ESkfeofSW 62 Ave & 152-NC 10/0112018 10/01f2{}19 $50,000 $0
South Miami FL 33143
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SCHEDULE OF COVERED PROPERTY ------
l.W" UIt~taIJlUOIl Io\.UUltlioi'tl t..1JII'tIlIYVI:l cu. !tlllll. 00llUI1I9 .... umtmw
Date Dnte Value value
u'"' Murray Park Pool, 6121 SW6Sth Streel 11.-JM ·1010112018 1010112019 51,384.411 S!J
Splash Pool, South ~am! FL 33143
Restroom
0,5 Wood Double Gate 6380 SW 78 Street 102-PiTO 10101{20113 101Otf2019 $4,475 S!J
Enclosure South Miami FL 33143
0,6 Police Fueling 6130 SunsetDrtve 119-JM 10101/2018 1010112019 S160,SOO S1O',904
Station SoulhMiami FL 33143
Total $21,701,260 I $'1,062,581
TIV $22,763,841,00
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PROPOSED INLAND MARINE COVERAGE
Insurer: Preferred Governmental Insurance Trust
Description of Property:
Blanket Unscheduled
Subject to $25,000 Any One Item
Excludes Watercraft
Canses of Loss:
Special Form: Excluding Flood and Earthquake
Values of Insurance:
$470,479.00
Loss of Use coverage is not automatically included
Valnation:
Actual Cash Value
Deductible:
$1,000
Exclusions Include But Are Not Limited To:
Flood
Earthquake/Emih Movement
Terrorism
Biological or Chemical Materials
Electronic Data
Electronic Date Recognition
Asbestos
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PROPOSED CRIME COVERAGE -------
Insurer: Preferred Governmental Insurance Trust
Type of Policy:
Combination Crime
Limits of Coverage:
I.EnlpJOye~I>iSh611e~ty~,lgl .. F~i@U!Bei'fC)I'l)W!1C:<I~II00,OO()· ..•.. · ' . ' .
Per.Loss .. •. .. <.. '. ii...... " .. 'j ." i<.... I., i I. .!
.....•.. .'
Covers loss of money, securities and other property by employee
dishonesty at all premises of the insured.
IF6r',ervorAllerafit)ll·i.· .... .........•..•. .. ~1$JI00000.. . •••. .
Covers loss by forgery or alteration of checks, drans, and promissory
notes (except by an employee) that are made or drawn by the insured or
his agent.
1··C01UPllfel'FraudJliclu<;1irtgFut1dsTransfe)·Plia\1d ··li$ll00,OOiY .' .'
Covers against theft of money, securities, or property by using a
computer to transfer covered property from the insured's premises or
bank to another person or place. No coverage is provided for theft of
infounatioll or for computer vandalism.
I..i ' Theft . Disailil.~aran~e or Destrnctioll ' ..•..•. ,.' I. $·1:.00000 .........
Other Coverages Available:
D. Robbery and Safe Burglary
E. Premises Burglary
O. Extortion
H. Premises Theft and Robbery Outside
I. Lessees of Safe Deposit Boxes
J. Securities Deposited with OUlers
Deductibles:
Employee Dishonesty
Forgerv or Alteration
Computer Fraud
Theft Disappearance or Destruction
16
$lIlQQ. ", '1 ' .. ",
$l;OO(} . ' ......
$~;I)OII ....•.....
'$l,O@ '.'
.., .
. '..,
: .
21
PROPOSED GENERAL LIABILITY COVERAGE --_._---
Insurer: Preferred Governmental Insurance Tmst
Type of Form:
Commercial General Liability -Occurrence Fonl1
Limits of Liability:
Exposure Basis:
Class Amount
Munici alit $4751,540
Be sure to get Cert(ficates of In sura lice with "Adequate" Limits and Coverage/rom
Subcolltractors, to Ul'oid being charged as though Subcontractors were your Employees.
Coverage Enhancements:
Herbicide & Peslicide -$1,000,000 Aggregate Limit
Sewer Backup and Water Damage Limit -$10,000 No-Fault/$200,000 At Fault Subject to
$200,000 Aggregate
Exclusions include but are not limited to:
• Pollution
• Asbestos
• Mold
• Fungus, Bacteria
• Lead
• Nuclear
• Medical Payments
• Liquor Liability
• Copyright or Patent Infringement
• Terroris111
• Public Officials Liability/Employment Practices Liability
• Unmanned Aircralt/Drone Liability
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PROPOSED LAW ENFORCEMENT LIABILITY COVERAGE
Insurer: Preferred Governmental Insurance Trust
Type of Form:
Occun'ence
Limits of .Liability:
Pcr Person . ' ... ' ..... . $\t;6Qo,ooo
Per OcculTcn ce ..
....
" ' •. "$foo(j,oOO
Deductible:
$10,000
Exposure Basis:
I····.· .' Class ' .. ..•.. Bilsis< .... . "~mount··
Law enforcement Number of Officers 52 Full Time
2 Part Time
Defense Costs -Outside of the limit; does not erode the limit for GCllcral Liability and Law
Enfol'Cemellt Liability
Deductible does not apply to defense costs
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PROPOSED COMMERCIAL AUTOMOBILE LIABILITY
COVERAGE
Insurer: Preferred Governmental Insurance Trust
Limits of Liability:
Bodily Injury & Property Damage Liability $1,000,000 Combined Single Limit
Liability Coverage Provided For: Symbol #: 1 Any Auto
Personal Injury Protection $10,000 Each Person -Symbol #: 5
(Florida No-Fault) Owned Auto Subject to No
Fault
Medical Payments Not Each Person -Symbol
Included
Uninsured MotOlists Non-Stacked Not Per Accident
Included
Physical Damage: " Per Scheduled V chicles
Collision $1,000 Deductible
Comprehensive $t,OOO Deductil:!le
Physical Damage Coverage Provided For: Symbol #: 7 & 8
* All New or Replacement Vehicles Must Be Scheduled Autos Only and
Reported Immediately so as to avoid any Hired Autos Only
possible gap in coverage
Auto Symbols 7 & 8
Higher Limit~ of Liability May Be Available Upon Request
Description of Vehicles:
Please See Attached Schedule of Automobiles which indicates those vehicles that include
Comprehensive and Collision -Schedule Pending Premium Revision for addition of two
vehicles: 2013 Nissan Leaf # IN4AZOCP6DC418298 & 2019 Ford #lFT7W2B67KEC12555
Coverage Enhancements:
• Hired Auto Liability
• Non-Owned Auto Liability
• Hired Physical Damage
Limit: $75,000 Subject to deductible
NOTE: The vehicles listed on this policy must be owned by, titled to or leased to the Named Insured.
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VEHICLE SCHE=D=-U=-L=E=--____ _
Malle ModellDescription Department ALEf! Comp Comp Comp Villue
Unit# Oed Eff Telm
Year VIN# Vehicle Type Al Tenn Coli CQII Eff Coli Valuation Type
Oed Terlll
Recycle Truck 10101/2018 $1,000 10101}2018 10101/2{}19 $31,000
001
1990 1HT52RMX41247192 Heavy Truck 101U112019 $1,001) 1010112018 1010112019 Attu;ll Cash Value
Vulvo WXRti4 1010112018 51,000 1010112018 1010112019 >35.000
002
200, 4V2EC6U"",N34B408 Garhage Truck. 1010112019 $1,000 tOlO1I2018 1010112019 Actual Cash Value
Trash Truck 10/0112018 $1,000 1010112018 10(0112019 $32,000
003
2005 7533 Garbage Truck 1010112019 $1,000 101D1/2018 10101/2019 Actual Ca5h Value
Trash Crane 10/[1112018 $1,000 10;0112018 1010112019 $32,000
004
2004 662 Gamage Truck 10.10112019 $1,000 10ffi1J2018 10101/2019 Actual Cash Value
FO'" F450 Bucket Truck 1010112018 $1,000 10101[2018 10/0112019 $26.000
005 2004 6749 HeavyTrucK 1010112019 $1.000 10l{)112018 10/0112019 Actual Cash Value
Trailer 10101/2018 $1,000 1Of01I2018 1010112019 $10,000
006
2004 1773 Traller-NO 1010112019 $1,000 10/0112018 10/01/2019 Actual Cash Vallre
CHARGE
Gamage Truck Non Police 10/01/2018 $1,000 1010112018 1010112019 S35pOO
007
2004 5VCEC6LF24H200D02 Gamage Truck 10101/2019 $1,000 10101/2018 1010112019 Actual cash Vallie
25
20
VEHICLE SCHEDULE
Make Model/Description Department ALEf! Comp COml) Comp Value
Unlt# Oed Elf T~nn
Year VIN# Vehicle Type Al Term CoIl Cell Eff Coli Vuluation Type
Oed Teon
SWeeper 1010112018 SO
008
1997 2272 Heavy Truck 1010112019 NtA
FOOl Ran~r Pickup 1010112018 .0
009
1997 483 llghtTrucl< 1010112019 NtA
Foro Crown Vicklria Pollee 1010112018 51,000 10101(2018 10101/2019 $19,322
010
2005 9247 PoliceC3r 10101/2019 $1,000 1010112018 10/0112019 Actual Cash Value
PickuP 10101/2018 50
011
1998 5084 lightTrudl 10101t2019 NtA
FNd Crown Vidolia Poftc~ 10101(2018 50
012
1998 7545 Police Car 10/0112019 NtA
FOOl CrU'.'m Victolia Po~ce 10/Q11201B $0
013
199B 7547 PollceCar 10ID112019 NfA
Ford F250Pltkup Po~ce 1010112018 $1,000 1010112018 1010112019 .23,000
014
2005 B300 PoliCllCar 1010112019 $1,000 10/0112018 10/0112019 Actual Cash Value
Ford Expedition 1{}.10112018 $1,000 101O1{2018 1010112019 $22,500
015
2005 B547 LIght Trucl\ 1010112019 $1,000 1010112018 1010112019 Actual Cash Value
Trash Truck 1010112018 $1,000 1010112018 1010112019 $47,000
016 2{]O7 7296 Gal1)age Truck 10/0112019 $1,000 1010112018 '1010112019 Actual Cash Vallie
Ford F250PickliP 1010112018 SO
017
1999 1506 light Truck 101Ql12019 NfA
26
21
VEHICLE SCHEDULE
Make ModelfDescrlptioll DepartlW)l1t AlEff Camp Camp Comp Volue
Unit# Ded Ell Tenn
Year V1N# Vehicle Type Al Tem Coli Coli Eft Coli Valuation Typf:!
Ded Tenn
Trash Crane 10ffi112018 51,000 10(0112018 10101/2019 546,000
.
018
2006 8936 Gamage Truck 10J01f2019 $1.000 1010112018 10(0112019 Actual Casn Value
Ford RangerPitkup 1010112018 Sl,OOO 1Cf01/2013 10/0112019 $21,500
019
2006 8007 li9htTruc.k ,0101",,,,. $1.000 1010112016 1010112019 Actual Casn Vnfue
.
FOfd Crown Victoria PoUce 10/0112018 $1,000 1010112018 10/0112019 $22,000
020
2006 3763 Police Car 1010112019 $1,000 10fQ112018 10/0112019 Actual Cash Value
Ford Crown Victoria PoUce 1OJ01l21118 $0
021
1999 2394 Pollee Car 10/01/2019 NiA
Ford Crown Victoria Ponce 10}01/2018 $1,O{lO 1010112018 1010112019 '$22,000
022
2006 3764 PollcaCar 10101/2019 $',000 1010112018 10101/2019 Actual Cash Value
ECO 15 Pass Van 10JQ112018-$0
023
1999 643. Bus 40 Pass, 10/01/2019 NiA
No lilt
Ford CroWl~ Vietona Poijce 1010112018 S1,00I} 1Qf0112018 1010112019 $22,000
02.
2006 375il Police Car 10101",,,1. $1,000 10f01f201B 1010112019 Actual Cash Value
Ford Ranger PIckup 1W0112018 StOOD 1010112018 1010112019 .$19,800
025
2007 9505 UghlTrucl\ 10/0112019 $1,000 10(0112018 1010112019 Actual Cash Value
Crew Gab Truck 10101f201il $1,000 1001/2018 1010112019 $22,000
026
2007 1FFV\nN30P17EA4733 Light Trucf\ 10/0112019 $1,000 10/0112018 10/0112019 Actual Cash Value
Ford F250Pickup 10l01/2illB 50
.
021
2001 1259 lightTntct, fDf01f2019 NfA
27
22
VEHICLE SCHEDULE
Mt\k~ Model/DescrIption Oep~rtment Al Eff Comp Comp Comp Vnlus
Unit# Oed Elf Term
Year VIN# Vehicle Type ALTern, Coli Coli Eff Coli Vnluation Typlil
Oed len11
Trash Truck 1010112018 $1,000 10J01I2011l 10101/2019 $45,000
028
2007 5792 Garbage Truck 1010112019 $1,000 10(0112018 1010112019 Actual Gash Value
E-450 Pass Van lot01aolS $1,{\OO 10101I201B 1010112019 $26,000
029
2007 . 6867 Medium Truck 1OJ01f2{119 11,000 1010112018 1010112019 Actual Cash Value
FO!(! F2504X2 Truck 1010112018 $1,000 10(0112018 10/0112019 $30,000
030
2008 6.1.33 LlghtTruck 1010112019 Sl,GOO 10(0112018 1010112019 Actual Cash Value
Ford Croi'm Vlctolia Pofica 1010112018 .1,000 10101{2018 1010112019 $25,000
031
2007 262 PoticeCar 10.101/2019 $1,000 10/0112018 10f0112019 Actual Cash Value
FO!(! Excursion 10/01r20l8 SO
032
2nDl 7437 UghtTruck 1010112019 NIA
FO!(! Crown Victoria Police 10/01/2018 $1,000 1010112018 1010112019 $25,000
033
2007 263 Pollee Car 1010112019 $1,000 1010112018 10/0112019 Actual Cash Value
Fo!(! Crown Viclona. PoHce 1010112018 $1,000 10iQ112018 10f0112019 $25,000
034
2007 26. Police Car 10Jl11f2019 $1,000 1010112018 10/0112019 Actual GClSh Value
Fo!(! Crown Victoria Police 100112018 ~1,OOO 1{Jf()'112018 1010112019 $25,000
035
2007 1644 ponce Car 1010112019 $1,000 1010112018 1010112019 Actual Cash Value
Fo!(! F450 Super PicRUp 1010112018 51,000 10101120t8 10/0112019 $40,000
036
2007 7463 Med!um Truck 1010112019 $1,000 1010112018 1010112019 Actual Cash Value
E·350Van 10101r201B S1,000 10/0112018 10101/2019 $28,000
037
201lil 9179 L~ht Truck 1010112019 $1,000 10/0112018 1010112019 Actual Cash Value
28
23
VEHICLE SCHEDULE --------------------------------
Make ModelJDescription Oepnrtment ALEff tomp Comp Comp Value
Unit# D.d Elf Tenn
Year VIN# Vehlcle Type ALTernl Coli Coli Elf Coli Valuntion Type
Ded Teml
Foe. F250 Pickup 1010112018 $1,000 1011)112018 1010112019 524,000
03B
200B 4733 light Truck 10101/21)'19 61,000 10{Q111018 10/0112019 Actual Gash Va!ue
Frnd F250 Pickup PQ~C-E! 1010112018 SO
039
2001 8077 PoliceCaf 10101(2019 NJA
PI~up 1010112018 SO
040
1997 7334 UgtrtTrudl 10101/2{}19 N/A
Trash Truck 10/0112018 $1,000 10101/2018 1010112019 545,000
041
200' 6166 Gamage Truck 1010112019 $1,000 101D112018 10/0112019 AtlUal Cash Value
Pickup 10fU112Q1B ~1,OOO 10101/2018 10i01f2019 $22,000
042
200B 4732 lighl Truck 10/01£2019 $1,000 10101/2018 10ID112019 Actual Cash Value
WaterTrucl\ 1010112018 $1.000 10f01I2018 10fOl12019 $31,000
043
2008 6415 Heavy Truck i0!0112{l19 $1,000 10J0112018 1DI0112019 Actual Cash Value
15 Pass Van 10]0112018 $1,(]oo 10f01/201$ 1010112019 $25.000
044
2.008 6921 Bus 40 Pass, 10!01f2019 $1,000 10101f.W18 1010112019 Actual Cash Value
NoUft
15 Pass Van 1OIOt12018 S1,000 1010112018 10f0112019 525,000
045
2008 6820 Bus <20 P3$S, 10101/2019 $1,000 10f0112018 10101l2O19 Actual Cash V<llUe
NoUIt
Ford Expedition 1QJ01f2019 $1.000 1OfU112018 10m1/2019 $25,000
046
2008 6600 UghtTrucfl: 10f01f2019 .'.000 1010112018 10101/2019 Actual Cash Value
15 Pass Van 10101(2018 S1,000 10101/2018 1010112019 $25,000
047
2.009 9630 Bus --20 Pass, 1010112019 $1.000 10/01/2018 10(0112019 Actual Cash Value
NoUft
29
24
VEHICLE SCHEDULE ------------------~~-
Make ModelfDescription Department ALEIf Comp Comp COntp Value
Unit# Oed Elf TerM
Year VlN# Vehicle Type AL Term Coli Call Ell Coli Valuation Type
Dod Tonn
Ford Crown Vidolia 1010112018 $1,000 10{O1/2018 10101/2019 $33,000
048
2{]," 7808 Heavy Tn.1Ck 1010112019 $1,000 1010112018 10101/2019 Actual Cash Value
Garbage Truck 1010112018 $1,flOO 10ro1/2018 10101/2019 $40,000
049
2009 9492 Garbage Truck 1010112019 51,0(]0 1010112018 10/0112019 Actual Cash Value
Ford Crown VictQfin Po!h::e 1010112018 $1,000 1010112018 1010112019 $25,340
friterceptor
050
2{]'O 2FABP7BV4AX141491 Police Car 100112019 $1,000 10101/2018 10/01/2019 Actual Cash Value
Ford crown Victoria PoHce 10101/2018 51,000 10101/201B 1010112019 $25,340
Inte«;eplor
051
2{]1O 2FASP7BV4AX141488 PoUce Car 10/0112-019 $1,000 1010112018 10/01/2019 Actu<ll Cash Value
Ford Crowtl Victoria Ponce 10101/20"18 $1,000 10101/2018 1010112019 $25,340
Interceptor
()[Q
2n10 2FABP7BV2AX141490 ponce Car 10101120"19 $1,000 10/0112018 1010112019 Actual Cash Vruue
Ford Crown Victoria Police 1O!01f2{118 $1,000 10f0112018 1010112019 $25,340
Interceptor
053
2010 2FABP7BV8AX141493 POlice Car 1010112019 $1,000 10/01{2018 10/01/2019 Actual Cash Value
Ford Crown Victoria Police "IO/01/2{118 !51,000 1Of0112018 1010112019 $25,34l)
Interceptor
054
2010 2FA8P7BV5AX1421813 PoliceCaf 1010112019 $1,000 10/0112018 1010112019 Actual Cash Value
GEM E2 10!01f2018 501,000 10/01/2018-1010112019 $"14,575
055
2011 5ASCPGA42BF055341 ExiraUghl 10101/2019 $1,000 101U1J2018 1010112019 Actual Cash Value
Service
Ford Crown Victolla 1010112018 S1,000 10ro1/2018 1010112019 $.ll,47f1
056
2m1 2FABP7BV58X16G594 Police Car 10!01/2{119 $1,0(]0 1010112018 1010112019 Actual Cash Value
Ford Crown Vlctotia 1010112018 51,000 101'01f2018 10101/2019 $31,479
057
2011 2FABP7BV7BX16657f! Police Car 10/0112019 $1,000 "1010112018 10f0112019 Actual Cash VJ!U9
30
25
VEHICLE SCHEDULE
Milke Model/Oescription Oel)ortlllent ALEff Comp (omp Camp Volus
Unit# Oed Elf Tenn
Year VlN# Vehicle TYlle AL Tann Coli Coli Eft Coli Valtlnlion Type
Oed Tenll
F",. Crown Victoria 101011201B $1,000 1010112018 1010112019 ljj31,479
058
2011 2FABP7BVOBX166597 Police Car 10/011'2019 $1,000 10/01/2018 1010112019 Actual Cash Vcrlue
Foro Crown Victoria 1010112018 $1,000 10/01/2018 1010112019 $29,125
059
2011 2FABP7BV8BX159445 Police Car 10101f2019 $1,000 10/0112018 1010112019 Actual Cash Value
,
Ford Crown Victoria 1QJ01t2018 $1,000 10f0112018 mml12019 529,725
000
2011 2FABP78V.9BX166596 Police Car 10101(2019 $1,000 "10101/2013 1010112019 Actual Cash Value
Ford Crovm VIctoria 1010112018 $1,000 10f01f201S 10101/2019 $29,725
001
2011 2FABPIBV18X1665B9 Police Car 10/0112019 $1,000 10101120'18 10/0112019 Actual Cash Value
FOld Eoonoline15 Non Police 1010112018 $1,000 10f01l201S 10101/2019 $23,473
Passoogsf Van
062
2[1.12 1FBSS3Bl4CDB30778 Bus "'-""20 Pass, 10101/2019 $1,000 10/0112018 1010112019 Actual Cash Value
NoUft
rotd Crown Vlctoria Police-10101f2{)18 $1,000 10(0112018 1010112019 $28,500
063
2011 2FABP7BV6BX151175 Police car lotDl/2019 $1,000 1010112016 10/0112019 Actual Cas11 Value
For' Crown Vlctorio Ponce 1010112018 301,000 1010112018 1010'112019 $26,500
064
2011 2FABPlBV8SX157176 Police Car 1010112019 $1,OOll 10101(2018 10T01/2019 Actual Cash Value
Ford Crown Vidoria Police 1010112018 51,nOO 1010112018 10/0112019 $26,500
005
20'11 2FABP7BVBBX157177 Pollee Car 1010112019 $1,000 10101ROt8 10101/2019 Actual Cash Volue
Ford Crown Victoria Pogcs 10101f2018 $1,000 1010112018 1010112019 $26,500
006
2011 2FABP7BV3BX157179 Police Car 10101/2019 $1,000 10/0112018 1010112019 Actual Cash Value
Ford Crown Victoria P<lhce 1010112018 $1,000 10101(20t8 10f(}112019 $26,5QO
067
2011 2FABP7BV2BX162583 PoJiceCar 1OJOfl2019 $1,000 iO/01f2018 1010112019 Actual C(lsh Value
31
26
VEHICLE SCHEDULE
Make Model/Description Department ALEf! COml) CQmp Comp Value
Unltll Ded Elf Tenn
Year VIN# Vehicle Type Al.Tarm Coli Coli Elf Coli Valuotion Type
Ded Tenn
Ford F250 PictUp Non PoUce 1010112018 $0
068
2004 lF1ONV21P24EA04216 lightTrud. 1010112019 NfA
Chf)lsler 300 Non POlIce 101011201B $0
069
2005 2C3.JA43R75H505771 Private 10!01/2\l19 NlA
Passenger
ntematiooa Trash 1010112018 $0
070
200G 1HTMMAAR46H172991 He<lvY Truck 10/01f2019 NlA
GMC SWeeper Schwarze 10101120113-SO
071
2009 J8DC4WI6697001079 Med!um Truck 10f01f2019 NlA
AutoC3r AeX Garh<lge Truck f0/Oll2{J1S 51.000 1010112018 1OI0112Q19 $269,409
072
2013 5VCACRBFSDH215134 Gan)age Truck 10/01{2019 $1,000 1010112018 10f{l1f2019 ACtual Cash Value
Fmightllner M2~ 106 Crane Truck Non·Pollce 10101/201S $1,00D 10101J201B lOf0112019 $154,442
073
2013 1FVACXBS1DHFE4262 Heavy Truck 1010112019 $1,000 10/0112018 1010112019 Actual Cash Value
GEM ,p Non-Police 10!l.11f201S $1,000 10101/201" 1010112019 $13,499
074
2013 52CG2AGA3DmID3228 Private 1010112019 $1,000 10101(2018 10J01J2019 Actual Cash Value
Passenger
Tandem Trailer 1010112018 $1,000 10101/2018 10101(2019 $3.000
07.
200B -IS907X1698M982128 Trniler·NO 1010112019 $1.000 1010112018 101011201Q Actual Cash Value
CHARGE
Tandem Troller· Tandem-Tag 101Q11201B !li1,OOO 10101/2018 10/0112019 $3,000
XB2331
076
200B IS907X1698M9B2129 Traller·NO 1010112019 $1.000 10/0112018 10/01/2019 Actual Cash-Value
CHARGE
Trailer· BaCk up traller 1010112018 $1,000 1010112018 1010112019 $3,000
077
2013 200904 Trailer· NO 10/0112019 $1,OO[] 10101/2018 10f0112019 Actual Cash Value
CHI'\RGE
32
27
VEHICLE SCHEDULE
----~-----------
Milke Model/Descril>tion Department ALEft Comp Camp Comp Value
Unit# Ded Elf Tenn
YEtur VIN# Vehicle Type At Term Coli Coli Elf Coli Voluation Type
Oed Tenll
CVR 1010112018 Sl,OOO 1010112018 10101[2019 $,,000
078
2008 lS007X1678MOB2130 Tmiler·NO 1010112019 $1,000 1Df01J2D18 1010112019 Act.ui.'Il Cash Value
CHARGE
Tandem Trailer 1010112013 SO
079
2008 1S90716D8M982129 Trruler· NO 100112019 NtA
CHARGE
PosI256· Tag Ponce 1010112018 $1,000 10101120113 10101/2019 5$,000
#X85488
000
2011 5RTBE1216BOO23363 Trailer· NO 1010112019 $'(,000 10101/2018 1010112019 Atlual Cash Value
CHARGE
Tmiler· TaD· Back up 10101/201& $1,000 10101/2018 10/0112019 $3,000
tralter
001
2000 200905 Trailer-NO 10101/2019, $1.000 10/0'112018 10101/2019 Actual Cash Value
CHARGE
PW Trailerw/PreSSUll'l PW 1010112018 $l,OOD 10(0112018 1010112019 $3,000
Cleaner #LX5X8
082
:W08 TraHer-NO 10101/2019 $1,000 10101J201fi 10/0112019 Actual Cash Value
CHA.RGE
TroUer· T8D· Stor3ge PW 1010112018 S1,(lOD 10ro112018 1010112019 $3,000
On~y-Tagtl213959
003
2013 213959 TraDer-NO '1010112019 $1,000 10/fi1r,J016 10f{)112019 Actual Cash Value
CHARGE
FO!1I taurus Police PQUce 1010112018 stOOD 10101/201fJ 1010112019 $35,000
Interceptor
00' 2014 1FAHP~EG120008 Po!looGar 10/0112019 $1,000 1010112018 10/01120'19 Actual Cash Value
F",. Taurus PolIce Police 1O/01/201S $1,000 10101/2013 10101/2019 $35,000
Interceptor
005
2014 1 FAHP2MT9EG12DOO9 Po!!ceCar 10101/2019 $1,000 10/0112018 10fOl12019 Actual Cash Value
For<l Taurus ponce PolIce 10/011201S $1,000 10101/2018 1010112019 $35,000
Interceptor
006
2014 1FAHP2Mf1EG120011 Police Car 10101/2019 $1,000 lWOi/l0l8 1010112019 Actual Cash Value
FO!1I Taurus Police Police 1010112018 51,000 10/01(2018 1010112019 $35,000
Interceptor
007 2014 1FAHP2MTOEG120013 PollooC~r 1010112019 $1,000 10f0112016 10/01f2019 Actual Cash Value
33
VEHICLE SCHEDULE
Make Model/Description D(1)Qrtment ALEff Camp Camp Comp Villue
Unit# Ded Elf Tarm
Year VlN# Vehicle Type Al Tenn Coli Coli Eft Coli Valuation Type
Oed TElnll
FOI1l Taurus Police Po!lce 1010112018 $'I,llOO 1010112019 1010112019 $35,000
Interceptor
008
2014 1FAHP2Mf5EG120010 Police Car 1010112019 !!i1,OOO 1010112018 10/01/2019 Actual Cash Value
FOI1l Explorer Pollee Police 10/0112018 51,000 1010112018 10fQ112019 $33,220
Interceptor
089 2014 1FM5K8AR7EGC49837 Police Car 101O1/2{119 $1,000 1010112018 10/0112019 Actual Cash Value
Toyota Pnus Code 1OLQ1/2tl1S $1,000 10101/2018 1010112019 $21,312
Enforcement
090
2014 JIDKDTB32E1567950 Prtvate 10/0112019 $1,000 10J01l2018 1010112019 Actual Cash Value
Passenger
Toyota PrIus Code 10ID112018 $1,000 10101/2018 1010112019 $21,312
Enforcement
091
2014 JTOKD '.30E10741163 Private 10101/2019 $1,01)0 1010112018 1010112019 Actual C~sh Value
PaSStinger
Toyota Prius Code 10101/2018 $1,000 10101'2018 10101/2019 $21,312
Enforeement
092
2014 JTDKOTB39E1074332 Private 1010112019 $1,000-1010112010 10/0112019 Actual Cash Value
Passenger
GEM E4 Ponce 101011201f.1 $1,000 10/01/2018 10/0112019 $14,371
093 2014 52CG4AGA6EOOi0816 Private 10/0112019 $1,000 10/0112018 1010112019 Actual Cash Value
PasS€nger
Ford Taunls Police Po~ce 1010112018 $1,000 10f01I2018 1010112019 $35,000
Interceptor
09' 2014 1FAHP2MT9EG120012 PoUce Car 1010112019 $"1,000 10!01f2018 1010112019 Actual Cash Value
lnsalertTra:ffic Trailer Pollee 1010112018 SO
095
2010 1 B9AF511)(APB25356 Trailer 1010112019 NIA
Keru:l Trailer Ponce 10/01/2018 SO
096
2011 KT7X12001904B2&lO TraIler 10101/2t119 NlA
Ford Taurus Police Pofice 10ffi1f2[J'li1 $1,000 10/O1{2018 1010112019 $36,975
Interceptor
097 2015 1FAHP2NITBFG109228 pona> Car 1010112019 $1,000 10/0112018 10/{)1f2019 Actual Cash Value
34
29
VEHICLE SCHEDULE
Make ModellO$scription Department ALEft Comp Camp Comp Value
Unit# Ded Eft Term
Yen, VlN# Vehicle Type Al Tenn Coli CQIIEff Call Vaillation Type
ned Tenn
FOld Taurus Police Police 1OJ0112018 $1,1)00 10101/2018 10101/2019 $36,975
lnterceptor
098
2015 1FAHP2MTIJFG109231 Polite Car 1010112019 $1,000 10/01/2018 10101/2019 Attu,l.I Cash Value
Foro T3UfUS Pollee Polite 1010112018 $1,000 10101/2018 1010112019 $36.915
Int~Hteptor
099
2015 1FAHP2MT6FG109230 PoliCE! Car 101Q1'2019 $1,000 10101/2018 1010112019 Actual Cash Value
Ford T",unlS Pollee Police tOl01/201B $1,000 1010112018 10101{2019 $36,915
Intereeptor
100
2015 1FAHP2MTIiFG109227 PoHceC>U" 1010112019 $1,000 10101I2I118 10/0112019 Actual Cash Vroue
Fo", T3Urus Police Po6ce 1010112{)18 $1,000 10101/2.019 1010112019 $36,975
tnlefteptor
101
2015 1FAHP2MTXFG109229 P<lIice Car 10JQ1I2019 $"1,000 10101(2018 10/01/2019 Actual Cash Value
F",d Explorer Pollee PoHce 1010112018 S1,t100 10101{201a 10!01QOi9 $34,918
Interceptor
102
2015 1FM5K!3ARXFGC51762 ponce Car 1010112019 $1,000 1010112018 10/0112019 Actual Cash Value
Foro Taurus Police Police 1010112010 $1,000 10/01/2018 10f01/Z019 $3{},792
Interceptor
103
20t5 1FAHP2MT2FG154147 PoUce Car 10101/2019 $1,000 1010112018 10101/2019 Actual Cash V.';illfe
Ford T\llJfUS Police Police tOlO112018 51.000 10101120113 '10!01f.2019 $30,792
Interceptor
10' 2015 1FAHP2MT4FG154148 Pohce Car tOJ01f2{)"19 $1,000 10/0112018 1010112019 Actual Gash Value
F",d Taurus Police Po~ce IOJ01f2018 $1,000 1010112018 1010112019 $27,743
Interceptor
105
2015 1FAHP2MK1FG154146 Police Car 10101f2019 $1,000 1010112018 1010112019 Actual Cash Value
F",d Taulus POlIte Po~ce 1010112018 $1,000 10/0112018 1010112019 $27,743
Interceptor
106
2015 1FAHP2MKXFG154145 Police Car 1010112019 $1,000 1010112018 1010112019 Actual Cash Value
Ford Crown Victoria Police Poflee IQlO'lf2.018 $1,000 10101/2018 tof01J2019 $38,938
Interceptor
107
2015 TSD Police C:u 1010112019 $1,000 1010112018 10/0112019 Al.:tual Cash Value
35
30
VEHICLE SCHEDULE ---------------------------
Make ModellDescrlption Department ALEf! Comp Comp Comp Value
Unidl Dod Eff Tenn
Y~l'tlr VlN# Vehic.le Type AL Teml Cpll Coli Eff C(lli VulUil1ion Type
Oed Teml
Foro Crown Victori<J PoHce Police 10JO'll2{J18 $1,000 1010112018 1010112019 $38,93B
Interceptor
108
2015 TeD PcliceCnr 10101/2019 $1,000 10(0112019 10/0112019 Actual Cash Value
Toyota. Prius Code 1010112018 $1,000 10101/2018 1010112019 $24,295
Enlorcenumt
109
2016 JTDKOTB39G112:383S Private 1QJ01f2019 $1,000 101(.1112018 10f0112019 Actual Cash Value
Passenger
Toyota Prius Code 10101/2018 $1,000 10f01120HI 1Of01f2019 $23,636
Enforcement
110
2016 JTOKOTB34G11238S9 Private 1(1l0112019 $1,(100 10!01J2018 1010112019 Actual C3Sh Value
Passenger
Foro Taurus Police 10101/2018 :$1,l]OQ 101011;?O18 10/0112019 $38,222
111
2016 1FAHP2MTBGG110213 Private 10101/2019 $1,000 10f01I201S 10101120Hl Actual Cash Value
Pl.lssengel
FolI1 Taurus Police 1QiOll.2018 $1,000 100112018 1010112019 .$38,22:2
112
2016 1FAHP2MT1GG116216 Private 10/0112019 $1,000 10/0112018 10ro112019 Actual Cash Value
Passenger
FolI1 Taurus Po~ce 1010112018 1;1,000 10101'2018 ·lOf0112019 $38,222
113
2016 1Fl\HP2MT5GG116218 Private 10/01/2019 $1,000 10ro1ll0tS 10/0112019 Actual Cash Value
Passenger
Foro Taurus Ponce 1010112018 S1,000 1010112018 10m112019 $38,222
1"1-4
2016 1FAHP2MTXGG116215 Prtvate 1010112019 $1,000 10!O1l2018 1010112019 ActUal Cash Value
Passenger
Foro Taurus Pollce 1010112018 ~1,{IOO 101011201S 1010112019 $39,222
115
2016 1FAHP2MT4GG116212 Private 1010112019 $1,000 1010112016 10/0112019 Actual Cash Value
Passenger
Ford Tauros PoUce 10lO1/201S Sl,OOO 1010112018 10f01f2019 $3B~
116
2016 1FAHP2MT3GG116211 Private 10l01f2019 $1,000 10f01I2018 10/0112019 Actual Gash Value
Passenger
Ford Taurus Pollee 1010112018 $l,noO 10ID112018 1010112019 $38,222
117
2{)16 1FAHP2MT8GG'116214 Private 101{}112{)19 $1,000 10f01!2018 10(0112019 Actual Ca'.ih V.alU9
Pllssenger
36
31 I
VEHICLE SCHEDULE ---------------------
Make ModellDs$crtption Depru1ment ALEff COffill Comp Comp Value
Unit# Oed Ell Term
Ye..1r VIN# Vehicle Type Al Teml Coli Coli Eff Coli Valuation Type
Ded Term
Nissan leaf Parks 1010112018 51,000 10101/2018 101011'2019 $8,863
118
2013 1N4AZOCP10C422192 Pni/ate 10/0112019 $'1,000 10{O1/2018 10/0112019 Actual Cash Valus
Passenger
Nissan lear Par!;. 1010112018 S1,qOO 1Of(l1f2018 10f01(2019 $8,800
119 zon 1N4AZOCP5DC419412 Pnva1e lQ/Qi/2{]19 $1,000 1010112018 1010112019 Actual Cash Value
Passenger
Nissan leal Pafi(s 1010112018 51,000 10{O112018 10!O112019 $10,704
120
2013 1 N4AZOCP8EC330516 Private 1010112019 $1,000 1010112018 10101/2019 Actual Cosh Value
Passenger
Ford Unmarked PoUte 1010112018 &;1,000 101'0112018 10!01f2019 $40;381
121
2017 1FMSK8ARSHGC87419 pollee Car 1010112019 $1.000 10f(}1f2013 10101/2019 Actual Cash \latue
Ford Unmarked Ponce 10101/2018 51,000 10!O112018 10/lJ.lIl019 $40,381
122
2017 1FM5K8AR4HGCa7420 Police Car 1010112019 $1,000 1010112018 1010112019 Actual Cash Value
Ford VitO Police 10JO'mOtS 51,{l00 10101(2.018 10ro112019 $25,000
123
2017 AFTRS4XG5GKB11007 Police-Car 10/0112019 $1,000 1010112018 10/01/2019 Actual C3sh Value
Ffe!ghlHner M2106 PubltcWoms 10101121119 $1,000 10/01120-18 10/0112019 $129,000
12' 2017 1FVACXDTOHHJC3416 Garbage TruCK 1010112019 $1,000 10/0112018 1010112019 Actu;t1 Cash Value
Ford El\pfor~r Police 1010112018 $1,000 10/0112018 10.10112019 $40,381
125
2017 1FM5KflAR4HGOO14n Police Car 10101J2{l19 $1,000 1010112018 1010112019 Actual Cash Value
Ford ExplOHH Ponte 101011201-8 $1,{lOO 1010112:018 1010112019 $40,381
126
2017 1FM5KBAROHGDD7470 PoficeCar iOf0112019 $1,000 10101/2018 10(0112019 Actual Cash Value
Ford E~plorll'r Police 1010112018 51,000 1010112018 10f0112019 540,391
127
2017 1FM5KMR6HGC91031 Police Car 10101/2019 $1,000 1010112018 10/0112019 Actual Gash VallH3
37
32
VEHICLE SCHEDULE
Make ModellDe.scription Uepartment ALEIf Comp Comp Cemp Vallie
Unit# Oed Elf Term
Year VIN# Vehicle TypE! Al Term Coli Coli Elf Coli Valuation Type
O.d Teml
Ford ExpIQrer Police 1QJ01/2{)18 $1,000 1010112018 1010112019 $40,381
128
2017 1FMSKMReHGOO7473 Police Gar '10J01f20'19 $1.000 10/0112018 10101/2019 Actual Cash V.alue
.
FOrd EXplorer PoUce 1010112018 $1,000 1010112018 10101(2019 $40.38-1
129 2{)17 1FM5KSAR2HGOO7471 Police CaT 1010112019 $1.000 10/0112018 '1010112019 Actual Cash Value
F"," Taurus Police 1010t12018 $1,000 1010112011;: 1010112019 $27,468
130
2017 1FAHP2MJ<3HG145760 Police Car 10/01/2019 $1,000 1010112018 1010112019 Actual C:tSh Value
For" Explorer Police 10101f201B $1,000 1010112018 10/0112019 $30,567
131
2mB 1FM5KBARSJGG17151 Po1fceCar 1010112019 $1,000 lV/OlI201S 10/0112019 Actual Cash Value
FOld E:<:plorer Pofite 1010112018 $1,000 101011201S 10101/2019 $30,567
132
20t8 1FM5K8AR6JGC17150 Police Car 1QJ0112(l19 $1,000 1010112018 10ffi112019 Actual C:;!sh Value
FOrd Explorer Police 10/01f2{)18 $1,000 1010112018 fQlO112019 $30,567
133
2018 1 FMSKSAR4JGC 17146 P<Jl!ceCar 10101/2019 $1,000 1010112018 10/0112019 Atlual Cash Value
Foro Explorer Police 1010112018 $1,000 10101120iS 10{Q1l2019 530,567
134
2018 1FM5KSAR8JGC1714B Police Car 10/01/2019 $1,000 10/0112018 10/0112019 Aclual Cash Value
Ford TransilV;m Police 10101/2018 S1,000 1010112018 1010112019 $3{),513
135
2017 1FBZX«M2JK80B2BO Bus -:20 pass, 101Q1/2019 $1,OO(} 10/0112018 10/01/2019 Actual Cash Value
NoUft
FOrd Crown Victoria Police 1010112018 $1,000 10101{2018 10f01120t9 526,500
nil
2011 2FABP7BV4BX166604 Police Car 10101/2019 $1.000 10/0112018 10/0112019 Actual Cash Value
FOrd Crown Victoria Police 101Q112018 51,000 10/01/2018 1010112019 $25,000
137
2009 2FABP7SV lAX141S14 Police em 10!O112019 $1,000 iOf0112018 10/0112019 Actual C>.\Sh V(l!ue
38
33
VEHICLE SCHEDULE --------------------.~~-----------------
Make Model/Description Department ALEIf Comp C(lmp Camp Value
Unitt Dod Eli Term
y .... VIN~ Vehicle Type AL Term Coli CnUEff Coil Valuation Type
O.d Tem
"«<I Cmwn \fktoria Pol .. 1IlID11201B $1.000 100112)19 mm1!2019" $22,000
I:JS
2!lOO 2FAFP71\'v.Z.6X143761 Poll"" "'" Ill1Dl!2ill0 ~1,000 1!1ft}1r.W'iS tOfQll201{1 Attlia Ca<.;h V.a~
""'" Crown VJctoJi3 Pol .. In~Ii20'8 ~1.ooo 1t\'ilH2019 1n'll'!2il'B $38,222
131>
2016 'Fl'EW'CF3tmr&l781 PoIiceCN lOru1,l'2D19 ~1.000 IllIOI!2018 11l1D112D1g _ca.hV.I ..
Cushman Poi .. HlJIW'20IS $1.000 1G~ll2llla 10.101,12019-$14,000
14!l
2005 2""",00 Exlri<lighl lOJtl1i2D19 $1,000 llJl.,l2Dl8 I{lfQ11201v -..Co5hV_
So"",
F«d 15 PassengerVm Parks 1DJlJ1r.ID18 $1.000 la~112D18 lOiOII2il10 $3D,573
141
:2I118 IFBZJI.2ZM2JKS0S2BO Bus<WPJ.'Ss. lU~112ll19 $1,000 . tIDUl12me: ,a'U1I2DI9 Aoo.tal C3'sh Va'»e
No lift.
Fool SIN Pol .. lo.~ll2!!la $1,000 l~'l)IOOIB lO1OU2\:519-$30,561
142
:2018 lFM~aAR1lJGcI714a Police-Gar 1U1D1Ja)19 $1.000 1111U1!24l!8 toJOlt2019-AroRd Cash Value
.... d SUV Polce 100112018 $1.000 '00l1J201B 10'0112019 $30,007
143
2O'S tFM~B.AR6JGC17147 :Police Car lOf01.®1Q $1,000 Hlf01.!20UI IUftl1J2mS Actual Cash V~
F«<I SlN PoIco 1U~II2Il'a $1.000 100112018 tOJOlf2Qll1 $3IJ,587
144
:2018 1FMfKBAR6JGC17t50 PtilioeCa'-lO'01.1201G $1,000 111rct1i.?D18 tnI01J20'~ Actual Cash Vame.
Nl...., Leaf Parks m.lIl1!2D18 ~l.oo0 Il!IlJl00IS lOJDl,F,IDHl< SMOO
145
:lOla. 1 DC41B200 PoIiceCar 1OJD1IE19 $1,000 1u1"01.1201a lQ101J2DifJ Atl:u:JI Cash Value
F<ni P.lOO 1'<»0;; 1{i'O'!201S $1.000 ~~'i)l,l2UfB lO}01J20H," -$38.276
145
20lg 'Ff7W2867KECI2555 Pclioec..v 1Uro112ll~G $l.000 1!WV21H8 IOOII2D1~ ~CashVal~
Total
39
34
I
PUBLIC OFFICIALS & EMPLOYMENT PRACTICES
PROPOSED LIABILITY INDICA nON
PENDING FIRM QUOTATION PER SUPPLEMENTAL
Insurer: Ace American Insurance Company
Type of Form:
Claims Made -Retro Date Per Policy Fonn
Extended Reporting Period: 12 months for 100% oflast annual premium
Limits of Liability:
Each Claim $1,000,000
Aggregate $1,000,000
Crisis Management Fund $25,000
Defense Costs are Within Limit of Liability -Capped at $1,000,000
Deductible:
$75,000 Public Officials Liability-Public Entity Liability -I A2 and IB
$100,000 Each Employment Practices Violation -I C
S250,000 Retention applies to all Zoning Claims and Matters
Exclusions Include But Are Not Limited To:
Network Security or Privacy Liahility Exclusion
Bond Exclusion
False Claims Act Exclusion
Subject To:
Review of renewal supplemental just received
Final review of loss runs 30 days prior to effective date
35
40
PROPOSED WORKERS' COMPENSATION COVERAGE
Classifications & Exposures:
••..••.• >it ...... ,: 2c;l,~,ssi~f~tion ". .........• (S.o?e>
'.' ··No.· I
Gro~sPa'yrolls .....• '. .' ..'
Street or Road Maintenance 5509 277 022
Police & Drivers 7720 3592 565
Auto Service Repair 8380 143,605
Clclical 8810 3,071.182
Bldgs./Owner/Lessee 9015 87300
Park NOC 9102 357,467
Garbage: Collection & Drivers 9403 370,017
Municipal NOC 9410 444947
Premium $145;520.00 .. ;. .
Standard Limits of Liability $100,000/$500 OOO/S 1 00 000 •.....•.•.... In¢lua~(I
Increased Limits of Liability 1,000,00011 ,000,000/1 ,000,000 • .·~il~lil~ea
. ...• .;. ....
Workplace Safety Program Credit 2% ..... . .... l!i<iliided.
Drug-free Workplace Program Credit 5% .......... ,Jl)cliitle'il
Credit Total ' ...... . ... '. ....•....
.>
Expelience Modification .94 ' .. Jndllded
Premium Adjllstment Program "; . .~~Ctllil~d
Celiified Acts of Ten or ism ........ · .... i /< •••
Expense Constant ...... $16(1.00 ..... >...... ..•.•.. ......•.. .' C.' .' ..••.• C " ' ... . .. ,
Tot!!l J:lremhlll\';< .....•........•. . .... .... . ... ..; . $1'15 Ci!\O.O.O
Higher Lil1lit~· of Liability My Be Available Upon Request
Policy is Subject to Audit
Additional States of Hire must be reported when payroll begins in that State
Certificate.l· of Worker. I' Compensation Insurance are required 011 all worl, pe1j;I/'med by
persons other thall its employees
Subject To:
Signed PGIT WC Application
Signed Drug Free and Safety Program Applications
36
41
SUMMARY OF ESTIMATED PROPOSED PREMIUMS
Premiums as Proposed:
Machinery
Employment Practices
Liability
Compensation
Subject to Audit
Premium
Fees
Taxes/Surcharges
Total
Premium
Fees
Taxes/Surcharges
Total
Premium
Fe.es
Taxes/Surcharges
Total
Premium
Fees
Taxes/Surcharges
Total
Premium
Fees
Taxes/Surcharges
Tolal
Premium
Fees
Taxes/Surcharges
Total
Premium
Fees
Taxes/Surcharges
TOlal
Premiulll
Fees
T axes/S ul'charges
Total
*Expiring Renewal
re.flects annualized premiums on any midtel'll! policy changes
Fees f1'/wH'n above may befillly eClrlled at policy inception
Workers Compensation Payroll $7,916,544 Expiring vs Renewal $8,344,105
Law Enforcement Liability Deductible Increase to $10,000 Per Claim
37
42
Payment Option:
PGIT Package: 50% Down -25% due at 75 days and 25% due at 166 days
POLIEPL: Full payment at inception -Financing may be available
Workers Compensation: 25% Down and 9 Equal Installments
A 25% Minimum Earned Premium applies to the following policies:
PrcfclTed Governmental Package and Preferred Governmental Workers Compensation
Quotations Subject To:
• Signed Acord applications
• Signed and Initialed pon Applications, Signature Page, UM Fonn
• Abuse Prevention Policy
• Signed Ace and Acord Applications -POL & EPL
• Review of Currently Valued Loss Runs Plior To Binding:
Ace American POLlEPL
Quotation is valid until the effective date of the policy.
This proposal is based upon the exposures to loss lIIade known to the Agency, alld is for
illustration only. Anv changes in these exposures (i.e.. new operations, new products,
additional states of hire. ete./need to be prolllptlJlreported to us ill order that propel' coverage(s/
may be put into place. All physical exposures insured by our policies must be owned by the
nallled insured. This proposal contains only II general description oUhe coverage(s/ and does
not constitute a policY/contract. For cOlllplete potiC!' information. including exclusions,
limitations, and conditions, refer to the policr document. III the evellt ora difference between
this propo,1'U1 alld the policy. tlte policy will prevail.
38
43
A.M. BEST RATING OF PROPOSED COMPANIES
COMPANY COVERAGE BEST RATING ADMITTED
Preferred Govenllnental Insurance Commercial Propelty, Crime, Not Rated Yes
Trust Inland Marine, General
Liability, Law Enforcement
Liability, Commercial
Automobile, and Workers
Compensation
Ace Amelican Insurance Co, Public OfficiallEPL A++XV Yes
GENERAL RATING
These rating classifications reflect BEST's opinion of the relative position of each company in
comparison with others, based upon averages within the Property-Casualty insurance industry, They are
reflective of overall company services and standing within the industry,
A++ A+***
A A-***
B++ B+**
NR'
Superior
E>:cellent
Verv Good
Noi Raled
B. B-***
C++ C+***
C) C:***
Good
Fair
A1arginal
FINANCIAL SIZE CATEGORY
The Financial Size Cate~OJY is an indication of the size of an Insurer and is based on repOJ1ed
Policyholders' surplus pus conditiona1 or Technical Reserve Funds, such as mandatory securities
valuation reserve, other investment and operating contingency funds and/or miscellaneous voluntary
reserves rep0l1ed as liabilities,
($ ln thousands)
Class I $ Up to $ 1,000
Class II $ 1,000 To $ 2,000
Class III $ 2,000 To $ 5,000
Class IV $ 5,000 To $ 10,000
Class V $ 10,000 To $ 25,000
Class VI $ 25,000 To $ 50,000
Class VII $ 50,000 To $ 100,000
Class 1lI $ 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 III $ 1,250,000 To $ 1,500,000
Class IV $ 1,500,000 To $ 2,000,000,
Class XV $ 2,000,000 To $ More
This infol1nation has been provided to you so that consideration is given to the financial condition of our
proposed carriers. The financial information disclosed is the most recent available to Brown and Brown of
Florida Inc, -Miami Division,
39
44
COMPENSATION
In addition to the commission or fees received by us for assistance with the placement, servicing, claims
handling, or renewal of your insurance coverages, other parties, such as excess and surplus lines brokers,
wholesale brokers, reinsurance intennediaries, underwriting managers and similar paliies, some or which may
be owned .in whole or in part by Brown & BrO\v11, Inc., may also receive compensation for their role in
providing insurance products or services to you pursuant 10 their separate contracts with insurance 01'
reinsurance carriers. That compensation is derived fi'om your premium payments. Additionally, it is possible
that we, or our corporate parents or affiliates, may receive contingent payments or allowances from insurers
based on factors which are not client-specific, such as the pelfonnance and/or size of an overall book of
business produced with an insurer. We generally do not know if such a contingent pa)ol1ent will be made by a
particular inStlrer, or the amount of any such contingent payments, until the underwriting year is closed. That
compensalion is pm1iaJly derived from your premium dollars, afler being combined (or "pooled") with the
premjul1l dollars of other insureds that have purchased similar types of coverage. V../c may also receive
invitations to probt"J'ams sponsored and paid for by insurance caniers to infonn brokers regarding their products
and services, including possible participation in company-sponsored events such as trips, seminars, and
advisory council meetings, based upon the total volume of husiness placed with the carrier you select. We
ma),> on occasion, receive loans or credit from insurance companies. Additionally, in the ordinary course of
our business, we may receive and retain interest on premiums you pay from the dale we receive them until the
date the premiums are remitted to the insurance company or intermediary, In the event that we assist with
placement and other details of arranging for the financing of your insurance premium, we may also receive a
fee from the premium finance company.
Wholesale Broker/Managing General Agent: Public Risk Vndcrwritcrs
This intennediary is ov.rned in whole or part by Brovm & Brown, Inc., the parent company of Brown & Brown
of Florida, Inc. -Miami Division. Brown & Brown entities operate independently and are n01 required to
utilize other companies owned by Brown & Brown, Inc., but routinely do so, In addition to providing access
to the insurance company, the Wholesale Insurance Broker I Managing General Agent may provide additional
services including, but not limited to: underwriting; loss control; tisk placement; coverage review; claims
coordination with insurance company; and policy issuance. Compensation paid for those services may be up
to 15% of the premium you pay for coverage, and any compensation paid for those services is derived from
your premium payment. The fee, if any, for the Wholesale Insurance Broker's/Managing General Agent's
services above is $ No Fee.
If we are being compensated based upon a fixed dollar amount or fixed percentage fcc, meaning that the
contract specifies our compensation and states anywhere in the document that additional compensation will not
be paid to us or any other party, any additional compensation to us or any other party, including wh01esale
brokers or third party intermediaries, is strictly prohibited. Likewise, if our contract sets compensation based
upon a fixed dollar amounl or fixed percentage fee, and the conlract specifies that additional compensation
shall be credited to the insured, any additional compensation to any parly, including brokers, wholesale brokers
or third party intennediaries, must be promplly returned to you. If our contract is not based upon such fixed
fee tenns, no owned or affiliated party, induding brokers, wholesale brokers or third pat1y intennediaries, may
accept any type of compensation without full disclosure by the undersigned broker to you of the dollar amount
or percentage of compensation prior to binding your coverflge,
Should you have any questiolls\ or require any additional infol1natiol1, please contact this office at
1-305-714-4400 or if you prefer, submit your question or requesl online at
http://www.bbinsurance.com/customerinquiry .3h tml,
40
45
PROPOSAL VARIANCE --------.----_._---_._-_._ .. _----_.-
Changes that need to be made prior to binding:
46
41
MINIMUM AND DEPOSIT PREMIUM
MINIMUM EARNED PREMIUM
The following tenns are often misunderstood, particularly among insureds or producers not
accustomed to dealing with surplus lines insurance companies. It is important that the definitions
are understood.
MINIMUM AND DEPOSIT
This is the amount of premium due at inception. Although the policy is subject to adjustment
based on a rate per exposure unit, under no circumstances will the annual eal11ed premium be
less than the minimum premium. Therefore, the policy may generate an additional premium on
audit, but not a retUl11.
If such a policy is cancelled mid-tenn, the earned premium is the GREATER of the annual
minimum times the SI101t rate or pro-rata factor, or the actual earned as detcl111ined by audit,
subject to a sh01t rate penalty if applicable.
MINIMUM EARNED PREMIUM
A minimum ea111ed premium endorsement can be attached to either a flat charge policy or an
adjustable policy. In either case, this amount is the LEAST that will be retained by the insurance
company once the policy goes into effect. The amount retained would be the GREATER ofthe
annual carned premium whether calculated on a pro-rate or Sh011 rate basis, or the minimum
eamed premium.
FLAT CANCELLATIONS
Surplus lines insurance companies normally do not allow flat cancellations. Once the policy is in
effect, some premium will he eamed.
If you need further explanation, please do not hesitate to contact us.
42
47
CLAIM REPORTING GUIDELINES
Make Brown & Brown, Inc. aware of any and all incidents immediate(v after they occur, whether
it be an auto accident, a theft, slip & fall, even a minor incident that appears will have no future
activity. Do not wait for a police repOli.
Gather as much concrete infonnation as possible. For example, police reports, company incident
reports, conversation logs, medicals and pictures -anything that may assist in the handling of
your claim. Send this infonnation either by mail, e-mail or fax to:
Brown & Brown of Florida, Inc. -Miami Division
Alexand.·a Sarria, Commercial Claim Specialist
14900 NW 79 Court, Suite 200
Miami Lakes, FL 33016
Phone: (305) 364-7812
Fax: (305) 714-4401
E-Mail: ASarrial@bbmia.com
If you have any questions or incur any problems,.please contact our office and we will be glad to
assist you in any way we can.
43
48
DEFINITIONS
49
44
PROPERTY DEFINITIONS
Coinsurance Most building and business personal propelty policies havc a coinsurance clause,
which requires the insured to carry insnrance equal to at least a specified
percentage of the actual cash value of the property. If a loss occurs, and it is
determined that the amount of insurance carried is less than the amount required, a
penalty could be placed on the insured. (Example Attached)
Agreed Value When the agreed value option is used the coinsurance requirement is removed and
the insurer agrees to cover losses for its agreed value. As an example, the insured
has property insnred for $100,000 and the agreed value is also $100,000, if a loss
occurs, any loss up to $100,000 is covered 100%. When this option is used the
insnred and the insurance company agree on the val ue of the property before the
policy is issucd. This OPtion is usually assigned to one-of-a-kindpropeliy.
Replacement Propelty can be valued in several different ways. Insurance companies commonly
Cost & Actual usc two approaches to determine value, which also detennines how a loss will be
Cash Value paid: the replacement cost method and the actual cash value method. Insurers
consider replacement cost of a propctly item to be the cost to replace it with new
property of like kind. Actual cash value 18 replacement cost, minus the
accumulated depreciation for age and condition.
Iuflation Guard An insured can insure a building for its full value at the beginning of the policy
year, but at the end of the year, it might not be covered for its full value. This
problem can be corrected by adding inflation guard coverage. With inflation
guard, the policy limit increases f,'Tadually during the policy tenn so that the total
increase amounts to the desired percentage increase at the end of the policy term.
Coverage In addition to the limits stated in the Building and Personal Propeliy coverage
Extensions & fOl1n, the policy has a coverage extensions section and an additional coverages
Additional section. The coverage extensions section provides limited coverage for newly
Coverages acquired or constructed property, propelly of others, celtain out door property,
and the cost of research and reconstruct infol1nation on destroyed records. When
coverage is placed on the all risk f01111, two additional extensions are added for
propelly in transit and coverage for certain repair costs related to damage caused
by water. The two additional extensions are covered by certain perils only. The
additional coverage section provides coverage for indirect losses that result fi'om a
direct loss. The coverage applies to removal of debris, preservation of property,
fire department service charges and pollutant cleanup and removal. The coverage
extensions and the additional coverages have limitations and are subject to certain
conditions.
Basic Form Fire, lightning, explosion, windstorm or hail, smoke that causes sudden and
accidental loss or damage, aircraft or vehicles, riot or civil commotion, vandalism,
sprinkler leakage, sink hole collapse and volcanic action.
Bl'OadForm Fire, lightning, explosion, wind stann or hail, smoke that causes sudden and
accidental loss or damage, aircraft or vehicles, riot or civil commotion, vandalism,
sprinkler leakage, sink hole collapse, volcanic action, glass breakage, falling
objects, weight of snow, ice, or sleet, and water damage (accidental discharge or
leakage).
Special Form Excluding tlood and earthquake.
50
45
EQUIPMENT BREAKDOWN DEFINITIONS
Definition of Equipment
Breakdown Coverage (Boiler &
Machinery)
Expediting Expense
Automatic Coverage
Boiler & Machinery insurance covers direct damage to
covered property when caused by a covered cause of loss.
Covered property is any property that is owned by the named
insured or is in the named insured's care, custody or control
and for which the named insured is legally liable. A covered
cause of loss is a sudden and accidental breakdown of the
insured's boiler & machinery equipment or any pal1 of the
equipment described in the policy.
Which pays the reasonable extra cost incurred to expedite
progress after a loss
Covers accidents to objects at newly acquired locations for up
to ninety days after the named insured acquires the property.
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GENERAL LIABILITY DEFINITIONS
Premises/Operations
Products/Completed Operations
Personal Injury
Advel'tising lnjul'Y
Medical Payments
Fire Damage
---------
Coverage is provided for damages arising out of ownership or
occupancy of the insured premises when maintained in a
reasonable manner. This also covers damages arising out of
operations perfollned by the insured business.
Products coverage is provided for damages arising out of
products manufactured, sold, handled or distributed by the
insured. Completed Operations covers damages occuning
after operations have been completed or abandoned, or after
an item is installed or built and released for it's intended
pUI1Jose.
Personal Injury means 111Jury otber than bodily injury.
Coverage is provided for injury resulting from offenses such
as false arrest, malicious prosecution, detention or
imprison111ent, the wrongful entry into, wrongful eviction
from and other acts of invasion, or rights of private
occupancy of a room. Coverage for libel and slander is also
provided in the policy.
This coverage pays for damages done in the course of oral or
written adve11isement that disparages, libels or slanders a
person's or organization's goods, products or services.
Coverage for these offenses is provided under advertising
injury coverage only if they occur during the course of
adveJ1ising the. named insured's own goods, products or
serVlces.
Medical Payments coverage pays medical expenses rcsulting
fi'om bodily injury caused by an accident on premises owned
or rented by the insured, or locations next to such propelty, or
when caused by the insured's operations. These payments are
made without regard to the liability of the insured.
The tire damage limit provides coverage for fire damage
caused by negligence on the pat1 of the insured to premises
rented to the named insured. If a fire occurs because of
negligence of the insured and causes damage to prope11y not
rented to the insured, coverage would be provided under the
OCCUlTence limit.
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GENERAL LIABILITY DEFINITIONS
Continued ...
Contractual Liability Extends your coverage to liability assumed undcr contract, applies
to both oral and written agreements relating to named insured's
business.
Host Liquor Liability Covers your exposure for scrving liquor to clients or employees at
company parties. Applies only to finns not engaged in business of
selling or serving alcoholic beverages.
Broad Form Property Damage Intcnded for finns, which perform work or services, rather than sell
Coverage or produce products. Usually intended for construction
contractors, repairers of automobiles, installers of propel1y.
Incidental Medical Malpractice Extends term "bodily injury" to 111ean 111Jury ans111g out of
rendering of or failure to render, dm1ng the policy period; medical,
sur!,>ical, dental, x-ray, or nursing services, or fumishing of food or
beverages in connection therewith or the dispensing or furnishing
drugs or medical, dental or surgical supplies
Non-Owned Watercraft (Under 26 feet in length) Provides coverage for liability, which
Liability Coverage arises from any watercraft as long as watercraft is not owned by
insured nor being used to cany persons or property for a fee.
Limited Worldwide Coverage Intended to extend the scope of "policy tenitOlies" to anywhere in
the world. Limited to the activities of any insured who 1S
domiciled in the United States and the Oliginal suit for damage is
brought within the United States, its territories, possessions, or in
Canada.
Extended Bodily Injury Amends definition of occurrence to; includes any intentional act by
Coverage or at the direction of the insured, which results in bodily injury, but
only if such bodily injury results from the use of "reasonable"
force for purposes of protecting persons or property.
Newly Acquired Organizations Automatic protection for newly acquired organizations until the
new organizations is specifically added to the policy or 90 days,
whichever occurs first.
Additional Persons Insured Includes as insureds; (1) Any spouse of a partner conceming
business activities of the partnership and (2) any employee of the
named insurcd while acting within the scope of his or her duties.
Does not apply to bodily injury or personal injury sustained by a
fellow employee which occurs during the course of employment.
Claims Made Form Only This coverage is provided automatically without an additional
premIUm charge if coverage is canceled, not renewed, or the
insurer renewal with a later retroactive date. The basic extended
repOJiing period starts at the end of the policy period and last for
five years for claims made against the insured within the five year
period and reported to the insurer within 60 days after the end of
the policy period.
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WORKERS' COMPENSATION DEFINITIONS
\Vorkel"S' This coverage agreement obligates the insurer to pay all compensation and
Compensation other benefits required of the insured by the workers compensation law or
Insurance occupational disease law of any state listed in the policy. The coverage
applies to bodily injury by accident and by disease.
Coverage (A) shows no dollar limit for the benefits provided Slnce any
applicable limits would be those established within the law. Benefits under
Coverage (A) are paid to the employee without regard to fault.
Employers' This coverage protects employers for their legal liability for bodily injury by
Liability accident or disease to an employee (ilising out of and in the course of the
employee's employment when not covered under the workers compensation
law. Before benefits are paid under this coverage, the employee must prove
the employer is liable for the injury.
1. Bodily Injury By Accident
This amount is the most an insurer will pay under Coverage (B) for all claims
arising from any one accident, regardless of how many employees are
involved in the accident. The standard limit is $100,000 for anyone accident,
which can be increased.
2. Bodily Injury By Disease (Policy Limit)
This is the aggregate limit the insurer will pay under Coverage (B) for all
claims sustaining bodily injury by disease during the policy period. The
standard policy limit is $500,000, which can be increased.
3. Bodily Injury By Disease (Each Employee)
This amount is the most an insurer will pay under Coverage (B) for damages
due to bodily injury by disease to anyone employee. The standard limit of
liability for each employee is $100.000, which can be increased.
Officer/Partner In some states, workers compensation law allows an insured to include or
Exclusion exclude Executive Officers and Partners, or both, from coverage. Adding this
endorsement can designate the individuals not covered under the policy.
Experience This is a factor that deals with the rating of the policy. The Expelience
Modification Modification fi!,'Ure is based on the insured's loss expeJience. The factor is
used to increase or decrease the manual rates of insurance.
Other States This provides workers compensation coverages if the insured expands
Insurance operations into other states not declared at the time the policy is issued or
renewed. If the insured elects this coverage and operations begin in a state
listed under other states, the insurer provides the same coverage as if the state
was declared in the policy at the time of policy issuance.
USL&H This is a federal act, which is similar to the state workers compensation act.
The federal act was designed to provide workers compensation benefits to
employees who work in maritime employment upon the navigable waters of
the United States and who are usually considered outside the scope of state
workers compensation laws. When the USL&HW A endorsement is added to
the standard policy it applies to work done in the states scheduled on the
policy and extends the definition of the workers compensation law to include
the USL&HW A.
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UNDERSTANDING THE CLAIMS-lVIADE POLICY ------
The claims-made insurance policy provides financial protection for all claims presented during
the CUlTent policy year, providing the claim occurred after the prior acts date.
To understand the claims-made policy, we will define:
Current Policy Year:
The policy year begins on the effective date shown on the policy and expires on the expiration·
date all shown on the policy. The policy's effective and expiration dates change with yearly
renewal of the policy. The prior acts or retroactive date remains the same, so you are protected
for incidents that occUlTed pJior years by the current policy.
Prior Acts or Retroactive Date:
This is the date (shown on your policy) that dictates if a claim is eligible to be covered. Any
claim occurring after this date, presented duJing the current policy year, are eligible for coverage
by your current policy.
Supplemental Exteuded Reporting Period (Tail Coverage):
Should the policy be canceled or non-renewed, you are entitled to purchase insurance protection
for any claims which may be after the cancellation date. The premium charged for this insurance
is based upon the number ()fyears you have been insured (prior act~ years) and the limits
purchased.
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AUTOMOBILE DEFINITIONS
.----~.
Liability Coverage The liability coverage of the commercial auto policy provides
protection against legal liability ansmg out of the ownership,
1l1aintenancc, or use of any insured automobile. The insuring
agreement a!,,'1'ces to pay damages for bodily injury or prope11y damage
for which the insured is legally responsible because of an automobile
accident resulting from the ownership, maintenance, or use of a
covered aLltO. The insuring agreement also states that in addition to the
payment of damages for which the insured is legally liable, the insurer
also agrees to defend the insured for all legal defense cost. The
defense cost is in addition to the policy limits.
Owned Automobiles Covers the liability arising out of the ownership, maintenance or use of
automobiles.
Personal Injury Coverage is included for vehicle passengers under No-Fault Law
Protections provisions.
Medical Payments The insuring agreement states that the insurer will pay all reasonable
Coverage and necessary medical and funeral expenses inculTed by an insured
because of bodily injury caused by an accident. The insured is the
named insured, the insured's employees and guests, and any other
person occupying a covered auto. These payments are made without
regard to fault.
Uninsurcd/Undcrinsur Protects insureds who are not contributorily negligent against bodily
ed Motorists injury caused by negligent under insured or uninsured dlivers and hit-
and-run motorists.
Hired Automobiles Covers the liability for the use of hired automobiles in your business.
Non-Owned Covers the liability for the use of non-owned automobiles in your
Automobiles business. An example would be an employee using his own car on an
elTand for you.
Comprehensive Pays for loss of or damage to automobiles from perils other than
collision.
Collision Pays for loss of or damage to automobiles from collision with another
object or upset.
Rental The business auto policy provides a coverage extension if an auto is
Reimbursement insured for comprehensive or specified cause of loss coverage, which
insures against loss of use of a covered auto only if the auto is a private
passenger type auto and is stolen. The coverage extension pays up to a
daily limit of $10 and a maximum limit of $300. Payments begin
forty-eight hours after the theft and ends when the insured auto is
returned or when the insurer has paid the insured for the auto. For
broader coverage, thc insured can pay an additional premium for rcntal
reimbursement coverage. Rental reimbursement pays the cost of
renting a substitute auto for replacement of any covered auto that has
suffered a covered loss. The daily and ll1aXllllum limit for this
coverage vmics among insurers.
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1
2
3
4
5
COVERED AUTO DESIGNATION SYMBOLS
Any "Auto"
Owned "autos" only. Only those
autos you own (and for liability
coverage any trailers you don't own
while attached to power units you
own.) This includes those "autos"
you acquire ownership of after the
policy begins.
Owned Private Passenger "Autos"
Only. Only the private passenger
"autos" you own. This includes
those private passenger "autos" you
acquire ownership of after the policy
begins.
Owned "Autos" other than private
passenger "autos" only. Only those
autos you own that are not of the
private passenger type (and for
liability coverage any "trailers" you
don't own while attached to power
units you own.) This includes those
autos not of the private passenger
type you acquire ownership of after
the policy begins.
Owned "Autos' subject to No-Fault.
Only those "autos" you own that are
required to have No-Fault benefits in
the state where they are licensed or
principally garaged. This includes
those "autos" you acquire ownership
of after the policy bcgins provided
they are required to have No-Fault
benefits in the state where they are
licensed or principally garaged.
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----~
6 Owned "autos" subject to a compulsory
uninsured motorists law. Only those
"autos" you own that because of the law
in the state where they are licensed or
principally garaged are required to have
and cannot reject Uninsured Motorists
coverage. This includes those "autos"
you acquire ownership of after the
>policy begins provided they are subject
to the same state uninsured 1110tOlists
requirement.
7 Specifically Described "autos". Only
those autos described in ITEM THREE
of the Declarations for which a
premiulll charge IS shown (and for
liability coverage any "trailers" you
don '( own while attached to any power
unit described in ITEM THREE.)
8 Hired "Autos" Only. Only those autos
you lease, hire, rent or borrow. This
does not include any "auto" you lease,
hire, rent or b011'OW fi'om any of your
employees or pminers or members of
their households.
9 Non-Owned "Autos" Only. Only those
"autos" you do not own,lease, hire, rent
or borrow that are used in connection
with your business. This includes
"autos" owned by your employees or
partners or members of their households
but only while used in your business or
your personal afTairs.
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Employee Dishonesty .
Forgery or Alteration
Theft, Disappearance &
Destruction
CRIME DEFINITIONS
Employee dishonesty is considered to be a criminal act
committed by an employee acting alone or in collusion
with others. There must be intent by the employee to cause
the employer a loss and to obtain a financial benefit for the
employee or someone else. Coverage is provided for
dishonest acts of employees of the named insured only.
Coverage insures against loss of money, securities, and
property other than money and securities. The blanket
form provides coverage for dishonest acts of all employees.
the limit for blanket coverage applies per loss, regardless
of how many employees are involved. The scheduled fonn
provides coverage only fClr the dishonest acts of employees
specifically listed in the policy. On the scheduled form, a
separate limit applies to each employee listed on the
schedule.
Forgery is generating a document or signature that is not
genume.
Alteration is changing a document in a manner that IS
neither authorized nor intended.
This f01111 insures against loss caused by the forgery or
alteration of a covered item drawn against the insured's
accounts. A covered item might be a check, draft,
promissory note, bill of exchange or similar instrument.
Theft means any act of stealing.
Disappearance is unknown causes of loss. Disappearance
lacks the elements of knowing if the crime was a theft,
burglary or robbery.
Destruction is the loss of celtain propelty, it is usually the
result of another cause ofloss.
Section (1) of the form covers money and securities
against loss by theft, disappearance, or destruction inside
the premises. Section (2) covers money and securities
outside the premises in care and custody of a manager.
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I
PREFERRED GOVERNMENTAL INSURANCE TRUST
"Preferred"
NOTICE AND ACKNOWLEDGEMENT OF FINANCIAL
CONDITION
Brown & Brown of Florida, Inc, -Miami Division and its parent company, Brown & Brown, Inc.
(collectively "Brown & Brown") do not ce11ify, walTant or guarantee the financial soundness or stability
of any insurance calTier or alternative risk transfer or pooling entity. We endeavored to place yoW'
coverage with an insurance can'ier with an A.M. Best Company financial rating of "A-" or better' While
Brown & Brown cannot certify, warrant or guarantee the J1nancial soundness Or stability of any insurance
calTier or alternative risk transfer or pooling entity or otherwise predict whether the financial condition of
any such entity might improve Or deteriorate, we are hereby providing you with nolice and disclosure of
financial condition so that you can make an infoll11ed deciRion regarding the placement of coverage.
Accordingly, with receipt of this notice you acknowledge the following with regard to the placement and
any subsequent renewal of the coverage indicated below:
• Brown & Brown may have other options for your insurance placement, including quotations with
insurance carriers holding an "A-" or better rating fi'om A.M. Best Company. Altel'llative quotes
may be available with an A-or better rated carrier upon your request.
• Coverage is being placed through Preferred Governmental Insnrance Trust ("Preferred"),
which is as a Florida local government seU~insurance fund established pursuant to Section
624.4622, Florida Statutes, as such Preferred is not rated by the A.M. Best Company.
• Preferred is not subject to the protections afforded by any state guaranty fund Or association.
• The financial condition of insW'llnce companies and other coverage providers including local
govenunent self-insnrance funds like Preferred may change rapidly and that such changes are
beyond the control of Brown & Brown.
• You should review the J1nancial and membership infoimation from Preferred and agree to abide
by the conditions of membership established by Preferred.
• You should consider the information provided, including tbe Preferred coverage quote and
coverage placement and review it with your accountants, legal counsel and advisors.
By: [NAME OF AUTHORIZED REPRESENTATIVE OF INSURED]
Named Insured:
.Policy Number:
.Policy Period:
Date of Notice:
City of South Miami
TBD
10101118 TO 10101119
811712018
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