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lYl <br />Insurer: <br />F-7;- <br />Vr <br />Ir <br />r <br />W <br />PROPOSED CRIME COVERAGE <br />Preferred Governmental Insurance Trust <br />Not Rated by A.M. Best <br />Type of Policy: <br />Combination Crime <br />Limits of Coverage: <br />Employee Dishonesty — Blanket Form $ 250,000 <br />Including Faithful Performance — Per Loss <br />Covers loss of money, securities and other property by employee <br />dishonesty at all premises of the inured. <br />Forgery or Alteration $ 250,000 <br />Covers loss by forgery or alteration of checks, drafts, and promissory <br />notes (except by an employee) that are made or drawn by the insured or <br />his agent. <br />Theft, Disappearance and Destruction <br />Inside the Premises $ 250,000 <br />Outside the Premises $ 250,000 <br />Covers money and securities from almost any cause other than <br />Employee Dishonesty and Forgery. <br />Computer Fraud Including Funds Transfer $ 250,000 <br />Other Coverages Available: <br />D. Robbery and Safe Burglary <br />E. Premises Burglary <br />G. Extortion <br />H. Premises Theft and Robbery Outside <br />I. Lessees of Safe Deposit Boxes <br />J. Securities Deposited with Others <br />Deductibles: <br />Employee Dishonesty $5,000 <br />Forgery or Alteration $5,000 <br />Theft, Disappearance & Destruction <br />Inside $1,000 <br />Outside $1,000 <br />Computer Fraud $1,000 <br />16 <br />Attachment number I <br />Agenda Item No. IOA <br />123 <br />