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<br />~) <br /> <br />WORKERS' COMPENSATION COVERAGE <br /> <br />Proposed Term: <br /> <br />October 1, 2006 - October 1, 2007 <br /> <br />Companv: <br /> <br />Preferred Governmental Insurance Trust <br />(Not Rated by A. M. Best) <br /> <br />o <br /> <br />CLASS ESTIMATED <br />CODE DESCRIPTION PAYROLL <br />5509 Street/Road Maintenance 225,751 <br />7382 Bus Drivers 119,234 <br />7720 Police Officers 3,372,728 <br />8810 Clerical 2,235,416 <br />8820 Attorney 393,782 <br />9102 Park NOC 977,319 <br />9410 Municipal NOC 680,834 <br /> TOTAL PAYROLL 8,005,064 <br /> <br />Deductible Discount ($2,500) <br />Safety Program <br />Drug Free Workplace <br />Experience Modifier <br /> <br />2% <br />5% <br />.90 <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />350,634,00 <br />INCLUDED <br /> <br />-14,880.00 <br />INCLUDED <br />INCLUDED <br />INCLUDED <br /> <br />Manual Premium <br />Increased Liability Limits' <br /> <br />Total Estimated Annual Premium <br /> <br />304,171.00 <br /> <br />NOTES OF IMPORTANCE: <br /> <br />1, Deductible Plan: $2,500 Per Occurrence <br /> <br />[) <br /> <br />2. Employer's Limit of Liability is $1,000,000/1,000,000/1,000,000 <br /> <br />3. Safety and Drug Free Credits are subject to program requirements <br /> <br />4, Final premium subject to payroll audit <br /> <br />5. Payment Plan: Quarterly Installments <br /> <br />6, Volunteers are covered <br /> <br />7, PGIT is not protected by the Florida Guarantee Association in the event it becomes unable <br />to meet its claims payment obligations <br /> <br />8. The Trust requires that the Member maintains valid and current certificates of workers' <br />compensation insurance on all work performed by persons other than its employees <br /> <br />22 <br />Brown & Brown, Inc,@ <br />