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<br />o <br /> <br />NOTICE & ACKNOWLEDGEMENT OF CARRIER FINANCIAL STATUS <br /> <br />Brown & Brown, Inc. does not certify the financial stability of any insurance carrier, We were <br />unable to obtain a quotation with a carrier with an "A-" or better rating. While Brown & Brown, Inc. <br />cannot certify the financial stability of a company or otherwise predict whether the financial <br />condition of a company might improve or deteriorate, we are hereby providing you with notice and <br />disclosure of financial condition so that you can make an informed decision regarding the <br />placement of coverage, Accordingly, you acknowledge the following: <br /> <br />D Coverage is being placed with PREFERRED GOVERNMENTAL INSURANCE TRUST which is <br />not rated by A.M. Best. <br /> <br />D <br /> <br />The financial condition of PREFERRED GOVERNMENTAL INSURANCE TRUST may change <br />rapidly and that such changes are beyond the control of Brown & Brown, Inc, <br /> <br />o <br /> <br />D You have reviewed the financial information from the State of Florida's Office of <br />Insurance Regulation regarding the financial condition of PREFERRED GOVERNMENTAL <br />INSURANCE TRUST and have access to the State's website at <br />www.fldfs.com/companies/mc/is_mcjndex.htm. <br /> <br />D You have had an opportunity to consider the information provided regarding your <br />insurance quote and review it with your accountants, legal counsel and advisors, <br /> <br />D You fully understand the risks associated with placing coverage with and release <br />Brown & Brown, Inc" its agents, employees, subsidiaries, successors, assignees and <br />related companies from any and all liability, claims, demands, judgments, decrees or <br />orders in the event of carrier insolvency, liquidation or rehabilitation, <br /> <br />[Name of Insured] <br /> <br />By: [Name of Insured] <br />Title: [Official Capacity of Person Signing] <br /> <br />;) <br /> <br />Date <br /> <br />. A,M, Best Rating Guide: <br /> <br />Rating for Stability: A++ to c- = Highest to lowest rating <br />Rating for Assetsl Surplus: 15 to 1 - Largest to smallest rating <br /> <br />) <br /> <br />24 <br />Brown & Brown, Inc.@ <br />