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<br />Preferred <br />r:J~VERNMfJ/TAL <br />_ INSURANCE TRUST <br /> <br />PUBLIC ENTITY <br /> <br />COMMON AGREEMENT DECLARATIONS <br /> <br />Administered By; <br />Public Risk Underwriters of Florida @ <br />P.O. Box 958455 <br />Lake Mary, FL 32795-8455 <br /> <br />TRUST: <br />Preferred Govemmentallnsurance Trust <br />P.O. Box 958455 <br />Lake Mary, FL 32795-8455 <br /> <br />Agreement Number: PK FL 1 0132026 10-08 <br /> <br />NAMED COVERED PARTY AND MAILING ADDRESS: <br />City of Sunny Isles Beach <br />18070 Collins Avenue <br />Sunny Isles Beach, FL 33160 <br /> <br />AGENT NAME AND ADDRESS: <br />Brown & Brown, Inc. <br />8000 Governors Square Blvd. Suite 400 <br />Miami Lakes, FL 33016 <br /> <br />AGREEMENT PERIOD: From: 10/0112010 To: 10/01/2011 <br />At 12:01 a.m. Eastern Standard Time at your mailing address shown above. <br /> <br />In return for the payment of the premium. and subject to all the terms of this agreement, we agree with you to <br />provide the coverage as stated in this agreement. <br /> <br />This agreement consists of the following coverage parts for which a premium is indicated. This premium may be <br />subject to adjustment. <br /> <br />COVERAGE PART <br /> <br />Property and Inland Marine Coverage <br />General Liability Coverage <br />Law Enforcement Coverage <br />School Leaders' Liability Coverage <br />Automobile Coverage <br />Garage Keepers I Garage Coverage <br />Public Officials Liability Coverage <br />Employment Practices liability Coverage <br />Crime Coverage <br />Excess Workers' Compensation Coverage <br /> <br />ANNUAL PREMIUM <br /> <br />Included <br />Included <br />Included <br />Not Included <br />Included <br />Not Included <br />Included <br />Included <br />Included <br />Not Included <br /> <br />TOTAL ANNUAL PREMIUM <br /> <br />FORMS APPLICABLE TO ALL COVERAGE PARTS: <br />See PGIT 002 <br /> <br />$417,656 <br /> <br />THESE DECLARATIONS TOGETHER WITH THE COMMON AGREEMENT CONDITIONS, COVERAGE PARTS <br />SUPPLEMENTAL DECLARATIONS, COVERAGE PARTS, FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO <br />FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED AGREEMENT. <br /> <br />.. <br /> <br />COUNTERSIGNED <br />PGIT 001 (07 09) <br /> <br />10/07/2010 <br />DATE <br /> <br />by <br /> <br />U~ e~~-- <br /> <br />AUTHORIZED REPRESENTATIVE <br />