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<br />FLORIDA MUNICIPAL INSURANCE TRUST <br />RFP No. 11-08-01 <br /> <br />STATUTORY AD&D <br /> <br />THE FOUOWlNG IS A SUMMARY OF FEATURES ONL Y & DOES NOT COVER ALL TERMS, CONDmONS AND UMffATIONS. THE <br />ISSUED POUCY WlU GOVERN IN AU CASES. <br /> <br />QUOTE FOR: <br /> <br />City of Sunny Isles Beach <br /> <br />INSURER: <br /> <br />Natronal Union Fire Insurance Company of Pittsburgh PA <br /> <br />LIMIT OF LIABILITY: <br /> <br />$67,340 <br />$67,340 <br />$191.660 <br /> <br />Principal Sum - In line of Duty <br />Principal Sum - Fresh Pursuit <br />Principal Sum - Unlawful or Intentional Death <br /> <br />PROPOSED EFFECTIVE DATE: 10/112011 TO 10/1/2012 <br /> <br />THE FOLLOWING COVERAGES ARE INCLUDED: <br />1, Accidental Death & Dismemberment on each component. <br />2. Tuberculosis, heart disease or hypertension, hepatitis, meningococcal meningitis, <br />3. Weekly Accident Indemnity - $100.00Jweek, maximum 52 weeks. Coordinates with workers' <br />compensation, Intentional act only. <br />4, Day Care Benefit - $2,OOO/yr, mal( 2 years, Currently enrolled In day care, <br />5. Education Benefit - $2,000lyr, max 2 years. Currently enrolled in an institution of higher learning. <br />6. Medical Insurance Continuation/Catastrophic Injury 440,02 (34) F.S. - Maximum $5,000.00 per <br />year. Maximum years - 5. <br />7. Burial Benefit - $1,000, Intentional Death only, <br /> <br />PERSONS COVERED: <br /> <br />I. <br /> <br />Police <br /> <br />48 <br />1 <br />8 <br /> <br />Full-Time <br />Auxiliary Officers, Reserves, Volunteers <br />Administrative <br /> <br />III. <br /> <br />All Other Employees <br /> <br />98 <br /> <br />All Other Employees <br /> <br />TOTAL PREMIUM: <br /> <br />$1,868.00 Annual <br /> <br />13 <br />