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PROPOSED PUBLIC OFFICIAL LIABILITY COVERAGE <br /> Insurer: <br /> Preferred Governmental Insurance Trust <br /> Not Rated by A.M. Best <br /> Type.of Form: <br /> Claims Made <br /> Limits of Liability: <br /> $5,000,000 Per Claim <br /> $5,000,000 Aggregate <br /> Deductible: <br /> $2,500 Per Claim <br /> Retro Active Date: <br /> Per Policy Form <br /> Exposure Basis: <br /> Class Basis Amount <br /> Municipality Public Officials Payroll $10,129,524 <br /> Supplemental Payments: <br /> • Pre-termination <br /> o $2,500 Per Employee <br /> o $5,000 Annual Aggregate <br /> • Non-Monetary <br /> o $100,000 Aggregate <br /> 22 <br />