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Home My WebLink AboutReso 2007-1167 RESOLUTION NO. 2007- ~ A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF SUNNY ISLES BEACH, FLORIDA, APPROVING THE RENEWAL OF THE CITY'S PROPERTY, CASUALTY, AUTO, AND WORKERS' COMPENSATION INSURANCE WITH THE PREFERRED GOVERNMENT INSURANCE TRUST (PGIT), IN THE AMOUNT OF NINE HUNDRED THIRTY-FOUR THOUSAND SIX HUNDRED FIFTY-SEVEN DOLLARS ($934,657.00), AS OUTLINED IN EXHIBIT "A"; AUTHORIZING THE CITY MANAGER TO DO ALL THINGS NECESSARY TO EFFECTUATE THIS RESOLUTION; PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, the City of Sunny Isles Beach wishes to renew the City's Property, Casualty, Auto, and Workers' Compensation Insurance with the Preferred Government Insurance Trust (PGIT); and WHEREAS, the City's Insurance Broker, Brown & Brown Insurance, Inc. has provided a Proposal by Preferred Governmental Insurance Trust (PGIT), with the renewal premium for the Commercial Package Policy (Property, Casualty, Auto) in the amount of Six Hundred Fifty-Five Thousand Two Hundred Ninety-Two Dollars ($655,292.00), and the renewal premium for Workers' Compensation in the amount of Two Hundred Seventy-Nine Thousand Three Hundred Sixty-Five Dollars ($279,365.00), for a total amount of Nine Hundred Thirty-Four Thousand Six Hundred Fifty-Seven Dollars ($934,657.00), as outlined in Exhibit "A", attached hereto. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF SUNNY ISLES BEACH, FLORIDA, AS FOLLOWS: Section 1. Approval of Renewal. The City Commission hereby approves the renewal of the City's Property, Casualty, Auto, and Workers' Compensation Insurance with the Preferred Government Insurance Trust (PGIT) through the City's Insurance Broker, Brown & Brown Insurance, Inc., in the total amount of $934,657.00, as outlined in Exhibit "A", attached hereto. Section 2. Authority of City Manager. The City Manager is hereby authorized to do all things necessary to effectuate this Resolution. Section 3. Effective Date. This Resolution shall become effective upon adoption. PASSED AND ADOPTED this 18th day of October 2007. R2007- Insurance Renewal W-Preferred Govt (Casualty, Auto, Workers Comp Page I of2 ;.' j ,ATTEST:" '," ::~~~~k~ / .,..-. '). 0" . . '~ ' . Vote: 5-t) Mayor Norman S. Edelcup Vice Mayor Lewis Thaler Commissioner Roslyn Brezin Commissioner Gerry Goodman Commissioner Danny Iglesias R2007- Insurance Renewal W-Preferred Govt (Casualty, Auto, Workers Comp Moved by: y{Q rY\~,,1HI\1...~ Seconded by: ~lrt'Wv\lSS\ 0 tJ <fA? Goo~ V(Y es) ~Yes) ~Y es) _V(J.es) --.0Y es) _(No) _(No) _(No) _(No) _(No) Page 2 of2 COMMERCIAL INSURANCE PROPOSAL 10/01/07 - 10/01/08 Prepared For CITY OF SUNNY ISLES BEACH Prepared By ROBERT HOLLANDER Executive Vice President Miami Division Ph: 305-364-7818 Fax: 305-822-5687 Date Prepared September 24, 2007 1 Brown & Brown of Florida, Inc. To protect members of the fund from large losses and to protect the financial security of the fund, the PGIT board of trustees has elected to purchase an extremely conservative excess of loss insurance structure. We stress PGIT excess of loss structure because an excess structure provides PGIT members several levels of protection that reinsurance does not. Foremost among these is the fact that PGIT's excess of loss policies list every individual member a named insured, giving every member direct access to the insurance company for payment of claims. Reinsurers are only responsible to the trust itself. Therefore, if a trust became financially troubled, there is no guarantee from an insurance company that any individual claim will be paid or even that a reimbursement will go towards the originating claim. PGIT is a non-assessable Trust authorized under Florida Statute and is not rated by AM Best. PGIT members are not constrained by notice requirements or punitive run-off claims costs to exit. Public Risk Underwriters (PRU) Public Risk Underwriters, as part of Brown & Brown, is one of the premier insurance service organizations for public entities in the United States. Our exclusive focus and in- depth understanding of the unique risk exposures and operating environment of the public sector allows us to tailor customized products and services to meet our clients' needs. Preferred Governmental Claims Solutions (PGCS) PGCS is dedicated to exclusively serving Florida governmental agencies. PGCS administers and closely controls all claims from start to finish. This team of full-time, licensed adjusters understands federal laws and state statutes governing actions against public entities. A toll-free telephone number is provided to facilitate reporting of claims 2 Brown & Brown of Florida, Inc. INTRODUCTION OF THE ACCOUNT SERVICING TEAM BROWN & BROWN MIAMI >- Commercial Insurance (Property & Casualty) Primary Contacts · Robert Hollander Direct Tel. 305-364-7818 Executive Vice President rhollander@bbmia.com . Eddie Hernandez, AAI Account Manager ehernandez@bbmia.com Direct Tel. 305-364-7867 >- Marketing (Property & Casualty) · Marcel McSweeney, AAI Marketing Manager mmcsweenev@bbmia.com Direct Tel. 305-364-7803 >- Surety Division (Bonds) · Carmen Pillot, ACSR cpillot@bbmia.com Direct Tel. 305-364-7815 >- Employee Benefits (Life, Health, Disability, Pension) · Samantha Alvarez Direct Tel. 305-364-7829 Benefits Manager salvarez@bbmia.com >- Personal Lines (Automobile, Home, Boat etc) . Alex Lopez Personal Lines Supervisor alopez@bbmia.com Direct Tel. 305-364-7847 ~..row n. . &: rown . II. 8000 Governors Square Boulevard, Suite #400 Miami, Florida 33016 Phone 305-364-7800 0 Fax. 305-822-5687 Toll Free 800-432-8844 www.bbmia.com 3 Brown & Brown of Florida, Inc. COMMERCIAL PROPERTY COVERAGE SECTION FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT COVERAGE LIMITS (*) $ 26,410,00 o Building & Contents Limit, per attached schedule Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher or lower limits may be available. Please let us know if a quote is desired. COVERAGE TERMS AND CONDITIONS Covered Losses Special Perils Coverage Including Boiler & Machinery Coverage Valuation Replacement Cost Coinsurance NIA Deductible o $5,000 All perils per occurrence except as stated below: o 5% Named Windstorm Deductible Per Occurrence subject to a minimum of $25,000 (*) Exclusions Exclusions include, but are not limited to, the following: War and Terrorism (**) Flood Earthquake (*) This Wind & Hail Deductible can be reduced to a lower deductible through the purchase of a Windstorm Deductible "Buy-Back" policy which is available in the Excess & Surplus Lines market. The annual cost is approximately $20.00 PER $100 of coverage (the amount of buy-down). (**) See Premium Summary Page for an option to include Terrorism Coverage as outlined in the Federal Terrorism Act 2002 4 Brown & Brown of Florida, Inc. COMMERCIAL PROPERTY LOCATION SCHEDULE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT Descriptiion '(,ear Built Eft. Dille Buildilllli Value Unit # Total Insured Villl'le Addre'ss Const TYipe Term Date Contents Value v,'ater Pumps 198'9 WlOlu' 2007 '$&00,000 001 t9'151 'I'~ Bay Roa:d S/'00,030 Sunny Islle'5 Be'a:dh, FL 33160 2.501 I 01011 n.OOB 50 P1wmpl Lift St3.tion (ity H,dI3,nd PaJ~in~ Gara~e 2004 1 OH)\ 12007 '$H,OOO,OOO 002 1H070 Collim .Av,enue 518, GOD ,030 Sunny I$~E" BEadh, FL 33160 HI FR 10.,'Ot/200.B $, I, 000,'000 3DQ{J GaHon Diesel ;eu';!l Tank I O'lOl! j 2007 $,20,.000 003 t8070 Collim .A....,enue 520.030 Sunny 15~e$ BEach, FL 33160 223 - On 'I 0'1011 nOOB SO Ground Liquid Storage Tank 5tora.ge Lo'cker5 - Content" Only (3 umts~ '$5,000 eachl 2005 10'{1)1,l.2007 sal 004 3D'1 5unnJi.' i!sle:; B,lvd 515,030 Sunny 1,lie's Be,a:ch, FL 331,60 151 ,MFR Wf01ilZOOB $15,'000 'Sa,JillSOn Par"",, Restl"oorns 2000 I O'lOll noC17 $50,000 005 117 42'5 Collim .tl:v'e $50.0:.0 Sunny 151~e:s :Be;,a.dh, FL 33 I ISO 131 FR 10101112003 SO Ilolf1thsdde Ocean 2 Re'S~roCirrt; 2OC6 10l01/2007 $50',000 006 Wi:Ol Collim .Ave $50.030 Sunny Isle,' Bea:ch, FL 33160 1152 IK 1 OfO\! 2000 SO .~mlne:~ Bui1lding 199',6 10'lCr1i/2007 '$J.Oo.,'OOOl 001 1"9200 (oWns ,A"I/'Eo S 375 ~03D Sunny Is.lle; Be,a:ch, FL 331,60 119 JM 10''<I)'I,,,.201),B $15,000 Pier Pa:rk ReHroom,^ 2006 10/'011lZ007 $50,000 001l 16501 COlUiflSA\,",eo 550,0CI0 Sunny Isle,> Be3<ch, FL 33160 13,1 FR 1 O'lOll 12008 SO COml11fJrn~ty (;f.lI1:'ter lOa! 1 OlO1 I 2007 $,4,000,000 009 18'115, Colliln; Av,enlle 5-1,203,WO Sunny Isl!e,,", Bea,ch, FL 33160 Hl FR 10.'0112008 $2-00,0001 Gyna'SL!Um 20017 1010\/2007 $3,000',0001 OW 18115, CollimA:'i,enue 53,0150,0:10 Sunny Is~e$ Be,iIIch, FL 331,60 Hi FR 10lOllnOO~8 S~O,{I00 I Total:1 $25,0lO.mO I $1,340,000 I 526.410,000 5 Brown & Brown of Florida, Inc. PROPERTY COVERAGE EXTENSIONS FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT COVERAGE LIMIT Loss of Business Income $250,000 $1,0001$5,000 $500,000 Accounts Receivable Limit Animals CAT Coverage $0 Debris Removal $250,000 Demolition, Ordinance, and Increased Cost of Construction Limit New Locations $250,000 $500,000 $25,000 $2,5001$10,000 $25,000 $1,000,000 $25,0001$50,000 Extra Expense Limit Fire Department Charges Fungus Cleanup Expense Lawns, Plants, Trees and Shrubs Limit Personal Property of Employees Pollution Cleanup Expense Limit $50,0001$50,000 $10,000 $100,000 $250,000 $15,000 Recertification Service Interruption Coverage Transit Errors and Omissions Flood Limit - Per Occurrence and Aggregate Excess of NFIP (whether purchased or not) $5,000,000 6 Brown & Brown of Florida, Inc. INLAND MARINE COVERAGE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT COVERAGE LIMITS (*) $ 174,019 Contractor's I Mobile Equipment $ 500,000 Electronic Data Processing $ 360,137 Fine Arts $ 60,000 Other Inland Marine $ 50,000 Rented, Borrowed, or Leased Equipment $ 1,000,000 Valuable Papers $ 219,400 Watercraft - Not Hull Coverage, Limited to Property Perils Only $ 2,363,556 TOTAL VALUES Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher or lower limits may be available. Please let us know if a quote is desired. COVERAGE TERMS AND CONDITIONS Covered Losses Special Perils Coverage Valuation Actual Cash Value Coinsurance NIA Deductible Per Attached Schedule Exclusions Exclusions include, but are not limited to, the following: War and Terrorism (**) Flood Earthquake (**) See Premium Summary Page for an option to include Terrorism Coverage as outlined in the Federal Terrorism Act 2002 7 Brown & Brown of Florida, Inc. INLAND MARINE SCHEDULE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT Eff. Date Value De<ductible Item #' Des'~ri Iltlion Classific.1tion Cc,de Term Date 001 Unsc:heduled ,Items, COin1ract<:Jrs l iMllobile' 1010H2C>J7 5 H:O, 000 $.'5 f,COt Equ'ip'I'm"en,t 'jOlOU2OJB il02 :20[151 Ya,lfi11ana ,,",111'.1 SN f,'i4AJi5Y15AOCi 1883, Con!r3,ctor'S I Mobile '10l0~I2m7 $7:008 $5,IX( Equipment l1J1rCq ,t2008 l!lOJ 20051 Y3,.':11aha AIV SN 5~1~ 4A.J 'i~ 5YOEr,Af,04511i54 Cc.n!r::lctor's l Mobile 1 CIlO112007 '$7,OBB '$:) r'OO: Eql.,'ipl'nent 10101t2CKJ6 004 20'J5 >'{3Ji:11i3ba ~:,oclaf~ 400 A TV SN 5Y4AJ" 5Y46AOO'1182 Conira'ctorsi "I" M,II:)I:Jiile 10fOl120J7 $8,918 $5 ,00' EHqu:~~p~inent 10/0112008 005 2005 Yamaha Koelal< 4'JC. A TV SN 5Y4,c.,Jl E;y'D5A(]0402,,1 Con!ractor'sllMobile '10fOi!2o:l7 $7,060 $5,(;(( Equlipment '1010112OJB 006 200E, l300eJd Loa,de,f Conjractor's l /',wbile 1010i.l20J7 522,2'99 $:5 "OOC Equipment I OlOl 12('JB 007 200f.'. Y~,maha A.11i, JY4AM03Y511C08.3g',50, jUfegual!d DeiPt) Coniract,Dr's'" Mobile 1CllOj120~7 $9:478 $5,00'. IE"ql,dpl~n"en,t 10l0H20J8 008 SegVl/ay Human Transpa,rter 2005 Co,n!ractm"s l Mobile '10l0H2C>J7 $),0i:l0 '$5 ~,0r0C Equlipllnent Hll(]H2C>J8 009 Unsched'uled Iltems Ellledroni,c o,ata P~'Dcl?ssing 1010H2W7 5500,Oc.O '$5:00: '101m .I2m6 010 Scu:!!p.iure. .' " Rjising HorizC111S" Fine ,/l,fts '1010lnO)7 '$,!5- ~,OO... 1010lnW8 51bO,OOO 0'11 Scu!!pture "Fani.1Iy'J!f Fine A.rts 10f01l20i:l7 '$5 ~,OO... 1 OfOlnO~8 5190,1))0 012 Ghi~la DinnePHare :Set SNI TBA Fine ,/l,rts 10l(]H20~7 '$5 ,OO~ '10fOH20JB 5'10, I J.7 013 Unscheduled ilt'enl!% Othelf Inland Marilne 101{)112Cm 560,C100 $,'5 1 OOC 10101.12006 014 lInsehedul",d ltem~ Ren!e<d. B(JjHowed, I_eased '1 CllOl.l20D7 $5,00' Eql.,'ipment 1010112W8 550,.oJO 01,5 Unsc:hed'ul",d Items, Valuable i? apers 1C~lOn}2007 51, OOJ ,00:1 '$5: CO: "I 0 l 01 .12.0::18 016 19"[13, Foun[ai:n 27'" "l~!'a'terc~Taff - 1',1"01 filul"11 IOlDln.o~7 J$'5;r)O: CCII'~leT.:ag!+?", UI~!"II!ii'bed ~o 1 Of 01 nO)S S25~t)nO F'l:rnpe,rt'l Pel~ilsOnly 1117 2006 25- Foot G0I11;t;f\all1lder rc.m Police .VE'S5..e1 including all aeeessori'i?S 011 'NatenClraift - ,N',a,j Hull'l 'tOlOi/20J7 51bO,I)OO '$5 r,oor iille I"li'T p~sl CQ'~er,ag!e:", Ulrnii'bed ~o '1010t/2W8 Flir'D'pe,rt'l iPern,ils Only 018 2O,DE, Yamaha FX140 clelSJ.:i #YAM.';136614D5 S~"'J Y,A.JMA'~I 35fj,t~ 405 Vl,fateraaft - :N:o.1 fiilJll 11J1l01120J7 $8.600 S,5 ~,OO:: C;'ol/,erag:€,:" LiI'J1it,edi jo 10f(]1l20:l8 Pmpelty iPelTdls Chnly 019 2000, Yai17i1aha 1;')1140 Jet Ski #'iArvIA:!7'28'14D:~1 SN Y,AiM,A272S']i405: 'llia'tenoliaff - ,H:01 fillJl,'11 1010i12OJ7 $8,600 S 5 ~OO: C.(]Ii'VeriiQ!e", U~!l.iii'bed ~o '10iOi/2OJ8 F'impe'irty'iPel'"lsO'nly 020 2Q;;[)5, 'fa.ill1ana PINC Je! Sk:li #YM.,,/l,2T30140S SIN YAMiA273:DiI405, V~"arterCl:r.aft - ,No! Hulll '1 OlOI /20)7 Co'~;~er,agle" Umnii'bed ~o 1010112WS '$8,.600 $,):00... Pir'Dpeirty' Pern:ils Only 021 2005 Yam a!;)" PiNC Je~ S!td I1iYAMA2S92'14DS S~l Y M1,A22S921405 Watercraft - No! Hull 'IOtDlnm7 $5,600 "$5,00" Cove:r.ag,e.. Um,iteri ;00 IOfOH20JB F~o.pert'i iPerdls Gnly il22 ~l a:1Th~h.3, ~<odia,c A TV' Con1ractors l ~~;~obile 1010inOJ7 '$7 ,1)88 $,15..00c Equ:IIIPI'"",en,t lGlOH2C.J8 I Total I $2,363,5561, ..ir,\' " "",-,'",>; 8 Brown & Brown of Florida, Inc. PROPERTY COVERAGE DEFINITIONS FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT SPECIAL CAUSES OF LOSS COVERAGE This coverage will protect covered property against direct loss arising from any cause not specifically excluded. The advantage of this form is that the insurance company must prove that a loss is specifically excluded in order to deny coverage under the policy. REPLACEMENT COST VALUATION This loss valuation method pays for the cost to repair or replace damaged items with like kind and quality without deduction for depreciation. This is important since you could face a substantial loss if you must replace property at today's prices but receive only the depreciated value of the property that was destroyed. ACTUAL CASH VALUE VALUATION This valuation method pays for the cost to repair or replace damaged property with like kind and quality, less reasonable deductions for wear and tear, deterioration and economic obsolescence. BUSINESS INCOME WITHOUT EXTRA EXPENSE This coverage is used to insure against loss of income (including any continuing normal operating expenses) that you experience because of a suspension of your business and/or interruption of rental income when insured property has been damaged by a covered peril. EXTRA EXPENSE COVERAGE This coverage pays for the necessary additional expenses needed to continue business when a covered loss damages or destroys insured property. DEDUCTIBLE A policy may include a deductible in its provisions. This limit specifies the amount that will be deducted from any payment made to you because of a covered loss. SERVICE INTERRUPTION COVERAGE This coverage extends your business income and extra expense insurance to protect against loss when due to the interruption of services rendered to you by a specified utility that provides your business with water, power or communications. Loss due to overhead transmission lines is excluded. DEMOLITION, ORDINANCE, AND INCREASED COST OF CONSTRUCTION LIMIT This coverage will protect you against loss due to the enforcement of existing building or zoning laws that results in additional costs to rebuild or demolish an insured building. Coverage for the loss of any undamaged portion of such buildings can also be insured. BOILER & MACHINERY COVERAGE Boiler & Machinery insurance covers direct damage to "covered property" when caused by sudden and accidental BREAKDOWN and includes as a covered peril Electrical Arcing. Covered Property means any mechanical, electrical or boiler equipment on premises, such as (but not limited to): machinery & equipment, air-conditioning units, elevators, phone systems etc. EQUIPMENT FLOATER COVERAGE This policy is designed to cover your mobile equipment while it is stored on premises, in transit or at temporary locations or jobsites. Larger equipment items are specifically scheduled with separate amounts of insurance applying to each covered piece. Miscellaneous smaller items are grouped under a single blanket limit subject to a maximum value for anyone item per loss. 9 Brown & Brown of Florida, Inc. COMMERCIAL CRIME COVERAGE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT COVERAGE LIMITS (*) Limit Deductible CoveraQe $ 250,000 $ 250,000 $ 250,000 $ 250,000 5,000 5,000 5,000 5,000 Employee Dishonesty - Per Loss Forgery & Alteration Theft, Disappearance or Destruction Computer Fraud * Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher or lower limits may be available, Please let us know if a quote is desired. COVERAGE PROVIDED Employee Dishonesty - Blanket Basis This coverage is used to insure against loss of money, securities or other property belonging to you, or for which you are liable, that is caused by employee dishonesty. It pays for anyone loss caused by one or more employees up to the face amount stated on the form. Only the actual loss sustained in the policy period is included for coverage (progressive or continuous loss over multiple years outside the policy period is excluded) Forgery or Alteration This coverage is used to insure against loss resulting from forgery of checks, drafts, notes or other similar written promises prepared by you or your agent. It does not cover dishonest acts of employees, which must be insured by Employee Dishonesty coverage. Theft, Disappearance and Destruction This coverage is used to insure against loss of money and securities caused by theft, disappearance or destruction while located inside or outside your premises. It also covers damage to premises resulting from actual or attempted theft. It insures only money and securities and not other types of property. Computer Fraud This insurance will cover loss or damage to money, securities, and other property due to computer fraud. Computer fraud is defined as "theft of property by and directly related to the use of a computer." 10 Brown & Brown of Florida, Inc. COMMERCIAL LIABILITY COVERAGES FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT GENERAL LIABILITY COVERAGE (*) $ 10,000,000 $ Included $ 10,000,000 $ Included $ 50,000 $ 2,500 $ 10,000,000 $ 10,000,000 $ 1,000/5,000 $ 2,500 General Aggregate Limit Products & Completed Operations Aggregate Limit Bodily Injury and Property Damage Limit Personal Injury & Advertising Injury Limit Fire Damage Legal Liability Limit Medical Payments Employee Benefits Liability Limit per Person Retroactive Date 10101/2000 Employee Benefits Liability Aggregate Limit Retroactive Date 10101/2000 No Fault Sewer Backup Limit General Liability Deductible Per Occurrence LAW ENFORCEMENT LIABILITY COVERAGE (*) $ 10,000;000 $ 10,000,000 $ 10,000,000 $ 10,000 Law Enforcement Liability Limit - Per Person Law Enforcement Liability Limit - Per Occurrence Law Enforcement Liability Limit - Aggregate Law Enforcement Liability Deductible Per Occurrence PUBLIC OFFICIALS LIABILITY COVERAGE (*) $ $ $ 5,000,000 5,000,000 5,000 Public Officials Liability Limit - Per Claim Public Officials Liability Limit - Aggregate Public Officials Liability Deductible Each Claim EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE (*) $ $ $ 5,000,000 5,000,000 5,000 Employment Related Practices Liability Limit - Per Claim Employment Related Practices Liability Limit - Aggregate Employment Related Practices Liability Deductible Each Claim * Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher or lower limits may be available. Please let us know if a quote is desired. Exclusions include, but are not limited to the following: War, Mold, Fungus, Bacteria, Silica, Lead, Pollution, Asbestos, Copyright or Patent Infringement and Nuclear Liability. 11 Brown & Brown of Florida, Inc. GENERAL LIABILITY COVERAGE DEFINITIONS FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT OCCURRENCE FORM (General Liability and Law Enforcement Liability) This form provides coverage for claims arising out of an accident, which results in bodily injury or property damage neither expected nor intended. The form covers such claims that occur during the policy period irrespective of when the claim is made against you. PREMISES/OPERATIONS COVERAGE This coverage insures you against all claims arising from your ownership, maintenance or use of premises and your operations in progress. PRODUCTS/COMPLETED OPERATIONS COVERAGE This coverage is used to insure against claims arising out of bodily injury and property damage that results from products you have sold, manufactured, handled, distributed or disposed of, or for work you have performed, provided the accident occurs away from premises you own or rent. PERSONAL INJURY LIABILITY This coverage will protect you against claims alleging false arrest, libel, slander, malicious prosecution, or wrongful entry or eviction. ADVERTISING LIABILITY This coverage is used to insure against claims of libel, slander, product disparagement, piracy, or infringement of copyrights, that arise out of the advertising of your goods, products or services. FIRE LEGAL LIABILITY This coverage insures against your legal liability arising from damage to structures rented to you, for the peril of fire. MEDICAL PAYMENTS This coverage will reimburse, without regard to your liability, all reasonable medical expenses incurred by persons as a result of bodily injury sustained by accident as defined in your policy. CLAIMS-MADE FORM - APPLICABLE TO EMPLOYEE BENEFITS LIABILITY This coverage will provide protection for only those claims reported or first made during the policy period or during any previous period that is stated in the Prior Acts or Retroactive Date option of your policy. This option allows you to keep coverage in force under consecutive Claims-Made policies. EMPLOYEE BENEFITS ERRORS AND OMISSIONS This coverage is used to insure against negligent acts, errors or omissions committed by you or any person for whose acts you are legally responsible for while engaging in the management of your company's employee benefit plans. 12 Brown & Brown of Florida, Inc. BUSINESS AUTOMOBILE COVERAGE FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT COVERAGE LIMITS (*) $ 10,000,000 $ NIA $ 5,000 $ 100,000 $ 10,000,000 $ $ $ 50,000 1,000 2,500 Bodily Injury & Property Damage Liability - Any Auto Personal Injury Protection - Autos Subject to PIP Law Medical Payments - per person- All Owned Autos Uninsured Motorists Coverage (Non Stacked) - All Owned Autos Hired & Nonowned Automobile Liability - Hired/Non-Owned Autos Hired Auto Physical Damage - Hired Autos Towing & Labor Per Disablement - All Owned Autos Auto Liability Deductible Each Accident Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher or lower limits may be available. Please let us know if a quote is desired. COVERAGE PROVIDED · Coverage only applies to vehicles that are owned/titled or leased in the corporate name, or business name in case of a partnership, that is specifically listed. If a business owned vehicle is furnished for personal use, an extension of coverage form may be required for proper protection. · Automobile Liability · Uninsured Motorists Coverage (Non-Stacked) · Medical Payments · Hired Automobile Liability · Employers Non-Owned Automobile Liability · Automobile Physical Damage (Coverage/Deductibles Per Schedule Overleaf) 13 Brown & Brown of Florida, Inc. SCHEDULE OF OWNED AUTOMOBILES Unit # Make ModelJDes.cription Department AL Eff Date CompDecl Com p En Comp Term Value Qty Year VIN# Vehicle Type AL Ternl Date Coli Oed Coli Eft Call Term Valuation Type 001 Ford Ra.nger Code Enforcement IOilQlt21OD7 $2);100 1 Olll 112007 10101I200a. $15,1210 I 191~9 1 FTYR IOV5XIJB2149 1 Ughl Truck 'IOilQ'1120DB :$;2,5100 110101/210107 IOJOll'2DOB Aclual Cas.h 002 Ford F'oous CClde E~i~o'n:el'lle'nt I a/a 112007 $2.5010 10,10'1/210:07 1010112008 $12,9100 I 210100 1FAFP3,3P3Y'N3D42S9 Private P',a:ssenger 10/01121008 $2.,500 10101/21007 1 O,NJ 1 120108 .ll,ctual Cas,h 000 Float-On Twin Axle 80at Trailer Poltee I 1lI,I) 1/20107 $2,51010 1O/01120il7 101;10 1120108 Sl,21,'],1O 1 1993 273644 Trailer - NO CH Rl!J\e'0112101OB $2,,500 10101120.107 10110 1 t2D08 Actual Cash 004 Chevrolet S-ID Public Works 10/101/2007 $i2,.51)0. 10,101/2007 '10101r200e $17,2210 I 1!99B 'I GeCSI '9X,7W'F.:.2:383:54 U,ghl Tn'iC,I( 10/01120108 $2.500 l On) 'U.20:07 10iO I 120108; .ll,ciual Cash 00,5 Ford' Crown Victoria Polk~'e 1 OrOI12007 $,2,500 1 OI(J 1I2OCl7 'I 0,,'0 Il2ooB, $15,,700 1 IGG8 2FAFP71'N2'NXI2342,g Police Gilr 10/OU20CIB $2,5010 1010112007 10/011'20108 .lIctual Cas.h 10016 Ford Crown Vli,ctoria Police I OilO 11211007 $i2,;1500 10,/,0112007 10101120'08 $18,700 I IGI~.B 2FA,FP71 W3'll~X'11306B Police Car I OiO 112008 $2,.500 1010 ~i2a07 IOiOlr2{JOS ,ilI,chral Cas"h 007 Ford Cro"~""n ',lkton,a P'olj:,ce 110/01121007 S2;500 1010112007 IOJOIl2ooa. $18:0100 I lGldB 2FAFP71 \'>J:3WX123423 Police Car I 01.10 1l20CIB $2,500 IOrDi/2007 1010112008 Actual Cas.h 008 Ford Crown V,icl,ori:a Polii"ce 10/0112007 $2,,5010 10101/20.07 1010 tr2006, $18,7010 1 199B :2 FA;:P71 WO"l,IX123427 Police Car I 0I(l1l'2008 $2.,5010 I 010 U20107 101011200B Actual Ca's,h OOI~ Ford Crown Victori,a P'olioe HII,/O 1121007 $2,500 10/0l/20iC17 1010112008 $13,700 I U1QB 2FAFP71 W1WX123425 Police Car 'I OliO 1120CIB S;2 ",500 I 010 il2007 10JO li2008 Actual Cas,h 1010 Ford Crown Vlic:tori"a PIa ~!wilo'e 10/0 t/2007 $2,.50,0. 10,'01/2007 10101,1201\)8 $18.iOD 1 19GB 2'F AF'P7 " 'l~'Sll,!X'123424 Police C,lr 1 OlO 1 120108 $2.500 tOlO 1120107 101,,'01120108, .ll,cwal Ca.sh 011 Ford Crown Victoria F'oli,ce 1 CliO 112007 $2.500 1010 1I200 7 10/0112CWa. $18,700 I 199B 2F AFP71 W2WX 123431 Police Car I 01/'0 1 1210DB $2,500 101101120,07 10l0U200B Actual Ca's,h 012 Ford C;n,wn Vliotori,a Polk,e 10.1'01/20107 $2,5010. 111:1/0 '1/20107 10/01120lOe $18,70:0 1 .9~18 .2 FA;:P71 WO'NX 1234310 Pc~liCt~, C,ar lOJOI120DB $:2,500 1010 1I2G07 1 % I120IOa, Actual Cas,h 013 Ford Tau'Ius Btlifding IOlOV21007 $2,,500 1010112007 '1 (1;10 11200 e. $15,6&,:) 'I 199G 1FAFP52U5XA2126S1 Private P.asseng,er I OVIOV200B $2,.5010 10101/20:07 10I0lr200e ,ll,ctual Cash 014 Ford C'o~\'n V,iotori,a Poll,o!!' IC~'OlI2007 $2,51010 110101/2007 10101r20:!lB $19,1410 1 1999 2F AFP711N5XXI 6,73:,1:8; P61iCt:!l C,ar I o..~J 112008 $2.500 1010 1/2007 10/0112008 .ilI,ctual Cash 015 Ford T aurucs S,r'vV Poij'ce 11)1101/2007 $2,5010 10,.01/2007 '101101'121008. $1:',000 1 2000 1 F AFP5i326Y A236Si5,2 Private Passeng.er 1010112100B $2,500 10101/20,07 1 0/10 1I'200B Actual Ca~h 016 Ford TaUrlJS Polioe 'I OllO 1",2'1007 $i2,500 10101/2007 10/OIr2OOa. $17,'600 1 2000 1 FAF?5222YG 13e,8156 Priv<,!e P',a'5s€mger 10.."01/2100B $2,500 10/0 1/2007 10..'10112008 .ilI,ctual Cash 017 Ford Crown Vi,ctoria Folioe leva 1/2007 $.2.E,OO 110/0'1120'07 1010112OOa. $1 (;1,3"0 1 2iOOO 2FAFPTI \,II,14YX 1409',59' Police Car 1 010 11200B $2,500 1 OiO 1/20<J7 10/0 I I2Doe, Actual Ca.sn 018 Ford CfO~'1,m \l'k:lori:,a Plo~i~lIoe 10\,/01l2007 $2,5010 10101/2007 1010112008 $1(;1,3610 1 21000 2FAFP71 W2YX 1409:81 POllice C3r I CilO 1l2100B $2,500 I %U2007 10/0112008, .ll,ctual Ca.5h OIQ Ford Crown Victoria Polioe I C~'O 1!21107 $2500 10,1.01/20:07 10/01r200a. $19,360 I 2000 2FAFP71 W2YX 1410958, Police Car I OJO 1 121008 $2.500 10m 1/2007 10JiJ 11'2008. Actual Cas.h 020 Ford C'Ir'ol\~'n Vi:r;tlori:,a Polio!! 1 CI/0112007 $2,5010 101101"'20:07 1010112008 $19,31,']0 I 2000 2F A FP7 1 'i/V9Y~:1409L51,'], PCllice C"ar I Q,!Oll2100B $2,.500 1 DiD 1/2007 101011'21008 .ll,cILlal Cas,j-, 021 Ford CfO'....n Victori 3 Poli"c,e 10.."01,"21007 $i2., 500. 10/011210'07 10/0112008 $17,600 1 :1000 2FAFP7IWOYX.140ll57 Police Car I OIil1!2008 $2.500 101101/20,07 10..'0112008 Actual Cas.h 14 Brown & Brown of Florida, Inc. SCHEDULE OF OWNED AUTOMOBILES Unit 1# Mab lIIodeIJOe'Scrj'I)!icln Del)a rtnlent .~ ,,",, .~, ClOmp Eft CoOInpTE'fnl At Elt D<lte ValuE' Qty Year VIN III Vehicle Type AI. Term Date Coli Ded Coli Eft con Term Valuation TYI)e O?? ford Exp~on!r Polioe llJiiOl,i2DIJ7 $i2.5:011 1!:l,'01I2D07 101'01l20i108 $;21.12:0 1 21000 1 FMZUnXWUB27743 Police Car 10,110 112DIOa $2500 IIONH/2007 101'01/20101:, Adual Cash 1023 Ford F3&1 Police 10,110 11'2.0.107 $2.500 1Oi'01121007 $17.2100 1 201010 lFTS'N3iS9YEC57'22S Ligll1 Truck 1 IO)!IO 1120019 $;2.500 1'0110 "i'2D07 I OlO 11'21008 Actual Cash 024 Ford Crov.'n \fieto rb P\'~ nee 10ilO 112.0.107 :$:2.500 10,1!101121O1O8 $19.30>::1 1 2001 2FAFP7lW31X 1240 15 Polka:, Car 10ilO112008 $2.500 tOlD ,/2007 101'01./2008, Actual Cas.h 025 Ford Cro~lU\rn Vjcb~ ri"l1! P'C~H:'I:::',e 10,'0112007 $~.501O I1Oi'OIl2DI07 101101/2 008 $19.S00 1 2001 2'FA Police C,ar 10.10 1l2D08 S2.50D 101'01/20:07 1 0,,) 1t2008 Ac,tual Cash 02'6 FIOrd Cro~iu\'n .\'lict'lor1;;,a P(ll:i;'Il:~e lOiO 11'2007 '$:2;5010 l'iOi'1011l:2D07 10101.1:2008 $1GI,8D,[I 1 :2001 :2F,ll,F:?71 W71 >:12'::10 17 PlOlice Car 10;') 11200B $2.500' 101'0li2007 I o'~O 1012008, Actual Ca$,h 027 FIOrd Gro~Nn 'Vii,ct'IO:ri:,Sl Polii:ol! 10/01:2007 $2,,5,00 1,101011201107 lO.IIOH20aa $1!~,8D':O 1 21001 2F AFP7 'PN91 >:12401, ,8 Police Car 10iOlI20()8 $,2.,500 \lOlilO 1.12007 1 OllO 11'2008 .!lelllal Cash 02,8' Ford Crlll....n Viiclclrll,a Polioe 10i'O ld:20Q7 $:2,,5,00 I 0,110 1120lOB $1 !~ ,:800 1 2001 2F AFIP71WOI Xt 2410 t 9 Police Car 1 OliO 1J20i01, 5;:2.,5.00 1101'iOI/2D07 10110 V2008 Aeiual Cash 029 Ford C'rlll....n VI,ctori"a Polioe 110I"iOl,/20107 $i:2,5,O,o I01,oIl2Dlil17 '101,0112008 $11~,801O 1 2001 2FAFP7 11,.,71 X 124020 Pelice Car IlOi!0'l.l2008 $.2.500 10'<:1011'2007 IOl0112!lOa Actllal Casih 1030 Ford Crown Vielo Ii a P'~:lti'l~e 101'01!'2007 $2.500 10,'Oil2007 10101/2008 $19.Boo 1 2001 2F AF?7 'i ll..IO '1 X '124022 P'Jli'l,e Car 10JIOI1'2008 52.500 IOIOil2G(l7 10/Qlr2008 Aclual Cas.h 03'1 Foro (:,roi~."n V~:otClri',,~t P"oli,c,!! 10iOl/2007 52,500 IOi'011'20107 10101l20D8' $1!~,800 1 2001 2F AFP'7 ~ '~l~:2 '1 X '12402'::1 Peli,:e Car 1 % 11'2008 52,.500 10101./2007 1010112008 Achlal Ca$"h 032 Ford ero~,^'n Viilc~'bIDri:,a P'(~h"IC~e '101\) 112007 $,2.50110 10.110\1'20108, $11,1,80:0 1 2001 2F AFIP711 W41 X 12'i!'i024 Police C"r 10/0I!2008 $25010 10101/2007 1 OlO 1f20>08 Ac:lual Cash o:!3 Fore! 'C::n-:ll~iNn ViilOt,Clrll.,a Pol:i:c,e 1 % 1/2007 $2,.5.00 liOlDll20107 '1 O~O'112008 $1 !~,8G'O 1 2001 2F AIFP71 Wel ),124025 Police Gal' 110/01/2008 $2",500. 101'0 1 l20107 II)illO V:2008 Ac:(ual Cash 034 Ford E~I)li'l:lrer Pol:i,oe 110/101./20107 $,,2.5,0'[1 'IO!!Illi'20IOB $21.,'60:f1 1 20.01 1 FMZU72E31 ZA.54351 LIght Truck 11O/01i2008 $2..500 11OI'iD 11'20'07 10,11011'20'108 Actual Cash 02,5 Ford Cru>'....n Victori,a Pol:ioe 1 iOi11O 1120107 $2.5,(10. UIJDll2007 10f01/20iDB $1!~,800 1 2001 2F AFIP71 W41 X121B(l,'6 ?olice Car 11OllO 1,1'2008 $.2,500 10,<01,/21)07 'I OJIIO 112008 Aclllal Ca.sh 03,,6 Ford Crown Ifietori,a Polio!! 1101iOl1'20107 $2;5(10 liOJllil2007 10001t2ClOB $1!,i.8DO 1 2001 2FAFP7HMSIX121SBS Pelice Car (10)11011'20108 $2.500 10.10 112007 10l'Ott2008 Actual Ca.$,h 1037 Ford Cl1llll\'n Victori,a Polic!! 10iO 11'2007 $2.500 101'0 112GD7 100011200a $19.800 1 2D01 2FAFP71WX1X121e,stl Pelice C,z1r 101'011'2008 $2.500 10i'0 "2007 1 OJ{) 1/20QS Aeiual Cash 03,13 ,Ford Cro',-'n Itictoli", Polic!! 1 % 1.''2007 $,2,5010 101'101112007 10101/2008 $10..800 1 21001 2FAF?7IW6IX121.S70 Police Car 10/01/2008 $.2.5010 1 lOi'Ol ,i'2o.''07 1 010 \12008 Actual Cash 03.9 iFord CI'Ol....n Victe ria P'c,Ii'Il"e I OlO 1:'20107 '10l011'2DiD8: $19.800 1 2001 2'F AFP'7 ~ V',,'S1 X12' ~8'71 Pelice C,ar 10110112008 $2,.500 101'10 1/2007 IOJ1OII:2D08 Actual Casih 040 FIOrd Cr'o'....fI Vijct10ria P'"~I,i,,c'l! 1 01"101:/20107 $:2.500 10.1'01I'2ClO7 10101/2008 $19.300 1 2lJOI 2F/l>,FP71 W)(l :~121872 Police C,lf 110,1110 1:/'20108 $;2.5011 tOl0 il2007 1 OlO 1/20012- .lI,ctual Cas.h 041 ,Ford Buck,et :Public Werlis 110.1101,.1'2001 $2.500 101'10 112DI07 'lOJI[II12C108 $25,200 1 1999 I FDWF:~6t!9);EICI:59'''68',8 M'l!di,i!Ulfl) Truck lOilO1I'2008 $2.500 tOlD 11 1'201'07 IOJ1O 112008 Aclual Ca 5.h 10'12 iFQrd Rang"er lPubliclNorlis 10J10 1/2007 $2.5010 l'OiOl120107 10101J'2D08 $15.48.0 1 2.000 '1 FTYR10V5YP,A,,621i11J. Ughi TMJCK 101011'2008 S2.500 101'0.ll2007 1 ora 1/21008 Ac:lual Cash 15 Brown & Brown of Florida, Inc. SCHEDULE OF OWNED AUTOMOBILES Unit # Make f,lodeUDe's.eriptioll Department At ,Eff Date ,'Col'l'lpDed Comp Efr Comp Term Value Qty Year VIN # Vehicle Type At Terrn D'ale CoU Oed Coil Elf CoB Tenll V.llualioll Type 043 Arro',,", ex1:! 2WH Public Works. t 0,1'01 /21001 $2,.500 '':'' 10iOl/2008 $,88,,0 1 2001 14olJ8i217YM040808 Trader - NO CH. .Rl!lI!!O Il2!008 $2.500 10101/20107 10iO 1/2008 Ac:tual Ca'sh 044 Arrow tlxt2 2V,fH ?lJbilic'lljorks 1 0,~01l2!O07 $2.500 1 10111l'l200 1 1 OiO 1120108; $,;B8(1 1 2001 14f.1UB12111M041457 r(at~er.~ NO CH .Rl!lI!!'Dl:/2i008 $,2.500 IOiDll2007 101011'210108 Achul Cash 045 Ford F250 ?ublk: V~orns I O,~O 1/2101)7 $2.500 1,01D1lZ001 10/(l11'20>:lS $17.60'0 1 2001 lFTNK21L 1 O~D 1i2008 52.5(r(l 10'/01'l2001 101'011'2008 Actual Ca.sh 046 Ujjlit~ Utility Trlr lorO 11'21007 , 52.500 1 D.o!Oll'2OD8 S2,000 '1 H)!;19 1 EIl'.I\Ll I) 12.1 L252724 ~~. .R<1:l!'!O 1I2QOB 52.500 I, 'EIIO 'll2001 101'01121008 .A.dual Ca.sh 047 Toyota (:;"anu'f al 1 ClIO 1/21007 52.500 10111'll20"1l1' 1 QIIO 11'20:08 $23,100'0 I 2003 4T-t SF:32J<834D5ei~}9t Pri,'4J',at,Si P,asse~t'"Iger I ClIO 1I2!OOB 52,500 10,/0 '1'1"2001 10,011'2008 ,!i,dua.1 Cash 04,8 Buiel" Re<gal 1 ClIO 1 /21007 $2.500 10lllll20i!l1 lorOtl200a $1 ctOOO 1 20CI[J 2G41Ni5fr~~Sf('9Y" 3.319'~ 0.5 1 ClIO 11'21008 52.500 10mUZOO1 1010 1/2008 Actual Cash 049 i=ord' Expl'orer4M 10,') 112007 $2;5()O 1010112001 '10,!iOI12008 $27,'100.:1:1 1 2004 'lFr\.otZU72:~~~2';',.J.A 'I Of 0 1/2,OOB $2,500 10m 1.12007 10/011'2008 Actual Cas,h 05,0 Ford Elt:p~iOr'?r 4X4 , P'ol!:t:c~e 1 oro1i'2Q07 $2.500 1 010 'li2007, 10':0112008 S27,00l0 1 2004 IFMZUnl{44tIA U!I~ht Trclck lor0112i008 52.5010 1O,/O1l2007 10,/0112008 Aclual Cash 05,', Ford Explorer 'IX" P'OI:i~:lce 1010 11'21007 $2;500 1 0/01f21l0 7 101\0112008 S27,')00 1 2004 1 FMZUi2K84U,A.82 t!Ei7 U,ght TI'1:.ml( 1 ClIO 11'21008 52,500 1010 1/2007 1 OJ.) 1/21008 Actual Cash 052 Ford Explorer 4X4 P,ol'!,oe 1010 112i007 52~500 IOi01/20D7 10101/20'08 $27.00<) 1 2004 1 FMZIJ72K64W18224 7 L.I!ghl Tl1Clck lorO 1/2'008 $2.500 1010 i/2Gf17 10/(11:2008 Actual Cash 05,3 KUSlom S.M.A,IFtT, Radar Tra.iler ;:'ol"l,o'e 10101/21007 $2.50.0 ' " . 10/0'112008, 52.00,0 1 19';'9 11<9'B5:0i:;1 3"/,'1':118,88,,5 T,tl1ll!ll,er NO CH, .R<1:l!'!OlI'200B $.2,50D 10101/2007 10""01/20[18, Actual Casn 054 ."Iem lE!ite 1010 11'2007 $2.590 1 01.0 1ilZO'01 '1OJ11l 11'2008 $83, no 1 2004 1. 0 'It l0f0ll'2iOOB $2,500 l,omliZOO1 10/011'2008 Aclua! Cash 055 Ford F3'50 4X4 1 ClIO 11'21007 $2.500 10,'.0 1I'ZOO 7 10/011201l8 526.00') 1 2004 1 FTS::31 SX4 E872 U,ght TI'1~ck 10/01t2i008 $2.500 10mU2007 1 % 1,'210,)8 Actual Cash 05,f) FClrd Expiorer 4)(4 Buildin'i" 1 ClIO 1.l'2007 $2,500 u.u"'"'uu 10/01:'2008 $27.00'0 1 2004 I FMZU72KX41JA,821ei8 U,ght Tmck 1010 1/21008 $2,500 10101/2007 10/>01t2008 Actual Ca.sn 057 F'c~rd Explorer4X4 Buildil1!IG 1011011'2007 S2,500 10/01.120,07 1 0f01l200a $.27.000 1 2004 1 Frwrzu72K l4U.A.g2lIE~G\ U'Bht TI'1"d, 10/0 1/2QOB $2.500 1010112007 101'0112008 Actual C3c:;,h Oe"IB Gilaval v""~~u"'~"'"u.~ 1 % li2007 $i2".5.o1l 10101120.08 saa, 1M C-.Q '" ~......,~ 1 2004 lOcI\E55F9::.HBOOlft 1 O}{t '~/2;OO8 $2,EiOO 1010'llZ007 1 % 11'200." .A.dual Cash 05,19 Ae'ro Elite Mdl 32NC4 CHiS 1 OiO 1/2,007 $2,5.00 1,010'1/2001 1 OJ1iO '112008 $83. ]3,.0 1 2004 lGSE5VI254F5 llit % 1/2iOOB $;2,5010 1010 112007 10101/2008 Actual Cash Oe.D Ford Crown Vict,ori..a Police II 1 CVOI /2001 $2".500 11010.1/2007 1 OlD 11'2008, $19,322 I 2005 2F A.;F~i~171~l..!05X14 1 CillO 1/200B, $2,5.00 U:VO 1/2007 1 OlD 1/'20'108 ,tldual Cash 061 Ford Cro~~'n VI~cbJri:,a P,oliee 't O,I"D 1/20C17 $i2,.500 11010112007 101"iOli2(J1:1)S $19,322 1 2005 2FAF!='7 '~V,~2e,:X'1 t 0,101,/2008 $:2.500 110101/20.07 101101/2008 Actual Cash 062 Ford Crown \liotori':.a Police 11~,I,er"oep\lJ,r P,olii',oe 'I CI,101/2001 $2,500 1 0/,0 1l20:IQ7 '10i101l2lJ!l8 $19,322 1 2005 2F A;:P1 '1!....!~5XI4' is!: 3 P'Jlice Cilr I CI,~O 1/200B $2,.500 1010ill2G:01 10/0112008 Ac,tual Caish 1063 Ford E~p"lo'rer Polli,oe 1 O,~O 1/21007 $2.500 1. Ill0l:l2001 1 OlD 1/2008 $22.017 1 21005 1 FMZUT2IQ3'~,U8'1Oe,,123 Police Cill' 10/0 11200B $2,5010 10m 1112007 10/01:2008, ,I\clual Cash 16 Brown & Brown of Florida, Inc. SCHEDULE OF OWNED AUTOMOBILES Urlit Ii! Make ModeUDescriptiol1 Der)arlment AL E If Date Comp D,ed Comp Eff C,omp Term' Value Qty Year VIN# Vehicle Type AL Teflll Date Coli Ded C'ollEff Coli Term Valuation Type 1064 Ford e:"p',lo,rer p('~:~loe 10,\0 1l2CO.7 $2.~DC 10101120'<98 $22.1017 1 20'105 1 FMXU721{,i8:5,IJ'B05124 ~ 10101:'20108 $2.5100 1 '10,'10 11 1'20107 10101120108 Aclual Cas..'l oes iFord Range" 4M4 1I:),,0It2CI07 '$:2.500 11010112008 $14.7110 1 20'105 2FT~'Rli 1 EeI,5P'A~,8:3n Li'lght TI1I.II,ol. 11OJIOIJ2CI08 $::2",500 1,101'0' 111'210107 10/0 1120'08. ,lIctual Cash IOIliS Ford F6,eO Dump' Truck Public 'lIII'c,rks 10101120107 $2,50'~ 'l'IO"lllll2oo7 $46.0416 1 20'105 3FRWFeI,5iE3/3V'1 t:J;70qg" HI!I!I\JlI TI1IJok 110/101:210108 $2,5Ci!1 1'10,'011'2007 110;10 1/20'108 Actual Cas,h '1061 Continent.ll A TV Tlra"iller Lifeguard 1 C~"O 112D107 $:2",500 110110,112007 5,1,2100 1 20105 f ZJUT 1 8'1 15,1.1103,10168 Tfai'ler - NO CH Rdlt!1Dll2008 $2.5C10 110,'101/2007 10101120'08 Actual C,as,h 06;S Conlinenlal Jet Ski TraIle:rs Lifeguard 1010 1,/2001 $;2,SlJIO 1O.,'OV20:07 ' 10101/2008 S 1.2100 1 2005 1 ZJBE f41X5M031116'ig Tfailer -NO CH. ,Rall!!!OI/2D08 52.500 fOtOlf2())7 110/0 U'2008 Ac:lual Cash 060 Continental Jet Ski Trailers Li;egu,ard 10/01/2001 $2,SOO ~0I0~12007 5,1,2100 1 2005 1ZJ3E0465M030110 Trail"r - NO CH. R~liOI./2008 5,2.500 10,'01121)07 10/01/2008 Actual Cash 070 Chevrolet Impala P'Ciltea IlOilO 11"2'0'07 S2,50ll 10.'0112007 10/0112008 $20..85,2 1 2005 2G1 WK52K25924 8;321 PCllic:e.Car 101101/200S $2.500 10,'0112007 1010112008 Adual Cash 071 Ford Expedition PCllk',e 10,10 1/20'0.7 $2.500 10iOmOlO7 1010112008 $28,225 1 2005 1 FM?U I 65X5L"I66505, Polic,e. C~":jr 101'01l2DOS S:2.500 10.'011:20107 lO!01l21J08 Actual Cash 012 Ford F1E'D P'IlI,i.,cll!! 10110 112007 $2.500 lOiOV2o.07 1 ClIO lt2008 $20,Srn 1 2005 I FTVX 145e,5!~',IAI3i4g'!6131 Police C,ar 1 O,~ 11200S $2.500 t 010 lJ'2007 1 % 1120'08 .lIcltlal Cash 073 Ford E.:~p,il'l:lrer Polk,e 101\01120'107 $2,5011 '10/0 UlOOe $.22.077 1 2005 1 FMZIJ72~m6IJB,1J5,121O Police C"ar 1 0/10 li20Cl8 $2.,500 1'10,'0 ~i '2007 10~lJll20'108 Adual Ca.sh . ... , 074 'Ford E~p'ii,olrer P'olitoe 10/0 li2007 $:2:,500 101'0'11210::07 10101120108: $22. (171 1 2005 I FMZU72~\4,~iIJBOl5nl Police C,ar 10/011'2008 $2':500" i:O}ro'~ /2007 10lOfl21l0B Actual Cas:n 1075 Ford E.)[p!~lolre'r POliioe 10/1011'210107 $2,50111' $,.22,017 1 2005 I FMZU72K45IJBilDI5,122 Police Cilr 1CVDll2008 $2,.500 1101'10 ~il2007 10~1J1J2008 Actual Cash 076 iFord' SPDrt Trac PlcikUip Lifegu,ard 110/10 Il2007 $,2,,5,00 1,10/01112007 10/101121008 $310,10109 1 2005 I FMZU77K45UB'BI3'!BI4 Ught TN,ok 110/101120'08 $2,5011 101'011/2007 11J/Ol:l2008 AClual Cash 077 Ar~ders,oln Tra.:ile:r Public 'Norks 1 OlO l"2D!07 $,;2,500 f,.iQ/O'112D07 '1 1010 U2008 S3.46>J 1 20105 4 YNBN18245C026637 Tmi!er - NO CH. Rdlt!101/'2008 $2.500 1'10,'01/2007 10/0112008 Adual Cash 078 CECO T,rai:ler wl\III,asher Public V"orks 1 O,lliO 11'2001 $2.5,0111 lO!'lHl2oo7 1010112[108 $12,00.0 1 2005 NOViIN0201J44413:B7 Tfal'ler - ~IO CI-l. ,RI:!ll!!IO'1'l2008 $.2.500 lOi'O 112007 taJ'O 1/2008 .lI.clual CaSon 079 :Ford E~p,ii.ll,rer Aftomey 10,110 11'20.07 $2,.5010 IOto ~12007 '1010112008, $27.082 1 2005 I FM:W.llr4IO( 1 '5UB58S9'ig Ugh! Tru,ck m,IOt/2DOS $2.500 f 0,'01/2007 10/0 1.'2002 ACllJal Ca.s..'l oeo Che",mlet Impala Poliice 10liOlt21l07 $2.500 'IOtO H2007 iL'/UIILI.IUI;, $20.06,0 1 2006 2'G1I"NU'5i81i46.Q22!0371 Police Cilr 1 OliO lI200S $2.500 totO F2COi 101'01/2008 Actual Cas.h 08,1 Fort! C~o'\Yn \J1li,otorl"a P'olit.Oll 1o,1Olt200.7 S2,500 1 O~D;II2Q1DB $lig,5i'7 1 2006 2FAFiP71W06X12491'Q Police Car 1010 112008 $2.500 tOtO tt2C:i07 1 O,liO 1120108 Actual Cash 082 iFord Ranger 4~4 Code Enforcement 1 % 1/2007 52,5.00' 10,'011/2007 '1010112008 $14,710 1 2006 I FTYR11 iE36PA49220 Light Truol, 10,'01/20'108 52.500' 1.01'011'21007 1 % 1t20013 Adllal Cash 08,3 Fo,d Ranger 41(<; Code Enforc"mem lOiO I 1'2007 $,2.50rJ $,14,710 1 2006 tFTVR11E56PA49221 Light T n~ck 1 % 1/2008 $2.501[1 llO,'iO 1121007 1 OIID 1/20013 Ac:tual Cash 084 COl1li:ne.nb11 ATV Trailer life!i;lllard 10,\01.120'0"1 ~\IO.I'O'lf2007 '10/10.1:120:08 S 1.20:0 1 2004 IZJUTI4X4M025518 T.raililer. NO CH. ,Rlll!'O Il2008 $2,.50010,'0112007 10,1':D1I'2008 Aclual Cash 17 Brown & Brown of Florida, Inc. SCHEDULE OF OWNED AUTOMOBILES Unit # Make Model/Descl'iiption Department AL E ff Date CompDed Comp Eff Comp Term Value Qty Year VIN# Vehicle Type At Term Date Call Oed Call Eft CoU Term Valuation TYlle 085 Continental Jet Ski Trailer Lifeguard 10/0"1/2007 $2,500 ,~ ,~"~~~- 1 Of 0'112008 $1,200 1 2005 1 ZJBE20115M030167 Trailer. NO C R<!JittO'1/2008 52,500 10/01/2007 10/0112008 Actual Cash 086 Kustom Smart Tral"ler Polke 10/01/2007 $2,5,00 10/01/2007 'I0/0'l!2008 $1,200 1 2005 2S9US11135S'I32322 Trailer. NO C R<!lI!i01/2008 $2,500 1 % 1/2007 10/0112008 Actual Cash 087 Haum Ulility Trlr Police 10/01/2007 $2,500 1010'1/2007 10/0112008 $1,200 1 2006 16HCB12 I 26G083098 Trailer NOCH R<Il!:IlO"I/2008 $2,500 I OiOI /2007 10/0'112008 Ac~ual Cash 088 Ford Explorer Buildil)g 10/0'1/2007 $2,500 10/01.12007 '10/0112008 $27,082 1 2005 1 FMZU72KX5UB05725 Light Truck 10101/2008 $2500 10101/2007 10/0'l!2008 Actual Cash 089 Ford T allrus Code Enforcement I 0/0112007 .$2,500 10iot/2001 '10/0112008 $H,600 "1 2000 IF AFP5222YG 136865 Private Passenger 10101/2008 $2,500 10/01/2007 10/0112008 Actual Cash 090 Ford FI :,0 4X4 Public Works 1 010'll2007 $2,500 10/0'1/2007 10/01/2008 $19,680 1 2006 'I FTRF 'I 45X6Nl\63717 Light Truck 10/0'1/2008 $2,5,00 10/01/2007 10101[2008 091 Ford F'150 4x4 Public Works 10/0'112007 NA I 0/01/2007 IOfO'lf2008 $19,680 1 2006 1 FTRF'14516NA63718 Light Truck 10/01/2008 $2,500 1 OiO '1/2007 1010'112008 092 Ford Crown Victoria Police 1010"l/2007 $2.500 1010'1/2007 'IOfO.l12008 $"19,577 1 2006 2FAFP711N96X124978 Police Car 10101/2008 $2,500 10/0'1/2007 10/0112008 093 Ford Crown Victoria Police 1010112007 $2,500 '10101/2007 10/01/2008 $19,577 "I 2006 2FAFP7'1i1V76XI24980 Pol,ice Car 10/01/2008 $2,500 10/0'1/2007 10/0112008 094 Ford Crown VlCloria Polke 10/01/2007 . $2,500 10101./2007 1 Ofo '1/2008 $19.577 1 2006 2FAFP7'IW96X124981 Polke Car 10/01/2008 $2500 10101/2007 10/0'1/2008 095 Ford Crown Victoria Police '10101/2007 $2,500 10101/2007 '10/0 '112008 $19,577 1 2006 2FAFP7'IW26X124983 Police Car 'I 0101/2008 $2,500 10/0'1/2007 '1010'112008 096 Ford Crown Victoria Police 'I 0101/2007 NA '10/01/2007 "10/0112008 $19,577 1 2006 2FAFP71vV46X1249B4 Police Car '1010'1/2008 $2,500 10/0112007 '10/0112008 097 Ford Clown Victoria Pol:ice 10/01/2007 $2,500 "10/01/2007 10/01/2008 $.19,577 1 2006 2FAFP71 W66XI24 985 Poliice Car 10101/2008 $2,SOO 10101/2007 10iOl/2008 098 Ford Crown Victolia Polke 10/01/2007 $2,500 ~1l20117 "10/0"112008 $19,577 '1 2006 2F.AFP71 Wf.l6X 1249813 Pol'ice Car 10/01/2008 1/2007 10/0112008 099 Ford Crown Victoria Police 101O'll2007 $2,500 1 % 'Il2oo7 1010112008 $19,577 1 2006 2F AFP71 W06X124982 Police Car 10/0"1/2008 $2,500 .10/0Ii2007 10/0112008 "100 Ford Explorer Building 10l0'1/2007 52500 10101.12007 10/0112008 $14,7 '10 '1 2006 'IFMEU72E2GUA93029 light Truck 10/01/2008 $2 ,500 10101.12007 10101/2008 101 Eldorado Aerotech 24 Passenger BllS CHS 10101/2007 $2,500 10101/2007 '10/01/2008 $79.690 '1 2006 I FDXE45P76HB23975 Bus:,20 Pass, No ifl10/01/2008 $2,500 10/0'1/2007 '10/0112008 "102 Ford Eldorado Aerotech 24 Passeng,er Bus CHS '10/01/2007 $2,500 1010'112007 .1010'112008 $79,690 1 2006 I FDXIE45POI3HB23977 Bus ::>20 Pass, No ifl '10/01/2008 $2,500 10/0'112007 '1010'112008 "103 Utility Pol;ice 1 OfO'lf2007 $2,500 10/01/2007 "1010112008 ROOO 'I 2006 Trailer - NO CH. R<!lI!iO'1I2008 52,SOO 10/01/2007 10/0112008 104 Harl,ey Da' idson Road King Polke 10/01/2007 $2,500 1010 "1/2001 '10/01/2008 $30,000 1 2007 1 HD1FHM197Y622630 Motorcycle $2,5,00 10101/2007 1010'112008 105 Harley Da idson Road King Pohce 10/01/2007 $2,500 10/01/2007 1010'1.12008 $30,000 - - $2,500 10/01/2007 1010112008 'I 2007 1 HD'I FHMI67Y62I 094 I'Jlotorcycle '10101/2008 18 Brown & Brown of Florida, Inc. SCHEDULE OF OWNED AUTOMOBilES Unit# Make ModelfOescription Depmtment AL Eff Date Comp Oed Comp Eff Comp Term V~ltle Qty Ye~r VIN It Vehicle Type AL Term Date Coli Ded Coli Eff Coli Term V~luiltion Type 106 Harley Oa idson Road King Police 10/0'112007 $2,SOO 1010'1'2007 '1010'1/2008 $30,000 'I 2007 'IHD'IFHM167Y622200 Motorcyde 10/0112008 $2,500 10/0112007 '10/01/2008 107 Harley Da idson Road King Police 10/0'1/2007 $2,500 10101/2007 1 0/0112008 $30,000 'I 2007 lHD'1 FHM167Y622743 Motorcyde '10/0'1/2008 $2,5.00 10.10112007 '10/0112008 108 Harley Da' 'idson Road King Police 10/0'1/2007 $2,SOO 10/0'1 (2001 'I % 11200B $30,000 'I 2001 'I HD'I FH M'127Y622078 Motorcycle 10/0'112008 $2,5,00 '1010112007 10/0'1/2008 109 Harley Da idson Road King Police '10/0'112007 $2,500 1010'1/2007 '1010112008 $30,000 1 2007 1 HD'I FH M'197Y622899 Motorcyclle I CliO 1/2008 $2,5,00 10/0'1/2007 '1010'112008 110 Ford Crown Victoria Police 10/01/2007 $2,SOD 10/0112007 1010112008 $26,245 I 2007 2FAFP71W57XI55100 Police Car 10/0'112008 $2,500 1010'1/2007 1010'1/2008 ,ctLlal Cash Value I'll Ford Cro'...." Victoria Police 10/01/2007 $2,500 1 01(J'1/2007 '10/0112008 $26,245 'I 2007 2F AFP71W71XI551 0'1 Police Car 1010'1/2008 $2,500 1010112007 10/0'1/2008 .ctual Cash Value '112 Ford Crown Victoria Police 10/01/2007 $2,500 '10/0112007 10/01/2008 $26,245 'I 2007 2FAFP7'IW97X155102 Police Car 10/0'1/2008 $2,500 1 O/Q'1 12007 10/0'l!2008 .cILlal Cash Value 113 Ford Crown Victoria Police 10/01/2007 $2,500 1010'1(2007 'I Ot01 12008 $26,245 'I 20007 2F AFP71W01 XI551 03 Police Car 10/01/2008 $2,5,00 10/01/2007 10/01/2008 .cIual Cash Value 1'14 Ford Crown Victoria Police 10/0'112007 $2,500 10/01'2007 10/0112008 $26,245 'I 2007 2F AFP71W27X'l55104 Police Car HJ/01/2008 $2,500 1010'1(2007 '10/01/2008 .ctual Cash Value 115 Ford Crown Victoria Police 10/0112007 $2,500 10/0"112007 10/0112008 $21),245 1 2007 2F AFP71vV6'7 XIS51 06 Police Car 10/01/2008 $2,500 10101/2007 '10/0'1/2008 .cIlIal Cash Value '1'16 Ford Crown Victoria Police 'I 0101 i'2007 $2,500 10/0'1/2007 '10/01/2008 $26,245 'I 2007 2FAFP71W87XI55101 Police Car '10/0112008 $2,500 10/01/2007 10/0112008 ,ctLlal Cash Value 117 Ford Crown Victoria Police 10/01/2007 $2,500 1010'1/2007 10/0'112008 $26,245 1 2007 2FAFP71W47X155 105 Police Car ICI/0'1l2008 $2,500 10.10'1/2007 1010'1/2008 .clual Cash Value 118 Jet Ski Trailer Code Enforcement 10/0112007 $2,500 1010112007 'I % 1/2008 ROOD 'I 200'1 146DA1413YM04080€1 Trailer - NO CH R<!:fQ101/20D8 $2,5,00 1010'1/2007 10/0'1/2008 .cIual Cash Value 11~1 Ford F150 Public Works 10/0'1/2007 $2;500 "1 010112007 10'0112008 $'14,735 1 1998 'I FTZFI72XWNB49773 Light Truck 10/01/2008 $2,500 10/0'1/2007 '10/01.12008 .cIual C8sh Value 120 Ford Expedition CHS 1010'112007 $2,SOO 10/01/2'007 10/0112008 $42,060 1 2005 'I FMFUlB255LA65079 Light Truck 10/01/2008 $2,500 10!'0112007 '; 0101/2008 .cIual Cash Value 121 CHS '10/0'1/2007 $2,500 10/0lf200-/ 10/01/2008 $2,000 'I 2005 NIA Trailer - NO CH HOOD'I/2008 $2,500 10/0112007 '10/OIf2008 ,ctual Cash Value 122 CHS 10/01/2007 $2,500 10/0'1'2007 10/0'112008 $2,000 'I 200~, N/A Trailer - NO CH H<lllll0'1I2008 52,500 1010112007 '1010'112008 , ctual Cash Value '123 Ford F2iSO Pub:lic Works 10/0112007 $2,500 10/0'1/2007 1010'112008 $24,355 'I 2003 'I FTNF21 L93ED5B701 Light Truck 10/01/2008 $2,5,00 10.10'1/2007 '1010'112008 ,ctLlal Cash ValLie '124 Sterling Elgin (Street Sweeper) Public Works 10/0'1/2007 $2,500 1010'1'2007 '1010 '112008 $7~!,000 'I 2007 49HAADBV17DX57959 Medium Truck '10/0112008 $2,500 10101 (2007 '1010'1/2008 .cIual Cash Value Total $2,695}48 19 Brown & Brown of Florida, Inc. AUTOMOBILE COVERAGE DEFINITIONS FOR A FULL DESCRIPTION OF TERMS, DEFINITIONS AND CONDITIONS PLEASE REFER TO THE POLICY DOCUMENT AUTOMOBILE LIABILITY This coverage is used to protect against claims alleged for bodily injury and property damage arising from the ownership, maintenance, or use of any covered auto. PERSONAL INJURY PROTECTION (NO-FAULT) This coverage is used to provide medical expenses as well as work loss, funeral expenses, essential services expenses, and survivor's loss coverage as outlined in your state's statutory No-Fault laws. Please note that Statutory PIP coverage is currently not being provided. However, should Florida legislation decide to renew Statutory PIP coverage on October 1, 2007, coverage will be provided at no additional charge. UNINSUREDIUNDERINSURED MOTORIST Uninsured and Underinsured Motorist coverage protects you and your passengers against bodily injury expenses if you are hit by another driver who has no automobile liability insurance or has less than the minimum limits required by your state. MEDICAL PAYMENTS This coverage is used to pay for medical expenses incurred by a covered person injured while driving or riding in your automobile. It provides coverage, regardless of fault, for all reasonable medical costs incurred for up to one year from the date of the accident. It does not cover injury to employees. AUTOMOBILE PHYSICAL DAMAGE This coverage is used to protect the covered vehicle itself. It pays for physical damage loss that results from a covered peril. HIRED AUTOMOBILE COVERAGE This coverage is used to protect against claims arising out of the use of vehicles leased, hired, rented, or borrowed by you, or your employees, while in the course of business. NON-OWNED AUTOMOBILE COVERAGE This coverage is used to provide liability protection for autos used in your business that are not owned, leased, hired, rented, or borrowed. This includes autos of employees and subcontractors that are used on your behalf. 20 Brown & Brown of Florida, Inc. WORKERS' COMPENSATION COVERAGE CLASSIFICATIONS & EXPOSURES In computing a deposit premium the following classifications and payrolls were used: these payrolls are auditable by the Company at expiration of your policy. CODE CLASSIFICA liON PAYROLL 5509 7382 7720 8810 8820 9015 9102 9402 9410 Street/Road Maintenance Bus Drivers Police Officers & Drivers Clerical Attorneys & Clerical Buildings-Owner or Lessee Park, NOC Street Cleaning & Dr Municipal Employees $0 $206,288 $3,563,042 $2,946,843 $272,971 $688,231 $671,679 $39,311 $829,662 Experience Modifier: .83 Minimum Annual Premium: $4,000 Deductible: $2,500 per Occurrence Coverage Limits must be ultimately chosen by the Insured. We as Agents cannot recommend the adequate limit of protection. Higher or lower limits may be available. Please let us know if a quote is desired. The Increased Employers Liability Limits are currently as follows: Bodily Injury by Accident $1,000,000 Each Accident Bodily Injury by Disease $1,000,000 Each Employee Bodily Injury by Disease $1,000,000 Policy Limit SPECIAL EXCLUSIONS 1. Workers Compensation benefits for employees domiciled outside of Florida are excluded from coverage. 2. Injury to Volunteers is excluded. 3. Coverage may be available at an additional premium, please advise if you have the exposure and require a quotation to include these endorsements. 21 Brown & Brown of Florida, Inc. COVERAGE Commercial Package* Property Inland Marine Crime Coverage General Liability Public Officials Liability Employment Practices Liability Law Enforcement Liability Automobile Liability Automobile Physical Damage Workers' Compensation** PREMIUM SUMMARY INSURER AND BEST'S RATING PREMIUM I $655,292.00 Preferred Governmental Ins. Trust (Not Rated by A.M. Best) Same as above Same as above Same as above Same as above Same as above Same as above Same as above Same as above Same as above Preferred Governmental Ins. Trust (Not Rated by A.M. Best) 288,870.00 18,908.00 1,531.00 ' 40,390.00 55,789.00 23,880.00 51,000.00 158,733.00 16,191.00 $266,221.00 TOTAL $921,513.00 $46,166.70 Option to include Terrorism Coverage, as defined by the Federal Terrorism Act 2002, in the Property. *This Coverage Agreement shall be 25% minimum earned as of the first day of the "Coverage Period". ** This Coverage Agreement premium shall be pro-rated as of the first day of coverage from the minimum policy premium. OPTIONS: 1. GL Deductible Options: a. $5,000 Deductible - $39,694 Annual Premium b. $10,000 Deductible - $38,997 Annual Premium 2. POLlEPLI Deductible Option: a. $10,000 Deductible - $70,511 Annual Premium 3. Workers' Compensation Deductible Option: a. $0 Deductible - $279,365 Annual Deposit Premium AUDITS: The General Liability and Automobile coverages are not subject to year-end audit or adjustment. Therefore, there would not be any additional premiums for increased liability exposures or additional vehicles purchased during the policy year. 22 Brown & Brown of Florida, Inc. QUOTATION TERMS & CONDITIONS INCLUDING BUT NOT LIMITED TO 1. All coverages requested may not be offered in this quote. 2. Quote is subject to review and acceptance by PGIT Board of Trustees 3. PGIT is not protected by the Florida Guarantee Association in the event it becomes unable to meet its claims payment obligations. 4. TRIA Coverage excluded for all property and inland marine exposures. 5. Deletion of any coverage presented, Package andlor Workers' Compensation, will result in repricing of account. 6. Request to bind must be received in writing via email prior to the effective date of coverage. If request is not received prior to that date there is no coverage and the file is closed. 7. Coverage is not bound until confirmation is received from a licensed representative of Public Risk Underwriters. 8. The Trust requires that the Member maintains valid and current certificates of workers' compensation insurance on all work performed by persons other than its employees. 9. If NCCI re-promulgates a mod, we will honor the mod as promulgated. If the mod changes during the fund year, we reserve the right to apply a correct mod back to the inception date of the Coverage Agreement. 10. Safety and Drug Free program credits (if applicable) are subject to program requirements. 11. Workers' Compensation Payrolls are subject to final audit. ADDITIONAL TERMS AND CONDITIONS INCLUDING BUT NOT LIMITED TO: 1. Quote is subject to receipt of the following information: a. Signed first page of the PGIT Application (Florida Fraud Statement) b. Latest Audited Financials c. Initialed and Signed POLlEPLI application d. Signed PGIT WC Application e. Signed Drug Free and Safety Program Applications f. Signed PGIT Participation Agreement g. Signed UM Form h. Signed Signature Page 2. Please note that Statutory PIP coverage is currently not being provided. However, should Florida legislation decide to renew Statutory PIP coverage on October 1, 2007, coverage will be provided at no additional charge. 23 Brown & Brown of Florida, Inc. PREMIUM COMPARISON EXPIRING INSURER AND EXPIRING RENEWAL COVERAGE BEST'S RATING PREMIUM PREMIUM Commercial Package Preferred Governmental $ 586,787.76 $ 655,292.00 Insurance Trust (Not Rated by A.M. Best) Property Same as above $ 234,226.76 $ 288,870.00 Inland Marine Same as above $ 18,852.00 $ 18,908.00 Crime Coverage Same as above $ 1,531.00 $ 1,531.00 General Liability Same as above $ 30,837.00 $ 40,390.00 Public Officials Liability Same as above $ 50,000.00 $ 55,789.00 Employment Practices Liability Same as above $ 26,100.00 $ 23,880.00 Law Enforcement Liability Same as above $ 51,000.00 $ 51,000.00 Automobile Liability Same as above $ 158,733.00 $ 158,733.00 Automobile Physical Damage Same as above $ 15,508.00 $ 16,191.00 Workers' Compensation Preferred Governmental $ 304,171.00 $ 266,221.00 Insurance Trust (Not Rated by A.M. Best) TOTALS $ 890,958.76 $ 921,513.00 Coverage Differences in Renewal Quote: Property TIV increased from $19,160,000 to $26,410,000 (38% Increase) Work Comp Experience Mod decreased from .90 to .83 Total Payroll increased from $8,005,064 to $9,218,027 (15% Increase) 24 Brown & Brown of Florida, Inc. NOTICE & ACKNOWLEDGEMENT OF CARRIER FINANCIAL STATUS Brown & Brown, Inc. does not certify the financial stability of any insurance carrier. We were unable to obtain a quotation with a carrier with an "A-" or better rating. While Brown & Brown, Inc. cannot certify the financial stability of a company or otherwise predict whether the financial condition of a company might improve or deteriorate, we are hereby providing you with notice and disclosure of financial condition so that you can make an informed decision regarding the placement of coverage. Accordingly, you acknowledge the following: . Coverage is being placed with PREFERRED GOVERNMENTAL INSURANCE TRUST which is not rated by A.M. Best. . The financial condition of PREFERRED GOVERNMENTAL INSURANCE TRUST may change rapidly and that such changes are beyond the control of Brown & Brown, Inc. . You have reviewed the financial information from the State of Florida's Office of Insurance Regulation regarding the financial condition of PREFERRED GOVERNMENTAL INSURANCE TRUST and have access to the State's website at www.fldfs.com/companies/mc/is_mcjndex.htm . . You have had an opportunity to consider the information provided regarding your insurance quote and review it with your accountants, legal counsel and advisors. fully understand the risks associated with placing coverage wit release ro Inc., its agents, employee nes, successors, assignees and re a e s from any and all liability, claims, demands . , ecrees or orders in tne vent--f>f-ca.o:i?r ins , quidation or rehabilitation. l.vt~...crt~'tV Date * A.M. Best Rating Guide: Rating for Stability: A++ to C- = Highest to lowest rating Rating for Assetsl Surplus: 15 to 1 - Largest to smallest rating 25 Brown & Brown of Florida, Inc. IMPORTANT NOTICE We appreciate the opportunity to assist with your insurance needs. Information concerning additional compensation paid to other entities for this placement and related services appears below. Please do not hesitate to contact us if any additional information is required. Our office is owned by Brown & Brown, Inc. Brown & Brown entities operate independently and are not required to utilize other companies owned by Brown & Brown, Inc., but routinely do so. For the 2007-2008 policy year your insurance was placed with Preferred Governmental Insurance Trust (PGIT). PGIT is an insurance trust formed by Florida public entities through an Interlocal Agreement for the purpose of providing its members with an array of insurance coverages and services. PGIT has contracted with entities owned by Brown & Brown, Inc. to perform various services. As explained below, those Brown & Brown entities are compensated for their services. PGIT has contracted with Public Risk Underwriters (PRU), a company owned by Brown & Brown, Inc., to administer PGIT's operations. The administrative services pr<;lvided by PRU to PGIT include: . Underwriting . Coverage review . Marketing . Policy Review . Accounting . Issuance of PGIT Coverage Agreements . PGIT Member Liaison . Risk Assessment and Control Pursuant to its contract with PGIT, PRU receives an administration fee, based on the size and complexity of the account, of up to 12.5% of the premium you pay to PGIT. PRU may also receive commissions from insurance companies with whom it places your coverage, which commissions are derived from the premium you pay to PGIT. Multiple underwriters may be involved in the placement of your coverage. If so, they also may be compensated for their services from the premium you pay to PGIT. PGIT has also contracted with Preferred Governmental Claims Solutions (PGCS), a company owned by Brown & Brown, Inc., for purposes of administering the claims of PGIT members. The services provided by PGCS to PGIT may include: . Claims Liaison with Insurance Company . Claims Liaison with PGIT Members . Claims Adjustment 26 Brown & Brown of Florida, Inc. Pursuant to its contract with PGIT, PGCS receives a claims administration fee for those ,accounts which PGCS services of up to 5% of the non-property portion of the premiums you pay to PGIT. PGIT also utilizes wholesale insurance brokers, some of which (such as Peachtree Special Risk Brokers and MacDuff Underwriters) are owned by Brown & Brown, Inc., for the placement of PGIT's insurance policies, and for individual risk placements for some PGIT members (excess and surplus lines, professional liability coverage, etc.) The wholesale insurance broker may provide the following services: . Risk Placement . Coverage review . Claims Liaison with Insurance Company . Policy Review . Current Market Intelligence The wholesale insurance broker's compensation is derived from your premium, and is largely dictated by the insurance company. It typically ranges between 10% and 17% of the premiums you pay to PGIT for your coverage. Some wholesale brokers used by Brown to place your coverage may also act as Managing General Agents for various insurance companies, and may be compensated directly by those insurance companies for their services in placing and maintaining coverage with those particular companies. The wholesale insurance brokerage utilized in the placement of your property insurance was Peachtree Special Risk Brokers, which is a company owned by Brown & Brown, Inc. Furthermore, any professional liability coverage afforded by the package of insurance you purchased was acquired through Brown & Brown Public Entity Services (BBPES), which is also a company affiliated with Brown & Brown, Inc. 27 Brown & Brown of Florida, Inc. TO: FROM: DATE: RE: City of Sunny Isles Beach 18070 Collins Avenue Sunny Isles Beach, Florida 33160 (305) 947-0606 City Hall (305) 949-3 1 I 3 Fax (305) 947-2150 Building Department (305) 947-5107 Fax City Commission Norman S. Edelcup, Mayor Lewis J. Thaler, Vice Mayor Roslyn Brezin, Commissioner Gerry Goodman, Commissioner Danny Iglesias, Commissioner A. John Szerlag, City Manager Hans Ottinot, City Attorney Jane A. Hines, CMC, City Clerk MEMORANDUM .~. Tom Acquaro, Human Resources ~ Priscilla Walker, CMC, Deputy City ClerkW~ October 30, 2007 Approval of Renewal of Insurance At its regular meeting of October 18,2007, the City Commission adopted Resolution No. 2007- 1167, which approved the renewal of Property, Casualty, Auto, and Workers' Compensation insurances with Brown and Brown. Attached is a copy of the approving legislation to assist you in processing this item with the vendor. Further, it is noted that the proposal to be attached as Exhibit "A" has yet to be finalized. Please provide an original, executed proposal to the Office of the City Clerk for the record, upon finalization and execution by all parties. Thank you. /pw Attachments Insurance Renew (Prop, Casualty, Auto & Wkrs Comp) W-Brown & Brown Memo Page 1 of2 Thomas Acquaro _"""m_,~,,,_,,,_,,_,,,,_~,____,,._"_m~____~,,_~m,..'_',"--'-"-"~""_,__"_~,_____"_,.___",,,_,,_,,,,,,,____,____,,"_""_'__'"'',--",,,-,,,-,,,,._,,,,,--,,~,,,,,,,,,--,,,,-,,,,,,,,,,,-,_._,--,,,,,,-,,-,,-,,,,,,,,,,,,,,,,,""'''___'''''_'''''''''',,m,@'_ From: John Szerlag Sent: Thursday, October 25, 20074:22 PM To: Eddie Hernandez Cc: Thomas Acquaro; Robert Hollander; Hans OUinot; Douglas Haag; Fred Maas Subject: RE: Eddie: The changes below are in accordance with discussions involving Bob, and staff members copied on this communication, Please proceed with the below changes to our insurance coverage effective 10/01/07, John Szerlag City Manager _~_...,...".___,_~_~__~.___,______,___.,_,,,_,,,,,,_~____..............._.,,_____.._,,~_._"m.,m_~_""......._ From: Eddie Hernandez [mailto:ehernandez@bbmia.com] Sent: Thursday, October 25, 2007 2:30 PM To: John Szerlag Cc: Thomas Acquaro; Robert Hollander Subject: John: Pursuant to your conversation with Bob Hollander, we have requested the following changes to your insurance coverages to be effective 10/1/07: I. Reduce the General Liability limits from $10,000,000 to $5,000,000 - Annual Return Premium $8,357. 2. Reduce the Automobile Liability limits from $10,000,000 to $5,000,000 - Annual Return Premium $30,698, 3. Reduce Law Enforcement Liability limits from $10,000,000 to $5,000,000 - Annual Return Premium $11,591. 4. Reduce the Public Officials Liability limits from $5,000,000 to $3,000,000 & Increase Deductible from $5,000 to $10,000 - Annual Return Premium $18,262. 5. Reduce EPLllimits from $5,000,000 to $3,000,000 & Increase Deductible from $5,000 to $10,000 - Annual Return Premium $7,797, 6. Increase Employee Dishonesty Limit from $250,000 to $1,000,000 - Annual Additional Premium $354, Please confirm in writing that you wish to proceed with the above listed changes, Should you have any questions or require any additional information, please feel free to contact our office. Regards, Eddie Hernandez, AAI Commercial Lines Account Manager Brown & Brown of Florida, Inc. 8000 Governors Square Blvd, #400 10/25/2007