HomeMy WebLinkAboutFl. League of Cities, Inc.
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fax, 407-425-9378
www.flcities.comflnsuronce
August 18, 2011
RECE!VED
AUG 1 8 2011
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Ms. Jane A. Hines
City Clerk
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
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Re: City of Sunny Isles Beach RFP #11-08-01
Dear Ms. Hines:
We appreciate the opportunity to present you with our response to your request for proposals
for your Insurance Program. As always, we welcome the opportunity to meet with you at any
time to discuss this matter.
The Florida League of Cities Insurance Program was established in 1977 to provide an afford-
able insurance alternative for the governmental entities of Florida. Over the years the Florida
Municipal Insurance Trust has evolved into one of the largest public entities programs in the
United States and is recognized for its outstanding service and broad coverage forms.
The Trust, governed by a board of elected officials, is a non-assessable, non-profit, tax-
exempt risk sharing pool. It has superior financial strength presently highlighted by $417 mil-
lion in assets, $225 million in surplus and nearly 600 members. With over 100 insurance pro-
fessionals serving the FMIT, we have the resources and the product offering necessary to de-
sign a risk management solution to fit the unique coverage issues facing your City.
When examining other insurance markets, it will become obvious that our self-insured group
concept is a most attractive insurance alternative. To be certain, the FMIT is highly qualified
to meet all your risk management needs. Our expertise in the areas of public entity cover-
ages, coupled with our outstanding claims, loss control, and a nationally recognized fraud
(SIU) department translates to considerable service and savings.
Thank you for your time and consideration. We look forward to the chance to meet with you
sometime in the near future.
Sincerely,
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James McGinn, CPCU, RMPE
Florida League of Cities
South Florida Account Executive
954-610-5153
jmcginn@flcities.com
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main, 407-425-91 42 Toll Free: 1-800-445-6248 Fox: 407-425-9378
www.flcities.com/insuronce
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
TABLE OF CONTENTS
TAB
Company Information 1
Qualifications 2
Staffi ng 3
Approach/Methodology 4
Cost of Services 5
References 6
Online Account Management Demo 7
Contract Forms 8
10-
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FLORIDA MUNICIPAL INSURANCE TRUST
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AGREEMENT AND DECLARATION OF TRUST CREATING
FLORIDA MUNICIPAL INSURANCE TRUST
THIS INDENTURE, made and entered into this /111. day of th"t't...~f
, ,1992, by and between the City of Palatka, Florida, the-City
of st. Augustine Beach, Florida, the city of sunrise, Florida, and
the city of Treasure Island, Florida hereafter referred to as the
"initial parties to this Agreement", and any other party who may
hereafter become a member of the Florida Municipal Insurance Trust,
WITNESSETH:
WHEREAS, Art. VIII, Sec. 2, Fla. const., in part provides
municipalities shall have governmental, corporate and proprietary
powers to enable them to conduct municipal government, perform
municipal functions, and render municipal services, and may
exercise any power for municipal purposes except as otherwise
provided by law; and
WHEREAS, Sec. 166.021, Fla. Stat., in part provides
municipalities shall have governmental, corporate and proprietary
powers to enable them to conduct municipal government, perform
municipal functions, and render municipal services, and may
exercise any power for municipal purposes, except when expressly
prohibited by law, and further defines a municipal purpose to mean
any activity or power which may be exercised by the state or its
political sUbdivisions; and
WHEREAS, Sec. 125.01, Fla. stat., in part provides counties,
by and through their legislative and governing bodies, shall have
the power to carryon county government and may exercise all powers
and privileges not specifically prohibited by law; and
WHEREAS, Sec. 768.28, Fla. stat., in part provides the state
and its agencies and subdivisions are authorized to be self-insured
and to enter into risk management programs to provide protection
against certain casualty and property claims; and
WHEREAS, Sec. 111.072, Fla. Stat., authorizes the state, or
any county, municipality or political sUbdivision of the state, to
enter into risk management programs ,in anticipation of any
judgement or settlement resulting from a civil rights action
arising under federal law; and
WHEREAS, Sec. 163.01, Fla. Stat., authorizes the state, or any
county, municipality or political subdivision of the state, to
jointly exercise any power, privilege, or authority which such
governmental entities share in common and which each might exercise
separately, and further provides such authority is in addition to
and not in limitation of those granted by any other general, local,
or special law; and
WHEREAS, the Florida Municipal Liability Self-Insurers
Program, ,and the Florida Municipal Property self-Insurers Program,
hereinafter referred to as the "Programs", are independently
established pooled self-insurance programs, established under and
pursuant to the laws of Florida, to provide certain civil rights
liability, casualty, and property coverage to participating units
of local government; and
WHEREAS, by Resolutions dated the 7th day of May, 1992, and
the 15th day of May, 1992, said Programs consented to the creation
of a-E9oled multi-lines self-insurance program designed to combine
~- assets, management, and operations of said Programs and to
. collectively provide the various coverages historically provided
independently to participating units of local government by said
Programs; and C ":/dd c). (
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WHEREAS, said Resolutions found the creation of such a program
would result in cost savings to said Programs and to units of local
government participating in said Programs and would enhance the
competitiveness of said Programs and said Programs' abil i ty to
create and provide tailor-made coverages to units of local
government participating in said Programs; and
WHEREAS, it is the intent of the City of palatka, Florida, the
city of st. Augustine Beach, Florida, the city of Sunrise, Florida,
and the city of Treasure Island, Florida to create said program and
to hereby facilitate the Programs' request to combine the assets,
management, and operation of said Programs.
NOW, THEREFORE, FOR AND IN CONSIDERATION OF THE MUTUAL
COVENANTS, PROMISES AND OBLIGATIONS HEREIN CONTAINED, WHICH ARE
GIVEN TO AND ACCEPTED BY EACH MEMBER HEREOF AS TO THE OTHER, THE
PARTIES HERETO DO HEREBY COVENANT, STIPULATE AND AGREE AS FOLLOWS:
ARTICLE I - ESTABLISHMENT AND PURPOSE OF TRUST
section 1. Establishment of Trust
There is hereby established and created the Florida Municipal
Insurance Trust, hereinafter referred to as the "Fund", the
operation and administration of which shall be the joint
responsibility of a Board of,Trustees.
section 2. Purpose of Trust
The Fund shall be administered for the following uses and
purposes:
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a.
To payor provide for casualty coverage to participating
members;
b. To payor provide for property coverage to participating
members;
c. To pay for or provide to its participating members coverage in
anticipation of any judgement or settlement resulting from a
civil rights action arising under federal law;
d. To pay for or provide to participating members coverage in
anticipation of any claims bill passed by the Legislature;
e. To pay for or provide to participating members coverage for
any other risk authorized under Florida law to be self-
insured.
f. To pay for or provide to participating members all or a part
of such coverages.
ARTICLE II - TRUSTEES
Section 1. Qualifications of Trustees
The operation and administration of the Fund shall be the full
responsibility of a Board of Trustees consisting of a number of
Trustees selected from the ranks of elected officials of
municipalities participating in the Fund. To the extent service on
said Board of Trustees is subject to Art. II, Sec. 5, Fla. Const.,
said service shall be deemed "ex officio duties" to the duties
performed by said elected officials.
Section 2. Initial Board of Trustees
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The initial Board of Trustees shall consist of the combined
Boards of Trustees of the Florida Municipal Liability Self-Insurers
Program, and the Florida Municipal Property Self-Insurers Program.
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The initial Board of Trustees shall serve, subject to the
provisions herein relating to reelection, length of appointment,
qualifications and limitations on service, and removal of a
Trustee, until successor Trustees are selected.
Section 3. Number of Trustees
Except as otherwise provided herein, the Board of Trustees
shall be composed of seven (7) Trustees.
section 4. Appointment of Trustees
On or before January 1, 1994, and no less than annually
thereafter, the Board of Trustees shall solicit nominations from
municipalities that are members of the Fund and such nominees shall
constitute the basis for election to the Board of Trustees.
Following the solicitation of nominations, Trustee vacancies shall
be filled by the Board of Trustees, by majority vote, from the
nominees offered by such members. Trustees, including Trustees
sitting on the initial Board of Trustees, may be re-elected,
subject to the provisions herein relating to length of appointment,
qualifications and limitations on service, and removal of a
Trustee. Each Trustee and each successor Trustee shall acknowledge
and consent to his appointment as Trustee by giving written notice
of acceptance of such selection to the Chairman of the Board of
Trustees of the Fund.
Section 5. Length of Appointment, Limitations on Service,
and Removal 'of a Trustee
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Trustees shall serve three-year terms. Subject to re-election
as provided herein, each Trustee, unless Que to the resignation,
death" incapacity, or refusal to act, shall serve and shall
continue to serve on the Board of Trustees; however, in no event
shall a Trustee serve more than two (2) full consecutive three-year
terms. with respect to the members of the initial Board of
Trustees, to the extent time served on the Boards of Trustees of
the Programs was subject to the two (2) full consecutive three-year
term limitations provided in the Programs' enabling documents, such
time served on said Boards of Trustees shall be included and
otherwise used to compute the two (2) full consecutive three-year
term limitation provided herein.
No Trustee may be selected or continue to serve as a Trustee
after becoming an owner, officer, employee or agent of a business
entity having a contractual relationship or otherwise doing
business with the Fund. This paragraph shall not be construed to
prohibit an officer or a member of the Board of Directors of the
Florida League of Cities, Inc., from serving on the Board of
Trustees of the Fund.
A Trustee shall relinquish his office or may be removed by a
majority vote of the Board of Trustees ipso facto when he no longer
serves as an elected official of the member from which he was
selected, or when the member ceases to participate in the Fund.
Notice of removal of a Trustee shall be furnished to a Trustee by
the Chairman of the Board of Trustees in writing and shall provide
for the effective date of such removal.
Section 6. Resignation of a Trustee
A Trustee may resign from all duties or responsibilities
hereunder by giving not less than sixty (60) days prior notice in
writing to the Chairman of the Board of Trustees. Such notice
shall state the date said resignation shall take effect and such
resignation shall take effect on such day unless a successor
Trustee shall have been selected at an earlier date by the Board of
Trustees in which event such ~esignation shall take effect
immediately upon the appointment of the successor Trustee.
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Any Trustee, upon leaving office, shall forthwith turn over
and deliver to the Chairman of the Board of Trustees at the
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principal office or offices of the Fund, any and all records,
books, documents or other property in his possession or under his
control which belongs to the Fund.
section 7. Appointment of Successor Trustee
In the event any Trustee duly appointed to serve on the Board
of Trustees shall die, resign, become incapacitated, or refuse to
act, a successor Trustee shall be selected forthwith by the Board.
The notice of appointment of a successor Trustee shall be provided
in writing by the Chairman of the Board of Trustees or the
Administrator, and such successor Trustee's notice of acceptance of
such appointment shall be provided in writing to the Chairman of
the Board addressed to the office or offices of the Fund. A
successor Trustee selected pursuant to this paragraph shall fulfill
the unexpired term of the Trustee replaced and, subject to re-
election, qualifications and limitations on service, and removal of
a Trustee as provided herein, shall be entitled to serve two (2)
full consecutive three-year terms following the expiration of the
unexpired term filled by the successor Trustee.
Section 8. Trustees' Rights
In case of death, resignation, incapacity, or refusal to act
on the part of one or more of the Trustees, the remaining Trustees
shall have all the powers, rights, estates, and interest provided
in this Agreement as Trustees and shall be charged with the duties
provided in this Agreement, provided in such cases, no action may
be taken unless it is concurred in by a majority of the remaining
Trustees.
Section 9. Trustee Officers
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The initial Board of Trustees shall meet as promptly as
possible after the execution of this Agreement and elect from among
the members of the Board a Chairman and Vice-Chairman. The term of
these officers shall commence on the date of their election and
shall continue to the end of the fiscal year. Thereafter, such
officers shall be elected annually. The Vice-Chairman of the Board
of Trustees shall exercise the powers, duties and responsibilities
of the Chairman in the Chairman'S absence.
ARTICLE III - ADMINISTRATION OF FUND
Section 1. Meetings
The Board of Trustees shall meet at such time and in such
location as may be acceptable to a majority of the Board of
Trustees. The Chairman of the Board of Trustees or his designee
shall set the date, time and location of each meeting, and notice
thereof shall be furnished to each Trustee by the Chairman or his
designee not less than ten (10) days prior to the date of such
meeting. Such notice shall specify. the date, time and location of
such meeting and may specify the purpose thereof, and any action
proposed to be taken thereat. Such notice shall be directed to
each Trustee by mail to the address of such Trustee as is recorded
in the office or offices of the Fund. In no event shall the Board
of Trustees' meet less than semi-annually.
The Chairman of the Board or any three (3) other Trustees may
call a special meeting and direct the Administrator to send the
prerequisite notice for any special meeting of the Board of
Trustees. Special meetings of the Board of Trustees may be held at
any time and place without notice, or with less than the
prerequisite notice, provided all Trustees execute a waiver of
notice and consent to said meeting.
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For purposes of a duly called meeting of the Board of
Trustees, a quorum shall, exist if a majority of the members of the
Board of Trustees are present.
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The Administrator shall keep minutes of all meetings,
proceedings and acts of the Board of Trustees, but such minutes
need not be verbatim. Copies of all minutes of the Board of
Trustees shall be sent by the Administrator to all Trustees.
section 2. voting
All actions by, and decisions of, the Board of Trustees shall
be by vote of a majority of the Trustees attending a duly called
meeting of the Board of Trustees. at which a quorum is present;
however, in the event of a duly called special meeting, all actions
by, and decisions of, the Board of Trustees may be by vote of a
majority of the Trustees present and attending such special meeting
if a proper waiver of notice and consent was obtainea as provided
herein.
section 3. Office of the Fund
The Board of Trustees shall establish, maintain and provide
adequate funding for an office or offices for the administration of
the Fund. The address of such office or offices shall be made
known to the units of local government eligible to participate in
or participating in the Fund. The books and records pertaining to
the Fund and its administration shall be kept and maintained at the
office or offices of the Fund.
section 4. Execution of Documents
A certificate, document; or other instrument signed by the
Chairman or the Administrator of the Fund shall be evidence of the
action of the Board of Trustees and any such certificate, document,
or other instrument so signed shall conclusively be presumed to be
authentic. Likewise, all acts and matters stated therein shall
conclusively be presumed to be true.
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section 5. Appointment of Administrator
The Trustees shall designate and provide compensation for an
Administrator to administer the affairs of the Fund. Any
Administrator so designated shall furnish the Board of Trustees
with a fidelity bond with the Trustees as named obligee. The
amount of such bond shall be determined by the Trustees and the
evidence thereof shall be available to all units of government
eligible to participate in or participating in the Fund.
Section 6. Compensation and Reimbursement of Trustees
The Board of Trustees may from time to time establish a
reasonable amount of compensation to cover attendance at a duly
called meeting by the Board of Trustees and the Administrator, or
to cover the performance of the normal duties of a Trustee or
Administrator. Such compensation shall include reimbursement for
reasonable and necessary expenses incurred therewith.
ARTICLE IV - POWERS AND DUTIES OF THE BOARD OF TRUSTEES
Section 1. Authority of the Board of Trustees
The Board of Trustees shall be charged with the duty of the
general supervision and operation of the Fund, and shall conduct
the business and activities of the Fund in accordance with this
Agreement, its by-laws, rules and regulations and applicable
federal and state statutes and rules and regulations. In
connection therewith, the Board of Trustees may exercise the
fOllowing authority and powers:
a.
To collect monies from participating members in an amount
individually agreed to by the Fund and said members for the
purpose of paying for or providing the coverages provided in
this Agreement to participating members.
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b.
To pay for or provide such excess insurance or reinsurance
coverage as is necessary to accomplish the purpose of the
Fund.
c. To borrow funds, issue bonds and other certificates of
indebtedness, and arrange for lines or letters of credit to
assist in providing the coverages provided in this Agreement
to participating members.
d. To pay for or provide appropriate liability and other types of
insurance to cover the acts of the Board of Trustees of the
Fund.
e. To contract with appropriate professional service providers to
meet the purposes of the Fund, and to expend funds for the
reasonable operating and administrative expenses of the Fund,
including but not limited to, all reasonable and necessary
expenses which may be incurred in connection with the
establishment of the Fund, in connection with the employment
of such administrative, legal, accounting, and other expert or
clerical assistance to the Fund, and in connection with the
leasing and purchase of such premises, material, supplies and
equipment as the Board, in its discretion, may deem necessary
for or appropriate to the performance of its duties, or the
duties of the Administrator or the other agents or employees
of the Fund.
f. To pay claims the Fund becomes legally obliged to pay pursuant
to the coverage agreements entered into by and between the
Fund and participating members.
g. To establ ish and accumulate as part of the Fund adequate
reserves to carry out the purposes of the Fund.
To pay premiums on, and to otherwise secure or provide,
insurance products that are ancillary to the coverages
authorized by this Agreement.
To invest and reinvest funds that may come into the possession
of the Fund.
To assume the assets and liabilities of the Programs.
To take such actions and expend such funds as are reasonably
necessary to facilitate the cessation of the business of the
Programs.
To exercise such powers as .are authorized to be exercised by
trustees under and pursuant to the laws of Florida.
To take such other actions and expend such funds as are
reasonably necessary to accomplish the purposes of the Fund.
Section 2. Approval of Members
The Board of Trustees, after the inception of the Fund, shall
receive applications for membership from prospective new
participants in the Fund and shall approve applications for
membership in accordance with the terms of this Agreement, any
participation Agreement, applicable federal and state statutes and
rules and regulations, and the rules and regUlations established by
the Board of Trustees for the admission of new members into the
Fund; provided, however, no prospective member may participate in
the Fund unless such perspective member is an agency or political
SUbdivision in or of the state. As used herein, the phrase "agency
or political subdivision in or of the state" includes, but is not
limited to, the state, its agencies, counties, municipalities,
special districts, school districts, and other governmental
entities; the. independent establishments and constitutional
officers of the state, counties, municipalities, school districts,
special districts, and other governmental entities; and
corporations primarily acting as instrumentalities or agencies of
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the state, counties, municipal i ties, school districts, special
districts Dr other governmental entities. The Board of Trustees
shall be the sole judge of whether or not an applicant for
membership shall be eligible to participate in the Fund.
Section 3. Reporting
The Board of Trustees shall be responsible for and shall cause
to be prepared and filed such annual or other periodic aU'di ts,
reports and disclosures as may be required from time to time
pursuant to applicable federal and state statutes and rules and
regulations, including, but not limited to, periodic payroll
audits', periodic summary loss reports, periodic statements of
financial condition, certified audits, appropriate' applications
filed by prospective new members, reports as to financial
standings, payroll records, reports relating to coverage,
experience, loss and comp~nsation payments, summary loss data
statements, periodic status reports, and any other such reports as
may be required from time to time to accomplish the purpose of the
Fund or to satisfy the requirements of appropriate governmental
agencies. .
section 4. Trustees' Liabilities
The Trustees and their agents and employees shall not be
liable for any act of omission or commission taken pursuant to this
Agreement unless such act constitutes a willful breach of fiduciary
duties nor shall any Trustee be liable for any act of omission or
commission by any other Trustee or by any employee or agent of the
Fund. The Fund hereby agrees to save, hold harmless and indemnify
the Trustees and their agents and employees for any loss, damage or
expense incurred by said persons or entities while acting in their
official capacity unless such action constitutes a willful breach
of fiduciary duties.
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Section 5. Reliance on Counsel's opinion
The Board of Trustees may employ and consult with legal
counsel concerning any questions which may arise with reference -to
the duties and powers of the Board of Trustees or with reference to
any other matter pertaining to this Agreement or the Trust created
thereby; and the opinion of such counsel shall be full and complete
authorization and protection from liability arising out of or in
respect to any action taken or suffered by the Board of Trustees or
an individual Trustee acting hereunder in good faith and in
accordance with the opinion of such counsel.
Section 6. By-laws, Rules and Regulations
The Board of Trustees may adopt and enforce such by-laws,
rules and regulations as between the members of the Fund and the
Fund governing the operation of the Fund as are consistent with the
terms of this Agreement and as are reasonably necessary to
accomplish the purposes of the Fund.
ARTICLE V - POWERS AND DUTIES OF THE ADMINISTRATOR
Section 1. Responsibilities
The Administrator shall serve as Secretary-Treasurer of the
Fund and shall have the power and authority to, implement the
directives of the Board of Trustees and the policy matters set
forth by the Board of Trustees as they relate to the on-going
operation and supervision of the Fund, the by-laws, rules and
regulations established by the Board of Trustees, the provisions of
this Agreement, and applicable federal and state statutes and rules
and regulations.
Section 2. Contributions
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The Administrator shall deposit to the account or accounts
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designated by the Board of Trustees, at the financial institution
or institutions designated by the Board of Trustees, all
contributions as and when collected from the members and said
monies shall be disbursed only in the manner provided by this
Agreement, the rules, regulations and by-laws of the Board of
Trustees, and the Agreement entered into by and between the Board
of Trustees and the Administrator.
ARTICLE VI - FUND MEMBERSHIP
section 1. Membership Cancellation, Suspension or Expulsion
The Trustees shall be the sole judge of whether membership in
the Fund may be canceled, or whether a member may be suspended or
expelled from the Fund. Written notice of any such cancellation,
suspension or expulsion shall be provided by the Fund to the member
no less than forty-five (45) days prior to the effective date of
such cancellation, suspension or expulsion, and no liability under
this Agreement or any other agreement, certificate, document, or
other instrument executed by the Fund and the member pursuant to
this Agreement, shall accrue to the Fund following the effective
date of such cancellation, suspension or expulsion. The minimal
notice provisions of this paragraph shall not apply in the event a
member fails to make the requisite contributions for coverages
under this Agreement when such contributions are due.
Section 2. Responsibilities of Member
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Each member of the Fund agrees to abide by the following rules
and regulations:
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a. 'rile member agrees to maintain a reasonable loss
prevention program in order to provide the maximum in safety and
lawful practices as such may relate to the potential liability
assumed by the Fund under this Agreement or any other agreement,
certificate, document, or other instrument executed by the Fund and
the member pursuant to this Agreement;
b. In the event of an incident likely to give to rise to a
claim within the scope of this Agreement, or any other agreement,
certificate, document, or other instrument executed by the Fund and
the member pursuant to this Agreement, the member agrees to provide
immediate notification of such incident to the Fund;
c. The member agrees to promptly make all contributions for
coverages arising under this Agreement, or any other agreement,
certificate, document, or other instrument executed by the Fund and
the member pursuant to this Agreement at the time and in the manner
directed by the Board of Trustees. Said contributions may be
reduced by any discount, participation credit, or other
contribution reduction program established by the Board of
Trustees;
d. The member agrees in the event of the payment of any loss
by the Fund on behalf of the member, the Fund shall be subrogated
to the extent of such payment to all the rights of the member
against any party or other entity legally responsible for damages
resulting from said loss, and in such event, the member hereby
agrees, on behalf of itself, its officers, employees, and agents to
execute and deliver such instruments and papers as is required, and
do whatever else is reasonably necessary, to secure such right to
the Fund, and to cooperate with and otherwise assist the Fund as
may be necessary to effect any recovery sought by the Fund pursuant
to such subrogated rights;
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e. The member agrees the Board of Trustees, its
Administrator, and any of their other agents, servants, employees
or attorneys, shall be permitted at all reasonable times and upon
reasonable notice to inspect the property, work places, plants,
works, machinery and appliances covered pursuant to this Agreement
or any other agreement, certificate, document, or other instrument
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executed by the member and the Fund pursuant to this Agreement, and
shall be permitted at all reasonable times while the member
participates in the Fund, and up to and including two (2) years
following the termination of its membership in the Fund, to examine
the members' books, vouchers, contracts, documents and records of
any and every kind which show or tend to show or verify any loss
that may be paid or may have been paid by the Fund on behalf of the
member pursuant to this Agreement, or any other agreement,
certificate, document, or other instrument executed by the member
and the Fund pursuant to this Agreement, or which show or verify
the accuracy of any contribution which is paid or payable by the
member pursuant to the terms of this Agreement, or any other
agreement, certification, document or any other instrument executed
by the Program and the member pursuant to this Agreement;
f. The member and the Fund agrees the Fund is to defend in
the name of and on behalf of the member any claims, suits or other
legal proceedings which may at any time be instituted against the
member on account of bodily injury liability, property damage,
property damage liability, errors and omissions liability, civil
rights liability, personal injury liability or any other such
liability, monetary or otherwise, to the extent such defense and
liability has been assumed by the Fund pursuant to this Agreement
or any other agreement, certificate, document, or other instrument
executed by the Fund and the member pursuant to this Agreement,
subject to any and all of the definitions, terms, conditions and
exclusions contained in said agreements, certificates, documents or
other instruments, although such claims, suits, allegations or
demands are wholly groundles~, false, fraudulent, and to pay all
costs taxed against the member in any such legal proceedings
defended by the Fund or the members, all interest, if any, legally
accruing before and after entry of judgement in such proceedings,
and all expenses incurred in the investigation, negotiation or
defense of such claims, suits, allegations or demands. Such
defense shall be subj ect to the control of the Fund and its
Administrator, which may make such investigation and settlement of
any such claim, suit, or other legal proceeding, monetary or
otherwise, as they deem expedient;
g. The member agrees the liability of the Fund is
specifically limited to the discharge of the liability of its
members assumed pursuant to this Agreement or any other agreement,
certificate, document, or any other instrument executed by the
member and the Fund pursuant to this Agreement;
h. The member agrees the coverage of the Fund does not apply
to punitive or exemplary damages;
i. Unless the Fund and the member otherwise expressly agree
in writing, the member agrees coverage by the Fund for a member
under the terms of this Agreement or any other agreement,
certificate, document, or other instrument executed by the member
and the Fund pursuant to this Agreement, shall expire automatically
at midnight on the last day of September of each calendar year, and
no liability under this Agreement, of any other agreement,
document, or instrument executed between the Fund and a member
pursuant to this Agreement, shall accrue to the Fund beyond such
expiration date unless such member renews its coverage.
j. Except as otherwise provided herein, the member and the
Fund agree such member's coverage may be canceled by the Fund or
the member at any time upon no less than,forty-five (45) days prior
written notice by the Board of Trustees or the Administrator to the
member, or by the member to the Fund, stating the date such
cancellation shall be effective;
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k. The member agrees excess monies remaining after the
payment of claims and claim expenses, and after provision has been
made for the payment of open claims and outstanding reserves, may
be distributed by the Board of Trustees to the members
participating in the Fund in such manner as the Trustees shall deem
to be equitable.
[[]
OR I q 2 q PG I 0 q 8
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I. The member agrees there will be no disbursements out of
the reserve fund established by the Fund by way of dividends or
distributions of accumulated reserves to members until after
provision has been made for all obligations against the Fund and
except at the discretion of the Board of Trustees;
m. The member agrees to permit qualified service providers,
including attorneys selected by the Fund, to defend, investigate,
settle, and otherwise process and dispose of all claims, suits,
allegations or demands that may result in liability assumed by the
Fund on behalf of the member pursuant to this Agreement, or any
other agreement, certificate, document, or other instrument
executed by the Fund or the member pursuant to this Agreement;
n. The member agrees to make prompt payment of all
contributions and penalties as required by the Board of Trustees,
said contributions or penalties to be determined by the Board of
Trustees. Any disputes concerning contributions or penal ties shall
be resolved after the payment of said contributions or penalties;
o. The member, through the Board of Trustees, does hereby
appoint the Administrator of the Fund as its agent and attorney-in-
fact, to act in its behalf and to execute all necessary contracts,
reports, waivers, agreements, excess insurance contracts, service
contracts, and other documents reasonably necessary to accomplish
the purposes and to fulfill the responsibilities of the Fund; to
make or arrange for the payment of claims, claims expenses, and all
other matters required or necessary insofar as they affect the
member's liability under federal or Florida law and insofar as such
matters are covered pursuant to the terms of this Agreement, any
other agreement, certificate, document, or other instrument
executed by the member and the Fund pursuant to this Agreement, and
the rules and regulations now or hereafter promulgated by the Board
of Trustees;
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p. The member agrees to pay reasonable penalties as
determined by the Board of Trustees for late payment of
contributions required under this Agreement, or any other
agreement, certificate, document, or other instrument executed by
the member and the Fund pursuant to this Agreement; and
q. The member agrees coverage by the Fund under the terms of
this Agreement, or any other agreement, certificate, document, or
other instrument executed by the member and the Fund pursuant to
this Agreement, shall expire and be canceled, upon no less than ten
(10) days prior written notice from the" Fund to the member, for
nonpayment of contributions.
r. The member agrees to abide by all the terms and
conditions of this Agreement, the Participation Agreement, the
Fund I s By-Laws, the rules and regulations, the terms of any
coverage document issued by the Fund to the member, and any other
agreement, certificate, document, or other instrument executed by
the Fund and the member pursuant to the Agreement.
ARTICLE VII - MISCELLANEOUS
Section~. Amendments
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Except as otherwise provided herein, this Agreement may be
amended in writing at any duly called meeting by the concurrence of
a majority of the Board of Trustees. However, this Agreement may
not be amended so as to change its purpose as set forth in this
Agreement, to permit the diversion or application of any of the
funds of the Fund for any purpose other than those specified
herein, or to alter the nature and extent of liability assumed by
the initial parties to this Agreement in executing this Agreement.
In addition, the provisions herein relating to merger or
consolidation, reelection, length of appointment, qualifications
and limitations on service, and removal-of Trustees may not be
amended without the prior approval of the Board of Directors of the
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OR I q 2 q PG I 0 q q
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Florida League of cities, Inc. The Board of Trustees, upon
adoption of an amendment to this Agreement, shall send a copy of
any such amendment to the members participating in the Fund.
Section 2. Termination of Agreement
This Agreement shall continue in full force and effect and may
be amended and supplemented from time to time subject to the
restrictions provided herein. This Agreement may be terminat~d at
any time by the concurrence of a majority of the Board of Trustees.
In addition, the assets, management and operations of this Fund may
be merged or consolidated with the assets, management and
operations of any other authorized self-insurer or insurer by the
concurrence of a majority of the Board of Trustees ,if'. the Board of
. Trustees finds such consolidation or merger is in the best
interests of the Fund and its participating members, the Board of
Trustees finds such self-insurer or insurer has demonstrated a
financial capability to assume, and will in fact assume, any and
all liabilities incurred by the Fund prior to the date of any such
consolid~tion or merger, and the Board of Trustees has secured the
prior approval of such consolidation or merger from the Board of
Directors of the Florida League of cities, Inc.
In the event of termination, except with respect to a
termination effected through a merger or consolidation, the
remaining assets and funds of the Fund, after all liabilities and
claims have been satisfied, shall be distributed, in an equitable
manner to be determined by the Board of Trustees, to members then
participating in the Fund.
Section 3. Situs of Trust
('
W
The situs of this
questions pertaining
administration shall be
the State of Florida.
Agreement is the State of Florida. All
to its validity, construction, and
determined in accordance with the laws of
Secti'on 4. Construction
Whenever any words are used in this Agreement in the masculine
gender, they shall be construed as though they were also used in
the feminine or neuter gender in all situations where they would so
apply, and whenever any words are used in this Agreement in the
singular form, they shall be construed as though they were also
used in the plural form in all situations where they would so
apply, and whenever any words are used in this Agreement in the
plural form, they shall be construed as though they were used in
the singular form in all situations where they would so apply.
Section 5. Fiscal Year
The Fund shall operate on a fiscal year from 12: 01 a. m. ,
October first to midnight of the last day in September of the
succeeding year. Application for membership, when approved in
writing by the Board of Trustees or its designee, shall constitute
a continuing contract for each succeeding fiscal year unless
canceled by the Board of Trustees or the participating member in
the manner herein provided.
Section 6. Agreement of Counterparts
Any prospective member who formally applies for membership in
the Fund by executing a Participation Agreement and which is
accepted by the Board of Trustees shall thereupon become a party to
this Agreement and shall be bound by all of the terms and
conditions hereof, and said Participation Agreement shall
constitute a counterpart of this Agreement.
Section 7. Liability of Parties
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The initial parties to this Agreement, and any party who may
now or hereafter become a member of the Fund, agree that this
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Agreement is a mutual covenant of assumption and not a partnership
and that the initial parties to this Agreement, individually or
collectively, by executing this Agreement, have not and do not
assume any liabilities arising out of the operations of the
Programs or the cessation of their business, that the initial
parties to this Agreement, individually or collectively, by
executing this Agreement, have not and do not assume any
liabilities arising out of the creation or operation of the Fund,
and that the initial parties to this Agreement, individually or
collectively, shall only be liable for the obligations of the
Programs or the Fund to the extent they specifically covenant to do
so'by separate agreement. The Fund hereby agrees to save, hold
harmless and indemnify the initial parties to this Agreement, and
their officers, employees, and agents, of and from any 'loss, damage
or expense incurred by said parties as a result of the said
parties I execution of this Agreement. This hold harmless and
indemnify provision shall not apply to any liability for the
obligations of the Fund assumed by the initial parties to this
Agreement pursuant to any separately executed agreement.
IN WITNESS WHEREOF, the initial parties to this Agreement have
caused these presents to be signed and attested by their duly
authorized representatives.
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City of Palatka, Florida
by: Tim smith, Mayor
Date:
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ATTEST,:..'.. "::'. C'~"":,
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AllenR. Bush
city Manager
Date: . '611~\q~
city of st Beach,
Florida
by: Larry Nicholson, Mayor
Date:
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,N&"-X,. Royle
.'9ity. M~riager
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Attest:
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TIlis instrument prepared by:
Harry Morrison, Jr,
Florida League of Cities, Ine,
Post Office Box 1757
Tallahassee, Florida 32302
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city of sunrise, Florida
by: Dan Pearl, Mayor
Date: C:2.<.c:~=r-<::~ r'F'F~
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IATTACHMENT B I
A~@ CERTIFICATE OF LIABILITY INSURANCE I ;;~~~M~D;~YY'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s),
PRODUCER
Demont Insurance Agency & Financial Services
2400 Mahan Drive
CONT~CT Kristina O'Donnell
-r2.g:~~~~:;;;.:I~~::o.--i.-9.4~2..~j_~~~~,-~,~.-~__:~~:~:~~-:]J~~,-~~;;.(~~~;~--4.2~!.ii~.. . .:.~-.:....- -
~D~~~SS: todonnell@demontinsurance. com,___,
_.~]g~g~~~I~.~p~~Xo~L:_:.~~~~::==:=-~~_=~.::-=-:=::~:-,..~=.::~_:-.:-_--.:.:..:_::':.. _ _"..
H_._ __H_____ _ ..H__H___tf.'!J;y.~I:~JSL~"E.~R~I~ cO~B..~~,L_...__H____...__. .",., __!'l.I\~C:..~ _H___
J!i~URER A_~~~_!_~!l~!E~__.~~~~~~.;. re__.,__.._____,__ :g?I~,N____
~suj{E~..!!.Ea tJ.o~~i d~__~~~_~).__;J:E.!:!:!:l.F_a_1}9_~______,_ ?.;UJ!l1.'L___. .
.J~~!!B!'R C :Landmark ~~.J._9il_I!_ Inl!_1;!.;:?~c:::~.._.______ ____..........,_..
).!!~.!lB..~R.!>-'-_,.__._,..,'_........_.__...______.___.____.___.,...________.__.__.___._ ________...,
_t.ClJl~!!~.~_!!. e e ______H___'. _ ..,...E~_.},~~_Qj!.________________
INSURED
Florida League of Cities, Inc
301 S Bronough Street
Tallahassee
COVERAGES
J!:!.~_!l.!lgf!..!;:.l..____._______.___._______.,,_._,__._._______._.,_.___._____.~__ _...__.__,._,_,.
INSURER F :
FL
32301
CERTIFICATE NUMBER'CL1l21000921
REVISION NUMBER'
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iiisR -------..---------- Alibi SmrR~~--------.-------- -POiTcVEFf- --pom:y Exfi- .---.-,..-..----.-------.--.- ......~..-..-._._._..._.. .......-. ......
L TR TYPE OF INSURANCE INS'; ~;;';D POLICY NUMBER IIMMIDDIYYVY' I IMMlDDlYYvYl LIMITS
GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
--- -15AMAGr't6"fU:Nl~ti--.-'-.. ,._...._...___..___.___.._..'..A_.....,..~_
X COMMERCIAL GENERAL LIABILITY _.eR~J~L~J;.~jr;~.'!?~y'[!!'Q.~I_. ,.L___.,___~_~~!.-~.~2
.--- ~:] CLAIMS.MADE [iJ OCCUR
A 7PR467721-3004 , 1/27/2011 1/27/2012 _~~i:J..~,?'f.'.<,,~lL~.~.~_P""~s_~_..... ~...._--- .", ?~,2.,O..Q
"__n__ ~".~-~--'.'.~~~_..__._----- -- PER:>..~t:I!,-_L,~ f'!),\I_I,~_~l!~~Y___ $
__~""",n~..____.._ ._--'. . '--".
!---, ~...A___.__._...__.._._._.._._._._.____.._._____.~_m__.. GENERAL AGGREGATE S 2,000,000
~-'---'''-'~-_..__.__.-._.._..- -..--------.--.-...-...---.--..-....
-'if AGG~r~~r LIMIT ArE~!lS PER: ..E..R9J~Y.0_~_:~.9J~~!.QP...~~Q_ _L____ ._..-..~_._.._---_._.
X POLICY lJr& lOC S
AUTOMOelLE LIABILITY COMBINED SINGLE LIMIT $ 500,000
--I (Ea accident)
.__ ANY AUTO _.~---_._._.--...-.... . .~."'_._..._--- -.-.- --_......~.. ,... ._.____.____n_...__.._
BODILY INJURY (par pen;on) S
B ALL OWNED AUTOS 7BA467721-3003 ! /27/2011 1/27/2012 -.--..-.,---,---.-..---..--- -'....,j-..---.----'--'--...."--.. ..-..-.
I.~ SCHEDUl.EOAUTOS BODILY INJURY (Po, .celdonl)' $
j ;;ROPERTY.DAMAG-li"- ..'--I.~"" .... ...-......
i
I.~,. HIRED AUTOS ! (por aCCident) 1
...-.-....-.".-.---...-.. . ........ .--- ..-- ._h_'_,._.. ..__~ " ._ ._.. _...._ "'P'
X NON.OWNED AUTOS PIP-BaSIC S 10,000
-.-- ._-_...__._-....--..~.......- .m..._ ...-.-... n'_ - ......_,.._._...~....._......_....
Medical payments S 3,000
X UMBRELLA L1AB .J--J OCCUR .E':.~!~.,~~~~I3~_<;~.___._,..___ L.____?L~,2.~!..~!?~
EXCESS LIAB CLAIMS-MADE AGGREGATE ..~,_._,2!~_~_~~.~,2,~
_,_..____..~....___m......_. __ ______ -----.......- .......--.-....-------
--- DEDUCTIBLE ----.-."-...----..--------.----- J__________..__.
B RETENTION S 77CU467721-3002 /27/2011 /27/2012 S
WORKERS COMPENSATION J WC STATUsL_l~TH-
AND EMPLOYERS' LIABILITY YIN __ _lORUIMIIS jiB:: ..--.-------..---,-"
ANY PROPRIETORIPARTNER/EXECUTIVE 0 -.5.:!:c EAC!i_~<:'CIDE NI..___.__ ,L__
OFFICERlMEMBER EXCLUDED? N/A '__"...n.
(Mandatory In NH) E.L. DISEA~!...:_~~.f.~!J..9y.~ .J_._.___._._______._..__
~~~~~P'fr~ CWt;PEIlATlONS below E.L. DISEASE - POLICY LIMIT S
C Professional Liability HR728277 11/29/2010 11/29/2011 Each Claim 5,000,000
Aggregate Limit 5,000,000
DESCRIPTION OF OPERA TIDNS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Romarks Schedule, if "lOfQ space Is roquirod)
CERTIFICA TE HOLDER
CANCELLA nON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRA nON DATE THEREOF, NOTICE Will BE DELIVERED IN
For Insurance Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS.
_"_"'__H' -
AUTHORIZED REPRESENTATIVE
M Demont, CIC/KRISTI .. - ~:.;.>~~~.t:...c.~ ..;..';'~ .tc':':.~..ii:.:.....~_.....",......-.~-- --.
ACORD 25 (2009/09)
INS025 (200909)
@1988-2009ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main: 407-425-91 42 Toll Free, 1-800-445-6248 Fax, 407-425-9378
www.ffcities.com/i nsura nee
HISTORY & STRENGTH OF THE
FLORIDA MUNICIPAL INSURANCE TRUST
The Florida League of Cities* (FLC), headquartered in Tallahassee, is the administrator of The
Florida Municipal Insurance Trust (FMIT) and is the state association for cities, towns and villages
of Florida and was created to meet and serve the needs of municipal governments.
The League's purpose is to focus on those legislative issues most likely to affect daily municipal
governance and local decision making. The Municipal Home Rule Powers Act and the Florida Con-
stitution provide that cities in Florida have the authority to govern themselves locally, independent
of state control.
Preserving Home Rule, educating citizens on this valuable right, and maintaining a focus on those
issues that directly affect self-governance, service delivery and the quality of life of each municipal-
ity are essential goals of the Florida League of Cities.
The League established its first insurance program in 1977 to provide Workers' Compensation cov-
erage and services to governmental entities. Early success of the Workers' Compensation program
soon led to the establishment of trusts for the Liability, Property and Health lines of coverage. This
firmly established the League as the recognized leader of such services in the state of Florida.
In 1987, the FLC opened its Public Risk Services office to administer the programs in-house. Subse-
quently, the insurance programs were consolidated under the name the Florida Municipal Insur-
ance Trust (FMIT).
The FMIT, governed by elected officials, is a non-assessable, non-profit, tax-exempt risk sharing
pool. The Trust currently provides insurance services for nearly 600 public entities in Florida, of
which 250+ are municipalities. The Trust maintains superior financial stability, presently high-
lighted by $417 million in assets and $225 million in surplus. We currently insure over $7.5 billion
in total insured values. The League administers every facet of the FMIT's operations from claims
handling to rate development; and as such, has produced unparalleled claims paying ability and
equity returns for its membership.
2
~
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fox, 407-425-9378
www.f1cities.comJlnsuronce
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
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Advantages Offered by the FMIT Insurance Program
The insurance program offered through the Florida League of Cities and the Florida
Municipal Insurance Trust offers several significant advantages in both coverage and
services from your present insurance program.
Advantages include:
· The Named Storm deductible applies to each scheduled item, rather than the
total values at each location (address). This represents a significant reduction
in financial exposure to the City after a named storm (See pages 5-8 for an ex-
ample).
· The FMIT offers a level of financial security that exceeds a 1 in 250 year
storm event, a level recommended by Standard & Poors. The Trust currently
has total assets in excess of $440 million and Surplus of $225 million, offering
an unmatched level of financial security by other municipal pools.
· Return of Premium - FMIT for the past 4 years has issued return of premium
checks to our property insurance customers in the aggregate amount of
$36,000,000. The current year's return of premium represents 23% of the
initial property premium.
· The FMIT program offers property coverage for Terrorism in the amount of
$5,000,000 - your present program excludes this valuable coverage entirely.
· The Liability and Automobile coverages with FMIT DO NOT place an Aggre-
gate limitation of coverage on the City. Other programs limit their maximum
exposure by placing a limit on your amount of coverage. This could leave the
City without coverage and the carrier no longer would have a Duty to Defend a
suit.
· Defense costs within the Public Officials Coverages and the Employment Prac-
tices Coverages are NOT within the limits of liability with FMlT. Most other
programs have the defense costs within the limits of coverage - these are ex-
pensive suits to defend and those defense costs would reduce your limits avail-
able to settle the suit.
· No Fault Sewer Backup Coverage - The FMIT will cover up to an annual ag-
gregate of $1 00,000.
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DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
. Ethics Defense - The FMIT will cover 75% ofthe defense costs (up to
$25,000 per occurrence or $100,000 annual aggregate) for an ethics complaint
against a Public Officer.
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fax, 407-425-9378
www.f1cities.com/lnsu ranee
. Arson Reward - The FMIT will offer a $5,000 reward to assist the City in the
arrest and conviction for an arson incident to covered property.
. Asset Tracking Software - This proprietary software allows a City to properly
list and prioritize your assets prior to a loss. You manage your assets online
and track your assets more efficiently - this data is linked directly with FMIT
and is updated monthly.
· TurnKey recovery program - Allows the City to pre-certify local vendors and
have them paid directly by the FMIT. This program will speed the recovery
process and improve cash flow for the City.
· Safety Grants - Your City will be eligible for up to $5,000 per year in match-
ing Safety grants from the FMIT. We invest in your safety.
· Safety Services - FMIT offers both online safety training as well as 6 dedi-
cated staff loss control specialists to assist the City.
· HR Helpline - Full online suite of HR support coupled with live support from
a Florida based HR legal team at no cost to our insureds.
4
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DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free: 1-800-445-6248 Fax, 407-425-9378
www.f1cities.com/lnsurance
ITEMIZED LOCATION EXAMPLE
ITEM VALUES
1 Parking Garage - 19200 Collins Avenue $7,500,000
2 Playground - 19200 Collins Avenue $267,000
3 Pavilion - 19200 Collins Avenue $75,000
4 Interactive Water Feature - 19200 Collins Avenue $175,000
TOTAL VALUES AT LOCATION $8,017,000
5
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fax: 407-425-9378
www.f1cities.com/lnsurance
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
EXAMPLE LOCATION WITH FMIT
FMIT 5%
ITEM VALUES DEDUCTIBLE
1 Parking Garage - 19200 Collins Avenue $7,500,000 $375,000
2 Playground - 19200 Collins Avenue $267,000 $13,350
3 Pavilion - 19200 Collins Avenue $75,000 $3,750
Interactive Water Feature - 19200 Collins
4 Avenue $175,000 $8,750
TOTAL VALUES AT LOCATION $8,017,000
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DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Tall Free, 1-800-445-6248 Fax, 407-425-9378
www.f1cities.comJlnsurance
EXAMPLE LOCATION WITH COMPETITOR
COMPETITOR'S
5%
ITEM VALUES DEDUCTIBLE
1 Parking Garage - 19200 Collins Avenue $7}500}000
2 Playground - 19200 Collins Avenue $267}000
3 Pavilion - 19200 Collins Avenue $75}000
Interactive Water Feature - 19200 Collins
4 Avenue $175}000
TOTAL VALUES AT LOCATION $8,017,000 $400,850
7
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fox: 407-425-9378
www.flcities.com/lnsurance
DEPARTMENT DF INSURANCE
AND FINANCIAL SERVICES
CLAIM EXAMPLE
NAMED STORM DESTROYS THE
PLAYGROUND AND PAVILION
COMPETITOR COVERS:
Playground
$267,000
Pavilion
$75,000
TOTAL DAMAGE:
$342,000
DEDUCTIBLE:
$400,850
NET PAYMENT TO
YOU:
$0
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FMIT COVERS:
Playground (Deductible of
$13,350) $267,000
Pavilion (Deductible of $3,750) $75,000
TOTAL DAMAGE: $342,000
DEDUCTIBLE: $25,000
(Coastal Deductible of
$25,000 Applies)
NET PAYMENT TO YOU: $317,000
CHOOSE YOUR OWN DEDUCTIBLE - WHICH DO YOU PREFER?
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DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main,407-425-9142 Toll Free: 1-800-445-6248 Fax: 407-425-9378
www.flcities.com/insurance
Insurance and Financial Services
As Administrator for the Florida Municipal Insurance Trust, the League has a longstanding commit-
ment to superiority for its membership.
· Underwriting and Policy Services - Customized program and placement capabilities are offered
to address the changing needs and exposures of public entities. Policy pricing, processing and
issuance are handled on a territorial team approach.
· Claims Management - Total in-house adjusting for workers' compensation, liability and health
claims are provided by municipal claims specialist.
· Member Services - Licensed league account executives are readily available to review, advise
and place coverages.
· Risk Control - A full range of programs are offered to promote safe work environments and loss
prevention including Drug-Free Workplace, Employment Practices and Return to Work Policies.
· Risk Management - Educational seminars and publications such as the quarterly,
"TRUST REPORTER", are provided to assist membership in managing risk.
r-.
.., · SimpliCity/Synergy - An innovative and comprehensive online software application that
provides members who insure property through the trust a resource to use to help minimize
risk, better prepare for disasters, and reduce overall recovery costs.
· Special Investigation Unit (SIU) - Pursues and otherwise minimizes fraudulent and similar insur-
ance acts.
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. The following disclosure is made in accordance with Florida law: The Florida League of Cities serves solely as the sponsor
and administrator of the self-insurance programs provided by the Florida Municipal Insurance Trust, The Florida Municipal
Insurance Trust exists as an independently govemed, separate legal entity under Florida law,
9
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main, 407-425-9142 Toll Free: 1-800-445-6248 Fax: 407-425-9378
www.flcities.com/i nsu ra nee
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
RISK CONTROL SERVICES
Zero Accident! A lofty goal we admit, but
without aiming for the bulls eye how can you
expect to hit the target. Risk Control Services
is set up to assist your own Safety & Health or
Risk Management departments or those em-
ployees assigned as the safety coordinator in
reducing or eliminating your exposures to
loss thereby reducing or eliminating your ac-
cidents.
We have a number of services we provide to reach this goal:
. Field surveys
C Technical field and office assistance
.
. Customized safety program development and implementation
. Training and educational seminars & workshops
. Comprehensive safety & health video/dvd library
. Poster and video development capabilities
. Quarterly Magazine
. Website with online training
. Tailored Loss Analysis and Loss Runs
. Targeted service for high loss frequency and severity
. Insurable to value capabilities
C . Matching Safety Grant funds
National Safety Council
states:
"Experience has proved that
the most effective way to
reduce accidents is to
concentrate on one phase of
the accident problem at a
time rather than attempting
to stop all accidents at
once."
Your Risk Control Team
. Scott J, Blaser, CSP
Risk Control Director
. Rudy Miranda, ALCM
Risk Control Supervisor
. Dennis D. Hagler
Risk Control Consultant
. Kenneth J. Blaser
Risk Control Consultant
. \Vayne Anderson
Risk Control Consultant
. Ronald E. Peters
Risk Control Consultant
. Robert Hees
Risk Control Consultant
. Apryl Cordell, CPS,
RlYfPE Risk
Control Administration
. Anita Wick, RNfPE
Risk Control Administra-
tion
10
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main: 407-425-9142 Toll Free, 1-800-445-6248 Fax, 407-425-9378
www.flcities.com/insurance
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
Underthe Direction of FLC's Insurance & Financial Services, FMIT
Members Benefit from Response & Recovery Programs provided by
Syn ergy.
TURNKEY RECOVERY?
In an effort to improve the mitigation process and significantly reduce the financial impact a loss can have on
one's ability to recover, FMIT TurnKey Recovery? managed by Synergy is offered to Members through the
FM IT's Depa rtm ent of Insurance and Financial Services. All recovery services are authorized by the PRS as part
of a covered FMIT Cia im, Project costs are approved and pa id to certified vendors directly by Synergy or the
FM IT in orderto reduce Members out-of-pocket costs. FMIT TurnKey Recovery? helps to minimize the
financial exposure that SOV Cia ims can have on Members net cash-flow by eliminating the recovery cost
burden and the reim bursem ent process. Additionally, FM IT TurnKey Recovery? significantly reduces overa II
recovery costs by leveraging pre-certified vendors, preferred pricing agreements, negotiated general
conditions and reduced layering of contractor overhead & profits, Ask your FLC Account Executive for more
details,
SIM PLlCITY? SOFTW AR E APPLlCATIO N
simpliCity? is the exclusive software solution developed and licensed to the FM IT for use by its Memberswho
insure their property assets through the Trust. FM IT M embers often face unique challenges when maintaining
accurate schedule of values, tracking assets, overseeing projects, managing certified vendors and documenting
the property cia ims process, simpliCity? was developed for FMIT Members as a single solution to address
these needs, minimize insurable risk, and ensure timely & cost-effective recovery, Additionally, simpliCity?
prov ides the FM IT a n opportunity to support M em ber's desire to im prove overall risk m anagem ent and gain
greater visibility of their property & assets,
FM IT-ALERT N OTIFICA TION
Both prior to and after an event impacts a geographical area, FMITAlert? provides critical information to
support M em ber's needs, Using various platforms to deliver content via SM S, Email, Cellular & RDS/FM
technology, FMITAlert? keeps Mem ber's in touch and aware,
M AN AGED MUNICIPALITY ASSET PROGRAM (MM AP)
MM AP is a two-tiered program bringing together assets from both the public and private sectors for use by
FM IT M embers during response a nd recovery initiatives, M ore importantly, MM AP ensures that all
participating members are fully reimbursed in a timely manner under rental agreements according to either
FEM A &/or FMIT Insurance rates, Additiona lIy, in tough econom ic tim es, M MAP provides an opportunity for
municipalities to realize a return on fixed assets/equipment by contributing to on-demand, state-wide
rental/leasing programs to both the public and private sectors, MMAP is accessed through the simpliCity?
software application,
FM IT UNIVE RSITY TRAINING PROGRAM
At ER2 UniversityTM, FM IT M embers participate in quarterly symposiums designed to educate and better
prepare their ability to withstand events that could affect their daily operations. Bringing together industry
leaders, Members will benefit from lessons learned in the field of business continuity planning, risk
management, first response, public assistance and disaster recovery, Schedule of course curriculum can be
found on M em ber's dashboard located in the simpliCity? software application,
II
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DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fox, 407-425-9378
www.flcities.com/i nsura nee
SPECIAL INVESTIGATION UNIT (SIU)
Insurance fraud significantly contributes to increases in insurance costs. Agencies that must pay
for fraudulent insurance claims also have higher rates and less money for other expenditures. To
reduce the cost and amount of fraud to the Florida Municipal Insurance Trust (FMIT) members, the
Special I Investigation Unit was created in 1999. The Unit's purpose is to pursue and otherwise
minimize fraudulent and similar insurance acts. Using the latest technology and practices when
investigating claims, the Unit's efforts have resulted in criminal prosecutions, termination of bene-
fits, reduced settlement amounts and even modified physician and judge's orders.
The FMIT's Special Investigation Unit has three full-time investigators that investigate suspected
fraud. This unit has been instrumental in referring claims for felony prosecution and securing mil-
lions of dollars in court ordered restitution.
The SIU gathers information of possible fraudulent insurance acts, potential abuses or non-existent
injuries, Suspected fraud is reported to he Florida Department of Financial Services, division of
Insurance Fraud.
FRAUD IS NOT A VICTIMLESS CRIME
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Rorie/a Gov. Charlo& CrlslBrtd the F/orld8 Cabi'lel pl8'96nt e ~riOO 10 !he $pedal /.nveSDf18t.1on lhl't.
In March 2009, Florida's Governor and Cabinet presented the SIU with a Resolution recogniz-
ing it for its 10th anniversary in identifying, investigating and reporting suspected insurance
fraud and abuse for investigation and prosecution. The referrals have resulted in millions of
dollars in savings, and in court ordered restitutions, for FMIT members.
Successes To-Date
Estimated Cost Savings: $5.7 Million
Restitution ordered: $1.9 Million
Arrests: 49 and counting...
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m
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main, 407-425-91 42 Toll Free: 1-800-445-6248 Fax, 407-425-9378
www.flcities.com/i nsura nee
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
HR Risk Management
H ELPLI N E...Employment
Law advice is just a click
away!
FMIT members face changing employment laws
and ongoing employee issues. Employment
practices risk management questions about
federal and state regulations, hiring, termina-
tion, exempt/non-exempt, layoffs, wage/hour,
Family and Medical Leave Act (FMLA) are
among some of today's top human resource
issues.
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HELPLINE attorneys are from a national law
firm and provide advice and counsel to thou-
sands of government employers across the U.S.
HELPLINE clients range in size from small mu-
nicipalities with under ten employees to large
government organizations with in-house legal
resources and human resource departments.
How does HELPLINE work?
Employers are provided:
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· Toll-free and online access to attorneys
from a national law firm. Documented re-
sponses to their specific employment
law/HR questions are returned no later than
the end of the next business day.
· Access to an online destination which in-
cludes valuable HR resources, news, model
handbook policies, and more...including
online unlawful harassment training.
C1ili~
13
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main: 407-425-9142 Toll Free, 1-800-445-6248 Fax: 407-425-9378
www.flcities.com/i nsura nee
Directorv of Services
Insurance and Financial Services
125 East Colonial Drive
P.O. Box 530065
Orlando, FL 32853-0065
Fax: 407-425-9378
Phone: 407-425-9142 or 1-800-445-6248
Property and Liability Claims
P.O. Box 538135
Orlando, FL 32853-8135
Fax: 407-425-9378
Phone: 407-425-9142 or 1-800-445-6248
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Special Investigation Unit (SIU)
Florida League of Cities, Inc., Tallahassee Office
P.O. Box 1757
Tallahassee, FL 32302-1757
Fax: 850-222-3806
Phone: 1-800-222-9684 or 1-800-342-8112
Workers' Compensation Claims
P.O. Box 538135
Orlando, FL 32853-8135
Fax: 407-425-9378
Phone: 407-425-9142 or 1-800-756-3042
Managed Care
P.O. Box 538135
Orlando, FL 32853-8135
Fax: 1-800-707-7656
Intake Line: 1-877-676-3890
Group HeaIth Claims
P.O. Box 538140
Orlando, FL 32853-8140
Fax: 407-425-9378
Phone: 407-425-9142 or 1-800-756-3042
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Financial Statement
September 2010
o
Florida League of Cities, Inc., administrator for
the Florida Municipal Insurance Trust
125 East Colonial Drive
Orlando, FL 32801
Toll Free: (800) 445-6248
Fax: (407) 425-9378
www.f1cities.comlinsurance
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FLORIDA MUNICIPAL INSURANCE TRUST
FINANCIAL STATEMENTS
SEPTEMBER 30, 2010
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Florida Municipal Insurance Trust
Financial Statements
September 30,2010
TABLE OF CONTENTS
Title
Independent Auditors' Report
Management's Discussion and Analysis
Balance Sheet
Statement of Revenues, Expenses and Changes in Fund Equity
Statement of Cash Flows
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Notes to Financial Statements
Schedule 1 - Required Supplementary Information
Ten-Year Claims Development Information
Schedule 2 - Required Supplementary Information
Claims Liability by Type of Contract
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PaQe Number
1 - 2
3-8
9
10
11-12
13-19
20 - 21
22
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SHORSTEIN Be SHORSTEIN, P.A.
CERTIFIED PUBLIC ACCOUNTANTS
8265 BAYBERRY ROAD
JACKSONVILLE, FLORIDA 32256
JACK F. SHORSTEIN, C.P.A.
SAMUEL R. SHORSTEIN, C.P,A,
MARK J. SHORSTEIN, C.P.A.
MICHAEL K, PARRISH, C.P.A,
BARBARA J. HOUSTON, C.P.A,
O.J. YOUNG
MARGARET R. CONOVER, C.P.A,
JOAN B. MOELL, C.P.A.
WALTER L. HUNTER, C.P.A.
H. DAN HOOPER, C.P.A.
TELEPHONE
(904) 739-1311
FACSIMILE
(904) 739-2069
WEBSITE
WWW.SHORSTEINCPA.COM
March 7, 2011
Independent Auditors' Report
To the Trustees of the Florida
Municipal Insurance Trust:
We have audited the accompanying balance sheet of the Florida Municipal Insurance Trust as of
September 30, 2010, and the related statements of revenues, expenses and changes in fund
equity and cash flows for the year then ended, These financial statements are the responsibility
of the Trust's management. Our responsibility is to express an opinion on these financial
statements based on our audit.
We conducted our audit in accordance with auditing standards generally accepted in the United
States of America, Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material misstatement.
An audit includes consideration of internal control over financial reporting as a basis for designing
audit procedures that are appropriate in the circumstances, but not for the purpose of expressing
an opinion on the effectiveness of the Trust's internal control over financial reporting,
Accordingly, we express no such opinion, An audit also includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements, assessing the
accounting principles used and significant estimates made by management, as well as evaluating
the overall financial statement presentation, We believe that our audit provides a reasonable
basis for our opinion,
In our opinion, the financial statements referred to above present fairly, in all material respects,
the financial position of the Florida Municipal Insurance Trust as of September 30, 2010, and the
results of its operations and its cash flows for the year then ended in conformity with accounting
principles generally accepted in the United States of America.
Accounting principles generally accepted in the United States of America require that the
management's discussion and analysis on pages 3-8 and Schedules 1 and 2 on pages 20-22 be
presented to supplement the basic financial statements, Such information, although not part of
the basic financial statements, is required by the Governmental Accounting Standards Board,
who considers it to be an essential part of financial reporting for placing the basic financial '
statements in an appropriate operational, economic, or historical context.
We have applied certain limited procedures to the management's discussion and analysis in
accordance with auditing standards generally accepted in the United States of America, which
consisted of inquiries of management about the methods of preparing the information and
comparing the information for consistency with management's responses to our inquiries, the
basic financial statements, and other knowledge we obtained during our audit of the basic
financial statements, We do not express an opinion or provide any assurance on the information
because the limited procedures do not provide us with sufficient evidence to express an opinion
or provide any assurance,
'-..
MEMBERS: AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS. FLORIDA INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS
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Our audit was conducted for the purpose of forming an opinion on the financial statements as a
whole, Schedules 1 and 2 are presented to supplement the_basic financial statements and were
derived from and relate directly to the underlying accounting and other records used to prepare
the financial statements, The information has been subjected to the auditing procedures applied
in the audit of the financial statements and certain additional procedures, including comparing
and reconciling such information directly to the underlying accounting and other records used to
prepare the financial statements or to the financial statements themselves, and other additional
procedures in accordance with auditing standards generally accepted in the United States of
America, We' have also previously audited, in accordance with auditing standards generally
accepted in the United States of America, the basic financial statements for each of the nine
years in the period ended September 30, 2009 (none of which are presented herein); and we
expressed unqualified opinions on those basic financial statements, In our report dated March 8,
2010, we expressed an unqualified opinion on the financial statements for the year ended
September 30, 2009, In our opinion, the information set forth in the required supplementary
information for each of the ten years in the period ended September 30, 2010 appearing in
Schedules 1 and 2 is fairly stated in all material respects in relation to the financial statements as
a whole,
~v~)t.A.
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Florida Municipal Insurance Trust
MANAGEMENT'S DISCUSSION & ANALYSIS
For the Year Ended September 30,2010
The following discussion and analysis will provide an overview of the financial activities of the Florida
Municipal Insurance Trust (the Trust) for the fiscal year ended September 30, 2010, Please read this in
addition to the financial statements, notes to the financial statements, and other supplementary
information provided herein,
Financial HiQhliQhts
· Assets exceeded Trust liabilities at September 30, 2010 by $225,3 million, Of this amount, $1,05
million is being held as collateral for a surety bond that has been issued to the Florida Municipal
Loan Council and is considered restricted, The Trust's governing Board of Trustees determines
if, how much, and when fund equity distributions are to be made, based on the Trust's long-term
financial needs,
· Fund equity increased by $5,2 million in 2009-2010 in part due to continuing improvement in
investment income,
· The Trust invests more than $400 million, primarily in the various portfolios of the Florida
Municipal Investment Trust (FMlvT), an external investment pool, as allowed under the Trust's
investment policy, Income derived from these investments is used to fund incentive credits and
offset certain administrative expenses. Given the nature of the Trust's operations and the integral
part investment income plays in those operations, it would be inappropriate for the Trust to
exclude investment income from operating activities,
Basic Financial Statements
The Trust is an independent reporting entity accounted for as an enterprise fund in accordance with U,S,
generally accepted accounting principles for governments as established by the Governmental
Accounting Standards Board (GASB), These governmental accounting rules require the Trust to prepare
a series of financial statements, The Balance Sheet provides information about the assets and liabilities
at a specific point in time, in this case, September 30, 2010, The Statement of Revenues, Expenses, and
Changes in Fund Equity provides information about revenues (additions to fund equity) and expenses
(deductions from fund equity) recorded during the entire fiscal period from October 2009 through
September 2010, The Trust uses the flow of economic resources measurement focus and the accrual
basis of accounting, Under this method, revenues are recorded when earned and expenses are recorded
at the time the liabilities are incurred,
Notes to the financial statements. The footnotes provide additional information essential to the
understanding of the financial statements.
Supplemental information. In addition to the basic financial statements and accompanying notes, this
report also presents certain supplementary information regarding the Trust's ten-year claims development
history. Setting member premium rates today to cover the assumed risk of possible future loss
occurrences is largely guided by claims development. Analysis of trends in claims development indicates
whether losses are increasing, decreasing or static.
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Florida Municipal Insurance Trust
MANAGEMENT'S DISCUSSION & ANALYSIS
For the Year Ended September 30, 2010
Income and expenses. The majority of the Trust's operating income and expenses are contained within
a relatively small number of accounts, Following is a brief description of those accounts.
Premium income. The Trust provides insurance to members in much the same way as
insurance companies provide insurance protection for customers, Coverages are rated for each
individual member based on established rates, adjusted by experience modifiers and discounts to
reflect the actual loss experience of the member, The experience modifier is based on prior
experience adjusted by certain factors, Member premium rating is accomplished by the Trust's
Administrator Underwriting Department, which has assigned each member to one of its staff
underwriters,
Investment income. The Trust has a highly diversified investment portfolio, The target
allocations established under the Trust's investment policy are 20% equity and 80% fixed income,
The Trust's investments are managed primarily through the equity and bond portfolios of the
FMlvT, The Trust complies with the provisions of GASB Statement 31 by including in investment
income the change in fair value of its investments,
Claim payments and reserves. The Trust pays for covered losses experienced by its members
as well as related claims expenses, The Florida League of Cities, Inc, (League) has a contractual
agreement with the Trust to function as its administrator. All claims are processed and managed
in-house by the administrator. Outside claims adjusters, attorneys, medical experts, and other
professionals are contracted on an as-needed basis, Between the time a claim is reported and
the time it is resolved, reserves are established for the estimated amount that will have to be paid
at some future date to settle the loss, Reserves are also established for claims that have
occurred but are not yet known to the Trust. This recognizes losses in the current year for claims
that will be paid in future periods, This process allows a matching of current year premiums with
estimated total losses that will be incurred as the result of current fiscal year coverages,
Administrative expenses and contract service fees. In providing coverage and other member
services, the Trust incurs administrative expenses and contract service fees with both the
administrator and outside vendors, All of these expenses are budgeted and monitored on a
monthly basis for compliance with budgetary limits, The administrator assesses their fees based
on member premiums, and no change in this contractual arrangement is anticipated in the near
future.
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Florida Municipal Insurance Trust
MANAGEMENT'S DISCUSSION & ANALYSIS
For the Year Ended September 30,2010
Comparative Financial Information
Table 1
Balance Sheets
Assets 2009-2010 2008-2009
Cash and Investments $ 425,300,000 $ 401,000,000
Receivables 5,000,000 6,700,000
Prepaid Expenses 8,900,000 9,800,000
Deposits 300,000 300,000
Total Assets $ 439,500,000 $ 417,800,000
Liabilities
Liability for Claims and Claim Expenses $ 191,800,000 $ 173,800,000
Dividend Payable 10,000,000 8,000,000
Premiums Collected in Advance 9,000,000 12,500,000
Accounts Payable and Accrued Expenses 3,400,000 3,400,000
C Total Liabilities 214,200,000 1,97,700,000
.5lli!!1Y
Fund Equity 225,300,000 220,100,000
Total Liabilities and Fund Equity $ 439,500,000 $ 417,800,000
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Florida Municipal Insurance Trust
MANAGEMENT'S DISCUSSION & ANALYSIS
For the Year Ended September 30,2010
Table 2
Statements of Revenues, Expenses and
Changes in Fund Equity
Revenues 2009-2010 2008-2009
Premium Income $ 96,500,000 $ 102,600,000
Investment Income 27,600,000 23,800,000
Other Income, 400,000 400,000
Total Operating Revenues 124,500,000 126,800,000
Expenses
Claims and Claim Expenses 85,300,000 83,900,000
Administrative and Other Expenses 24,000,000 22,300,000
Dividend Expense 10,000,000 8,000,000
Total Operating Expenses 119,300,000 114,200,000
C OperatinQ Income 5,200,000 12,600,000
Fund EQuitv. BeQinninQ of Year 220,100,000 207,500,000
Fund Equity. End of Year $ 225,300,000 $ 220,100,000
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Florida Municipal Insurance Trust
MANAGEMENT'S DISCUSSION & ANALYSIS
For the Year Ended September 30, 2010
Some of the more important fund transactions during 2009-2010 are:
· The Trust earned $27.5 million in investment income during the fiscal year, resulting in a return
on invested assets (excluding cash) of 7.2%, The high allocation to fixed income helped provide
investment income of $19,9 million during the year, while allocation to equities rebounded this
fiscal year to post positive investment income of $7,6 million during the fiscal year, The markets
were still volatile as evidenced by having seven months of positive investment income and five
months of negative investment income for the fiscal year, For the year, the Expanded High Yield
Bond Fund once again outpaced all other portfolios with a total return of 15,1 %, while the
Diversified Small to Mid Cap Equity Portfolio outpaced all equity portfolios with a return of 14.6%,
· The overall Claims Expense is $85,3 million for 2009-2010, which is up from $83,9 million in
2008-2009, The slight increase was the result of deterioration in prior years' claim development
in claims reserves,
· For the fiscal year ended September 30, 2010, the Trust had reported earned premium of $96,5
million compared to $102.6 million in the previous year, The primary reason for the year-over-
year decrease was a very soft market, which resulted in rate decreases across several lines of
coverage and made it difficult to offset premium decreases with net new business,
Capital Asset and LonQ-Term Debt Activitv
The Trust has no capital assets or any long-term debt.
Economic Factors
The U,S. economy is in the early stages of a recovery, According to the Trust's investment consultant,
the economy continued to expand during the third quarter, albeit at a more moderate pace from the first
half of 2010,' because of restrained consumer spending, Consumers are constrained by continued
economic uncertainty, high unemployment levels, and modest income growth, However, business
spending on equipment and software has been healthy as corporations use excess cash that
accumulated during the economic downturn,
The Federal Reserve (Fed) began considering additional steps to boost economic growth, such as
purchasing additional Treasury bonds, By purchasing more Treasuries, the Fed seeks to drive down
interest rates on mortgages, corporate debt and other loans, hoping lower interest rates will spur credit
lending and increase spending.
Florida's Office of Economic and Demographic Research (EDR) reports that the state is on a different
recovery path than the nation as a whole, The Deepwater Horizon oil spill has exacerbated these
differences, The national recession significantly slowed Florida's population gains, the primary engine of
economic growth for the state. This has led to record unemployment and poor job growth, Additionally,
with the meltdown in the mortgage market and the subsequent credit crunch, housing starts and jobs
associated with the construction industry went into a significant decline that showed little improvement
until this year. Finally, Florida's $60 billion tourism industry, already reeling from the downturn, took an
additional hit from the oil spill.
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Florida Municipal Insurance Trust
MANAGEMENT'S DISCUSSION & ANALYSIS
For the Year Ended September 30,2010
Econom ic Factors (Continued)
It is anticipated that local governments will continue to face budget challenges into the 2011 year, As
local governments, such as cities and counties, meet the challenges of declining tax revenues, many are
faced with either raising tax rates to meet service demands or cutting expenses and service levels, This
will equate to members looking for all opportunities to cut costs, The soft insurance market is anticipated
to continue, resulting in lower insurance premiums and extremely aggressive competition, The Trust is
exploring all avenues to reduce costs while maintaining prudent underwriting standards, The year-old
partnership with Synergy 10, Simplicity, a pre- and post-disaster program has added value to the Trust's
property program, The Trust has implemented new technology initiatives, service programs, risk control
training, and key staff additions that will continue to provide added value over time,
Requests for Information
This financial report is designed to provide a general overview of the Trust's finances, Questions
concerning the information provided in this report or requests for additional financial information should be
addressed to the Florida League of Cities, Director of Insurance and Financial Services, P,O, Box
538135, Orlando, FL 32853.
8
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Florida Municipal Insurance Trust
*BALANCE SHEET
September 30, 2010
ASSETS
Cash and Cash Equivalents
Investments
Premiums Receivable
Reinsurance Recoveries Receivable
Receivable from Florida Special Disability Trust Fund
Receivable for Members' Deductibles
Prepaid Reinsurance
Prepaid Expenses - Other
Deposits
Total Assets
LIABILITIES AND FUND EQUITY
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Liabilities
Liability for Claims and Claim Expenses
Dividend Payable
Premiums Collected in Advance
Accounts Payable
Accrued Expenses:
Administrative, Service, and Sponsorship Fees
Total Liabilities
Fund Equitv
Restricted
Unrestricted
Total Fund Equity
Total Liabilities and Fund Equity
C * The accompanying notes are an integral part of these financial statements,
9
$ 17,632,428
407,707,361
155,999
2,179,367
949,034
1,665,737
8,559,707
306,990
340,043
$ 439,496,666
$ 191,759,073
10,000,000
9,026,267
3,069,476
318,406
214,173.222
$ 1,045.000
224,278,444
225.323.444
$ 439,496,666
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Florida Municipal Insurance Trust
*STATEMENT OF REVENUES, EXPENSES AND
CHANGES IN FUND EQUITY
For the Year Ended September 30,2010
OperatinQ Revenues
Premium Income
Investment Income
Other Income
Total Operating Revenues
OperatinQ Expenses
Claims and Claim Expenses
Administrative and Service Fees
Dividend Expense
Assessments - Florida Department of Labor and
Employment Security
Sponsorship Fee
Fraud Unit Expense
Other Expenses
Total Operating Expenses
OperatinQ Income
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Fund Equity. Beqinninq of Year
Fund EQuitv. End of Year
r-
~
* The accompanying notes are an integral part of these financial statements,
10
$ 96,452,980
27,645,083
437.173
124.535,236
85,325,948
13,771,665
10,000,000
1,608,561
2,779,829
2,201,044
3.629,143
119,316,190
5,219,046
220,104,398
$ 225,323,444
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Florida Municipal Insurance Trust
*STATEMENT OF CASH FLOWS
For the Year Ended September 30,2010
Cash Flows from Operatinq Activities
Cash Received from Members for Premiums $ 119,441,365
Reinsurance Recoveries 5,478,058
Florida Special Disability Trust Fund Collections 993,984
Cash Received for Commissions 439,150
Cash Payments for Claims (74,331,826)
Cash Payments for Dividends (8,000,000)
Cash Payments to Suppliers for Goods and Services (45,669,956)
Cash Payments to Florida Special Disability Trust Fund (1,615,073)
Net Cash Used by Operating Activities (3,264,298)
Cash Flows from Investinq Activities
Interest on Cash and Investments 31,917
Proceeds from Sale of Investments 20,404,485
Purchase of Investments (22,002,064)
Net Cash Used by Investing Activities (1,565,662)
C Net Decrease in Cash and Cash Equivalents (4,829,960)
Cash and Cash Equivalents. Beqinninq of Year 22,462,388
Cash and Cash Equivalents. End of Year $ 17,632,428
c
* The accompanying notes are an integral part of these financial statements,
11
,-...
"
Florida Municipal Insurance Trust
*STATEMENT OF CASH FLOWS
For the Year Ended September 30,2010
Reconciliation of OperatinQ Income to Net Cash
Used by OperatinQ Activities
Operating Income
$
5,219,046
Adjustments to Reconcile OperatinQ Income to Net
Cash Used by OperatinQ Activities
Investment Income
(27,645,083)
c
ChanQe in Assets and Liabilities
Decrease in Premiums Receivable
Increase in Reinsurance Recoveries Receivable
Decrease in Receivable from Florida Special Disability Trust Fund
Decrease in Receivable for Members' Deductibles
Increase in Prepaid Expenses - Other
Decrease in Prepaid Reinsurance
Increase in Liability for Claims and Claim Expenses
Increase in Dividend Payable
Decrease in Premiums Collected in Advance
Decrease in Accounts Payable
Increase in Accrued Expenses
2,152,153
(868,443)
246,011
224,208
(51,408)
996,144
17,929,388
2,000,000
(3,497,191)
(232,652)
263,529
Net Cash Used by OperatinQ Activities
$ (3,264,298)
C * The accompanying notes are an integral part of these financial statements,
12
c
c
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Florida Municipal Insurance Trust
NOTES TO FINANCIAL STATEMENTS
September 30, 2010
Note 1 - OrQanization and SiQnificant AccountinQ Policies
A. Organization and Purpose - The Florida Municipal Insurance Trust (the Trust) is a self-
insurance program established to provide certain liability, property, casualty, health, and
other coverages to participating units of local government in Florida, pursuant to various
provisions of Florida Statutes,
Trust underwriting and rate setting policies have been established after consulting with an
independent actuary, The Trust is non-assessable, Trust members at year-end included
270 cities, 29 county subdivisions and 304 special districts, all located within Florida.
B, Reporting Entity and Basis of Accounting - The Trust is an independent reporting entity
accounted for as an enterprise fund in accordance with accounting principles generally
accepted in the United States of America for governments as established by the
Governmental Accounting Standards Board (GASB), The Trust uses the flow of economic
resources measurement focus and the accrual basis of accounting, Under this method,
revenues are recorded when earned and expenses are recorded at the time the liabilities
are incurred, In accordance with GASB Statement 20, the Trust has elected to apply only
those applicable Financial Accounting Standards Board pronouncements issued on or
before November 30, 1989,
C, The Trust is exempt from income taxes under the provisions of Section 115 of the Internal
Revenue Code,
D. The Trust considers all unrestricted highly liquid investments purchased with an initial
maturity of three months or less to be cash equivalents,
E, Investments are reported at fair value in accordance with GASB Statement 31,
F, The preparation of financial statements in conformity with accounting principles generally
accepted in the United States of America requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and disclosure of
contingent assets and liabilities at the date of the financial statements and the reported
amounts of revenues and expenses during the reporting period, Actual results could differ
from those estimates,
G, The Trust uses the allowance method to account for uncollectible receivables, The
allowance is based on management's estimate of possible bad debts, The allowance for
doubtful accounts is $500,000 at September 30, 2010. There were no bad debt write-offs
during the year.
H, The Trust considers all revenues from premium, investment, and commission income that
comprise the Trust's core business activities to be operating revenues, All expenses are
considered to be operating expenses,
13
c
Florida Municipal Insurance Trust
NOTES TO FINANCIAL STATEMENTS
September 30,2010
Note 2 - Cash and Cash EQuivalents
Cash and cash equivalents include interest-bearing demand deposits in the amount of
$17,006,317 and short-term investments in the amount of $626, 111.
Short-term investments of $443.443 were invested in Goldman Sachs Financial Square Prime
Obligations Fund with an average maturity of 48 days, and short-term investments of $182,668
were invested in the Local Government Surplus Funds Trust Fund (Florida Prime) with an
average maturity of 52 days, The Goldman Sachs Financial Square Prime Obligations Fund is
rated Aaa by Moody's, Florida Prime is rated AM by Standard & Poor's,
Florida Statutes require that all qualified public depositories holding public funds collateralize
deposits in excess of Federal Deposit Insurance Corporation insurance with the State
Treasurer, Since the Trust uses only qualified public depositories, all demand deposits are fully
insured or collateralized,
Note 3 - Investments and Investment Income
c
The Board of Trustees has an investment policy authorizing investments in a variety of fixed
income and equity instruments, Among the types of instruments the Trust is authorized to
invest in are: certain mortgage loans, common stocks, convertible preferred stocks or bonds,
repurchase agreements, commingled governmental trusts, no-load investment funds, no-load
mutual funds, obligations of the United States of America, its agencies and instrumentalities,
securities of state, municipal and county governments or their public agencies, corporate debt
obligations, asset-backed securities and money market instruments and/or funds,
The investment policy specifies limitations as to credit quality, maturity, and issuer on fixed
income instruments, and places limits on the percentage of large-cap stock, small-cap stock,
and foreign investment exposure,
The Florida Municipal Investment Trust (FMlvT) is a governmental external investment pool
open to eligible units of local governments to invest in one or more investment portfolios under
the direction and daily supervision of an investment advisor, FMlvT is not subject to SEC or
other regulatory oversight. The fair value of the positions in the FMlvT funds and portfolios are
the same as the value of the fund and portfolio shares,
FMlvT is governed by a Board of Trustees consisting of the President (or his appointee) and
Second Vice President of the Florida League of Cities, Inc. (League), two representatives of the
Trust, and up to three additional appointed members who are elected officials of the
governmental entities who actively participate in FMlvT, The League serves as Administrator
for both the Trust and FMlvT.
c
14
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Florida Municipal Insurance Trust
NOTES TO FINANCIAL STATEMENTS
September 30,2010
Note 3 - Investments and Investment Income (Continued)
The Trust's investments consisted of the following at September 30,2010:
Investment Type
GS FIN SQ PRIME OBL SEL Money Market Fund
Fair Value
$ 1,045,000
Duration
(In Years)
0,13
Bond Funds
FMlvT Intermediate High Quality Bond Fund
FMlvT 1-3 Year High Quality Bond Fund
FMlvT Broad Market High Quality Bond Fund
FMlvT Expanded High Yield Bond Fund
SBA Fund B Surplus Funds Trust Fund
146,931,106
62,739,530
64,338,628
47,151,379
217,769
2,80
1,50
3.70
3.41
7.49
Equity Funds
FMlvT High Quality Growth Portfolio
FMlvT Russell 1 000 Enhanced Index Portfolio
FMlvT Diversified Small to Mid Cap Equity Portfolio
FMlvT International Blend Portfolio
FMlvT Large Cap Diversified Value Portfolio
8,574,695
26,984,494
23,252,706
17,886,772
8,585,282
c
Total Investments
$407,707,361
Interest Rate Risk: As a means of limiting its exposure to fair value losses from rising interest
rates, the Trust's investment policy employs portfolio diversification, controlled duration
strategies, and maturity durations as the primary methods of controlling risk, In addition, the
policy establishes a minimum investment of $1,000,000 in liquid investments having a maturity
of 90 days or less. Investments may include mortgage and mortgage-backed securities having
an average weighted useful life of less than ten years, The Trust's investment policy does not
limit the duration of other bonds or governmental investment trusts,
Credit Risk: The Trust's investment policy is to apply the prudent-person rule, The investment
portfolio shall be designed to attain a market rate of return throughout financial and economic
cycles, taking into account the Trust's investment risk constraints as discussed in the
investment policy, The Trust's credit quality policy does not limit its investments in U,S,
government agency obligations or bond funds. The short-term investments in the Goldman
Sachs Financial Square Prime Obligations Fund are rated Aaa by Moody's, The FMlvT
Intermediate High Quality Bond Fund and 1-3 Year High Quality Bond Fund are rated AM by
Fitch Ratings, The FMlvT Broad Market High Quality Bond Fund is rated AA by Fitch Ratings,
Neither the FMlvT Expanded High Yield Bond Fund nor Fund B is rated by any nationally
recognized statistical rating agency at this time,
...........
~
15
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Florida Municipal Insurance Trust
NOTES TO FINANCIAL STATEMENTS
September 30, 2010
Note 3 - Investments and Investment Income (Continued)
As further described at Note 14, investments in the amount of $1,045,000 are held by Deutsche
Bank as collateral under a surety bond issued to the Florida Municipal Loan Council (FMLC)
which is restricted,
Note 4 - Premium Income
Premium income for the current policy year is based on management's estimates and will be
adjusted upon completion of all premium audits, Premiums receivable represents primarily the
estimated post year-end premium adjustments, Premium income is reported net of ceded
excess reinsurance premiums and incentive credits,
Premium Income
Ceded Excess Reinsurance Premiums
Incentive Credits
Net Premium Income
$131.472.444
(24,268.423 )
(10,751,041 )
$ 96.452,980
The Trustees established an incentive plan to provide for premium reductions to members
based on each member's past experience in the Trust and other criteria,
c;
Note 5 - State of Florida Special Disabilitv Trust Fund
The state of Florida operates the Special Disability Trust Fund (SDTF) which reimburses
Florida employers and carriers for certain workers' compensation benefits paid for claims
incurred prior to January 1, 1998, The SDTF is funded with assessments paid to the Florida
Department of Financial Services by insurers and self-insurers providing workers'
compensation coverage in Florida, The Trust does not report as liabilities claims that have
been accepted for reimbursement by the SDTF, In the event the SDTF does not meet its
obligations, the Trust would be liable for such amounts, As of September 30, 2010, the Trust
was due $949,034 from the SDTF for previously paid workers' compensation benefits eligible,
for reimbursement, of which approximately $235,000 is expected to be collected after one year,
c
16
c
.0
c
Florida Municipal Insurance Trust
NOTES TO FINANCIAL STATEMENTS
September 30,2010
Note 6 - Excess Reinsurance
The Trust uses reinsurance agreements to reduce its exposure to large losses on all types of
insured events, Reinsurance permits recovery of a portion of losses from reinsurers, although it
does not discharge the primary liability of the Trust as direct insurer of the risks reinsured, The
Trust does not report reinsured risks as liabilities unless it is probable that those risks will not be
covered by reinsurers, The amount deducted from claims liabilities as of September 30, 2010
for reinsurance was approximately $72,000,000, In the event that any of the reinsuring
companies do not meet their obligations under existing reinsurance agreements, the Trust
would be liable for such amounts,
Reinsurance recoveries receivable represents recoverable amounts for claims paid on or
before September 30, 2010, of which approximately $674,000 is expected to be collected after
one year,
Prepaid reinsurance consists of the unexpired premiums for property risk excess and
catastrophe policies expiring March 31, 2011 and April 30, 2011,
Note 7 - Deposits
The Trust is a pool member of the NLC Mutual Company, a public entity risk pool providing one
or more layers of reinsurance coverage to political subdivisions of state governments, A capital
contribution of $340,043 is recorded as a deposit. The capital contribution is non-transferable,
and the right to withdraw capital is suspended by the By-Laws to four or more years after the
election to withdraw is first made,
Note 8 - Claims and Claim Expenses
The provision for claims and claim expenses includes paid and unpaid claims and expenses
associated with settling claims, including legal fees. The liability for claims and claim expenses
is based on claims adjusters' evaluations of individual claims, management's evaluation, and
an actuarial review of experience- with respect to the probable number and nature of claims
arising from losses that have been incurred but have not yet been reported, The liability
represents the estimated ultimate cost of settling the claims, including the effects of inflation
and other societal and economic factors, Any adjustments resulting from the settlement of
losses will be reflected in earnings at the time the adjustments are determined,
Members may choose to retain a level of risk by adding deductible provisions to their policies,
The receivable for members' deductibles represents the members' retained portion of the
claims paid on or before September 30, 2010, of which approximately $746,000 is expected to
be collected after one year,
17
c
c
c
Florida Municipal Insurance Trust
NOTES TO FINANCIAL STATEMENTS
September 30,2010
Note 8 - Claims and Claim Expenses (Continued)
The following represents changes in the liability during the past two years:
Year Ended September 30,
2010
2009
Liability for Claims and Claim Expenses -
BeQinninQ of Year
$ 158,932,749
$ 173,829,685
Claims and Claim Expenses
Provision for Insured Events of the Current Year
Increase in Provision for Insured Events
of Prior Years
81,966,822
83,172,360
3,359,126
699,377
Total Claims and Claim Expenses
85,325,948
83,871,737
Payments
Claims and Claim Expenses Attributable to Insured
Events of the Current Year
Claims and Claim Expenses Attributable to Insured
Events of Prior Years
32,325,712
33,280,225
35,070,848
35,694,576
Total Payments
67,396,560
68,974,801
Liability for Claims and Claim Expenses -
End of Year
$ 191,759,073
$ 173,829,685
Note 9 - Hurricane Claims~
As indicated in Note 8, any adjustments resulting from the settlement of losses will be reflected
in the Trust's earnings at the time the adjustments are determined, One situation which may
result in an adjustment to the ultimate cost of settling claims involves the Federal Emergency
Management Agency (FEMA) auditing previously adjudicated hurricane claims arising in Florida
between 2003 and 2006, One of the questions raised by FEMA was whether the Trust had
appropriately adjudicated these claims, Management provided an update on the matter to the
Trust's Board of Trustees at its December 2010 meeting, The Board elected to set aside and
record on the books of the Trust a designated fund in the amount of $25,000,000 to demonstrate
the financial strength of the Trust and its ability and willingness to pay claims if it is ultimately
determined the Trust did not appropriately pay claims arising as a result of this matter, It is
management's current opinion that the claims were appropriately adjudicated,
18
.C
o
c
Florida Municipal Insurance Trust
NOTES TO FINANCIAL STATEMENTS
September 30,2010
Note 10 - Premiums Collected in Advance
Premiums collected in advance represents premiums collected prior to October 1, 2010 but
allocable to the year ending September 30, 2011.
Note 11 - Administrative and Service Fees
Administrative and service fees are paid to the League for claims administration and other
administrative services pursuant to one-year agreements, In addition, the League was paid
$315,000 for reinsurance management services and $33,786 for additional claim administrative
services, which are included in other expenses, and $1,139,125 for managed care fees, which
is included in claims expenses, A number of the Trust's Board of Trustees are also members
of the League's Board of Directors,
Administrative fees in the amount of $898,582 were paid to United Healthcare, and $224,169
was paid to CIGNA HealthCare for HMO health claims ad.ministration,
Note 12 - Sponsorship Fee
The Trust paid the League a sponsorship fee for sponsoring and promoting the Trust.
Note 13 - Fraud Unit Expense
The Trust has contracted with the League to operate a special investigative unit to pursue and
minimize fraudulent insurance acts committed against the Trust.
Note 14 - Surety Bond
The Trust has issued a surety bond to FMLC, guaranteeing payment of principal and interest
on the Revenue Bonds, Series 2000A, in the amount of $1,045,000, maturing between 2011
and 2024, The surety bond is collateralized by cash and investments held in trust by Deutsche
Bank in the amount of the guarantee.
The League serves as Administrator for both the Trust and FMLC,
Note 15 - Policyholder Dividend
Dividend payable represents distributions to be made to Trust members who had property
insurance coverage with the Trust in the year ended September 30, 2009 and have continued
property insurance coverage with the Trust in the year ending September 30, 201,1.
19
c
Florida Municipal Insurance Trust
REQUIRED SUPPLEMENTARY INFORMATION
TEN-YEAR CLAIMS DEVELOPMENT INFORMATION
September 30, 2010
Schedule 1
The Governmental Accounting Standards Board requires public entity risk pools to present claims
development information for the last ten years, The information on the next page illustrates how
the Trust's premium (net of reinsurance), investment and other income compare to related costs
of loss (net of loss assumed by reinsurers) and other expenses of the Trust as of the end of each
of the last ten years,
The rows of the schedule are defined as follows:
1, This line shows the total of each fiscal year's gross premium, investment and other income,
premium ceded to reinsurers, and net earned premium, investment and other income,
Pursuant-to GASB Statement34, effective for years ending on or after September 30, 2003,
earned income is reported net of incentive credits,
2, This line shows each fiscal year's other operating costs not allocable to individual claims,
3, This line shows the Trust's gross incurred claims and allocated claim adjustment expense,
claims assumed by reinsurers and net incurred claims and allocated claim adjustment
expense (both paid and accrued) as originally reported at the end of the first year in which the
event that triggered coverage under the contract occurred (called policy year),
4. This section of 10 rows shows the cumulative net amounts paid as of the end of successive
years for each policy year.
c
5, This line shows the latest reestimated amount of claims assumed by reinsurers as of the end
of the current year for each policy year,
6, This section of 10 rows shows how each policy year's net incurred claims increased or
decreased as of the end of successive years, This annual reestimation results from new
information received on known claims, reevaluation of existing information on known claims,
as well as emergence of new claims not previously known.
7, This line compares the latest reestimated net incurred claims amount to the amount originally
established (line 3) and shows whether this latest estimate of claims cost is greater or less
than originally thought.
As data for individual policy years mature, the correlation between original estimates and
reestimated amounts commonly is used to evaluate the accuracy of net incurred claims currently
recognized in less mature policy years, The columns of the table show data for successive policy
years.
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main, 407-425-9142 Toll Free, 800-445-6248 Fax, 407-425-9378
www.flcities.com/insuronce
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DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
KEY STAFF BIOGRAPHIES
Mrs. Jeannie Garner
Director of Insurance and Financial Services
Jeannie Garner is the Director of Insurance and Financial Services at the Florida League of Cities, where she
has been since 1994. Jeannie has served as the Executive Director for Florida Government Finance Officers
Association (FGFOA) since 2001. She oversees all aspects of the administration, including reporting to the
Board of Directors. The department provides insurance and financial services for local governments in Flor-
ida. As Director, Jeannie is responsible for the overall management, supervision and administration of these
services - Florida Municipal Insurance Trust; Florida Municipal Construction Insurance Trust; Florida Munici-
pal Investment Trust; Florida Municipal Pension Trust Fund and the Florida Municipal Loan Council. These
were created to provide cities with cost-effective and quality services specifically designed for them. Jeannie
is also an advisory member of the GFOA Debt Committee and former chair for the NLC Public Finance Con-
sortium. A native of Birmingham, Alabama, she graduated with a bachelor of science in finance from Troy
State University in 1989.
c
Mr. Donald lund, CPCU, ARM-P, CPA
Associate Director of Insurance Services
Mr. Lund is the Associate Director of Insurance Services for the Florida League of Cities. Donald has been em-
ployed by the League since April 2000. He is responsible for overseeing the underwriting, finance and claims
functions of the Florida Municipal Insurance Trust. Prior to coming to the Florida League of Cities, he worked
as the Director of Accounting for a Florida based workers' compensation self-insurance fund. Donald has over
18 years experience in property and casualty insurance. He has a Masters Degree in Risk Management from
Florida State University. He also has Bachelors of Science degrees in both Accounting and Finance from Flor-
ida State University and is a Certified Public Accountant. Additionally Donald holds seven professional desig-
nations: Chartered Property and Casualty Underwriter (CPCU), Associate in Risk Management, (ARM-P), Asso-
ciate in Reinsurance (ARe), Associate in Surplus Lines Insurance (ASLI), Associate in Premium Auditing (APA),
Associate in Insurance Services (AIS) and Construction Risk and Insurance Specialist (CRIS). He is also a mem-
ber of the Florida Institute of Certified Public Accountants and the CPCU Society.
Mr. David lodwick, CIC, CRM
Director of Trust Services
c
Mr. Lodwick is responsible for leading the Trust Services efforts of Insurance and Financial Services opera-
tions for the Florida League of Cities. David joined the FLC on March 1, 2011. He served in the US Army
from 1975-1979 and left as a Sergeant primarily stationed at Schofield Barracks, Hawaii. David served as a
City Councilman for the Village of Royal Palm Beach from 1993-1998 and as Mayor from 1998-2010. During
that time he also served seven years on the FMIT Board (2 as Chair) and also served on the FMlvT Board. He
served locally on the MPO for Palm Beach County and is the former Chairman of Consumer Credit Counseling
of the Palm Beach and Treasure Coast for over a decade. David is a Commercial Insurance Agent with spe-
cialty in Risk Management. He is a graduate of Ohio State University with a degree in Chemical Engineering
and also holds the Certified Insurance Counselor and Certified Risk Manager designations.
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main: 407-425-9142 Toll Free, 800-445-6248 Fox, 407-425-9378,
www.flcities.com/i nsura nee
c
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
KEY STAFF BIOGRAPHIES
Mr. Scott Blaser, CSP
Director Risk Control
Mr. Blaser is responsible for the Risk Control operations for the Florida League of Cities. Scott is a Board Cer-
tified Safety Professional with 25 years of experience in Risk Control and Safety. His experience began as a
Safety/QA Representative in the United States Navy. After his service in the Navy, he attended the New York
State University College at Buffalo and obtained a Bachelor of Science in Industrial Technology and Safety
Studies. After college, his experience includes multiple positions within insurance companies from field to
regionalleaderships to a corporate safety director. Scott currently is a member or office holder in the Ameri-
can Society of Safety Engineers, National Fire Protection Association, Florida Municipalities for Safety and
Health, and American Legion.
Mr. Jay R. Goldrick, CWC, RMPE
Workers' Compensation Claims Manager
c
Mr. Goldrick is responsible for Workers' Compensation claims oversight of FLOC and is a Board Certified
Workers' Compensation Professional with 18 years experience in Safety, Risk Control, and Claims man-
agement. He has a Bachelors degree in Finance from Florida State University and additional course work
towards his Masters in Business Administration. He was a commissioned officer in the U.S. Air Force,
reaching the rank of Captain and earned his flight wings by graduating third in his class from flight
school. He distinguished himself by being assigned to the flight crew of the commander of the U.S. Cen-
tral Command prior to Desert Shield and Desert Storm. For five years he was the Risk Manager for the
City of Orlando and is a candidate for an ARM designation. He has an all-lines adjuster license and is a
former Board member of the Central Florida RIMS Association.
Mr. Crosby Coleman, AIC, CWC, CWCl, RMPE
Property & liability Claims Manager
c
Crosby Coleman has had experience serving as the Property & Liability Claims Manager and Director of
Workers' Compensation Claims, working for the Florida League of Cities since 1995. He is responsible for
administering the Property & Liability department, which handles claims for the various governmental
entities throughout Florida. Prior to coming to the league, Crosby worked with American States Insur-
ance as a Senior Claims Representative for 11 years handling heavy litigation. Crosby began his career in
the claims profession with Liberty Mutual in 1980. He graduated with a Bachelor's Degree in Business
Administration from Bethune Cookman College in 1976 and has completed various advanced
claims/insurance related coursework including the Risk Management for Public Entities (RMPE) designa-
tion, Associate In Claims (Ale) designation, completion of the Board Certification Program in Workers'
Compensation (CWe) and completion of the Certification in Workers Compensation Litigation Program
(CWCl).
c
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main, 407-425-9142 Toll Free: 800-445-6248 Fax: 407-425-9378
www.flcities.com/i nsurance
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
KEY STAFF BIOGRAPHIES
Mr. Jim McGinn, CPCU, RMPE
Account Executive - South Territory
Jim McGinn is an account executive for the Department of Insurance and Financial Services of the
Florida League of Cities. Mr. McGinn comes from Coopersburg, Pennsylvania. He is a 1992 gradu-
ate of King's College in Wilkes-Barre, PA with a Bachelors Degree in Accounting. An avid sports en-
thusiast, Jim played football for King's College, and also played rugby for a club sport. Prior to join-
ing the Florida League of Cities in October 2005, Jim worked for Penn Miller Insurance Company for
eight years in the capacity of a marketing representative as well as a commercial lines underwriter.
In addition, Mr. McGinn earned his CPCU designation in August 2004 and is currently pursuing his
ARM-P designation. He currently holds the State of Florida insurance licenses for General Lines, and
Life and Health.
~
Mrs. Dorothy B. Rollins
Underwriter - South Territory
Mrs. Rollins is responsible for overseeing the quotes, new business, endorsements, renewals and
audit processes of the South Team for the Florida League of Cities. Dorothy joined the Florida
League of Cities in July of 2006 from CNA Insurance Company where she was responsible for main-
taining risk management and special policies. Dorothy has more than 10 years property and casualty
insurance experience.Dorothy earned her Bachelor's Degree in Management from Myers University
and her Masters Degree in Business Administration from the University of Phoenix. She is always
looking to increase her knowledge of insurance by taking classes offered by the Insurance Institute
of America where she has received certificates for Risk Management for Public Entities (RMPE) and
General Insurance (INS). Mrs. Rollins is currently pursuing her Associate in Risk Management for
Public Entities (ARM-P) and CPCU designations.
Mr. Ronald E. Peters
Risk Control Consultant
Mr. Peters handles Risk Control operations for the southernmost area of Florida and any operations
that require a Construction Safety expertise. He has a great talent for finding the areas of improve-
ment and using his consultation skills to work with all participants to find cost effective resolu-
tions. His experience includes heading up the safety and health operations at two construction
companies, providing safety and health training for both non-construction and construction opera-
tions, and providing consultative services on ways of improving risk conditions. Also, he has experi-
ence as a company owner and operator, a videographerjeditor, and did a tour of duty with the
United States Air Force.
c
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_CITY OF ORLANDO
ECONOMIC DEVELOPMENT. PERMITTING
Local Business Tax Receipt
City Hall, 400 South Orange Avenue, First Floor
Post Office Box 4990
Orlando, Fl. 32802-4990
Phone: 407,246,2204 Fax: 407,246,3420
PROMPT! Interactive Voice Response System: 407,246.4444
Visit our website: www,CityofOrlando,netJpermits
FLORIDA LEAGUE OF CITIES INC
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CITY OF ORLANDO
ECONOMIC DEVELOPMENT
PERMITTING SERVICES
LOCAL BUSINESS TAX RECEIPT
(Formerly known as "Business license, changed per slale law HBI269-2006)
~_ _- ,: I' "
: II;
Issu~d Dale: 10/D1,'2010
Ex'Pir.hk.1l Date: 09/30/2011
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~OTlCE- THIS RECEIPT ONLY EVIDENCES PAYMENT OF THE LOCAL
BUSINESS TAX PURSUANT TO CH, 205, flORIDA STATUTES, IT DDES NDT
PERMIT THE HDLDER TO DPERATE IN VIDLATIDN DF ANY CITY, STATE, OR
FEDERAL LAW. CITY PERMITTING MUST BE NOTIFIED DF ANY MATERIAL
CHANGE TO THE INFDRMATION FOUND HEREIN BELOW. THIS RECEIPT
DOES NDT CONSTITUTE AN ENDORSEMENT OR APPRDVAL OF'THE
HOLDER:S ~KILL OR CDMPETENCY. H II
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Case Number: ........,[ 'BUS00217ds-001
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=arl K. WOOd, lax (;Ollector Local tsusmess I ax Kecelpt urange (;ounty, t-lonoCl
rhis local business tax receipt is in addition to and not in lieu of any other tax required by law or municipal ordinance. Businesses are subject to regulation of zoning, health and othe
awful authorities, This receipt is valid from October 1 through September 30 of receipt year, Delinquent penalty is added October 1.
***ORIGINAL*** 2010 EXPIRES 9/30/2011 5000-0974117
5000 BUSINESS OFFICE $50.00 125 EMPLOYEES:
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SITTIG MIKE EX DIRECTOR
TOTAL TAX
PREVIOUSLY PAID
TOTAL DUE
$50.00
$50.00
$0,00
FLORIDA LEAGUE OF CITIES INC
SITTIG MIKE EX DIRECTOR
125 E COLONIAL DR
ORLANDO FL 32801-1201
125 E COLONIAL DR
A - ORLANDO, 32853
PAID: $50.00 99-486479 9/20/2010
Earl K. Wood, Tax Collector Local Business Tax Receipt Orange County, Floridc
rhis local business tax receipt is in addition to and not in lieu of any other tax required by law or municipal ordinance, Businesses are subject to regulation of zoning, health and othe
awful authorities, This receipt is valid from October 1 through September 30 of receipt year. Delinquent penalty is added October 1,
***ORIGINAL*** 2010 EXPIRES 9/30/2011 5000-0974117
5000 BUSINESS OFFICE $50.00 125 EMPLOYEES:
TOTAL TAX
C""~EVIOUSL Y PAID
TAL DUE
$50.00
$50.00
$000
FLORIDA LEAGUE OF CITIES INC
SITTIG MIKE EX DIRECTOR
125 E COLONIAL DR
ORLANDO FL 32801-1201
125 E COLONIAL DR
A - ORLANDO, 32853
PAID: $50.00 99-486479 9/20/2P10
This receipt is official when validated by the Tax Collector,
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RESIDENT
LICENSE
TOM GALLAGHER
Chief Financia!c.QfHcer
Sla~e.QtFr'o;;M ,'o'f; " '"
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JAMES,JUOE MCGINN"'" ,.
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IS ~lo~TtE~F~LCl'NlHG ~~~:~RANCE
Gene~ Li~s (P~op & casu)c002/11/2006
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fax, 407-425-9378
www.f1cities.com/lnsuronce
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
()
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APPROACH/METHODOLOGY
. The Florida League of Cities administers the Florida Municipal Insur-
ance Trust and is the program of choice for approximately 60% of the
municipalities in Florida.
. The FMIT is governed by elected officials and solely serves public
sector clients. We are headquartered in Orlando, Florida and employ
over 100 people. The Trust maintains superior financial stability with
over $420 million in total assets and $225 million in surplus. We were
the first Trust to begin operations in Florida in 1977. We are the larg-
est Trust operating in Florida in the public sector.
. The FMIT's policy forms are customized based on the needs of our
member municipalities and offer coverages that can not be obtained in
the commercial marketplace. The FMIT directly administers and set-
tles claims.
. In addition, the FMIT has developed a comprehensive Disaster Recov-
ery Program through its exclusive partnership with SimpliCity and
TurnKey Recovery service. These programs assist a City with better
preparation before and event and establish a complete customized re-
covery plan with the City to expedite your recovery time and to im-
prove cash flow by directing paying pre-approved vendors.
. The FMIT, being familiar with municipal needs and demands is fully
prepared to meet all desired deadlines and time lines.
. The FMIT offers various deductible and/or Self Insured Retention op-
tions that vary with each municipality, their claims history and risk tol-
erance. We meet individually with each risk to determine the best
value and best risk appetite fit for these options. We would look for-
ward to reviewing each option with your City.
c
Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fax, 407-425-9378
www.f1cities.com/lnsurance
DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
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. The FMIT would directly quote your insurance within our own pro-
gram. For any specific additional insurance needs we can access the
market through dedicated brokers. We are the insurance company, not
an insurance broker.
. Our workers compensation claims unit is located in our Orlando office
and is fully prepared to work with the City to fairly and quickly re-
solve all claims that occur. Our Special Investigations Unit (SIU) has
been recognized by the Governor of Florida in our efforts to combat
workers compensation fraud.
. In addition, we have 6 full time Risk Control specialists to assist the
City in the development and implementation of safety programs, return
to work programs and specific training to reduce the frequency of
claims by your workers.
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Department of Insurance
And Financial Services
FLORIDA MUNICIPAL INSURANCE TRUST
COVERAGE PROPOSAL
FOR
CITY OF SUNNY ISLES BEACH
PROPOSED EFFECTIVE DATE: October 1, 2011
ADMINISTERED AND PREPARED BY:
DEPARTMENT OF INSURANCE AND FINANCIAL SERVICES
OF THE
FLORIDA LEAGUE OF CITIES, INC,
P,O, BOX 530065
ORLANDO, FL 32853-0065
August 18, 2011
"The Florida Municipal Insurance Trust Guarantee"
The FMITwill match any competitor's pricing for similar exposures, coverages, terms and conditions contingent on the
ability of the competitor to verify that their rates are established by an independent actuary and that their reinsurance
structure is currently in place. The competitor's reinsurer must have an AM Best rating of an A X or better.
A specimen agreement is attached, This proposal contains a brief, general description of coverages, It is not
intended to describe or cover all the terms, limits, conditions and exclusions of the agreement.
The FMIT agreement language will supersede any differences between the agreement and this proposal
summary .
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
FLORIDA MUNICIPAL INSURANCE TRUST
Proposal for 2011-2012
Department of Insurance
and Financial Services
City of Sunny Isles Beach
PROPERTY COVERAGE
Limit
Blanket Real & Personal Property
$36,246,450
Note: Property on a Blanket/Agreed Value basis requires a current appraisal to maintain both,
Electronic Data Processing:
- Equipment:
- Software:
- Equipment Breakdown:
Included in Contents
Included in Contents
Included in Contents
Coinsurance:
Agreed Amount
Values:
100%
Valuation Basis:
Replacement Cost
Coverage Form:
Special
Deductibles:
$5,000 Per Occurrence - Real & Personal Property, Other Property
For locations within 1/2 mile of Coastal Waters, windstorm damage (other than a Named
Storm) shall be $25,000 or the stated policy deductible, whichever is greater, For locations
within 1/2 mile of Coastal Waters, the Named Storm deductible shall be 5% of the scheduled
value, $25,000 or the stated policy deductible, whichever is greater,
Named Storm Deductible is 5% of the scheduled Building, Personal Property, Other Property
(including property in the open) and Business Income, The percentages calculated using the
Schedule of Values on file with FMIT, The Named Storm deductible is calculated separately and
applied individually to each Building, Personal Property, Other Property and Business Income. The
minimum deductible is 5% of the scheduled value or the stated policy deductible, whichever is
greater.
Business Income deductible is 72 hours.
Valuable Papers
Deductible: $5,000 $1,000,000
(Note: the limit stated is in addition to the limit shown on page 2 of proposal)
FLORIDA MUNICIPAL INSURANCE TRUST
RFP No. 11-08-01
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PROPERTY COVERAGE EXTENSIONS:
>-
>-
C >-
>-
>-
>-
>-
>-
>-
>-
>-
>-
>-
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>- Excess Flood Coverage
o Flood Zones A & V excess of NFIP
o Other Flood Zones - $100,000 deductible
>- Terrorism
>- Unintentional Errors & Omissions
>- Newly Acquired or Constructed Property
>- Newly Acquired Business Personal Property
>- Business Income
>- Extra Expense
>- Valuable Papers & Records
>- Signs - Not attached to Buildings
o Vehicular damage to signs maximum of $10,000
>- Accounts Receivable
>- Police Dogs & Horses
o Death in line of duty - $5,000
o Annual Maximum - $25,000
Electronic Data Processing Equipment (Software)
Antiques & Objects of Art
o $15,000 per item
o $250,000 Annual Maximum
Off Premises Power Failure
Pollutant Clean Up & Removal
Fungus Clean Up & Removal
Personal Property Off Premises
Personal Property of Others
Preservation of Property
Service Interruption Coverage
Property In Transit
Fire Extinguisher Recharge
Debris Removal
Building Ordinance Coverage, Including Demolition
Outdoor Fixtures - applies to covered property within 1,000 feet of described building. Please
see form FMIT PROP 03 1112 for complete definition and policy conditions.
Leasehold interest
Arson Reward
Recertification of Equipment
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$4,500,000
$5,000,000
$2,000,000
$500,000
$500,000
$1,000,000
$500,000
$25,000
$500,000
$250,000
$100,000
$100,000
$25,000
$250,000
$50,000
$100,000
$100,000
$250,000
25% of Loss
25% of Loss
$100,000
$5,000
$250/Day
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
INLAND MARINE COVERAGE:
Scheduled Inland Marine Equipment
Deductible:
$5,000
$450,240
Items greater than $50,000 have $5,000 deductible or 2%
of the item's scheduled limit, whichever is greater.
Blanket Inland Marine Equipment
Items under $15,000
Deductible:
$500
Blanket Inland Marine coverage is defined as: Coverage for all unscheduled Inland Marine equipment, Emergency
Portable Equipment and Communications Equipment valued at $15,000 or less is subject to $500 deductible.
(All Watercraft must be scheduled,) Limit of Liability - $1,000,000.
Coverage Basis:
Actual Cash Value
INLAND MARINE COVERAGE EXTENSIONS:
> Rental Reimbursement for Contractor's Equipment for Covered Loss
> Limited Contractor's Equipment Cost
> Installation Floater - Member's Building Materials
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$5,000
$250,000
$100,000
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No. 11-08-01
EQUIPMENT BREAKDOWN COVERAGE
Subject to any applicable limits on the Declarations of Building and Personal Property Coverage, the Equipment
Breakdown Limit is the most we will pay for loss or damage arising from any "one accident."
These coverages apply to all locations covered on the policy, unless otherwise specified.
I.
Coverages
Limits
Equipment Breakdown Limit
Real & Personal Property Limit shown in proposal,
Maximum Limit: $50,000,000.
Business Income
Subject to the Business Income Limit shown in proposal.
Extra Expense
Subject to the Extra Expense Limit shown in proposal.
Expediting Expense
$250,000
Hazardous Substances
$100,000
Spoilage
$250,000
Data Restoration
$250,000
Service Interruption
(Must exceed 24 hours.)
Included
Water Damage
Included in Property Coverage,
II. Deductibles
Direct Coverages
Subject to the Real & Personal deductible shown in proposal.
Indirect Coverages
Subject to the appropriate Time Element deductible shown
in proposal.
III. Other Conditions
"Covered Equipment" does not include equipment primarily used to generate electric power; however, this
exclusion does not apply to emergency generators.
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
GENERAL LIABILITY COVERAGE
Comprehensive General Liability
Limits
Limit Per Occurrence:
Annual Aggregate:
Deductible:
$5,000,000
U.nlimited
$0
Public Officials E & 0 I Employment
Practices Liability
Limits
Limit Per Occurrence:
Annual Aggregate:
Deductible:
$5,000,000
Unlimited
$0
Police Professional Liability
Limits
Limit Per Occurrence:
Annual Aggregate:
Deductible:
$5,000,000
Unlimited
$0
Note: For Members that choose a deductible - Members are only responsible for the deductible if a
judgment or settlement occurs, Legal expenses are outside the deductible and paid solely by the Trust
for General Liability and I or Automobile Liability.
Important Note: The deletion of any of the above coverages does not automatically reduce the premium, These premiums are
based on all of the above coverages. Any deletions of coverage will alter the experience modification factor originally used
and may result in a higher premium.
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No. 11-08-01
ADDITIONAL BENEFITS:
~ Defense Costs paid in addition to policy limits
~ Premises Operations
~ Products/Completed Operations
~ Contractual Liability (Designated Contracts Only)
~ Owners & Contractors' Protective Liability
~ Personal Injury Liability
~ Host Liquor Liability
~ Incidental Medical Malpractice Liability
~ Watercraft Liability
~ Fire Legal Liability - $500,000 Limit
~ Broad Form Property Damage - Maximum $500,000 in anyone Trust Year
~ Advertising Injury Liability
~ Employment Practices Liability
~ Employee Benefits Program Administration Liability
~ Extra Contractual Legal Expense - $100,000 Limit
o (EEOC, Florida Commission on Human Resources, Ethics, Sunshine Law)
o No-fault Sewer Backup
~ Crisis Intervention
~ HR Helpline - Full Legal Support and Online Services
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AUTOMOBILE COVERAGE
Comprehensive Automobile Liability
Deductible:
Personal Injury Protection
Deductible:
Medical Payments
Deductible:
Uninsured Motorists Protection
Deductible:
Automobile Physical Damage
Comprehensive Coverage
Collision Coverage
Coverage Includes:
~ Hired & Non-Owned Liability
~ Rental Reimbursement - scheduled vehicles
~ Lease Differential - scheduled vehicles
~ Limited Replacement Cost - owned private passenger vehicles
~ Member's Personal Effects
FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
Limits
$5,000,000
$0
$10,000
$0
$3,000
$0
$100,000
$0
$1,000 Deductible
$1,000 Deductible
Note: For Members that choose a deductible - Members are only responsible for the deductible if a
judgment or settlement occurs, Legal expenses are outside the deductible and paid solely by the Trust
for General Liability and / or Automobile Liability,
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No. 11-08-01
CRIME & BOND COVERAGE
Limits
Honesty Blanket Bond
Deductible:
$1,000,000
$1,000
Crime:
Money - Loss Inside
Deductible:
$250,000
$5,000
Money - Loss Outside
Deductible:
$250,000
$5,000
Computer Fraud
Deductible:
$250,000
$0
Depositors Forgery
Deductible:
$250,000
$1,000
'Certain Officers and Subordinates are excluded automatically from coverage by the terms of the designated Blanket Bonds:
1. All Coverages - Finance Directors, Treasurers and Tax Collectors by whatever title known,
2. Faithful Performance Coverages - Personnel required by law to furnish an individual bond to qualify for office
(Policemen excluded),
3. Honesty Coverages - Personnel required by law to give bond for faithful performance duties.
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No. 11-08-01
WORKERS' COMPENSATION PAYROLLS
Workers' Compensation
Employers Liability
Limit
Statutory
$1,000,000 I $1,000,000 I $1,000,000
CODE DESCRIPTION PAYROLL
7382 BUS DRIVERS 225,449
7720 POLICE OFFICERS 3,646,860
8810 CLERICAL 2,547,828
8820 ATTORNEY - ALL EMPLOYEES 281,063
9015 BUilDINGS - OPERATION BY OWNER 930,782
9102 PARK NOC 842,871
9402 SEWER CLEANING 119,480
9410 MUNICIPAL, TOWNSHIP, COUNTY EMPLOYEES NOC 644.791
TOTAL PAYROll 9,239,124
Deductible:
$0
Experience Modification Factor:
1.09
Safety Credit:
Yes
Drug Free Credit:
Yes
The Workers' Compensation premium is subject to adjustment when the October 1, 2011 experience modification is received,
Premium calculation includes 5% Drugfree Credit and 2% Safety Credit - Requires receipt of approved applications,
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
PREMIUM SUMMARY
Coverage Line
Annual Premium
Blanket Real & Personal Property
$215,423
Inland Marine
INCLUDED
Equipment Breakdown Coverage
INCLUDED
Crime & Bond Coverage
INCLUDED
General Liability Coverage
$35,501
Public Officials E&O / Employment Practices Liability
$27,959
Police Professional Liability
$44,143
Automobile Coverage
$102,625
Workers' Compensation Coverage
$135,194
I Total FMIT Premium
$560,844
THE FOLLOWING COVERAGE(S) ARE BILLED SEPARATELY ON AN ANNUAL BASIS AND WILL NOT BE INCLUDED IN THE
QUARTERLY INSTALLMENT INVOICE FOR THE FMIT:
Accidental Death and Dismemberment:
Bond (Position Schedule - $500,000 Finance
Director):
Bond (Position Schedule - $1,000,000
Finance Director):
Bond (Position Schedule - $1,000,000 City
Manager):
Primary Flood
Accident
Storaae Tank Liabilitv:
GRAND TOTAL PREMIUM
10
$1,868
$1,437
$2,804
$3,191
TBD
TBD
TBD
$570,144
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
INTEREST FREE INSTALLMENT PLAN
First Installment
Second Installment
Third Installment
Fourth Installment
25% minimum due
25% minimum due
25% minimum due
25% minimum due
October 1, 2011
January 1, 2012
April 1 , 2012
July 1, 2012
Payment will be forwarded to the Florida League of Cities in Tallahassee
Note: Coverage summaries provided herein are intended as an outline of coverage only and are
necessarily brief, In the event of loss, all terms, conditions, and exclusions of actual Agreement and/or
Policies will apply,
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
DEDUCTIBLE I LIMIT OPTIONS
General Liability, Errors & Omissions and Police Professional Liability
$5,000,000 Combined Single Limit
Deductible Premium
$0 $107,602
$2,500 $105,688
Automobile Liability
$5,000,000 Combined Single Limit
Deductible Premium
$0 $78,841
$5,000 $73,949
Workers' Compensation
Deductible
$0
$2,500
Premium
$135,194
$126,057
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No. 11-08-01
STATUTORY AD&D
THE FOLLOWING IS A SUMMARY OF FEA TURES ONL Y & DOES NOT COVER ALL TERMS, CONDITIONS AND LIMIT A TlONS. THE
ISSUED POLICY WILL GOVERN IN ALL CASES.
QUOTE FOR:
City of Sunny Isles Beach
INSURER:
National Union Fire Insurance Company of Pittsburgh PA
LIMIT OF LIABILITY:
$67,340
$67,340
$191,660
Principal Sum - In Line of Duty
Principal Sum - Fresh Pursuit
Principal Sum - Unlawful or Intentional Death
PROPOSED EFFECTIVE DATE: 10/1/2011 TO 10/1/2012
THE FOLLOWING COVERAGES ARE INCLUDED:
1. Accidental Death & Dismemberment on each component.
2. Tuberculosis, heart disease or hypertension, hepatitis, meningococcal meningitis.
3. Weekly Accident Indemnity - $100.00/week, maximum 52 weeks. Coordinates with workers'
compensation. Intentional act only,
4. Day Care Benefit - $2,000/yr, max 2 years. Currently enrolled in day care,
5. Education Benefit - $2,000/yr, max 2 years. Currently enrolled in an institution of higher learning.
6. Medical Insurance Continuation/Catastrophic Injury 440,02 (34) F.S. - Maximum $5,000,00 per
year. Maximum years - 5.
7, Burial Benefit - $1,000. Intentional Death only.
PERSONS COVERED'
I.
Police
Full-Time
Auxiliary Officers, Reserves, Volunteers
Administrative
48
1
8
III.
All Other Employees
98
All Other Employees
TOTAL PREMIUM:
$1,868.00 Annual
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BONDS
FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
**PREMIUM SUBJECT TO ADJUSTMENT ONCE COMPLETED AND SIGNED APPLlCA TlON RECEIVED AND REVIEWED BY
UNDERWRITING**
QUOTE FOR:
City of Sunny Isles Beach
INSURER:
Travelers Casualty and Surety Company of America
POSITION SCHEDULE BOND:
Limit of Liability:
Deductible:
Position Covered:
Premium:
(Subject to adjustment once completed
and signed application received and
reviewed by Underwriting)
$500,000
$0
Finance Director
$1.437.00
SUBJECT TO RECEIPT OF COMPLETED APPLICATION AND FINAL APPROVAL BY TRAVELERS CASUALTY AND SURETY.
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BONDS
FLORIDA MUNICIPAL INSURANCE TRUST
RFP No. 11-08-01
..PREMIUM SUBJECT TO ADJUSTMENT ONCE COMPLETED AND SIGNED APPLlCA nON RECEIVED AND REVIEWED BY
UNDERWRITING"
QUOTE FOR:
City of Sunny Isles Beach
INSURER:
Travelers Casualty and Surety Company of America
POSITION SCHEDULE BOND:
Limit of Liability:
Deductible:
Position Covered:
Premium:
(Subject to adjustment once completed
and signed application received and
reviewed by Underwriting)
$1,000,000
$0
Finance Director
$2.804.00
SUBJECT TO RECEIPT OF COMPLETED APPLICATION AND FINAL APPROVAL BY TRAVELERS CASUALTY AND SURETY.
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BONDS
FLORIDA MUNICIPAL INSURANCE TRUST
RFP No. 11-08-01
..PREMIUM SUBJECT TO ADJUSTMENT ONCE COMPLETED AND SIGNED APPLlCA TION RECEIVED AND REVIEWED BY
UNDERWRITING..
QUOTE FOR:
City of Sunny Isles Beach
INSURER:
Travelers Casualty and Surety Company of America
POSITION SCHEDULE BOND:
Limit of Liability:
Deductible:
Position Covered:
Premium:
(Subject to adjustment once completed
and signed application received and
reviewed by Underwriting)
$1,000,000
$0
City Manager
$3.191.00
SUBJECT TO RECEIPT OF COMPLETED APPLICATION AND FINAL APPROVAL BY TRAVELERS CASUALTY AND SURETY.
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
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PETROLEUM STORAGE TANK LIABILITY, CORRECTIVE ACTION AND CLEAN-UP COSTS COVERAGE
**QUOTE CAN BE CONSIDERED WITH A COMPLETED, SIGNED AND DATED AGENT OF RECORD I BROKER OF
RECORD LETTER ON MUNICIPALITY LETTERHEAD. CONSIDERATION WILL NEED TO BE APPROVED BY THE
STORAGE TANK LIABILITY INSURANCE CARRIER.**
NAME:
City of Sunny Isles Beach
INSURER:
Illinois Union National Insurance Company
POLICY PERIOD:
One Year from Inception
LIMIT OF LIABILITY:
To Be Determined
DEDUCTIBLE:
To Be Determined
PREMIUM:
To Be Determined (""See below)
To Be Determined (Additional premium for Terrorism Risk Insurance Act)
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No midterm credit for tank upgrade or removal.
THIS POLICY IS WRITTEN ON A CLAIMS MADE FORMAT. PRIOR ACTS COVERAGE IS NOT OFFERED.
The coverage available through Illinois Union Insurance Company will be for liability for bodily injury and property damage to third-parties
and corrective action as a result of an incident of inland contamination as defined by Florida Statute. Coverage will be for scheduled
tanks at scheduled sites only. This policy is subject to a retroactive date which bars coverage for conditions existing prior to the
inception of the policy.
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
PRIMARY FLOOD
..QUOTE CAN BE CONSIDERED WITH A COMPLETED, SIGNED AND DA TED AGENT OF RECORD / BROKER OF RECORD
LETTER ON MUNICIPALITY LETTERHEAD AND A COPY OF THE CURRENT / ACTIVE DECLARA TION PAGE(S).
CONSIDERA TION WILL NEED TO BE APPROVED BY THE PRIMARY FLOOD INSURANCE CARRIER."
NAME:
City of Sunny Isles Beach
INSURER:
American Bankers Insurance Company of Florida
POLICY PERIOD:
One Year from Inception
LIMIT OF LIABILITY:
To Be Determined
DEDUCTIBLE:
To Be Determined
PREMIUM:
To Be Determined
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
ACCIDENT
""QUOTE CAN BE PROVIDED ONCE COMPLETED AND SIGNED APPLlCA TION IS SUBMITTED AND REVIEWED.""
NAME:
INSURER:
POLICY PERIOD:
PERSONS COVERED:
PREMIUM:
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City of Sunny Isles Beach
National Union Fire Insurance Company of Pittsburgh PA
One Year from Inception
To Be Determined
To Be Determined
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
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SERVICES INCLUDED BY FLORIDA LEAGUE OF CITIES & FMIT
The Florida League of Cities and the Florida Municipal Insurance Trust are pleased
to be able to provide more than "just" insurance for your premiums. As you
consider our coverages and premiums, please consider the following services that
will be provided as well:
Return of Premium - FMIT Members are owners of the FMIT. This payment to our Members is an example
of owners assessing the strength of their program and making decisions to benefit all Members. Over the
past 4 years the Board of Directors has approved the returns to our "owners" in excess of $28,000,000.
VALUE TO YOU:
$
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Safety Grants - The FMIT offers cost sharing grants to our Members for projects that improve safety, These
grants are for up to $5,000 and are subject to approval by an appointed Board of Risk Managers from our
insured Cities.
You have received the following Grants:
VALUE TO YOU:
$
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FLORIDA MUNICIPAL INSURANCE TRUST
RFP No, 11-08-01
SimpliCity - FMIT Members face unique challenges when maintaining accurate schedule of values, tracking
assets, overseeing projects, coordinating vendor services and documenting the property claims process.
SimpliCity was developed exclusively for FMIT Members to address these needs and to speed the claim
and recovery process.
VALUE TO YOU:
$
TurnKey Recovery - In an effort to improve the mitigation process and significantly reduce the financial impact of a
loss can have on a Member's ability to recover, FMIT TurnKey Recovery Program is offered to Members,
Project costs are approved and paid to certified vendors directly by Synergy for the FMIT in order to reduce
Member's out-of-pocket costs. FMIT TurnKey Recovery helps to minimize the financial exposure the SOV
Claims can have on Members net cash-flow by eliminating the recovery cost burden and the reimbursement
process.
VALUE TO YOU:
$
Special Investigations Unit (SIU) - Insurance fraud costs each Florida family approximately $1,400 a year
in additional premiums, and is the number two white collar crime in America. The Special Investigation Unit (SIU)
was created in 1999 to investigate suspected fraud to help reduce the cost and amount of fraud for the Florida
Municipal Insurance Trust (FMIT) Members,
As of 201 0, fraud investigations and prosecutions have resulted in over $5.5 million in cost savings and more
that $1.8 million dollars in restitution ordered on FMIT claims, The SI U was recognized by the State of Florida
Governor and Cabinet in 2009 for its work in the fight against insurance fraud,
VALUE TO YOU:
$
Per Scheduled Unit Deductible - The FMIT Deductible applies to each scheduled Building, each scheduled Contents,
and each scheduled Property In The Open instead of Per Location's Total Values. This greatly reduces your financial
exposure in a named storm event.
VALUE TO YOU:
$
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DEPARTMENT OF INSURANCE
AND FINANCIAL SERVICES
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, FL 32801
Main, 407-425-9142 Toll Free, 1-800-445-6248 Fax, 407-425-9378
www.f1cities.com/lnsu ranee
REFERENCES
1. CITY OF TAMARAC
7525 NW 88TH AVENUE
TAMARAC, FL 33321
PATTI TOMASZEWSKI, 954-597-3614
2. CITY OF SUNRISE
1601 NW 136THAVENUE, BUILDING A, SUITE 102
S~SE,FL 33323
BILL MASON, 954-572-3496
3. VILLAGE OF PALM SPRINGS
226 CYPRESS LANE
PALM SPRINGS, FL 33461
KARL UMBERGER, 561-965-4010
~c(4~
James McGinn, CPCU, RMPE
954-61 0-5153
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Florida League of Cities, Inc., Department of Insurance and Financial Services
125 East Colonial Drive, Orlando, Fl 32801
Main: 407-425-9142 Toll Free, 1-800-445-6248 Fax, 407-425-9378
www.flcities.com/lnsuronce
Online Account Management Demo
A temporary login and password has been created for the City of
Sunny Isles Beach to view what is offered for FMIT members online.
Login: sunnyislesbeach
Password: sunnyislesbeach
This is a new service that is offered to FMIT members and is im-
proved and updated regularly.
Because this is a test account, some information will not be loaded.
Options include:
. Filing a claim online
. Viewing policy documents
. Viewing adjuster claims notes
. Viewing the loss dashboard
. Managing property and auto schedules
. View provider list
. Request a Group Health Explanation of Benefits
. File a Group Health Grievance Appeal
. Request Loss Runs
. Certificate of Coverage
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DELIVER TO:
City of Sunny Isles Beach
City Clerk
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Request for Proposal
SECTION 6
BID SUBMITTAL FORMS
OPENING: 10:00 A.M.
08/18/2011
PLEASE QUOTE PRICES F.O.B. DESTINATION, LESS TAXES, DELIVERED IN
CITY OF SUNNY ISLES BEACH, FLORIDA
NOTE: City of Sunny Isles Beach is exempt from all taxes (Federal, State, and Local). Bid price should be
less all taxes. Tax Exemption Certificate furnished upon request.
Issued by:
Purchasing Agent
Date Issued:
07/29/2011
This Bid Submittal Consists of
Pages 20 through 23
Sealed bids are subject to the Terms and Conditions of this Invitation to Bid and the accompanying Bid
Submittal. Such other contract provisions, specifications, drawings or other data as are attached or
incorporated by reference in the Bid Submittal, will be received at the office of the City Clerk at the
address shown above until the above stated time and date, and at that time, publicly opened for
furnishing the supplies or services described in the accompanying Bid Submittal Requirement.
IFB 11-08-01
Property & Casualty Comprehensive Insurance
A Bid Deposit in the amount of 0% of the total amount of the bid shall accompany all bids
A Performance Bond in the amount of 0% of the total amount of the bid will be required upon execution
of the contract by the successful Proposer and City of Sunny Isles Beach
Procurement Aaent:
Marcanthony Tulloch
Firm Name:
Florida League of Cities, Inc.
Commodity Code(s):
RETURN ONE ORIGINAL AND TWO COPIES OF BID SUBMITIAL PAGES AND AFFIDAVITS
FAILURE TO SIGN PAGE 23 OF SECTION 4 BID SUBMITTAL WILL RENDER YOUR BID NON-
RESPONSIVE
PAGE 20 OF 24
BID No, 11-08-01
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SECTION 4
BID SUBMITTAL FOR:
ACKNOWLEDGEMENT OF ADDENDA
INSTRUCTIONS: COMPLETE PART lOR PART II, WHICHEVER APPLIES
PART I:
LIST BELOW ARE THE DATES OF ISSUE FOR EACH ADDENDUM RECEIVED IN
CONNECTION WITH THIS BID
Addendum #1, Dated 8/15/11
Addendum #2, Dated 8/15/11
Addendum #3, Dated
Addendum #4, Dated
Addendum #5, Dated
Addendum #6, Dated
Addendum #7, Dated
Addendum #8, Dated
PART II:
D NO ADDENDUM WAS RECEIVED IN CONNECTION WITH THIS BID
FIRM NAME: Florida League of Cities, Inc.
AUTHORIZED SIGNATURE: 6~~I3-P~o(~ DATE: .P}tfpfl/J
TITLE OF OFFICER: Underwriting Manager
PAGE 21 OF 24
BID No, 11-08-01
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BID SUBMITTAL FORM
Bid Title: Property & Casualty Comprehensive Insurance
The undersigned Proposers proposes and agrees, if this Bid is accepted, to enter into an agreement with The City of
Sunny Isles Beach in the form included in the Contract Documents to perform and furnish all Work as specified or
indicated in the Contract Documents for the Contract Price and within the Contract Time indicated in this Bid and in
accordance with the other terms and conditions of the Contract Documents,
The Proposers accepts all of the terms and conditions of the Advertisement or Invitation to Bid and Instructions to
Proposers, including without limitation those dealing with the disposition of Bid Security. This Bid will remain subject
to acceptance for 90 days after the day of Bid opening. The Proposers agrees to sign and submit the Agreement with
the Bonds and other documents required by the Bidding Requirements within ten days after the date of the City's
Notice of A ward.
In submitting this Bid, the Proposer represents, as more fully set forth in the Agreement, that:
. The Proposer has familiarized himself/herself with the nature and extent of the
Contract Documents, Work, site, locality, and all local conditions and Law and
Regulations that in any manner may affect cost, progress, performance, or
furnishing of the Work.
. The Proposer has studied carefully all reports and drawings of subsurface
conditions and drawings of physical conditions.
. The Proposer has given the City written notice of all conflicts, errors,
discrepancies that it has discovered in the Contract Documents and the written
resolution thereof by City is acceptable to the Proposer.
. This Bid is genuine and not made in the interest of or on behalf of any
undisclosed person, firm or corporation and is not submitted in conformity with
any agreement or rules of any group, association, organization, or corporation;
the Proposer has not directly or indirectly induced or solicited any other
Proposers to submit a false or sham Bid; the Proposer has not solicited or
induced any person, firm or corporation to refrain from Bidding; and Proposer
has not sought by collusion to obtain for itself any advantage over any other
Proposers or over the City.
The City and the successful Proposer will establish completion times for each individual Work Item and
the successful Proposer agrees that the work will be completed within the time frames agreed upon and
stipulated in the individual Purchase Orders and/or Notice to Proceed.
PAGE 22 OF 24
BID No, 11-08-01
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FIRM NAME:
Florida League of Cities, Inc.
Street Address:
125 E, Colonial Drive, Orlando, FL 32801
Mailing Address (if different):
PO Box 530065, Orlando, FL 32853
Telephone No. 407-425-9142
E 'I Add jmcginn@flcities.com
mal ress:
Fax No. 407-425-9378
FEIN No. ~~0~~4lJ-1-1-1_
* "BY SIGNING THIS DOCUMENT THE PROPOSER AGREES TO ALL TERMS
SIGNATURE: ~t4c//-f~
~
~ (SIGNATURE OF AUTHORIZED AGENT)
PRINT NAME: Jim McGinn
TmE: Account Executive
THE EXECUTION OF THIS FORM CONSTITUTES THE UNEQUIVOCAL OFFER OF PROPOSER TO BE BOUND
BY THE TERMS OF ITS PROPOSAL. FAILURE TO SIGN THIS SOLICITATION WHERE INDICATED ABOVE
BY AN AUTHORIZED REPRESENTATIVE SHALL RENDER THE PROPOSAL NON-RESPONSIVE. THE CITY
MAY, HOWEVER, IN ITS SOLE DISCRETION, ACCEPT ANY PROPOSAL THAT INCLUDES AN EXECUTED
DOCUMENT WHICH UNEQUIVOCALLY BINDS THE PROPOSER TO THE TERMS OF ITS OFFER.
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PAGE 23 OF 24
BID No, 11-08-01
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PAGE 24 OF 24
No 11-08-01
BID ,
OF SU\'l
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STATE OF FLORIDA
COUNTY OF Orange
NON-COLLUSION AFFIDAVIT
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
The undersigned being first duly sworn as provided by law, deposes, and says:
This Affidavit is made with the knowledge and intent that it is to be filed with the City of Sunny Isles Beach City Commission and that it will be
relied upon by said County, in any consideration which may give to and any action it may take with respect to this Bid.
The undersigned is authorized to make this Affidavit on behalf of,
of which he is
Florida League of Cities, Inc.
(Name of Corporation, Partnership, Individual, etc,)
a,
, formed under the laws of Florida
(State)
(Type of Business)
(Sole Owner, Partner, President, etc,)
Neither the undersigned nor any person, firm, or corporation named in above Paragraph 10,2, nor anyone else to the knowledge of the
undersigned, have themselves solicited or employed anyone else to solicit favorable action for this Bid by the City, also that no head of any
department or employee therein, or any officer of the City of Sunny Isles Beach, Florida is directly interested therein,
This Bid is genuine and not collusive or a sham; the person, firm or corporation named above in Paragraph 10.2 has not colluded, conspired,
connived or agreed directly or indirectly with any proposers or person, firm or corporation, to put in a sham Bid, or that such person, firm or
corporation, shall refrain from Bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication
or conference with any person, firm or corporation, to fix the prices of said Bid or Bids of any other proposers; and all statements contained in
the Bid or Bids described above true; and further; neither the undersigned, nor the person, firm or corporation named above in Paragraph
10,2, has directly or indirectly submitted said Bid or the contents thereof, or divulged information or data relative thereto, to any association or
to any member or agent thereof,
Byron Beard
AFFIANT'S NAME
Underwriting Manager
AFFIANT'S TITLE
TAKEN, SWORN AND SUBSCRIBED TO BEFORE ME this ~ day of ~ lM:U\-
Personally Known .-/ or Produced Identification
Type of identification
(Affix seal here)
, 20111/
i?JoJ\CctR D. m ~\J-~-ewS'o;J
NOTARY PUBLIC (name printed or typed)
"~~~~~::~'" BARBARA D. MATHEWSON
{'+:. .y\ Notary Public - State 01 Florida
:' . . . = My Comm. Expires Jul 20 2013
~":i"'- .
",,"~~ ~fi Commission" DO 874050
"1 OF f\'; ~,
,,,,,,,,,, Bonded Through Nallonal Notary Assn.
DECEMBER 28, 2010
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PUBLIC ENTITY CRIMES
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a)
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
PUBLIC ENTITY CRIMES
Pursuant to the provisions of paragraph (2) (a) of Section 287,133, Florida State Statutes - "A person or affiliate
who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a
Bid on a Contract to provide any goods or services to a public entity, may not submit a Bid on a Contract with a
public entity for the construction or repair of a public building or public Work, may not submit Bids on leases of
real property to a public entity, may not be awarded to perform Work as a Contractor, supplier, Sub-Contractor, or
Consultant under a Contract with any public entity, and may not transact business with any public entity in excess
of the threshold amount Category Two of Sec, 287,017, FS for thirty six months from the date of being placed on
the convicted vendor list",
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADMINISTER OATHS.
11.1.
This sworn statement is submitted to Citv of Sunnv Isles Beach
by Byron Beard, Underwriting Manager
lonnt indiVidual's name and title I
for Florida League of Cities, Inc.
[print name at entity submitting sworn statement]
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whose business address is: 125 E. Colonial Drive, Orlando, FL 32801
and (if applicable) its Federal Employer Identification number (FEIN) is 59-6001124
(If the entity had no FEIN, include the Social Security Number of the individual signing this sworn
statement: ,)
11.2. I understand that a "public entity crime" as defined in Paragraph 287,133(1)(g), Florida Statutes, means a
violation of any state or federal law by a person with respect to and directly related to the transaction of
business with any public entity or with an agency or political subdivision of any other state or with the
United States, including, but not limited to, any Bid or Contract for goods or services to be provided to any
public entity or an agency or political subdivision of any other state of the United States and involving
antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation,
11.3. I understand that "convicted" or "conviction" as defined in Para, 287,133(1)(b), Florida Statutes, means a
finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any
federal or state trail court of record relating to charges brought by indictment or information after July 1,
1989, as a result of a jury verdict, non-jury trial, or entry of a plea of guilty or nolo contendere,
11.4. I understand that an "affiliate" as defined in Para, 287,133(1 )(a), Florida Statutes, means:
a,) predecessor or successor of a person convicted of a public entity crime; or
b,)
Any entity under the control of any natural person who is active in the management of the entity
and who has been convicted of a public entity crime, The term "affiliate" includes those officers,
directors, executors, partners, shareholders, employees, members, and agents who are active in
the management of an affiliate, The ownership by one person of shares constituting a controlling
interest in another person, or a pooling of equipment or income among persons when not for fair
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DECEMBER 28, 2010
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market value under an arm's length agreement, shall be a prime facie case that one person
controls another person, A person who knowingly enters into a joint venture with a person who
has been convicted of a public entity crime in Florida during the preceding 36 months shall be
considered an affiliate,
11.5.
I understand that a "person" as defined in Para, 287,133(1 )(e), Florida Statutes, means any natural
person or entity organized under the laws of any state or of the United States with the legal power to
enter into a binding Contract and which Bids or applies to Bid on Contracts for the provision of goods or
services let by a public entity, or which otherwise transacts or applies to transact business with a public
entity, The term "persons" includes those officers, directors, executives, partners, shareholders,
employees, members, and agents who are active in management of any entity.
11.6.
Based on information and belief, the statement which I have marked below is true in relation to the entity
submitting this sworn statement. (Indicate which statement applies.)
x
Neither the entity submitting this sworn statement, nor any of it's officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, nor any
affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
1989,
The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, or an
affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
1989,
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The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in the management of the entity, or an
affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
1989, However, there has been a subsequent proceeding before a Hearing Officer of the State of
Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer of the
State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer
determined that it was not in the public interest to place the entity submitting this sworn statement on the
convicted vendor list. (Attach a copy of the final order,)
I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE
PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 11,1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND,
THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED, I
ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO
A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287,017, FLORIDA
STATUTES, FOR CATEGORY TWO OF ANY, CHANGE IN THE INFORMATION CONTAINED IN THIS FORM,
By f>~Wl~~/t
(Signal -oj ~t - Iv' - d
(Printed Nam ) J ., I . ( j J
tAAlI114WllT7N? /M~(l.
(Title)
Sworn to and subscribed before me this I:). day of o...~ ~- , 20-LL-, by
) ",-_c,.e . ---0
(A (?){LJ,(', Af'A iO.l)jf)\/~f 1~~~
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Personally Known
Si,gnature: Notary Public - State of Florida
!s:2A(2Q., A--Q A\). \II \it-+\\ (' wSo v--'
Print or Type Commissioned Name
V OR Produced Identification
Type of Identification Produced
10/1998
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EQU AL OPPORTUNITY /
AFFIRMATIVE ACTION
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
EQUAL OPPORTUNITY I AFFIRMATIVE ACTION STATEMENT
The contractors and all subcontractors hereby agree to a commitment to the principles and
practices of equal opportunity in employment and to comply with the letter and spirit of
federal, state, and local laws and regulations prohibiting discrimination based on race,
color, religion, national region, sex, age, handicap, marital status, and political affiliation or
belief.
Signed: I3rf-'A~
Title: Underwriting Manager
Firm: Florida League of Cities, Inc.
Address: 125 E. Colonial Drive, Orlando, FL 32801
DECEMBER 28, 2010
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CONFLICT OF INTEREST
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
OJ ,>ut\
CONFLICT OF INTEREST STATEMENT
The award of any contract hereunder is subject to the provisions of Chapter 112, Florida State Statutes, Proposers must
disclose with their Bids, the name of any officer, director, partner, associate or agent who is also an officer or employee of the
City of Sunny Isles Beach or its agencies,
STATE OF FLORIDA Orange
COUNTY OF
, who was duly sworn,
BEFORE ME, the undersigned authority, personally appeared
deposes, and states:
18.1. I am the Underwriting Manager
_ Florida League of Cities, Inc. _with a local office in - Orlando
- Tallahassee
18.2. The above named entity is submitting a Bid for the City of Sunny Isles Beach, Bid No, 11-08-01 described
as: Landscape Maintenance Services, The Affiant has made diligent inquiry and provides the information contained in this
Affidavit based upon his own knowledge.
of
and principal office in
18.3 The Affiant states that only one submittal for the above Bid is being submitted and that the above named entity has
no financial interest in other entities submitting Bids for the same project.
18.4 Neither the Affiant nor the above named entity has directly or indirectly entered into any agreement, participated in
any collusion, or otherwise taken any action in restraints of free competitive pricing in connection with the entity's submittal for
the above Bid, This statement restricts the discussion of pricing data until the completion of negotiations if necessary and
execution of the Contract for this project.
18.5 Neither the entity nor its affiliates, nor anyone associated with them, is presently suspended or otherwise ineligible from
participation in contract letting by any local, State, or Federal Agency.
18.6 Neither the entity, nor its affiliates, nor anyone associated with them have any potential conflict of interest due to any
other clients, contracts, or property interests for this project.
18.71 certify that no member of the entity's ownership or management is presently applying for any employee position or
actively seeking an elected position with the City of Sunny Isles Beach.
18.8 I certify that no member of the entity's ownership or management, or staff has a vested interest in any aspect of the City
of Sunny Isles Beach.
18.9 In the event that a conflict of interest is identified in the provision of services, I, on behalf of the above named entity, will
immediately notify the City of Sunny Isles Beach,
/}fA U. T
(
N1/fJ/)'
\
AF I ri or Type Name and Title
Sworn to and subscribed before me this I'd- day of C).'U"6~~1;-
.~ Personally Known OR
o Produced Identification ; Type of Identification
~M./~Q~
, 20t<l.tt
L0.~~~~
NOTARY PUBLIC STATE OF FLORIDA
-
- -
I ""~~~~l:::.;-,,, BARBARA D. MATHEWSON
!~m" .'~\ Notary Public - State of Florida
~~.. :;ffi My Comm. Expires Jul20, 2013
""':~^' ~~l Commission # DO 874050
'I,"'" f\'; ", B
o ""',,, onded Through National Notary Assn, ~
... - ~
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~
DECEMBER 28, 2
50f7
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DISPUTE DISCLOSURE
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
DISPUTE DISCLOSURE FORM
Answer the following questions by placing a "X" after "Yes" or "No". If you answer "Yes", please
explain in the space provided, or on a separate sheet attached to this form.
19.1. Has your firm or any of its officers, received a reprimand of any nature or been suspended by the
Department of Professional Regulations or any other regulatory agency or professional associations within the last
five (5) years?
YES
NO
x
19.2. Has your firm, or any member of your firm, been declared in default, terminated or removed from a
contract or job related to the services your firm provides in the regular course of business within the last five (5)
years?
YES
NO
x
19.3. Has your firm had against it or filed any requests for equitable adjustment, contract claims, Bid protests,
or litigation in the past five (5) years that is related to the services your firm provides in the regular course of
business?
YES NO X If yes, state the nature of the request for equitable adjustment, contract
claim, litigation, or protest, and state a brief description of the case, the outcome or status of the suit and the
monetary amounts of extended contract time involved.
I hereby certify that all statements made are true and agree and understand that any misstatement or
misrepresentation of falsification of facts shall be cause for forfeiture of rights for further consideration of this Bid
for the City of Sunny Isles Beach.
Florida League of Cities, Inc.
Firm 13 ,M~d2-
AUlhOriZ~ignalure -
1f~~/-'fJT / L, J.tJ II
ate
Byron Beard, Underwriting Manager
Print or Type Name and Title
DECEMBER 28, 2010
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ANTI-KICKBACK
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, FL 33160
Telephone: (305) 947-0606 Fax: (305) 949-3113
Of ,>tJ~
ANTI-KICKBACK AFFIDAVIT
STATE OF FLORIDA
)
)
)
COUNTY OF Orange
I, the undersigned, hereby duly sworn and deposed say that no portion of this sum herein Bid
will be paid to any employees of the City of Sunny Isles Beach or its elected officials as a
commission, kickback, reward or gift, directly or indirectly by me or any member of my firm or
by an officer of the corporation.
By:
/Jt~~/EACf
Un erwntmg Manager
Title:
~The foregoing instrument was acknowledged before me this Id-CAC day of
~~ , 20~, by ~t~/\vY\ G~nrv-~ , [name
of p rson], as ~hAAAllA )-(~ ~"'- . [type of authority], for
'-\-lcu-<u~ ~vJ.. ot G.J0:L~ [n me of party on behalf of whom instrument was
executed] .
AFFIX NOTARY STAMP HERE:
&JJ~ ~O.l1~
Notary Public - State of Florida
t~e~AeA- f\. m ~i--hel~)sc)N
Print or Type Commissioned Name
- - -
I ",~;';;~I::::l" BARBARA D. MATHEWSON
{+m. .:-b\ Notary Public - State 01 Florida
. ~'. · . ~ My Comm. Expires Jul 20 2013
, ~-t:"i^_ (t;~'~i Commission (I DO 874050
'41 I, ...... f\; "
",..."" 80nded Through National Notary Assn.
Personally Known ~ OR Produced Identification
Type of Identification Produced
DECEMBER 28, 2010
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