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Home My WebLink AboutCRA-R-06-0026 Back-up05/11/2006 i U 14:42 FAI 36. _75799 Macrnff Underwriters i10O5./0)7 MacDuff Underwriters, Inc. P.O. sox 2427 RE N E W A L Daytona Beach, fit, 3211'5-2427 Q U O T A 10 ilI Phone (386) 353-6454 * Fax (386) 257-5799 No. 12010 COYEARGE ¢u a103 111171sCYBD SY TM DOCW:ES'T no ruts au .amamasaD =et re xi arre:emu zoria arAmmvz YIN iRrmtir. 1 Naked Insured: Policy Expiring: 41/4501192 • CITY OF MIAMI COMMUNITY On: 6-23-06 REDEVELOPMENT CENTER THERESA. BROWN & BROWN - DAYTONA P O BOX 2412 DAYTONA BEACH FL 32115-2412 Fax: (385) 239-5729 Propos:eta Term, ANNUAL ANTAANETTE PIERCE 49 NW $TH ST SUITE 100 MIAMI FL 33228 Name of sxasuxer (s ) ESSEX INSURANCE GROUP 100% COVERAGE INLAND M IRI1Qe PERILS. MISCELi NEX3S PROPERTY FLOATER LIMITS $50, 000 ScDUi,ED 1 o o' COINSUmicE D CEDU TIEL'E $1, 000' PER 'OCCURRENCE EXCEPT VALUATION ACV SUBJECT TO . SEE ATTACHED (continued on page 24 Commiaiiona 10,00kr FREMIU1d $.450.00 PCl'.ay, fee-XCA $3s.00 EL Catastrophe Fee $4.00 rAI. $789.00. Tiia propoeal *Atari's. 43 days from the issue . dtite 1Sated below, T is proposal IA based o@ _ inlormat1on pravided.byF you and tie coverage end term:* biLng offered may mot be the - s ..os as •broad an xeguestad in .our application: Pleeise review carefully and advise us ,immediately if ycis have apy. a ueetions. NOTE: 1 R CANNOT gano eoVERAGR •WZTHO 7T TEN cam OF Tog I1aNVR8R. .cov$RApa: IS NOT EFPECTEP UPON YOUR ORDER TO EZN , 78'C'!' UPDN OUR VCOFFjKMATION TO YOU THAT C VERAGE NM D DEO SEEN BOUND.. BY THE INSURER. • • _ Thank yawfor the opport ity to; make this .proposni to the prospective insuueeL Date May 11; 2006 Authorised Representative: (OhW17 DCQ> W02091Y1Ot si,1iiU - Ageiit •Copy cOntaot s CATHERINE SMELL 05/11/20D6 THU 14:43 FAX 38( 15799 MacDuff Underwriters Na. 12010 .i G06.007 Page: 2 FORMS AND ENDORSEMENTS _LISTED BELOW BUT NOT LXNITED TO: POLICY ENDORSEM&'NTTS AND FORMS.: PER EXPIRING I ORTANT NOTICE REG RING FEDERAL TERRORISM ACT OF 2002: Mott are hereby notified • that under The Terrorism Risk Insurance Act of 2002 the policyholder mu t elect or decline this coverage. The additional premium to add this coverage is $ a50 plus tax/fees. At the time of binding we must have the attached MRL TBRR 3(12/19/02) form signed by the policyholder. We will revise the quota and forward to you if the policyholder elects the .coverage. TERRORISM FORMS -(GENERAL LIABILITY) CG2169 TERRORISM EXCLUSION . IF COMAGE ELECTED- (GENERAL LIABILITY) : cG2i77 cAP ON LOSSES CG2181 CONDITIONAT. EXcI, ' 21RORISM ?ORMS- (PROPS Y & INLAND MARINE) : 0 1- .V9C TERRORISM EXCLUSION IF 'COVERAGE E CTED- (PROPERTY & INLAND MARINE): IL'O'9So CAP OR LOSSES IL0995 CONDITIONAL EX L IF TEE TERRORISM COVERAGE IS PURCHASED.. THE COVERAGE CANNOT BE cAtTcELI D MID-TERM UNLESS TiE'ENTIRE POLICY IS CANCELLED. SasCT T0: 1}COMPLETED ORIGINAL APP £IGNED BY INSURED 2) SATXSFAC'TORY INSPECTION 3) PtR. x 's1 ORDER TO BIND / DUE DILIf3ENCE 4:) PREMIUM IS- 2St MINIMOM EARNED I ' DTSUPED CANCELS ()PREMIUM IS .MINIMUM & DEpOSIT, stEJECT To AUDIT 6)ALL.POLICX PEES. AND INSPECTIONS FEES ARE FOLLY EA tNED AND. NON REFUNDABLE ?) MAST MA COmPLETED SIGNED APPLICATION, SIGNED TRIA PORN AND' DILIGENT o'F0efi TO EIND COVERAGE /OMNI./Dcasseu- wspeost .447) AgeX t ropy ' 05/ii./20061 T1 14:43 FAX 38E 15799 Iaci f f Underwriters R 007/007 Date: PotoyholderfOplieant Name: Policy Number (if applicable): POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE Dear Policyholder. We ere required to send' you this notice pursuant to federal legislation concerning terrorism Insurance. You are herebynotKied that under the Terr6rdsm Risk Insurance Act of 2002 (the "Act'), effective November 26, 2002, that you now have a right to p:aehase insurance eevenage for losses wising out of acts of terrorism, as defined kr SetNoir 102(1) of/he Ace~ fTerrarism Coverage'): The term act of terrorism" means any Oct that is. -certified by the Secretary of the Treasury. In. concurrence wth the Secretary of State, and the Attorney General of the United Stales— t° be an act of terrorism; to be a violent act or an act that is dangerous to 'human life, properly or Infrastructure; to have resulted in dernagewithin the United States. or outside the United States In the case of an. elr earrler.or vessel or the premises of.a United States mission; and to have been committed by an individual or individualaactine on behalf of ar y fareign person or foreign interest, as pert of an effort to coerce the civilian population of the United States or to Influence the ploy or affect -the -conduct of the United States Govemreent by.ccercion. YOU SHOULD KNOW THAT TERRORISM COVERAGE REQUIRED TO BE. OFFERED .BY THE ACT FOR LASSES CAUSED BY CERTIFIED ACTS. OF TERRORISM IS PARTIALLY REIMBURSED BY THE UNITED. STATES UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. UNDER THIS. FORMULA, :THE -UNITED STATES PAYS 90% OF COVERED TERRORISM LOSSES EXCEEDING THE 'STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY .PROVIDING .THE COVERAGE, THE PREMIUM CHARGED fOR THIS TERRORISM COVERAGE IS PROVIDED BELOW AND DOES. NOT INCLUDE. ANY CHARGES FOR THE PORTION OF LOSS COVERED BY 7HE FEDERAL GOVERNMENT UNDER THE ACT, SELF ON OR M INSU N GE. WHAT YO.0 NEED TO DO.NOW:. . PLEASE o'X" •ONE OF THE BOXES BELOW AND TAKE THE ACTION INDICATED: I hereby elect to purchase the Terroaiscn'Cavere ge requited to by offered under the Act for e premium of S / (This •eoverage must be.purcbssed. at lime of:finding and is not available anytime sfter•policy is bound) Actin: please sign and return, this form with your •p*yineiat forpre niunr to your Iriaarance agent !decline to purchase the Terrorism Covorage requirod to be offered underthe Act. Action! Please sigi'r and reture this form to your insurance agent. Policyholclo /Appllcarst`e Signature Print Name _ Date. micor4R a p3/31/p3) Nov or &mire Policies 15/11/240� 14:42 FAX 386 57:99 MacDuff Under niters t l� OD1/o07 j r M1icDuff Underwriters, inc. R.E N W L P.O. .box 2 427 Q U O V A IO N `1'�c DaytODa Beacb, is 32115-2427 ,�J Phone (386) 252-6454 * Fax (386) 257-5799 No. 11494 CGYS2A.53 :A So: i ncraa 7Y TTa T 3RIO NAY 21 FITD1110 GXLY 3Y 0 A 7.7cac .a Smd a1*=A1_'T c =xa Policy Expiring: _2CId32.33 On: 6-23-06 TEERESA BROWN & BROWN - DAYTONA P 0 BOX 2412 DAYTONA BEACH PI 32115-2412 Tax: '(386) 23S-5729 ;xoposed Team: ANNUM. Named Insux.ed : CITY OF MIAMI COMMUNITY REDEVELOPMENT CENTER ANTRA},IETTE PIERCE 49 NW 5TH ST SUITE 100 MTAMI FL . 33128 Name of Tnaurer(a) ESSEX INSURANCE GROUP 100t COVERAGE COMMERCIAL PAC0'6E PERILS OCCURRENCE FORM SPECIAL FORM EXCLUDING WIND, NAIL, OARE, FLOOD, 2EE7T LIMITS $ 3, 00 0, 00 0 6ENi,RAI AGGREGATE EXCLUDES PRODUCTS/COMPLETED OPERATIONS EXCLUDES PERSONA, 4 ADVERTISING 1NNRY 43,000,000 ZieN OCCURRENCE $ 50,000 FIRE DAMAGE $. 1,000 MEDICAL EXPZNSB $130, 000 EPP $ 2'0, 000 BI W/0 EE 90% COINSURANCE EXCEPT 1/411 ON EI DEDUCTIBLES CL: $2,000 BY/FD/PI&AI PER CLAIM INCLUDING LAX: PROP: $1, 000 AOP DEDUCTIBLE- EXCLUDING'WIND, HAILS INEPT VAI.AUTION 61227 A)10, 000 (oont%ited on page 2) Couaniaaion; 10.00% PREMIUM $8,175..00 Policy Pee $35.00 FL Ceetaetxoph!e Fed $ 4.00 CPIC ASSESSMENT FEE 561.56 TOTAL • , :$8775.56 Thin pxopeoal expires 52 da'ya .from the issue date lured below,. This proposal is based ab roxmatiop pxovid d 'by you and the coverage and terms being °framed may.nat be the same ax as' bxaad as, requested in yoaur.application. Pleas, review carefully -and advise i irsuediately if you have asij►.quaPtious. . NOTE' VI CANNOT EIND CODE WXTHOUT TFID CQNSr= OF TEE INSURER.. COVERAGE IS :NOT EFFECTED I3PbN YOUR ORDER TO EI,ND; BUT UPON" CUR'CONFIRiaTION TO YOi7 THAT COVERAGE HAS INDEED BEEN EOUIM EY THE• IN VI ER /bank you tar the opporTunity to aisles.Ibis proposal to the prospectille ltetuld_ Date 'Nay 2, 2006 Authorized Representative: • n nsneee+aenaNrliammiaisu Anent 'Cove Contact: CATHERINE SORRELI. 05/11/2006 '1RU 14:42 FAX 38.6 '5799 MacOuff Underwriters 1002/007 -NO.. 11494 Page: 2 91590 A)7500 49950 0)2 **BASED ON ACCEPTABLE INSURABLE INTEREST ACV SUBA£C3 TO SEE ATTACKED • FORMS AND ENDORSEMENTS LISTED BELOW BUT NOT LIMITED TO: 011-1054 SERVICE OF SUIT, COMMON POLICY CONDITIONS, NUCLEAR ENERGY LIAB EXCI., PRIVACY NOTICE C?0010 I2 LNG .2W PERSONAL PROPERTY COVERAGE FORM CP0090 COMMERCIAL PROPERTY Corn 2IONS CPO125 FLOR1EG CHANGES M/L-143 Icpc2014 LARKED PREMIUM :AMENDMENT CG0001 COMMERCIAL GENERAL LIABILITY COVERAGE FORM C60220 FLORIDA CHANGES -CANCELLATION AND NONBZNEWAL M/E-040 DEDUCTIBLE LIABILITY M/E-003. COMBINATION ENDT- DUTY TO DEFEND; EMPLOYERS' LIABILITY EXCL ANE'NDED;. AUTO, ATRCFRFT S WATERCRAFT .EXCL AMENDED; EXCI;TSIONB: PUNITIVE OR E7 EMF'I,ARY IWGE; DISCRIMINATION; EMPLOYMENT RELATEb PRACTICES; ERRORS, OMISSIONS, NEGLIGENT ACTS, PROFLSSIODIAL ;a -AMITY/ 44ALP$ACTICE7 ANIMALS: D1 AOn o' CONTRACT; ASSA4IT & BA*TTERY; SPORTS OR ATRLETTCs7 :CROSS EUIT9 3. 7 INTELLECTUAL PROPERTY.; TE1EP1ONP CO23SWTR PROTECTION ACT; LIQUOR LIABILITY; CRIMINAL ACTS; INTERNET EXPOSURES; NEGLIGENT iiIFLING,'�'R%I1 NG„ sUpERV'ISION; MATZA IEAXAGE, SEEPAGE, BACKUP OR. OVERFLOW; LIMITATIONS: CLASSIFICATION; 'W10 IS .Ai INSD; SUPPLEMENTARY PAY33ENTS-COV A&E; 1NSD CONTRACT; LESSOR'S RISK ONLY OLASSX!ICATION M/E-002 ADDITIONAL CONDITIONS ENDT- SVESIDENCE EXCL.) PQLLUTIOW -EXCL7 ASBESTOS-, LEAD, SILICA, DUST, FUNGI, BACTERIA. EXCL; •CQ1 TB TOR' S LXMITAtION_ 03.4,-1095 TERROR1sM ZX LVSION 0G2169 WAR OR TERB0RIS4 EXCLUSION idga TEP43 130Txor CI;' TERRORISMINSURANCE COVERAGE 1 E0a9- ADDITIONi11 INSURED ENDORSEMENT 14E217 LI :ETATION. OF COVERAGE '.l'O .DESIGNATEA PREMISES 20159 EXCLUSION -PERSONAL & ADVERTISING INJURY .1+IEL73 EXCLUSION -PRODUCTS & COMPLETEDOPERATIONS cP1030 'CAM OF LOSS iSF,ECIA7. FORM C'Pi033 T1EFT EXCLUSION CP1054 WINDSTORM & HALT, -EXCLUSION CP0032 BUSINESS 1E00= WITHOUT EXTRA EXPENSE apr$ ROTECTIvE TrCUARD$'-- SPRINHIER SYSV.'EM IMPORTANT NOTICE :REGARDING FEDERAL TERRORISM ACT OF 2002: t.aautjausd ois pAsm 3) «MM 7 DGD$58X-02Cuu8MM3s1I 430) Aaenst cozy 05/11/2006 TM 14:42 FAX 38( '5799 MacDuff Underwriters No. 11499 1003407 Page: 3 You dre hereby notified that under The Terrorism RSsk Insurance Act of 2002 the policyholder must elect or decline thin oovezage, no additional premium to addthin coverage is $ 250 plus tax/Sees. At the time of binding me. must have the attached )017, TERR 3(12/1$/02) form signed by the. policyholder. We Will revise the quote and forward to you if the policyholder eleeto the coverage. TERRORISM FORM -(GENERAL LIABILITY) : CC2169 TERRORISM EXCLUSION IF COVERAGE ELECTED-MEOESAI LIABILITY): CG2177 CAP ON LOB.BMS CG2107 CONDITIONAL EXCL TERRORISM FORMS- (PROPERTY & INLAND MARIN£) t 01.1-1096 TERRORISM EXCLUSION IF COVERAGE ELECTED -(PROPERTY .& INLAND MARINE) : IL0t50 CAP ON LOssas 110995 CONDITIONAL EXCL Ir TEE TERRmRIB]M CovEMGG IS PURCHASED, THE COVERAGE CANNOT BE CANCELLED MID-TERM UNLESS THE ENTIRE POLICY I3 CANCELLED. 47:030ECT TO.: 1/COMPLETED ORIGINAL APP SIGNED BY INSURED 2 ). SATISFACTQR1 INSPECTION 3I-WRITTEN ORDER TO .BIND / DUE DILIGENCE 1.) PREi I1JM IS 25* MININU X EARNED IF INSURED -CANCLLS 5)PREMIUM ISICRFZIUM 6 pEPOSIT, SUBJECT TO EDIT. 6),ALL POLICY TEES AND INSPECTYO $ FEES ARE FOLLY EARNED AND NON Pd*,F ABLZ 7) NWT HAVE SIGNED AP PIICATIO1)Tt•,.SIGNED TWAr0PN AND DILIGENT EFFQRT TO BIND COVERAGE:` • LOVINI7DC0ssoc;a 8aW O 11143e) Aatnt 'CQDv 05/11/2006 Tel 14:42 FAX 3.81 ; 5799 )facDuff Underwriters j 004/007 r + bate. Policytpolder/Applicant Name: Policy Number Of eppllcasble); ,POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE Dear Policyholder: Waste required to send you this notice pursuent-to -federal legislation concerning terrorism insurance. You are herebynotified that under the Terrorletrt Risk Insurance Act of 2002 (the `Acr), effective November 28, 2002, that you now have a right to {purchase Insurance coverage for losses arising out Of acts of 'terrorism, es defined k SOotion 102(1) of Ma Aot (Terrorism Coverage": The .term moat of terrorism" means any act that is oertIfTcd by the Secretory of the Treasury. In concurrence With the Secretary of State, .end the Attomey.General of the United Stales to be en act of terrorisrn; to ba .e vieient act or en act that Is dangerous to human life. property; or Infrastructure; to have resulted iri damage within the United States, or outside the United States In the case .of an• air carrier or vessel or the premises of a United States .rnL slon;:and to have been committed by an Individual or individuals acting on behalf .of any foreign .person or foreign interest, as part Oran effort to coerce the divillan population of Vie United States or to Intiuence the policy er effeorthe.conduot of the United States Govemment by coercion. YOU SHOULD KNOW THAT TERRORISM' COVERAGE REQUIRED TO BE OFFERED BY THE ACT. FOR LOSSES CAUSED. BY CERTIFIED ACT$ OF TERRORISM IS PARTIALLY REIMBURSED BY THE UNITED STATES UNDER A FORMULA ESTABLISHED BY fEDERAL LAW. LLINDER THIS FORMULA, THE UNITED STATES. PAYS 90% OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY• ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY 'PROVIDING THE COVERAGE THE PREMIUM CHARGED FOR THIS TERRORISM COVERAGE IS PROVIDED I3ELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION 'OF LOSS COVERED BY THE FEDERAL GOVERNMENT UNDER THEACT. SEL ETON OR REJECTION OF TERRORISM'INSURANCE-COVERAGE WHAT YOU.NEED' 1O.DO NOW: . PLEASE "X" ONE THEBOXIES BELOW AND -TAKE THE ACTT N INDICATED: • I hetobyolect to purchase the Terrorism rCaverage.requited to be oirefcd fonder the Act for a,prrmiuin.Of $ . / (Milt coverage must be purchased tit tbne of binding and le not avaflable anytime air policy is bound) Action: Please sign and return this .form rvftii • your payment for prrenainin to your' Insurance want, I decline to purebase the Terrorism Coverage required. to be offered under the Act. Actin: please sign aed:retnrn Ibis form to your insurance agent• Policyholder/Applicant's Signature Print None MICLTER1t.3(O3I3I/03) New orRrnawal?clicks Date MacDuff Underwriters, Inc. P.O. Box 2427 Daytona Beach, FL 32115-2427 Phone (386) 252-6454 * Fax (386) 257-5799 BINDER No. 2CJ2561 Previous No. 2CH3233 THEFESA SCHWAB Named Insured: CITY OF MIAMI COMMUNITY REDEVELOPMENT CENTER ANTPAN8TTE PIERCE 49 N47 5TH ST SUITE 100 MIAMI FL 33128 BROWN & BROWN - DAYTONA Name of Insurer(s) P 0 BOX 2412 ESSEX INSURANCE GROUP 100% DAYTONA BEACH FL 32115-2412 Fax: (386) 239-5729 Binder Effective: 06-23-06 to 08-23-06 Policy Effective: 06-23-06 to 06-23-07 12:01 A.M. Standard Time COVERAGE COMMERCIAL PACKAGE PERILS OCCURRENCE FORM SPECIAL FORM EXCLUDING WIND, HAIL, QUAKE, FLOOD, THEFT LIMITS $3,000,000 GENERAL AGGREGATE EXCLUDES PRODUCTS/COMPLETED OPERATIONS EXCLUDES PERSONAL & ADVERTISING INJURY $3,000,000 EACH OCCURRENCE $ 50,000 FIRE DAMAGE $ 1,000 MEDICAL EXPENSE $130,000 BPP $ 20,000 BI W/O EE 90% COINSURANCE EXCEPT 1/4ML ON BI DEDUCTIBLES GL; $1,000 BI/PD/PI&AI PER CLAIM INCLUDING LAE PROP: $1,000 AOP DEDUCTIBLE EXCLUDING WIND, HAIL, THEFT VALAUTION 61227 A)10,000 91590 A)7500 (continued on page 2) Policy Fee $35.00 PREMIUM $8,175.00 FL Catastrophe Fee $4.00 FEES $600.56 CPIC Assessment Fee $561.56 TOTAL $8,775.56 CONDITIONS: The Insurers bind the kind(s) of insurance stipulated above. This insurance is subject to the terms, conditions and limitations of the policy(ies) in current use by the Insurers. This binder may be cancelled by the insured by surrender of this binder or by written notice to the Insurers stating when cancellation will be effective. This binder may be cancelled by the Insurers by notice to the Insured in accordance with the policy conditions. This binder is cancelled when replaced by a policy. If this binder is not replaced by a polity, the Insurers are entitled to charge a premium for the binder according to the rules and rates in use by the Insurers. Date June 28, 2006 Authorized Representative: (OMNI 7 000656.02081910606281018) ORIGINAL Copy Contact: CATHERINE SORRELL No. 2CJ2561 Page: 2 49950 O?2 **BASED ON ACCEPTABLE INSURABLE INTEREST ACV SUBJECT TO SEE ATTACHED FORMS AND ENDORSEMENTS LISTED BELOW BUT NOT LIMITED TO: 011-1054 SERVICE OF SUIT, COMMON POLICY CONDITIONS, NUCLEAR ENERGY LIAB EXCL, PRIVACY NOTICE CP0010 BUILDING AND PERSONAL PROPERTY COVERAGE FORM CP0090 COMMERCIAL PROPERTY CONDITIONS CP0125 FLORIDA CHANGES M/E-143 MINIMUM EARNED PREMIUM -AMENDMENT CG0001 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG0220 FLORIDA CHANGES -CANCELLATION AND NONRENEWAL M/E-048 DEDUCTIBLE LIABILITY M/E-001 COMBINATION ENDT- DUTY TO DEFEND; EMPLOYERS' LIABILITY EXCL AMENDED; AUTO, AIRCRAFT & WATERCRAFT EXCL AMENDED; EXCLUSIONS: PUNITIVE OR EXEMPLARY DAMAGE; DISCRIMINATION; EMPLOYMENT RELATED PRACTICES; ERRORS, OMMISSIONS, NEGLIGENT ACTS, PROFESSIONAL LIABILITY; MALPRACTICE; ANIMALS; BREACH OF CONTRACT; ASSAULT & BATTERY; SPORTS OR ATHLETICS; CROSS SUITS LIAR; INTELLECTUAL PROPERTY; TELEPHONE CONSUMER PROTECTION ACT; LIQUOR LIABILITY; CRIMINAL ACTS; INTERNET EXPOSURES; NEGLIGENT HIRING, TRAINING, SUPERVISION; WATER LEAKAGE, SEEPAGE, BACKUP OR OVERFLOW; LIMITATIONS: CLASSIFICATION; WHO IS AN INSD; SUPPLEMENTARY PAYMENTS--COV A&B; INSD CONTRACT; LESSOR'S RISK ONLY CLASSIFICATION M/E-002 ADDITIONAL CONDITIONS ENDT- SUBSIDENCE EXCL; POLLUTION EXCL; ASBESTOS, LEAD, SILICA, DUST, FUNGI, BACTERIA EXCL; CONTRACTOR'S LIMITATION 011-1096 TERRORISM EXCLUSION CG2169 WAR OR TERRORISM EXCLUSION MKL TERR3 NOTICE OF TERRORISM INSURANCE COVERAGE HE009 ADDITIONAL INSURED ENDORSEMENT ME217 LIMITATION OF COVERAGE TO DESIGNATED PREMISES ME159 EXCLUSION -PERSONAL & ADVERTISING INJURY ME173 EXCLUSION -PRODUCTS & COMPLETED OPERATIONS CP1030 CAUSE OF LOSS SPECIAL FORM CP1033 THEFT EXCLUSION CP1054 WINDSTORM & HAIL EXCLUSION CP0032 BUSINESS INCOME WITHOUT EXTRA EXPENSE JGF9 PROTECTIVE SAFEGUARDS-- 100% SPRINKLER SYSTEM IMPORTANT NOTICE REGARDING FEDERAL TERRORISM ACT OF 2002: You are hereby notified that under The Terrorism Risk Insurance Act of 2002 (continued on page 3) L OMN17 DC665Bx-62081:1910606291o1e) ORIGINAL Copy No. 2CJ2561 Page: 3 the policyholder must elect or decline this coverage. The additional premium to add this coverage is 8 250 plus tam/fees. At the time of binding we must have the attached MKL TERR 3(12/19/02) form signed by the policyholder. We will revise the quote and forward to you if the policyholder elects the coverage. ***REJECTED*** TERRORISM FORMS -(GENERAL LIABILITY): CG2169 TERRORISM EXCLUSION IF COVERAGE ELECTED -(GENERAL LIABILITY): CG2177 CAP ON LOSSES CG2187 CONDITIONAL EXCL TERRORISM FORMS -(PROPERTY & INLAND MARINE): 011-1096 TERRORISM EXCLUSION IF COVERAGE ELECTED -(PROPERTY & INLAND MARINE): IL0950 CAP ON LOSSES IL0995 CONDITIONAL EXCL IF THE TERRORISM COVERAGE IS PURCHASED, THE COVERAGE CANNOT BE CANCELLED MID-TERM UNLESS THE ENTIRE POLICY IS CANCELLED. SUBJECT TO: 1)COMPLETED ORIGINAL APP SIGNED BY INSURED 2)SATISFACTORY INSPECTION 3)WRITTEN ORDER TO BIND / DUE DILIGENCE 4)PREMIUM IS 25% MINIMUM EARNED IF INSURED CANCELS 5)PREMIUM IS MINIMUM & DEPOSIT, SUBJECT TO AUDIT 6)ALL POLICY FEES AND INSPECTIONS FEES ARE FULLY EARNED AND NON REFUNDABLE 7) MUST HAVE SIGNED APPLICATION, SIGNED TRIA FORM AND DILIGENT EFFORT TO BIND COVERAGE (OMNI 7 CCfl676X•0208D8/0606281018) ORIGINAL Copy MacDuff Underwriters, Inc. P.O. Box 2427 Daytona Beach, FL 32115-2427 ?hone (386) 252-6454 * Fax (386) 257-5799 BINDER No. IMS04622 Previous 13o_ 41M501192 THERESA Named Insured: CITY OF MIAMI COMMUNITY REDEVELOPI4ENT CENTER ANTRANETTE PIERCE 49 NW 5TH ST SUITE 100 MIAMI FL 33128 BROWN & BROWN - DAYTONA Name of Insurer(s) P 0 BOX 2412 ESSEX INSURANCE GROUP 100% DAYTONA BEACH FL 32115-2412 Fax: (386) 239-5729 Binder Effective: 06-23-06 to 08-23-06 Policy Effective: 06-23-06 to 06-23-07 12:01 A.M. Standard Time COVERAGE INLAND MARINE PERILS MISCELLANEOUS PROPERTY FLOATER LIMITS $50,000 SCHEDULED 100% COINSURANCE DEDUCTIBLE $1,000 PER OCCURRENCE EXCEPT VALUATION ACV SUBJECT TO SEE ATTACHED (continued on page 2) PREMIUM $750,00 Policy fee-XCA $35.00 FL Catastrophe Fee $4.00 TOTAL $789.00 ONDITIONS: The Insurers bind the kind(s) of insurance stipulated above. This insurance is subject to the terms, conditions and limitations of the policy(ies) in current use by the Insurers. This binder may be cancelled by the insured by surrender of this binder or by written notice to the Insurers stating when cancellation will be effective. This binder may e cancelled by the Insurers by notice to the Insured in accordance with the policy onditions. This binder is cancelled when replaced by a policy. If this binder is not replaced by a policy, the Insurers are entitled to charge a premium for the binder according to the rules and rates in use by the Insurers. Date June 28, 2006 Authorized Representative: (OMNI 7 ❑C0656-02081910606281020) ORIGINAL Copy Contact: CATHERINE SORRELL No. IMS04622 Page: 2 FORMS AND ENDORSEMENTS LISTED BELOW BUT NOT LIMITED TO: POLICY ENDORSEMENTS AND FORMS: PER EXPIRING IMPORTANT NOTICE REGARDING FEDERAL TERRORISM ACT OF 2002: You are hereby notified that under The Terrorism Risk Insurance Act of 2002 the policyholder must elect or decline this coverage. The additional premium to add this coverage is $ 150 plus tax/fees. At the time of binding we must have the attached MKL TERR 3(12/19/02) form signed by the policyholder. We will revise the quote and forward to you if the policyholder elects the coverage. TERRORISM FORMS -(GENERAL LIABILITY): CG2169 TERRORISM EXCLUSION IF COVERAGE ELECTED -(GENERAL LIABILITY): CG2177 CAP ON LOSSES CG21$7 CONDITIONAL EXCL TERRORISM FORMS -(PROPERTY & INLAND MARINE): 011-1096 TERRORISM EXCLUSION IF COVERAGE ELECTED -(PROPERTY & INLAND MARINE): IL0950 CAP ON LOSSES IL0995 CONDITIONAL EXCL IF THE TERRORISM COVERAGE IS PURCHASED, THE COVERAGE CANNOT BE CANCELLED MID-TERM UNLESS THE ENTIRE POLICY I5 CANCELLED. SUBJECT TO: 1)COMPLETED ORIGINAL APP SIGNED BY INSURED 2)SATISFACTORY INSPECTION 3)WRITTEN ORDER TO BIND / DUE DILIGENCE 4)PREMIUM IS 25% MINIMUM EARNED IF INSURED CANCELS 5)PREMIUM IS MINIMUM 6 DEPOSIT, SUBJECT TO AUDIT 6)ALL POLICY FEES AND INSPECTIONS FEES ARE FULLY EARNED AND NON REFUNDABLE 7) MUST HAVE COMPLETED SIGNED APPLICATION, SIGNED TRIA FORM AND DILIGENT EFFORT TO BIND COVERAGE (OMNI 7 DC0656X-020e09N80628102a) ORIGINAL Copy