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HomeMy WebLinkAboutCRA-R-06-0042 Back-upINSTRUCTION:: FROM TO 7. City of Miami REQUEST FOR DIRECT PAYMENT se attach a the original documents related to expenditures, i.e., receipts, bills, invoices, etc. 2. Department: ic 4. Date: /2P/o6 CHIEF ACCOUNTANT, ACCOUNTING DIVISION, FINANCE DEPARTMENT 5firn pod Goupo ..r),6tuctivt DESCRIPTION OF ITEM(S) TO BE PAID ts0( ram,: 10/0/* 10101*/�ruual4�i �, ;use Fps assow rntr) A�nu� *lino 6. Address: (\Pe \ ; e nti? ci ' ,vI M10. Check lstribution:❑ Mail Direct to Vendor ❑ Return td Department Batch No: Approved: ACCOUNT CODE/ SUBSIDIARY NO. 8. AMOUNT uo' 61411,1150/14 / 6.6,0 _ �A 100. 4 lot. B9(ecoo, vVri TOTAL PAYMENT • Yyj ]f Vendor No: Expenditure Control Date FOR FINANCE USE ONLY Check No: FOR REQUESTING DEPARTMENT USE ONLY tt Pre -encumbered By: Date: Date: Control Number DP 10 61.00- C I FN/AC 202 Rev. 06/04 Route: White and. Canary copies to Expenditure Control and retain Pink copy. Distribution: White and Canary - Finance (Accounting) . REFERRED GctVERNMENTAL INSURANCE TRUST Workers Compensation Southeast Overtown Park Community Redevelopment Agency 49 NW 5th Street, Suite 100 Miami, FL 33128 Invoice 'Brown & Brown - Daytona Beach PO Box 2412 Daytona Beach, FL 32115-2412 WC FL1 0134004 06-03 10/02/2006 006-2007 Please detach and return with payment Client Southeast Overtown Park Community Redevelopment Agency 10770 10/02/2006 , •,„ mnf •In $9,286.00 10/1/2006 10770 Thank You Agreement # WC FL1 0134004 06-03 (10/01/2006 through 10/01/2007) Previous Unpaid Balance Current Billed Premium Expense Constant Due Payment Terms: Annual Annual payment of $9,286.00 is due 10/01/2006. $0.00 $9,086.00 $200.00 $9,286.00 Make Check Payable to PGIT (Preferred Governmental Insurance Trust) Administered by Public Risk Underwriters P.O. Box 958455, Lake Mary, FL 32795-8455 Phone (321) 832-1450 Fax (321) 832-1489 Printed on Date - 10/02/2006 RENEWAL QUOTE FOR Southeast Overtown Park Community Redevelopment Agency 49 NW 5th Street, Suite 100 Miami, FL 33128 . Renewal Quote No.: WC FL1 0134004 06-03 Effective: 10/01/2006 Presented by Public Risk Underwriters for: Brown & Brown - Daytona Beach PO Box 2412 Daytona Beach, FL 32115-2412 Renewal Quote Expiration Date:10/01 /2006 Reference Number: 9353 09/11 /2006 The brief description of coverage contained in this document is being provided as an accommodation only and is not intended to cover or describe all Coverage Agreement teens, For more complete and detailed information relating to the scope and limits of coverage, please refer directly to the Coverage Agreement documents. Specimen forms are available upon request. Page 1 Reference Npmber. 9353 09/11/2006 Named Covered Party: Southeast Overtown Park Community Redevelopment Agency Terns: 10/01/2006 to 10/01/2007 Coverage Provided By: Preferred Governmental Insurance Trust Renewal Quote No.: WC FL1 0134004 06-03 To protect members of the fund from large losses and to protect the financial security of the fund, the PGIT board of trustees has elected to purchase an extremely conservative excess of loss insurance structure. We stress PGIT excess of loss structure because an excess structure provides PGIT members several levels of protection that reinsurance does not. Foremost among these is the fact that PGIT's excess of loss policies list every individual member a named insured, giving every member direct access to the insurance company for payment of claims. Reinsurers are only responsible to the trust itself. Therefore, if a trust became financially troubled, there is no guarantee from an insurance company that any individual claim will be paid or even that a reimbursement will go towards the originating claim. PGIT is a non -assessable Trust approved by the Florida State Legislature and is not rated by AM Best. PGIT members are not constrained by notice requirements or punitive run-off claims costs to exit. im KWIC RISK UNDERWRITERS Public Risk Underwriters, as part of Brown & Brown, is one of the premier insurance service organizations for public entities in the United States. Our exclusive focus and in-depth understanding of the unique risk exposures and operating environment of the public sector allows us to tailor customized products and services to meet our clients' needs. Preferred Governmental Claim Solutions PGCS is dedicated to exclusively serving Florida governmental agencies. PGCS administers and closely controls all claims from start to finish. This team of full-time, licensed adjusters understands federal laws and state statutes governing actions against public entities. A toll -free telephone number is provided to facilitate reporting of claims. The brief description of coverage contained in this document is being provided as an accommodation only and is not intended to cover or describe all Coverage Agreement terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly to the Coverage Agreement documents. Specimen forms are available upon request. Page 2 Reference Number: 9353 09/11/2006 Named Covered Party: Southeast Overtown Park Community Redevelopment Agency Term: 10/01/2006 to I0/01/2007 Coverage Provided By: Preferred Governmental Insurance Trust Renewal Quote No.: WC FLI 0134004 06-03 ESTIMATED ANNUAL PAYROLL Class Code Description Payroll 5509 STREET OR ROAD MAINTENANCE 3,914 8810 CLERICAL 215,530 9410 MUNICIPAL NOC 46,688 5645 CARPENTRY CONSTRUCT 0 $266,132 The brief description of coverage contained in this document is being provided as an accommodation only and is not intended to cover or describe ail Coverage Agreement terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly to the Coverage Agreement documents. Specimen forms are available upon request. Page 3 Reference Number 9353 09/ I I /2006 Named Covered Party: Southeast Overtown Park Community Redevelopment Agency Term: 10/01/2006 to 10/01/2007 Coverage Provided By: Preferred Governmental Insurance Trust Renewal Quote No.: WC FLI 0134004 06-03 EMLOYERS' LIABILITY COVERAGE Bodily Injury by Accident Bodily Injury by Disease Bodily Injury by Disease ESTIMATED BILLING Manual Premium Experience Modifier Estimated Annual Premium Minimum Annual Premium Each Accident Agreement Limit Each Employee 1.000 $1,000,000 $1,000,000 $1,000,000 $5,999.00 $9,286.00 $4,000 Experience Modifiers: 1 0m0 10/01/2006 Pay Term: Annual Annual payment of $9,286.00 is due 10/01/2006. Make Checks Payable to Preferred Governmental Insurance Trust The brief description of coverage contained in this document is being provided as an accommodation only and is not intended to cover or describe all Coverage Agreement terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly to the Coverage Agreement documents, Specimen forms are available upon request. Page 4 Reference Number: 9353 09/ 112006 Named Covered Party: Southeast Overtown Park Community Redevelopment Agency Terre: 10/01/2006 to 10/01/2007' Coverage Provided By: Preferred Governmental Insurance Trust Renewal Quote No.: WC FLI 0134004 06-03 TOTAL PREMIUM DUE Commission RENEWAL QUOTATION TERMS & CONDITIONS INCLUDING BUT NOT LIMITED TO 1. All coverages requested may not be offered in this renewal quote. 2. Renewal quote subject to review and acceptance by PGIT Board of Trustees 3. PGIT is not protected by the Florida Guarantee Association in the event it becomes unable to meet its claims payment obligations. 4. The Coverage Agreement premium shall be pro -rated as of the first day of coverage from the minimum policy premium. 5. Down payment is due at inception 6. The Trust requires that the Member maintains valid and current certificates of workers' compensation insurance on all work performed by persons other than its employees. 7. IfNCCI repromulgates a mod, we will honor the mod as promulgated. If the mod changes during the fund year, we reserve the right to apply a correct mod back to the inception date of the Coverage Agreement. 8. Renewal quote was prepared using payrolls supplied by your agency. 9. Safety and Drug Free program credits (if applicable) are subject to program requirements. 10. Payrolls are subject to final audit. 11. Request to Bind must be received in writing via email prior to the effective date of coverage. If request is not received prior to that date there is no coverage and the file is closed. 12. Deletion of any coverage presented, Package and/or Workers' Compensation, will result in repricing of account. 13. Coverage is not bound until confirmation is received from a licensed representative of Public Risk Underwriters. $9,286.00 5.00% The brief description of coverage contained in this document is being provided as an accommodation only and is not intended to cover or describe all Coverage Agreement terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly to the Coverage Agreement documents- Specimen forms are available upon request. Page 5 Reference Number: 9353 09/ 11 /2006 Named Covered Party: Southeast Overtown Park Community Redevelopment Agency Term: 10/01/2006 to 10/01/2007 Coverage Provided By: Preferred Governmental Insurance Trust Renewal Quote No.: WC FL1 0134004 06-03 Compensation Disclosure We appreciate the opportunity to assist with your insurance needs. Information concerning compensation paid to other entities for this placement and related services appears below. Please do not hesitate to contact us if any additional information is required. Our office is owned by Brown & Brown, Inc. Brown & Brown entities operate independently and are not required to utilize other companies owned by Brown & Brown, Inc. For the Coverage Term referenced above, your insurance was placed through Preferred Governmental Insurance Trust (PGIT). PGIT is an independent entity formed by Florida public entities through an Interlocal Agreement for the purpose of providing its members with an array of insurance coverages and services. PGIT has contracted with entities owned by Brown & Brown, Inc. to perform various services, as explained below. PGIT has contracted with Public Risk Underwriters (PRU), a company owned by Brown & Brown, Inc., to administer PGIT's operations. The administrative services provided by PRU to PGIT include: • Underwriting • Coverage review • Marketing • Policy Review • Accouriting • Issuance of PGIT Coverage Agreements • PGIT Member Liaison • Risk Assessment and Control Pursuant to its contract with PGIT, Public Risk Underwriters (PRU) receives an administration fee, based on the size and complexity of the account, of up to 12.5% of the PGIT premiums billed and collected. PGIT has also contracted with Preferred Governmental Claims Solutions (PGCS), a company owned by Brown & Brown, Inc., for purposes of administering the claims of PGIT members. The services provided by PGCS to PGIT may include: • Claims Liaison with Insurance Company • Claims Liaison with PGIT Members • Claims Adjustment The brief description of coverage contained in this document is being provided as an accommodation only and is not intended to cover or describe all Coverage Agreement terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly to the Coverage Agreement documents. Specimen forms are available upon request. Page 6 Reference Number: 9353 09/11/2006 Named Covered Party: Southeast Overtown Park Community Redevelopment Agency Term: 10/01/2006 to 10/01/2007 Coverage Provided By: Preferred Governmental Insurance Trust Renewal Quote No.: WC FL1 0134004 06-03 Pursuant to its contract with PGIT, PGCS receives a claims administration fee for those accounts which PGCS services of up to 5% of the non -property portion of the PGIT premiums billed and collected. PGIT also utilizes wholesale insurance brokers, some of which are owned by Brown & Brown, Inc., for the placement of PGIT's insurance policies and for individual risk placements for some PGIT members (excess and surplus lines, professional liability coverage, etc.). This enables PGIT to access insurance companies (markets) which may only be approached through such wholesale insurance brokers. In addition to providing access to such insurance companies, the wholesale insurance broker may provide the following services: • Risk Placement • Coverage review • Claims Liaison with Insurance Company • Policy Review • Current Market Intelligence The wholesale insurance broker's compensation is largely dictated by the insurance company and typically ranges between 1 Q% and 17% of the premiums associated with those coverages placed by the wholesale insurance broker. The wholesale insurance brokerage utilized in the placement of your property insurance was Peachtree Special Risk Brokers, which is a company owned by Brown & Brown Inc. Furthermore, any professional liability coverage afforded by the package of insurance you purchased was acquired through Brown & Brown Public Entity Services (BBPES), which is also a company owned by Brown & Brown Inc. Please contact this office if you have any questions, or require any additional information. If for any reason you prefer not to contact this office, you can submit a report concerning any entity related to Brown & Brown, Inc. through Ethicspoint by e-mail via www.ethicspoint.com, or by toll -free call to 866-384-4277. The brief description of coverage contained in this document is being provided as an accommodation only and is not intended to cover or describe all Coverage Agreement terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly to the Coverage Agreement documents. Specimen forms are available upon request. Page 7 The briefdescription of coverage contained in this document is being provided as an accommodation only and is not intended to cover or describe all Coverage Agreement terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly to the Coverage Agreement documents. Specimen forms are available upon request, Page 8 ll * . MCI".1114110 4 City of Miami Legislation CRA Resolution: CRA-R-06-0004 City Hail 3500 Pan American Drive Miami, FL 33133 www.ci_miami.fl.us File Number: 06-00096 Final Action Date:1/30/20©6 A JOINT RESOLUTION OF THE BOARDS OF DIRECTORS OF THE SOUTHEAST OVERTOWN/PARK WEST AND OMNI REDEVELOPMENT DISTRICT COMMUNITY REDEVELOPMENT AGENCIES ("CRASN), RATIFYING THE EXECUTIVE DIRECTOR'S RENEWAL OF THE CRAS' WORKERS' COMPENSATION INSURANCE COVERAGE WITH PREFERRED GOVERNMENTAL INSURANCE TRUST, FOR A PERIOD OF ONE YEAR, COMMENCING OCTOBER 1, 2005, FOR THE AMOUNT OF $5,594; FUNDS TO BE ALLOCATED FROM GENERAL OPERATING FUND, "INSURANCE LIABILITY," ACCOUNT CODE NO.689004.550011.6.650. WHEREAS, the CRAs' existing workers' compensation Insurance coverage with Preferred Governmental Insurance Trust ("PGIT") expired on September 30, 2005; and WHEREAS, to ensure uninterrupted workers' compensation coverage, the Executive Director authorized renewal of coverage with PGIT, for a period of one year, commencing October 1, 2005, for the amount of $5,594; and WHEREAS, the Boards of Directors wish to ratify the Executive Director's renewal of workers' compensation insurance coverage; NOW, THEREFORE, BE IT RESOLVED BY THE BOARDS OF DIRECTORS OF THE SOUTHEAST OVERTOWN/PARK WEST AND THE OMNI REDEVELOPMENT DISTRICT COMMUNITY REDEVELOPMENT AGENCIES OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated herein as if fully set forth in this Section. Section 2. The Executive Director's renewal of the CRAs' workers' compensation insurance coverage with Preferred Governmental Insurance Trust, for a period of one year, commencing October 1, 2005, for the amount of $5,594, is ratified. Section 3. Funds are to be allocated from General Operating Fund, "Insurance Liability," Account Code No. 689004.550011.6.650. Section 4. This Resolution shall become effective immediately upon its adoption. APPROVED AS TO FORM AND CORRECTNESS: JORGE L. FERNANDEZ Cky of Mrarxri Page l of 2 Prkried On: 4/26/2006 F1e Number. 06-00096 Enactment Nwnber CR4 R-06-0004 GENERAL COUNSEL