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HomeMy WebLinkAboutCRA-R-07-0042 Back-up• 1 NSUf►ANCiw.y'.-, RUST ism) RENEWAL QUOTE FOR Southeast Overtown Park Community Redevelopment Agency 49 NW 5th Street, Suite 100 Miami, FL 33128 Renewal Quote No.: WC FL1 0134004 07-04 Effective: 10/01/2007 Presented by Public Risk Underwriters for: Brown & Brown, Inc. P. O. Box 2412 Daytona Beach, FL 32115-2412 Renewal Quote Expiration Date:10/01 /2007 Reference Number: 14260 09/14/2007 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 1 _a .J) 4- CO 7-6 'PREFERRED GOYgRtIMENTAi, INSURANCE TRUST Workers Compensation Southeast Overtown Park Community Redevelopment Agency 49 NW 5th Street, Suite 100 Miami, FL 33128 invoice Brown & Brown, Inc. P. O. Box 2412 Daytona Beach, FL 32115-2412 Acct;ID Date Program Year WC FL1 0134004 07-04 10/02/2007 2007-2008 ;;.Payment lnforn7ation - InvoicesSummary $7,976.00 Due Date ;10/1/2007 Amount Enclosed Invoice Number 16184 Please detach and retum with payment Client: Southeast Overtown Park Community Redevelopment Agency invoice 16184 Thank You Invoice Date 10/02/2007 Transaction Description Agreement # WC FL1 0134004 07-04 (10/01/2007 through 10/01/2008) Current Billed Premium Expense Constant Due Amount .,. $7,776.00 $200.00 Annual Annual payment of $7,976.00 is due 10/01/2007. $7,976.00 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 - 10/02/2007 • • September 14, 2007 City Of Miami CRA Miguel Valentin 49 NW 5th St Suite 100 Miami, Fl 33128 Brown & Brown of Florida, Inc. 220 South Ridgewood Avenue (32114) P.O. Box 2412 ■ Daytona Beach, FL 32115 386/252-9601 is FAX 386/239-5729 COPY Re: Proposal Letter Workers Compensation Florida Policy Term: /0 Dear Miguel: We are pleased to offer the following insurance terms. Higher limits may be available; please let us know if you would like to receive a proposal for higher limits. Limits: Each Accident $1, 000,000 Agreement S1,000,000 Each Employee $1, 000, 000 Premium: $7,976 Special Conditions: Please refer to the Preferred Governmental Insurance Trust renewal quote enclosed. Exclusions include (but are not limited to): Please refer the attached renewal quote enclosed. • Please review and let us know if you have any questions or if you would like to accept this proposal. / )Sincer,Ltaely ,, sKi„fat, ' Ara Morales Account Manager MIAMI-9 / ML Enclosure