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