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Home My WebLink AboutCRA-R-15-0037 BackupSOUTHEAST OVERTOWN PARK WEST CRA PUBLIC RISK INSURANCE AGENCY TABLE OF CONTENTS Overview The Agency of Public Risk Insurance Agency An Introduction to Your Service Team Preferred Governmental Insurance Trust Preferred Board of Trustees and Risk Advisory Members Claims Services & Safety and Risk Management Services Property General Liability Workers' Compensation Broker Recommendation/Premium Recapitulation Notes of Importance Compensation Disclosures Carrier Financial Status Guide to Best's Ratings Items Required Prior to Binding Audited Financial — Year Ended 9/30/2014 Preferred Signature Page T PRIA PU I.IC RISK 1NS lANCEAL;k,NCY SOUTHEAST OVERTOWN PARK WEST CRA THE AGENCY Risk Management Associates, Inc. dba Public Risk Insurance Agency (PRIA) has established itself as one of the premier insurance services organizations for public entities in the United States. Our in-depth understanding of the unique risk exposures and operating environment of public entities allows us to tailor insurance products and services to effectively meet their needs. As the only independent insurance agency solely dedicated to the public entity market, we are uniquely qualified to meet and exceed the expectations of our clients. Our 20 years of insuring local governments has afforded us significant. experience and insight into the unique challenges and constraints that our clients face. PRIA currently represents over 250 public entities in Florida. PRIA is a wholly owned subsidiary of Brown & Brown, Inc. - the 6th largest independent insurance agency in the United States and 7th largest worldwide as ranked by Business Insurance Magazine. Brown & Brown brings the experience of representing hundreds of public entities nationally in addition to PRIA' s focus in Florida. As a Brown & Brown company, PRIA has access to hundreds of insurance markets nationwide and in the international market. With premium volume exceeding $2,500,000,000 Brown & Brown's volume results in a superior negotiating position and leverage with state specific, regional, national, and international insurers. The focus and experience of our team in all of these markets produces superior risk transfer options and risk control expertise for your entity. PRIA develops customized and innovative approaches towards effectively managing your risk. Cost effective insurance products, professional service, and commitment to client's needs are our primary goals. Proof of account satisfaction is reflected by a 97% business retention rate. To fully serve our clientele, Public Risk Insurance Agency can offer coverage for other exposures such as: Bonds Fiduciary Liability Primary and Excess Flood Workers' Compensation Environmental Liability Accidental Death & Dismemberment Special Events Airport Liability Aboveground & Underground Petroleum Tank Liability SOUTHEAST OVERTOWN PARK WEST CRA AN INTRODUCTION TO YOUR SERVICE TEAM Account Executives Alan Florez Executive Vice President Paul Dawson, ARM-P Senior Vice President / Account Executive Brian Cottrell, CIC, CRM Vice President / Account Executive ontar§' urrt :Nivcu Kyle Stoekel Account Executive :Ser vice Representatiy , Brittany O'Brien, CIC, CRM Risk Management Department Leader Melody Blake, ACSR Account Representative itlR res111atl Linda Burtchett Account Representative Tj�iltis obt n epres Jennifer Howard Account Representative (386) 239-4046 (386) 239-4045 (3&6) 239=404'7 (386) 239-4060 (38) 239 7245 (386) 239-5805 (386) 239-8823 (386) 239-4050 (386) 239-4043 (386) 239-4040 aflorez@bbdaytona.com pdawson@bbpria.com bcottrell@bbpria.com kstoekel@bbpria.com bobrien@bbpria.com _kg�oss @ U�iP�a ^c�ii mblake@bbpria.com kbxyan✓@bbPna earn lburtebett@bbpria.com jhoward@bbpria.com er t cote Requests. certificAtes@bbpria.com Cloint fiteportin 7 claims@bbpria.comt Our Service Team philosophy focuses on accountability at all levels of account management. Our goal is not simply to meet your service needs, but to exceed them. All of the employees at PRIA are dedicated to achieving this goal and distinguishing ourselves from the competition. PUBLIC It7SIUNSURANt„'k:AUIk.`C7 SOUTHEAST OVERTOWN PARK WEST CRA PREFERRED GOVERNMENTAL INSURANCE TRUST (Preferred) OVERVIEW Several hundred members and millions in premiums prove that the Preferred Governmental Insurance Trust® fulfills what Florida needs: an insurance program exclusively customized and dedicated to the public sector. Preferred stays on the forefront of specialized insurance for property, casualty and workers' compensation because it is non-profit and self -governed with a membership comprised solely of Florida public entities. Preferred's history dates back to 1999. Its robust membership and financial strength, including consistent growth of surplus, stem from its conservative platform of managed risk. Preferred is just that: preferred for unmatched public entity experience, innovation, stability and personalized service. r efeed's Member Types Municipalities Publi i Schools Housing Authorities Counties Aviation Authorities Special Districts Transit, Port & Utility Authorities refe red's Comps ehensiv Cove rages ` Property Public Officials Liability Workers' Compensation Employment Practices Liability General Liability Educators' Legal Liability The Power of Groups and People What does a specialized insurance trust do for you? In the case of Preferred, it gives you the purchasing power of a very large trust with billions of covered property values —far more financial negotiating power than a single public entity can muster. As a Preferred member, you are part of a formidable Florida insurance trust. The trust also transfers risks from any one public entity to the larger group. This provides all members of the trust better rating structures with less volatility. Preferred's sole focus on government ensures that members' unique needs are met. SOUTHEAST OVERTOWN PARK WEST CRA Underwriting and Administration Behind Preferred's underwriting platform are decades of success built on integrity and market relationships. Our team of underwriters' vast insurance expertise enhances the actuarial and scientific data used to underwrite individual risks within the trust. Services delivered are both broad and precise. Reliability is assured. The administrator for Preferred is Public Risk Underwriters of Florida, Inc.® (PRU), Florida's premier public entity specialist of its kind. Preferred's claims administrator is PGCS Claim Services. With more than 25 years in claims experience, PGCS is Florida's foremost governmental third - party administration company. Public Risk. Underwriters of Florida Irrnrranwe Solutiorts,for .Thibllc Errlrr_ie GOVERNMENTAL INSURANCE TRUST Underwriting Highlights • Diverse risk financing options: guaranteed cost, deductible, self -insured retention, all lines aggregate • Competitive premium discounts based on favorable experience and sound safety practices • Flexibility of coverage design, including mono -line or package basis • Dynamic financial analysis conducted periodically to validate the trust' s superior financial standing Administration • General counsel, defense counsel and litigation services by specialists in governmental law • Membership relations for networking and professional development • Legislative Pulse newsletter from Tallahassee -based law firm • Professional marketing that guarantees local agent support, governmental knowledge and an ever- growing group of members • Preferred News —a quarterly publication covering the spectrum of government insurance issues • State filing, accounting and independent CPA audited financials as needed Preferred's Expert Boards Know Your Business Preferred is governed and guided by people working daily in all segments of Florida's public sector — from municipalities to counties to schools to special taxing districts. The Board of Trustees is comprised of elected public officials who work wisely and diligently to set policy, keeping Preferred as the premier public entity insurer of its kind. The Risk Advisory Board increases this special advantage. Composed of full-time risk managers from the membership, the board is uniquely equipped to monitor and help improve products and services —it serves as a voice of the membership. This board works in synergy with the administrator for maximum efficiency. PRIA P4IIIIICINK INSURANCE AGENCY SOUTHEAST OVERTOWN PARK WEST CRA Preferred Governmental Insurance Trust oard of Trustees Dwight E. "Ed" Wolf, II Ch irks Walsev Warren Yeager Welton adw'cl? Thomas Rice, Sr. FcI 1awkri%s W Chris Hoffman Chair Secretary Trustee Trustee City of Wildwood Mayor Gulf County Commissioner Of7?.7fl St f South Indian River WCD - Vice President sce iki Couunty= othiffihteM City of Jacksonville Beach Commissioner dvisory Bora'd Renee Hudson Christina Maguire Keri Martin Jennifer Poirrier ].ti evil m Kim Pitcher lYlaurcen Goehe Denise Manual Chair Board Member Board Member Board Member Board Member Board Member City of Bradenton Risk/Safety Supervisor Wig albs- City of Ormond Beach Risk Manager LRao} City of Winter Park Risk Manager City of Treasure Island HR Director City of Panama City Director of Human Resources Gulf County BOCC HR/Risk Management Director PRIA PUBLIC RISK INSUR.P NI.T FNCCY SOUTHEAST OVERTOWN PARK WEST CRA PREFERRED CLAIMS ADMINISTRATION Preferred Governmental Claim Solutions, Inc. O (PGCS) is the premier governmental third party claims administrator in the state of Florida and also administers the claims for Preferred Governmental Insurance Trust (Preferred). Since its founding in 1956, PGCS has provided claims administration services exclusively to over 450 governmental entities including schools, cities, towns, counties, community development districts, and fire districts. Therefore, PGCS's adjusters are extremely qualified to handle governmental tort liability and public sector workers' compensation claims. They are experts at investigating and handling police and firefighters presumption claims. PGCS is sensitive to the politics involved in the handling of public entity claims. PGCS's claims administration program consists of workers' compensation, general liability, bodily injury, personal injury, property, auto liability, auto physical damage, employment practices liability, school leaders/educators liability and public officials liability. Their claims staff has over 630 years of combined insurance experience and each has been with PGCS an average of 8 years. Claims are handled under strict supervision in accordance with the PGCS workers' compensation and liability claim handling procedure manuals and the PGCS claim best practices manual. A random sampling of each adjuster's claim files are audited on a monthly basis by a Quality Assurance Manager to ensure compliance. PGCS provides their clients with a dedicated Subrogation Unit to pursue reimbursements from at -fault third parties. Their current recovery rate is fifty-nine (59) percent of the claim costs expended. PGCS also has a dedicated excess reporting and recovery unit fox communication to and securing reimbursement from the excess and/or reinsurance carriers. In addition, PGCS provides a state - approved Special Investigation Unit (SIU) to prevent and pursue fraudulent claims. PGCS offers rewards up to $10,000.00 for the arrest and conviction of persons committing workers' compensation fraud. This service is provided via a twenty-four hour seven day a week hotline. PGCS utilizes the RiskMaster system for claims processing. This system captures a wide variety of data, and allows the adjuster to enter an unlimited number of claim notes, process reserve changes, and issue claim payments. Customized reports can be obtained from PGCS's on-line system containing a multitude of data parameters that a client may choose to analyze. The system can be accessed by clients via their website at www.pgcs-tpa.com. Communication with PGCS's clients is the cornerstone of their claims administration program. Professional adjusters, nurses, management, quarterly in-depth claim review meetings, 24/7 claim reporting, utilization of attorneys specializing in public entity defense, litigation management, and return to work programs are just a sample of how PGCS has set the standard for the industry. PGCS is committed to partnering with their clients to provide professional and aggressive claim management programs. While they are recognized as the leader in the industry, PGCS is always striving to improve the quality of their programs and expand the services that they offer. PRIA N1.TWJCR1S1CR 59.14AN1YAGENCY SOUTHEAST OVERTOWN PARK WEST CRA PREFERRED SAFETY AND RISK MANAGEMENT SERVICES The success of any public sector community is clearly tied to its ability to protect and preserve its human physical assets. This basic premise serves as the cornerstone of an effective Safety Management program and underscores the importance of Risk Control to the community. Preferred's Safety and Risk Management Department is very aware of the valuable contribution a comprehensive risk control program makes to the bottom -line of any organization. At Preferred, Safety consultations originate with one basic thought —Specific pleasures can be recommended to minimize or eliminate the exposures that cause accidents. This does not mean that the workplace become no -risk utopias, but we expect our consultants to recommend measures to control/minimize all types of accidents, injuries and illnesses to our Preferred clients' operations and premises. Stressing our problem solving skills... Preferred is dedicated to meeting the challenge of the complex problems facing public sector organizations...disarming these problems and converting them into factors, which work to the advantage of our clients. Our emphasis approach to risk control incorporates the following elements: • Exposure Identification — Assist management in determining areas where a chance of loss might exist. • Exposure Measurement and Analysis — Loss analysis and a review of the consequences of the exposures will be considered to develop alternative methods of control. • Determination and Selection of Appropriate Risk Control Methods — Based on measurement and analysis and after considering alternative approaches, specific recommendations and/or a custom design Risk Control plan will be formulated. • Training and Safety Management Consulting — After considering client needs specific training will be formulated and initiated to fit that need, Key personnel will be provided with the basic knowledge and skills they need to meet those identified needs. Program monitoring is accomplished through follow-up surveys with adjustments to the action plan made as needed. Specialty consulting services are available if necessary. Preferred's Safety and Risk Management Department evaluates the unique needs to each client, ultimately designing a program that is capable of being integrated into the overall risk control efforts of each client. Our management system's direction to the problem solving approach is the foundation of our Safety and Risk Management Service. PRIA. 'UHLK: HI.sK lMURhl O,: A€;f NTN. SOUTHEAST OVERTOWN PARK WEST CRA Term: Company: PROPERTY - INLAND MARINE October 1, 2015 to October 1, 2016 Preferred Governmental Insurance Trust (Preferred) Limits of Liability (Per Schedules Provided): Deductibles: Blanket Buildings and Contents Unscheduled Blanket Inland Marine*** $5,000 per Occurrence — Buildings and Contents 5% of TIV per Occurrence / Per Location for "Named Storm" subject to minimum of $20,000 Per Occurrence. Location is defined by each itemized listing on the applicable schedule $1,000 per Occurrence — Inland Marine ***Unscheduled items are subject to a maximum value of $25,000 or less per item. Items valued above this amount must be scheduled. This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms, exclusions and limitations. PRIA ?MAC I4SK [1:,..{SITANCE AGENCY iiREM SOUTHEAST OVERTOWN PARK WEST CRA PROPERTY - INLAND MARINE "Named Storm" Definition: "...the direct action of wind, including wind driven water and storm surge when associated with or occurring in conjunction with a storm or weather disturbance which is named..." Wind driven water and storm surge loss are NOT subject to Flood Sublimit and are included to the blanket limits. Flood coverage in zones A er V, or within a 100 Year Flood Plain as designated by the United States Army Corps of Engineers, will have a special flood deductible equal to all flood insurance available for such property under the NFIP, whether purchased or not or 5% of the Total Insured Value at each affected location whichever is greater. If such property is not eligible for the National Flood Insurance Program because the community in which the property is located does not participate in the NFIP, the Special Flood Deductible will be $1,000,000 per insured location damaged in the flood occurrence or 5% of the Total Insured Value at each affected location whichever is greater. Flood zones A will include, but not be limited to all of the sub -classifications of AO, AH, AE, AR, Al through A99, or any other sub -classification with the A prefix or designation. Flood zones V will include, but not be limited to all of the sub -classifications of VO, VH, VE, VR VI through V99, or any other sub -classification with the V prefix or designation. See policy form for special deductible restrictions. Coverage: 1. Special form (formerly "All Risk"), subject to policy exclusions. 2. Replacement Cost applies to Buildings, Contents and EDP is subject to all terms and conditions of the coverage agreement the most we will pay for all loss, damage or costs in any one occurrence is the applicable limits of liability shown in the property declaration. The blanket limit of coverage shown in the property declaration applies to all covered property unless a separate limit, lower limit or reduced amount of coverage is indicated elsewhere in the coverage agreement or in the property declaration. 3. Inland Marine coverage paid at "Agreed Value" if the valuation type on the Inland Marine schedule is shown as agreed value; or the lesser of Actual Cash Value or 110% of the value reported on the schedule. See policy for complete details. 4. Preferred will pay for covered loss to your real property, inland marine or personal property: a. At the location shown on the Schedule of the Declarations, b. Property in the open within 1,000 feet of locations described in a. above, c. With respects to Inland Marine, at or away from your covered location. 5. No Coinsurance Clause. 6. Certain coverages subject to sub-lunits stated in policy. 7. During the current coverage agreement period, there will be no charge for any new locations acquired after the inception date of the agreement. If the newly added location was owned or acquired prior to the inception date of the coverage agreement then premium is due at the time the location is added. This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms, exclusions and limitations. &_W rowri PRIA wigwam PUBLIC RISK 1NStJCANOEM5NC:Y SOUTHEAST OVERTOWN PARK WEST CRA PROPERTY — INLAND MARINE xeni�ns;of Coverage $250,000 Accounts Receivable, per occurrence $1,000, Any one 55,000, Aggregate $250,000, or 25% of loss whichever is greater Animals Debris Removal, per occurrence $500,000 Demolition Cost, Ordinance & Increased Cost of Construction, per occurrence $250,000 Errors and Omissions, per occurrence $5,000 Expediting Expense, per occurrence $25,000 Fire Department Charges, per occurrence $10,000 Per Occurrence $20,000 Aggregate Fungus Cleanup Expense $25,000 Per Occurrence $1,000 Max per Tree $2,000,000 $25,000 Per Employee $50,000 Per Occurrence Lawns, Plants, Trees and Shrubs, Excludes Wind (see policy form for additional restrictions) New Locations, per occurrence — 60 days from the date new location(s) is first purchased, rented or occupied, whichever is earlier. See policy for details. Personal Property of Employees S25,000 Per Occurrence $50,000 Aggregate Pollution Cleanup Expense $250,000 Preservation of Property, per occurrence $10,000 Professional Fees, per occurrence $10,000 Recertification, per occurrence $100,000 Service Interruption Coverage, per occurrence $250,000 Transit, per occurrence This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terns, exclusions and limitations. SOUTHEAST OVERTOWN PARK WEST CRA PROPERTY - INLAND MARINE MAJOR EXCLUSIONS Property Not Covered includes but not limited to: 1. Animals, water, land including land on which the property is located, shrubs, trees, lawns, growing crops, or standing timber, except under conditions described in the "Extensions of Coverage" section of the policy. 2. Aircraft. 3. Property you sold under conditional sale, trust agreement, installment payment, or other deferred payment plan after such property has been delivered to the customer. 4. Caves, caverns, mines or any type, or any property contained within them. 5. Currency, money, notes or securities. 6. Dams, dikes or levees. 7. Contraband or property in the course of illegal transportation or trade. 8. Property covered under import or export ocean cargo policies. 9. Property you transport as a common carrier. 10. Property shipped by mail, unless sent registered or certified. 11. Watercraft unless loss is from a specified peril and scheduled on the inland marine schedule. 12. Vehicles licensed or designed for highway use, unless shown on the Property Declaration, Extensions of Coverage item U, and then no coverage for any over the road coverage, or collision with another vehicle or object. The AOP deductible applies per occurrence and in the event of a Named Storm the Named Storm deductible applies per vehicle rather than per location. This coverage is paid at actual cash value at time of loss. 13. Bulkheads, docks, piers, wharves, retaining walls, boardwalks or underwater conduits from: freezing and thawing; impact of watercraft; waves, or debris driven by waves; pressure or weight of ice or water, whether driven by wind or not; or sinking or settling. 14. Electrical or communication lines, towers, and poles you own that are not located on a "covered location" insured under this policy. 15. Personal property of volunteers. Excluded Risks of Direct Physical Loss include but not limited to: 1. War, invasion, acts of foreign enemies, hostilities or war like operations, civil war, rebellion, revolution, insurrection, civil commotion, military, usurped power, or any act of terrorism 2. Biological or Chemical Materials 3. Electronic Data or Electronic Date Recognition Exclusion 4. Asbestos 5. Damage caused by electronic currents artificially generated. 6. Pollution, except as provided under "Extensions of Coverage" 7. Building ordinance enforcement or Government action 8. Nuclear reaction 9. Utility failure 10. Fungus, except as provided under "Extensions of Coverage" 11. Any offshore oil well or oil shipping/tanker incident and the ensuing oil spill 12. Flood This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms, exclusions and limitations. PRIA PUBLIC RISK ]NSl]RANCE AGINC% SOUTHEAST OVERTOWN PARK WEST CRA Term: Company: Covered Equipment: Coverages: $9,387,926 EQUIPMENT BREAKDOWN October 1, 2015 to October 1, 2016 Preferred Governmental Insurance Trust (Preferred) Covered Property built to operate under vacuum or pressure, other than weight of contents, or used for the generation, transmission or utilization of energy. Property Damage / Loss of Business Income / Additional Expense per accident $500,000 Water Damage $500,000 Ammonia Contamination $500,000 Hazardous Substance Coverage $2,000,000 —TJtility-Interruption (24 Hour Waiting Period) $250,000 Spoilage Damage $500,000 Ordinance or Law $1,000,000 Expediting Expenses Deductibles: Same as Property — Building and Contents 24 Hours — Utility Interruption This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms, exclusions and limitations. SOUTHEAST OVERTOWN PARK WEST CRA Term: Company: Form: GENERAL LIABILITY October 1, 2015 to October 1, 2016 Preferred Governmental Insurance Trust (Preferred) Occurrence Limits of Liability: General Liability Bodily Injury and Property Damage $3,000,000 per Occurrence Personal Injury and Advertising Injury Included per Person or Organization Products / Completed Operation Agg Included Fire Damage Included Employee Benefits Liability $1,000,000 per Occurrence Deductible: $0 per Occurrence Coverage: 1. EMT/Paramedic Professional Services 2. Premises Operations 3. "Insured" Contracts 4. Host Liquor Liability 5. Broad Form Property Damage Subject to $2,500 Personal Property of Others Sublimit 6. Watercraft Liability (under 52 feet). See policy form for limitations 7. Limited Worldwide Coverage 8. Additional Covered Party 9. Failure to Supply Water 10. Vicarious Law Enforcement Liability with a sublirnit of $2,000,000 11. Principle of Eminent Domain Including Inverse Condemnation, claims brought under the "Bert J. Harris, Jr., Private Property Rights Protection Act" $100,000 per Occurrence / Annual Aggregate. 12. Sewer Backup and Water Damage with a sublimit of $10,000/$200,000 for non - negligent claims and $200,000/$200,000 for negligent claims. 13. Herbicide and Pesticide Sublimit of $1,000,000 or GL Limit, whichever is less. Notes of Importance: 1. Premium is not audited. 2. Defense Costs are paid in addition to policy limits. 3. In the event that an occurrence, accident or offense continues beyond the policy period, the applicable deductible would apply separately to each policy period in which the occurrence, accident or offense was committed or was alleged to have been committed. 4. Limits of Liability are subject to Florida Statute 768.28. 5. Deductible does not apply to claims expense. This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms, exclusions and limitations. PRIA VSESMOVRIZZEIV PUBLIC R13KRPABIRANCEAGE CS' SOUTHEAST OVERTOWN PARK WEST CRA GENERAL LIABILITY Exclusions, but not limited to: • Expected or intended injury • Contractual Liability • Liquor Liability • Workers' Compensation and similar laws • Employer' s Liability • Pollution • Aircraft, Auto or Watercraft • Mobile Equipment • War • Damage to Your Property, Product or Work • Damage to unpaired Property or Property Not Physically Injured • Recall of Products, Work or unpaired Property • Racketeering • Law Enforcement, except for vicarious liability arising out of an act or omission by a law enforcement agency that is not owned, operated or controlled by the "Covered party" if there is a contract with an outside agency to provide law enforcement for your entity. • Asbestos, Mold, Fungi, or Bacteria • Liability arising out of or caused or contributed to by any ownership, maintenance, operation, use, loading, unloading or control of or responsibility for any airfield, airport, aircraft, runway, hangar, building or other property or facility designed for, used, connected, associated or affiliated with or in any way related to aviation or aviation activities; this exclusion does not apply to premises exposure for those common areas open to the public including but not limited to parking areas, sidewalks, and terminal buildings. • Failure or inability to supply or any interruption of any adequate quantity of power, steam, pressure, or fuel • Subsidence, erosion or earth movement. • Hospital / Clinic Medical Malpractice or Health Care Facilities • Professional Health Care Services, but not including emergency medical services for first aid performed by emergency medical technicians, paramedics or Medical Director while in the course and scope of their duties. • ERISA • Actual or alleged illegal discrimination • Injunctive, declaratory or equitable relief • Actual or alleged deterioration, bursting breaking, leaking, inadequacy, design of, control of, maintenance of, or any other alleged responsibility for any structure device, or water course, natural or man-made, including, but not limited to: dams, reservoirs, levees, banks, embankments, gates, canals, ditches, gutters, sewers, aqueducts, channels, culvert, retaining walls, drains, tanks, watershed, or drains, a purpose of which is the containing, carrying, impeding, channeling, diverting, or draining of water or other liquid. Does not apply only as to the bursting or failure of man-made sewer, storm water, grey water or potable water supply pipes owned and maintained by Covered Party. • Sexual abuse after initial discover This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terns, exclusions and limitations. runuc[ASKJnAJEA AGE cx SOUTHEAST OVERTOWN PARK WEST CRA Term: Insurer: WORKERS' COMPENSATION GUARANTEED COST October 1, 2015 to October 1, 2016 Preferred Governmental Insurance Trust (Preferred) .0:K iption. Class Estimated Manual Premium Experience Modification 1.00 Estimated Discounted Premium Notes of Importance: $2,375 $2,931 1. The "Estimated Discounted Premium" includes all applicable credits including drug -free workplace credits as per Florida Statute 440. 2. Employer's Limit of Liability is$1,000,000/$1,000,000/$1,000,000. 3. Experience modification factor is subject to verification. This final amount of upon compliance with program requirements. 4. Final premium subject to payroll audit. 5. The expense constant charge has been included. 6. Payment term is annual safety program and credit is dependent This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage fauns for complete details regarding definition of terms, exclusions and llrnitations. PRIA PUBLIC IU5K INSURANCE A{WNC;Y SOUTHEAST OVERTOWN PARK WEST CRA PREMIUM RECAPITULATION Annual Premium Check Option Accept Reject Property / Inland Marine / Equipment Breakdown 593,587.00 ❑ ❑ General Liability $12,968.00 ❑ ❑ Workers' Compensation $2,931.00 ❑ ❑ Two -Year Coverage Agreement* ❑ ❑ a'Please refer to the next Page for details on the Two -Year Offer I authorize PRIA to request the underwriters to bind cover. e on the items indicated above and acknowledge receipt of the o m ensation and Financ' .1 C +`ndition Disclosure(s) provided in this proposal. 10 v PRIA PC1liw 9..w A/RANCEAGLT:CY� SOUTHEAST OVERTOWN PARK WEST CRA IMPORTANT NOTE: Preferred's quote covers two (2) annual twelve month periods, from 10/01/2015 12:00:00 AM to 10/01/2016 12:00:00 AM and from 10/01/2016 12:00:00 AM to 10/01/2017 12:00:00 AM. The following conditions apply in addition to all other conditions of this quote: A. All Aggregate limits reset for the period 10/01/2016 12:00:00 AM to 10/01/2017 12:00:00 AM. Losses applying to one annual coverage period will not erode the aggregate limits of another annual coverage period. B. The premium for the period 10/01/2016 12:00:00 AM to 10/01/2017 12:00:00 AM will be determined based on updated exposure values for the period. C. Rates for the period 10/01/2016 12:00:00 AM to 10/01/2017 12:00:00 AM will be identical to those for the period commencing 10/01/2015 12:00:00 AM, with premiums subject to the following: 1. NCCI Experience modification factors will be applied as promulgated. 2. Changes to Schedules: Property, Inland Marine, and Automobile symbol 7 only 3. Payroll 4. Number of Employees D. In the event of cancellation of any line of business prior to 10/01/2017 12:00:00 AM, a penalty equal to 60 days premium of such line(s) of business shall become earned, any provision of the agreement to the contrary notwithstanding. 1. This penalty is earned and payable regardless of when notice of such cancellation is given, or the effective date of such cancellation. K ML[C RISK' ]YStJLRANCEA( 1NCY SOUTHEAST OVERTOWN PARK WEST CRA Notes of Importance: 1. Quotes provided in the proposal are valid until 10/1/2015. After this date terms and conditions are subject to change by the underwriters. 2. Preferred is not subject to the Florida Insurance Guaranty Act, in the event it becomes unable to meet its claims payment obligations. However, insured is named on excess of loss policies. 3. Some of the Carriers of the Preferred excess of loss policies are issued pursuant to the FL Surplus Lines laws. Entities insured by surplus lines carriers do not have the protection of the FL Insurance Guaranty Act to the extent of any right of recovery for the obligation of an insolvent, unlicensed insurer. 4. Quote is subject to review and acceptance by Preferred Board of Trustees. 5. Premiums are subject to change if all lines of coverage quoted are not bound. Premiums are subject to 25% minimum premium upon binding. 6. Not all coverages requested may be provided in this quotation. 7. Flood quotes from NFIP may be available. Please advise your agent if you have property located in zones A or V and would like to have separate NFIP quotes. 8. Property values are based on information supplied by you. You should have reviewed your property schedule and as you deem necessary have appraisals done to verify your reported values are accurate based on current market conditions. 9. The Trust requires all Members to maintain valid and current certificates of workers' compensation insurance for all work performed by persons other than its employees. 10. The total premium is due within 30 days of inception. Premium financing can be arranged if needed. 11. Quote is not bound until written orders to bind are received from the insured and the Trust subsequently accepts the risk. 12. Should signed application reveal differing details/data than original application received, the entire quote/binder is subject to revision and possible retraction. 13. Higher limits of liability may be available. Please consult with your agent. 14. This proposal is based upon exposures to loss made known to the Public Risk Insurance Agency. Any changes in exposures (i.e. new operations, new acquisitions of property or change in liability exposure) need to be promptly reported to us in order that proper coverage may be put into place. 15. This proposal is intended to give a brief overview. Please refer to coverage agreements for complete information regarding definition of terms, deductibles, sub -limits, restrictions and exclusions that may apply. In the event of any differences, the policy will prevail. PRIA FUBLI(: RIS[i INSUIRANCSE AGENCY SOUTHEAST OVERTOWN PARK WEST CRA Retail Compensation Disclosure In addition to the commissions or fees received by us for assistance with the placement, servicing, claims handling, or renewal of your insurance coverages, other parties, such as excess and surplus lines brokers, wholesale brokers, reinsurance intermediaries, underwriting managers and similar parties, some of which may be owned in whole or in part by Brown & Brown, Inc., may also receive compensation for their role in providing insurance products or services to you pursuant to their separate contracts with insurance or reinsurance carriers. That compensation is derived from your premium payments. Additionally, it is possible that we, or our corporate parents or affiliates, may receive contingent payments or allowances from insurers based on factors which are not client -specific, such as the performance and/or size of an overall book of business produced with an insurer. We generally do not know if such a contingent payment will be made by a particular insurer, or the amount of any such contingent payments, until the underwriting year is closed. That compensation is partially derived from your premium dollars, after being combined (or "pooled") with the premium dollars of other insured's that have purchased similar types of coverage. We may also receive invitations to programs sponsored and paid for by insurance carriers to inform brokers regarding their products and services, including possible participation in company -sponsored events such as trips, seminars, and advisory council meetings, based upon the total volume of business placed with the carrier you select. We may, on occasion, receive loans or credit from insurance companies. Additionally, in the ordinary course of our business, we may receive and retain interest on premiums you pay from the date we receive them until the date of premiums are remitted to the insurance company or intermediary. In the event that we assist with placement and other details of arranging for the financing of your insurance premium, we may also receive a fee from the premium finance company. Questions and Information Requests: Should you have any questions or require additional information, please contact this office at 386-252-6176 or, if you prefer, submit your question or request online at http://www.bbinsurance.comicustomerinquiry.shtml. L?f1Alic 11ii7C INSURANLAGFN[7 SOUTHEAST OVERTOWN PARK WEST CRA PREFERRED Compensation Disclosure We appreciate the opportunity to assist with your insurance needs. Information concerning additional 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., but routinely do so. For the 2015 — 2016 policy year, your insurance was placed with Preferred Governmental Insurance Trust (Preferred). Preferred is an insurance trust formed by Florida public entities through an Interlocal Agreement for the purpose of providing its members with an array of insurance coverages and services. Preferred has contracted with entities owned by Brown & Brown, Inc. to perform various services. As explained below, those Brown & Brown entities are compensated for their services. Preferred has contracted with Public Risk Underwriters (PRU), a company owned by Brown & Brown, Inc., to administer Preferred's operations. The administrative services provided by PRU to Preferred include: • Underwriting • Coverage review • Marketing • Policy Review • Accounting • Issuance of Preferred Coverage Agreements • Preferred Member Liaison • Risk Assessment and Control Pursuant to its contract with Preferred, PRU receives an administration fee, based on the size and complexity of the account, of up to 12.5% of the premium you pay to Preferred. PRU may also receive commissions from insurance companies with whom it places your coverage, which commissions are derived from the premium you pay to Preferred. Multiple underwriters may be involved in the placement of your coverage. If so, they also may be compensated for their services from the premium you pay to Preferred. Preferred has also contracted with Preferred Governmental Claims Solutions (PGCS), a company owned by Brown & Brown, Inc., for purposes of administering the claims of Preferred members. The services provided by PGCS to Preferred may include: • Claims Liaison with Insurance Company • CIaims Liaison with Preferred Members • Claims Adjustment �St.s mym PRIA SOUTHEAST OVERTOWN PARK WEST CRA PREFERRED Compensation Disclosure (continued) Pursuant to its contract with Preferred, PGCS receives a claims administration fee for those accounts which PGCS services of up to 5% of the non -property portion of the premiums you pay to Preferred. Preferred also utilizes wholesale insurance brokers, some of which (such as Peachtree Special Risk Brokers and MacDuff Underwriters) are owned by Brown & Brown, Inc., for the placement of Preferred's insurance policies, and for individual risk placements for some Preferred members (excess and surplus lines, professional liability coverage, etc.). 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 derived from your premium, and is largely dictated by the insurance company. It typically ranges between 10% and 17% of the premiums you pay to Preferred for your coverage. Some wholesale brokers used by Brown & Brown to place your coverage may also act as Managing General Agents for various insurance companies, and may be compensated directly by those insurance companies for their services in placing and maintaining coverage with those particular companies. The wholesale insurance brokerage utilized in the placement of 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 Apex Insurance Services, which is also a company affiliated with Brown & Brown Inc. PRIA MCOMPra Nl1RCl; RISK INbl1RANOAGENC:Y SOUTHEAST OVERTOWN PARK WEST CRA NOTICE OF CARRIER FINANCIAL STATUS Risk Management Associates, Inc. dba Public Risk Insurance Agency, and its parent company, Brown & Brown, Inc. (collectively "Brown & Brown") do not certify, warrant or guarantee the financial soundness or stability of any insurance carrier or alternative risk transfer or pooling entity. We endeavored to place your coverage with an insurance carrier with an A.M. Best Company financial rating of "A-" or better.* While Brown & Brown cannot certify, warrant or guarantee the financial soundness or stability of any insurance carrier or alternative risk transfer or pooling entity or otherwise predict whether the financial condition of any such entity might improve or deteriorate, we are hereby providing you with notice and disclosure of financial condition so that you can make an informed decision regarding the placement of coverage. Accordingly, with receipt of this notice you acknowledge the following with regard to the placement and any subsequent renewal of the coverage indicated below: • Brown & Brown attempted to present other options for your insurance placement, including quotations with insurance carriers holding an "A-" or better rating from A.M. Best Company, but we were unable to secure such a quote. • Coverage is being placed through Preferred Governmental Insurance Trust ("Preferred"), which is as a Florida local government self-insurance fund established pursuant to Section 624.4622, Florida Statutes, as such Preferred is not rated by the A.M. Best Company. • Preferred is not subject to the protections afforded by any state guaranty fund or association. • The financial condition of insurance companies and other coverage providers including local government self-insurance funds like Preferred may change rapidly and those such changes are beyond the control of Brown & Brown. • You should review the financial and membership information from Preferred and agree to abide by the conditions of membership established by Preferred. • You should consider the information provided, including the Preferred coverage quote and coverage placement and review it with your accountants, legal counsel and advisors. Named Insured: Southeast Overtown Park West CRA Policy Number: WC FL1 0134004 15-12, PK FL1 13400415-08 Policy Period: 10/1/15 —10/1/16 Date of Notice: 8/14/15 * A.M. Best Rating Guide: Rating for Stability: A++ to D Highest to lowest rating Rating for Assets/ Surplus: 15 to 1 - Largest to smallest rating PRIA f'EIBf1C k4,ffl.N'3URANC2AGENCY SOUTHEAST OVERTOWN PARK WEST CRA Best Category Secure Secure Secure Secure Secure Secure Vulnerable Vulnerable Vulnerable Vulnerable Vulnerable Vulnerable Vulnerable Vulnerable Vulnerable Vulnerable Not Rated Not Rated Not Rated Not Rated Not Rated Rating Modifier Rating Modifier Affiliation Code Affiliation Code Affiliation Code Guide to Bests Ratings Rating A++ A+ A A- B++ 13+ B B- C++ C+ C C- I) E F S NR-1 NR-2 NR-3 NR-4 NR-5 u q g Description Superior Superior Excellent Excellent Very Good Very Good Fair Fair Marginal Marginal Weak Weak Poor Under Regulatory Supervision In Liquidation Rating Suspended Insufficient Data Insufficient Size and/or operating experience Rating Procedure Inapplicable Company Request Not Formally Followed Under Review Qualified Group Pooled Reinsured Guide to Best's Financial Size Categories Reflects size of insurance company based on their capital, surplus and conditional reserve funds in U.S. dollars. I II III IV V VI VII VIII IX X XI XII XIII xIv xV Less than $1,000,000 $1,000,000 - $2,000,000 $2,000,000 - $5,000,000 $5,000,000 - $10,000,000 $10,000,000 - $25,000,000 $25,000,000 - $50,000,000 $50,000,000 - $100,000,000 $100,000,000 - $250,000,000 $250,000,000 - $500,000,000 $500,000,000 - $750,000,000 $750,000,000 - $1,000,000,000 $1,000,000,000 - $1,250,000,000 $1,250,000,000 - $1,500,000,000 $1,500,000,000 - $2,000,000,000 Greater than $2,000,000,000 Public Risk Insurance Agency always strives to place your coverage with highly secure insurance companies. We cannot, however, guarantee the financial stability of any carrier. GOVERNMENTAL. iNSIURANCETRUST PUBLIC ENTITY SIGNATURE PAGE Covered Party: Southeast Overtown Park West CRA. Agreement Number: PK FL1 0134004 15-08 Coverage Period: From: 10/01/2015 to 10/01/2016 I hearby confirm that limits/coverages as shown hereunder, corresponding with the Coverage Agreement, are correct: N/A N/A NIA Property TIV Inland Marine $9,387,926 Buildings & Contents Combined Blanket Unscheduled Inland Marine - ACV (Subject to $25,000 any one item excludes Watercraft) Scheduled Inland Marine $94,708 $0 Total All Inland Marine $94,708 Property TRIA (Terrorism Risk Insurance Act) coverage Automobile 0 # of Units - Auto Liability 0 # of Units - Comprehensive 0 # of Units - Collision I hereby confirm that I have received a copy of Preferred's Current lnterlocal Agreement (which was last amended October 1, 2004) and amendment A (which was effective October 1, 2013). I confirm having read and agreed to the terms as laid out in the attached PGIT Participation Agreement (which also requires a signature) Please remember that a signed copy of the following are also required: • First Page of PGIT application • Uninsured Motorist Rejection / Election form, if applicable • Professional Liability (POL / EPLI or ELL / EPLI) application, if applicable. .�_�/ ig �t r Title �%' e6461 iA)9 Name Please note: Failure to return this signature page could result in cancellation of coverage. 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. 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"9 [p 1§�1'l.G1Y1..., .:[., F..,. �...., , .. . $ : :<: t€ s -':e,. f E E aR .E r d, t..: €Y .,,., ... .l ¢a , . .,{ t.. E t. .. � �" € iE; � :�y)./� /n0 y�1. , i f J[.'V: 1'F1} �1. E ., ..€ >€.. r o=PP I .. -i.E ' :`.::E1 °: ea ='.. �;.. i= �. V: ¢€ ,�17„ E -� ,=p a .. E.I..f�� .I 1 t, ._ - e:: .,.. >.,., > .., .... !i S '=.E.1(1E : I'(1. 0V l 2p15I2o16Naol: .,€. :,<=<:. E-. -is ,. _.1,� Proper j,,€' f: •; °i'r k; `ti 9?g,l �i!< Elal°n' lid§i � f illl;lliifa?iiiii' Company Buildings & Contents $ 3,893,920 $ 5,000 $ 43,678 $ 9,387,926 $ 5,000 $ 93,398 Pro erty Earthquake $ 1,000,000 $ 5,000 $ 1,000,000 $ 5,000 Exposure Difference $ 5,494,006 141.09% Windstorm Included 5%/$20,000 min. Included 5%/$20,000 min. Accounts Receivable $ 250,000 $ 5,000 $ 250,000 $ 5,000 Additional Expense $ - $ - Premium Difference $ 49,720 113.83% Business Income $ - $ - E&C $ 250,000 $ 5,000 $ 250,000 $ 5,000 Inland Marine Demolition & ICC $ 500,000 $ 5,000 $ 500,000 $ 5,000 Exposure Difference $ - 0.00% Blanket inland Marine $ - $ 947 $ 94,708 $ 1,000 $ 189 Mobile Equipment $ - $ EDP $ 94,708 $ 1,000 $ - $ - Premium Difference $ (758) -80.04% Sub -Total $ 44,625 Sub -Total $ 93,587 enera(,L!~ablltiy' ,i ii'I I.Ili 11(isi<I§!gl, NIP filEi IN Payroll Payroll Company . $900,000 $950,000 General Liability $ 3,000,000 $ - $ 12,286 $ 3,000,000 $ $ 12,968 Exposure Difference $ 50,000 5.56% Employee Benefits $ 1,000,000 $ - $ 1,000,000 $ - Law Enforcement Liability $ - $ - Premium Difference $ 682 5.55% Other - Please Specify T Sub -Total $ 12,286 Sub -Total $ 12,968 Workers Compensation E,i;;1l€ x ? I !' EI Payroll Payroll Preferred Govt'l Ins Trust 14/15 Payroll: $900,000 14/15 Payroll: $950,000 ' $900,000..... $950,000...... Experience Mod: 1.00 Experience Mod: 1.00 _ Exposure Difference 50000 5.56% Workers' Compensation Statutory $ - $ 2,891 Statutory $ - $ 2,931 Employers Liability $1m/$1m/$1m $ - Included $1m/$1m/$im $ - Included Premium Difference $ 40 1.38% Sub -Total $ 2,891 Sub -Total $ 2,931 TOTAQMO fIiRry.d 3a f^_q' l:^ 1:E (...._• {E 9lliIe.i, U,9.-,Nliggy,t. 1 6e. r3 it3�,. gi964'- I x $$9..0 I I 3 i€ d-N R €. ' ¢j .t.. , 64I =MTV 3@{i $. $,..1 VII $6..!.. Difference 83.08 % This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms, exclusions and limitations-