2020-09-21 Item V.C. Ex 01INDING AUTHORITY
CITY OF OKEECHOBEE
2020-2021 RENEWAL PROPOSAL
PROPERTY & CASUALTY INSURANCE
PRESENTED: AUGUST 25, 2020
AFTER CAREFUL CONSIDERATION OF THE REFERENCED PROPOSAL, WE ACCEPT YOUR INSURANCE PROGRAM AS
INDICATED WITH AN "X" BELOW:
PROPERTY & CASUALTY COVERAGES
PRM PROPERTY & CRIME
$63,018
PREMIUM BREAKDOWN
t YES No
$76,820
PRM BOILER & MACHINERY
N/A
$0
PRM GL/LEL/AL/E&O/EXCESS LIABILITY
$102,485
$105,389
PRM WORKERS' COMPENSATION
$148,059
$152,253
PREFERRED MEMBER PARTICIPATION CREDIT
-$6,171
-$1,672
GRANDTOTAL•I
OPTIONAL/ANCILLARY COVERAGES
CYBER LIABILITY
INCLUDED
INCLUDED
POLLUTION LIABILITY
N/A
N/A
AVIATION LIABILITY
N/A
N/A
PAYMENT PLAN: PRM ALLOWS THEIR MEMBERS TO PAY THEIR TOTAL COSTS IN FOUR (4) QUARTERLY INSTALLMENTS. THE
FIRST INSTALLMENT IS DUE AT INCEPTION AND IS EQUAL TO 25% OF ALL COSTS. THE REMAINING COSTS WILL BE PAID OVER THE
NEXT THREE (3) QUARTERS.
THIS WARRANTS THAT YOU HAVE NO KNOWLEDGE OF ANY CLAIM, OR INCIDENT THAT MAY RESULT IN A CLAIM, THAT HAS NOT
BEEN REPORTED TO THE INSURANCE CARRIER.
IT IS UNDERSTOOD AND AGREED THAT REFERENCED PROPOSAL PROVIDES ONLY A SUMMARY OF THE INSURANCE PROGRAM
OPTIONS OFFERED. THE ACTUAL POLICIES WILL CONTAIN THE COMPLETE TERMS, CONDITIONS, DEDUCTIBLES, EXCLUSIONS,
ETCETERA. PLEASE REVIEW POLICY LANGUAGE FOR A FULL UNDERSTANDING OF PURCHASED PROGRAM.
Member Signature
Print Member Name
Date
SIGNED BINDING AUTHORITY TO BE RETURNED BY 09/15/2020
THIS DOCUMENT IN IT'S ENTIRELY IS CONFIDENTIAL & PROPRIETARY IN NATURE - NOT FOR PUBLIC RECORD.
WORLD
Risk Management
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