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Insurance_PRM Property & Casualty_Contract Renewal FY 2020-21PROPOSAL PRICING & BINDING AUTHORITY CITY OF OKI ECHOBH 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 • YES No $76,820 PRM BOILER & MACHINERY N/A $0 PRM GL/LEL/AL/E&O/EXCESS LIABILITY $302,485 $10S,389 PRM WORKERS' COMPENSATION $148,059 $152,253 PREFERRED MEMBER PARTICIPATION CREDIT -56,271 -$1,672 GRAND TOTAL $307,292• 1 8.30% •• •COVERAGES CYBER LIABILITY INCLUDED INCLUDED POLLUTION LIABILITY N/A N/A �-- AVIATION LIABILITY N/A N/A r' 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 tibLk1finak-IV fF'I i 6NL6)r rint Member Name 0g I•cw 21, U2 -C 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 21