2021-09-27 Ex 01CITY OP OREECHOBEE
PRDP05AL PRlCING Ht BINDING AUTHORITY
ZOZ1 — ZO22 RENEWAL PROPOSAL
PROPERTY S� CASUALTY INSl1RANCE
PRESENTED: AVGUST 25, ZD2O
AFTER CAREFIfI CON5IDENATION OF THE REFEREN[ED PROPOSAL, WE ACCEPT YOUR INSIlRANCE PROGRAM AS
INDICATED WITH AN "X" BELOW:
PAYMENT PLAN: PRM ALLOWS THEIR MEMBERS TO PAY THElR TOTAL COSTS IN FOUR �4� QUARiERIY IN57ALLMEN75. THf
FIRST INSTALLMENT IS DUE AT INCEPTION AND IS EQUAL TO 25% OF ALL COSTS. THE REMAINING CO5T5 WILL BE PAID OVER THE
NEXT 7HREE �3� QUARTERS.
TH15 WARRANTS THAT YOU HAVE N� 1(NOWLEpGE OF ANY CIAIM, OR INCIGENT TFtAT MAY RESULT IN A CLAIM, TWAT HAS NOT
BEEN REPORTEO TO THE INSUAAMCE CARRIER.
IT IS UNDERSTOOD AN� AGREfD THAT REFERENCED PROPOSAL PROVIDES ONLY A$UMMARY qF THE INSURANCE PROGRAM
OPTIONS OFFERED. THE ACTUAL POLlCIES WILL CONTAIN THE COMPLETE TERMS, CONDITkONS, QEOUCTIBLfS, EXCLUSIOMS,
ETCE7ERA. PLEASE REVIEW POLlCY LANGVAGE FOR A FVLL UNDEftSTANDING OF PURCHASED PROGRAM.
Member Signat�re
Arint Member f�ame
Date
51GNED BINDING AUTHDRITY TO BE RETURNEd BY 09/15/2021
THIS DDCUMENT IN ITS ENTIRELY IS CONFIDENTIAL Sc PROPRIETARY IN NATURE — NOT FDR PUBLI{ RECOfi�.
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