Insurance_PRM Property & Casualty_Contract Renewal FY 2021-22CITY OF OKEECHOBEE
2021 — 2022 RENEWA! PROPOSAL
PROPER7V $aCASUALTYiNSURANCE
PRESEn7eu: AUGUST 25, 2020
AFTER CAREFUL CONSIDERATION OF THE REfERENCED PROPOSAI, WE ACCEPT YOUR INSURANCE PROGRAM AS
INDICATED WITH AN ��X" BELOW:
PAYMENT PLAN: PRM AlLOWS THEIR MEMBERS TO PAY THEIR TOTAL COSTS IN FOUR (4) QUARTERLY INSTALLMENTS. THE
FIRST INSTAILMENT IS DUE AT INCEPTION ANp IS EQUAL TO Z$% OF ALL COSTS. THE REMAINING COSTS WILL BE PAID OVER THE
NEXT THREE (3) QUARTERS.
TH�S WARRANTS THAT VOU MAVE NO KNOWLEOGE OF ANV CLAIM, OR �NCIDENT THAT MAY RESUI.T IN A CLAIM, THAT HAS NOT
BEEN REPORTED TO THE INSURANCE CARRIER.
IT IS UNDERSTOOD ANO AGREED THAT REFERENCED PROPOSAI PROVIOES ONLY A SUMMANY OF THE INSURANCE PROGRAM
OPTIONS OFFERED. THE ACTUAL POLICIES WILL CONTAIN THE COMPLETE TERMS, CONDITIONS, DEDUCTIBLES, EKCLUSIONS,
ETCETERA. PLEASE REVIEW POIICY LANGUAGE FOR A FUIL UNDERSTANDING Of PURCHASF.O PROGRAM.
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SIGNED BIN(�ING AUTHORITY TO BE RETURNED`BY 09/15/2021
THIS DOCUMENT IN ITS ENTIRELY IS CONFI�ENTIAL Hi PROPRIETARY IN NATURE - NOT FOR PUBLIC RECORD.
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