HomeMy WebLinkAboutResolution_06-04/05_10/07/2004•
RESOLUTION NO. 06 -04/05
A RESOLUTION OF THE VILLAGE COUNCIL OF THE
VILLAGE OF TEQUESTA, PALM BEACI-1 COUNTY, FLORIDA,
AWARDING AONE-YEAR EXTENSION OF THE CONTRACT
FOR PROPERTY AND CASUALTY INSURANCE TO
PREFERRED GOVERNMENTAL INSURANCE TRUST, IN THE
AMOUNT OF $178,911.00 FOR FY 2004/2005 BUDGET
ALLOCATION, AND AUTHORIZING THE VILLAGE MANAGER
TO EXECUTE THE CONTRACT ON BEHALF OF THE VILLAGE.
•
t_/
NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL. OF
THE VILLAGE OF TEQUESTA, PALM B EACH C OUNTY, F LORIDA, A S
FOLLOWS:
Section 1. The Preferred Governmental Insurance Trust renewal quote attached
hereto as Exhibit "A" and incorporated by reference as a part of this Resolution is
hereby approved and the Village Manager of the Village of Tequesta is authorized to
execute the same on behalf of the Village of Tequesta.
THE FOREGOING RESOLUTION WAS OFFERED by Councilmember
[rig-~-, who moved its adoption. The motion was seconded by Councilmember
~u,ti~ OLtC2~ ,and upon being put to a vote, the vote was as follows:
FOR ADOPTION AGAINST ADOPTION
Pa:~ ~~-~~ ~ ~-S
lZ'2i% fl-~ C'x 1 K-Q.. ~ ° ~e e'1 C' C~
~D~wa~~ ~. 12~sn~ ~L
k~-~~( ~ ~~ ~1 `YG~ ~~~
The Mayor thereupon declared the Resolution duly passed and adopted this 7th day of
October, A.D., 2004.
MAYOR OF 'TEQUESTA
,~
Pat Watkins
•
ATTEST:
~.
~-L~
.wen Carlisle, Village Clerk
•
~~)
MEMORANDUM
•
TO:
FROM:
DATE:
SUBJECT
Robert Garlo
Daniel, J. Gallagher
9/28/04
Property and Casualty Insurance
Attached is a Renewal Quote for Property and Casualty Insurance for our
Village which will, if approved, become effective October 1, 2004.
Requests for quotes have been solicited from other companies but
Acordia representing Preferred Government Insurance Trust was the only
company opting to submit a quote. I spoke with representatives of the
other companies who did not bid and they said that they could not
compete with PGIT.
It is worth noting that the total package for 2004-2005 is $178,911.00,
approximately .063 less than we paid in the year 2003-2004 of
$190,993.00 and even less than we paid in 2002-2003 of $186,267.00.
This year's premium does not take into account a return of premium of
approximately $10,000.00, due to duplications I discovered in my review
prior to requesting quotes.
•
C]
RENEWAL QUOTE FOR
Tequesta, Village of
Effective: 10/01 /2004
Presented by:
Acordia Southeast
501 S. Flagler Dr. #600
West Palm Beach, FL 33401
09/ 10/2004
The brief description of coverage contained in this proposal is being provided as an accommodation only and is not intended to cover or
describe all policy terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly
to the policy documents. Specimen forms are available upon request.
9/10/2004 9:22:57 AM
•
Preferred Governmental Insurance Trust (PGIT)
~....~I~_.~.E
Gav~RdxE[+se~
~ NillR!SiLE . 94S?
To protect members of the fund from large losses and to protect the financial
security of the fund, the PGIT board of trustees has elected to purchase an
extremely conservative excess of loss insurance structure. We stress PGIT excess
of loss structure because an excess structure provides PGIT members several levels
of protection that reinsurance does not.
Foremost among these is the fact that PGIT's excess of loss policies list every
individual member a named insured, giving every member direct access to the
insurance company for payment of claims. Reinsurers are only responsible to the
trust itself. Therefore, if a trust became financially troubled, there is no guarantee
from an insurance company that any individual claim will be paid or even that a
reimbursement will go towards the originating claim.
PGIT is anon-assessable Trust approved by the Florida State Legislature. PGIT
members are not constrained by notice requirements or punitive run-off claims
costs to exit.
Public Risk Underwriters (PRU)
PRU is one of the premier insurance service organizations for public entities in the
United States. Our exclusive focus and in-depth understanding of the unique risk
exposures and operating environment of the public sector allows us to tailor
customized products and services to meet our clients' needs.
PRU is part of Brown and Brown, the Eighth largest insurance intermediary in the
United States. With premium volume exceeding $5,000,000,000, Brown and
Brown is the largest agent for many national insurance companies. The buying
power and premium leverage within this organization is surpassed by few
agencies.
Preferred Governmental Claims Solutions (PGCS)
PGCS is dedicated to exclusively serving Florida governmental agencies. PGCS
administers and closely controls all claims from start to finish. This team of full-
time, licensed adjusters understands federal laws and state statutes governing
actions against public entities. Atoll-free telephone number is provided to
facilitate reporting of claims.
The brief description of coverage contained in this proposal is being provided as an accommodation only and is not intended to cover or
describe all policy terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly
to the policy documents. Specimen forms are available upon request.
9/10/2004 9:22:57 AM
Named Insured: Tequesta, Village of ~~~'~"
PREF~RR~4
vObEP.`M~(~.TA~
1~SURP.MC[ YRJS-
Term: 10/01/2004 to 10/01/2005
Company: Preferred Governmental Insurance Trust
(Not rated by AM Best)
PROPERTY /INLAND MARINE COVERAGE
Building & Contents Limit. per attached schedule $11,822,329
Loss Limit $11,822,329
Extensions of Coveraue
Accounts Receivable Limit $250,000
Business Interruption Limit $100,000
Debris Removal $250,000
Demolition, Ordinance, and Increased Cost of Construction Limit $250,000
Extra Expense Limit $250,000
Lawns, Plants, Trees and Shrubs Limit $25,000
New Locations $250,000
Pollution Cleanup Expense Limit $50,000
Unscheduled Locations $100,000
Flood Limit -Per Occurrence and Aggregate $1,000,000
Excess of NFIP. whether purchased or notl
Earthquake Limit -Per Occurrence and Aggregate $0
Boiler & Machinery $11,822,329
Inland Marine
Communication Equipment $50,000
Contractor's /Mobile Equipment -ACV $179,303
Electronic Data Processing $151,274
Emergency Services Portable Equipment $250,000
Fine Arts -ACV $100,000
Other Inland Marine $279,000
Rented, Borrowed, Leased Equipment $50,000
Valuable Papers -ACV $100,000
Watercraft -Not Hull Coverage, Limited to Property Perils Only $45,000
Deductibles
Per Occurrence Building & Contents and Extensions of Coverage $10,000
Per Occurrence for Named Windstorm 3
Subject to Minimum of: $30,000
Per Excess Flood $10,000
Per Earthquake $0
The brief description of coverage contained in this proposal is being provided as an accommodation only and is not intended to cover or
describe all policy terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly
to the policy documents. Specimen forms are available upon request.
9/10/2004 9:22:57 AM
Named Insured: Tequesta, Village of ~~~"'~"
P F2EF6RR~p
Gv'v~R `. 'AFNTp~,
I;i5UF4'yC~. T.P.w~_
Term: 10/01/2004 to 10/01/2005
Company: Preferred Governmental Insurance Trust
(Not rated by AM Best)
GENERAL LIABILITY COVERAGE
Bodily Injury and Property Damage Limit $2,000,000
Personal Injury and Advertising Injury Included
Products & Completed Operations Aggregate Limit Included
General Aggregate Limit $4,000,000
Employee Benefits Liability Limit, per person $2,000,000
Employee Benefits Liability Aggregate Limit $4,000,000
Retroactive Date 10/1/1999
Fire Damage Limit $50,000
General Liability Deductible $2,500
LAW ENFORCEMENT LIABILITY COVERAGE
Law Enforcement Liability Limit: Per Person $2,000,000
Per Occurrence $2,000,000
Aggregate $2,000,000
Law Enforcement Liability Deductible $7,500
PUBLIC OFFICIALS LIABILITY COVERAGE
Public Officials Liability Limit: Per Claim $1,000,000
Aggregate $1,000,000
Public Officials Liability Deductible $5,000
EMPLOYMENT RELATED PRACTICES LIABILITY COVERAGE
Employment Related Practices Liability Limit: Per Person $1,000,000
Per Occurrence $1,000,000
Aggregate $1,000,000
Employment Related Practices Liability Deductible $5,000
The brief description of coverage contained in this proposal is being provided as an accommodation only and is not intended to cover or
describe all policy terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly
to the policy documents. Specimen forms are available upon request.
9/10/2004 9:22:57 AM
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•
AUTOMOBILE COVERAGE
COVERAGE SYMBOL LIMIT DEDUCTIBLE
Liability 1 $2,000,000 $2,500
Personal Injury Protection 5 Statutory $0
Added PIP N/A Not Included
Auto Medical Payments N/A Not Included
Uninsured /Underinsured N/A Not Included
Motorist
Physical Damage 2, 8 Actual cash value, or cost of Per attached
Comprehensive Coverage repair, whichever is less, minus schedule
deductible.
Physical Damage Collision 2, 8 Actual cash value, or cost of Per attached
Coverage repair, whichever is less, minus schedule
deductible.
Physical Damage Towing N/A Not Included
and Labor
~~~
PR~FEi.R RHO
(iQVEF{4M~NTA4
i;vS4[RaNGE fiUS~
CRIME
Form & Description:
Limit
Deductible
B -Forgery and Alteration
C -Theft, Disappearance or Destruction
F -Computer Fraud
O -Employee Dishonesty, per loss
Not Included
Not Included
Not Included
Not Included
The brief description of coverage contained in this proposal is being provided as an accommodation only and is not intended to cover or
describe all policy terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly
to the policy documents. Specimen forms are available upon request.
9/10/2004 9:22:57 AM
OTHER
NOTES OF IMPORTANCE/ ADDITIONAL INFORMATION:
Premium Breakout:
Property: $ 43,613
I/M: $ 3,527
GL: $ 45,000
POL: $ 8,903
EPLI: $ 4,745
LEL: $ 18,150
AL: $ 46,250
APD: 8 723
Total: $178,911
Optional Quotes / Coveras~es:
Property - TRIA Coverage is available, upon request, for an Additional Premium of $2,600
•
• The brief description of coverage contained in this proposal is being provided as an accommodation only and is not intended to cover or
describe all policy terms. For more complete and detailed information relating to the scope and limits of coverage, please refer directly
to the policy documents. Specimen forms are available upon request.
9/10/2004 9:22:57 AM
~~ ~
PH~FErI?R.~U
GOVERNMENTAL.
INSU~a~cETrt~sr
• •
Property Schedule
Tequesta, Village of
Agreement No.: PK FL1 0502505 04-03
Agent: Acordia Southeast (West Palm Beach, FL)
Agreement Period: 10/01 /2004 through 10/01/2005
Unit #
Description
Address Site Name
--------------•--------•------------- -Region
- - - - Sq Ft Prot Class
- - Eff_-Date property Contents Total Insured
Occupancy Type % Sprinkler Const Type Year Built Term Dat Value Value Value
001 Police & Fire Station 357 Tequesta Drive Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ---------------'------------"•--.-•" -"-----•---•--------- -------
----• -----
----- $2,693,450 $450,000 $3,143,450
MNC 2002 10/01 /2005
002 Chemical Storage 2280 County Line Rd. Seacoast 1 4 10/01 /2004
Tequesta, FL 33456 --°-----•--------•---.°------------ ------•-------------- --------•----------- ------------------- ------------------ $18,448 $2,389 $20,837
Frame 1975 10/01/2005
003 Recreation Bldg. 2280 County Line Rd. Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ----------------•---•-•---••-•-•----- --------------------- --------------••--•-- --•--...-•-------- -----------------•- 564,569 $1,194 $65,763
JM 1975 10/01/2005
004 Restrooms 2280 County Line Rd. Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------• --••----------------- ------------•------- ----•----•-------- ------------------ $73,793 $0 $73,793
JM 1975 10/01/2005
005 Equip. Storage 2280 County Line Rd. Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------- --------------------- -------------------- ------------------ ------------------ $18,448 $8,956 $27,404
NC 1980 10/01/2005
006 Pump Bldg. 416 Cypress Drive Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------- ---•-•--------•------ -------------------- ------•----------- --------•-•------- $4,304 $35,822 $40,126
48C -Pump/Lift Statio FR 1975 10/01 /2005
007 Well Field /l4 Bldg. 901 N. Old Dixie Hwy Seacoast 1 4 10/01!2004
Tequesta, FL 33458 ------------------------------------- --------------•-•---- -•----•------------. ..---•--------•---- ------------------ $64,569 $135,824 $200,393
FR 1975 10/01/2005
008 Chlorinator equip 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------- --------------------- --•--••---°-------- -------•---------- ------------------ $0 $54,926 $54,926
FR 1977 10/01/2005
009 Pumps/Motors 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------- -------------------•- •------------------- ------•----------- ------------------ $0 $14,329 $14,329
FR 1977 10/01/2005
010 Diesel Generator 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------- --------------------- -------•-•-•-------- ------------------ ----------•------- $0 $71,644 $71,644
FR 1977 10/01/2005
011 Tenant occupied bldg 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 -------•--------------------------••- •-•--•-----•--------- -----------••---•--- ----------•------- ------------------ $18,448 $0 $18,448
FR 1977 10/01/2005
012 Ground storage tank 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 22 - On Ground Li uid
q ------------------•-- --------------------
FR •------•----------
1977 ---------~--------
10/01/2005 $319,870 $0 $319,870
013 Water Plant filters 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------- --------------------- -------------------• ------------------ ------------------ $601,247 $0 $601,247
FR 1977 10/01/2005
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Property Schedule
P R e.F.~ ~ R t ~
°'1~Rti~~"TA`
3su~a.~cE TK~:s,. Tequesta, Village of
Agreement No.: PK FL1 0502505 04-03
Agent: Acordia Southeast (Wes[ Palm Beach, FL)
Agreement Period:l0/01/2004through 10/01/2005
Unit aY
Description
Address Site Name
------------------•-------- -Region
-- - Sq Ft Prot Class
- Eff_-Date
- property Contents Total Insured
Occupancy Type % Sprinkler Const Type Year Built Term Dat Value Value Value
014 Surge tank 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------•------------ ----•------•---•--•-- -------------------- ------------------ ------------------ $7,379 $0 57,379
FR 1977 10/01/2005
015 Ground storage tank 901 N. Old Dixie Hwy Seacoast 1 4 10/O1 /2004
Tequesta, FL 33458 22 •- On Ground Liquid FR 1991 10/01 /2005 $634,675 $0 $634,675
016 Water Trmnt Facility Bldg. 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ----------------•--------•----------- ------------•-------• - - ---°..
---•--•- ..........-------•• --------------•-•• $4,839,688 $0 $4,839,688
FR 2000 10/01 /2005
017 Sulfuric Acid Tank 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 -------------------------•----------- ----•-•-------------- ---------•---------- -•-••--••-•-------- -----------------•- $0 $0 $0
FR 2000 10/01/2005
018 Caustic Soda Tank 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ---•-•------------------------------- --------------------- -------------------- -----------------• -------------•---- $0 $0 $0
FR 2000 10/01/2005
019 Hydrogen Peroxide Tank 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------- --------------------- -------------------- ---------------•-- ------------------ $0 $0 $0
FR 2000 10/01/2005
020 Degasifier, Clearwell, pumps 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------------------- --------------------- ---------••--------- ------------------ -----•------------ $0 $0 $0
FR 2000 10/01/2005
021 Scavenger Tank 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 -------------•----------...---------- -----•----..........- -•------------------ ----••------•----- ------°----•----- $0 $0 $0
FR 2000 10/01/2005
022 Well R1 and R2 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 -----------------•------------------- .....--•--••-•---••-- ------------•------- --•-••-•----------- ---••----------•-- $0 $0 $0
FR 2000 10/01/2005
023 Emergency Generator 901 N. Old Dixie Hwy Seacoast 1 4 10/O1 /2004
Tequesta, FL 33458 ------------------------------------- --------------------- -------------------- ------------------ ------------------ $0 SO $0
FR 2000 10/01/2005
024 Generator Fuel Tank 901 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------•--•-•------------•----•- --------------------- -------------------- ------------------ --------•--------- $0 $0 $0
FR 2000 10/01/2005
025 Well field #5/pumps Tequesta Park Seacoast 1 4 10/O1 /2004
Tequesta, FL 33458 -•---------•---••-------•------------ ---•------••--------- -------------------- --•--------------- ------------...... $0 $65,674 $65,674
48C -Pump/Lift Statio FR 1980 10/01/2005
026 Warehouse 861 N. Old Dixie Hwy Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 --•------------------------------•-•- --------------------- -------------------- ------------------ ------------------ $24,598 $59,702 $84,300
NC 1976 10/01/2005
027 Recreation Center 399 Seabrook Rd Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------------------•---•-------- ------...--•------•-- --------------------- ------------------ ------------•---... $428,593 $29,852 $458,445
MNC 1963 10/01/2005
028 Control Bldg./Water 136 Bridge Road Seacoast 1 4 10/01/2004
Tequesta, FL 33458 -----------•---------------••-•------ --------------------- •--------•---------- -------•---------- ------------------ $12,298 $16,883 $29,181
FR 1997 10/01/2005
029 Maint. Garage 136 Bridge Road Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 '-'•••'•••-------'----'---'•'•---•--- --'------•---•---•--- --------N
------- ---•-- $498,263 $57,964 $556,227
C 1997 10/01 /2005
~~~~
PREFERFZcU
GG`rEi2;MENTAL
INS,ilRAVCE TRI;S'
Property Schedule
•
Tequesta, Village of
Agreement No.: PK FL1 0502505 04-03
Agent: Acordia Southeast (West Palm Beach, FL)
Agreement Period: 10/01 /2004 through 10/01 /2005
Site Name Region Sq Ft Prot Class Eff.
Date property Contents Total Insured
Unit # Description Address --------------------•--------•-------
Occupancy Type -
---- -----------
% Sprinkler -
Const Type -
Year Built -
-
Term Dat
Value
Value
Value
030 Service Pumps 136 Bridge Road Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ...---------•-------°------------•-- --------------------- -------------------- ------•------------ -----------------• $0 $39,393 $39,393
48C -Pump/Lift Statio FR 1997 10/01 /2005
031 Above Ground Storage Tank 136 Bridge Road Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 •-•------------•----------•---------- --•------------------ -------------------- -------•---------- ----°-------....- $270,235 $0 $270,235
FR 1997 10/01/2005
032 Storage Building 136 Bridge Road Seacoast 1 4 10/O1 /2004
Tequesta, FL 33458 ---------------------•-•-•----------- --------------------- - - -------
-------- ------------------ ------------------ $23,185 $2,814 $25,999
FR 1997 10/01 /2005
033 Admin. Offices 250 Tequesta Dr. Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 -----------------------------••------ --------------------- -------------------- -----------•------ ------------------ $0 $84,413 $84,413
MFR 1981 10/01/2005
034 Pump and Equip W. End of Robert St. Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 $0 $5,628 $5,628
48C -Pump/Lift Statio FR 1972 10/01 /2005
035 Pump and Equip N. End of Homewood Rd Seacoast 1 4 10/01/2004
Tequesta, FL 33458 ----•-------------••----------------- ------------••-•----- --•-•----•------•--- ------------------ ------•----------- $0 $5,628 $5,628
48C -Pump/Lift Statio FR 1973 10/01/2005
036 Pump and Equip Corner of Country Club Dr. Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 •----------------------------------•- --------------------- --------------------- ------------------ ------------------ $0 $5,628 $5,628
48C -Pump/Lift Statio FR 1971 10/01/2005
037 Pump and Equip Along Counrt Club Dr. Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ------------•---•--•----------------- --------------------- --•----------------- -•---------------- ------------------ $0 $5,628 $5,628
48C -Pump/Lift Statio FR 1971 10/01/2005
038 Pump and Equip Turtle Creek Development Seacoast 1 4 10/01 /2004
Tequesta, FL 33458 ----------------------•-•-----•------ ---------•----------- -----------------... ..---------------• •----------------• $0 $5,628 $5,628
48C -Pump/Lift Statio FR 1974 10/01 /2005
039 Skateboard Park 399 Seabrook Seacoast 1 4 10/01/2004
Tequesta, FL 33469 ------••----------------------------- --------------••-•-•- -------------------- ------------------ -•--•-•----------- $46,350 $0 $46,350
NC 2003 10/01/2005
Total $10,662,410 $1,159,919 $11,822,329
Inland Marine Schedule
PREFERRcU
GOVFR`dMENTh. L.
~vSJ~~~~F rn~sT
Tequesra, Village of
Agreement No.: PK FL1 0502505 04-03
Agent: Acordia Southeast (West Palm Beach, FL)
• •
Agreement Period: 10/01 /2004 through 10/01 /2005
Item tJ
Description
Classification Code
Department Eff. Date
------------------
Value
Deductible
Term Date
0000 Automatic -Contractor's/Mobile Equipment Contractor's /Mobile 10/01 /04
- --------'----" $100
000 $5
000 00
Equipment -ACV 10/01/05 , ,
0001 Additional -Unscheduled Contractors/Mobile Equipment (Item Limit $15,000) Contractors /Mobile __10/01/04- $79
303 $5
000.00
Equipment -ACV 10/01 /05 , ,
CE000 Automatic -Communications Equipment Communication Equipment _100? /0~1_ $50,000 $5,000.00
10/01/05
E000 Automatic -Electronic Data Processing Equipment Electronic Data Processing 10/01 /04- $100,000 $5,000.00
10/01/05
E001 Additional -Unscheduled EDP Equip (Item limit $15K) Electronic Data Processing 10/01 /04
- ----------------
$51,274
$5,000.00
10/01/05
F000 Automatic -Fine Arts (Maximum Limit per Item $5,000) Fine Arts -ACV 10/01 /04-
---------------- $100,000 $5,000.00
10/01/05
P000 Automatic -Emergency Services Portable Equipment Emergency Services Portable 10/01 /04- $250
000 $5
000.00
quipment 10/01 /05 , ,
R000 Automatic -Rented, Borrowed, Leased Equipment Rented, Borrowed, Leased _ 10/01 /04-
- - - - - - $50
000 $5
000.00
Equipment 10/01/05 , ,
0000 Automatic -Miscellaneous Property Other Inland Marine 10/01 /04-
------...-•---•- $25,000 $5,000.00
10/01/05
0001 Additional -Unscheduled Miscellaneous Property (Item Limit $15K) Other Inland Marine __10/01 /04- $254,000 $5,000.00
10/01/05
VP000 Automatic -Valuable Papers Valuable Papers -ACV 10/01 /04-
---------------- $100,000 $5,000.00
10/01/05
W001 Unscheduled Watercraft Watercraft -Not Hull _10/01 /04
- --------------- $45,000 $5,000.00
Coverage, Limited to Property 10/01/05
Total ~ $1,204,577 f ar~~:';~K 3.„65
~~~~
Vehicle Schedule
GOVERNMENTAL.
!VSJFA.~CE TEST Tequesru, Vi'lloge of
Agreement No.: PK FL1 0502505 04-03
Agent: Acordia Southeast (West Palm Beach, FL)
• •
Agreement Period: 10/01 /2004 through 10/01/2005
Unit # Make Model/Description Department GVW AL Deductible Eff Date Term Date Comp Deductible Eff Date Term Date Value
Qty Year VIN # Vehicle Type License # Coll Deductible Eff Date Term Date
001 Utility Trailer $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $9,500
1 1977 Trailer $1,000 10/01/2004 10/01/2005
002 Ford F100 Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1988 0036 Light Truck $1,000 10/01/2004 10/01/2005
003 GMC Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1989 1483 Light Truck $1,000 10/01/2004 10/01/2005
004 GMC Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1989 1747 Light Truck $1,000 10/01/2004 10/01/2005
006 Chevrolet Sierra Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1992 2636 Light Truck $1,000 10/01/2004 10/01/2005
007 Ford Ranger Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1993 9927 Light Truck $1,000 10/01/2004 10/01/2005
008 Ford E450 $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $55,000
1 1997 5577 Ambulance $1,000 10/01/2004 10/01/2005
009 Chevrolet Lumina $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1993 4335 Light Truck $1,000 10/01/2004 10/01/2005
010 Sutphen Pumper $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $75,000
1 1991 4818 Fire Truck $1,000 10/01/2004 10/01/2005
011 Ford Ranger Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $(,,OOp
1 1994 1607 Light Truck $1,000 10/01/2004 10/01/2005
012 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $10,200
1 1994 0682 Police Car $1,000 10/01/2004 10/01/2005
013 Chevrolet K5 Blazer $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1994 5854 Light Truck $1,000 10/01/2004 10/01/2005
015
------------- Sutphen
------------------------ 100 Aerial
-----------------------------------------------------
-------------------------------
-------------------------- $2,500
------------------------ 10/01/2004
--------------------- 10/01/2005
--------------------- $1,000
------------------------------ 10/01/2004
--------------------- 10/01/2005
--------------------- $90,000
---------------------------
1 1994 3005 .Fire Truck $1,000 10/01/2004 10/01/2005
016 Pace Aerican Cargo $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $9,000
1 1995 9169 Trailer $1,000 10/01/2004 10/01/2005
017 Jeep Cherokee $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1995 2641 Light Truck $1,000 10/01/2004 10/01/2005
018 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $10,200
1 1996 0978 Police Car $1,000 10/01/2004 10/01/2005
~~ ~~
Vehicle Schedule
PREF~RR~,D
~
GOVER'~M~N
TAL
~~S~Fw~~~ T^~~~ Tequesta, Village of
Agreement No.: PK FL1 0502505 04-03
Agent: Acordia Southeast (West Palm Beach, FL)
• •
Agreement Period: 10/01 /2004 through 10/01/2005
Unit #
--..._..-°° Make
-•---------------------- Model/Description
------°---------------------°---•-----------°-°- Department
----------------------...------ GVW
•--------------•--•-•-°-- AL Deductible
-------------...-•------ Eff Date
--------------------- Term Date
----------•--•---•---- Comp Deductible
--•--•---•-------------------- Eff Date
----•---------------- Term Date
--------------------- Value
------
-
--
---
Qty Year VIN # Vehicle Type License # Coll Deductible Eff Date Term Date -
-
-------------
019 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $10,200,
1 1996 0979 Police Car $1,000 10/01/2004 10/01/2005
020 Chevrolet S 10 Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1996 0159 Light Truck $1,000 10/01/2004 10/01/2005
021 Ford E450 $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $55,000
1 1997 5576 Ambulance $1,000 10/01/2004 10/01/2005
022 Chevrolet S 10 Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,050
1 1997 9542 Light Truck $1,000 10/01/2004 10/01/2005
023 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $13,500
1 1998 1401 Police Car $1,000 10/01/2004 10/01/2005
024 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $13,500
1 1998 1402 Police Car $1,000 10/01/2004 10/01/2005
025 Dodge Ram Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,000
1 1996 2757 Light Truck $1,000 10/01/2004 10/01/2005
026 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $15,500
1 1999 5578 Police Car $1,000 10/01/2004 10/01/2005
027 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $15,500
1 1999 5579 Police Car $1,000 10/01/2004 10/01/2005
028 Chevrolet K5 Blazer $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $10,200
1 1994 8905 Police Car $1,000 10/01/2004 10/01/2005
028 Ford Taurus $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005
$15,500
1 1999 8867 Police Car $1,000 10/01/2004 10/01/2005
029 GMC Dump Truck $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $24,000
1 1999 5221 Heavy Truck $1,000 10/01/2004 10/01/2005
030 Chevrolet S 10 Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $9,000
1 2000 3853 Light Truck $1,000 10/01/2004 10/01/2005
031 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $18,000,
1 2000 3398 Police Car $1,000 10/01/2004 10/01/2005
032 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $tg~000
1 2000 3397 Police Car $1,000 10/01/2004 10/01/2005
033 Chevrolet Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $q,p00
1 2000 2671 Light Truck $1,000 10/01/2004 10/01/2005
P
P f2..E:,F,E: R_R,c G
GO'JER~MENTAL
'.SJ~iAACE TaLSr
• •
Vehicle Schedule
Tequesta, Village of
Agreement No.: PK FL1 0502505 04-03
Agent: Acordia Southeast (West Palm Beach, FL)
Agreement Period: 10/01 /2004 through 10/01 /2005
Unit # Make Model/Description Department GVW AL Deductible Eff Date Term Date Comp Deductible Eff Date Term Date Value
Qty Year VIN # Vehicle Type License # Coll Deductible Eff Date Term Date
034 Dodge Ram Pickup $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $10,000
1 2001 7988 Light Truck $1,000 10/01/2004 10/01/2005
035 Unknown Open Trailer $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $11,000
1 2000 8062 Trailer $1,000 10/01/2004 10/01/2005
036 arley Davidso Motorcycle $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $6,150
1 2000 0861 Motorcycle $1,000 10/01/2004 10/01/2005
037 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $21,000
1 2001 3089 Police Car $1,000 10/01/2004 10/01/2005
038 Ford Crown Victoria $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $21,000
1 2001 0659 Police Car $1,000 10/01/2004 10/01/2005
039 Ford F 150 $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005
$12,000
1 2002 8226 Light Truck $1,000 10/01/2004 10/01/2005
040 Ford F 150 $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $12,000
1 2002 8227 Light Truck $1,000 10/01/2004 10/01/2005
041 Ford F 150 $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $12,000
1 2002 8228 Light Truck $1,000 10/01/2004 10/01/2005
042 Ford F 150 $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $12,000
1 2002 0586 Light Truck $1,000 10/01/2004 10/01/2005
043 Ford Styleside $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005
$15,000
1 2003 7281 Light Truck $1,000 10/01/2004 10/01/2005
044 Ford Styleside $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $15,000
1 2003 6394 Light Truck $1,000 10/01/2004 10/01/2005
045 Ford Econoline $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005
$20,000
1 2003 2034 Light Truck $1,000 10/01/2004 10/01/2005
046 Jeep Grand Cherokee $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $25,000
1 2004 3703 Light Truck $1,000 10/01/2004 10/01/2005
047 Chevrolet C3500 Truck w/Boom $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $30,000
1 2003 3619 Medium Truck $1,000 10/01/2004 10/01/2005
048 Ford F150 Supercrew 4x4 $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $27,000
1 2004 1FTPW14574KB60573 Light Truck Added $1,000 10/01/2004 10/01/2005
049 Chevrolet K1500 Tahoe $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $30,800;
1 2004 1GNEK13Z04R115142 Li ht Truck Added $1,000 10/01/2004 10/01/2005
~~
Vehicle Schedule
PR~F~RRcU
GO+lER1~MENTAL
"VSUFA\Cc TRUST
Tequesta, V>tllage f~f
Agreement No.: PK FL1 0502505 04-03
Agent: Acordia Southeast (West Palm Beach, FL)
• •
Agreement Period: l0/01/2004 through 10/01/2005
Unit # Make Model/Description Department GVW AL Deductible Eff Date Term Date Comp Deductible Eff Date Term Date Value
Qty Year VIN # Vehicle Type License # Coll Deductible Eff Date Term Date
050 Ford Crown Victoria Policelntercep[or Police $2,500 10/01/2004 10/01/2005 $1,000 10/01/2004 10/01/2005 $22,000
1 2004 2FAFP71W84X141543 Police Car added $1,000 10/01/2004 10/01/2005
051 Ford Crown Victoria Police Interceptor Police $2,500 10/01 /2004 10/01 /2005 $1,000 10/01 /2004 10/01 /2005 $22,000
1 2004 2FAFP71W6X141542 Police Car added $1,000 10/01/2004 10/01/2005
Total $881,800
VILLAGE OF TEQUESTA
PREMIUM SUMMARY 10/1/04
Covera a '02-03 02-03 Limits '03-04 03-04 Limits '04-05 '04-05 Limits
Premium- Premium Premium
Pro ert $ 50,977 $14,886,876 $ 52,478 $14,931 876 $ 43,613 $11,822,329
F'ro .Ded. $ 5,000 $ 10,000 $ 10.000
Inland Marine incl. $ 5,109 $ 3,527
Genl. Liabili $ 71 419 NOE-$7,980,447 $ 47,675 NOE-$8,259,763 $ 45,000 NOE $9,217,662
Lfabilit C3ed. none $ 2 500 $ 2;500
Auto Liabilit $ 46,023 42 Units $ 48 849 47 units $ 46,250 51 Units
Auto Ded. none $ 2,500 $ 2,500
Auto Ph s Dam. incl. $ 7,347 $ 8,723
Prof. Lia./Law $ 12,848 $ 29,535 $ 31,798
Total S 186 267 S 190 993 S 178,911
Increase 2.50%
Note: The 03-04 term had duplicate coverage and the return premium Approx 510,000
West Palm Beach
fnsuruace • Borzderi~ • Employee Benefits