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HomeMy WebLinkAboutResolution_56-98/99_09/21/1999 RESOLUTION NO. 56 -98/99 A RESOLUTION OF THE VILLAGE COUNCIL OF THE VILLAGE OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, APPROVING A PROPOSAL FROM ACORDIA SOUTHEAST, OF WEST PALM BEACH, FLORIDA, FOR PROPERTY, LIABILITY AND WORKERS' COMPENSATION INSURANCE IN THE AMOUNT OF $192,634.00, HAVING A FY 99/00 BUDGET ALLOCATION FROM VARIOUS FUNDS OF THE VILLAGE IN THE AMOUNT OF $222,008.00 AND AUTHORIZING THE VILLAGE MANAGER TO EXECUTE THE APPLICABLE PROPOSAL ON BEHALF OF THE VILLAGE. NOW, THEREFORE, BE IT RESOLVED BY THE VILLAGE COUNCIL OF THE VILLAGE OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, AS FOLLOWS: Section 1. The Preferred Governmental Insurance Program Proposal from Acordia South East, West Palm Beach, Florida, attached hereto as Exhibit "A" and incorporated by reference as 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 Hansen , who moved its adoption. The motion was seconded by Councilmember Capretta and upon being put to a vote, the vote was as follows: FOR ADOPTION AGAINST ADOPTION Joseph N. Capretta Basil B. Dalack Carl C. Hansen Ron T. Mackail i The Mayor thereupon declared the Resolution duly • passed and adopted this 21 day of September, A.D., 1999. MAYOR OF TEQUESTA Ron T. Mackail ATTEST. oann ManganidAlo Village Clerk MyDocuments \Resolutions \56 -98 -99 • • PREFERRED GOVERNMENTAL INSURANCE PROGRAM PROPOSAL FOR VILLAGE OF ON TEQUESTA Effective: October 1, 1999 Presented by: Brian Cottrell, CIC Acordia, West Palm Beach Division ordla® 1 Acordia Southeast Insurance • Bonding • Employee Benefits TABLE OF CONTENTS Overview 3 Florida Cities and Special Districts Insurance Program Coregis Insurance Group Miscellaneous Insurance Coverages An Introduction to Your Service Team/Resumes Property 6 Special Property Coverage and Extensions General Liability, Law Enforcement & EMT /Paramedics 11 Coverage Extensions Automobile Liability and Physical Damage 13 • Public Officials Liability 14 n Control Claims Administration and Loss Con o Sery ices 15 Broker Recommendation/Premium Recapitulation 16 ordia® 2 Aeordia Southeast Insurance •Bonding • Employee Benefits THE PROGRAM The Preferred Governmental Insurance Program (PGI) is a fully insured - property and casualty package program designed specifically for Florida's governmental agencies. Underwritten by Coregis Insurance Group, the following coverages are available: Property General Liability Contractors Equipment EMT/Paramedic Professional Liability Electronic Data Processing Law Enforcement Professional Liability Miscellaneous Inland Marine Employee Benefits Administration Liability Crime Automobile Liability and Physical Damage Bonds (Employee Dishonesty) Public Officials Liability Equipment Breakdown Unlike some other state -wide insurance programs, the Preferred Governmental Insurance Program does not "pool" losses. The Village of Tequesta is separately underwritten and does not subsidize another entity's poor loss experience. Also, you cannot be assessed additional premiums to make up for any funding deficit. CQkor&a. 3 Acordia Southeast Insurance • Bonding • Employee Benefits COREGIS INSURANCE GROUP Property and casualty coverages are fully insured by Coregis Insurance Group, a wholly owned subsidiary of G. E. Capital. A. M. Best rates Coregis as "A IX" (excellent), which reflects solid operating performance, strong capitalization, and a financially sound business plan. Additionally, the state of Florida recognizes Coregis as an admitted carrier thereby providing policyholders added protection through the State Guaranty Fund. Coregis has the largest market share of public entity business in the U. S. This translates into an expertise unparalleled by any other company. 170 public entity specialists work in partnership with the Village of Tequesta to provide effective solutions to risk control, claim handling, legal, and coverage challenges. One of the ways Coregis has responded to clients' needs is by the addition of a new marketing person who will personally call on you during the year. Mr. Ashley Bacot has worked in an insurance agency as an underwriter, he holds a current property and casualty insurance license and has been a risk manager for the City of Altamonte Springs. Ashley is past president of the Central Florida Chapter of PRIMA (Public Risk Management Association) and continues to actively participate in the association. MISCELLANEOUS INSURANCE COVERAGES To fully serve our clientele, Acordia -West Palm Beach can insure all of your remaining exposures through our numerous "A" rated insurance companies. These coverages include: Pollution Liability Accidental Death & Dismemberment Fiduciary Liability Special Events Excess Flood Airport Liability Underground Tank Liability Workers' Compensation Excess Workers' Compensation The brief description of insurance 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. CQ4onfia. 4 Acordia Southeast Insurance • Bonding • Employee Benefits VILLAGE OF TEQUESTA AN INTRODUCTION TO YOUR SERVICE TEAM - SUSAN M. CASEY, ARM Account Executive Susan Casey has 30 years experience in Property and Casualty insurance having started her career with the Aetna Casualty and Surety Insurance Company in Boston, MA. She moved over to the agency field holding positions of Underwriter, Commercial Lines Manager, Marketing Director, and Account Executive. She holds the designation of ARM, Associate in Risk management, and has completed INS classes (Program in General Insurance), and will attain the designation of AIS, Associate in Insurance Services in 1998. Since moving to Florida in 1988, she has been involved in the placement and servicing of the following - governmental related accounts: Palm Beach County School District of Palm Beach County Palm Beach County International Airport - Palm Beach County Housing Authority Palm Tran Port of Palm Beach Bay County School District of Lee County Shands Teaching Hospital and Clinics University of Florida Tissue Bank Susan has been employed as an Account Executive with Acordia (formerly Walton Insurance Services, Inc.) I le since 1993. JEAN HORNYAK, CPCU, AAI Account Manager Jean Hornyak, Account Manager at Acordia Southeast, Inc., West Palm Beach Division, started her insurance career with an insurance agency in Rochester, NY and held a New York State Broker's license from 1951- 1955 and an Accident & Health license from 1953 -1955. She continued working in the agency field handling varied Property and Casualty insurance accounts in Florida except for nine (9) years in an agency in Washington, DC where she serviced General Aviation and related accounts and was a Virginia Insurance Agent. Since joining Acordia in 1986 (formerly Cornelius, Johnson & Clark) she assisted in the placement and servicing of several municipal and governmental accounts including: Village of Tequesta, Village of Tequesta, City of Palm Beach Gardens, Village of Palm Springs, Village of Tequesta, Bal Harbour Village, South Broward Drainage District, Indian Trail Improvement District, Town of Juno Beach, Lake Worth Drainage District, Old Plantation Water Control District, Seacoast Utility Authority, Northern Palm Beach County Improvement District, Loxahatchee Groves Water Control District, and South Indian River Water Control District Jean has completed courses through the Insurance Institute of America for INS (Program in General Insurance), AAI (Accredited Advisor in Insurance) and CPCU (Chartered Property Casualty Underwriter) attaining the designation in 1984. She holds a Florida 220 (Property & Casualty) license. CQkor&a. 5 Acordia Southeast Insurance • Bonding • Employee Benefits VILLAGE OF TEQUESTA a PROPERTY Term: 10/01/99-00 Co=m3L Coregis Insurance Group (Rated A IX by A. M. Best) Limits of Liability: (Values for town only) $5,327,729 Blanket for Buildings and Contents Contractor's, Mobile Equipment $ 464,305 Electronic Data Processing $ 196,688 Hardware $ Included - software, mechanical breakdown $ Included - extra expense Deductibles: $ 1,000 Buildings & Personal Property • $ 250 Computers & Contractor's Equip Coverages max. 1. Special Form (formerly "All Risk "), subject to standard policy exclusions 2. Replacement Cost applicable to Building., Contents, & EDP only. All others paid on Actual Cash Value. 3. Agreed Amount (no coinsurance penalty) Covered Property: Buildings or structures newly acquired, occupy or construct: $1,000,000 Personal Property newly acquired: $ 250,000 Personal Property temporarily away from premises: $ 100,000 Personal Property of Others: $ 50,000 (limited to $1,000 per volunteer, $2,500 per employee) CQ/Confia. 6 Acordia Southeast Insurance • Bonding • Employee Benefits VILLAGE OF TEQUESTA Notes of Importance: 1. A signed Schedule(s) of Property for all property to be insured is required within 30 days of binding. The following information should be included: • Street address or plat description • 100% replacement cost value of all property to be insured • Brief description of the construction of all buildings or structures at each location Note: Agent will provide statement of values for signature. If a location is not included in the above Schedule, it will be considered as a newly acquired location and covered as such. 2. Functional replacement cost applies to buildings over 65 years old or with historical/landmark status Coregis will be adding a Y2K endorsement to the policy at renewal, which will give limited coverage for certain Y2K first party and third party claims. C'Qkor&a. 7 Acordia Southeast Insurance • Bonding • Employee Benefits VILLAGE OF TEQUESTA SPECIAL PROPERTY COVERAGES Standard ISO property coverages are provided in the Preferred Governmental Insurance Program, as well as the following: COVERAGE LIMIT 1. "Business Income" $250,000 - 2. Extra Expense $250,000 3. "Valuable Papers" $100,000 4. Accounts Receivable $100,000 5. Computer Equipment and Electronic Media $100,000 6. Fine Arts (maximum per item $5,000) $100,000 7. Mobile, Portable or Contractor's Equipment $ 50,000 8. Miscellaneous Property (if included in Property Schedule) $ 25,000 9. Trees, Shrubs and Landscape Planting (maximum per tree $1,000) $ 25,000 • 10. Golf Course Greens and Tees (maximum any one green or tee $5,000) $ 50,000 11. Food Spoilage $ 10,000 12. Animals (maximum per animal $1,000) _. $ 25,000 13. Paved Surfaces $100,000 14. "Commandeered Property" or "Impounded Property" $100,000 15. "Emergency Service Portable Equipment" $250,000 16. Communications Equipment $ 50,000 17. "Vacant" Buildings Included 18. Buildings Under Construction $500,000 19. Money and Securities Within Premises $ 5,000 Money and Securities Away from Premises $ 2,500 Please refer to policy on how above coverages apply. Subject to Deductibles and certain restrictions. Above coverages are provided to you as part of the blanket limit of insurance. If higher limits are required, they should be stated in the property section of this proposal, but will remain apart of the blanket limit of insurance. C.Q/Confia. 8 Acordia Southeast Insurance • Bonding • Employee Benefits VILLAGE OF TEQUESTA EXTENSIONS OF COVERAGE Each of the Limits specified below is an additional amount of insurance to the `Blanket Limit of Insurance" but are subject to the `Blanket Limit of Insurance" deductible shown in the Property Section of this proposal: COVERAGE LIMIT 1. Preservation of Property $100,000 2. Fire Department Service Charge $ 25,000 At 1 3. Repair of Theft Damage to Non -Owned Buildings $ 50,000 4. Taking Inventory After a "Loss Occurrence" $ 10,000 5. Debris Removal: The greater of 25% of Loss or $ 50,000 6. Demolition: The greater of 15% of the Value of Damaged Building or $500,000 7. "Increased Cost of Construction" Greater of 15% of Value of Damaged Bldg. or $500,000 8. Fire Protection Devices $ 10,000 9. Lock Replacement $ 500 10. "Pollutant" Clean Up and Removal - .Buildings and Personal Property $ 50,000 Expense Reimbursement to. extract pollutants from land or water $ 10,000 11. Arson and Crime Reward $ 10,000 12. Utility Interruption $100,000 13. Sewer Back Up During Flooding $ 25,000 Please refer to coverage form on how above coverages apply. Subject to deductibles and restrictions as stipulated in policy. Coregis Insurance Company liability for loss or damage will be limited only to the loss or damage due a Covered Cause of Loss. GP4or&a. 9 Acordia Southeast Insurance • Bonding Employee Benefits VILLAGE OF TEQUESTA MAJOR EXCLUSIONS Property Not Covered: 1. Accounts, bills, currency, or other moneys, deeds, food stamps, or other evidences of debt, scrip, notes or securities except under conditions described in "Special Property Coverages" section of the policy. 2. Automobiles 3. Dams, levees, reservoirs, tunnels, bridges, roadways, walks, patios, or other paved surfaces except under conditions described in "Special Property Coverages" section of the policy. 4. Contraband, or property in the course of illegal transportation or trade. 5. Cost of excavations, grading, backfilling, or filling. 6. Land, water, and growing crops. 7. Bulkheads, pilings, piers, wharves, or docks unless scheduled. 8. Property covered under another coverage form of this or any other policy in which it is more specifically described. 9. Retaining walls that are not part of buildings you own. 10. Underground tanks, pipes, flues, sewers, or drains you own that are not located on "premises" insured under this policy. 11. Electrical or communication lines, towers, and poles you own that are not located on a • "premises" insured under this policy. 12. Buildings that are "vacant" except under conditions described in "Special Property Coverages" section of the policy. 13. Watercraft not included in the schedule of property. or aircraft. 14. Personal property while airborne or waterborne via ocean or Great Lakes going vessel. Excluded Risks of Direct Physical Loss: 1. Building Ordinance Enforcement 2. Earth Movement 3. Collapse 4. Water, except as provided under Extensions of Coverage 5. Utility Failure, except as provided under Special Property Coverages 6. Government Action 7. War and Military Action 8. Nuclear Reaction 9. Pollution, except as provided under Extensions of Coverage 10. Asbestos CQ/Cor&a. 10 Acordia Southeast Insurance • Bonding • Employee Benefits VILLAGE OF TEQUESTA GENERAL LIABILITY Term: 10/01/99 -00 Company Coregis Insurance Group (Rated A IX by A. M. Best) Limits of Liability: Primary Bodily Injury and Property $100,000 Per Person Damage Liability — F.S. 768.28 (Note 1) $200,000 Per Occurrence Excess Bodily Injury and Property $1,900,000 Total Amount Per Person Damage Liability (Note 2) $1,800,000 Total Amount Per Occurrence General Aggregate $6,000,000 Amount Annual Deductible: $ None lie Coverages: 1. Law enforcement operations'' 12. Additional persons insured 2. EMT/Paramedic professional 13. Extended bodily injury services 14. Incidental medical malpractice 3. Premises operations 15. Employee benefits liability 4. Products and completed operations -Retro date Eff. Date: 10/01/98 5. Fire legal liability $50,000 16. No fault sewer back -up 6. Medical expense limit $5,000 ($5,000 per occurrence) 7. "Insured" contracts 17. Failure to supply $ 250,000 8. Host liquor law liability 18. Herbicide or Pesticide Application 9. Broad form property damage $250,000 10. Watercraft liability (under 51 feet) 19. Cemetery Liability $250,000 11. Limited worldwide coverage Notes of Importance: 1. "Primary" bodily injury and property damage liability provides full tort liability based - on Florida sovereign immunity limits under F.S. 768.28. 2. "Excess" bodily injury and property damage liability is limited to legislative "claims bills" and claims subject to federal or out -of -state jurisdictions • 3. Standard policy exclusions include, but are not limited to public officials liability; pollution (including asbestos). See sample Policy for coverage terms and conditions. 4. Defense costs and attorney's fees are paid in addition to the limits of liability. 5. Premium is not auditable. ordla® - 11 Acordia Southeast Insurance • Bonding • Employee Benefits • VILLAGE OF TEQUESTA LIABILITY COVERAGE EXTENSIONS The following extensions significantly broaden coverage for your public entity. These coverages are included at no additional cost to you. 1. "Bodily Injury" definition includes shock, mental anguish, mental injury and humiliation. 2. "Personal Injury" includes false or improper service of process, violation of property rights, discrimination, and violation of civil rights. Related to law enforcement, the definition also includes assault and battery, and false or improper service of process. i 3. Liability claims of inverse condemnation are covered. Sublimit - $1,000,000 4. Expanded definition of "Who is Insured" to include governmental subdivisions, elected and appointed officials, employees, and volunteers. 5. Emergency Medical Technicians and Paramedics are covered for bodily injury, property damage, and personal injury claims arising out of emergency health care services provided by them. • 6. Contractual liability assumed in any joint powers or mutual law enforcement agreements. 7. Authorized secondary employment (moonlighting) for law enforcement officers. MAJOR EXCLUSIONS • Expected or Intended Injury • Aircraft and Airports • Contractual Liability • Mobile Equipment • Workers' Compensation & Similar • Damage to Property Laws • Asbestos • Employment- Related Practices • Nuclear • Employer's Liability • Health Care Facility • Pollution • Medical Professional Liability • Auto or Watercraft • War • For additional exclusions and more details on how they apply, please refer to coverage form. CQ4onfia. 12 Acordia Southeast Insurance • Bonding • Employee Benefits • VILLAGE OF TEQUESTA AUTOMOBILE LIABILITY AND PHYSICAL DAMAGE Term: 10/01/99 -00 Company Coregis Insurance Group (Rated A IX by A. M. Best) Limits of Liability: Primary Bodily Injury & Property $100,000 Per Person Damage Liability — F.S. 768.28 (Note 1) $200,000 Per Occurrence Excess Bodily Injury and Property $1,900,000 Total Amount Per Person Damage Liability (Note 2) $1,800,000 Total Amount Per Occurrence Personal Injury Protection $10,000 (Statutory) Uninsured Motorists $ None Medical Payments $ N/A Liability Deductible: $ None Physical Damage: Comprehensive - # units —63 Collision - #units - 63 Deductible: Comprehensive $ 250 Collision $ 500 Coverages and Notes of Importance: 1. "Primary" bodily injury and property damage liability provides full tort liability based on Florida sovereign immunity limits under F.S. 768.28. 2. "Excess" bodily injury and property damage liability is limited to legislative "claims bills" and claims subject to federal or out -of -state jurisdictions. 3. Defense costs and attorney's fees are paid in addition to the limits of liability. 4. Liability deductibles, if applicable, apply only to judgements or settlements. 5. Premium is not auditable. 6. Physical damage is paid based on actual cash value. • CQfcorcha. 13 Acordia Southeast Insurance • Bonding • Employee Benefits VILLAGE OF TEQUESTA I PUBLIC OFFICIALS LIABILITY DUTY TO DEFEND FORM Term: 10/01/99-00 Compank Coregis Insurance Group (Rated A IX by A. M. Best) Limits of Liability $1,000,000 Each Loss General Aggregate $1,000,000 Annual Retention for Judgments or Awards: $ 10,000 Retention for Defense Costs: $ None C overages: 1. Loss is covered as a result of Civil Claims made against the insured by reason of a Wrongful Act. 2. Claims -made policy form with full "Prior Acts" coverage included: 3. Defense costs are paid in addition to the policy limit. The company appoints counsel. 4. Includes employment benefits (back wages, future wages, and salaries and bonuses). 5. Outside board activities extension. Endorsements: 1. Enhanced Employment Liability- covers any Claim arising out of employee hiring, advancement, remuneration, treatment, condition or termination of employment (including sexual molestation). 2. OPTIONAL: Non - Monetary Suit Defense Costs - reimburses the insured for incurred defense costs up to $10,000 per Suit and $50,000 aggregate for non - monetary claims. Please refer to specific endorsements for additional details on how coverage applies. Notes of Importance: 1. The extended reporting period option is 12 months for 50% of the policy period premium. 2. This quotation is subject to receipt and approval of completed and signed application prior to binding. CQkonfia. 14 Aeordia Southeast Insurance • Bonding • Employee Benefits • VILLAGE OF TEQUESTA - FLORIDA CITIES AND SPECIAL DISTRICTS CLAIMS ADMINISTRATION Coregis administers and closely controls all claims from start to finish. Ms. Linda Clarke is the Claims Coordinator for the Program and performs the initial review of all loss notices. Out of a staff of 42 adjusters, nine are dedicated to Florida governmental agencies. This team of full -time, licensed adjusters fully understands federal laws and state statutes governing actions against public entities. Outside independent adjusting companies are assigned field investigation and appraisal services when needed. The fieldwork will be provided through Elliott Claims Service or Ward North America. Both companies have nine offices throughout the state. You will find our approach to be aggressive and protective of your entity's interests. We take full advantage of rights afforded under the law. Setting a precedent of always settling claims does not characterize the Program's position. It is important for claims to be reported quickly and easily by your staff. To assist in this area, every insured is provided with a claims kit. The kit includes standard ACORD Loss Notice forms that have all the basic information completed: Also included are automobile • accident kits and guidelines on filing a claim. Initial loss notices are submitted to Acordia Southeast in West Palm Beach. In case of a disaster, a 24 -hour claim hotline is available. LOSS CONTROL SERVICES The loss control services for Program members are designed to help educate and assist in developing and implementing your own loss control program. The Coregis full time loss control representative is available for consultations by phone, correspondence and in person. Some of the services provided at no extra cost are: • Loss analysis of frequency or severity problems • Access to the National Resource Safety Center video library containing over 6,000 titles • Safety "self- inspection" checklists • Safety bulletins ( Risk- Notes • Quarterly safety publications ( The Shield • Formulating and adopting a written safety manual • Employee safety awareness • • Defense driving programs ordsa® 15 Acordia Southeast Insurance • Bonding • Employee Benefits SEP.- 16'99(THU) 11:35 ACORDIA LIFE /HEALTH TEL:561 -838 -9683 P.002 • VILLAGE OF TEQUESTA PREMIUM RECAPITULATION Revised as of 9/16/99 Property $ 11,140 Inland Marine $ 1,954 General Liability & Law;lpforceiperpt $ 40,550 Automobile Liability and Physical Damage $ 44,694 Total Coregis Package Premium: $ 98,338 Public Officials Liability EMT Malpractice Liability $ 2,813 est. • Boiler & Machinery with Hartford $ 1,314 AD &D with Hartford a Workers Compensation $ 83,481 Commercial Crime $ 454 Total All'Unes of Coverage $192 Total Premium For Last Yeac ��96,332 i1 i f I Notes o [Importance This proposal is subject to approval of Y2K application: Subject to Florida Surcharges equal to .001 of proposed' premiums excluding Automobile premiums s or&a. 16 Acordia Southeast Insurance • Bnnding • Boeployre Benefits j '( i i PGIT - Preferred Governemntal Insurance Trust i Premium Summary Guaranteed Cost Plan NAME: VILLAGE OF TEQUESTA POLICY DATE 10/01/99- 10/01/2000 MBR #: AGENCY: Acordia Southeast, Inc. ANNIVERSARY 10/1/1999 501 S. Flager Dr. #600 RATING DATE West Palm Beach, FL 33401 CLASS ESTIMATED ESTIMATED CODE DESCRIPTION RATES PAYROLL PREMIUM 5509 CT- STREET /ROAD MAINTENANCE- MUNICIPAL,COU $ 8.34 182,595 $15,228 7520 WATERWORKS OPERATION & DRIVERS $ 5.68 342,903 $19,477 7704 FIREFIGHTERS & DRIVERS $ 8.86 648,314 $57,441 7720 POLICE OFFICERS & DRIVERS $ 8.17 844,108 $68,964 8810 CLERICAL OFFICE EMPLOYEES NOC $ 0.55 781,831 $4,300 9102 PARK NOC - ALL EMPLOYEES & DRIVERS $ 8.98 35,964 $3,230 9410 MUNICIPAL,TOWNSHIP,COUNTY OR STATE EMPLO $ 13.29 22,794 $3,029 TOTALS $2,858,509 $171,669 ESTIMATED MANUAL PREMIUM $171,669 EMPLOYERS' LIABILITY $171,669 $ 1,000,000/$1,000,000 /$1,000,000 DEDUCTIBLE $171,669 $171,669 SAFETY CREDIT 2.00% $3',433 $168,236 DRUG FREE WORKPLACE 5.00% $8,412 $159,824 EXPERIENCE MODIFICATION 0.83 7:,($27,170) $132,654 ESTIMATED MODIFIED PREMIUM $132,654 PGIT DISCOUNT 30.00% $39,796 $92,858 STOCK VOLUME DISCOUNT $9,577 $83,281 ESTIMATED DIRECT PREMIUM $83,281 EXPENSE CONSTANT $200 ESTIMATED TOTAL PREMIUM $83,481 Ex erience modification Factor is subject to verification. The above quote may include Safety and /or Drug Free Workplace credits. The final amount of credit is dependent upon compliance with program requirements. Pa roll subject to Final Premium Audit. Payment Plan: 25% Down and 9 equal installments Due October 1 $21,020.28 9 monthly pmts @ $6,940.08 • Last pmt. Due 7/1/00 CQfc orda. 9 Aco / rdi 9 a So t east Insurance • Bonding • Employee Benefits SEP -16 -1999 THU 11 :26 AM FLORIDA LEAGUE OF CITIES FAX NO, 407 317 7181 P. 01/03 FLORIDA LEAGUE OF CITIES, INC. il East colonial of ive ♦ P.O. Box 530065 ♦ oriando, FL 32853 -0065 (407) 425 -9142 ♦ Suncom 344 -0720 To: Name: Kim Bodinizzo Company: Village of Tequesta Fax Number: (561) 575 -6203 Voice Phone: From: Name: Nancy Tinn Fax Number. (407) 317 -7181 Voice Phone: (407) 425 -9142 ext. 308 Re: Workers' Compensation Proposal Date of transmission: September 16, 1999 Number of pages including this cover sheet: 3 Dear Kim Attached are the corrected pages to the proposal. If you have any questions or would like additional information, please call me. Thank you for your assistance. Sincerely, Nancy • SEP -16 -1999 THU 11:26 AM FLORIDA LEAGUE OF CITIES FAX NO. 407 317 7181 P. 02/03 • FLORIDA MUNICIPAL INSURANCE TRUST WORKERS' COMPENSATION — 1999/00 VILLAGE OF TEQUESTA Total Payroll: $2,858,509 Experience Modification: .90 *Drug Free Workplace Credit (5 %) -8,320 *Safety :Credit (2%) -3,161 Total Net Premium: $99,140 *Includes Eligible Credits for Adoption of Program(s): Note: The Workers' Compensation premium is subject to adjustment when the October 1, 1999 experience modification is received. SEP -16 -1999 THU 11:26 AM FLORIDA LEAGUE OF CITIES FAX NO. 407 317 7181 P. 03/03 FLORIDA MUNICIPAL INSURANCE TRUST Workers' Compensation -1999 -2000 Village of Tequesta Class code Description Pavroll 5509 Street or Road Maintenance $145,784 7520 Waterworks Operations $445,927 7704 Firefighters $657,457 7720 Police $828,968 8810 Clerical $694,618 9102 Park N.O.C. $ 34,302 • 9410 MunicipaUTown /County /State N.O.C. $ 51,453 Total Payroll $2,858,509 • 3