Fort Walton Beach Council agenda — 09-14-2010 Special-City Attorney Condidates — reading text

The insured first nested In Mum 1 of V e kiorrnadon C. Trandw of Your No-to and Duties Pepe vrlu act an belaffdall Insureds to champs Oft Your dgft or dtelea under tltis policy may not be poky, recalm ratan praniwa, and give or recalm bwWaiad:wkhmA cur w Men consent. rinks of eanoelatlah. In w" m whereof, Camp Opdons Insurance Cam•Inc. & a OptaComp ho cawed tibia popsy to be dVW by Its Preslderht and Vie President at ale,Florida and oohantersigned on the ht% rmadon papa by a duly auttorlaed sport of the company. President Vice President Gate 0 Sh Wood COMM e1 Cede bm WORKERS COMPETISATION AND EMPLOYERS LIABILITY INStMANCE POLICY WC 06 04 03 A Ed. 1- 06) FLORIDA TERRORISM RISK I E PROGRAM REAUTHORIZATION ACT ENDORSEMENT This oWbrsemert addresses requirements of the Terrorism Risk insurarm Act of 2002 as amended by the Terrain Risk kwurence Program Reauth- - Win Act of 2007. Definitions The ddkWone provided in this andoraemsnt we based on and have the mane meaning as the dWb* lons In the Act. t weds or phraeas not defined in this endorsement are defined in the Act, the M loons In the Act wN apply. t. ` r means the Tmr+ orism Risk Inhsurancce Act of 2002- which took effect on November 2% 2002. and any amendments rosulling from tlhe Terrorkm Risk Insurance Program Reauthorization Act of 200?. L • Act of Terrorism!" means any act that is c@IIMN 4 by the Secretmy of tins Treasury, In oorxrurrenoe wlth the Secretary of State. and the Attorney General of the United States as meeting ak of firs following requirement a. The act is an act of terrorism. b. The act Is violaht or dangerous to human Ids, property or infraatnx dme. CO. The act m dW in demape widnin iha Untied States, or outside of the Untied Stales in the case of the prenftes of Untied States missions or osrtaln air carriers or vessels. d. The act has been commixed by an k ditW or indvlduads as part of an dlort to coerce the cWlan papelsd of 1he United Stow or b Wkwnoe tiro policy or affect ft conduct of the Unlled States 3. ' heard Loss' mum any loss rest0bhg from an act of hmoriern (rock ding an act of war, in to case of workers compensation) Ow le tWrsd by prom my me PRIOR propet'ly and cast,aity insurw= based by an insurer ti tine toes occurs in tie United Ststes or of the remises of United States missions or to certain & carriers or vessels. 4. ahmm DeductlW means, for the period beginning on January 19 2002. and endng on Deoember 31. 2014, an amount aWel to 20% of our erect earned premium% over to oWendar yaw i nnm didsty preceding the appkcable Program Year. S. ' Program Year rebB to each c loroft year between Jamm" 1, 2008 and December 31, 20149 es appeble. Una of Ltabfitty The Act may emit our kabRy to you under this policy. It awe insured Losses exceed a10o= XD.000 in a Program Year and Iwo have met our Insurer Dad mWe we may not be liable for the payment of any potion of the amount at phew sd Losses flat exceeds 5100.000,000,000; and for Instmed Losses up to 651 , OT00, 000,000. we may only have to pay a pro rata shone of such hmured tosses as deimminm! by the Secretary neaBtJry0 Pntioyholds* Dlsoiosuro Notice t. kaured Losses would be paulfaNy bursed by the United Staten Government. Now eoggregate hhdustry Ineured Losses exceeds 6100,000,000 in a Program Year. the Unked Slates Government would pay 85% 01 our kwured Losses that exceed our insurer Oeduatlble. 2. Notwlaw= d ken 1 above. the United States Govemmod may not have to makee any payment e under the AAA Act for any of Ineu ed Loan that exceeds, $100. 0 000, 3. The pr+mniurm charged for the coverage for Inou a Losses under this poky is Included In the amount shown In Item 4 of the Information dugs or the Sedate below. Schedule S .02 Rate per 6100 of RemuneraGah e Cepyryht nu rba " eoom a, c A l l pJMoe raoaraW% tae. M FftW H- a I ..- WC 09 04 0E A WORKERS COMPENSATION AND EMPLOYERS LIABILITY DWRANCE POLICY Ed. I-W) This endaseenont duuV s the pdisy b which k Ia Sftd* d end b eWN@ on the dde blued unless otw&69 stated. M1011- 10 is FI* desd ady when ttds endQ -8011 t Is issvW MA N 41 snt10 pnpNlon d Vw poliay4 Er Pin - amsnt Eheoft Pd oy NO. EndorwnNrd No. hmmod P%+ sedun $ Comp Opomw USE=" cam" Counte nsd by W0000403A Ed. 1. Oe) Copp lod nBr Nrlow eoio" on 0- 1 wool % W- m 114wrawovat  lfwtellf m4 Schedule CUIWW R: 1W?4 MAiMms a HoWne, PA c Amount Duce = 64J3 Air C" Pea Dum woo CWMM Ow Dais: MJG 2010 • . Oue Oats Pd • went 8 Dssaipdon Dde OMI; Due Data Psld Fkwnoe Ch Toil Out AN Paid 1lWv= AM 2010 01FL0.24002s1. 01 1 Renewal 27 10 264.33 284„33 264,33 Sub Toga for August 284.33 284.33 284.33 SEP 2010 01FL9.24OMI.01 2 Renews! 284,33 284.33 264,33 Sub Totem br Septenlbsr o 264.33 264,33 284.33 OCT 2010 01Fi.844002 M 3 Raiewal t• 264,33 2603 264M Sub Totals for October 284.33 264.33 284.33 WV 2010 O1FL9.2490251. 01 4 Reawmal 2", 33 264,33 264J3 Sub Totab for November 24.33 284.33 264.33 DEC 2010 OiFLB•249MI -01 S Renewal @64,93 20423 284.93 Sub ToWs for Decanber• X4.33 284.33 284.93 JAN 2011 01FL04M00251. 01 8 Renews! 264.33 264,33 28433 Sub Totals for ism" 284.33 264.33 264.33 FM 2011 01FLO446D2S1.01 7 Renewal 284.33 284.33 264,33 Sub Touts for Febtuery 284.33 284.33 284,39 MAR 2011 01 FLO-242MI.01 8 RenwW 284.33 284.33 284.33 Sub Taids for memh 284.33 284.33 26!.33 APR 2011 OtFLO.2400261. 01 9 Renewal 04.33 254.33 264 Sub Totals for ApS 284.33 284.33 2x4,33 MAY 2011 OIRB440 W-M t0 Rentwst 204,93 264.33 423 Sub Totals for May 284.33 284.93 264.33 JUN 2011 01FLO4400281 -01 It Renews! 264,33 264.33 264.93 Sub Totals for Juno 284.33 264.33 264,33 AL 2011 01 FL9,Z40D331 -01 12 Renews! 284.37 284.37 284.37 Sub Totals for July 2OW37 284.37' _ 26437 Totda 9`172:00 x.00 31172SO 000 x,172.00 rr OatsOats 07/07/ 2801028010 TlmeTlme 1010 0101 AMAM NONO 11 LIABILITY (GENERAL & AUTO) INSURANCE  DATE ( MM /DDlYYYY) Rte® CERTIFICATE O F LIABILITY INSURANCE OP ID SCDE 09/ 02/ 10 THIS CERTIFICATE IS