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

OFFICE PROGRAM This coverage part consists of this declarations form, the common policy conditions, and the coverage forms and endorsements indicated as applicable on the forms list Some of these coverages are sublimits or are subject to aggregate limits. Refer to your policy to determine how they apply. GENERAL AGGREGATE 2, 000, 000 PROWS AND OOIIPL.ETED OPERATIONS AGGREGATE 2, 000, 000 EACH OCCURRENCE 1, 000, 000 TENANTS LEGAL LIABILITY 1, 000, 000 MED I CAL EXPENSES - EACH PERSON S 10, 000 PERSONAL INJURY AND ADVERTISING INJURY 1, 000, 000 HIRED AND NOR- Qi11lED AUTOMOBILE LIABILITY 1, 000, 000 COMVERCIAL GENERAL LtABRM HMO Ed, 3 - 00 AGENT' S COPY 11/ 18/ 2009 3. 1. 1 PROFESSIONAL LIABILITY INSURANCE  CHARTIS 0 National Union Fire Insurance Company of Pittsburgh, Pa. 175 Water Street New York, NY 10038 LAWYERS PROFESSIONAL LIABILITY POLICY POLICY NUMBER: 060439897 REPLACEMENT OF: NOTICE THIS IS A CLAIMS-MADE AND REPORTED FORM. EXCEPT TO SUCH EXTENT AS MAY OTHERWISE BE PROVIDED HEREIN, THE COVERAGE OF THIS POLICY IS GENERALLY LIMITED TO LIABILITY FOR THOSE CLAIMS THAT ARE FIRST MADE AGAINST INSUREDS DURING THE POLICY PERIOD AND REPORTED TO THE INSURED AS THE POLICY REQUIRES. DEFENSE COSTS REDUCE THE LIMIT OF LIABILITY. PLEASE READ THE POLICY CAREFULLY AND DISCUSS THE COVERAGE WITH YOUR INSURANCE AGENT OR BROKER TO DETERMINE WHAT 1S AND WHAT IS NOT Terms appearing In bold type have special meanings. See the Deffnftions for more information DECLARATIONS ITEMS 1 a. NAME OF FIRM the "Firm ") Matthews and Hawkins, P.A. MAILING ADDRESS: 4475 Legendary Drive Destin, FL 32541 1 b. PREDECESSOR FIRMS the "Predecessor FI s " As er 612113111catiOn POLICY PERIOD Inception Date: 02/20/2010 Expiration Date: 02120/2011 12: 01 A.M. at the address stated in Item 1 above. LIMIT OF LIABILITY a per Claim 1, 000,000 b) 12,000,000 c) Separate Limit of Liability - 25,000 Diselplinary ProceedIngs RETROACTIVE DATE 09/26/ 1985 DEDUCTIBLE each Claim: 10,000 TOTAL PREMIUM 26, 696. 00 + $ 266.96 Florida Hurricane Catastrophe Fund ( FHCF) Surcharge Name and Address for NoticelClaims Reporting: Administrators for the Professions of Delaware, Inc. One Hollow Lane, Suite 204 Lake Success, New York 11042 Reference 060439897 Name and Address of Insurer: National Union Fire Insurance Company of Pittsburgh, Pa. 175 Water Street New York NY 10038 Producer: Administrators for the Professions of Delaware, Inc. Producer License #: Address: One Hollow Lane Suite 204 Lake Success NY 11042 101421 ( 4/09) 1 of 2 0 All rights reserved.  IN WITNESS WHEREOF, the Insurer has caused this policy to be signed on the Declarations by its President, a Secretary and its duly authorized representative. PRESIDENT SECRBTARY AUTHORIZED REPRESENTATIVE AGENCY MARKETING SERVICES 03/ 10 /2010 IGNATURE DATE COUNTERSIGNED AT 1 01421 ( 4109) 2 of 2 ® AIU Holdings, Inc. All rights reserved.  ENDORSEMENT No. 1 This endorsement, effective 02/20/2010 forms a part of Policy Number: 060439897 Issued to: Matthews and Hawkins, P.A. By: National Union Insurance Company of Pittsburgh, PA SECURITIES WORK EXCLUSION AMENDATORY ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY In consideration of the premium charged, it is hereby understood and agreed that the policy is amended as follows: 1. Section 2. DEFINITIONS, is amended to append the following to the end thereof: SW-1) " Securities Work" means all acts or omissions relating in any way to a sale, a purchase, an offer to sell or purchase, or the solicitation of an offer to sell or purchase, a security covered, or claimed to be covered, in whole or in part by: The Securities Act of 1933, The Securities Exchange Act of 1934, The Investment Advisors Act of 1940, or any other Federal or State Blue Sky or Securities Law, or any rules or regulations issued pursuant to any of the aforementioned, or any amendments or replacements thereof.). 2. Section 3. EXCLUSIONS, is amended to append the following to the end thereof: SW-1) This policy does not cover any Claim arising out of, in whole or in part, any Securities Work of the Insured. ALL OTHER TERMS AND CONDi NS OF THE POLICY REMAIN UNCHANGED. c) All rights reserved. AUTHORIZED REPRESENTATIVE 101438 ( 0412009) Page 1 of 1  ENDORSEMENT No. 2 This endorsement, effective 02/20 /2010 forms a part of Policy Number: 060439897 Issued to: Matthews and Hawkins, P.A. By: National Union Insurance Company of Pittsburgh, PA DECLARATIONS ITEM 4 AMENDATORY ENDORSEMENT SCHEDULED EMPLOYED LAWYERS) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY In consideration of the premium charged, it is hereby understood and agreed that solely with respect to coverage afforded by this policy to each of the Employed Lawyers scheduled below, Item 4 RETROACTIVE DATE of the Declarations Page, is deleted in its entirety and replaced as follows: EMPLOYED LAWYERS RETROACTIVE DATE John W. Hawkins 07/01/ 1998 Mary Kraemer 06/ 01/ 2000 Dawn Norris 06/01/ 2006 Kendra Condon 12115/ 2005 Scott Work 06124/2005 Robert A. Goodwin 06101/ 2008 Patrick McCarthy 08/01/ 2008 Kimberely Cheatham 10105/2009 ALL OTHER TERMS AND CONDITI S OF THE POLICY REMAIN UNCHANGED. c) All rights reserved. AUTHORIZED REPRESENTATIVE 101452 ( 04/2009) Page 1 of 1  ENDORSEMENT No. 3 This endorsement, effective 02/20/2010 forms a part of Policy Number. 060439897 Issued to: Matthews and Hawkins, P.A. By: National Union Insurance Company of Pittsburgh, PA AMENDATORY ENDORSEMENT FLORIDA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY This endorsement modifies insurance provided under the following: Lawyers Professional Liability Policy The policy is amended as follows: 1. Clause 2. DEFINITIONS, paragraph ( i), Damages, is modified to the extent necessary to provide the following: Punitive, exemplary and multiplied damages are only insurable to the extent (1) such damages are insurable under the law of any jurisdiction other than Florida that has a substantial relationship to the Firm, any Insured, the Claim, Insured, or this policy and is most favorable.to the insurability of such Damages and ( 2) that this policy is construed by a court of competent jurisdiction, or an arbitration panel, pursuant to the laws of any jurisdiction other than Florida. 2. Clause 4. CONDITIONS, paragraph ( k), Extended Reporting Period, sub- paragraph ( 5), second paragraph is deleted in its entirety and replaced with the following: The additional premium for the Optional Non -Practicing Extended Reporting Period shall be a percentage of the per lawyer premium. ALL OTHER TERMS AND CONDITI S OF THE POLICY REMAIN UNCHANGED. c) All rights reserved. AUTHORIZED REPRESENTATIVE 101564 ( 08/ 2009) Page 1 of 1  ENDORSEMENT No. 4 This endorsement, effective 02/2012010 farms a part of Policy Number: 060439897 Issued to: Matthews and Hawkins, P.A. By: National Union Insurance Company of Pittsburgh, PA SPECIFIC PERSON /ENTITY EXCLUSIONARY ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY In consideration of the premium charged, it is hereby understood and agreed that this policy does not cover any Claim alleging, arising out of or resulting from the performance of or failure to perform Legal Services by any Employed Lawyer(s) for any of the following person(s) or entity(ies): Destin Land and Title Inc. Andante Development ALL OTHER TERMS AND CONDI S OF THE POLICY REMAIN UNCHANGED. c) All rights reserved. AUTHORIZED REPRESENTATIVE 103448 ( 11/ 2009) Page 1 of 1  ENDORSEMENT No. 5 This endorsement, effective 02/2012010 forms a part of Policy Number. 060439897 Issued to: Matthews and Hawkins, P.A. By: National Union Insurance Company of Pittsburgh, PA RELIANCE UPON OTHER CARRIER' S APPLICATION AFFIRMATIVE REPRESENTATION) ALL COVERAGE SECTIONS) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY In granting coverage under this policy, it is