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Okaloosa County BOCC — September 16, 2014 — General Liability, Aviation Liability, Public Officials Liability, Crime, Automobile, Excess Workers' Compensation & AD&D insurance renewal quote — reading text

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Machine-extracted text — 184-General Liability_ Aviation Liability_ Public Officials Liability_ Crime_ Automobile_ Excess Wor.pdf

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rown w rown PUBLIC RISK INSURANCE AGENCY 2014/2015 LINE OF COVERAGE LIMIT DEDUCTIBLE/SIR | ANNUAL PREM Crime: Great American Insurance Co. Employee Dishonesty $ 500,000 | $ 25,000 | $ 6,971 Theft, Disappearance & Destruction In/Out $ 500,000 | $ 25,000 Funds Transfer $ 500,000 | $ 25,000 Computer Fraud $ 500,000 | $ 25,000 Forgery/Alterations $ 500,000 | $ 25,000 Sub-Total | $ 6,971 General Liability: Preferred Govt'l Ins Trust General Liability $ 1,000,000 $100,000 SIR | $ 44,811 Employee Benefits $ 1,000,000 $100,000 SIR Law Enforcement Liability $ 1,000,000 $100,000 SIR | $ 63,430 Sub-Total | $ 108,241 Automobile: Preferred Govt'! Ins Trust Auto Liability $ 1,000,000 $50,000 SIR | $ 45.762 Uninsured Motorist rejected | $ - Collision Symbol 10,8 | $ 10,000 | $ 49,195 Hired Physical Damage $ 35,000 | $ 10,000 Medical Payments $ 5,000 Sub-Total | $ 94,957 | Excess Workers’ Compensation: Preferred Govt'l Ins Trust 14/15 Payroll: $35,943,716 all other & $5,866,048 Police & Fire Workers' Compensation Statutory $500,000 SIR | $ 167,365 Employers Liability $1m/$1m/$1m $500,000 SIR Included Sub-Total | $ 167,365 Public Officials: Western World Insurance Company Directors & Officers $ 1,000,000 | $ 100,000 | $ 57.218 Employment Practices Liability $ 1,000,000 | $ 100,000 Fees | $ 744 Sub-Total | $ 57,962 Aviation Liability: Ace USA (Alexander Aviation) Global Aerospace (Alexander Aviation) Aviation Liability $ 50,000,000 | $ 1,000 | $ 49,942 Hangarkeepers $ 50,000,000 | $ 1,000 War & TRIA Included Fees & Surcharges $ 649 Sub-Total | $ 50,591 AD&D: Ace American AD&D Statutory | $ . $ 3,451 Sub-Total | $ 3,451 TOTAL PREMIUM $ 489,538 This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms, exclusions and limitations.

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