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Home My WebLink AboutInv# 17865749 - RISK MANAGEMENT ASSOCIATES, INC - 10/08/2024. Brown &z Brown Dania Beach, City of City of Dania Beach 100 W Dania Beach Blvd Dania Beach, FL 33004 X----------------------------------- Customer: Dania Beach, City of Mail payment to: Risk Management Associates. Inc. P.O. Box 745959 Atlanta. GA 30374-5959 Overnight payment to: Risk Management Associates. Inc. Lockbox 745959 6000 Feldwood Road College Park:. GA 30349 Please detach and return with payment Customer Acct # Dania Beach, City of 602734 Date 10/08/2024 Customer Service (386)252-6176 Page 1 of 1 Payment Information Invoice Summary $ 167,710.50 Payment Amount Payment for: Inv6ice#17865749 CIM4112723-04 Invoice Effective Transaction Description Amount 17865749 10/01/2024 Renew policy Policy #CIM4112723-04 10/01/2024-10/01/2025 Mitsui Sumitomo Insurance Company of America Commercial Property - Renew policy FIGAAssessment- Renew policy 166,050.00 1,660.50 415-72-09-575-45-10 Total $ 167,710.50 Please Remit Payment Upon Receipt v Risk Management Associates, Inc. (386)252-6176 Date P. O. Box 2416 Daytona Beach, FL 32115 10/08/2024 j City of Dania Beach 9. Brown & Brown Premium Recapitulation Page 1 of 2 Revised 8/29/2024 Annual Premium Check Option Accept Reject Preferred Package Property including Equipment Breakdown $930,286.00 ® ❑ Inland Marine $27,290.00 ® ❑ Crime / Employee Dishonesty $1,777.00 ® ❑ General Liability $408,254.00 �J ❑ Deadly Weapon Protection* Included Public Officials / Employment Practices Liability $213,009.00 50 ❑ Cyber Liability $8,565.00 ® ❑ Automobile Liability $75,938.00 ® ❑ Automobile Physical Damage $44,903.00 ® ❑ Package Payment Plan: CONFIRM CURRENT: ® ❑ Annual *Deadly weapon Protection Coverage: Any Event that occurs at a Location which has been specifically leased or loaned by the City to any other entity or individual to host a permitted event planned and ticketed for more than 1S,000 attendees over the duration of the event, MUST BE reported to AND APPROVED by Preferred PRIOR to event. The Trust may, at their discretion, charge an additional premium and/or impose additional conditions specifically for that event. Workers' Compensation Workers' Compensation Payment Plan: $262,666.00 M ❑ CONFIRM CURRENT: En ❑ Annual All lines of coverage must be accepted in order to bind coverage with Preferred. This proposal is intended to give a brief overview. nigher limits maybe available. Please refer to coverage forms for complete details regarding definition of terms, exclusions and limitations. City of Dania Beach Dock Property U. Brown & Brown Premium Recapitulation Page 2 of 2 Annual Premium Premium $166,050.00 Florida Insurance Guaranty Assessment $1,660.50 Total Premium $167,710.50 Optional - TRIA $4,982.00 Pollution Liability Optional - TRIA FP&L General Liability Premium Inspection Fee Policy Fee Total Premium Optional - TRIA BSO Substation General Liability Premium Policy Fee Total Premium Certificate Compliance Review $16,484.00 $330.00 $7,188.00 $175.00 $175.00 $7,538.00 $216.00 $1,500.00 $250.00 Check Option Accent Rtiect Io I I ■ ■ f:4 ig ■ ■ 17 $1,750.00 ❑ $25,000.00 ® ❑ I authorize Brown & Brown to request the underwriters to bind coverage on the items indicated above and acknowledge receipt of the Compensation and Financial Condition Disclosure(s) provided in this proposal. Ana M. Garcia p;e,2024oe°o;e12:8-0400 (Signature) Ana M. Garcia, ICMA-CM, City Manager (Name & Title) 8/30/2024 (Date) 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.