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Home My WebLink AboutInsurance Proposals ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FEEEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 10, 1999 Jon E. Shearin Roy H. Reeve Agency, Inc. Post Office Box 54 Mattituck, New York 11952 Dear Mr. Shearin: The Southold Town Board at their regular meeting held on December 21, 1999 adopted a resolution accepting the proposal of Roy H. Reeve Agency, Inc. to provide insurance coverage for the year 2000. A certified copy of this resolution is enclosed for your official records. I look forward to working with your company during the year. If my office may be of assistance to you, please do not hesitate to call. Very truly yours, Elizabeth A. Nevill~ $outhold Town Clerk Enclosure ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town HaiN, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 10, 1999 John V. Stype, CIC Stype Insurance Agency, Inc. Post Office Box 1415 Mattituck, New York 11952 Dear Mr. Stype: The Southold Town Board at their regular meeting held on December 21, 1999 adopted a resolution accepting the proposal of Roy H. Reeve Agency, Inc. to provide insurance coverage for the year 2000. A certified copy of this resolution is enclosed, it has been a pleasure working with you. Thank you for submitting your bid. We look forward to receiving future proposals from your company. Very truly yours, Elizabeth A. Neville Southold Town Clerk EncJosure ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGe] OFFICER RI~CORDS MANAGEMENT OFFICER FREEDOM OF INFORMATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765~6145 Telephone (631) 765~1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 10, 1999 Joseph Cherepowicz McMann-Price Agency, Inc. General Insurance 828 Front Street C;reenport, New York 11944 Dear Mr. Cherepowicz: The Southold Town Board at their regular meeting held on December 21, 1999 adopted a resolution accepting the proposal of Roy H. Reeve Agency, Inc. to provide insurance coverage for tine year 2000. A certified copy of this resolution is enclosed. Thank you for submitting your bid. We look forward to receiving future proposals from your company. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure ELIZABETH A. NEVILLE TOWN CLERK REGISTRAR OF VITAL STATISTICS MARRIAGE OFFICER RECORDS MANAGEMENT OFFICER F]~EEDOM OF INFOI~MATION OFFICER Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 Fax (631) 765-6145 Telephone (631) 765-1800 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD January 10, 1999 Joseph L. Townsend, Jr. Joseph L. Townsend, Inc. 216 Main Street Post Office Box 40 Greenport, New York 119~ Dear Mr. Townsend: The Southold Town Board at their regular meeting held on December 21, 1999 adopted a resolution accepting the proposal of Roy H. Reeve Agency, Inc. to provide insurance coverage for the year 2000. A certified copy of this resolution is enclosed. Thank you for submitting your bid. We look forward to receiving future proposals from your company. Very truly yours, Elizabeth A. Neville Southold Town Clerk Enclosure PRE MIUM QUOTATION (To be submitted in duplicate) Section I Summary Quotation Property Liability Automobile Umbrella Inland Marine Crime Police Professional Boat Boiler & Machinery Employee Benefit Liability Public Officials Liability Total Premium Section II Detailed Information Quotation Amount $6.541 .QO $45,104.00 $73,347.00 $20,900.00 $8,542.00 $2,048.00 $25,347.00 $8,000.00 $2,000.00 $4~2,00 $7,600.00 $199,881.00 Buildings and Contents and Extra Expense with Special Form Coverage Deductibles -- Please show annual cost for deductibles shown below: $1,000 $6541. .$5,000 ~;5437. $10,000 $4560. Carder: Kemper/Gulf Policy Pedod: 1/1/00 - 1/1/01 Premium Payment Plan: See Comments At End Comments: Enhanced property coveraqe form - see attached Section II Detailed Information (continued) B. Boiler and Machinery Deductible $5,000 Carrier: Travelers Annual Cost $ 2~000.00 Policy Period: 1/1/00 - 1/I/01 Premium Payment Plan: See Comments At End Comments: Comprehensive Plan Valuable Papers Deductible $1,000 Carder: Kemper/Guif Annual CostS Included in Property Policy Period: 1/1/00 - 1/1/01 Premium Payment Plan: See Comments At ]nd Comments: $500,000. at Town Hall and Police Dept. Additional built in coveraee $250.000. Der ]ecatinn Comprehensive General Liability Annual Cost $ ~;45 ~ 104.00 Deductibles -- Please show annual cost for deductibles shown below: $0 $45,104. .$5,000 $10,000 Rating Basis: Carrier: Kemper/Gulf Premium Payment Plan: See Comments At End Is policy auditable? No Comments: Includes EmD]ovment Pract. icP~ I iahi ] ity General Aggregate $3,000,000. Automobile Insurance Rate per vehicle Annual Cost $, 73,347.00 Carder: Kemper/Gulf Policy Pedod: 1/1/00 - 1/1/Q1 Premium Payment Plan: See Commenl;s At, Comments: Flat premiums - no addit]ona] premiums for addit,iOrl~! vehJc]es added Inland Marine Floater Deductible $1,000 Carrier: Kemper/Gulf Annual Cost $ 8,542.00 PolicyPedod: 1/1/00 - 1/1/01 Premium Payment Plan: See Comments At, [rlcI Comments: 6 R O. BOX 54, MAIN ROAD 55 NORTH FERRY ROAD MATTITUCK, NY 11952-9990 SHELTER ISLAND, NY 11964 PHONE: (516) 298-4700 PHONE: (516) 749-0484 AN EMPLOYEE OWNED COMPANY December 9, 1999 Town of Southold Attn: Mr. John Cushman 53095 Main Road P.O. Box 1179 Southold, New York 11971 Mr. Cushman' Thank you for your inquiry into insurance through the Roy H. Reeve Agency. I am pleased to provide you with the following proposal ' COMPANY: Kemper Insurance Company ADMITTED: in New York State RATING: AM Best Rating "A" SIZE: 15 **Important Note: Y2K EXCLUSION APPLIES TO ALL POLICIES AND COVERAGE PARTS** PA CKA GE PROPERTY: Coverage: Special Coverages including a sublimit for flood and earthquake Term: One Year Policy Blanket Building and Personal Property Limit: $8,177,069. Agreed Amount/Replacement Cost Basis - Subject to signed statement of values within 30 days of binding Extra Expense: $500,000. Per Gulf coverage form Deductible: $1,000. per occurrence Flood Sublimit: $500,000./Deductible: $25,000. (Locations in Flood Zone A are excluded for the peril of flood) Earthquake Sublimit: $500,000./Deductible: $25,000. (Higher Flood and Quake limits available upon request) All coverages are per the Gulf coverage form. See attached coverage highlights. Standard exclusions apply - see coverage form Valuable Papers: $500,000. at Town Hall and $500,000. Police Dept. Additional built in coverage applies per location. PROPERTY PREMIUM: $6,541. ($5000. ded Prem : $543 Z//$10,000 ded Prem : $4560.) INLAND MARINE: Contractors Equipment: $2,569,115. Deductible: $1,000. Valuation: ACV (Can offer Replacement Cost - subject to confirmation of replacement cost values) EDP(Including software): $826,000. All locations. Additional built in coverage applies per location. INLAND MARINE PREMIUM: $8, $42. GENERAL LIABILITY: Comprehensive General Liability Coverages - Gulf policy forms and mandatory NYS forms Limits of Liability: $1,000,000. per occurrence $1,000,000. personal injury and advertising injury $2,000,000. products-completed operations $3,000,000. general aggregate (per location) $ 300,000. fire damage legal $ 10,000. medical payments Terms: All coverages are per Gulf coverage forms. Exclusions include but are not limited to the following: Absolute Asbestos, Absolute Pollution, Employment Related Practices, Law Enforcement Liability except for premises liability for the law department if applicable Special Conditions: See coverage highlights for more coverage highlights - such as "Failure to Supply" exception does not apply if loss results from a sudden and accidental loss to tangible property, no exclusion for bodily injury to volunteers (except volunteer firemen and policemen.) Additional insured by contract, permit or lease applies. Volunteers and Employees are named insureds; Broadened definition of Bodily Injury and Personal Injury; See coverage form for highlights and broadened coverages. GENERAL LIABILITY PREMIUM IS FLAT AND NONA UDITABLE. GENERAL LIABILITY PREMIUM: $45,104. EMPLOYEE BENEFIT LIABILITY: Limit: $1,000,000. per occurrence/$1,O00,O00, aggregate limit Deductible: $1,000. per claim Forms: Standard Gulf coverage form - claims made basis. Full prior acts provided. EMPLOYEE BENEFIT LIABILITY PREMIUM: $452. LAW ENFORCEMENT LIABILITY: Limit: $1,000,000. per wrongful act(occurrence form) $1,000,000. annual aggregate See coverage highlights attached. Law enforcement aggregate is separate from general liability general aggregate. LA W PREMIUM : $25,347. AUTOMOBILE: * See coverage forms for additional enhancements. LIABILITY: Symbol 1 applies, including Hired and Non-owned LIMITS: $1,000,000. CSL $1,000,000. UM/UIM $ 50,000. PIP $ 100,000. Addl PIP $ 25,000. OBEL $ 10,000. MEDICAL PAYMENTS PHYSICAL DAMA GE: Deductible: Comprehensive - $500. / Collision $500. (As per schedule provided) A UTO LIAB1LITY PREMIUM- $61,690. AUTO PHY$ DAM PREMIUM- $11,657. TOTAL AUTO PREMIUM - $73,347. Full glass coverage on private passenger vehicles only - police cars do not have full glass coverage. Includes Employees/Volunteers as insureds. Automobile premiums (liability and physical damage) are flat and nonauditable. There are no endorsements or premium changes to the auto section of this policy for the addition or deletion of vehicles. Changes to the schedule shouM be sent to the program administrator for record keeping and claims file purposes only. CRIME: Standard Gulf and ISO Forms apply. Form B: Forgery & Alteration - $10,000. / Deductible $500. Blanket Coverage - Form C: Form C: Money & Securities - Inside Premises - Limit: $50,000. / Deductible $500. Form C: Outside Premises - Limit: $50,000. / Deductible $500. Form P: Public Employee Dishonesty - $25,000. / Deductible $1,000. Three positions specified ~ $475,000. excess of $25,000. Town Clerk specified ~ $125,000. Town Justice specified ~ $75,000. Faithful Performance of Duty Endorsement applies (This is NOT a Bond - it is a crime coverage. CRIME PREMIUM: $2,048. TOTAL PACKAGE PREMIUM: $161t381. *General Package Conditions: See Gulf policy coverage forms. 60 day notice of cancellation applies except nonpayment of premium - 10 days applies. All mandatory and state amendatory forms apply. Unintentional E & O, knowledge of occurrence, incident and notice of occurrence endorsement applies. 4 UMBRELLA LIABILITY Term: One Year Policy Limits: $10,000,000. each occurrence $10,000,000. personal and advertising injury $10,000,000. products-completed operations aggregate limit $10,000,000. aggregate - where applicable Retention: $10,000. Terms and Conditions: As per Gulfs Coverage Form Exclusions include but not limited to the following: CCC for real and personal property; EKISA; UMVUIM; absolute pollution and asbestos; exception for pollution - vehicle overturn and hostile fire applies; injury to volunteer firemen; medical malpractice; Year 2000 exclusion applies Policy will follow form the Failure to Supply exception in the primary; follow form law enforcement liability; follow form public officials liability including EPLI; employee benefit liability; boat liability General Conditions: All policies will have mandatory NYS endorsements, 60 day NOC - except non-payment of premium - 10 days. All premiums are flat and nonauditable. Adjustments - will be made for increases in limits and/or changes in coverages - but there is no audit. Umbrella cannot be purchased separate from Gulf primary coverages. UMBRELLA PREMIUM: $20,900. PUBLIC OFFICIALS LIABILITY: Standard Gulf and ISO Forms apply. Term: One Year Policy Limit: $1,000,000. per wrongful act / $1,000,000. annual aggregate Form: Duty to Defend Deductible/Retention: $10,000. per wrongful act Full prior acts coverage Non-monetary Defense Coverage: $10,000. per claim / $50,000. annual aggregate Enhancement coverages include Employee Benefits (Back wages) and Enhanced Employment Liability. Exclusions: Include pollution; asbestos; prior and pending litigation; prior claims reported or known by the insured; year 2000 exclusion applies Quote is subject to receipt of a signed Gulf Public Officials Application upon binding. PUBLIC OFFICIALS PREMIUM: $7,600. OCEAN MARINE - CGU/IMU P/I Limit: $1,000,000. Deductible: $1,000. Covered Boats: 1960 Boston Whaler - $3,000. - $500. ded 1965 Boston Whaler - $3,000. - $500. ded 1985 Boston Whaler - $3,000. - $500. ded 1986 Steigercrafi - $6,000- $500. ded 1989 Boston Whaler- $45,000. - $1,000. ded 1991 Privateer - $30,000. - $1,000. ded OCEAN MARINE PREMIUM: $8,000. BOILER AND MACHINERY Comprehensive Form BOILER PREMIUM- $2,000. TOTAL ACCOUNT PREMIUM: $199,881. Thank you for this opportunity to bid on your insurance needs. I hope we may be of service to you. Sincerely, Jon E. Shearin GULF MUNICIPALITIES PROGRAM Additional Property Declarations The Limits of Insurance stated for the following coverages are granted by us to you as additions to your insurance program without any additional premium charge. These Limits of Insurance apply separately at each of your premises. The Limits of Insurance you purchase will apply in addition to the Limits of Insurance that we have granted below and will be stated in the Declarations for each premises at which it applies. LIMITS OF INSURANCE COVERAGE Up to 25% of reported values or a maximum of $500,000. $250,000. $250,000. $250,000. $ 50,000. $250,000. 10% of the reported bldg. values $ 50,000. $ 5,000. $100,000. $ 50,000. $100,000. $ 25,000. $ 10,000. $500,000. $100,000. Newly acquired or constructed property Personal property of employees or volunteers Valuable Papers Accounts Receivable Property Off Premises Personal Computers, EDP Equipment data or media Increased Cost of Construction Property in or on a vehicle or on exhibition Fire protection devices Grounds maintenance equipment Emergency portable equipment Communication towers Sewer Back-up and Ground Surface Water Inventory or Appraisal Extra Expense Business Income PUBLIC ENTITY GENERAL LIABILITY COVERAGE FORM COVERAGE ENHANCEMENTS/FEATURES General Features: Occurrence based form - pay on behalf and duty to defend $1,000,000/$2,000,000 CSL & $1,000,000/$3,000,000 CSL available per loc. Separate Products-Completed Operations Aggregate Limit $5,000. Med Pay(on primary policies) $50,000. Fire Legal Liability (on primary policies) Various supplemental payments provided SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Broadened definition of BI used BI and PD Coverage for: - Streets, roads and bridges, existence and maintenance hazard - Athletic and sports participants/events - Fire Departments - Utilities - Stadiums - Housing Authorities - Emergency health care services provided by EMT's/Paramedics - Parks and special events - No exclusion for BI for volunteers - Failure to Supply except for water SECTION I - COVERAGE B - PERSONAL AND ADVERTISING INJURY Broadened definition of PI used No exclusion for BI to volunteers PI arising out of emergency health care services provided by EMT's/Paramedics SECTION II - WHO IS AN INSURED Governmental agency; subdivision; department; municipal body, board or commission or not-for-profit corporation owned and controlled by the insured Directors, officers, trustees, employees or staff members Volunteers 911 Operation EMT's/Paramedics including volunteers while providing emergency health care service Elected or appointed officials including any member of any board, commission or agency of the insured 8 SECTION IV - PUBLIC ENTITY GENERAL LIABILITY CONDITIONS Waiver of Governmental Immunity built into policy wording Non-adjustable premium policy SECTION V - DEFINITIONS Bodily Injury is broadened to include: Shock Humiliation Mental Anguish Mental Injury Occurrence is broadened to include: An offense that results in personal injury Personal Injury is broadened to include: False or improper service of process Violation of property rights Discrimination Violation of Civil Rights Definition of damages with respects to PI Property Rights definition added to the policy LAW ENFORCEMENT LIABILITY COVERAGE FORM COVERAGE ENHANCEMENTS/FEATURES General Features: Occurrence based form - pay on behalf and duty to defend Defense in addition to limit of liability $5,000. Med Pay on primary coverage Various supplemental payments SECTION I - COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY: Broadened definition of BI used Broadened definition of PD used BI, PD, and PI coverages for: Liability for damages assumed in any joint powers or mutual law enforcement agreements SECTION II - WHO IS AN INSURED Police, Sheriffs, law enforcement department or any other law enforcement agency of the insured Elected or appointed officials including any member of any board or commission Full or part time law enforcement officer including volunteers and auxiliary officers An individual acting in the capacity as a director, officer, trustee, employee or staff member of the insured's law enforcement department Volunteers Insured's employee(s) while engaged in law enforcement or security duties for other is authorized by the Insured's (Authorized moonlighting) SECTION IV - LAW ENFORCEMENT LIABILITY CONDITIONS Waiver of Governmental Immunity built into policy wording Settlement provision SECTION V - DEFINITIONS "Bodily Injury" expanded to include: Shock Mental anguish Mental Injury Humiliation Occurrence is expanded to include: An offense that results in personal injury Personal Injury is expanded to include: Assault and Battery False or improper service of process Discrimination Violation of Civil Rights 10 Saal S e(nberg I'ILSLLF F Mujor Tests IIEARD ON TIlE STREET Of a l) vls:oi:'s il:T), Two Debt l{ei'ii:ancings HEARD ON THE Challenging Times Rellaflce's monihly clo$1n¢ stock price STREET ri(,s Ilml we'w' I ;)i~i'll i!:lllll:ll Iwllh Iht Ih:Il. I Ihlll'l vi'i: ~111.¥ lijlillill:l)! wJlll Fl:il* )~'ll'llll'l'~, ){f'li;llll'l"S ('hil'l lllllllll'llll .iii- fi,r. Ih, 1113illlll]ll~ Ill:Il Ih'lt;lllCl,. llil ~1 Jill i~ Ihl, IPI I, I]11, ltl~llllll,ll ~;I]1. Ih~il. ii all ~ilP[ wi,]L I]il, hllSilil,~s I'l)ll]ll wlhi~,d nl $~Til Iliillh~ll Ill SWli lllili[llll lly hi. llasl, lly $~ II; lilillil)li Iii ~511 Iliillillli, ~llil'l, il wlillhl llWli ~IY], iii IIl~ lii,wiy iqlldil. I?lllli- [llh,ll:sl Hill: Illi lilly d:'~ll iSSlll,d ill ;I Wi,Il .~ll'l,('l fi,lhiwilll{ ;lllll .~t,llll, II|lWil['ll I i']~illlil'l' Illl.~ ~llilll', dl'lilq,'ll :ii:fill. ~lli~ llli,, :l[ll:lI lhi: l'lilllll;llly l'llllr[e iii lip Ill $2511 lllillil)ll (lilWll ill I;I,1~7[ ;I shill'f, II(':Hll)~ ~ hlwi,r ih:ill Iht ~111 a ~hill'(' ill whtrh Iti'lilllii'e iii'st Til hi: ~lll'l:. Ill311}' rlllililll{ Ilil~ [llil Illlh'lll[: llliqll'lll}: rll~ll;llly illlhl~ll}'. Ihll Ill:: rh;lll ll:li[l'~ ;Ill: lii;l[lll[il'l[ [:}: I~l:[illlllli'l~ ~;[ll Iliillillll Ih'hi iii;id. Th:il l'liliililllli:~ Ill il~ ~l.~l hlllillll iii ~h;llll:h,hhq' I:qllily ;il Illl: I:lli[ iii Ilisl yl:;ll': hit ;i dl,hl hl,hd;ll-r:lllil;ll r;llill iii ;IbOlll Z:';{. Th;il i~ [;ll' yt,;ll] ll;l~l, whl:ll Ihl: i'lllllil;lll}: i'[l:;lllly I1~ Reliance f'os Loss Of $15.1 M l ion For Third ~ce ~r~p Uon Joss for t~e [hkd quaaer, ~ng ~'om net ~me ~at came to a J~ o113 cen~ a s~ at the New Y~I ~ce ~l~g ~m~y, ~ ~e year e~a~ ~, v~tmen~.~oHo capi~ ~Jns. Rellan~ I~t llra ~1~, or pa~ ~e~ln~meof~ or 24 cents a ~, a ye~ a~g ~n e~ by a FIfty.aL At l~le~ sh~lg ~ r~ent ~, cl~ neas IJn~ that RelJ~ce h~ ~ted out et J~ conUn~ b~ i.~ "~o~f, a~d lflte~aUon~-p~ More ~an hah glo~l ea~hq~ pries, t~e comfy z~d. b~Jne~, pe~o~ce at what ReU~ce aU~lF ~id in ~e quit, ~at ~H~ce ~s an ~1 bat~e p~ It now ~ i~ ~de~tinE '~Uance ~d anvualiz~ ex~nse sa~n~ ~at it e~ to be f~v real~ J~t~ ~5 million. tL to olf~t d~l~ing ptemiu~ the ~es ~at an ~yst ~ Me~ Lynch On a c~eren~ ~l, ReJt~ feature ana~sts a~ut ~me cont~e~ sl~ worke~' c~n~Qon l~ce b~lness that voting an es~al~ linen up ~or that ~siness hare threatened to reneEe on at l~t ~me ol thor obi- goos. ReUan~. w~le m~n~nJng ~at told ana~s~ it might ~id~ accepUnE s~e t~s ~ pa~ o~ a ~ob~ set,emit to put the asue Jnv~U~tfng ~sinE as mu~ as ~0 mi~ lion from se~ ~t pmt~ s~tl~ to lnv~ in a prlvut~y tion. Re~ce ft~s to ra~ ~pl~, ~a~gpl~s ~ sella p.t 2 / Business Insurance. October 25. 1999 , Struggle for Cap Re continues Continued from previot~ page seet~ng a temporary resu'alning order, pn~'enting Capital Re fi~m termi- nating its existing merger agreement until ACE's claims can be decided by the Delaware court," an ACE statament said. A Capital Re statement said the laWSUit 'is without merit." A bearing on the case is set for today, Oct. 25. On Oct. 16, ACE had increased its bid for the financial g~mrant~ rcin- surer to $474.3 miliinn, or $13 per share, in stock and cnsh. In May, it httcl made a stock-only offer, then worth $605.9 million. That stock-only offer, however, had dwindled to about $375.3 million the day before the deal was to be sealed earlier this month due to a drop in ACE's sham price. On Oct. 19. XL iner~ased its cesh offer to $511.3 million, or $14 a share. The offer is open until Oct. ~7, an XL statement said. Van Gilder to head Reliance NEW YORK--Genrge '~Ferry" Van Gdder wfl/take over/b, lf~ce N'e- tional Ir~urance Co. two months after the/ormer head, Dennis Bust/, was moved out of the job. Mr. Van Gilder previously was an insurance consultant. Prior to that, he was chairman of Risk Management Solutions in Menlo Park, Cali/., and before that, he was chief underwriting officer of Chubb Corp. in War- mn, NJ., where he spent 24 yea~. He ~ become president and eh!~ ecut/ve officer of New York-based Reliance Nat/oval on Nov. L He takes over Reliance National as it faces difficult operat/r~ condi- tions and poor results. Reliance Group Holdings, in which B~li~nce lqa- tional is the principal commercial [naurer, suffered a $166.9 million sec- end-quarter net loss. Mr. Bust/was moved over to the parent company to focus on new business shortly a/ter the results were published. In addition, A.M. Best Co. ],sst week placed its A- rating of l~li~ ~ce der review with negative implications. Section II Detailed Information (continued) Umbrella Liability $10,000,000 Limit Rating Basis: Cartier: Kemper/Gulf Annual Cost $. 20,900.00 Policy Period: 1/I/00 - 1/1/01 Premium Payment Plan: See Comments At End Confirm Underlying Policies: Fo1 low form over General Liabi 1 ity Comments: Employee Benefit Liab~!ity, Employment Practices Liability, Law Enforcement Liability~ Public OfficiaI~ Liability, Boat Liability, Automob i 1 e L i ab i 1 i ty Police Professional Liability Annual Cost $. 25,347.00 Premium: Deductible: No deducl;ib]e - first dollar coveraae Carder: Kemper/Gulf Policy Period: 1/1/00 - I/1/01 Defense costs included or excluded from limit of liability: Excluded Comments: First dollar defense & Indemnification Public Employee Blanket Bond and Cdme Annual Cost $ included in property Premium: Carder: Kemper/Gulf Policy Pedod: 1/1/00 - 1/1/01 Comments: Hull Coverage Premium: AnnuaI Cost $. 8,000.00 Deductible on Hull: Various - See attached PolicyPedod: 1/1/00 - 1/1/01 Comments: Carrier : CGU/Int! Marine Underwriters Could also handle current Royal policy on a broker of record chan,~e Public Official Premium: Annual Cost $ 7,600.00 Deductible: $10~000. Policy Period: 1/1/00 - 1/I/01 Carrier : Kemper/Gulf Defense costsincluded orexciuded from limitofliability: Excluded Comments: Non-monetary defense coverage $10,000. per claim - annual aggregate $50,000. Enhanced coverage includes Employee Benefits (Back wages) and Enhanced EmpIoyment Liability 7 Section III Comments and Certification COMMENTS: This is an all encompassing program with all coverages written in Kemper/Gulf except for the Ocean Marine, with following form Umbrella over ail policies. Having as many coverages written with the same carrier is an important feature to avoid coverage gaps when coverage fails in any "Gray area" between two coverages, such as General Liability and Public Officials Liability. This quote includes Employment Practices Liability and Employee Benefit Liability. The Law Enforcement Liability Policy is quoted with a $0 deductible in lieu of a $25,00Q. deductible since the savings, if any, would be negligible. A three year policy is availabie. Payment Plan - 60% Due at inception 20% Due 60 days from inception 20% Due 90 days from inception Certification: Roy H. Reeve Agenc.¥ Inc. Name of Agent/Broker P.O. Box 54, 13400 Main Road Street or P.O. Box Mattituck, New York 11952 City, State, and Zip Jori E. Shearin Name of Pers, pq Completing Quotation Signature Vice President Title Date: December 10, 1999 8 St. Paul Public Sector Services PROPOSAL FOR TOWN OF SOUTHOLD, NY BY JOSEPH L. TOWNSEND, INC. & THE TREIBER GROUP TOWN OF SOUTHOLD, NY INSURANCE PROPOSAL 01/01/2000 - 01/01/2001 PROPERTY FORM 42700 Blanket Building and Contents $8,177,069 St Paul Property Protection Special Form, Replacement Cost Valuation, 100% co-insurance, Agreed Amount $1,000 Deductible F0094 Direct Physical Damage or Loss Example and Exclusion for Computer Related or Electronic Related Losses Endorsement Will Apply. Property Form FO 122 ed. 10-98 for Insuring Agreement Form 42700 ed. 7-96 Additional Benefits Section Additional Benefit Additional Benefit Limit Accounts Receivable Building Ordinances or Laws Computers Extra expense Fine Arts Fire Department Service Charge Inventory & Appraisals Money & Securities inside limit outside limit Newly Acquired Property Building Limit Business Personal Property Limit Outdoor Property Other People's Property Pairs & Sets Personal Belongings Pollution Clean up and Removal Property in Transit Temporary Location Valuable Papers Research Water Damage $ 100,000 $ 250,000 $ 50,000 $ 5O,OOO $ 50,000 $ 25,OOO $ 10,000 $ 10,000 $ 5,000 $ 1,000,000 $ 500,000 $ 5O,OOO $ 25,000 $ 25,OOO $ 5O,OOO $ 25,000 $ 50,000 $ 50,000 $ 100,000 $ 50,000 TOWN OF SOUTHOLD, NY INSURANCE PROPOSAL 01/01/2000 - 01/01/2001 INLAND MARINE Miscellaneous Property Protection Total Values Scheduled basis, All-risk, ACV, $1000. deductible. Computer Protection All-risk, no coinsurance, $1,000. deductible, $ 2,500. breakdown deductible. Limit $2,569,115 $826,000 Valuable Papers Ail-risk, ACV, $1,000 deductible. $1,000,0000 F0094 Direct Physical Loss or Damage Example and Exclusion for Computer- Related or Electronic-related Losses Endorsement will apply. TOWN OF SOUTHOLD, NY INSURANCE PROPOSAL 01/01/2000 - 01/01/2001 BOND AND CRIME Blanket Public Employee Dishonesty - Coverage Form O. includes Faithful Performance, $ 500 deductible, excludes law enfomement employees. $500,000 Money and Securities $ 500. deductible Forgery & Alteration $500 deductible Inside $ 50,000 Outside $ 50,000 $ 50,000 F0094 Direct Physical Loss or Damage Example and Exclusion for Computer- Related or Electronic-Related Losses Endorsement will apply. TOWN OF SOUTHOLD, NY INSURANCE PROPOSAL 01/01/2000- 01/01/2001 GENERAL LIABILITY St. Paul Public Entity General Liability Protection, occurrence form. Limits: $ 2,000,000. General Total Limit $ 2,000,000. $1,000,000. $1,000,000. $1,000,000. $ 300,000. $ 10,000. $1,000,000. $ 5,000 Product and Completed Work Total Limit Each Event Personal Injury Each Person Limit Advertising Injury Each Person Limit Premises Damage Limit Medical Expense Limit Sewer Back Up Sub-limit Deductible Employee Benefits Liability $1,000,000./$ 3,000,000. $1,000. deductible. L0143 Year 2000 or Other Computer-Related or Electronic Date or Year Problems Exclusion Endorsement - Employee Benefit Plan Administration Liability endorsement will apply. Ownership, maintenance or use (OL&T) of premises used for law enforcement activities is excluded. Coverage Amendments: Failure To Supply Services Exclusion G0291 · Government Unit Endorsement (see this form for additional insured coverage) Employment Related Practices Exclusion 47153 · G0264 Year 2000 or Other Computer-Related or Electronic Date or Year Problems Exclusion Endorsement will apply. · L0123 Year 2000 or Other Computer-Related or Electronic Date or Year Problems Exclusion Endorsement - Limited Above Ground Pollution Liability will apply. TOWN OF SOUTHOLD, NY INSURANCE PROPOSAL 01/01/2000 - 01/01/2001 AUTOMOBILE Comprehensive Automobile Liability Limits: $1,000,000. CSL Liability (any auto) $ 50,000 PIP $ 100,000 Additional PIP $1,000,000. Uninsured Motorists $1,000,000.. Underinsured Motorists $ 10,000 Medical Payments Physical Damage Specified Basis Comprehensive: Collision: $ 500. deductible $ 500. deductible. Coverage Amendments: · 44013 Citizen Band Radio Endorsement- Emergency Vehicles · 44149 3-95 ed. Property In Your Care Exclusion Endorsement · 41123 Composite Rate Endorsement · A0130 Public Sector Services Public Entity Auto Liability Endorsement · A0131 Commandeered Auto & Physical Damage for Audio Equipment · A0132 Fire Distdct Auto Physical Damage coverage for Vehicle Freezing & Return of deductible to volunteers · A0010 Year 2000 or Other Computer-Related or Electronic Date or Year Problems Exclusion Endorsement - Garage Liability will apply. TOWN OF SOUTHOLD, NY INSURANCE PROPOSAL 01/01/2000- 01/01/2001 UMBRELLA St. Paul Umbrella Excess Protection- occurrence umbrella form. Limits: $10,000,000. General Total Limit $10,000,000. Products & Completed Work Total Limit $10,000,000. Personal Injury Each Person Limit $10,000,000. Advertising Injury Each Person Limit $10,000,000. Each Event Limit $ 10,000. Retention Coverage per Schedule of Basic Insurance Applies over Police Professional, Automobile Liability, Employee Benefits Liability, Public Officials and General Liability Coverage Amendments: · Automobile Pollution Liability Exclusion 47201 · Control of Property Exclusion 47216 · EmF.'.;~ ..... i;. ~;,~;.~d ~,=~.t;,,,~o E^,.lu~;u. · Government Unit Endorsement 47230 (mobile equipment defined) · Failure To Supply Exclusion · Health Care Professional Services Exclusion 47231 (matches PEGL exclusion) · Injury to Volunteer Firefighters Exclusion Endorsement 47297 (matches PEGL exclusion) · Law Enforcement Umbrella Endorsement (E0114) · Products & Completed Work Exception Endorsement 47280 · Public Use of Property Exclusion Endorsement 47332 (matches PEGL exclusion) · E0157 Public Entity Umbrella Excess Liability Endorsement (PEGL corresponding wording) · E0155 Year 2000 or Other Computer-Related or Electronic Date or Year Problems Exclusion Endorsement - Umbrella Excess Liability will apply. TOWN OF SOUTHOLD, NY INSURANCE PROPOSAL 01/01/2000 - 01/01/2001 LA W ENFORCEMENT LIABILITY St. Paul Law Enforcement Liability Protection- occurrence form. Limits: $1,000,000. Each Wrongful Act $1,000,000. Total Limit $ 25,000. Each WrongfulAct Deductible Who Is Protected includes the public entity, elected or appointed officials, employees, and volunteers (see form). Civil dghts violations are covered, however criminal or dishonesty acts excluded. Premises liability and watercraft liability included. Coverage Amendments · Hostile Fire Pollution Endorsement · NJ Exportable List · $25,000 Personal Property of Others included · L0146 Year 2000 or Other Computer-Related or Electronic Date or Year Problems Exclusion Endorsement - Law Enforcement Liability will apply. PUBLIC ENTITY MANAGEMENT $2,000,000 Each Wrongful Act $2,000,000 Annual Aggregate $ 10,000 Each Wrongful Act Deductible $ ~ Employment Related Practices Sublimit TOWN OF SOUTHOLD~ NY PROPOSAL CONDITIONS 10/15/99 - 10/15/2000 · All coverage's must bewritten. · Year 2000 Questionnaire must be completed. · Signed statement of values must be submitted within 30 days. Schedule of Computer Equipment must be submitted. Completed St. Paul Law Enforcement Liability/Public Entity Management Liability applications, signed by the insured, must be submitted within 30 days. TOWN OF SOUTHOLD, NY PREMIUM DISPLAY 01/01/2000 - Ol/O1/200I · PROPERTY& GENERAL LIABILITY · INLAND MARINE · CRIME/BOND · MARINE HULL · AUTOMOBILE · UMBRELLA EXCESS LIABILITY · LAW ENFORCEMENT LIABILITY · PUBLIC ENTITY MANAGEMENT LIABILITY $included $included $included $included $included $included $included $included TOTAL PACKAGE PREMIUM State Surchar,qes $200,415 $ To be Determined PRE MIUM QUOTATION (TO ba aubmm-a I~1 aUpllCa~) PlOl3el~ 57 , 419 & L~abl~ Package Autgmobil. 58,335 Um~i 27 r 492 [nlm~ Ma~ne ~9,559 O~mG 2 ~ 836 ,,. ~0l~ Pro~s~o~al 27,796 ~ost Hull ~h~ ~ler & Ma~i~e~ incl. in package Public Officials Liab. 13~47~ Total Premium $200,415 Buttcllnga inU Cantent~ and Extra F..xpJnll with Gpecial Fonm Cevemge Deduct:hies -- Please stlow annual cost for decluctlbles shown below: in,. package $5,00~ N/A ... $10,000~_ St. Paul PollcyPeflod: 01/01/00 t~ 01/01/01 I~r&rmll~m ~.um~* Direr1' Direct Bill, 1/4 Installs. -- 00r~m~nts' See prop~s-~ to~--~t o~ add'l c~v~rages ".Loss of Tax Revenue" .D~led InformaUDn Ct. atP, Jrt-ecl) B, Boiler and Machinery Dsductlbla Annual Cost $ Included in Prop./Liab. Sec. Carder; St. Paul P~Pefl0d: 01/01/00 So 01/01/01 Premium Peyment Plan; Dire.~t Bill, i/.~ Inst~lik' Comments: Cov.ad~d at no cost/ wil~ provide form Valuable Papers Deductible $%000 St. Cartier: Paul Annual Co.t %__ Included in Inland Marine Sec. PollgyPer~od: 01/01/00 tn 0]/0]/.0] , Premium Payment Plan; Comment~: Broader coy.: ] m~]l~on b]~et ]~mi+ ~ - all schedul~ premises. De~u~btea .- Please i~ow annual ~ fur deductibles shown below'. $0 N~A $5,000 a~, ~uoted $~0,~~$~,~43 Rltln~ ~lais: Net expenditures CO~l~tl: S5000 m~ w~th .[irst dollar def~n~ -- Broader coY.: includes s~w~r apply to all locations A~omoDiiel,n~u~n~ A~Uai~St$_Rate fixed for 3 yrs. Rate perveblcle Composite rated by..veh.c~ass. ~t St. Paul PmmlumPa~ntPla~: Dlfect billf 1/4 installs Inland Ma~a Floater Annual C0~$. Rate fixed for 3 yrs. Deductible $t,000 Ci~er. St. Paul , ~- Poli;yPadod: 01/01/00 t9 O1/O1ZO1 , pmmlumPaymentp[s~. D~rect bil~ 1/4 installs, w~2500 O~meR~: Broade~overage: Adds co~uter ~r~akdown Ded. Dmlled Information (o.on, tJnued) Umbrella Liabili~ Annual Cost $ $~0,000,000 Limit ~aU~g Be~la;, Underlvinq Exposu.,~ee Cet"l'~l': St. Paul Pell~y ~e~ed: 01/01/00 to.,9~/01/0~ Premium Ps~m~nt Plan;__~.r~ct Bill, 1/4 Installs C0nfl~ Unde~yln~ ~011de~: All coverases confJrm ~0~: Excess package, Rate fixed for 3 years coverage is part of overall St. Pau~ tber'efor? there is no.possibi~.of"~overage holes Po{IceP~ofe~slonelLlabillt¥ Annual CostS Rate fixed for 3 years Premium; _.~9'~. 7q~ ., Deductible: spa:finn .. Ca,er: ~t. Pa,~ ...... Defense ~s~ included or ex~uded ~m Ilmlf of liability: ' T n a d ~ ~ ~ ~ ~ n t n 7 Comme~l: cov~Faqe is equivalent ~o or b~f~ ~ha~ ~ting .., see. proposal ..... Public Employee BlanKet Bend an" Cnme Annual C~;st $ Rate _fixed 3 years Premium: $2,836 Ca~e~ St. Paul P~llcyP~noa: o'~/o~/oo to 6~/o~/o~ Comments: c~. broader: ~500,000 all ,,e~lo~ees/Forqe~ ~$50,000 HulICoverage st. Paul AnnuaICost$ ~,/A Pmmlum: $3,500 _ De~luctlJ31$ on Hull; 2%,~J_n,,, ~;25o PolicyPerlod: Ol/01~00 to 01/01/61 C~an~: as per schedule separate polic~, not,pa,rt' ~f [~aJkaqe ~ublicOffl01al AnnualCo~$ Rate fixed for 3 years Premium',, $13,478 Deductible: SlO,OOO Defart~a ~sta ingludsd or ex~ud~ ~om limit of tiabili~; i~ ~aa ~ t~ ~ ~ ] ~ mit Co~men~s:~ncludes non-mon.e~ary suits defen%~ {_nn~ ~ed in Proposal) Comment~, and CertificafiqfI See Attached Statement Ce~flcatlon: Licenses Attached Joseph L. Townsend,Inc. Name of Agent/l~roket P.O.Box 40, 216 Main Street Stree! or P,O. Greenport, New York 11944 City, State, and Zip Joseph L. Townsend, Jr. Name~ Person Como]~,P~t~:r~lIIS~-- ~President - Data: 12/10/99 JOSEPH L. TOWNSEND, INC. 516/477-0153 PC) B. 40, 216 Main St., Greenport, NY 11944 Fax 516/477-9568 The St. Paul Insurance Co., The Treiber Group and Joseph L. Townsend, Inc. are proud to present a proposal that acheives The Town's insurance goals as stated in its specifications. Coverage has been simplified and broadened in most areas while the premium has been reduced by 8 1/2 %. With the exception of Marine Hull Coverage, all coverages have been consolidated into one package which has been tailored to fit Southold's needs by St. Paul Public Sector Services. Because of the current trend toward higher municipal premiums, The Treiber Group has used its considerable influence to obtain a fixed rate guarantee for 3 years. This is subject to review should the Town's annual loss ratio exceed 40%. We have proposed that the Town self insure the first $5,000 of its General Liability exposure. This not only will keep the premium lower, but also will help control the loss ratio and allow flexibility in dealing with nuisance claims. Behind this proposal stands one of the country's finest insurance companies, The St. Paul and one of the regions largest and most respected general agencies, The Treiber Group. My agency, Joseph L. Townsend, Inc. would provide local service. A licensed agent and broker for thirty years with more than a passing interest in and knowledge of local government, I stand ready to make suggestions that will fine tune your current coverage. CORPORATION THIS LICENSE EXPIRES JUNE ]Os ~000 ~/;rNSEHUMBER I FORM PC-5 TOWNSENu JCSEPH L IRC 216 MAIN ST PO OOX 40 GREENPORT NY ~g4~ §1'ALT, ~r~w NEW YORK, INSI~RAN(;E I)EPARTMENT- EXPIRES PARTNERSHIP,'CORPORATION OR LIMITED LIABILITY COMPANY SUB LICENSEES AUTHORIZED TO ACT UNDER JUNE 30~ Z000 LINES FITTING,LEROY E ~OgNSENDtJOSEPH L JR 1235678 1235678 PC-665192 LINE KEY N, w Dt~PnRTMENT --BROKER'S LICENSE UNDER SECTION 2104, INSURANCE LAW THE SUPERINTENDENT OF INSURANCE OF THE STATE OF NEW YORK, BY VIRTUE OF THE AUTHORITY VESVED tN NlM 8Y SECTION 2104 OF THE INSURANCE LAW, DOES HERESY AUTHORIZE THE LICENSEE NAMED SELOW TO ACT AS BROKER IN OBTAINING AND PLACING INSURANCE UPON PROPERTY AND RISKS IN THE STATE OF NEW YORK. AS PROVIDED IN RAID SECTION UNTIL THE EXPIRATION DATE SHOWN HEREON, UNLESS THIS LICENSE IS SOONER SUSPENDED OB REVOKED. 298317 INDIVIDUAL FORM SR 5 THIS LICENSE: E:XPIRE:S OCTOBER 31,, 2000 1 TOWNSEND·JOSEPH L JR 2[6 MAIN ST PO BOX ~0 GREENPORT NY ~[944 BR-588021 .;la tllitilr~.,~ t[ll!m't~f. ~ ,~^¥. c.,~.,, ,.~ o,.,o,~,~ ..~,,, ~o .. ^,.×.o .~ ?.~ CITY OF ALBANY N E I L 0 * L E V I N ~TATE OF NEW YO~J~ ]NS~N~ ~)EPAR~NT. AGENTS LICENSE UNOER SECTION 2103(e), INSURANCE LAW · 544457 X CORPORA'I'[ON THIS LICENSE EXPIRES JUNE 3 0 ~, ZO0 i FORM TOWNSENO JOSEPH L INC 2[6 MAIN ST PO 80X ~0 GREENPORT NY~ [[9&~ ~i~ ~itnea~ ~llere*{, , HAVE C^USEO MY OFF~C~^C SEAL TO eE ^FF~XE0 AT THE GITY OF ALBANY N E ! L O · L E V [ N PARTNERSHIP OR CORPtiRATION SU~-UCENSEES AUTHORIZEO TO ACT UNDER EXPIRES JUNE 30, ZOO]. LINES FZTTING~LEROY E TOWNSENO~JOSEPH L JR ]. g ~ 2 FORM LA8 LA-665 ].9Z 25433 LICENS[~ NUMBER LA-665192 I 1 - LiFL~IN~E KE~Y j J 6 VARIABLE ANNUITrES .... d~agned liabiliw oolicy tusively Public >ubli. c enti'ti, e ,titx General Liabilltv Protect1 ~.Sl'Paul Public,Sector q · ' ~ ~_ e~vtce, TOWN OF SOUTHOLD INSURANCE PROPOSAL YEAR 2000 GIVEN BY: NEEFUS-STYPE AGENCY INC. JOHN V. STYPE CIC DECEMBER 10, 1999 NS Neefu$ Stype I mL~m;.mlm: l,l~ m'm :a_ Main Office Tel 631.722.3500 Branch Office 12985 Main Road PO Box 1415 Mattituck, NY 11952 0996 Tel 631.298.8481 Fax 691.2985779 12/10/99 Attn: John Cushman Town of Southold 53095 Main Road PO Box 1179 Southold, NY 11971- RE: 2000 Year Insurance Proposal Dear John: Enclosed please find my insurance proposal for the year 2000. I have marketed and solicited the three Insurance Carriers which I was able to utilize. They being, National Casualty / Scottsdale (incumbent), Coregis and Hartford. National Casualty / Scottsdale provided us with the best overall program. On the following pages I have filled in ottr premium quotation figures. There might be some questions that you have, so please feel free to contact me. l have also put in the proposal a copy of policy enhancements and copies of other endorsements. These coverages are important to the Town and do provide the Town with increases in coverages. There is going to be a need to review the vehicles and the locations again. This will be done after the new year. I will then go over the changes with you, as I have done in the past. Thank you. V. Stype, CIC Partner JVS:ms · Our 100 years of experience is your peace I would like to note the following points which I feel are important when deciding on the insurance program for our Town: PRICING: Unfortunately i.n the insurance industry, there exists some insurance Companies which will be willing to utilize an unprudent pricing philosophy in an attempt to "buy into" the market. Considering our past and present loss experience, this decision would be unwise for the insurance carrier and our Town. Should this be done, where will the insurance carrier make up their loss; in your claims handling, future unstable pricing, or a combination of all their services or lack there of?. As you recall, PERMA decided to pull out of the Municipal liability and auto market completely possibly because of their unprudent pricing. Hartford refused to bid because of our loss experience. Some insurance carriers have as little as 2 years of experience in the municipal market. The bottom line is "You get what you pay for". BEWARE: Please keep in mind that if the Public Officials and Police Professional policies are replaced, a tail for prior acts would need to be purchased. This could possibly add another $25,000 to $50,000 or so to the bid. STABILITY & EXPERIENCE: National Casualty is an A+ rated carrier which has provided municipalities with a stable marketplace for over 15 years. This affords the Town and its Board peace of mind that it is being protected by an Insurance Company with the experience and financial stability that it truly deserves today .and tomorrow. For example, the attached graph which displays the consistent market which National Casualty has provided. ADDED PROTECTION: During my many years of service to our town, I have been able to negotiate an increase in your umbrella coverage from $5,000,000 to $10,000,000 along with including the police and public officials under this umbrella. In addition, I have also negotiated to include protection for Public Officials against employment practices suits. We have also added approximately 20 additional vehicles to our fleet over the past few years. These are only a few of the many enhancements I have been able to negotiate on behalf of the town while maintaining stable pricing. PERSONAL SERVICE: A few areas which I have been involved include planning for the safety committee, working with Town attorneys on contracts, worked with department heads to manage the Town vehicles and drivers, worked to inspect and manage the Town properties that are owned or leased, attending the department head meetings to address insurance issues and to maintain my awareness on Town issues, review minutes of Town board meetings, review bi-weekly payment reports from the accounting dept. to confirm adequate insurance. These are a few of the important items which 1 HAVE and WILL CONTINUE TO DO, not what I am proposing to do. MARKETING: Over the last eight years, I have marketed the Town's insurance out to many markets such as, NYMIR, Hartford, Coregis, USF&G, CNA, Reliance, Royal Ins, Peerless and National Casualty. Doing this on my own, has maintained stable pricing. COST CONTAINMENT: National Casualty / Scottsdale does have a preferred rating program. The Town is not eligible because of their losses. If the Town can get their loss ratio's down to around 40%, the Town then could be reviewed for the preferred program. This is why it is imperative to have a pro-active cost containment program. INDUSTRY REFERENCE: On the following pages, is a article from Business Insurance, the December 6th 1999 issue. It states that the commercial insurance out-look for 2000 remains poor. The Town should not expect an Insurance Company to keep on lowering the rates without proper reason. If an Insurance Company does under-cut the market, it will only hurt their long term results. The Town needs a Company that has showed they are consistent and prudent with their pricing. National Casualty / Scottsdale is that market. o ~ ~ ~ By-'gUDY GREENWALD Fhe commercial property/casualty Insurance tn- d,~stry's short-term financial prospects appear dim. had improved profits for the nine months ending Sept. 30. Overall. the 17 insurers had ~ 1.6% decline. New York peered need for additional reserve boosts. Mr Lewis. vcycd by B~incs~ Insurgence ~hal report ttu~ data Sec P/C re~alt~ or~ p~i,'e 42 Generali to close U.S. branch NEW YORK--A.M. Best Co. has placed the A rating o! A.ssieurazioni Genersli S.p.A.'s U.S discontinue U.$, property/casualty under~ritin/l. II1 A~gllo~t, C-~nerali U.S, Branch i~ued tenmna- tion notices to the exclusive managing general agents that produce its business. Under their con- minal:ion period~, attfr which no further b~mess ' ~[1 be ~tten and ~ll existing business ~,ill be plac~ in ~oI~ on i~ direr ~s~ance b~k hy Audit 2000 and on September 2000, said Christopher Camlcelli, gen= $I0 milhon last year, he said. "Generali is reviewing its position worldwide and m~de a s[rlre~ic d~islon, based on the size of the property/casualty (porttolio) written out of the Inside *New York lawmake~ should let expice, or significantly re- ¥ise, the Stale's onerous health Care surcharge, ~hts / ~-~.-~ [ _ ~ c , I ~:~.~,~.~~o.~.~ sit _ _ /e ~g ~d SN~f]~ (I~VM3D IEt~I-~ff~-BT§ ~ :90 ~66T/8I/I0 Section I PRE MIUM QUOTATION (To be submitted in duplicate) Quotation Amount Property $ 4,656 Liability S52,261 Automobile $ ? 5,642 Umbrella $27, ooo Inland Marine $8,868 Crime $ 2,840 Police Professional $34,614 Boat s ~, 110 Boiler & Mechine~/ $ 600 Public Officials $17,933 Total Premium $232,52~ Detailed Information Buildings and Contents and Extra Expense with Special Form Coverage Deductibles -- Please show a~mual cost for deductibles shown below, $1,000 $4,656 $5,000 $4,100 $10,000 53,700 Carrier: National Casualty/Scot tsdale Policy Pedod: 1/1/00 - 01 Premium Payment Plan: Comments: includes policy enhancements 5 Sectigr~ II D.etailed Information {continued) Boiler and Machinery Deductible $5,000 Carrier:, National Casualty/Scottsdal,e Policy Pedod~ 01/01/00 - 01 Annual Cost $ 600 Premium Payment Plan: Comments: annual Valuable Papers Deductible $1,000 CarlJer;, Peerless Policy Peri;sd: 01/01/00 - Ol Premium Payment Plan: andua.L' Comments: Annual Cost $ inc in Inland Marine *... policy does include 10% return if 'no losses in policy year. Comprehensive General Liability Annual Cost $ 52,261 Deductibles -- Please show annual cost for deductibles shown below $0 52,261 $5,000 -0- $10.000 -o- Rating Basis: Revenue S3.763.473 CanJer: National Casual¥ / Scobtsdale Premium Payment Plan: half down and balance in 3 months Is policy auditable? NO Comments: ~nclu~es ag?regate limit Der location Automobile Insurance Annual Cost $ 75,642 Rate per vehicle Carrier: National Casualty/ Scottsdale Policy Pariodl 01/01/00 - 01 Premium Payment Plan: Comments: Inland Marine Floater Deductible $1,000 Carrier:. Peerless Policy Period: 01/01/00 - 01 Premium Payment Plan: annual Comments: Annual Cost $ 8,868.00 * policy does include 10% return if no losses in policy year 6 Included in above Inland Marine is $826,000 on computers, $2,569,115 on contractors equilsnent and $500,000 of valuable papers at Town Hall and Police Dept. Sec~gn fl Detailed Information (continued) Umbrella Liability $10,000,000 Limit Rating Basis: liability premiums Carder, Rel~'a'nce Ins Co Annual Cost $ 27,000 Policy Pedod: 01/o1/00 - 01 Premium Payment Plan: annual Confirm Underlying Policies: ~'eneral 1lability, Comments: and Po. bl±c Officials auto, hoatf Police Professional Police Professional Liability Premium: Deductible: $:25,000 Annual Cost $34.614.00 Carrier: National Casualty Policy Period: Ol/Ol/OO - Ol Defense costs included or excluded from limit of liability: e×cluded Comments: PRIOR AC%S AP~ O)'V'~'~tDD j~, Public Employee Blanket Bond and Crime Annual Cost Sr. R,~n nn Premium: Carder: Peerless Zns Co Policy Pedod: 01/01/00 - 01 Comments: Hull Coverage Premium: Annual Cost $ 8,110 Deductible on Hull: an,:] P & I is $1,000 Policy Pedod: o~./Ol/OO - Ol Comments: liability limit on the policy is Per bO~t and _Der claim. Public Official Annual Cost $17,933.;30 Premium: Deductible: $10,000 Policy Pedod: Oll~l /nn ,- ol Defense costs included or excluded from Timit of liability: ~×~ Comments: includes emoloyment i~ractice$ liability and defense costs. PRIOR ACTS ARE COVERED 7 Section III Comments and Certification COMMENTS: Current Bid is $232,524 Coregis Bid is $268,000 Hartford declined to bid due to losses Along with past exclusions, the policies also exlude Y2K problems and Pollution. We will work with the Town to start a driver training program Certification: Date: 12/10/99 Neefus-Stype Aqency Inc Name of Agen~Br0ker 12985 Main Rd. FO Box 1415 Street or P.O, Box Mattituck, NY 1~952 City, State, and Zip 3o~n V. StYDD, CIC ,~nature ' '-,.3 Pazfef. ner.- Secretary Title 8 OPTIONS To increase the umbrella to $15,000,000, the increase in cost would be $4,000. To delete uninsured/underinsured motorists coverage, the savings would be $5,000. To increase the position bond to $1,000,000 for the 4 positions, the increase in premium would be $1,065 a year Attached to and forming a part of Policy No. CPI0004557 Named Insured TOWN OF SOUTHOLD ENDORSEMENT Scottsdale Indemni Company NO. Endorsement Effective Date 01- 01- 09 12:01 A.M., Standard Time Agent No. 45707 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL PROPERTY EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUILDING AND PERSONAL PROPERTY COVERAGE FORM CAUSES OF LOSS - SPECIAL FORM BUSINESS INCOME COVERAGE FORM EXTRA EXPENSE COVERAGE FORM BUILDING AND PERSONAL PROPERTY 1. Accounts Receivable You may extend the insurance that applies to Your Business Personal Property to: a. all amounts due from your customers that you are unable to collect; interest charges on any loan required to offset amounts you are unable to collect pending our payment of these amounts; (1) computer equipment and related component parts that are: (a) your property; or (b) the property of others that is in your care, custody or control; (2) your instructional material and prepackaged software programs purchased for use with your computer system; (3) your blank electronic or magnetic media. collection expenses in excess of your normal collection expenses that are made necessary by the loss or damage; and d. other reasonable expenses that you incur to re- establish your Records of Accounts Receivable; that result from loss or damage to your Records of Accounts Receivable. The following Causes of Loss - Special Form Exclusions do not apply to this Extension: (1) Exclusion 1.e. (Off-premises services); (2) Exclusion 2.a. (Artificially generated electric current); (3) Exclusion 2.d.(6) (Mechanical breakdown); and The most we will pay under this Extension is $250,000 at each described premises. This is additional insurance. The Coinsurance Addi- tional Condition does not apply to this Extension. Computer Equipment (4) Exclusion 2.d.(7) (Dampness or dryness of atmosphere, changes in or extremes of tem- perature and marring or scratching). The most we will pay for loss or damage under this Extension is $50,000 at each described premises. a. You may extend the insurance that applies to Your Business Personal Property to apply to: Our payment of loss or damage to property of others will only be for the account of the owner of Page 1 of 8 the property. This is additional insurance. The Coinsurance Additional Condition does not apply to this Extension. 3. Arson Reward In the event that a covered fire loss was the result of an act of arson, we will reimburse you up to $25,000 for rewards you pay for information leading to convic- tions for that act of arson. This is additional insurance. The Coinsurance Addi- tional Condition and deductible do not apply to these reimbursements. 4. Animals You may extend the insurance that applies to Busi- ness Personal Property to apply to animals that are owned by you which are held at a location shown in the Declarations. This extension applies only to loss or damage caused by or resulting from "specified causes of loss," build- ing glass breakage, theft, electrocution, attack by dogs or wild animals, accidental shooting or drown- ing. Coverage applies only it the animal is killed or its destruction is made necessary. The most we will pay under this Extension is $1,500 per animal subject to a maximum of $10,000 per oc- currence. This Extension does not increase the personal prop- erty limit shown in the Declarations. Commandeered Property You may extend the insurance that applies to Busi- ness Personal Property to apply to personal property of others that you commandeer, seize or take over for official use at the location of and during an "emer- gency operation." The most we will pay for loss or damage under this Extension is $25,000 unless a higher limit is shown in the Declarations. Each loss for commandeered property covered by this Extension is subject to the greater of: (1) $500 deductible; or (2) the deductible specified in the Declarations. "Emergency operations" means action: (1) Which are urgent responses for protection of property, human life, health or safety; and (2) (3) Which result from or arise from the performing or attempts to per[orm fire fighting, rescue or emer- gency medical services, including the stabilizing or securing of an emergency scene; and Which are sanctioned by the fire department, first-aid or rescue squad insured under this policy, or by the officers of such organizations. This is additional insurance. 6. Debris Removal Increased Umit The additional limit shown in the Limits of Insurance section for debris removal is increased to $25,000 per described premises. 7. Deductible If loss covered under this policy involves loss cov- ered under the Commercial Property coverage form and/or the inland Marine coverage forms only one (1) deductible, the largest, will applied to this loss. 8. Extra Expense You may extend this insurance to apply to the neces- sary and incidental "extra expense" you sustain due to direct physical loss of or damage to property at the described premises caused by or resulting from any Covered Cause of Loss as used in this Extension. Extra Expense means necessary expense that you incur during the "period of restoration" that you would not have incurred if there had been no direct physical loss or damage to property: (1) to avoid or minimize the suspension of business and continue "operations"; or (2) to minimize the suspension of business if you cannot continue "operations"; or (3) to repair or replace any property to the extent it reduces the amount of loss that otherwise would have been payable under this Extension. Operations means your business activities at the described premises. Page 2 of 8 CFt-4s (4-97) Agenfs Copy Period of Restoration means the period of time it takes to repair, rebuild or replace the described premises with reasonable speed and similar qual- ity. Period of Restoration does not include any in- creased period required due to the enforcement of any ordinance or law that: (1) regulates the construction, use or repair, or requires the tearing down of any property; or (2) requires any insured or others to test for, monitor, clean up, remove, contain, treat, detoxlfy or neutralize, or in any way respond to, or assess the effects of "pollutants." The expiration date of this policy will not cut short the Period of Restoration. The most we will pay for loss under this Exten- sion is $100,000 at each described premises. This is additional insurance. The Coinsurance Additional Condition does not apply to this Ex- tension. Fine Arts You may extend the insurance that applies to Your Business Personal Property to apply to Fine Arts that are: a. your property; or b. the property of others that is in your care, custody or control. As used In this Extension, Fine Arts means paintings, etchings, pictures, tapestries, art glass windows, valuable rugs, statuary, marble, bronze, antique sil- ver, manuscripts, porcelain, rare glass, bric-a-brac, and similar property of rarity, historical value or artis- tic merit. The value of Fine Art will be the market value at the time of loss or damage. The most we will pay for loss or damage under this Extension is $75,000 at each described premises. Our payment for loss of or damage to property of others will only be for the account of the owner of the property. This is additional Insurance. The Coinsurance Addi- tional Condition does not apply to this Extension. 10. Fire Department Service Charge Increased Emit Section 4. Additional Coverages c. Fire Depart- ment Service Charge is increased to $25,000 as the most we will pay. Fire department service charge coverage does not apply in the states of Arizona and Texas. 11. Fire Equipment Recharge We will pay expenses you incur to recharge your automatic fire protection equipment discharged: a. to fight a fire; or b. as the result of a Covered Cause of Loss. Payment of these expenses is included within the applicable Limit of Insurance. No deductible will apply to these expenses. 12. Foundations of Machines and Underground Pipe The following are added as covered building property: a. Foundations of machinery if their foundations are below: (1) the lowest basement floor; or (2) the surface of the ground, if there is no base- ment. b. Underground pipes, tanks and connections within 100 feet of the building, Payment for loss or damage to this property is in- cluded within the applicable limit of Insurance. 13. Inventory or Appraisal Cost Coverage We will pay up to $10,000 per occurrence for the cost of any inventory or appraisal required as a result of direct physical loss or damage to covered property caused by or resulting from a Covered Cause of Loss. 14. Lock Replacement You may extend the insurance that applies to build- ing coverage to apply to replacement of locks neces- sitated by the theft of keys from your premises. Page 3 of 8 · CFI*4S (~-97) Agent's Copy The most we will pay for loss under this Extension is $15,000 unless a higher limit is shown in the Declara- tions. Each loss for lock replacement covered by this tension is subject to a $50 deductible. This Extension does not increase the building limit shown in the Declarations. 15. Ordlnance or Law Coverages If a Covered Cause of Loss occurs to a covered building property at described premises, we will pay for loss to the undamaged portion of the building caused by enforcement of any ordinance law that: (1) Requires the demolition of parts of the same property not damaged by a Covered Cause of Loss; (2) Regulates the construction or repair of build- ings, or establishes zoning or land use re- quirements at the described premises; and (3) Is in force at the time of loss. This Loss to the Undamaged Portion of the Buidling Coverage is included within the limit of insurance applicable to the covered building property. This is not additional insurance. Payment for the undamaged portion of the build- ing will be on the same valuation basis applicable to the damaged portion of the building. b. Demolition Cost and Increase Cost of Construc- tion. We will pay up to $250,000, unless a higher limit is shown in the Declarations, for; (1) The cost to demolish and clear the site of un- damaged parts of the property caused by enforcement of any building, zoning or land use ordinance or law; and (2) The Increased cost to repair, rebuild or con- struct the damaged property caused by en- forcement of building, zoning or land use law. The repaired or rebult property must be in- tended for similar occupancy as the current property, unless otherwise required by zoning or land use law. We will not pay for increased construction costs: (i) When Actual Cash Value applies; or (ii) Until the property is actually repaired or replaced, at the same or another prem- ises; or Under this Additional Coverage, we will not pay any costs associated with the enforcement of an ordinance or law which requires any insured or others to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of "pollut- ants.'' 16. Newly Acquired or Constructed Property In- creased Umits The Newly Acquired or Constructed Property Cover- age Extension is changed as follows: In subparagraph (1), the most we will pay for loss or damage at each building is changed to the lesser of: (1) the highest Limit of Insurance shown in the Declarations for building; or (2) $1,000,000. In subparagraph (2), the most we will pay for loss or damage at each building is changed to the lesser of: (1) the highest Limit of Insurance shown in the Declarations for Your Business Personal Property; or (2) $500,000. c. In subparagraph (3)(b), the time period referred to is Increased to 60 days. 17. Outdoor Property Increased Umit For the coverage provided in the Outdoor Property Coverage Extension for your outdoor fences, radio and television antennas including satellite dishes, signs (other than signs attached to buildings), trees, shrubs and plants (other than stock of trees, shrubs, plants), the most we will pay is increased to $25,000 but we will not pay more than $1,000 for any one tree, shrub or plant. CF~-4s Page 4 of 8 Agents Copy 18. Personal Effects and Property of Others The Personal Effects and Property of Others Cover- age Extension is replaced by the following: You may extend the insurance that applies to Your Business Personal Property to apply to: personal effects owned by you, your officers, your partners or your employees. This includes tools owned by your employees that are used in your business; and personal property of others that Is in your care, custody or control. This includes property that you have sold and are awaiting delivery or installa- tion. The most we will pay for loss or damage under this Cov. erage Extension is $50,000 at each described premises. Our payment for loss of or damage to property of others will only be for the account of the owners of the property. This is additional insurance. It is in addition to cover- age for property of others included In the Computer Equipment, Fine Arts and Valuable Papers and Rec- ords including Electronic and Magnetic Media - Cost of Research Extension. The Coinsurance Additional Condition does not apply to this Extension. 19. Premises Boundary Increased Distance The reference to distances from the described prem- ises are increased to 1,000 feet. 20. Property Off-Premises The Property Off-Premises Coverage Extension is replaced by the following: a. You may extend the insurance that applies to: (1) Your Business Personal Property; (2) Personal Effects and Property of Others; (3) Computer Equipment; and (4) Valuable Papers and Records including Electronic or Magnetic Media - Cost of Re- search; to apply at any premises not described in the Declarations. This includes property that you have sold under an installation agreement and your responsibility continues until the property is accepted by the customer. The most we will pay under this Extension at any such premises is $100,000 In any one occur- rence. This is additional insurance. The Coinsur- ance Additional Condition does not apply to this Extension. 21. Property in Transit a. You may extend the insurance that applies to: (1) Your Business Personal Property; (2) Personal Effects and Property of Others; (3) Computer Equipment; and (4) Valuable Papers and Records including Electronic or Magnetic Media - Cost of Re- search; to apply to shipments of that property while in transit at your risk, by motor vehicle, railroad car or aircraft, bebNeen points within the Coverage Territory. This includes property you have sold and your re- sponsibility continues until the property is deliv- ered. b. This Extension also applies to: (1) Expenses to Inspect, Repackage and Reship Damaged Shipments. The necessary additional expenses you incur to inspect, repackage and reship property which is damaged as a result of a Covered Cause of Loss. (2) F. O. B. Shipments. Outgoing shipments where the risk of loss or damage is verified to the buyer when such property leaves your premises. You must use all responsible means to collect the amount due you from the buyer before making a claim under this Extension. CF~-~s (4-97) Page 5 of 8 Agenl's COpy We will not make payments under this Ex- tension until you grant us the right of recov- ery against the buyer. (3) Loading and Unloading. Shipments during loading or unloading and within 100 feet of any transporting convey- ance. (4) Return Shipments. Outgoing shipments which have been rejected by the consignee or are not deliverable, while: (a) in due course of transit, being returned to you; or (b) up to 10 days after delivery or attempted delivery awaiting return shipment to you. c. Under this Extension we will not pay for: (1) property In the care, custody or control of your salespersons; (2) mail shipments in the custody of the U.S. Postal Services; or (3) property of others for which you are respon- sible as a: (a) carrier for hire; or (b) carloader, consolidator, broker, freight forwarder, shipping organization or other arranger of transportation. d. The following changes to the CAUSE OF LOSS - SPECIAL FORM EXCLUSIONS apply to this Ex- tension: (1) Exclusion 1.b. (Earth movement) and 1.g. (Water) do not apply to property in transit; (2) Exclusions 2.h. (Dishonesty) and 2.j. (Weather to property in the open) do not apply to prop- erty in custody of a carrier for hire; and (3) Exclusion 2.i. (Voluntary parting) does not apply to loss or damage caused by your good faith acceptance of false bills of lading or shipping receipts. e. The following additional exclusion applies to this Extension: We will not pay for loss or damage caused by or resulting from poor or insufficient packaging or packing. f. The following additional condition applies to this Extension: We will not pay for loss or damage if you impair our rights to recover damages from any carrier for hire. But you may accept from carders for hire, bills of lading, receipts or confirmation of transportation which contain a limitation of value. The most we will pay under this Extension is $100,000 for all loss or damage to property in any one conveyance. Our payment for loss of or damage to property of others will only be for the account of the owner of the property. This is additional insurance. The Coinsurance Ad- ditional Condition does not apply to this Extension. 22. Theft Damage to Buildings You may extend the insurance that applies to Your Business Personal Property to apply to damage caused directly by theft or attempted theft to that part of any building containing Covered Property or equip- ment with the building used to maintain or service the building. Under this Extension, we will not pay for damage caused by fire or to glass or to lettering or arWvork on glass. This Extension applies only to premises where you are a tenant and are responsible for such damage. Payment under this Extension Is Included within the applicable Limit of Insurance. 23. Valuable Papers and Records - Cost of Electronic or Magnetic Media - Cost of Research The Valuable Papers and Records - Cost of Re- search Coverage Extension is replaced by the follow- ing: Page 6 of 8 CFI-4S (4-97) Agent*~i Copy c. Utility Services. The interruption of service resulting from direct physical loss or damage by a Covered Cause of Loss to the following Property not on the de- scribed premises: (1) Water supply services; (2) Communication supply services; and (3) Gas, steam or electrical power. These Causes of Loss do not apply to the Property at Other Premises Extension. Coinsurance, contained in section F. ADDITIONAL CONDITIONS, does not apply to these Causes of Loss. 4. Furs, Fur Garments and Garments Trimmed with Fur Limitation C.4.a. special limit is increased to $10,000. 5. Jewelry Limitation C.4.b. special limit is increased to $10,000. 6. Patterns, Dies, MoMs and Forms Limitation C.4.c. ($2,500 theft limitation) is deleted. EXTRA EXPENSE COVERAGE FORM The following changes do not apply to the Extra Expense coverage contained in paragraph 8, Extra Expense of the BUILDING AND PERSONAL PROPERTY section of this endorsement. 1. Newly Acquired Locations Increased Limit The Newly Acquired Locations Coverage contained in section 5.a. Coverage Extensions - Newly Acquired or Constructed Property is amended as follows: a. Subparagraph 5.a.(1) is amended to state that: The most we will pay for loss at each location Is the lesser of: (1) the highest Limit of Insurance shown in the Declarations; or (2) $250.000. 2, Utility Services We will pay for loss of Business Income or Extra Ex- pense at the described premises caused by the Inter- ruption of service to the described premises. The interruption must result from direct physical loss or damage by a Covered Cause of Loss to the follow- ing property not on the described premises: a. Water supply services; b. Communication supply services; or c. Power supply services. We will not pay for loss you sustain after the first 72 hours following the direct physical loss or damage to the property described above. The most we will pay for loss under this Extension is $25,000 at each described premises. Coinsurance, contained in section F. ADDITIONAL CONDITIONS, does not apply to these Causes of Loss. 3. Premises Boundary Increased Distance The reference to distance from the described prem- ises are increased to 1,000 feet. AUTHORIZED REPRESENTATIVE DATE CFI-4s (4-97) Page 8 of 8 a. This Extension does not increase the building limit shown in the Declarations. You may extend the insurance that applies to Your Business Personal Property to apply to your costs to research, replace or restore the lost in- formation on lost or damaged: (1) Valuable Papers and Records, including those which exist on Electronic or Magnetic Media that are: (a) your property; or (b) the property of others that is in your care, custody or control; and (2) Project Research and Development Docu- mentation, including that used to replace Prototypes that are: (a) your property; or (b) the property of others that is in your care, custody or control, for which duplicates do not exist. Causes of Loss - Special Form Limitation C,3.a. ("Specified Cause of Loss") does not apply to this Extension. c. The following Causes of Loss - Special Form Ex- clusions do not apply to this Extension: (1) Exclusion 1.e. (Off-premises services); (2) Exclusion 2.a. (Artificially generated electric current); (3) Exclusion 2.d.(6) (Mechanical breakdown); and (4) Exclusion 2.d.(7) (Dampness or dryness of atmosphere, changes in or extremes of tem- perature and marring or scratching. The most we will pay under this Extension is $100,000 at each described premises. This is additional insurance. The Coinsurance Addi- tional Condition does not apply to this Extension. 24. Underground Sprinkler Systems You may extend the insurance that applies to building coverage to apply to underground sprinkler system piping and related component parts. 25. Underground Water Seepage You may extend the insurance that applies to building coverage to apply to damage caused by or resulting from water under the ground surface pressing on, or flowing or seeping through: a. Foundations, walls, floors or paved surfaces; b. Basements, whether paved or not; or c. Doors, windows or other openings. The most we will pay under this Extension is $10,000 per premises. This Extension does not increase the building limit shown in the Declarations. CAUSES OF LOSS - SPECIAL FORM 1. Back Up of Sewers or Drains Exclusion 1.g.(3) (Water that backs up from a sewer or drain) is deleted. 2. Building Glass Increased Limit Limitation C.2. (building glass) is replaced by the follow- ing: We will not pay more than $5,000 for loss or damage by vandalism that occurs at any one time to glass that is part of a building or structure. 3. Changes in Temperature, Electrical Injury and Off- Premises Services We will pay up to $15,000 at each described prem- ises for loss or damage caused by any combination of the following Causes of Loss: a. Change in Temperature. A change in temperature or humidity resulting from a mechanical breakdown or malfunction of heating, refrigeration, cooling or humidity control equipment at the described premises. b. Electrical Injury. Artificially generated electric current, other than electric arcing, that disturbs electrical devices, appliances or wires. Page 7 of 8 CFI-4S (4-97) Agents Copy ORGANIZATIONS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NON-MONETARY SUIT DEFENSE COSTS ENDORSEMENT As respects to any Suit against the Insured seeking non-monetary relief by reason of a Wrongful Act, and which are otherwise covered by this Policy, the Company shall indemnify the Insured for reasonable costs and fees incurred in the defense of such Suits subject to the following conditions: 1. Suit is first filed against the insured during the Policy Pedod, and written report of the Suit is received by the Company during the Policy Period or within sixty (60) days thereof. 2. The limit of the Company's liability for such costs and fees shall not exceed $10,000 per suit and $50,000 in the aggregate for the Policy Period. 3. Payments under this Endorsement shall be in addition to the Company's limit of liability ss stated in the Declarations and Condition XIII. 4. The Company shall have no duty to investigate or defend any such Suits. 5. The Company shall have the right, at its option and expense, to investigate, take over the defense, or associate in the defense of any such Suit. For the purposes of this endorsement only, "Suit" means an adjudicatory proceeding in a court of law. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your POLICY and takes effect on the effective date of your POLICY unless another effective date is shown below. Must be completed Endt # I Policy # POD-000235-3 Complete only when this endorsement is not prepared with the POLICY or is not to be effective with the POLICY. Effective on and after January 1~ 1999r 12:01 A.M. Standard Time. Issued to Town Of Southold Issued by Coregis Insurance Company Expiration Date January 1, 2000 COR.OOG.1266 (6/95) Countersigned by Authorized Representative COP i INSURANCE ORGANIZATIONS THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ENHANCED EMPLOYMENT LIABILITY ENDORSEMENT In consideration of the premium paid and as respects to any Claim or Loss Arising Out Of only Employment Claims, Exclusion D is deleted and replaced by the following: E). Any damage, whether direct, indirect, or consequential, Arising Out Of: 1. death; 2. any obligation of the Insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law. For the purposes of this endorsement only, "Employment Claims" means any Claim by any employee Arising Out Of employee hiring, advancement, remuneration, treatment, condition or termination of employment. Paragraph D of Insuring Agreement II is deleted and replaced by the following; D. The Company shall have the right to settle any Claim as the Company deems expedient without any Insured's consent. All other terms and conditions of this policy remain unchanged. This endorsement is a part of your POLICY and takes effect on the effective date of your POLICY unless another effective date Is shown below. Must be completed Endt # I Policy # I POD-000235-3 COR.OOG.1339 (7/95) 3omplete only when this endorsement is not prepared with the POLICY or is not to be ~ffective with the POLICY. Effective on and after January 1, 1999~ 12:01 A.M. Standard Time. Issued to Town Of Southold Issued by Coregis Insurance Company Expiration Date January 1,2000 Countersigned by Authorized Representative ~IMERCIAL GENERAL LIABILITY CG 20 21 0! 96 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 1T CAREFULLY. ADDITIONAL INSURED - VOLUNTEER WORKERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART WHO IS AN INSURED (Section II) is amended to include as an insured any person(s) who are volunteer worker(s) for you, but only while acting at the direction of, and within the scope of their duties for you. How- ever, none of these volunteer worker(s) are insureds for: 1. "Bodily injury" or "personalinjury": To you, to your partners or membem (if you are a partnership or joint venture), to your members(if you are a limited liability company), to your other volunteer worker(s) or to your "employees" arising out of and in the course of their duties for you; ho To the spouse, child, parent, brother or sister of your volunteer worker(s) or your "employees" as a consequence of para- graph 1.a. above; co For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in paragraphs 1.a. orb. above; or Arising out of his ur her providing or failing to provide professional health care services. 2. "Property damage" to property: a. Owned, occupied, or used by, Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your other volunteer workers, your "employees", any partner or member (if you are apartnership or joint venture), or any member (if you are a limited liability company). CC; 20 21 01 96 Copyright, Insurance Services Office, Inc., 1994 Ageni*s COPy Page 1 of 1 [] POLICY NUMBER: CPI00045~ ~IMERCIAL GENERAL LIABILITY CG 25 04 03 97 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 1T CAREFULLY. DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Designated Location(s): ANY AND ALL LOCATIONS SCHEDULE (lfno entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally ob- ligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION I), and for all medical expenses caused by accidents under COV- ERAGE C (SECTION I), which can be attributed only to operations at a single designated "location" shown in the Schedule above: A separate Designated Location General Ag- gregate Limit applies to each designated "loca- tion'', and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. The Designated Location General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A, except dam- ages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under COVERAGE C regardless of the num- ber of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Designated Location General Aggregate Limit for that designated "location". Such payments shall not reduce the General Aggregate Limit shown in the Decla- rations nor shall they reduce any other Desig- nated Location General Aggregate Limit for any other designated "location" shown in the Schedule above. The limits shown in the Declarations for Each Occurrence, Fire Damage and Medical Ex- pense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Designated Location General Aggregate Limit. CG250403 97 Copyright, Insurance Services Office, Inc., 1996 Page 1 of 2 [] B. For all sums which the insur becomes legally obligated to pay as damages caused by "occur- rences'' under COVERAGE A (SECTION I), and for all medical expenses cansedby accidents under COVERAGE C (SECTION I), which cannot be attributed only to operations at a single designated "location" shown in the Schedule above: Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available un- der the General Aggregate Limit or the Prod- ucts-Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Location General Aggregate Limit. C. When coverage for liabilityarising out of the "prod- ucts-completed operations hazard" is provided, any go paymen, ,r damages because of "bodily injury" or "property damage" included in the "products-com- pleted operations hazard" will reduce the Products- Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Des- ignated Location General Aggregate Limit. For the purposes of this endorsement, the Defini- tions Section is amended by the addition of the fol- lowing definition: *'Location" means premises involving the same or connecting lots, or premises whose connection is in- terrupted only by a street, roadway, waterway or right-of-way of a railroad. The provisions of Limits Of Insurance (SECTION I11) not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of :~ Copyright, Insurance Services Office, Inc., 1996 CG25040397 [] McMANN PRICE AGENCY, INC. enera[ Insurance 828 Pmnt Street * PO ~ox 2065 Greenport, Hew ~ork 11944 Teb (631)477-1680 qva;6: (631)477-8930 12/10/1999 Town of Southold P.O. Box 1179 Southold, NY 11944 Attention: John Cushman Re: Insurance Proposals Dear John, We are pleased to provide two proposals for the Town of Southold's insurance needs. Enclosed are quotes from the New York State Municipal Insurance Reciprocal and North Island Facilities Governmental Services Inc. with Redland Insurance C~r: as the insurers for the Towns consideration. Please review the enclosed and advise of any questions, additional information needed and if a meeting to discuss any specifics is desired. We appreciate the opportunity to submit our proposals. Sincerely, ~JOSel~h Cherepowich/ spd Section I Summary Quotation RTJ}~ INSURANCE COMPANY PRE MIUM QUOTATION (To be submitted in duplicate) Proper~y Liability Automobile Umbrella Inland Marine Crime Police Professional Boat Boiler & Machinery Public Officials Liability Quotation Amount $ 14.786. 27~898. 112,112. 27~015. Included in property 3,100. 14~995. 9,779. Included in property 15,776. Total Premium ~225~461. Section II Detailed Information Buildings and Contents and Extra Expense with Special Form Coverage Deductibles -- Please show annual cost for deductibles shown below: $1,000 $14,786 $5,000 -0- $10,000 $12~g41. Carder: Redland Insurance Co. Policy Pe~od: 01/01/2000 - 01/01/2003 Premium Payment Plan: Annual or optional 40/30/30 (90 davs aPart) Comments: F~uiDment breakdown and Inland Marine included in oolicy form,~. 5 .Section II Detailed Information (continued) Boiler and Machinery Deductible $5,000 Carder: Redland Insurance Co. Annual Cost $ Included in property coverage Policy Period: 01/01/2000 - 01/01/2003 Premium Payment Plan: Same as Part A Comments: Included in property coverage form Valuable Papers Declu~tibJe_ _ $1,000 Carrier: Redland 'Insurance Co. Annual Cost $ INcluded in pro~rty coverage Policy Period: 01/01/2000 - 01/01/2003 Premium Payment Plan: Same as Part A Comments: $500,000 l~imi t SEE ATTACHED Comprehensive General Liability Annual Cost $ 27.898 Deductibles -- Please show annual cost for deductibles shown below: $0 27,898 $5,000 $10,000 22,848 Rating Basis: Net Operatin~ Expenditures Carrier: Redland Insurance Co. Premium Payment Plan: Same as Part A Is policy auditable? No Comments: SEE ATTACHED Automobile Insurance Rate per vehicle Various Annual Cost $ 112~112. Carder: Redland Insurance Co. PoI~-~P~. 01/01/2000 - 01/01/2003 Premium Payment Plan: Same as Part A Comments: SEE ATTACHED Inland Marine Floater Annual Cost $ Deductible $1,000 Carrier: Reclland Policy Period: 01/01/2000 - 01/01/2003 Premium Payment Plan: Sa~e as Part A Comments: SEE ATT_ACHED Included in property coverage 6 N.I.F. GOVERNMENTAL SERVICES PUBLIC ENTITY PACKAGE POLICY QUOTE Thc insu.~nce company designated below ~ropoaes cartage t~cerdins to the followins terms a~d conditinM, for the Public E~tity designated. This quote is valid for 30 days. Thc premium indicated is not subject to audit. REDLAND INSI.lP~ANCE COMPANY Public Enoty,. Town of Southold i*olley lSerlod: 01/01/00 - 01/01/01 [ X ] BUILDINGS & COI~TENTS Blanket Limit: S$,177,069 As pet Isa CP 00 10 nad CP 10 30, as amended by the cinched ~nllding And P~$onul ~ Covfragd Fom Including ~u~flr B~o~ nd Ca~ ~ Loss ~lal Form Includln~ Equf~mt B~a~o~. Cov~c ~c~8 $250,~ Busi~ss Inte~p~en ~ ~X~a E~e cov~gs. No mon~ly I~ ~ ex~n exam pn~. Agreed Amir. ~hc~ Cost. Extensions of Coverage/Sublimits: Coverage includes S500,000 for newly acquired at construct~d buildings and S500,000 contents of such. S50,000 for propers/off premises ox in urensit S250,000 for miscellaneous property at unscheduled Incnffons $2~0,000 for undetSxound S50,000 for water damage, as per endorsement __ ~ _S50,000 for em~gcncy potable cqutp~eut ..... vn~ous for outdoor properly ($100,000 for antesmas and other eq~pment as per endorsement; $ I 0,000 for sb~bs, signs, fences, etc S250,000 ordinance or law Deductibles: Sl,000 each occurrence. Values cs per schedule on fllc de,cd 01-01-99, INLAND MARINE Limits me as listed below. Covcre~e is the lesser of Ac~ml Cash Value, cost to reasonably restore or replace with substantially the same properly, unless otherwise stated. Deductibles arc $1,000 each nccun'ence, mcindm~ comput~re, EDP equipment, data or media. $826,000 Electronic Data Processing Equipment automatically included in form. Vatuetion as per endoro~flent. Equipment is valued at lesser of ropMs or f~nctinnal replacement, %2,569,115 Contractou Equipment as per 10/06/~ schedule on file with company $ S0,000 Fine Am included autocratically in coverage fofl~. %250~000 Accounts Receivable automatically included in caviare form. Ya~n~iun. is determined as per endersemeor. %500,000 Valuable PapeTS at Town Hall and Police Depeflmem S Misccllnnonus cquipmcor as per schedule [ X ] CR1ME $25,000 Then Diseppeaxsnce Pucm CR 00 04 ~"2~, ~0~0'~_~Emp_loyee Dishonesty. per empiny~ Form CR 00 01 *$500,000 Employee Dishonesty for the supervisor, deputy supervisor end Receiver o£ T~xes *$1~0,000Employee Dishonesty For the Town Clerk *$I00,000 Employee Dishonesty for the Town Justices $ Robbery and Safe Burglary. Fo~n Q. ISa Form Number CI~. 00 18 $ 10,00OFotgery, Alteration CR0003 Deductible is $500 etch loss. Faithfol perfmnmnce of duties endorscmem applies. [ X ] OENERAL LIABILITY & LAW ENFORCEMENT LIABILITY Oenerai Liability Co.v_orase applies ns per Isa form CO O00I es emended by l~blle Entity ,4mondara~/.~.~.. · ndo~-~nl Genfra~ L~abgl~, Co~ge F'orr,~ and ~c ansched ~aw Efl~o~emem Lfa~ Co--ge Fo~ ~ ~loy~ B~efi~ L~ab~l~. Exclusions: Yesr 2000 claims, As~esto~ Liability, Nucleaz Exclusion. Pollution exclusion is included in ISO CC] 00 01. No dedu_~c~b~o~'~ ~t~cntion Bpplics, excep~ Employee Benefits, whereby u S500 deductible applies. Law ~nf~c~t Linbili~ is ~ect TO a S25,~ ~cflble each occ~e. Law g~cemem Li~ covemge ~y ~ aviilibk ~ n CLA~S.MADE basis; subject M recent ~ s~oval of fo~ by und~i~. [ X ] AUTO LIABILITY A~',O3 PHYSICAL DAMAGE Business Auto Covora$o applies as per Isa form CA 00 01 as amended by the attached Amendatory Endorsement - ~u.*~nor# JuW Coveroi, o Form. UtmltS~ ~O~en-'~h accident $1,000,000 uuinsured/unde~menxed me4n~ists S 150,000 PIP; where applicable S 10,000 Medical Physical.denmge coverage - other than collision - is provided ai actual cash value, subject to s deductible of S500 and i Collision deductible of S500. No deductible or retention ~tpplies to the liability imutance, Endorsements include: VoluMeers Excess Liability Coverage. Policy cancellation provision JAdfcates that 60 days notice is Provided. The insurer intends to comply with and utilize innnun/ties md limitations afforded by the state's toff laws. SiS~nntore Managing Asont fm Rcdland Insurance Con~y Section II Detailed Information (continued) Umbrella Liability $~:~/OOO~ll~;Limit 5,000,000 Rating Basis: Underlying Premiums Carrier: Redland Insurance Co. Policy Period: 01/01/2000 - 2003 Annual Cost $ 27~015 Premium Payment Plan: Same as Part A Conf~ u~n~e-~ying Policies: Redland Insurance Co. & Royal Insuranc~--Co~- Comments: SEE ATTACHED Additional $5.000.000 is available_ and can' be qnnt~d Police Professional Liability Premium: ] 4. qq5 Deductible: 25;000 Carrier: Redland Insurance Co. Annual Cost $ 14,995. Policy Pedod: 01/01/2000 - 01/01/2003 Defense costs included or excluded from limit of liability: In addition to limit Comments: T~ ~lmim~ r.~H,= .~n,,la conv~nahly duplicate ewpirin_e SEE ATTACHED Public Employee Blanket Bond and Cdme Annual Cost $ Premium: 3,100 Carrier: Redland Insurance Co. Policy Pedod; 01/01/2000 - 01/01/2003 3,100 Comments: SEE ATTACHED HulI-Geverage Annual Cost $ 9 ~ 779 ~ ~ Premium: ..... 9,779 Deductible on Hull: Varied Policy Pedod: O1/01 / 2000 - O1/01 / 2001 Comments: Continue coverase with Royal Insurance per expiring policy. Public Official Annual Cost $ Premium: 15,776. Deductible: 10~000 Policy Pedod: Ol/OI/2OOO - oI/o~/2oo~ Defense costs included or excluded from limit of liability: Comments: 15~776. In additional to Limit Claims made. Jncludas EPLI. Back"wages, Non-monetary Defense SEE ATTACHED 7 r~.l.l-. ~JVI:=I~INMI;;N i AL. IiEKVI(;I ~, I IPUBLIC ENTI'I'Y UMBRELLA,'EXCESS LIABILITY QUOTE The insurance company designated below p 'opose~ coverage ac ;ordmg to Ihs following terms and conditions for rne Public Entity designab,d. This quote ia valid for 30 days, The premium indicated is not subject to audit. REDLANDINSUPJ~NCE COMPANY [X] Pubiic Entity: TOWN OF SOUTHi}LD Policy period: 01/O1/00 to 01/01/0. Policy form: Umbrella [ X ] Follow-Form Ex,:ess [ ] Warranted underlying limits: IX) Comprehensive General Liability [ ) Law Enfomement Llabilib/ [X] Automobile Liability' IX) Employers Liability [ J Public Officials Liability [ ] Educators Legal Liability [] $1,00 ),000 each occurrem:el$3,000,O0O aggregate $1,00 ),000 each occurmn(;e $1,00 },000 each acoldenl imust apply to any auto) $ 50 ),000 or statutory requirement (greater of two) $2,00,),0OO each claim/aggregate CLAIMS MADE FOLLOW FORM' $1,00~t,000 each claim/aggregate CLAIMS MADE FOLLOW FORM S~,000,000 Umbrella limit quoted is $5,000,000 $5,000,000 $5,000,000 Self insured retention: $10,000 Umbrella premium: $27,015 each occurrence or accident general aggregate produ~ts/cemple~ed operations aggregate Endorsements: IX] Pollution exclusion absolute [X] Absolute asbestos exClusion [ ] Failure to supply exClusion [ ] POL follow form' [ ] ELL follow form [ ] Law enforcement follow form [ ] Medical malpractice limitation ,tX) Uninsured/underinsured motorist limitation ($1million UIL warranted) IX) Employee Benefits Follow Form [ ] MuniCipality Endorsement COMMENTS: [ ] Professional ~iabllity exclusion [ i Designated I, ,cation exclusion .... [ ] ERISA exolu~ion inoluded in form [ ~ Lead poisoning exclusion/limltatlon. IX) Real & persmml properly exclusion [ ] Cancellation ;lauSe amendment (automatic 60 days) [ ] Watercraft lin lilation [ ] Sexual abus{ limitation IX) Y2K Exclusio,~ IX) NuClear Exclt, sio~ [ 1 Lead Paint calms Exclusion Quoted by: ~ Date Managing Agent for Rediand [nat rance Company PL IC OFFICIALS LIABILI' QUOTE CLAiMS-MADE BASIS The insurance company designete~ below proposes cover~cJa according to tl~e following terms and conditions for Ihe Public Entity ,leslgnaied, This quote ,s valid for 30 days. The premium Indicated is not subject io audiL REDLAND INSURANCI! COMPANY [ X ] PrOducer: Mc Mann P 1ce Agency Public Entity: TOWN OF ;OUTHOI.D Address: 53095 Rou~a 25, P..O, Box 1179, S outhold, NY 11971 Policy Period: Insuring Agmer,~nt: 01/01/00 to 01/01/01 Pay On Bel elf Of: Duty To Defend [ X ] Indemnifics ion [ ] Optim A Form: NIF 1096 Limit Each Leu: $2,000,000 Annual Aggregate: $2,000,000 Retention: $ 10,000 Premium: 515,776 01: llon | ] Application of SIR to Defense · <penaes [ ] Outside Extension Exclusion [ X ] Non-monetofy Claim Defense $50,000 annual/S10,0(,0 per suit ] Spou~l Extension -~]~lndemndication Endorsement ] Prior Acts Exclusion ] Amendatory Endorsement I Disclosure Endorsement State ] Amendato~/Endorsement State -- ) Employment Benef'~ Exclusion (must aCCOmpany EP¥1A Excl.) ] Employment Practices Wmngfu Acts E~(clusion [ X ] Year 2000 Exclusion [ ] Comments: Employment Practices L ability iacluded, Full plier aclu. State amendatory endar ~ament(s) as required. ~eefanse is In addition to limit, Ctslms.made; not claims-made and reported. Conditions: [ X ] Quota subject to re( aipt and acceptability o~ properly completed NIF appilc~tion. [ ] Quota subject io m,:eipt of full claims Infon,tatien. [ X ] Written confirmation (mail or fax) is necessary TO bind coverage. ( X ] Quote is not ~epres{ nted as meeting bid sp ~tficafions. ! ] Note: Terms may be amended on re< eipt of above condition, sd terms. Mana~ir~ Agent for Red~ ~nd io~Brance ~omper y TI'IlS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, MUNICII~ALITY ENDORSEMENT This policy does nol apply to "bodily injury", "l~r~onal inju~", "ndvc~is~ng injury' or "property danmge" arising out of the failure of any Insured to adequately supply gas, oil, water, electricity or steam; This policy does not apply to "property damage" arising out of the pr~nciplea of eminent dortmin, condenumfion proe~din~ or inverse condemnation, whether directly by the "Insured" or by others und~=r contract or a~mant~ and 3. "Bodily Injury", "personal injury", advertising injury" or "property damage" wising out of the following, is limited to thc coverage provided in the "Underlying Insurance": a. rendering o~ fnii~re to render nny profe~innal medical sm'vice; b. any act or omission of your policy department or othe~ hw enforcement agency of yours, including their agents or employees; c. any liability assumed by the "insured" under contract or ngt~en~nt; dlthe Ictt~l, illeged or fia'eatened discharge, dispersal, seepage, tmgration, release or escape of pollutants, and any request, dcmand, order, "claim" or "suit" by the "Insured", __a go~vc _n~ental authority, or others for payment under this policy for any loss, cost or expense to t~st, monitor, clean-up, remove, contain, treat, detoxif~ or neu~'alize, or way re.md to, or assess the effeots of"pollut~n~'. Th~ defmihon of "pollotanta' in Excloaion J sh~ll apply ~o this endorsements. if coverage is not provided by "Underlying lnsmancc", coveragc is excluded from this policy. All other terms and conditions remain unchanged. NIF 1127 0599 2oseDh Cherepowich/McMann_.~ic~e Agency, .P.O. Box 2065, 828 Front Street Greenport, NY 11944 e~, i~, ~. i~ EMPLOYEE BENEFITS LIABILITY This endorsement modifies insurance pravid~d unde~ thc following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LAW ENFORCEMENT LIABILITY COVERAGE FORM LIMITS OF INSURANCE: Each Claim Limit $ Aggregate Limit $ DEDUCTIB~ Each Occurrence $ _.=_. SELF-INSURED RETENTION Each Occun'cnco $ INSURING AOREEMENT We will pay under this endorsement, those sums that you become legally obligated to pay as damages because of a claim brought by an employee, former or prospective employee, their beneficiaries or legal representatives in connection with any error, omission or breach of duty tn ~hc "administration" or' your "employee benefits programs". This insurance applies only if a claim for damages covered by Otis endorsement is first made against any insured during the policy period. WHO IS AN INSURED With respect to this endorsement only, insureds shall include the entity named in the Declarations as the Named Insured and: a. A governmental agency or subdivision, dePartment, municipal body, board or commission, or not-for-profit corporation which is owned,and controlled by you; b. An individu~while acting in the capacity as a director, officer, trustee, employee or staf~ ~ member of yours; c. An elected or appointed officer or a member of any board or commission or agency of yours, but solely while acting within the scope of their duties as such; only while authorized to act in the "adrninist~-ation" of your "employee benofits program". NIF 1029 1298 Pago 1 o[3 EXCLUSIONS Insurance under this endorsement does not apply to any claim arising out of: 1. Any dishonest, fi'audulent, criminal or malicious act. 2. Any "bodily injury", *property damage'*, "personal injury" or "ndvertising liability injury". Any claim for failure of performance of c~nmtct by any insurer. Any claim arising out of any actual or alleged error or omission or breach of duty, committed or alleged to have been committed by an i~t~ed in the discharge of fiducim3t duties obligations or responsibilities imposed by the Employee Retirement Security Act (P-PISA) or any similar statute. 5. Any oldigationof-the in~ured under a worker's compensation, disability benefits or ~ ~ unemployment compensation law or simil~ law. Any claim arising out of thc purchase, offering, sale, administration, diminution in value, yield, income, or failure to comply with any obligation of any type of security, bond or debenture. 7. Any failure of stock or stock subscription plans to perform as represented by you. LIMITS OF INSURANCE Thc limits of insurance indicated in this endorsement are the most we will pay reaatdless oftbe number of insurcds, claims made or persons Or organizations making claims. The each claim limit is the mos~ we will pay for damages arising out of any one claim. Thc aggregate limit is the most wc will pay for the sum of all damages under this endorsement for each consecutive annual period, and any remaining period of less than 12 months, starting with the bcgitming of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months, In that case, the additional period will be deemed pm of the last preceding period for the pttrposss of determining the limits of insurance. DEDUCTIBLE/SELF-INS UILI~D RETENTION The deductible Or self-insured retention shown in this endorsement applies to each claim covered hereunder. We may part or all of any deductible amount to effect set~lemcot of'any claim or "suit" and, upon notification of the action taken, you shall promptly reimburse us for such part of the deductible amount as has bccn paid. NIF 1029 1298 Page 2 of 3 ADDITIONAL D~FINITIONS The following definitions are added f~ the POlicy: "employee benefits programs" shall mean group life insurance, group health insurance, profit sharing plans, pension plans, employee stock subscription plans, employee travel, vacation, savings plans, worker's compensation, unemployment insurance, social security and disabili~ benefits, or any similar law. "administration" means any of the following ;acts that you do or authorize a person to do: counseling employees on "employee benefits programs" interpreting your "employee benefits programs" handling records for your "employee benefits programs" effecting enrollment, term/nation or cancellation of cancellation of employees under your "employee benefits program' NIF 1029 1298 Page 3 of 3 PUBLIC ENTITY AM~:NDATORY ENDORSEMENT BUILDING AND PERSONAL PROPERTY COVERAGE FORM INCLUDING EQUIPMENT BREAKDOWN This endorsement modifies insurance provided under the following: BU1LDING~ AND PERSONAL PROPERTY CO~RAGE FORM Page I of CP 00 10, Covered Property, shall include under Your Business PerSonM Property. (3) "Stock" and animals on exhibit at zoos, or used by your law enforcement department ns part of a canine or cqucsWian pa~ol. Coveralls for animals is [imitcd to $10,000. any one occurrence, (8) Fine art. consisting of paintings, Pnnts, aonlpture, tapcsn.ics nad ceramics. Unless otherwise scheduled in the FINE ARTS COVERAGE FORM, such objects shall bc insured for each object, to a maximum of:SS0,000, spy one occurrence. Building shall include under (4) Personal pr°pe~y owned by you that is used m maintain or service thc building or structure or its Inemiscs: (el emergency porteblc cquipmem consistinll of generators, pumps, air-pressure devices and other similar equipment, if not more specifically insured undcr other scctions of this policy, for $50,000. any one occurrence. Page 3 ofCP 00 10, Coverage Extensions, io amended to include: (0 Personal Computers, EDP ~Xlulpment, Data or Media. The most we will pay under this Extension is $250,000. but it' the equipmept, date or media is lost or damaged wbile in transit or on a vehicle the most we will pay is $25,000. You may extend the insurance that applies to your Business Personal Property m apply to your electronic data processing equipment, data or media. This extension includes the property of others that you hold in any capacity, or for which you are responsible. (Il Coverage under this Extension includes: i (al Personal computers, electronic data processing and word processing equipment, including then' component par~; (b) Date stored on thc media, including facts, concepts, computer programs and instruetinnal vehicles used in yOUr date processinil system ns well as a~ounts, bills, evidences of debt, valuable papers nad records, abstracts, deeds, manuscripts or other documna~s in data processing media form; und (c) Media on which the data is stored. (2) We will not cover the following type of equipmenL date or media: (a) Any data or media for which duplicates or replacements do not exist; or (b) Property rented or leased to other, while away from the described premises. B[IF l 113 0399 Pagc I of 8 (3) Personal Computers, EDP Equipment,: D=t= or Medis loss payment will be determined as follows: (a) Equipment. We will pay thc least of the following amounts: (i) The cost ofreasunably restoring that property to its condition immediately before the loss or damage; or (ii) The cost of replacing thqt property with identical property. However, when repair or replacement with identical property is not possible, we will pay the cost to replace that property with similar property capable of performing thc same functions. If not repaired or replaced, the property will ~e valued at its actual cash value. (b) Data. We will pay up to the actual cost incurred of reproducing the data. (c) Media. We will pay to repair or replace the media with material of the same kind and quality. IRs res~ the,~,ce afforded by this C0ve~ige F. xtensiun, Ceoscs Of Loss - Special lis amended es follows: F.,xelusion 3.c.(2) is I~oreby deleted. (g) Accounts Receivable. The most we wiil pay under this Extension is $2S0,00. If accounts receivable records ate lost or damaged in transit, the most we will pay is $2s,0o0. (1) You may extend thc insurance that appliei to Your Business Personal Property to apply to yom' records of accounts receivable. (a) At a described premises or in or on a vehicle in transit between described premises; or (b) If the records most be removed from a described premises to protect them from the threat cfa Coveted Cause Of Loss. (2) The amount of your Accounts Receivable loss includes: (a) Money owed to you from customers or taxpayers if you are unable to collect thc money as a direct result cfa covered loss or denufe to your accounts receivable records; (b) Interest chaises on money you mpst borrow to offset your reduced cash flow; (c) Additional collection costs, over M~-d above your usual collection costs, made necessary hccause of'loss or damage; end (d) Reasonable expenses you must incur to re-establish your accounts receivable (3) Accounts receivable loss piyment will be detsn~ed as follows: (a) When there is proof that a covered loss has occurred but you cannot accurately establish the amount of accounts receivable outstanding at the time of the loss, the amount of thc loss will be computed as follows: (0 Detcrmifle the total of the average monthly amounts of accounts receivable for the 12 mooths immediately preceding the month in which the loss or damage occurs; end (ii) Adjust that tutal for any normal fluotuatiol~q in the amount of accounts receivable for the month in which the loss or damage occurred or for any demonstrated varienoc from the average for that month. (b) We will deduct from the established total amount of accounts receivable: (i) Thc amount of any accounts evidenced by records not lost or damaged; NIF 1113 0399 ~ Page 2 of 8 (ii) Any o~her amounts you are sbic ia establish or collect; and (i/i) An amount ~o allow for probable bad debts which you normally would have been unable to oollect. (c) ffyou recover the amount of any account~ receivable that were included in the amount of the paid I~ will return tho reCovered amount to us, up to the total amount of the paid_ ~ ~_=__ Ios~'-~-u Will ke~p any recovery in exce~s of the amount of thc paid loss. (4) We will not pay for a "loss" caused by or resulting from any of the following: (a) Alteration, falsification,concealment or destruction of records of accounts receivable done to conceal the wrongful giving, taking or withholding of money, securities or other property. This exclusion applies only to the extent of the wrongful giving, taking or witl~olding. (b) Voluntety parting with any property by you or anyone enU'usted with the property if induced to do so by any fraudulent scheme, ~'ick, de.se or ~alse pretense. (5) We will not pay for a Sloss" caused bb' or resulting from any of thc following. But if"loss" by a Covered Cause Of Loss results, we will pay for that resulting "loss". (a) Weather conditions. But this ex'elusion only applies if weather conditions conWthme in any way with a causa or event excluded by Governmental Action, Nuclear Hazard or War and Military Ac~on. (b) Acts or decisions, including the failure m act or decide, of any person, group or organization or govenunental body. (c) Faulty, inadequate or defective: (i) planning, zoning, develOpment, surveying or siting. (ii) design, specifications, w0rkmanship~ repair, construction, renovation, remodeling, grading or compaction. (iii) materials used in repair, construction, renovation or remodeling, or (iv) maintenance of pan or aH of any property wherever located. Page 4, Coverage Extensions, Property Off-Premises. is amended by substituting SS0,000. for $5,000. : Page 4, Coverage Extensions, is amended to include: (h) Fire Protective DeviceS. You may extend thc insurance provided by this Coverage Form to apply to your fire protective devices that are permanently installed in buildings at the described premises. This Extension applies when such devises have been discharged by accident but not for periodi~ recharge. The most we will pay under this extension is $$,e00. for each separate 12 mon~ period of this policy to recharge or refill fu'e protective covered by this Extension, (!) lnvenlory or Appraisal. You may extend the insurance provided under ~his Coverag~ Form to apply to the following exp~nses you incur, as required by this Coverage Part, to prepare a claim: (I) The cost of inking inventories; (2) Tha cost of making appraisals; and N~III3 0399 Page 3 of 8 (3) Thc cost of preparing a statement of loss and other supporting exhibits. The moat we will pay under this extensiOn for any claim is $S,000. ~) Underground Property. You tony extend thc insurance provided by this Coverage Form to apply to water, sewer and drain pipes, flu~s, storm basins and dtsins and ejectors. The most we will pay under this extension is S2S0,000, any one occurrence. (k) Miscellaneous Unscheduled Property. Coverage ttmt applies to your buildings and personal property is extended to include miscellaneous locations which you own, lease, rent or occupy which are not shown in thc Schedule Of Locations attached to this policy, The most we will pay for loss or damage in any one occun'ence under this coverage will be thc lesser ofthe following: (I) The actual cost to repair or replace the lost or damaged property; or (2) $2S0,O00. Page 2 ofCP 00 10, Additional Coverages,'is amended aS follows: I~re Department Service Charge limit is increased bom SI,000. to The second paragraph of the Pollutant Clean UP and Removal Extension, applying to "costs to test for, monitor or assess the existence, con¢¢nu'ation or effects of pollutants", is hereby deleted. Page 2,' Additional Cove~gcs. is amended to include: Equipment Breakdown (1) We will pay for loss caused by or resulting fi.om an "Accident" to "covered cquipment". As used in this Additional Coverage, an "Accident" means direct physical loss as follows: (al__ _ mechanical breakdown, including rupture or bursting caused by cen~fugal ~ force; (b) arlificialJy generated electric Cunent, including clccl~c arcing, that disturbs electrical devices, appliances.or wires; (c) explosion of steam boilcr~, stcam pipes, steam engines or steam turbines owned or leased by you, or operated under your conu'ol; (d) loss or damage to steato boile;s, steam pipes, steam engines or steam turbines caused by or resulting f~om spy condition ur event inside such equipment; or (el loss or damage to hot water b~ilers or other water heating equipment caused by or resulting from any conditi .on or event inside such boilers or equipmenL If an initial "Accident" causes o~her "A~cidenL~", all will bc considered one "Accident". All "Accidents" that are the result of Ibc same evunt will be considered one "Accident". "Covered equipment'' mca~s Covcrcd Property built to operate under vacuum or pressure, other than weight of enatent% or used for thc generation, transmission or uttli~a~on of en~gy. l(~) Thc following coverages also apply tO loss caused by or resulting from an "Accident" to "covered equipment". These coverages do not provide additional amounts of insurance. (a) Expediting Expenscs . NIF I I 13 0399 Page 4 of 8 With respect to your damag~1 Covered Prope~ty, we will pay, up to $25,000., the reasonable ex~ cost (i) make zempo~ repairs: ~d (ii) ~xpedi~e pe~an~t ~e~i~ ~ ~pl~cement. (b) H~ardons Substances We will pay ~or the additional cost m repair or replace Covered P~po~ becnu~ o~con~mi~tien by a "~rdous substance". ~s includ~ the additional ex~n~s to clean up or dis~ of such ~p~. "Ha~rdou~ ~bst~oe" mea~s any ~bs~oe o~er t~n ammonia i~t has b~n declar~ to ~ hnzar~us m heal~ by a ~ovemmenml agency. A~itional ~ts m~n ~ose ~yond w~t would have be~ ~qui~d ~d no hairdos substance been involved. ~e most we will pay F~ loss or ~ge ~r ~is cow.ge, including actual loss of Business Income you austin, noces~ ~a Expense you incur ~d loss under P~ble Go~ cov~ge, is $25,000. (c) Perishable Goods -: (i) We will ~y for yo~ loss of"pe~s~ble g~s" due to s~il~e. (ii) We ~11 al~ pay for yo~ loss of"pmshable go~" duc to conmminati~ ~om ~ ~l~se of ~geuflt, including but not limi~ tc (iff) We will also pay ~y :neoes~ ex~s you inc~ m reduce the a~t o~]oss ~der ~is ~ge. we will ~y for such ex~s~ ~ ~e exit .... ~t ~ do not exce~ the a~t of loss ~a~ ~cn payable ~dcr this covc~gc. (iv) If you are unable to repla~ the 'p~shable goods" bef~e iu anticipated sale, the amo~t of o~t ~yment will be determed on the basis o~ thc sales ~ce of ~c "perishable g~s" at ~c time of the "Accident", less diseo~t~ and expem~s you o~e~ise would have hd. ~ise our ~ent ~ll ~ do~in~ in ncoo~cc wi~ ~ Loss Pnymem condition. (v) Additional ~finiti°fl' For ~he p~se o~is cov~ge, "~shablc g~ds" means ~n~] pmpe~ main~in~ undor con~oll~d conditions f~ i~ ~e~sti~, a~d susoephble to loss or damage ift~ condi~ons ~ most ~ will ~y for 1~ or damage ~der this coverage is SI00,~0. (d) Person~ Computers and EDP Equipmenl We ~11 pay for loss or ~g~ cnus~ by ~ ~sultin8 from ~sonal ~mputers, ~l~ni~ ~u pmc~ nd w~d pro~ssins equipm~t, ["Media" me~s all fo~ ofe~nio, ~etio ~d op~l m~s ~d di~s for ~u~ .in ~y p~n~ campus. ~l~mc ~ ~css~g ~ word pr~ss~g ~e ~st we will ~y fm loss ~r da~ge ~ ~is cove~ ~' ~l~B~m~ss Income you ~usmtn ~ neee~n~ ~ ~e yo~ ~ i~~ CFC Rafri~erants We will pay for the ndditionai cost to repair or replace Covered Property because of the use or presence of a refi'igerant conmlning CFC (chlorinated fluorocarbon) NIFIll3 0399 ~ Page 5 of 8 substances. This means the additional expense to do the least expensive of thc roi{owing: Repair the damaged property, retrofit the system to accept a non-CFC re~'igerant and charge the system with a non-CFC refi'igerant; or (iii) Replace the system with one using a non. CFC re~gerant. Additional costs mean these beyond what would have been required had no CFC refrigerant been involved. The most we will pay for loss or damage under this coverage, including actual loss of Business Income you sustain, nec. cssaty Extra Expense you incur and loss under perishable Goods coverage, is $25,000. The most we will pay for loss or d~mage under Equipment Breakdown is the applicable Limit of Insurnncc shown in the Declarations. Coverage provided under Equipment Breakdown does not provide a,'~ a~d~tienat amount of insurance. '~' Page 3, Coverage Extensions, is amended u follows: a. The Newly Acquired or Constructed Prol~ert7 limit for buildings is increased fi.om 8150,000. to $S00~00., and the limit for p~tsona~ property Lq increased from $100,000. to SS00,000. Subsection (3),(b) shall substitute "180" days for "30" days. b.. Personal Effects and Praperl7 of Others shall read as follows: You may extend the insurance that applies to Your i~usiness Personal Properly to apply to: (l) Personal effects owned by you, your of~,~r~, your par~e., your employees and volunteers. This Extension does not apply to loss or damage by the~ The most we will pay for loss or damage to perSonal effects under this Extension is S2S,OO0. (2) Personal propet~ of'others in your ca~e, cUStOdy or control The most we will pay for loss or damage to personal properV/of others under this Extension is Our payment for loss or damage to personal p~perty of others described in (I) and (2) above will be only for the account o£the owner of'thc properly. The limit for Prupetty Off-Premises is increased from $S,000. to SSO,000. c., Outdoor PropertT, is substituted with the fOllowing wording. You m~y extend the insurance provided by this Coverage Form to apply to: (I) Trees, shrubs, plants, lawns, outdoor fences, backstops, goal posts and goal nets, guardrails, ~'affic.liShts.md~r~oad signs. ~ ~ = (2) Radio~ microwave or television antennas masts or towers. (3) Other outdoor property. NT~III3 0399 Page 6 of 8 Such insurance will include debris removal cRpcnse. Coverage will apply only if loss is caused by or results from any of the following causes of loss if they are Covered Causes of Loss: (l) Fire (2) Lighming (3) Explosion----- : (4) Riot, Vandalism or Civil Commotion (5) Aircraft ~ The most we will bay for loss or demage undpr this Extension is S10,000. for items described in (1) above, glO0,000, for items described in (2) above and $1,000. for other outdoor property. Page 2, Property Not Covered is emended I~y substituting the following subsections: e. Accoan=, bills, currency, deeds, evidences of debt, money, notes or securities. m. Under~ound pipes, flues or drams, except as provided in the Coverage Extensions. p. Fences, radio or television anteones, including their lead-in wiring, meats, towers, signs etmchcd to buildings, crops, uees, shnsbs o.t. plams, all except as provided in the Coverage Extensions. CP 00 10, i~. LOSS CONDITIONS, is amendOd as follows: 2. Appraisal, shall include the words "net income and opereting expeese~ eftcr the word ~property* in the second line. 4. Loss Payment, shall include the following: f. The amount of Business Income loss will be determined based on: (1) The Net Income oft he buiiness before the dh'eot physical loss or damage oecuned; (2) The likely Net Income of the business if no loss or damage occurred; (3) The operating expenses, including payroll expenses, necessary to resume "operations" with the same quality of sCrOce that existed just before the direct physical loss or damage; and (~,) Other relevent sources of information, including; (e) Your financial records and accounting procedures; (b) Bills, invoices and other vouchers; and (c) Deeds, liens or contracts. g. The amount of Exu. e Expense will be dergrmincd based on: (I) All expenses that exceed the normal operating expenses that would have bec~ incurred by "operations' during the "period of restoration" if no dh'oct physicel loss or demagc had occurred. Wc will deduct from the total of such expanses: (a) The salvage value that remains of any property bought for temporary use during the "period of restoration", once %perations" are resumed; and (b) Pray F. xlra Expense that is paid for by other insurance, except for insurance dui is writxen subject ~o the same plan, terms, conditions and provisions as this insurance; end (c) All necessary expenses thee reduce the Business Income loss that otherwise would bare been incurred. h. Resuml~Gu. of Operntions. We will reduce O~c amount of your: 1113 0399 Page 7 ofg fl) Business Income loss, other than Extra £xpeuse, to the extent you can resume your ~operations', in whole or in part, by using damaged or undamaged propefl~ (including merchandise or stock) al the described premises or elsewhere (2) Extra Expeuse loss to the extent you can return "operations" to normal and discontinue such £x~ra Expense. i. If'you do not resume "operations", or do not resume "operations~ as quickly as possible, we will pay based on the length of time it would have taken to resume "operations" as quickly as possible. Re-designate subsection [ of CP 00 l0 to subsection j. The Replacement Cost provision is amende.d by substituting the following wording for the first fluee lines of subsection e.(2). The cost to replaCe within the territol~ai boundaries of the insured governmental entity the lost or damaged Wopefly with other property; CP 00 10, E. Additional Conditinn~, Js amended to include: fa) Suspension (b) W~en afly "coveted equipment" is found to be in, or exposed to a dangerous condition, any of'our represe~ltatives may immediately suspend the insurance against loss from an "Accident" to that "coveted equipment". We con do this by mailing ct delivering a written notice of suspension to your address as shown in thc Declarations, or at thc address where the equipment is located. Once suspended in this way, yom- insor~mce can be reinstated only by wfinen notice from us. If we suspend your insurance, you will get a pro rata refund of premium. But the suspension will be effective even ifwe have not yet made or offered e refund. Jurisdictional Inspections i If any property that is "covered equipment" under this endorsement requires inspection to comply with state or municipal boiler and pressure vessel re[:ulations, we agree to perform such inspection on your behalf. Add a DEFINITION, O~curronce. Occurrence means the mini loss, damage, disaster or casualty caused by ur resulting from any one or more Covered Cause(s) of Loss to Covered Property. Occurrence shall mean loss caused by a singl~ event within e 72 hour pet~od for thc following: J~0,_eyelone or hurricane : ..~. 2. Windstorm, hail and ice 3. Riot, civil commotion 4. Any other Coveted Cause of Loss.: You may elect when ~he 72 hour pede~ be~qs. 113 0399 Pa~e 8 of 8 PUBLIC ENTITY AM~:NDATORY ENDORSEMENT CAUSES OF LOSS - SPECIAL FORM INCLUDING EQUIPMENT BREAKDOWN This endorsement modifies insurance provided under the following: CAUSES OF LOSS - SPECIAL FORM As respacts thc insurance afforded by thc CPO0 10, Coverage Extension f, Pet'=nun1 Compute., EDP, Equipment, Data or Media, the following Exclusions are amended ss follows: As respects the insurance afforded by the CP O0 10, Additional Coverage, e., Equipment I.akdown, the Exclusions are amended as follows: (a) All exolnsious and limitations apply except: (i) Exclusions B,2.a., B.2.d.(6) and B.2.e.; and (ii) Limitations C. I .a. ;*nd C. 1 .b. (b) The last paragraph of Exclusion B.2.d. is deleted and replaced with the following: Bttt if loss or damage by the "specified causes of loss," "Accident", or building '--- --glac~ breakage results, we will pay for that resulting loss of damage. "~ (c) The following is edded: ti) None of the following is "covered ~quipmant": (^) ~rueture, foundation, cabinet, compartment or air supported sln~cturc or building; (B) insulating or fgfractoq, material; (C) sewer piping, underground vessels or p/ping, piping forming a part ora sprinkler system or water piping other than boiler feedwater piping, boiler condensate return piping or water p/ping forming a pan ora refi.igerating or air conditioning system; (D) vehicle, drag!inc, excavation or construction equipment; or (E) equipment manufactured by you for sale. We will not pay under' the Equipment Breakdown Additional Coverage for loss or dan~ge ~a~sed by or resulting fi.om: (A) your failure ~ use all reasonable means to protect the "perishable goods" fi.om damage following an "Accident"; (B) any defect, vires, loss of data or other situation within "media". But if loss or .damage from an "Accident" results, we will pay for that result!ag loss Or damage; or (C) any of the fol!owing tests: a hydrostatic, pneumatic or gas pressure test of any boiler or p~ssure vessel; or an insulation I ,reakdown test of any type of electrical equipm~_ Oi) Exclusion 3.c.(2) is hereby deleted. Page 6, ADDITIONAL COVERAGE EXTENSIONS, is amended as follows: NIP 1114 0399 Page I of 4 I. Property In Transit subsection c. is subssmted with the following, "The most we will pay for loss or damage under this Extension is Add 3. Building Ordinance Or Law. (I) It' there is an ordinancc or law in effect at the time of loss that regulates zoning, lend use or construction of a building, and enforcement of that ordinance or law affects the repair or rebuilding of that building t'ollo'.ving danuge by a Covered Cause Of Loss, you nay extend the insurance on the Building to cover: (al Costs to demolish end clem' the site of the undamaged portions of the building; (b) The value of the undanmged portions of the building; and (c)-Theinereesed cost m repair or rebuild the building with another building of the size. (2) We will not pay more under this Extension than if the repaired or replaced building was: (al Robuilt at the same location ns soon ns reasonably possible, (b) To the extent the law permits, of the same size as the one it replaces; nnd (c) Designed for the same type ofo~Qupancy as the one it replaces, unless otherwise required by zoning or land uae brdinance or law. The increased rebuilding costs must be kept tO the minimum needed to satisf~ legal rcquircments. (3) If you do not repair or replace thc damaged building, we will pay under this Extension only m demolish or elesr the site of the undamaged portions of the building. (4) This Extension does not apply to the costs associated with thc enforcement or'any ordinance or law that requires any insured or others go t~st for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond ~o, or assess the effects of "pollutants". The most we will pay under this ExteP~on is $]~0,000. Any coinsurance penalty applicable to thc building will also m the amount otherwise payable under this Extension. Add (4) Power Interruption You may extend the insurance for Covered Properly to apply to loss or damage caused by interruption of electric power supply services to the described premises. The interruption must result from thc direct physical loss or damage by a Covered Cause of Loss to the_t'ollowing prot0~ not mj the desctihed premises: (I) Switching rations or substations; (2) Transt.o,nn, crs; and . (3) Trauamtgslon lines, other than overhead trSnsmission lines. Thc most we will pay under this Extension is $25,000. The ADDITIONAL CONDITION, Co, insurance, does not apply to this Extension. NIF 1114 03~ Psge 2 of 4 Add (S)~inesLIbtcome And Extra Expeqse. --~- ' (1) You may exlend the insurance provided for direct loss ofor damage to Covered Property to apply to'. (s) The actual loss of Business Income you sustain due. to the n~cessary suspension of your operations at the described premises as a result of such covered direct loss or damage: and (b) Necessary Extra Expense you incur that you would not have incurred had there been no such covered direct loss or damage. (2) This Extension only applies to the amount of loss incurred from the date of direct physical loss or damage to Covered Property at or within 100 feet of the described premises by a Covered Cause of Loss. It ends on the dat~ when the property at the described premises should be repaired, rebuilt or replaced with reasonable speed and similar quality, oven if this is atl~r the expiration date of the policy. This does not include any increased time needed due to enfo~--ement ofany ordinance or law tel~ulating: (a) Building or land usage, demolitioq or ¢onseuction; or Co) Environmental damage or restoration. (3) Business ln~ome means: : (a) Net Income 0qot profit or loss before income taxes) that would have been earned or incurred; and (b) Continuing normal operating expenses necessarily incurred, including payroll. (4) Exits Expense means expense incurred: (a) To avoid or minimize the suspensi9n of business and to continue your operations at any location; -~ (b-)~rb~in~-~e tee suspension o£business it'you cannot continue your operations or (C) TO repair or replace any property o~r to research, replace or restore thc in fommion on valuable papers and records, but o01y if those expenses reduce thc amounts otherwise payable by this Extension. The most we will pay under this Extension is $Z50,000, If tho lost or damaged Covered Property is not repaired Or replaced, we will not cover any loss under this Extension. The ADDITIONAL CONDITION, Coinsurance does not apply to this Extension. B. EXCLUSIONS, is amended as follows: Exclusions a. Ordinance or Law and e, Power Failure shall be preceded by the words "Except as provided under Additional Coverage Extensions,". Exclusion g. Water is substituted wi~h the following. (j) Flood, waves, tides, tidal waves, overflow of any body of water, or their spray, all whether driven ~by wind or not: wc will pay for the direct expenses of such drying out subject to the applicable Limit of Insurance ~ deductible fo~' Building or Business Personal Property, whichever applies. , ,, ...... (2) Mudslide or mudflow. But if loss or damage by fire, explosion ur sprinkler leakage results, we will pay for that resulting loss or damage. NIF 1114 0399 Page 3 cfa E&clusion 2.h., pertaining to dishonest or crir~inal acts, shall include "volunteers" and "appOintees" after "employees" in the second .line. Substitute "Coverage Extension" for "Coverage Form" wherever it appears in 4. Special Exclusions. Delete LIMITATION l.c., and subatimte 2. with the following: We will not pay more then $S0,000. for dire;ct physical loss or damage caused by: (a) Water that accumulates on the surface of the ground at the described premises as a result of rain, snow. sleet or hail, except as excluded in B. (b) Water that backs up from a sewer or drain; or (c) Water under the ground surt'ace pr. essini; on, or flowing or seeping through, (l) foundations, well, flOors/ir paved surfaces, (2) baaements, whether paved or not, or ~3y-d~ors, window~ or othe£openings. NIl~ ] ! 14 0399 Page 4 of 4 PUBLIC ENTITY AMENDATORY ENDORSEMENT COMMERCIAL GENERAL LIABILITY COVERAGE FORM This enforsemenrmodifies the insurance provided trader thc following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Page I. Liquor Liability Exclusion c., is amended by adding the following paragraph. The sponsoring of events by the Named Insured, including but not limited ta fairs, carnivals and picnics, shall not decm the Named Insured to be in the business ofdistrlbuting, selling, serving or furnishing of alcoholic beverage~ as long as such events are no longer than seven (7) days in duration. Page 2. Employer's Liability Exclusion e., is amended.as follows. Subsectinn (l) shall read "An 'amployee' of the Insured arising out of and in the course of employment by the Insured, or" Subsection (2) shall read" Any volunteer, i~cluding but not limited to firemen or policemen, arising out of and in the course of their duties for any In,,ttred, or" The pre~ent subsection (2) shall be amended to "(3) Any spouse, child, parent, brolher or sister of tha__Lem_pi~o~ or volunteer as a consequence of (1) or (2) above .... ~ ~ Page 4. Add the following exclusions to apply to COVERAGE A. Failure to Supply "Bodily Injury" or "Property Damage" arising out ofthe failure to adequately supply natural gas, electricity or steam by any utility whether or not owned by an insured. Employment Practices "Bodily Injury" ~'ising out cE (l) Refusal to employ. (2) Termination of employment. (3) Coercion, demotion, evaluation, reassignment, discipline, defamation, harassment, humiliation, discrimination or other employment related practices, policies, acta or omissions, of (4) Consequential "bodily injury" ~ a result of(1) tlu'ough (3) above. q. Law Rnforeement Activities "Bodily [nj.ury" or "Property Damage" arising out of th,. activities of any insured's police or sheriffs d~panment, law enforcement department or agency or any similar department or agency, including their agents, volunteers and employees. NIF 1111 0399 Page I of 5 r. Law Enforcement Premises "Bodily Injury" or "Property Damage" arising out of thc ownership, maintenance or usc of ~ny promises or portion o f the premises used as a police or sheriffs department, law enforcement department or agency, including jails, prisons, detention cells and/or holding facililies by thc insured. Substitme "r" for "n" in the last paragraph of thc COVERAGE A Exclusions. COVERAGE B. PERSONAL AND ADVERTISING INJURY LIABILITY Add the following exclusions: c. Employment Practices "Personal Injury" or "Advertising Injury" arising out off (1) Refusal to employ. (2) Termination of employment. (3) Coercion, demotion, evaluation, rea. s. signment, discipline, defamation, harassment, humiliation, discrimination or other employment related practices, policies, acts Or omissions, or (4) Consequential "personal inju~" or "advertising injury" as a result of(I) through (3) above. d. Malpractice "Personal Injury" arising ou~ ofthe providing or failure to provide professional health care eervicee However, this exclusion does not apply to "personal injury" arising out of the emergency health care sea, ices of t~e paramedics, nurses or emergency medical technicians qualifying as an insured under this policy. Volunteers or Employees "Personal Injury" to volunteers or employees, including but not limited ~fi~re~.men or policemen, arising opt of and in thc course of their duties for any.-~.--; insured, or the spouse, child, parent, brother or sister of any volunteer ns a consequence thereof. Law Enforcement Activities "Personal Injury'` or "Advertising Injury" arising out of the activities of any insured's police or sheriffs department, law enforcement department or agency or any similar department or agency, including their agents, volunteers and employees. g. Law ~-nforeement Premises "Personal Injury'' or "Advertising Injury" arising out of the ownership, maintenance or use of any premises or portion of the premises used ns a police or sheriffs department, law enforcement department or agency, including jails, prisons, detention cells and/or holding facilities by the insured. Page 5. SUPPLEMENTARY PAYMENTS - COVKRAGES A AND B Substitute $I,000 for $250 ~nsubsection 2, and $250 for $100 in subsection4. N'IYIIII 0399 Page 2 of 5 Pagc 6. SECTION Il - WHO IS AN INSURi~D is hereby deleted and replaced with the following. The term "insured" as used heroin mcaus the entity stated in thc Declarations as the Named Insured and, except as excluded by endorsements to this policy: a. A govemmcntal agency Or sub[l!vision, department, municipal body, bo~'d or commission, or not-for-profit coq~orstion whmh is owned and controlled by you. b. An individual while acting in the capacity' as a director, officer, trustee, employee or staff member, but solely while acting within ihe scope o£their employment by you. c. A volunteer, but solely while acting within the scop~ of such dmies and at your direction. A paramedic or emergency medical teqhnician, but solely while acting within Ihc course and scope of your employment or while acting as your volunteer and at your direction while providing emergency health care serviceq. e. Visiting.~d schoolnurses, but solely while acting within the scope and course of your.~-~ ~ ~-~ employment. f. An elected or appoinied official or a member of any board or commission or agency ofyour~ but solely while acting within the scope 0f their duties as such. g. A partnership or joinl venture, including those arising out of a mutual aid, joint powers agreement or similar a.n'angement, but only with respect to the conduct of your business and only to the extent of your participation or interest. h. 911 Dispatchers, but only if employed by you, and solely while acting within the scope of their employment by you. i. Any person or organization required to be ~n insured under a written "insured conn'act", but only as respects your operations, "your work" or facilities owned or used by you. Such written "insured contract" must be cxecmed prior to the "bodily injury", "property damage'', "personal injury" or "advertising injury".. However, with the exception of the activitie~ of paramedics, emergency medical technicians, visith~g or school nurses or 911 dispatchers, ~o employ~ or voltmleer will be considered an in~Jred for any claim arising out of providing or falling to provide professional health care services. Anyin~u~-~,~ afforded by this section of the policy shall be excess of any other~' valid and collectible insurance. 2. With respect to "mobile equipment" registered in your name trader any motor vehicle registration law, any person is an insured while driving such equipment along a public highway with your permission Any other person or organization responsible for the conduct NIF 1111 0399 Page 3 of 5 of such person is also an insured, but only with respect to liability arising out of thc operation of the equipment, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect tO: ; a. "Bodily injury" to a co-employee ofthe person driving the equipment; or b. "Property damage" to property owned by you, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision. 3. Any orgamzatio, you newly acquire or fotln, other than a patlnership or joint venture, over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a, Coverage under this provision is afforded rally until the 90th day after you acquire or form the organization or, thc end ofthe policy period, whichever is earlier; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal injury" or "advertising injury" arising out of an offense conunitted before you acquired or formed the organization. 4. This insurance does not apply to any "bodily injury", "property damage", "personal injury" or "advertising injury" arising out of your police, law enforcement department or any other law enforcement agency o£ any insured including their agents, volunteers or employees, Page 9. Premium Audit is hereby deleted and replaced with the following. a. We will compute all premiums for this Coverage Part in accordance with our roles and rates. b. If the pre~mi_um~ ~o_~wn in this Coverage Part is indicated as an advance premium, it is a-- ~.~. deposit premium only. At the close of each audit period we will compute the earned premium for that period. Audit premiums are due and payable on notice to the first Named Insured. Iftbe sum of the advance and audit premiums paid for the policy period is greater than the earned premium we will retura the excess to the first Named Insured. c. If thc pt,~nium shown in this Coverage Pm is indicated ns "flat" or "non-adjustable", no audit will be necessary. However, we reserve the right to inspect the insured's records. d. The fu, st Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. Representations Add the following after subsection c. When this insurance applies in excess of a self-insured retention, you further agree: d. That you qualify as a self-insurer in your ~tate of domicile. NIF 1111 0399 Page 4 ors That you comply with all state requ rements of being such self-insurer. That this policy docs not apply to any ass~essments you may incur because of any statutory requirement ofy~ur self-insured retention,. ~- ~- CONDITION 10. Waiver of Governmental Immunity, is added to the policy. We reserve thc right, both in thc adjustmeni of claims and in thc defense o£"suits" against the insured, to either waive or apply, any govenunental immunity that may be available to the insured. Waiver of immunity as a defense will not subject us to liability for any portion ora claim or jedgemcut in excess of the applicable limit of insurance. CONDITION 1 I. When We Do Not Renew, is amended by substituting "60" for "30" days. DEFINITION 3. is hereby deleted and replaced with the following. "Bodily Injury" means bodily injury, sickness, disease, disabilityo'sho~k, mental anguish, mental injury and humiliation sustained by a person, including death resulting fi'om any of these at any time. Page 10. The definitions of"employee", "executive officer'' and "leased worker" are deleted fi'om the policy. Page I 1. Add the following to the definition of "personal injury". £. False or improper service of process. g. Violation-of"~ riffhts". h. Discrimination. i. Violation of the Federal Civil Rights Act 0t' 1872, or 42 U.S.C. 1983 and similar laws. Add the following definition of"propcrly rights" to the policy. "Property rights" means tights granted under any ordinance or law regulating Zoning, construction, use or repair of any real property only when arising out of or irs any way connected with the principles of eminent domain, condanmation and inverse condemnation. These rights do not include any rights m retired of taxes, fees, assessments or similar payments. : N'IF 1111 0399 Page 5 of 5 PUBLIC ENTITY AMEND, ATORY ENDORSEMENT BUSINESS AUTO COVERAGE FORM This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM WHO IS AN INSURED, subsection b., is amended to include: (6) Your volunteers if the covered "auto" is owned by that volunteer or a member of his or her household, but solely while acting within the scope of their duties and at your direction. Subsection c. is hereby added to the policy. A governmental agency or subdivision, department, municipal body or not-for-profit corporation which is owned and contracted by you, for any covered "auto". COVERAI3E EXTENSIONS Supplementary Payments item (2) is amended by substituting "$1,000" for "$250", and item (4) is amended by substituting "$250" for "$100". PHYSICAL DAMAGE COVERAGE item 4., Coverage Extension, is amended by substituting "$25" for "$15". PREMIUM AUDIT paragraph a., is amended as follows: The premium for this Coverage Form is based on the exposures yon told us you would have when this policy began. Unless otherwise indicated, the premium for this Coverage Part is non-adjustable, and not subjevt to audit. However, we reserve the right to inspect your records. DEFINITIONS. Add definition E., "Garage Operations" shall include repair, service or maintenance of"autos" on your premises provided that such repair, service or maintenance is conducted ns3yartarfand is limited solely ~o a teaching or educational course of study. McMANN PRICE AGENCY, INC. C enera£ Insurance 828 ff:ront Street * ~0 ~Bo.E 2065 ~reenport, New ~[orfL 11944 ti'el: (631) 477 -.t6SO (Fail: (631) 47Z-8950 12/10/1999 Town of Southold P.O. Box 1179 Southold, NY 11944 Attention: John Cushman Re: Insurance Proposals Dear John, We are pleased to provide two proposals for the Town of Southold's insurance needs. Enclosed are quotes from the New York State Municipal Insurance Reciprocal and North Island Facilities Governmental Services Inc. with Redland Insurance Co. as the insurers for the Towns consideration. Please review the enclosed and advise of any questions, additional infornmtion needed and if a meeting to discuss any specifics is desired. We appreciate the opporttmity to submit our proposals. Sincerely, herepowicw spd Section Summary Quotation NEW YORK MLTNICIPAL INSURANCE RECIPROCAL PRE MIUM QUOTATION (To be submitted in duplicate) Property Liability Automobile Umbrella Inland Marine Crime Police Professional Boat Boiler & Machinery Public Officials E&O Quotation Amount 12.848. 61,321. 95,073. 49~266. 7,018. 1,673. 28~242. 9,779. 2~170. 19~318. Total Premiu~_m -~_--- Capital Contribution Section II Detailed Information $286,708. 16,454. 1st 5 years as asset cost. Buildings and Contents and Extra Expense with Special Form Coverage Deductibles -- Please show annual cost for deductibles shown below: $1,000 __A_~7~.8.A~$5,000 $10,000 Carrier: NYM~R Policy Period: 0!/(51/2000 - 01/01/2001 Premium Payment Plan: Armual - Ouarterlv installments availah]e with no Service Fee Comments; ~e mi'f'~'hrn~nt' nF AH~l'i~"inn~l C, nvPr~.~pM 5 NEW YORK MUNICIPAL INSURANCE RECIPROCAL IJUILDING AND PERSONAL PROPERTY: Limit: $8,177,069 Coverage: Blanket Valt*ation: Replacement Cost Deductible: $ ! ,000 Cause of Loss Form: Special hmluding Theft Coinsurance: 90% Agreed Amount: Yes Building and Personal $12,848 Bmimm~income: ....... Extra Expense Limit: $100,000' Other, Limit: Loss of Income: ~p~ (if Form: Blanket Business Income Premium: Included *Unless Indicated otherwise Municipality:_ Town or Southold NEW YORK MUNICIPAL INSURANCE RECIPROCAL Boiler 'IONAL QUOTE tnd M nchinery~_ C ove~rn~e: REHEN$1VK COVERAGE (INCLUDING PRODUCTION RQUIPMENT) - Coverage included Vessels, Piping, Air Conditioning and Ret'rigcratlou equipment, Machinery and Electrical equipment production, process and maintenance machinery. COM Boiler inclU.._.~d Loc,, on(s) Limi per Accident Ded~ :tible Rcp_t i or Replacement Ordl sncc or Law Haz; dous Substances Exp tiring Expense Limit Ne,~ ,, Acquired Locutions Con .'quest!al Damage Limit Los~ ~f Income / Extra Expeuse Per Statement of Values Blanket Lhnit Per Property Deductible Included $500,000 h~luded $100,000 $100,-000~er-L.t~./Per Occur. ImM Ammal Premium: Municipality: Town of Southg!d NEW YORK MUNICIPAL INSURANCE RECIPROCAL $CH :DULE OF ADDITIONAL BUILDING AND PERSONAL PROPERTY OVERAGES Tliis coverage part provides only those additional coverages for which an amouot or the word "IN( .UDED" is ~mwnfor_the 'Limit of Insurance" column below. If the words "NOT COVERED" are sho~ . for the "Limit of Insurance" column, the additional coverage does not apply. ~ ·: The?d_djtional building and persmml property coverages and loss conditions in thc coverage part of the cont, ct w~iJ[ffe~rmine how the limits of insurance apply.. .... ~ ..... ADDITIONAL COVERAGE LIMIT OF INSURANCE Ordinance of Law/Demolition/Increased Cost or' Construction $250,000 Debris Removal INCLUDED Pollutant Clean Up and Removal $10,000 Preservatioo of P, ruperty ........ INC_LUDED Fire Depa~ment Service Char. g, es $7,500 Newly Acquired Propcw/(Conlbincd Real & Porto,mi Prop¢,ty) $1 Exlra Expense (per LocatJolt) $100~000 Glass (Subject Io coveted cause~ of loss and file policy dcducGble) INCLUDED Lawos, Trees, Slit-ubs, and Plants $2,500 Rccharging~ .... INCLUDED Exterior Signs $5,b00 Pdbest~s-Clean Up $50,0~0 inflation Endorsement INCLUDED Personal Effects $5,000 Yaluahle Papers $25,000 A¢coums Receivable $25,000 Money and Securities $5,000 Commandeered Property (Real & Personal Property) $100,000 Unsc. heduled Personal Prope!'!y .... $10,000 Flond (R~ & Personal Property) $1.000,000 Munleilmlity: Towq.of Southoid Section II Detailed Information (continued) Boile~r ~nd Machinery Annual Cost $ Deductible ~ 1,000 Carrier: ~ Policy Period: 01/01/2000 - 01/01/2001 Premium Payment Plan: Same as Part A Comments: 9eductible - $1,000. 2.170. Included in nrooertv Form - A/C, Refrigeration, Marh~nmry & Electric Fquip. incl. Valuable Papers Deductible $1.000 Carrier: I'A'I~R Annual Cost $ Included PolicyPed(zd: 01/01/2000 - 01/01/2001 Premium Payment Plan: Same as Part A Comments: Limit - $25,000. Included in Property Form Comprehensive General Liability Annual Cost $ 61 ;32'1. Deductibles -- Please show annual cost for deductibles shown below: $0 61,321. $5,000 53,165. $10,000 49,363. RafillgBaSls.~ Budget Carrier: 1',TYleR Premium Payment Plan: Same as Part A Is policy auditable? No Comments: Emoloyee Benefits deductible - $1,000. Limited Pollution liability included. Automobile Insurance Annual Cost $ Rate per vehicle Varies - 137 vehlcles Carrier: NY~R Policy Period: 01/01/2000 - 01/01/2001 q5~073 Premium Payment Plan: Comments: Same as Part A Inland Marine Floater Deductible $1,000 Carrier: NYMIR Annual Cost $ 7,018 Policy Period: 01/01/2000 - 01/01/2001 Prel'/IR]nl Payment Plan: At. ual -~ ~ Comments: Vehicles in this section under 10 years old are settled on Replacement Cost basis at time of loss. SEE ATTACHED 6 Au~ CO1 ED NEW YORK MUNICIPAL INSURANCE RECIPROCAL overage Llnlt Deductible Physical Damage* $1,283,444 $1,000 factor's Equipment $2,569,! 15 $1,000 $826,000 Sl,000 TOTAL PREMIUM- - ~7,018 *Cow Polky, · Le o e The a appli¢ · age for Au~mobile i"hysl~l Dnmnge has been extended to cover enrthqunke nod flood. ri.~ Removal {ed / Rented Eq.__uip~me~m_t /ly Acquired Equipment ta| Reimbursement ution Clean-lip Expense $ 25,000 Limit per policy year $100,000 Limit per occurrence $250,000 Limit per item $ 500 Limit per dayl$5,000 Limit per policy year $ 5,000 Limit per policy year $ 50,000 Llmi~ per occun*cncc eve is a summary of coverage limits only. Refer to time policy for complete terms, conditions and )1c ~.~lU'~'I~s of coverage. ~-- ---- Munldpality: Town of ~outhold Section II Detailed Information (continued) Umbrella Liability $10,000,000 Limit Rating Basis: Carrier: Policy Period: Annual Cost $ 01/0]/2.000 - O1/01/2001 49,266 Premium Payment Plan: Same a~ Pa~'t, A Confirm Underlying Policies: All with NYMIR except Boat Liability Comments: Police Professional Liability Premium: 28,24~ Deductible: 25 ~000 Carrier: I~PfMIR Policy Pedod: 01/01/2000 - 01/01/2001 Defense costs included or excluded from limit of liability: Comments: ..... Annual Cost $ 28,242 Excluded Public Employee Blanket Bond and Crime Annual Cost $ Premium: [.673. Carder: NYMIR Policy Pedod: 01/01/2000 - 01/01/2001 Comments: SF.g AT1ACH~D 1,673 Hull Coverage Annual Cost $ 9,779 Premium: q. 77q Deductible on H~II: Varies Policy-Pedod~-~ 01/01/2000 - 01/01/2001 · Comments: R~,nmw ~.cnzprm o-c, Public Official Annual Cost $ Premium: 19.318 Deductible: 10,000 Poli_c~ Period: . 01/01[g000 - 01/01/2001 Defen~e~c~s~s included or excluded from limit of liability: Comments: 19.318 Excluded Employmen~ Practices Liability included. 7 Comp Bl~nk~ ForBe~ NEW YORK MUNICIPAL INSURANCE RECIPROCAL ~y: Kemper Insurance Company Dishonesty: ductihlc: $ 250 ',' or Alteration: xluctible: ..... $ 250 PREMIUM $ i,673 $ lnclmicd~ The/T, )isapp~arance and Destruction (money & sccm'itics) Limi' [midc Premises -C tside Premises Dedt tible Peak :eason Limit $45,000 $ 5,000 $ lncludcd $ $ Execs Ind~mni~: 1. Su .-rvisor $475,000 2. Dt . Supervisor $475~000 3. Ta Collector 4, Tc ,n Clerk 5. Town Justice (2) $75,000 Each 6. Treasurer $ 7..lustice $ 8. Supt. of Hgwy. $ _ Municipality:__ '['OWll of SOuthold Section III Comments and Certification COMMENTS Certification: Date: 12/10/99 M~Y~mnn I~'ice A~_ency. [nc. Name of Agent/Broker P.O. Box 2065, 828 Front Street Street or P.O. Box Greenport~ NY 11944 City, State, and Zip Joseph Cherepowich ~e of .~e/son ,~l~/~ting Quotat~n Vice President Title 8