HomeMy WebLinkAboutContracts & Agreements_208-2015_CCv0001.pdf AA4/liant
BIND ORDER / BIND COVERAGE REQUEST FORM
Binding of the coverage option(s) may be requested by completing and returning this
form to your designated Alliant Service Team no later than 11/03/2015.
This proposal does not constitute a binder of insurance. Binding is subject to final
carrier approval. The Actual terms and conditions of the policy will prevail.
Coverage Total •
® Property including Earth Movement & Flood $384,015.46*
Lexington Insurance Company
$214,562,150 TIV
$200,000,000 Per Occurrence Limit Subjected Sub-Limits
Add Optional TRIA - Property $11,520.22*
® Vehicle Physical Damage $5,160.00*
Lexington Insurance
$4,707,980 Per Occurrence Limit Subjected to
$800,000 Maximum Any One Vehicle
$25,000 Per Occurrence Deductible
Actual Cash Value Valuation
❑ Add Optional TRIA - VPD $154.80*
*Including Surplus Lines Taxes & Fees
/ -�J
Signature of Mayor, Paul W. Foster D e
City of Redlands
Attest:
/ a AS
Signature o City Clerk, Sam Irwin Date
City of Redlands
Alhant Insurance Services, Inc.
CA License No. OC36861
www.alliant.com
Date Prepared: 10/29/2015