HomeMy WebLinkAboutContracts & Agreements_122-2015_CCv0001.pdf InternatiHUB International Insurance Services Inc.
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470 E. Highland Ave., Redlands,CA 92373-0007
Tel(909)793-2373 •Lic. No.0757776
June 1, 2015
City of Redlands
P.O. Box 3005
Redlands CA 92373
Re: Renewal of the City's Excess Public Entity Liability Insurance
Dear Sirs:
We are pleased to present the renewal quotation from Argonaut Insurance Company for the
City's Excess Public Entity Liability Insurance. Terms are $239,873 premium and fees for
$10,000,000 per occurrence/$30,000,000 Aggregate Limit subject to Retained Limit of
$1,000,000. Hub International Insurance Services Inc is hereby authorized to bind and renew
coverage.
Sine 0y,
Peter M Davis
Account Executive
HUB International Insurance Services Inc
Authorization:
'j�J; f r�i�"rel '( / A_16-1 S
Mayor Pro Tem Date
Attest:
C i 6-16-15
City Cler1r Date
REQUEST TO BIND INSURANCE COVERAGE
In accordance with the insurance proposal,
City of Redlands
has accepted coverage with Argonaut Insurance Company
POLICY EFFECTIVE:
July 1, 2015 to July 1, 2016
COVERAGE
GENERAL LIABILITY
EMPLOYEE BENEFITS LIABILITY
PUBLIC OFFICIALS LIABILTY
EMPLOYMENT PRACTICES LIABILITY
AUTOMOBILE LIABILITY
LAW ENFORCEMENT LIABILITY
TERRORISM (Optional) Yes No
Please check 'Yes' or 'No' for the terrorism coverage option and complete the
"Acceptance or Rejection of Terrorism.
AGENT'S SIGNATURE DATE
��kL 6-16-15
CL, T'S SIGNATURE- Jon Harrison, Mayor Pro Tem DATE
ATTEST G/
Sam i , City Clerk
s
POLICYHOLDER DISCLOSURE
NOTICEOF R • RCOVERAGE
You are hereby notified that under the Terrorism Risk Insurance Act, as amended, that you
have a right to purchase insurance coverage for losses resulting from acts of terrorism, as
defined in Section 102(1) of the Act: The term "act of terrorism" means any act that is
certified by the Secretary of the Treasury—in concurrence with the Secretary of State, and
the Attorney General of the United States—to be an act of terrorism; to be a violent act or an
act that is dangerous to human life, property, or infrastructure; to have resulted in damage
within the United States, or outside the United States in the case of certain air carriers or
vessels or the premises of a United States mission; and to have been committed by an
individual or individuals as part of an effort to coerce the civilian population of the United
States or to influence the policy or affect the conduct of the United States Government by
coercion.
NOTE:
YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR
LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM, SUCH LOSSES MAY
BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A
FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY
CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS
EXCLUSION for nuclear events. UNDER THE FORMULA, THE UNITED STATES
GOVERNMENT GENERALLY REIMBURSES 85% OF COVERED TERRORISM LOSSES
EXCEEDING THE. STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE
INSURANCE COMPANY PROVIDING THE COVERAGE. THE PREMIUM CHARGED FOR
THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES
FOR THE PORTION OF LOSS THAT MAY BE COVERED BY THE FEDERAL
GOVERNMENT UNDER THE ACT.
YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS
AMENDED, CONTAINS A $100 BILLION CAP THAT LIMITS U.S. GOVERNMENT
REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING
FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN
ANY ONE CALENDAR YEAR EXCEEDS $100 BILLION. IF THE AGGREGATE INSURED
LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE
REDUCED.
.,
x
t m;�
I hereby elect to purchase terrorism coverage for a prospective premium of
$1,521.
1 hereby decline to purchase terrorism coverage for certified acts of terrorism. I
understand that I will have no coverage for losses resulting from certified acts of
terrorism.
ACCEPTANCE OR REJECTION OF TERRORISM — CHECK ONE
Flicyholder/Applicant's Signature
Jon Harrison, Mayor Pro Tem. City of Redlands
Print Name
6-16-15
Date
41 "11,i.,