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Item S04 ROARD O}" COtJ\TY ('01\.1 M ISSI01\[RS ..\G[~.L),.\ ITE" SU\.ll\.lARY \kClin~ Dme: <';~rnt:'mbl.;r ::: 1. ~n05 Di\i~il1n~ Count..- Attorne\ Bllillt~t1l: YeS X );"0 lkpartHlCll1 : ~4D"!.inistrat [n::: Scrvk0....Risk~.1an;.I~em_~m A(~E~DA rr[J\.l \\'ORIH1\G: Aprroval to accerl proposallrom Tile l-"lorida \--1unicip~.1i I t1_mrance Ims! .\g.rc~mt:'nt ~_~R{) al an rr('J\ilLUll of$2()~.758 ill he pLlid in y'ui1n~r inslaHllleflls of ~73.-1-+0_ ITEM RACKCROLNIl: Thi:'i program p['~)\jdc~ $5.000.0DO c'\c<:% liabillty inSUnllll:I:' OHT the C~lunly-s ~ I.OO.OUO Sdf-ln~un:d Retention 1l,r (jL'nL'raL Puhlie OnLciab and ALLwmohik Liability Clatm~, A]<;.o pw\.jdc:-; iltLW rhysica l dam3~c cmd i\mr.ul,l t1~C .-\tt~ndanh 1',.biical \bipr;Jct iet: C' 0 \.~ f a~c:. PREVIors REVELA~T Hoce A<":T10~: A~~Ti.rdcd bid l(~ rJorida LC<.iguc ofCitii..":"s. Inc. t~1r 2D04- ~\l(.I.5 at ~m annual premium urs~:;s_.:; lO. co:\I R;\CI/,\GRE[:\l[:"OT CHA:"liGES: Th~ lllta] incr~~a";L" i<; $..110;.248, Tht~ rcprL"s;':;Ell~ U ] 5<)'0 illC rca<;~' 0 \ CT tho.:: ~O()4'~()j).5 pr<:,miLLIn_ The m:w n:m_'\\al Jates <ire l 0.' I .'()S-q/~O '06_ STAFF RFCOr\11\1 FI\I)A'rlO;,,\S: Appro\3L TOTAL COST: S~9.1,75H III I DG FTFI>: \' C~ ----.X..... :-\(1 COST TO COl.'YI'Y: $293"'58 SOCRcr OF Hi '\IUS~ ~r][llllrih. ad \.aloP-.UJ1 REV[:\L r PRODl.!Cl :\G: Y~.s ;\0 X AMOL!'ll' PFH: .\10~TH Yl'ar ..-\ ]tl~ROVI: I) BY: COUllty ,\tty __ OI\1B....Pur..:nasin8 _..__ Risk ~.lanagC"mcnt DlvrSIO:\: UIRl.CrOR APPROVAL: " "- (' J t', '- 'v .. . / . ,I C '",----...;2-l.(_ '-._L...,,~.. (lr ( ~ I 0 \ j . -- ------ I ]OH1'\ R_ COI.I.l'\S nOCU\..1 r~ 1AII01': Induded X .1 () J-"ullo\\ \Jot R~l)llired IllSPOSIT 10;\; A(~E~DA ITEf\..1 # f{..:-" j~.:-d .: 27 01 \JO~ROL CUl:\ l"Y HOARD 01- CUl.:~ I y CO\.l\.l]SSIO~LRS CO\ [RACT Sl '\1!'vlARY Contract wilh: Fi\..H T 4:186 CnntraL"t # F.jTeLtive DalL~ 10'" 1 /2005 i :Xpil'Jl ion [)ate: 9i_m.' 2006 COnlra~t Pur po s.l'/D cscr Jpl ion: G(~n<:r(lJ. l..i~bU ~tll!)~l~~e I{~n<:,\\"al. - - ---------- -- - ------- { '01l1 riH:l r\.l~lI1ager: Maria T.. S]a ...ik . . - ---.-- (~ank') 3178- (Lxt.) Adm ltl l~HJti w SC'r\"icr:~ i:I 1 (1 )~rartmellt.'Stor ;i) ttlf HO( 'C mecling l)t1 (Yj.2] -~O{)5 Agemb Deadline: 09-(j6-200.5 CONTRACT COSTS .l Dtal J)() llar Value of C ontr,H,:C S :VL 75R Current Y e~lr I'onion: ']; Budgeted.,' Y csrsJ :\u C ,'\~'cl~lmi(\ldC"s: s.m-mi5Q2.S.}!)"~.i~)' _ _.__ (Jrant; $ Count! \-lalch: S ADDJnO~AL COSTS Estimated Ong.oing Costs: $__.....~T rOL _. _ _ _._.._ ... (:'-.ut irl[ lud~'d in Llollar ~.alu!: ah..lVL) (~~_ t"ll aiTl tCTlall[~. uti I i. i~<;. jail iHlriat. s:l.bri.:~_ ~t[_) COf'.. TRACT RLV H: \'~. [htl: In Chan~(,:5 _ , Nt'<..'ded _ ~/ --- I - C:;.K~ ~ ,1S"\}fr ~.. .... l:<:J ~u[d ._ J:.~~~. J':,; ~ \~ '- Ye...O No,::] Date Out I )ivision Din,;("tor l\f..j, 'I' j ~ ,... t-~~ Ri~k \kmagCInenl '-. . ..> C'UUl1l;. Attorn~~ / - 'r -} . --":- J. ,~ " . -'7.. Y":50 No~. k-.~~t:1;{S~: ~Jd.iL.{..-i ,/..f:-.- ~ ,i ... 7Y-7 ~ ~ y L~D T\ oif~~L.0Y::.-~~ t.vt C~~'-.- I I 7..'( ,.>~. " .0_ (..L._ _ I . d/f,/~ () ,1'\""1.13, .Vurl'hasing ('t)mmcnlS: O\1R h,,'Hl ]{n-i.,~J ~~!.(ll \fCl> =~ Florida Municipal Insurance Trust (FMlT) First Installment Billing - 05/06 Fund Year ~EV\SED 08{15/2005 FMIT #0386 ATTN: Ms. Maria Slavik Monroe County Board of County Commissioners 502 Whitehead Streett Courthouse Annex! 3rd Floor Key We:5t, Fl 33040 Please make checks payable to: Florida Municipal Insurance Trost P.O. Box 1757 Tallahi:l55'l:!e, fL 32302.1757 General Workers' Total Liability Automobile Property Compensation( 1) G I'OSS Premium 5203,709,00 $12.0,633_00 SO.OO 50.00 S324,342.0G Im::enthle Credit S~15,524.00) S( 15..G60.00~ 50.00 50.00 S( 30, 531.0C;. Total Net Premium S 188,1135_00 $105.. 573-DO sO.OO SO-OO 5293,75S-0C 1st Installment S73..440.0C Total Due By lO/1llOO5 sn,440.00 PLEASE 'JOTE: PR[MIUM PAYM::f\T DUE BY OddJ~r 1, 2eOS '~I~JSC see re.'erse sije tGr a copy Df our Prem:um InsI<IlIrrent Plan <l"JQ ?enaltv Po !:c\i , ~ [~, K CO pv - ~I ~as('! ''''~I ,rn ',~'irh YOll'" pil\'n-,(mr ',','Hn f copy f-,~., '<,.r ,,=,':'.'.-(10 Florida Municipal Insurance Trust (FMIT) First InstaUment Billing - 05/06 Fund Year REViSED 08/15/2005 FMIT #0386 ATTN: Ms. Maria Slavik Please make checks payable to: Florida Municipilllnsurance Trust P.O. Box 1757 Tallahassee, FL 32302-1757 Monroe County Board of County Commissioners 502 Whiteh ead Street, Cou rthou ~e An nex, 3 rd Floor Key West,. FL 33040 General Workers' Total Liability Automobile Property Compen sation (1) Gross Premium $203,709,00 $12.0,533,00 $0.00 $0,00 $324,342.00 I nee ntive Creel it $( 15,524.00) $(lS,060.0D) $0.00 $0.00 $(30,5B4.00) T ot~1 Net Premium $18B,185,00 $.105t573,00 $0-00 $0.00 $293,758.00 1st Installment $73,440.00 Total Due By 10/1/2005 $73,440.00 PLEASE NOTE: PREMIUM PAYMENT DUE BY October 1, 2005 ;>le,3se see ~everSe sicle For a COOy Df our Premium I;istaUment Plan and Penalty Policy, PIN K COPY - Please return with your 1-'3yrnent WHITE COPY - For yot.:r record~ INTERISK C ORrOR A lION Cons Ulhlllls 1111 NClr1h w.:rtsMore Baul!!\lBm Suite 208 Tamp.., FL 336Q7-.Hl1 PtlOM (813) 287.1Q40 F !Ic;s~mjje (8131 287- ~ 04 , RiSk MI;U1Bgement E.mpJo yee B8"rIfltrls Au~t;!t 2". 200~ M. ~aria Slavt!l. RLI;I; MlIOI1gemenl Spc:dall~[ Monroe CQU1HY ~U2 Whi~e~d SI Km Wen_ Florida ]J040 Subject: ~~ill ofGenenLl and Vehicle: Llabilify lnsu'~: pur ~taI"j.il. ! fit n. ill teOC: lp! {If the I'i NIt lnltlLlhtlotA! Bilhllg from lhI: f10rida Lc:ague of Gu~ for the (0lIl11;>' ( :lOO5 t{~ (jel\oCra~ and Vehil::Je I.ilhlhty lnaurana: The Billing indica.ta:l all annual premium of 5324,342 thaI IEpTe"=nlod .. i~ QfS,SJ.'7'?2 (21,...) ~O" ,...b,u WD piIId f('JIf the 200410' pcl:i,,)" penad ThiB Incn::asc wa~ ~1evr-cd iii!; ""Ing u~l!: arull OO[lla<:tai lhe l..(agut: Ul an e/JQI'1 to Il~[e II ~er pmruUI11. B!,roll Beard ha~ ~ l.o lawer thepremllwn by SIS,S24lhat n:r;ulll in II ~tlI!d pmruwn of S29l,7SlI. Tl'1e m.'l sed premi lllll p-rodu.cn In CVCrallln.cn:a1l:: of S3ll, 248 [1 ~%) U1a1 II more ill Line with lbe I ~ \Ir'~ arc ~Ing Oil Qther a.cCQunl~ [1 jl'louLd al~ be r1~led thal1he projected payroll (whil:h is tM bll~i~ for lhe General Liability p~miumj for Ib(: 200'106 \5 proJe.::ltd IQ be: $4(),OO7S.'i6 c:oml)ilm1!.O S36~82.4113 ala( "'-a:~ proj I:'CtCCl for (he lOO4IU' ~h~ vW Thi:refore a portion (8 "t'~) of 1M Cl'I'ct1LIl ing'C8~ I ~ attribUlAbte 1.0 .n inl:reaIIe U1 payroll" L~li;~lM: [~numtlcr oh.erudn Eocreased try 5% IbU5 further reduClna lhe))\lft I"!Ile Incrul!;l: e'!,en flmheT. Ovelall. it i& nov,' t'cli~ tl1.lu ~ mCn:aioe In pllmium i~ irl H~ lIolth indtJ~r:-' rdMId.iI~. lam anachltlS a oop:.' of Byron Beanrtmtmo for ~'OOJ I"e1:'\Jrdl As 1l.~\o\Iil}'. p1ta&e do Ml hes.iUlte 10 clIlll! you hll~'<! il/l~' <tllef,llv~5 Corlhalh- , jNiER1SK CORPORA.nON // ;J I , . y . .-'-( Sid~' G Wli!bbeT CPCU, ARM ;:-e.d [t>~ f.!.~.:::'i t 8 ~dG~~SI~3lN[ Md I~:~e ~0~Z .t>z-~n~