Laserfiche WebLink
City Of Decatur pr��� Gallagher <br /> ;*CQRE3�Q. <br /> . f : ;� :�- . <br /> . . « <br /> , , Subject to Signed TRIA Selection Form and Signed Application are Required at Binding <br /> ! (Acord 60 US(2015/01) <br /> ; Subject to Receipt and Acceptable Underwriter Review of the Latest Dam Inspection ' <br /> Package , Report <br /> AIX Specialty Insurance Company Property-N/A <br /> , ' General Liability-Subject to Receipt of confirmation of the city's legal review of the <br /> , current harassment and abuse policies. <br /> Automobile-N/A <br /> ' Subject to complete vehicle schedule including values per vehicle. <br /> Excess Property <br /> Travelers Indemnity Company Subject to a copy of the completed primary policy for our review and acceptance within <br /> ' �, 60 days of the effective date of coverage <br /> Subject to Currently Signed and Dated Application <br /> , Subject to do You use any Software or Hardware that Has Been Officially Retired(I.E. ' <br /> Considered"End-of-Life")by the Manufacturer(E.G.Windows XP)?If Yes, Please <br /> Cyber Liability ; Provide Specifics(What is it?Is it Connected to the Network/Isolated?)and Timeframe <br /> ACE American Insurance Company I, for Retiring ' <br /> Subject to Confirmation of no Losses 30 Days from the Effective <br /> � I Subject to Provide the"Home State"as Defined in the Non-admitted and Reinsurance <br /> � Reform Act of 2010(NRRA)upon the Binding of This Placement. <br /> ', Excess Workers Compensation Subject to FEIN/UAIN <br /> ' Liberty Mutual Insurance Company , ' <br /> Subject to Currently valued first dollar, uncapped loss information for at least the past 5 <br /> ', years(prior to binding) <br /> ' Subject to Currently valued Carrier Loss Runs for at least the last 5 years(prior to <br /> Excess Liability binding) <br /> Hallmark Specialty Insurance � Subject to Completed and signed TRIA Acceptance or Rejection form (prior to binding) <br /> Company <br /> Subject to Quotation May not be Bound Without a Fully Executed Crc Brokerage <br /> ', Agreement <br /> ' Subject to If insured is located outside your resident state,we must receive a copy of <br /> your non-resident license prior to binding <br /> Subject To: <br /> -Prior to Binding: Receipt and UW Review of all Underlying Quotes <br /> , -A Signed Umbrella/Excess Acord 131 Application or Acord 63 Acknowledging Fraud ' <br /> Statement Within 30 Days of BindingE <br /> Excess Liability <br /> , Evanston Insurance Company ', -Signed Application, Including Supplemental Application if Submitted,Within 30 Days of ' <br /> , ' Binding <br /> ; -A Signed/Dated Copy of Terrorism Disclosure MKL TERR-4(01/08)is Required to Bind <br /> -We Require 5 Years of Currently Valued Insurance Company Loss Runs Confirming <br /> the Loss Information Previously Submitted Within 30 Days of Binding <br /> �.,s <br /> <`-��;:�:� <br /> „�-�����:� ....` <br /> ;.._.;,;��:,:,.. <br /> ���....:> ;, <br /> �:b..: <br /> ��.��:,..;���.:Y.,: <br /> � :.:���:. <br /> 51 �'�'" � ��� �~�.�.:; <br /> ��'� ;. <br /> �:< �$c. "V�'=�, <br /> _ : h <br /> __,. ,.. ,� . 'Y1��� <br />