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City Of Decatur Gallagher <br /> CORE369 <br /> Binding Requirements: <br /> rSubjectReceipt andAcceptable Underw riter Review of the Latest Dam Inspection Report <br /> Signed TRIA Selection Form and Signed Application are Required at Binding (Acord 60 US (2015/01) <br /> Subject to Receipt of Loss Runs Valued Within 60 Days of Inception. <br /> Subject to Confirmation no Material Change in Exposures from Current Application. <br /> Subiect to Confirmation Accumulated Surplus is Sufficient. <br /> Other Significant Terms and Conditions/Restrictions: <br /> 111.5% �Programs (10.0%Program Management &Underwriting + 1.5% Claims Management) <br /> Premium $267,589.00 <br /> $267,589.00 <br /> ESTIMATED PROGRAM COST (+applicable taxes&fees) <br /> Minimum And Deposit Premum <br /> TRIA/TRIPRA PREMIUM $1,784.00 <br /> (+Additional Surcharges, Taxes and Fees as applicable) <br /> Subject to Audit:WA <br /> 12 <br />