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Citi- of Decatur <br /> Client Authorization to Bind Coverage <br /> After careful consideration of Gallagher's proposal dated August 2014, City of Decatur accepts the following <br /> coverage(s). <br /> Please check the desired coverage(s). <br /> h � <br /> Tccer Reject Public Enti Packa a Munich Re <br /> 7Re'ect Excess Liabilit Munich Re <br /> e t Re'ect Excess Prope Travelers <br /> cc <br /> t Re'ect_V_ Crime Travelers <br /> cce t Reject Boiler&Machinery ' Chubb <br /> Accept Reject Excess Workers Compensation—Option I Liberty Mutual <br /> $500,000 SIR <br /> Excess Workers Compensation—Option II Liberty Mutual <br /> $750,000 SIR <br /> Acce t Re'ectBind TRIA Tenorism Coverage Act as quoted <br /> LJ Yes No Line of Coverage <br /> Description <br /> Yes No Line of Coverage <br /> Description <br /> The above coverage may not necessarily represent the entirety of available insurance products. If you are interested in <br /> pursuing additional coverages other than those addressed in the coverage considerations included in this proposal, <br /> please list below: <br /> It is understood this proposal provides only a summary of the details;the policies will contain the actual coverages. <br /> City of Decatur confirms the values, schedules,and other data contained in the proposal are from our records and <br /> acknowledge it is our responsibility to see that they are maintained accurately. <br /> We agree that your liability to us arising from your negligent acts or omissions,whether related to the insurance or <br /> surety placed pursuant to these binding instructions or not,shall not exceed$20 million, in the aggregate. Further, <br /> without limiting the foregoing,we agree that in the event you breach your obligations,you shall only be liable for <br /> actual damages we incur and that you shall not be liable for any indirect,consequential or punitive damages. <br /> DCN DMS PKG/XSWC/XSPro(DECATUR-02)38 38 <br />