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Proposal of Insurance for: <br /> Client Authorization o Bind Coverage <br /> After careful consideration of Gallagher's proposal dated August 31,2011, City of Decatur accepts your insurance <br /> program subject to the following exceptions/changes: <br /> Please bind all policies as checked below: <br /> ® Public Entity Package—Munich ® Crime <br /> ® Excess Property © Boiler&Machinery <br /> ® Excess Liability ® Excess Workers Compensation <br /> ❑ Option I—Safety National—$750,000 <br /> Option 11—Liability—$200,000 <br /> ❑ Option III—Liability—$400,000 <br /> ® Bind TRIA Terrorism coverage as quoted except for the following policies: <br /> Public Entity Package — Munich RE, Excess Property — Travelers, <br /> Excess Liability, Crime, Boiler & Machinery <br /> ❑ Provide quotations or additional information on the following coverages from the Coverages for Consideration <br /> page of this proposal. <br /> ❑ Provide an electronic copy in lieu of paper policy(ies). <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 /> Clien ignature <br /> g20aoII <br /> Dated <br /> y Arthur J.Gallagher Risk Management Services,Inc. <br /> DCN DMS 9/1/11 49 49 <br />