Laserfiche WebLink
� •r' <br /> ' , � <br /> � c <br /> Crum & Forster <br /> Managers Corporation (1�1.) <br /> HOME OFFlCE • 200 SOU'il�i WACKER DRIVE • CE�CAGO,IWNO[S 60606 <br /> Tekp6ox:312-993-6300 Gbk:ISUC Tdex No.:25-4597 <br /> PROPOSALFOR <br /> PUBLIC OFFICIALS AND EMPLOYEES LIABILITY <br /> INSURANCE <br /> 1.a.Name of Public Entity CiTY (�F nR[�ATiTR <br /> b:Mailing Address One Gary K AndPr�nn Pla�� T�1-�r�,r ij, 6Z S23 <br /> Number Street Ciry State 2ip <br /> c.Date organized or incorporated i S 36 <br /> 2.Population,according to latest census_�.000 <br /> (If Public Entity is a utility, Number of users ) <br /> 3.Budget(for past 3 years): <br /> Year Revenues Expeditures Accumulated Surplus(+)or Deficit(-) <br /> 19 93 57,425,335 75 77 14 <br /> 19 92 58 174 350 71 283 243 <br /> �g 91 54,394,541 70 086 366 c <br /> 4.a.Number of inembers comprising governing board � <br /> b.Members are elected elected and/or appointed by <br /> c.Number of employees 660 <br /> d.Number of licensed or certified positions 3 attorrteys d accountants nl� architects and engineers <br /> 1 other (specify) �nti�t <br /> 5.Does the Public Entity administer the following units: iF Yes,INDICATE <br /> YES NO tTS BUDGET <br /> a.School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y <br /> b.Airport. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y <br /> c.Hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y <br /> d.Municipally owned utilities . . . . .Water % $17,338,076 <br /> e.Housing Authority. . . . . . . . . . . . . . . . . . . . . . . . . . . Y <br /> f.Transit Authority . . . . . . . . . . . . . . . . . . . . . . . . . . . . x N(7T TC) RF iN!'`T TTTIRD <br /> (K so and if coverage is requested for these units,please submit separate proposal.) <br /> 6.Does the Pubtic Entity cunently carry res r�o <br /> a.General Liability Insurance. . . . . . . . . . . . . . . . . . . . g <br /> b.Personal Injury Insurance . . . . . . . . . . . . . . . . . . . . g <br /> c.Coverage for Discrimination . . . . . . . . . . . . . . . . . . . g <br /> 7.a.Describe any special coverage,such as e�rors and omisisions insurance or public officiats liability insurance presently <br /> or p�eviously carried b the Public Entity. <br /> Company �terna�ional Ins. Co. Policy Term 5-5-93/94 <br /> Limit S1MM Deductible_.�10-nnn Premium f,2� t�� <br /> b.Has any similar insurance on behalf of the Public Entity declined,cancelled, <br /> ornotrenewed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES g NO <br /> (if yes,indicate company,termination date and reasons for termination on last page.) <br /> c.Has any daim been presented to the current or past carrier? . . . . . . . . . . . . . . . . . . . . . . YES g NO <br /> K yes,detail on last page. <br /> �WB 302(Rw.10/85) <br /> can Afx1 f1 R f5-R61 <br />