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City Of Decatur <br /> Program Details (Cont.) <br /> Other Significant Terms and Conditions/Restrictions: <br /> � - - • <br /> Premium is minimum&deposit. Loss Fund is fully earned at Inception. Premium is payable in two equal <br /> installments due 10/1/2016 and 4/1/2017. <br /> Total Package Premium,Surplus Lines Tax Rate, Surplus Lines Stamping Fee Rate and Fire Marshal Tax applies <br /> for Property, General Liability Including Automobile and Law Enforcement Liability, Employee Benefits Liability and <br /> Errors and Omissions coverages. <br /> Self Insured's—Proof Of Financial Responsibility;Automobile: <br /> When an entity is self-insuring for limits that meet or exceed a state's Financial Responsibility requirements, there <br /> are various ways they can meet the proof of insurance requirements. In some states,the DMV(Department of <br /> Motor Vehicles)issues an Automobile ID card to the self-insurer showing the self-insurer as the carrier and their <br /> assigned self-insurance number as the policy number. In others,the self-insurer receives a memorandum of self- <br /> insurance that they carry in their vehicles as proof of insurance. <br /> Therefore,the excess insurance carrier providing insurance above the Financial Responsibility requirements, should <br /> not be evidenced on the Automobile ID card. All producers and brokers placing business for an entity that is self- <br /> insuring for limits that meet or exceed a state's Financial Responsibility requirements should not issue Automobile <br /> ID cards showing <br /> the excess insurance carrier. <br /> An entity that is self-insuring for limits that meet or exceed a state's Financial Responsibility requirements, including <br /> one that is exempt from the FR requirements, needs to contact their Department of Motor Vehicles for guidance on <br /> handling the proof of insurance requirements. <br /> Premium INCLUDED <br /> Taxes INCLUDED <br /> Fees INCLUDED <br /> ESTIMATED PROGRAM COST INCLUDED <br /> Minimum Premium- 100.00% <br /> TRIA/TRIPRA PREMIUM INCLUDED <br /> (+Additional Surcharges, Taxes and Fees as applicable) <br /> Subject to Audit: Not Auditable <br /> Arthut J.Gallagher Risk Managemcnt Services,[nc. <br /> 20 <br />