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City Of Decatur <br /> Client Authorization to Bind Coverage <br /> After careful consideration of Gallagher's proposal dated 9/8/2016,we accept the following coverage(s). Please <br /> check the desired coverage(s)and note any coverage amendments below: <br /> • • <br /> ❑Accept ❑Reject Package- Property AIX Specialty Insurance <br /> Company(Hanover Insurance <br /> ❑Accept ❑Reject TRIACoverage Companies) <br /> Package-General Liability <br /> ❑Accept ❑Reject Including Automobile and Law AIX Specialty Insurance <br /> Enforcement Liability Company(Hanover Insurance <br /> ❑Accept ❑Reject Companies) <br /> TRIA Coverage <br /> ❑Accept ❑Reject Package-Errors and Omissions AIX Specialty Insurance <br /> Company(Hanover Insurance <br /> ❑Accept ❑Reject TRIA Coverage Companies) <br /> ❑Accept ❑Reject Package-Employee Benefits AIX Specialty Insurance <br /> Liability Company(Hanover Insurance <br /> ❑Accept ❑Reject Companies) <br /> TRIA Coverage <br /> ❑Accept ❑Reject Excess Property Travelers Indemnity Company <br /> ❑Accept ❑Reject TRIA Coverage (The Travelers Companies, Inc.) <br /> ❑Accept ❑Reject Equipment Breakdown Federal Insurance Company <br /> (Chubb Group of Insurance <br /> ❑Accept ❑Reject TRIA Coverage Companies) <br /> ❑Accept ❑Reject Crime National Union Fire Insurance <br /> Company of Pittsburgh PA <br /> ❑Accept ❑Reject TRIA Coverage (American International Group, <br /> Inc) <br /> ❑Accept ❑Reject Cyber Liability Illinois Union Insurance <br /> ❑Accept ❑Reject TRIA Coverage Company(ACE Group) <br /> ❑Accept ❑Reject Excess Workers Compensation Liberty Mutual Insurance <br /> ❑Accept ❑Reject TRIA Coverage Company <br /> The above coverage may not necessarily represent the entirety of available insurance products. If you are interested ' <br /> in pursuing additional coverages other than those addressed in the coverage considerations included in this proposal, � <br /> please list below: � <br /> Arthur J.(:allagher Risk Managcment Scrvices,Inc. <br /> 50 <br />