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R26-064 RESOLUTION NO. R26-064 1 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF BOYNTON 2 BEACH, FLORIDA, RATIFYING THE APPROVAL OF THE RENEWAL OF 3 THE CITY'S INSURANCE POLICIES FOR POLLUTION COVERAGE 4 WITH CRUM & FORSTER SPECIALTY INSURANCE COMPANY 5 THROUGH INSURANCE BROKER, BROWN&BROWN, FOR THE POLICY 6 TERM BEGINNING APRIL 30, 2026,AND ENDING APRIL 30, 2029;AND 7 FOR ALL OTHER PURPOSES. 8 9 WHEREAS, Crum & Forster Specialty Insurance Company is the current insurance provider 10 for Pollution Coverage. Approval of this item will allow the City to continue coverage for another 11 3-year term in an amount not to exceed $67,424.00; and 12 WHEREAS, the City Commission, upon the recommendation of staff, has deemed it in the 13 best interests of the City's citizens and residents to ratify the approval of the renewal of the City's 14 insurance policies for Pollution Coverage with Crum & Forster Specialty Insurance Company 15 through Insurance Broker, Brown & Brown, for the policy term beginning April 30, 2026, and 16 ending April 30, 2029. 17 18 NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF BOYNTON 19 BEACH, FLORIDA, THAT: 20 SECTION 1. The foregoing "Whereas" clauses are hereby ratified and confirmed as 21 being true and correct and are hereby made a specific part of this Resolution upon adoption. 22 SECTION 2. The City Commission of the City of Boynton Beach, Florida, does hereby 23 ratify the approval of the renewal of the City's insurance policies for Pollution Coverage with Crum 24 & Forster Specialty Insurance Company through Insurance Broker, Brown & Brown, for the policy 25 term beginning April 30, 2026, and ending April 30, 2029, as further detailed in the Insurance 26 Proposal attached hereto as Exhibit A. 27 SECTION 3. The City Commission of the City of Boynton Beach, Florida, hereby ratifies 28 the execution of the Proposal by the City Manager. The City Manager is further authorized to 29 execute any ancillary documents as may be necessary to accomplish the purpose of this 30 Resolution. 31 SECTION 4. This Resolution shall take effect in accordance with the law. RESOLUTION NO. R26-064 32 PASSED AND ADOPTED this a day of ji 2026. 33 CITY OF BOYNTON BEACH, FLORIDA 34 YES NO 35 Mayor— Rebecca Shelton ✓ 36 37 Vice-Mayor—Thomas Turkin 38 39 Commissioner—Angela Cruz ✓ 40 41 Commissioner— Mack McCray ✓ 42 43 Commissioner—Aimee Kelley 44 45 VOTE1 46 ATTEST: - 47 49 Tammy Sta ione, CM R becca Shelton 50 Interim City Clerk Mayor 51 52 O�NT9N B`% APPROVED AS TO FORM: 53 ; . QORA1 0 1 Q7 . •. 1 (Corporate Sea .'off;�o`� t '•:y 1 • 1� • i 54 • 5y 55 V ` R7&-(5): O O /l�! Ai77i 56 1g2 '• Shawna G. Lamb 57 1k'y\ ••........t- (0 � City Attorney % Brown & Brown PUBLIC SECTOR Insurance Proposal April 30, 2026 to April 30, 2029 CITY OF BOYNTON BEACH ..414#44- 4.,..A ?p!4 a 4v.. iti- ln -► of �•- -rte- • 2 -' - - IIS. i lt, ;y'ti. I.,, City of Boynton Beach iii Brown & Brown Table of Contents Overview 1 The Agency of Brown & Brown, Public Sector An Introduction to Your Service Team Pollution Liability 2 Broker Recommendation/Premium Recapitulation 3 Notes of Importance Compensation Disclosures Guide to Best's Ratings Items Required Prior to Binding 4 Acceptance of Proposal — Premium Recapitulation Acknowledgment of Non-Admitted Carrier TRIA Form Signed Surplus Lines Form This proposal is intended to give a brief overview.higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown Our Story The Brown & Brown, Public Sector team is a highly-specialized unit of insurance advisors 100% trained to deliver industry-leading services to public entities in the State of Florida. Since 1992, we have continuously11‘ refined that specialization and enhanced our services, while becoming the largest public J" • •4 J . entity brokerage in Florida. Our team provides l Property & Casualty and Employee Benefits 6 _dor services to governments from Key West to the • Panhandle and represents more than 200 % clients. • We have built our reputation by empowering .� our governmental clients to outperform their `" industry peers, lower their cost of risk, and •,rk, , enhance their insurance programs - all while staying within their annual budgetary 1 constraints. Our team is committed to serve . � those who serve the public — and provide superior service to our clients, their staff, and their employees. • Dedicated service team working exclusively for Florida local governments in all capacities surrounding risk and human resources • Access to highly experienced public entity resources including Claims Team, Panel Counsel, Loss Control, Disaster Planning and Recovery, and Risk Management Specialists. • Only retail office in Florida 100% committed to Florida's public entities • Brown & Brown, Public Sector currently represents over 200 of Florida's governmental entities o 22 Counties o 70 Cities o 20 Public Airports o 7 Public School Districts o State of Florida This proposal is intended to give a brief overview.Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown An Introduction to Your Service Team Account Executives Matt Montgomery (386) 239-7245 Matt.Montgomery@bbrown.com Executive Vice President Michelle Martin, CIC (386) 239-4047 Michelle.Martin@bbrown.com Senior Vice President/Public Risk Advisor Stephen Scullian, CPCU, ARM (386) 239-7211 Stephen.Scullian@bbrown.com Senior Vice President/ Insurance Broker Justin Anselmo, CRIS (386) 239-8821 Justin.Anselmo@bbrown.com Senior Vice President/ Insurance Broker Tiffany Hill, GBDS Vice President/Client Services Leader (386) 281-6846 Tiffany.Hill@bbrown.com Michelle Perry Vice President/Business Development (386) 366-6378 Michelle.Perry@bbrown.com Robin Russell, ARM-P, CISR,CSRM (386)239-4044 Robin.Russell@bbrown.com Vice President/Account Executive Kyle Stoekel,ARM-P, CIC, CRM (386) 944-5805 Kyle.Stoekel@bbrown.com Public Risk Advisor Bill Wilson (386) 333-6058 Bill.Wilson@bbrown.com Public Risk Advisor Devyn Donley (386)239-4070 Devyn.Donley@bbrown.com Public Risk Advisor Ethan Reedy (386) 239-7264 Ethan.Reedy@bbrown.com Insurance Broker Victoria "Tori" Reedy (386)239-4043 Tori.Reedy@bbrown.com Executive Coordinator Service Representatives Emily Bailey (386) 333-6085 Emily.Bailey@bbrown.com Public Risk Specialist Melody Blake,ACSR (386)239-4050 Melody.Blake@bbrown.com Senior Public Risk Specialist Taylor Brodeur (386) 361-5225 Taylor.Brodeur@bbrown.com Public Risk Specialist Jessica Conway Public Risk& Claims Specialist (386) 333-6001 Jessica.Conway@bbrown.com Megan Feinberg (386) 281-6836 Megan.Feinberg@bbrown.com Public Risk Specialist Assistant Patricia "Trish" Jenkins,CPSR (386) 239-4042 Trish.Jenkins@bbrown.com Senior Public Risk Specialist Mallory Moretti (386) 800-1164 Mallory.Moretti@bbrown.com Public Risk& Claims Specialist Certificate Requests: 179.certificates@bbrown.com Claim Reporting: 179.claims@bbrown.com Our Service Team philosophy focuses on accountability at all levels of account management. Our goal is not simply to meet your service needs, but to exceed them. All the employees at Brown & Brown are dedicated to achieving this goal and distinguishing ourselves from the competition. This proposal is intended to give a brief overview.Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown Pollution Liability Term: April 30, 2026 to April 30, 2029 Company: Crum & Forster Specialty Insurance Company (Rated A+ XV by A.M. Best) Form: Claims Made Retroactive date: See Attached Schedule Coverage Limit Deductible Aggregate Limit $4,000,000 Onsite Cleanup Each Pollution Condition $1,000,000 $50,000 Third Party Pollution Liability Each Pollution Condition ( $1,000,000 Coverage Form & Endorsements include but not limited to: Form Description Form Number Environmental Package Policy Declarations EN0001-1014 Schedule of Forms and Endorsements EN0002-0211 Crum & Forster Specialty Insurance Company Signature Page CS07001-0121 Claims Reporting EN004-0921 Service of Process Clause EN0005-1014 Policyholder Disclosure Notice of Terrorism Insurance Coverage — Florida EN0006FL-0120 Deductible Schedule Endorsement EN0009-0211 Minimum Premium and Minimum Retained Premium EN0010-0211 Privacy Notice EN0011-1014 Common Provisions EN0020-0515 Third Party Pollution Liability Coverage Part EN0026-0611 Onsite Cleanup Coverage Part EN0027-0211 Emergency Response Hotline EN0050-0222 Notice of Loss EN0052-0222 Amended Waiver of Transfer of Rights of Recovery Against Others to Us EN0109-0211 (Blanket when specifically required in a written contract with the named insured) Primary and Non-Contributory Additional Insured with Waiver of Subrogation EN0118-0211 (Name: District Energy System, 200 NE 1st St., Boynton Beach, FL 33435) Exclusion — Communicable Disease EN0169-0320 Exclusion — PFAS EN0172-1020 Non-Owned Disposal Site Coverage Endorsement— Third Party with Sublimit EN0609-0323 (EachPolCon: $1,000,000;AggLimit: $1,000,000) Covered Locations Endorsement EN0615-0323 Coverage Restriction for Florida Above Ground Storage Tanks Pollution Legal Liability EN0644-0211 (EachPolCondLimit: $1,000,000; Aggregate Limit: $4,000,000; Deductible Amount: $50,000) Loading or Unloading of Watercraft and Automobiles at Covered Location(s) I EN0650-0515 Additional Insured — Designated Person or Organization (Blanket Wording: Blanket when specifically required in a written contract with the named EN0652-0211 insured) This proposal is intended to give a brief overview.Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown Pollution Liability Coverage Form & Endorsements include but not limited to (cont.): Form Description Form Number Amendment— Insuring Agreement — Third Party Pollution Liability EN0653-0517 Florida Changes — Cancellation and Nonrenewal EN0714-0921 U.S. Treasury Department's Office of Foreign Assets Control ("OFAC") IL P 001 01 04 Advisory Notice to Policyholders Requirements prior to binding: 1. Receipt and satisfactory review of the following prior to binding: a. Completed TRIA Form b. Completed Surplus Lines Form This proposal is intended to give a brief overview.Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. CityBoynton of Beach % Brown & Brown Pollution Liability SCHEDULE Covered"Location(s)": Retroactive Date(s): 1. 1 Million Gallon Water Tank- 2611 West Woolbright Road,Boynton $1M/$2M Limits 03/20/07; Beach,FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 03/20/01; 2. 3 Million Gallon Water Tank- 3600 Miner Road,Boynton Beach,FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 05/07/05; 3. City Hall- 100 East Boynton Beach Boulevard,Boynton Beach,FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/7/2005; 4. Civic Center-128 East Ocean Avenue,Boynton Beach, FL 51M/$4M Limits 04/30/18 S1M/$2M Limits 5. East Well Field Little League-300 West Woolbright Road,Boynton 3/20/2001; Beach,FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 6. East Water Treatment Plant- 1620 South Seacrest Boulevard, 3/20/1997;$1M/$4M Boynton Beach,FL Limits 04/30/18 $1M/$2M Limits 3/20/2007;$1M/$4M 7. Fire Station#2-2615 West Woolbright Road,Boynton Beach,FL Limits 04/30/18 $1M/$2M Limits 3/20/2001;$1M/$4M 8. Fire Station#3-3501 North Congress Avenue,Boynton Beach,FL limits 04/30/18 $1M/$2M Limits 5/7/2003; 9. Fire Station#4-1915 South Federal Highway,Boynton Beach,FL SIM/54M Limits 04/30/18 This proposal is intended to give a brief overview.Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown Pollution Liability 51M/$2M Limits 3/20/2001;$1M/54M 10. The Links of Boynton Beach- 8020 Jog Road, Boynton Beach, FL Limits 04/30/18 $1M/$2M Limits 11. Lift Station#509 -Quantum Park South - 5501 Parkridge Boulevard, 3/20/2007;$1M/S4M Boynton Beach, FL Limits 04/30/18 $1M/$2M Limits 12. Lift Station#510 -Quantum Park Central • 1155 Quantum Lakes 3/20/2007;$1M/S4M Boulevard, Boynton Beach, FL Limits 04/30/18 13. Master Lift Station#309 - 1900 North Seacrest Boulevard, Boynton $1M/$2M Limits 5/7/2003; Beach, FL S1M/$4M Limits 04/30/18 $1M/$2M Limits 3/20/2001;$1M/S4M 14. Master Lift Station#316-4901 Golf Road, Boynton Beach, FL Limits 04/30/18 15. Master Lift Station#317 - 1527 W Boynton Beach Boulevard, $1M/$2M Limits 5/7/2003; Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 3/20/2001;S1M/54M 16. Master Lift Station#319-8020 Lawrence Road, Boynton Beach, FL Limits 04/30/18 17. Master Lift Station#356- 705 East Boynton Beach Boulevard, $1M/$2M Limits 5/7/2003; Boynton Beach, FL(East End of W Boynton Beach Blvd) $1M/S4M Limits 04/30/18 SIM/52M Limits 18. Master Lift Station#801 - NW Corner of Lawrence Road&W 3/20/2001;S1M/$4M Boynton Beach Boulevard, Boynton Beach, FL Limits 04/30/18 $1M/$2M Limits 3/20/2001;$1M/S4M 19. Public Works Compound • 222 NE 9th Avenue, Boynton Beach, FL Limits 04/30/18 $1M/$2M Limits 20. Stormwater Station#415 • 550 Southwest 3rd Street, Boynton Beach, 3/20/2001;SIM/54M FL Limits 04/30/18 $1M/$2M Limits 21. West Water Treatment Plant - 5469 West Boynton Beach Boulevard, 3/20/1997;$1M/S4M Boynton Beach, FL Limits 04/30/18 $1M/$2M Limits 5/4/2009; 22. St.Andrews- 4600 North Ocean Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 S1M/$2M Limits 5/4/2009; 23. St.Andrews#2 -4512 North Ocean Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. CityBoynton of Beach % Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; 24. Briny Breezes-4802 North Ocean Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 25. Bellamar- 3951 North Ocean Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 26. Federal Highway North of Gateway Blvd. Potter Road. 500'East of entrance on South side., Boynton Beach,FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 27. North East corner of intersection of Lake Street and New Palm Drive (Behind Inlet Plaza)., Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 28. Yachtsmans Plaza 100' East of intersection of Shore Drive and North $1M/$2M Limits 5/4/2009; Federal Highway in Median, Boynton Beach,FL $1M/$4M Limits 04/30/18 29. Mariner's Way- East end of intersection of Northeast 12th Avenue $1M/$2M Limits 5/4/2009; and Willard Way, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 30. Half Moon Bay- 7050 South Federal Highway, Boynton Beach, FL $1M/$4M Limits 04/30/18 31. Boynton Isles- 100 yards North of intersection of Greenbriar Drive and Kepner Drive on West side. South of Sterling Village Complex, East of $1M/$2M Limits 5/4/2009; Federal Highway, Boynton Beach, FL $1M/$4M Limits 04/30/18 32. Colonial Club- Gate in hedge of East side of Federal Highway midway $1M/$2M Limits 5/4/2009; between North and South entrances, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 33. Tradewinds- 3895 North Federal Highway, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 34. Hypoluxo Point - 7580 South Federal Highway, Boynton Beach, FL $1M/$4M Limits 04/30/18 35. Yacht Club- 7362 North Federal Highway(Yacht Club Rentals), $1M/$2M Limits 5/4/2009; Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 36. Las Brisas - 7296 South Federal Highway, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 37. Point Overlook - 7200 East Oakridge Circle, Boynton Beach, FL $1M/$4M Limits 04/30/18 This proposal is intended to give a brief overview. Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown Pollution Liability 38. San Castle- Northwest corner of intersection of Mentone Road and $1M/$2M Limits 5/4/2009; Washington Avenue, Boynton Beach, FL $1M/$4M Limits 04/30/18 39. Bristol Springs - South of intersection of North Seacrest Boulevard and Hypoluxo Road - Access road 100' South behind the gas station on $1M/$2M Limits 5/4/2009; East side,Boynton Beach, FL $1M/$4M Limits 04/30/18 40. North Palm Drive midway Between Orange Street and Ocean Parkway on Northeast side of street., Boynton Beach,FL $1M/52M Limits 5/4/2009; $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 41. Pine Point Villas- 220 Bayview Avenue, Boynton Beach, FL S1M/$4M Limits 04/30/18 42. South Palm Drive - 20' East of intersection of South Palm Drive and $1M/$2M Limits 5/4/2009; North Seacrest Boulevard, Boynton Beach, FL, 51M/$4M Limits 04/30/18 43. 50' East of intersection of North Seacrest Boulevard and NE 26th Avenue on East side of Street., Boynton Beach, FL $1M/52M Limits 5/4/2009; $1M/54M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 44. NE 22nd Ave& NE 4th St.in median., Boynton Beach, FL $1M/$4M Limits 04/30/18 45. Four Seasons 100' North of intersection of Northeast 4th Street and $1M/52M Limits 5/4/2009; Northeast 16th Avenue on East side, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/52M Limits 5/4/2009; 46. Quadrille Villas-8207 Ambach Way, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/52M Limits 5/4/2009; 47. Hypoluxo-8004 US Highway 1, Boynton Beach, FL $1M/$4M Limits 04/30/18 48. Wilson Park Lift Station - North of Intersection of Northwest 3rd $1M/$2M Limits 5/4/2009; Street and Northwest 13th Avenue West side of field Boynton Beach, FL $1M/54M Limits 04/30/18 SIM/$2M Limits 5/4/2009; 49. 8150 N. Federal Highway, Boynton Beach, FL $1M/$4M Limits 04/30/18 50. 50' East of intersection of Northeast 4th Street and Northeast 16th $1M/52M Limits 5/4/2009; Avenue. Boynton Beach, FL $1M/S4M Limits 04/30/18 $1M/52M Limits 5/4/2009; 51. Storm Pump- 635 East Boynton Beach Boulevard, Boynton Beach, FL 51M/54M Limits 04/30/18 This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach % Brown & Brown Pollution Liability 52. Southwest 1st Avenue and Southwest 3rd Street on North side., $1M/$2M Limits 5/4/2009; Boynton Beach, FL $1M/$4M Limits 04/30/18 53. Southwest 3rd Street and Southwest 7th Avenue on West side., $1M/$2M Limits 5/4/2009; Boynton Beach, FL $1M/$4M Limits 04/30/18 54. Highpoint • South entrance to complex off South Seacrest Boulevard to West End of Highpoint Boulevard (Station is South of West end of $1M/$2M Limits 5/4/2009; street), Boynton Beach, FL $1M/$4M Limits 04/30/18 55. Highpoint#2 North entrance to complex off Seacrest Boulevard to West end of Main Boulevard(Station is dust South of West end of Street), $1M/$2M Limits 5/4/2009; Boynton Beach, FL $1M/54M Limits 04/30/18 56. Bethesda - Northwest corner of intersection of Southwest 27th $1M/$2M Limits 5/4/2009; Avenue and Southwest 6th Street, Boynton Beach, FL $1M/$4M Limits 04/30/18 57. Chapel Hill-West of intersection of Westwood Lane and Chapel Hill $1M/$2M Limits 5/4/2009; Boulevard in Median, Boynton Beach, FL $1M/$4M Limits 04/30/18 58. Church Hill - Northeast corner of intersection of Church Hill Drive and Mission Hill Road. 200'West of South Seacrest Boulevard on North Side $1M/$2M Limits 5/4/2009; of Mission Hill Road, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 59. Mission Hill -900 Mission Hill Road, Boynton Beach, FL $1M/$4M Limits 04/30/18 60. SE 34th Avenue- East side of end of Southeast 2nd Court, North of $1M/$2M Limits 5/4/2009; intersection of Southeast 34th Avenue, Boynton Beach, FL $1M/$4M Limits 04/30/18 61. SE 27th Way- East end of Southeast 27th Way at intersection of $1M/$2M Limits 5/4/2009; Southeast 2nd Street, Boynton Beach, FL $1M/$4M Limits 04/30/18 62. Swinton Avenue 100' South of intersection on Southwest 34th $1M/$2M Limits 5/4/2009; Avenue and North Swinton Avenue on West side, Boynton Beach, FL $1M/$4M Limits 04/30/18 63. Southwest 23rd Ave. and Federal Highway(middle of street)., $1M/$2M Limits 5/4/2009; Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 64. Gulfstream Mall 3609 South Federal Highway, Boynton Beach, FL $1M/54M Limits 04/30/18 65. 100'West of intersection of Southeast 21st Avenue and S. Federal Highway on North side., Boynton Beach, FL $1M/52M Limits 5/4/2009; $1M/$4M Limits 04/30/18 This proposal is intended to give a brief overview. Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach % Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; 66. SW 15th Ave. Ball Field, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 67. Industrial Avenue• 522 Industrial Avenue, Boynton Beach, FL $1M/$4M Limits 04/30/18 68. Costa Bella - Northwest corner of intersection of Northwest 8th $1M/$2M Limits 5/4/2009; Avenue and Northwest 10th Street, Boynton Beach, FL $1M/$4M Limits 04/30/18 69. Northeast corner of intersection of Northwest 13th Avenue and $1M/$2M Limits 5/4/2009; Northwest 8th Street.(E. Boat Ramp), Boynton Beach, FL $1M/$4M Limits 04/30/18 70. North side of Old Boynton Road(east of Congress Ave), Boynton $1M/$2M Limits 5/4/2009; Beach, FL $1M/$4M Limits 04/30/18 71. South of intersection of Old Boynton Road and Venice Drive(along canal bank by bridge) Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 72. South of intersection of Old Boynton Road and Coral Drive. (along canal east side of bridge), Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 73. Skylake - 1100 Northwest 9th Way, Boynton Beach, FL $1M/$4M Limits 04/30/18 74. New Post Office - 1530 West Boynton Beach Boulevard, Boynton $1M/$2M Limits 5/4/2009; Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 75. Quantum Park North - 3285 Quantum Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 76. Quantum Park West-2399 Quantum Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 77. Casa Blanca •815 West Boynton Beach Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 78. Sandlewood Drrve West of Congress Ave. Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 79. Boynton Lakes North - Boynton Lakes Boulevard& Paxford Lane, $1M/$2M Limits 5/4/2009; Boynton Beach, FL $1M/$4M Limits 04/30/18 This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. CityBoynton of Beach Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; 80. Quail Run - 2800 Southwest Golf Road, Boyton Beach, FL $1M/$4M Limits 04/30/18 81. Boynton Lakes Blvd& East Chesterfield Road, Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 82. 1801 Ocean Drive, Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 83. Leisureville#1 800 Ocean Drive, Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 84. Home Depot 600 Southwest 6th Avenue, Boynton Beach, FL 85. Southwest Congress Blvd, West of intersection of SW 18th street in $1M/$2M Limits 5/4/2009; clubhouse of parking lot, Boynton Beach, FL $1M/$4M Limits 04/30/18 86. Leisureville#4 Center of cul-de-sac on East side of Southwest 16th $1M/$2M Limits 5/4/2009; Street,Midway between Southwest 13 Terrace and Southwest 11th $1M/$4M Limits 04/30/18 Avenue, Boynton Beach,FL 33426 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 87. Leisureville#5 1909 Southwest 18th Street,Boynton Beach, FL 33426 88. Congress Ave&SW 19th Ave, 50'east of Intersection of Roma Way, $1M/$2M Limits 5/4/2009; Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 89. Golfview Harbor 1 1090 Southwest 24th Avenue, Boynton Beach, FL $1M/$4M Limits 04/30/18 33426 $1M/$2M Limits 5/4/2009; 90. Golfview Harbor 2 100' East of Southwest 13th Court on South Side $1M/$4M Limits 04/30/18 of Southwest 27th Avenue, Boynton Beach,FL 33426 $1M/$2M Limits 5/4/2009; 91. Reeves 3800 South Congress Avenue, 100 yards South of Neptune $1M/$4M Limits 04/30/18 Drive, Boynton Beach, FL 33426 $1M/$2M Limits 5/4/2009; 92. Lawson Industrial Park North Side of Southwest 30th Avenue, 100 $1M/$4M Limits 04/30/18 yards east of South Congress Avenue, Boynton Beach,FL $1M/$2M Limits 5/4/2009; SIM/54M Limits 04/30/18 93. Lakes of Tara 10 East Tara Lakes Drive, Boynton Beach, FL This proposal is intended to give a brief overview. Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. CityBoynton of Beach Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 94. Boynton Commerce 1900 Corporate Boulevard, Boynton Beach, FL SIM/52M Limits 5/4/2009; $1M/$4M Limits 04/30/18 95. Banyan Creek 1721 Stonehaven Drive, Boynton Beach, FL $1M/$2M Limits 5/4/2009; 96. Meadow Apartments 10 Meadows Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 33462 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 97. Entrance off of Roadway to Caloosa Park, Boynton Beach, FL $1M/$2M Limits 5/4/2009; 98. S.Congress Ave, South of Caloosa Park, Boynton Beach, FL(E.Side of $1M/$4M Limits 04/30/18 Congress) 99. Access Road Behind Renaissance Commons by Canal Bridge, Boynton S1M/52M Limits 5/4/2009; Beach, FL $1M/54M Limits 04/30/18 $1M/$2M Limits 5/4/2009; $1M/54M Limits 04/30/18 100. Woodside 3883 Winfield Road, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 101. Quail Ridge North 11390 Quail Covey, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 102. Quail Ridge Northwest Corner of Intersection of Quail Covey Road $1M/S4M Limits 04/30/18 and Tananrisk Trail, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 103. Sunny South East side of Intersection of Sun Top Lane and Sunny $1M/$4M Limits 04/30/18 South Avenue, Boynton Beach, FL 33436 104. 1900 S Congress Avenue, Boynton Beach,FL(S.Congress Ave& $1M/$2M Limits 5/4/2009; 51M/54M Limits 04/30/18 Woolbright Corporate Ctr.) $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 105. Old Motorola 1500 Northwest 22nd Avenue, Boynton Beach, FL $1M/$2M Limits 5/4/2009; 106. Boynton Lakes South Southeast corner of intersection of Fawkland $1M/$4M Limits 04/30/18 Circle and Boynton Lakes Boulevard, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 107. Sunny South Master 1359 Northwest 22nd Avenue, Boynton Beach, $1M/$4M Limits 04/30/18 FL 33436 This proposal is intended to give a brief overview.Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. CityBoynton of Beach Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 108. North Congress Ave& Dos Lagos,Boynton Beach, FL 109. North Congress Ave.& Meadows Blvd., Boynton Beach, FL(across $1M/$2M Limits 5/4/2009; from park) $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 110. Santaluces High School in back parking lot, Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 111. Boynton Beach Mall 801 North Congress Avenue, Boynton Beach, $1M/$4M Limits 04/30/18 FL 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 112. Fox Hollow 7501 Lawrence Road, Boynton Beach, FL 33462 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 113. Homes of Lawrence 7280 Palmdale Drive, Boynton Beach, FL 33462 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 114. Cypress Creek$$4 9667 Calliandra Drive, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 115. Hunters Run Brentwood 18 Brentwood Drive, Boynton Beach, FL $1M/$4M Limits 04/30/18 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 116. Stanford Park 4100 Northwest 7th Court,Boynton Beach, FL 33436 117. 3000 NW Commerce Park Drive, Boynton Beach, FL(Highridge $1M/$2M Limits 5/4/2009; Road& Industrial Way) $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 118. Catalina Club 1401 North Congress Avenue, Boynton Beach, FL $1M/$4M Limits 04/30/18 33436 $1M/$2M Limits 5/4/2009; 119. Mahogany Bay 4101 Mahogany Bay Drive, Boynton Beach, FL $1M/$4M Limits 04/30/18 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 120. Artesa 9135 Lawrence Road, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 121. Pineapple Tree Drive, Boynton Beach, FL This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. CityBoynton of Beach Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; 122. Hunters Run Woods 200' East of Intersection of Summit Drive and $1M/$4M Limits 04/30/18 Woods Lane, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 123. SE Corner of Boynton Beach Blvd& Military Trail., Boynton Beach, $1M/$4M Limits 04/30/18 FL 124. 300 yards South of Boynton Beach Boulevard on South East corner $1M/$2M Limits 5/4/2009; of Cedar Point Boulevard and Storkwood Drive., Boynton Beach, FL $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 125. Hunter's Run North Entrance, 1st left after guard house,Boynton $1M/$4M Limits 04/30/18 Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 126. Silver Lakes 2612 Southwest 23rd Court, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 127. Cypress Creek East 4945 Palo Verde Drive, Boynton Beach, FL $1M/$4M Limits 04/30/18 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 128. Cypress Creek Mid 4455 Caryota Drive, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 129. Cypress Creek West 4030 Palo Verde Drive, Boynton Beach, FL $1M/$4M Limits 04/30/18 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 130. Oakwood Lakes 3769 Silver Lace Lane, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 131. Hunters Run Southport 50'West of Intersection of Southport Lane $1M/$4M Limits 04/30/18 and Summit Drive, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 132. Hunters Run Stratford Y, Mile West of Clubhouse Lane on the West $1M/$4M Limits 04/30/18 Side of Summit Drive, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 133. Pine Tree Village East 10808 Greentrail Drive,Boynton Beach, FL $1M/$4M Limits 04/30/18 33436 134. Villas of Pine Tree 100'South of South Entrance to Complex, 150' $1M/$2M Limits 5/4/2009; East of Military Trail(Access Road on South Side of Wall off Military Trail) $1M/$4M Limits 04/30/18 Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 135. Wxel 3401 South Congress Avenue, Boynton Beach, FL 33436 This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach % Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 136. Serrano Across 21 County Lake Circle,Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 137. West Water Plant 5469 West Boynton Beach Boulevard, Boynton $1M/$4M Limits 04/30/18 Beach, FL 33437 $1M/$2M Limits 5/4/2009; 138. Banyan Springs 10355 South Military Trail, Boynton Beach, FL $1M/$4M Limits 04/30/18 33437 $1M/$2M Limits 5/4/2009; 139. Mirror Lakes On Mirror Lakes Boulevard just East of Clubhouse, $1M/$4M Limits 04/30/18 Boynton Beach, FL 33437 $1M/$2M Limits 5/4/2009; 140. Rainbow Lakes South#1 North Side of Tartan Lakes Boulevard, 100' $1M/$4M Limits 04/30/18 East of Intersection of Carma Drive, Boynton Beach 33437 $1M/$2M Limits 5/4/2009; 141. Boyton West Shopping Center 9903 South Military Trail,Boynton $1M/S4M Limits 04/30/18 Beach, FL 33437 $1M/$2M Limits 5/4/2009; 142. Boynton Trail Center 9760 South Military Trail, Boynton Beach, FL $1M/54M Limits 04/30/18 33437 $1M/$2M Limits 5/4/2009; 143. Rainbow Lakes North#2 5333 Brian Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 33437 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 144. Palm Chase 5351 Palm Chase Drive, Boynton Beach, FL 33437 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 145. Cypress Park 9507 Cypress Park Way, Boynton Beach, FL 33437 $1M/$2M Limits 5/4/2009; 146. 7255 S Military Trail, Boynton Beach, FL(NE parking lot) $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 147. Fairmont Place 10650 South Military Trail, Boynton Beach, FL $1M/$4M Limits 04/30/18 33437 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 148. Cypress Creek#5 4722 Bucisa Road, Boynton Beach, FL 33436 $1M/52M Limits 5/4/2009; 149. 8484 Northstar Court. , Boynton Beach, FL(Military Trail @ Gables $1M/$4M Limits 04/30/18 End,first left then first right) This proposal is intended to give a brief overview. Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 150. Lawrence Groves 1246 Sussex Street, Boynton Beach, FL 33462 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 151. Plating 9779 Platina Avenue, Boynton Beach, FL 33437 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 152. Cocoa Pines 37 Cocoa Pine Drive, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 153. Jamaica Bay North 3724 Exuma Bay, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 154. Jamaica Bay South 10002 Granada Bay, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 155. Royal Manor 4290 Royal Manor Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 156. Sunset Cay 8194 Sun Up Trail, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 157. Jonathan's Grove 7200 Lawrence Road,Boynton Beach, FL 33462 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 158. Nautica 8265 Bermuda Sound Way, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; 159. Nautica Sound 6999 Nautica Sound Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 33462 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 160. Military 6 12550 South Military Trail, Boynton Beach, FL 33436 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 161. Hampton Lakes 5230 Flavor Piot Road, Boynton Beach, FL 33437 $1M/$2M Limits 5/4/2009; 162. Cascade Lakes 11601 Cascade Lakes Boulevard, Boynton Beach, FL $1M/$4M Limits 04/30/18 33437 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 163. The Colony 7830 South Military Trail, Boynton Beach, FL 33437 This proposal is intended to give a brief overview. Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. CityBoynton of Beach Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 164. Tuscany Bay 12120 Lavita Way,Boynton Beach, FL 33437 165. 7182 Old Orchard Way, Boynton Beach, FL(Lawrence Road S. of $1M/$2M Limits 5/4/2009; Hypoluxo Rd) S1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 166. 7262 South Military Trail, Boynton Beach, FL $1M/S2M Limits 5/4/2009; 167. Pernnel Pines Road, Boynton Beach, Ft. SIM/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009; 168. Forest Park Elementary 1201 Southwest 3rd Street, Boynton Beach, $1M/$4M Limits 04/30/18 FL 33435 $1M/$2M Limits 5/4/2009; $1M/54M Limits 04/30/18 169. Behind Lowe's Southwest 17th Lane, Boynton Beach, FL 33435 $1M/$2M Limits 5/4/2009; 170. Boynton Commerce Southwest 17th Lane, Boynton Beach, FL $1M/$4M Limits 04/30/18 33435 $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 171. Corporate Drive, Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 172. 4693 W. Boynton Beach Blvd., Boynton Beach, FL $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 173. Sun Valley 6058 Sun Berry Circle, Boynton Beach, FL 33437 $1M/$2M Limits 5/4/2009; 174. Sun Valley Across from 9415 Nursery Lane, Boynton Beach, FL $1M/$4M Limits 04/30/18 33437 S1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 175. Sun Valley 9941 Majestic Way, Boynton Beach, FL 33437 176. Sun Valley East Between 9807&9831 Sills Drive East,Boynton $1M/$2M Limits 5/4/2009; Beach, FL 33437 $1M/$4M Limits 04/30/18 177. Sun Valley East Behind 9723 Sills Drive East, Boynton Beach, FL $1M/$2M Limits 5/4/2009; 33437 $1M/$4M Limits 04/30/18 This proposal is intended to give a brief overview. Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach % Brown & Brown Pollution Liability $1M/$2M Limits 5/4/2009; $1M/$4M Limits 04/30/18 178. Behind 9687 Sills Drive, Boynton Beach, FL $1M/$2M Limits 5/4/2009; 179. Sun Valley East Behind 9656 Sills Drive East, Boynton Beach, FL S1M/$4M Limits 04/30/18 33437 $1M/$2M Limits 5/4/2009; 180. Sun Valley East 9730 Sills Drive, Boynton Beach, FL 33437 $1M/$4M Limits 04/30/18 $1M/$2M Limits 10/01/2009; S1M/$4M 181. Fire Station#5 2200 High Ridge Road,Boynton Beach, FL 33436 Limits 04/30/18 $1M/$2M Limits 5/4/2010; 182. Library 208 South Seacrest Boulevard, Boynton Beach, FL 33435 $1M/$4M Limits 04/30/18 $1M/$2M Limits 5/4/2009;S1M/S4M Limits 183. 400 Miles of Sewer Lines, Boynton Beach, FL 04/30/18 S1M/$2M Limits 5/4/2009; $1M/S4M Limits 184. 400 Linear Feet of Sewer Lines under the Intercoastal Waterway 04/30/18 $1M/$2M Limits 4/30/2013;$1M/S4M 185. INCA Storm Pond - NE 10th Ave @ NE 7 St(E of Federal Highway) Limits 04/30/18 $1M/$2M Limits 4/30/2013;$1M/S4M 186. Las Ventanas - 1325 S Federal Highway Limits 04/30/18 $1M/$2M Limits 187. Charter School Miner Road(D High Ridge Road 4/30/2013;S1M/$4M Limits 04/30/18 188. NW 15th Ave& NW 4th St., Boynton Beach, FL 04/30/2018 189. 200 NE 1"Street, Boynton Beach FL 33435 03/19/2025 This proposal is intended to give a brief overview.Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach % . Brown & Brown Premium Recapitulation Annual Premium Check Option Accept Reject Pollution Liability Premium $67,174.00 Policy Fee $250.00 Total Premium $67,424.00 Optional- Terrorism $3,359.00 J I authorize Brown & Brown to request the underwriters to bind coverage on the items indicated above and acknowledge receipt of the Compensation and Financial Condition Disclosure(s) provided in this proposal. (Signature) �� n�--. 4:t-LA i\if Otto -� (Name & T' UJ 710(9 (Date)'/ / This proposal is intended to give a brief overview.Higher limits may be available. Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown Notes of Importance: 1. Quotes provided in the proposal are valid until 4/30/2026. After this date terms and conditions are subject to change by the underwriters. 2. This insurance is issued pursuant to the Florida Surplus Lines Laws. Entities insured by surplus lines carriers do not have the protection of the Florida Insurance Guaranty Act to the extent of any right of recovery for the obligation of an insolvent, unlicensed insurer. 3. Premiums are subject to change if all lines of coverage quoted are not bound. Premiums are subject to 25% minimum premium upon binding. 4. Not all coverages requested may be provided in this quotation. 5. The total premium is due within 30 days of inception. Premium financing can be arranged if needed. 6. Quote is not bound until written orders to bind are received from the insured and the Company subsequently accepts the risk. 7. Should signed application reveal differing details/data than original application received, the entire quote/binder is subject to revision and possible retraction. 8. Higher limits of liability may be available. Please consult with your agent. 9. This proposal is based upon exposures to loss made known to Brown & Brown. Any changes in exposures (i.e. new operations, new acquisitions of property or change in liability exposure) need to be promptly reported to us in order that proper coverage may be put into place. 10. This proposal is intended to give a brief overview. Please refer to coverage agreements for complete information regarding definition of terms, deductibles, sub-limits, restrictions and exclusions that may apply. In the event of any differences, the policy will prevail. This proposal is intended to give a brief overview. Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City Boynton Bo nton Beach Brown & Brown Retail Compensation Disclosure Compensation: As a licensed insurance producer/broker/agent, Brown & Brown entities ("we") are generally authorized by our license to confer with insurance purchasers about the benefits, terms and conditions of insurance contracts; to offer advice concerning the substantive benefits of particular insurance contracts; to sell insurance; and to obtain insurance for purchasers. Our role as an insurance producer in any ordinary transaction typically involves one or more of these activities. We will receive compensation in the form of commission or fees for assistance with the placement, servicing, claims handling, or renewal of your insurance coverages. Commission compensation will be based on the insurance contract you purchase and may vary depending on a number of factors including the insurance contract(s) and the insurer(s) the purchaser selects. In addition to the commissions or fees received by us for assistance with the placement, servicing, claims handling, or renewal of your insurance coverages, other parties, such as excess and surplus lines brokers, wholesale brokers, reinsurance intermediaries, underwriting managers and similar parties, some of which may be owned in whole or in part by Brown & Brown, Inc., may also receive compensation for their role in providing insurance products or services to you pursuant to their separate contracts with insurance or reinsurance carriers. That compensation is derived from your premium payments. Additionally, it is possible that we, or our corporate parents or affiliates, may receive contingent payments or allowances from insurers based on factors which are not customer-specific, such as the performance and/or size of an overall book of business produced with an insurer. We generally do not know if such a contingent payment will be made by a particular insurer, or the amount of any such contingent payments, until the underwriting year is closed. That compensation is partially derived from your premium dollars, after being combined (or "pooled") with the premium dollars of other insureds that have purchased similar types of coverage. We may also receive invitations to programs sponsored and paid for by insurance carriers to inform brokers regarding their products and services, including possible participation in company-sponsored events such as trips, seminars, and advisory council meetings, based upon the total volume of business placed with the carrier you select. We may, on occasion, receive loans or credit from insurance companies. Additionally, in the ordinary course of our business, we may receive and retain interest on premiums you pay from the date we receive them until the date of premiums are remitted to the insurance company or intermediary. In the event that we assist with placement and other details of arranging for the financing of your insurance premium, we may also receive a fee from the premium finance company. If an intermediary is utilized in the placement of coverage, the intermediary may or may not be owned in whole or part by Brown & Brown, Inc. or its subsidiaries. Brown & Brown entities operate independently and are not required to utilize other companies owned by Brown & Brown, Inc., but routinely do so. In addition to providing access to the insurance company, the Wholesale Insurance Broker/Managing General Agent may provide additional services including, but not limited to: underwriting; loss control; risk placement; coverage review; claims coordination with insurance company; and policy issuance. Compensation paid for those services is derived from your premium payment, which may on average be 15% of the premium you pay for coverage, and may include additional fees charged by the intermediary. You may obtain information about compensation expected to be received by us based in whole or part on the sale of insurance to you, and (if applicable) compensation expected to be received based in whole or part on any alternative quotes presented to you by us, by requesting such information from us. Questions and Information Requests. If you have any questions, or require additional information, please contact your Brown & Brown team, or, if you prefer, submit your question or request online at https://www.bbrown.com/us/contact/contact-general/ This proposal is intended to give a brief overview.Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. CityBoynton of Beach ' Brown & Brown Guide to Bests Ratinjs Best Category I Rating I Description Secure A++ Superior Secure A+ Superior Secure A Excellent Secure A- Excellent Secure B++ Very Good Secure B+ Very Good Vulnerable B Fair Vulnerable B- Fair Vulnerable C++ Marginal Vulnerable C+ Marginal Vulnerable C Weak Vulnerable C- Weak Vulnerable D Poor Vulnerable E Under Regulatory Supervision Vulnerable F In Liquidation Vulnerable S Rating Suspended Not Rated NR-1 Insufficient Data Not Rated NR-2 Insufficient Size and/or operating experience Not Rated NR-3 Rating Procedure Inapplicable Not Rated NR-4 Company Request Not Rated NR-5 Not Formally Followed Rating Modifier u Under Review Rating Modifier q Qualified Affiliation Code g Group Affiliation Code p Pooled Affiliation Code r Reinsured Guide to Best's Financial Size Categories Reflects size of I Less than $1,000,000 insurance company II $1,000,000 - $2,000,000 based on their III $2,000,000 - $5,000,000 capital, surplus IV $5,000,000 - $10,000,000 and conditional V $10,000,000 - $25,000,000 reserve funds in VI $25,000,000 - $50,000,000 U.S. dollars. VII $50,000,000 - $100,000,000 VIII $100,000,000 -$250,000,000 IX $250,000,000 -$500,000,000 X $500,000,000 -$750,000,000 XI $750,000,000 - $1,000,000,000 XII $1,000,000,000 - $1,250,000,000 XIII $1,250,000,000 - $1,500,000,000 XIV $1,500,000,000 - $2,000,000,000 XV Greater than $2,000,000,000 Brown & Brown always strives to place your coverage with highly secure insurance companies. We cannot, however, guarantee the financial stability of any carrier. This proposal is intended to give a brief overview. Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. City of Boynton Beach % Brown & Brown Statement Acknowledging That Coverage Has Been Placed With A Non-Admitted Carrier At my direction, Risk Management Associates, Inc. has placed my coverage in the surplus lines market. As required by Florida Statute 626.916, I have agreed to this placement. I understand that coverage may be available in the admitted market and that persons insured by surplus lines carriers are not protected by the Florida Insurance Guaranty Act with respect to any right of recovery for the obligation of an insolvent unlicensed insurer. Additionally, I understand surplus lines insurers' policy rates and forms are not approved by any Florida regulatory agency. I further understand the policy forms, conditions, premiums and deductibles used by surplus lines insurers may be different from those found in policies used in the admitted market. I have been advised to carefully read the entire policy. City of Boynton Beach Named Insured Signature of Insured's Authorized Representativ I Date Crum & Forster Specialty Insurance Cgany Name of Excess and Surplus Lines C6cfier----- Pollution Liability PLL-109452 Type of Insurance Policy Number/Renewal of Policy Number 4/30/2026—4/30/2029 Florida Effective/Expiration Date of Coverage State This proposal is intended to give a brief overview. Higher limits may be available.Please refer to coverage forms for complete details regarding definition of terms,exclusions and limitations. POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE - FLORIDA TERRORISM RISK INSURANCE ACT YOU ARE HEREBY NOTIFIED THAT UNDER THE TERRORISM RISK INSURANCE ACT, AS AMENDED, YOU HAVE A RIGHT TO PURCHASE INSURANCE COVERAGE FOR LOSSES RESULTING FROM ACTS OF TERRORISM, AS DEFINED IN SECTION 102(1) OF THE ACT: THE TERM "ACT OF TERRORISM" MEANS ANY ACT THAT IS CERTIFIED BY THE SECRETARY OF THE TREASURY-IN CONSULTATION WITH THE SECRETARY OF HOMELAND SECURITY AND THE ATTORNEY GENERAL OF THE UNITED STATES-TO BE AN ACT OF TERRORISM; TO BE A VIOLENT ACT OR AN ACT THAT IS DANGEROUS TO HUMAN LIFE, PROPERTY, OR INFRASTRUCTURE; TO HAVE RESULTED IN DAMAGE WITHIN THE UNITED STATES, OR OUTSIDE THE UNITED STATES IN THE CASE OF CERTAIN AIR CARRIERS OR VESSELS OR THE PREMISES OF A UNITED STATES MISSION; AND TO HAVE BEEN COMMITTED BY AN INDIVIDUAL OR INDIVIDUALS AS PART OF AN EFFORT TO COERCE THE CIVILIAN POPULATION OF THE UNITED STATES OR TO INFLUENCE THE POLICY OR AFFECT THE CONDUCT OF THE UNITED STATES GOVERNMENT BY COERCION. YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM, SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REIMBURSES 80% BEGINNING ON JANUARY 1, 2020 OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE. THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF THE LOSS THAT MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A $100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS $100 BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE REDUCED. IN ACCORDANCE WITH THE ACT, YOU MUST CHOOSE TO ELECT OR REJECT COVERAGE FOR "CERTIFIED ACTS OF TERRORISM" BELOW: I accept this offer of terrorism coverage and acknowledge that I have been notified that under the Terrorism ❑ Risk Insurance Act, as amended,any covered losses resulting from certified acts of terrorism under my policy will be partially reimbursed by the U.S. government. ❑ I hereby elect to purchase certified acts of terrorism coverage for a premium of$3,359. Lti I hereby decline to purchase terrorism coverage for certified acts of terrorism. I understand that I will have no coverage for losses resulting from certified acts of terrorism. PolicvhgJdo►/Applic:• ignalure Named Insured/Firm .P �—� Print Na?ne` Mailing Address Date Quote/Policy Number EN0006FL-0120 Surplus Lines Disclosure Form Instructions This form is designed to provide guidance based on the statutory requirements for such form and it has not been approved by the Florida Department of Financial Services. This is a suggested form; however the law requires that the following language be included in the form and that the insured sign the form: "I have agreed to the placement of coverage in the surplus lines market. I understand that superior coverage may be available in the admitted market and at a lesser cost and that persons insured by surplus lines carriers are not protected under the Florida Insurance Guaranty Act with respect to any right of recovery for the obligation of an insolvent unlicensed insurer." The statute does not require the retail/producing agent to sign the form. However, the retail/producing agent should keep the original signed form in the insured's file in the event of a future E&O claim. The statute clearly states that if the form is signed by the insured that the insured is presumed to have been informed and to know that other coverage may be available and that the retail/producing agent has no liability for placing the policy in the surplus lines market. Some surplus lines brokers may ask for copies of these forms, but they are not required by statute to obtain or maintain these forms. Retail/producing agents may choose to comply with their requests for copies of the forms, but agents and brokers should note that the Florida Surplus Lines Service Office will not be looking for copies of these forms during compliance reviews of the files of surplus lines brokers. Only when a surplus lines broker acts in both a retail/producing agent capacity and a surplus lines broker capacity on a given risk/policy should the broker maintain a copy of this form. Surplus Lines Disclosure and Acknowledgement At m direction, Risk Management Associates,Inc. Y has placed my coverage in the surplus lines market. As required by Florida Statute 626.916, I have agreed to this placement. I understand that coverage may be available in the admitted market and that persons insured by surplus lines carriers are not protected by the Florida Insurance Guaranty Act with respect to any right of recovery for the obligation of an insolvent unlicensed insurer. Additionally, I understand surplus lines insurers' policy rates and forms are not approved by any Florida regulatory agency. I further understand the policy forms, conditions, premiums, and deductibles used by surplus lines insurers may be different from those found in policies used in the admitted market. I have been advised to carefully read the entire policy. City of Boynton Beach Named Insured By: -- Signature or Named Insured Date Printed Name and Title of Person Signing Crum & Forster Name of Excess and Surplus Lines Carrier Pollution Liability Type of Insurance 4/30/2026 Effective Date of Coverage 06/11/2025/Florida Surplus Lines Service Office