HomeMy WebLinkAboutResolution - 2002-R0284 - Contract For Consulting Services - Palmer And Cay Of Texas, LLC - 07_11_2002Resolution No. 2002-RO284
July 11, 2002
Item No. 43
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and
directed to execute for and on behalf of the City of Lubbock, a Contract for
property/casualty insurance broker and consulting services, by and between the City of
Lubbock and Palmer and Cay of Texas, LLC of Dallas, Texas, and related documents.
Said Contract is attached hereto and incorporated in this resolution as if fully set forth
herein and shall be included in the minutes of the City Council.
Passed by the City Council this 11th
ATTEST:
Rebecca Garza, City Secretary
APPROVED AS TO CONTENT:
V���—
Victor Kilman, k1urchasing Manager
APPROVED AS TO FORM:
William de Haas
Contract Manager/Attorney
day of July , 2002.
gs/ccdocs&/cityatt/Contract-Palmer and Cay of Texas. res
July 1, 2002
Resolution No. 2002-RO284
Agreement Between
City of Lubbock and Palmer and Cay of Texas, LLC.
For
Broker Services & A Letter of Understanding
THIS AGREEMENT, entered into as of the 27th day of June, 2002, by and between the
City of Lubbock (hereinafter called "CITY") and Palmer and Cay of Texas, LLC.
(hereinafter called "Palmer and Cay") to provide Broker of Record services for the City's
Property and Casualty insurance program as follows:
1. Meetings
a. Palmer and Cay will attend bi-monthly meetings to discuss and review: analysis
of coverage, loss control, benefit design, exposure changes, claims, and general
administrative matters with Human Resources/Risk Management staff.
b. Palmer and Cay will attend annual property loss control meetings with Human
Resources/Risk Management staff.
c. Palmer and Cay will attend exposure identification meetings with Lubbock Power
& Light, Public Works, Civil Services and other departments as requested by the
CITY.
2. Coordinate
a. Palmer and Cay will facilitate insurance company interface and coordination in
the following areas:
• Renewal information format and market presentation
• Marketing of existing coverage
• Possible preparation of request for proposals
• Negotiate insurance contracts to assure best possible pricing
b. Palmer and Cay will assist with any special projects requested by the CITY.
c. Palmer and Cay will develop coverage options on coverages not currently
purchased by the CITY for the CITY's review.
d. Palmer and Cay will analyze the CITY'S exposure to loss and review adequacies
of coverage contained in existing policies and make appropriate risk
recommendations.
e. Palmer and Cay will assist the CITY in reviewing all insurance policies, contracts,
leases, and bonds as necessary.
f. Palmer and Cay will provide service for day-to-day contact and advise on
insurance matters.
g. Palmer and Cay will prepare certificate of insurance forms as requested by the
CITY.
h. Palmer and Cay will assist with or provide other services as normally and
customarily required of a municipal property/casualty insurance broker.
i. Palmer and Cay will assist the CITY with their evaluation and selection of a
Computer Management Insurance System.
j. Palmer and Cay will assist and coordinate information technology exposure,
identification, and analysis.
k. Palmer and Cay will assist the CITY with implementing a cost allocation system.
1. Palmer and Cay will assist the CITY with implementation of a premium
allocation system.
3. Time of Performance
The contract period shall commence on June 27, 2002 and shall continue for a
term of one year. After completion of the initial Contract term, the Contract may
be renewed for two additional one year terms.
Either party may terminate this agreement at any time upon giving 60 days
written notice of its intention to do so and will be on a pro-rata basis.
4. General Conditions
a. Palmer and Cay agrees to comply with all applicable federal, state, and local laws
and regulations relating to the services provided under this contract.
b. RFP #073-02/DC shall be attached hereto as Exhibit "A" and shall become part of
this Agreement.
5. Hold Harmless and Indemnification
Palmer and Cay and the CITY shall hold each other harmless and to the extent
allowable by the laws of the State of Texas, Palmer and Cay and CITY shall
defend, indemnify and hold each other harmless from and against all claims,
liability, loss and expense, including reasonable collection expenses, attorney's
fees and court costs which may arise because of the negligence, misconduct, or
other fault of the indemnifying parties, its agents or employees in the performance
of its obligations under the Agreement. The obligations in this section are
intended to be within the limits of liability found in the Texas Tort Claims Act.
This clause shall survive termination of the Agreement.
6. Broker Compensation
Palmer & Cay of Texas, Inc. agrees to provide the above outlined services for an
annual fee of $75,000 with a 5% contingent catastrophic claims charge, if an
unforeseen event causes an unexpected increase in our expenses incurred in
carrying out our service contract to the CITY.
7. Entire Agreement
This Contract, including Exhibit "A" hereto, contained the Entire Contract
between the CITY and Palmer and Cay, and there are no other written or oral
promises, conditions, warranties, or representations relating to or affecting the
matters contemplated herein.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first
written above.
CITY OF LUBBOCK:
APPROVED AS TO CONTENT:
Mary Hous irector of Human Resources
PALMER AND CAY OF TEXAS,
LLC:
BY: +�
Robert S. Bookhammer III, ARM
BY:
R. Warren Blesh, LRM
APPROVED AS TO FORM:
h / e'� - '& v���
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�' ,
William de Haas, Contract Manager
ATTEST:
REBECCA GARZA, CITY SECRETARY
F
• 3. Technical Proposal
(a) Describe the insurance the proposer currently maintains to protect itself,
and its clients for errors and omissions, general liability, professional
liability, and performance under contract, including the name of the
insurers, limit of coverage, claims basis, and deductible, list any claims
outstanding against proposer and proposer's insurance within the last five
(5) years, including current status of each claim.
Palmer & Cay purchases Errors & Omissions coverage from Fireman's
Fund Insurance Company. All other lines of coverage are secured from
the St. Paul Insurance Companies. All carriers are "A" rated by the 2001
A.M. Best Rating Guide. Certificates of Insurance for these coverages are
included in our RFP response. Palmer & Cay is not able to disclose
claims filed against our Errors & Omissions insurance policy due to
confidentiality requirements set forth by our Errors & Omissions
insurance carrier.
(b) Describe the proposer's access to the insurance market including excess
and stop -loss lines for coverage listed in Attachment #1.
• Palmer & Cay of Texas, Inc. enjoys significant relationships with those
markets and wholesalers that specialize in Public Entity business. Our
firm places in excess of 1,000,000,000 into the marketplace on an annual
basis. We are the 14'h largest insurance broker and the second largest
privately held brokerage firm in the United States. We are the Broker of
Record for a large array of Public Entities throughout the United States
who value our consultative approach and the broad array of risk
management services available. Our success is directly attributable to our
strategic relationships that result in our ability to deliver the best possible
risk management programs available in today's marketplace.
The following is an exhibit of the markets we represent and would access
on behalf of the City of Lubbock:
Airport Commercial General Liability
i. Associated Aviation Underwriters
ii. AIG Aviation
iii. Phoenix Insurance Managers / Old Republic Insurance Company
iv. Signal Insurance Co.
v. Westchester Fire Insurance Co. (ACE USA Aerospace)
vi. USAIG
vii. Lloyd's of London
• Airport Public Officials & Employees Liability
i. American International Group (AIG)
ii. Zurich Specialty
iii. St. Paul Insurance Group
Boiler & Machinery
i. CNA Insurance Group
ii. Zurich North America
iii. Chubb Insurance Group
iv. Travelers Insurance Group
V. Hartford Steam Boiler & Inspection Company (AIG)
Commercial Crime Policy
i. Hartford Insurance Group
ii. American International Group (AIG)
iii. Chubb Insurance Group
iv. Zurich North America
v. Great American Insurance Group
vi. Gulf Insurance Company
• Excess Liability (CGL, POL, EPL, LEL, AL)
i. Commonwealth Specialty Insurance Co.
ii. St. Paul Insurance Group
iii. Royal SunAlliance Insurance Group
iv. Alea Insurance Group
V. Genesis Underwriting Managers
vi. Munich American Risk Partners
vii. Kemper Insurance Group
viii. American International Group (AIG)
UST/AST Pollution Liability
i. Seneca Insurance Company
ii. Zurich North America
iii. Kemper Insurance Group (Lumberman's Mutual)
iv. American International Group (AIG)
V. Chubb Insurance Group
0
0 Inland Marine
i. Great American Insurance Group
ii. Fireman's Fund Insurance Group
iii. Travelers Insurance Group
iv. Zurich North America
V. St. Paul Insurance Group
vi. Royal SunAlliance Insurance Group
vii. Chubb Insurance Group
Public Officials Bonds
i. St. Paul Fire & Marine
ii. Hartford Insurance Group
iii. CNA/Western Surety
iv. Safeco Insurance Group
V. Zurich North America
Property (Palmer & Cay is the City's insurance broker for this coverage)
i. Coregis Insurance Company
LMG Property Group
Travelers Insurance Group
Zurich North America
American International Group (AIG)
St. Paul Insurance Group
Royal SunAlliance Insurance Group
Chubb Insurance Group
Allianz Insurance Company
Fireman's Fund Insurance Group
Great American Insurance Group
Lloyd's of London
CNA
Commonwealth Insurance Company
Industrial Risk Insurers
Hartford / ITT
Crum & Forster / Fairfax Insurance Group
0
• Third Party Administrator Services
i.
Crawford & Company
ii.
GAB'
iii.
Gallagher Bassett
iv.
EOS Group
V.
Barron Risk Management
vi.
Permian Claims Service
vii.
F.A. Richard
viii.
Cambridge
ix.
Littleton Insurance Group
Workers Compensation
American International Group
Safety National Casualty
Employers Reinsurance Corporation
Genesis Underwriting Managers
Midwest Employers
St. Paul Insurance Group
Clarendon National Insurance Company
Harbor Specialties Insurance Company
CNA / Wexford Underwriting Managers
Gulf / CMI Olympia
xi. Discover Property Casualty Insurance Company
(c). Describe the proposer's insurance marketing expertise with respect to the
coverage listed in Attachment #1.
The proposed Palmer & Cay account service team has in excess of twenty
(20) years experience with marketing and servicing Public Entity business.
Significant market relationships and contacts were made and nourished
during this period. Risk identification, analysis, evaluation, program
selection, implementation and result monitoring skills were established
and developed. Palmer & Cay executives stay close to the market which
gives them a thorough understanding of how to effectively interface with
the insurance carriers. The City of Lubbock does not need their Broker of
Record to "learn on the job." Palmer & Cay brings the leadership,
guidance and experience required to get the job done from the inception of
the contract.
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• Our philosophy of long-term mutually profitable relationships is a client's
best approach to dealing with the Cost of Risk. We encourage our clients
to play an active role in the marketing process by being available to meet
with markets as appropriate. We initially qualify possible markets as the
quality of services offer, financial strength, pricing and responsiveness.
Then we move forward with those markets that meet our client's
qualifications and recommend a meeting with Underwriters.
Robert S. Bookhammer III, ARM, your Senior Client Executive, has
® developed, negotiated, placed and serviced sophisticated All Lines Basket
Aggregate programs (CGL, AL, POL, EPL, LEL), Excess Casualty
Programs, Excess Workers Compensation programs, Third Party
Administrators, Large Sophisticated Property placements (City of
Lubbock is a current client) and Loss Control programs. He also
coordinates Claims and Loss Control Oversight Services for his various
Public Entity clients.
(d). Describe the proposer's plan to provide and maintain the City's insurance
program in a computer management information system. Provide
examples of management information reports provided to clients with
similar programs, including cumulative project year premium and loss
record (for claims over SIR), claims status (for claims over SIR), loss
is frequency, severity forecasts, observations on relevant changes in the
insurance market, views on loss exposures facing the program, discussion
of risk control activities, and summaries of insurance coverage in place.
The City has a third parry administration program (TPA) for its self -
insured liability claims. Describe, in detail, any necessary requirements
involving the TPA.
Palmer & Cay will develop a specialized electronic computer program that
details each of the insurance policies purchased by the City of Lubbock.
This database will also roll -up the fixed cost of each policy as requested
by the City.
Examples of management information reports provided to our clients
would be as follows:
• Specific & Aggregate Excess Reinsurance Recovery Reports
• Specific Excess Claims Report that details specifics of any claim
with an incurred amount excess or an agreed reporting threshold
• Paid versus Incurred Loss Fund Status Reports
• Quarterly Loss Analysis - Perform review of actual estimated losses to
expected estimated losses by line of coverage
• Statistical Loss Forecasting - Compute annual loss projectors by
coverage line
•
•
•
AA,
• Retention Analysis - Loss review by stratified layer to determine
optimal loss retention by policy period.
• Reserve Analysis - Determine outstanding losses for each policy
period using appropriate testing techniques. Loss Triangulation
techniques are utilized.
• State of the Marketplace Reports on a continuous basis
• Schedule of Insurance for all policies
Palmer & Cay recommends the City's TPAs permit our firm to interface
directly with their claims database. This process will allow Palmer & Cay
to order special adhoc reports as required and requested by the City of
Lubbock.
(e). Describe exposure identification and evaluation assistance for each
exposure listed in Attachment #1, to be provided by the proposer as a
basic service.
Palmer & Cay regards the exposure identification and risk transfer
evaluation process one of the most important services a broker provides.
Lets review our approach to this most important function by line of
coverage contained in Attachment # L
1. Airport General Liability: Physical Inspection, Contract Review,
Exposure Checklist & Survey, Financial Review, Flow Chart Analysis,
Historical Loss Report Analysis and Review of Loss Control
Inspection Reports.
2. Airport Public Officials: Contract Review, Financial Review,
Historical Loss Report Analysis, Review of Human Resource Manuals
& Training Program and Ordinance Review.
3. Boiler & Machinery: Physical Inspection, Exposure Checklist &
Survey, Review of Preventative Maintenance Program, Business
Income Analysis, Contingency Plan Review, and Historical Loss
Report Analysis.
4. Commercial Crime Policy: Review of Policies & Procedure Manual
for the handling of Money & Securities, Inventory Reports, Security
and Electronic Information, Flowcharts, Historical Loss Report
Analysis and Loss Control Report Analysis. (This includes the Buddy
Holly Museum Employee Dishonesty policy)
5. Excess Liability Policy (CGL, AL, LEL, POL, EPL EBQ: Physical
Inspection, Exposure Checklist & Surveys, Review of Policy &
Procedure Manuals, Contract Review, Financial Review, Flow Chart
Analysis, Perform Optimal Retention Analysis, Historical Loss Report
Review and Review of Loss Control Inspection Reports.
6. FueI Tanks: Exposure Checklist & Surveys, Historical Loss Report
Review, Review of Preventative Maintenance program, Analysis of
EPA reports and Physical Inspections.
int"
7. Inland Marine: Exposure Checklists & Surveys, Security Analysis,
Historical Loss Report Review, Verification of Premises Protection
and Confirm Valuation.
8. Property/Fire & Extended Coverage. Establish Current Replacement
Cost Valuations, Exposure Checklists & Surveys, Business Income
Analysis, Analyze and confirm Probable Maximum Loss Event,
Confirm Flood Zones for all City locations, establish Electronic
Statement of Values Database, Historical Loss Report Review,
Perform Optimal Retention Analysis and Review of Loss Control
Inspection Reports.
9. Public Officials Bonds: Exposure Checklists & Surveys, Historical
Loss Report Review, Review of Policy & Procedure Manuals and
Review of Internal Controls.
10. Workers Compensation: Exposure Checklists & Surveys, Historical
Loss Report Review, Optimal Retention Analysis, Review of Loss
Control Inspection Reports, Physical Inspections, Review of Safety
Training and Compliance Program, Flow Chart Analysis, Loss
Trending and Forecasting, and Statistical Program Analysis.
(f). Describe the loss prevention, loss control, and other technical services for
each exposure listed in, Attachment #1.
Please find the attached presentations of the Risk Control, Claims
Consulting, and Claims Management Services that are available through
Palmer & Cay.
(g}. Provide information regarding any limitations on the amount of time to be
used for consulting services during a year, i.e., 10 days per year, 2 days
per month, etc. Advise of any items listed in Attachment #1, which are
not included in the annual cost for property/casualty insurance
broker/consultant services and for which an additional charge will be
made and list the additional cost per item.
Palmer & Cay is prepared to personally meet with designated City risk
management officials on a bi-monthly basis as required by the City to
ensure a smooth transition of the insurance program. R.S. Bookhammer
III, ARM will conduct these bi-monthly meetings. Boyd Jones, our Risk
Control Property Engineering Specialist, will perform one day of physical
property loss inspection per year. Brian Smith, our Risk Control Engineer
Practice Leader, will perform up to five (5) days of loss control
identification and evaluation for those City divisions identified in
Addendum # 2, (LP&L, Civil Works, Public Works & Information
Technology.) Tom Heim, Vice President, Alternative Risk Financing, will
perform up to 2 days of technical & statistical services as outlined in our
• RFP response.
J-911"Ift
• The above services and time commitments are included in our proposed
fee structure. The above time commitments are negotiable as requested by
the City. We would adjust our fee accordingly.
Palmer & Cay's Claims Consulting & Management Oversight is included
in our proposed fee structure.
(h). Describe any type of report for the City's self-insurance program you
propose to submit, the information that will be included in the report, and
how the report can be best utilized by the city to insure a sound self-
insurance program with levels of retention to assure coverage for losses.
Advise if the cost for such reports is included in the annual costs for
broker/consultant services or if the reports will be at additional cost and if
so, how much.
Palmer & Cay will provide an Incurred and Paid Reinsurance Recoverable
Claims Summary for claims excess of various self -insured retentions
(SIRS.) The cost for the reports will be included in the annual cost for
broker services. The report tracks the amounts paid and incurred within
the SIR for the various coverages. It also tracks those amounts paid
excess of the SIR that are collectible from reinsurers on both a paid and
incurred basis. An example of this report is included in our response for
• the City's review.
•
Resolution No. 2002-RO284
•
ERRORS & OMISSIONS CERTIFICATE
A CORD
PRODUCER
I INSURED
Assurex E&O
Commercial Group LIM
Novato, CA 94998-3301
Palmer & Cay of TX, Inc.
12225 Greenville Ave, Ste 330
Dallas, TX 75243-9334
�r :2::i:::::?::::�;:;:::i••,:r: DATE p� MM D V ( /D IY 1
THIS CERTIFICATE IS ISSUEDASA MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A Fireman's Fund
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR I I DATE (MM/DD/YV) I DATE (MM/DD/YY)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
GENERAL AGGREGATE s
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
COMBINED SINGLE LIMIT 1 $
BODILY INJURY S
(Per person)
BODILY INJURY $
IPer accident)
PROPERTY DAMAGE I $
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WC STATU- DTH•
TO Y MITS ER
EL EACH ACCIDENT
$
EL DISEASE - POLICY LIMIT
$
EL DISEASE - EA EMPLOYEE 1
$
A I OTHER I MXE80394674
Ins. Agents and
Brokers Prof Liab
I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
City of Lubbock
Purch.Dept,Rm L04, Municipal
Bldg, 1625 13th Street
Lubbock, TX 79401
12/01 /01
12/01 /02
$1,000,000 Each Claim
$1,000,000 Aggregate
$ 150,000 Deductible
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
rH�PR SENTATIVE
" A CORD
PRODUCER
................
INSURED
Palmer & Cay of Georgia, Inc.
Savannah Commercial Lines
P. 0. Box 847 -
Savannah, GA 31402
Palmer & Cay of TX, Inc.
12225 Greenville Ave, Ste 330
Dallas, TX 75243-9334
------ ...B:........................
..:......:.... .
DATE {MM/DD/YYI
04/22/02
:...................................... THI� .:ERTIFICATE:.IS.::.::::
912-234-6621• -�- S C ISSUED �AS•.A�MATTER •OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANY
A
St Paul Mercury Ins Cc
COMPANY
B
Fidelity & Guaranty Ins Co
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
A GENERAL LIABILITY BKO1 161 128 2/01 /02 2/01 10: GENERAL AGGREGATE $ 2000000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE FX1 OCCUR
OWNER'S & CONTRACTOR'S PROT
B AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
X HIRED AUTOS
X NON -OWNED AUTOS
PRODUCTS - COMP/OP AGG
$ 200
PERSONAL & ADV INJURY
$ 10D
EACH OCCURRENCE
$ 100
FIRE DAMAGE (Any one fire)
$ 50
MED EXP (Any one person)
$ t
BINDER AUTO I 2/01 /02 I 2/01 /03 I COMBINED SINGLE LIMIT I $
BODILY INJURY I $
(Per person)
BODILY INJURY I $
(Per accident)
PROPERTY DAMAGE 1 $
1000000
GARAGE
LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
8
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
TNRY IMIT OTR
EL EACH ACCIDENT
$
EL DISEASE - POLICY LIMIT
8
EL DISEASE - EA EMPLOYEE
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
Certholder is Addl Insd on Gen. Liab. & Auto Liab. - Waiver of
Subroqation included
City of Lubbock
Purch Dept, Room L04
Munip.Bldg,1625 13th St.
Lubbock, TX 79401
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
rH�PR- ENTATIVE Q
Resolution No. 2002-R0284
•
RISK CONTROL PHILOSPHY
11
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I. Risk Control Philosophy
Insurance is not a complete solution to managing risk.
An effective risk management program is designed to
understand and control exposures that can impact the
assets of the balance sheet and support corporate
strategy.
It does so by identifying, evaluating and controlling
risks and by utilizing this information to properly
structure a risk fmancing plan to address those risks.
The goal is to reduce and control the total cost of risk.
To help our clients achieve their goals, Palmer & Cay
has staffed its risk management consulting division
with specialists in a broad range of disciplines, from
alternative risk funding to international risk services to
risk control and safety services.
An integral component of this division is our risk
control consulting practice. These professionals focus
on a comprehensive range of loss control and safety
measures that can significantly impact the cost of risk
related to injury, business interruption, litigation costs
and insurance costs.
Working closely with clients, insurance company
representatives and members of our own property -
casualty staff, our risk control consultants help change ,
the future of risk by providing customized solutions to
meet your individual needs.
0
•
II. Risk Control Team
0
W
Over the past decade, Palmer & Cay's risk control
practice has recruited some of the industry's most
respected consultants to serve as key players on
our client service teams.
With over 200 years of combined experience,
there are few industries or operations unknown to
this team. Their insight, experience and
innovative concepts are available to all Palmer &
Cay clients. Strategic positioning allows our risk
control consultants to respond promptly and
efficiently to client needs on a national and
international basis.
c
Boston, MA
PALNER & CAY
x'& I •a John Bouchard
— x Dick Mertineit
Evablished 1868 _ z t
a kRichmond, VA
Boyd Jones
�.. Lexington, KYk�
Ronnie Hall�RI
<
Charlotte, NC
Bill Enos
Atlanta, GA "E
Brian Smith
Julie Scarborough N"✓ Savannah, GA
Tom Martinelli Bob Simmons
Kemp Nussbaum
Columbus, GA
Jack Phillips
Contact information and area of specialty for each
risk control consultant is listed in Section IV
I*
•
11
•
III. Risk Control Consulting Services (continued)
Risk control consulting services focus on two broad
categories: Casualty and Property. The following list
provides an overview of the services our staff currently
delivers to clients on an individual, customized basis.
Casualty Risk Control Services
Safety Management Services
■ Comprehensive safety program evaluations/audits
■ Safety program development, review & modification
■ Safety committee evaluation, development &
facilitation
■ Safety recognition/incentive plan assistance
■ Emergency preparedness consultation
■ Accountability program and development
Safety Program Administration
■ Action planning and implementation
■ Provide regulatory updates
■ Serve as client/carrier liaison
■ Advise on safety program administrative issues
•
•
0
III. Risk Control Consulting Services (continued)
Casualty Risk Control Services
Risk Control Program Evaluation
■ Perform facility/physical plant audits
■ Facility workflow studies
■ Self -evaluation program assistance
■ Job safety analysis
■ Behavioral & cultural assessments
■ Industrial hygiene sampling/evaluation
■ Ergonomic assessment & control
■ Develop safety performance rating
• Injury and illness statistical analysis
Safety Training & Orientation Programs
■ Develop customized training materials
■ Training programs may include:
- Management responsibilities
- Supervisors skills development
- Effective safety orientation
- Accident investigation
- Hazard recognition
- Train the trainer
■ Evaluate orientation & training needs
■ OSHA, DOT & other regulatory/safety training
III. Risk Control Consulting Services
To help clients control their total cost of risk, our
staff relies on years of experience in focused
technical fields and/or specific industries. Areas of
experience and expertise include:
■ International & National Account Service
Evaluation & Coordination
■ Highly Protected Risk (HPR) Programs
■ Boiler and Machinery Risk Control
■ Building Replacement Cost Evaluations
■ Ergonomics — Evaluations & Training
■ Industrial Hygiene — Survey & Evaluation
■ Risk Management Resources and Facilitation
® ■ Safety, Health & Environmental Team Development
■ Performance Based Safety & Safety Culture Evaluations
■ Claims Trending & Analysis
■ Compliance Training Team for OSHA
■ DOT & Transportation. Evaluation, Education & Training
■ Risk Profiling Projects
■ Healthcare Risk Consulting
■ M&A Risk Management Due Diligence
■ OSHA Citation Defense Assistance expertise
■ MSHA & Mine Safety Consultation and Training
■ Business Continuity Consulting
■ Industry Specific Best Practices Research Projects
■ Customized Safety, OSHA, & DOT Programs
■ Customized Safety, OSHA & DOT Training Programs
0
III. Risk Control Consulting Services (continued)
Casualty Risk Control Services
General Liability
■ Risk surveys to identify real & potential exposures
■ Non -employee program assessment
■ Technical support for risk control & claims handling
■ Contract review & consultation
Auto Liability
■ Fleet safety program evaluation
■ Loss analysis & accident trending
■ Driver file evaluation
■ Fleet safety program development
■ DOT regulation updates
■ Fleet safety incentive/award programs
■ Driver Training
Products Liability
■ Product safety program assessment
■ Develop/modify product safety program
■ Consult on new product development
■ Assist in the review of literature
■ Act as a liaison between client & carrier
0
•
III. Risk Control Consulting Services (continued)
Property Risk Control Services
■ Fire protection evaluations
■ Property conservation policy assistance
■ Business interruption analysis
■ Coordinate insurance company, outside service
provider, and other third -party property risk
management resources
■ Carrier recommendation prioritization
■ Human element program development
■ Life safety considerations
■ Conduct property marketing surveys
■ Recommendation cost benefit analysis
■ New construction & renovation plan reviews
■ Sprinkler and water supply design criteria
■ Probable maximum loss studies
■ Ensure consistent & uniform carrier service
■ Hazard mitigation
■ Total property asset protection
■ Replacement cost evaluation assistance
r IV. Contact Information
Atlanta, GA / 3348 Peachtree Road
FALL & CAY
Esrnhlis)wd 1868 i
Suite 1400 / Atlanta, GA 30326 / 800-755-8945
Brian Smith, CSP, ARM / Risk Control Manager
Specialties: WC, Ergonomics, Industrial Hygiene, Account Coordination
404-504-8170 / 404-386-5562 (C) / Email: Brian—snith@palmercay.com
Julie Scarborough / Risk Control/Claims Technical Administrator
404-504-8166 / 770-597-5577 (C) / Email: Juhe—Scarborough@palmercay.com
Tom Martinelli MS, CIH / Risk Control Consultant
Specialties: Industrial Hygiene, Process Safety Management, WC, Ergonomics, Emergency Response
404-760-4297 / 404-734-7367 (C) / Email: Tom Martinelli@palmercay.com
Columbus, GA / 240 Brookstone Center Parkway / Columbus, GA 31904 / 800-226-8599
Jack Phillips, CDS / Risk Control Consultant
Specialties: Motor Fleet, Warehousing, Cargo, WC, Claims, Defensive Driving Course
706-576-3514 / 706-329-9050 (C) / Email: Jack—Phillips@palmercay.com
Charlotte, NC / 6100 Fairview Road, Suite 1400 / Charlotte, NC 28210 / 800-568-0419
Bill Enos / Senior Risk Control Consultant
Specialties: HPR Property, Product Liability, OSHA Compliance, Safety Programs
704 553-0419 / 70"61 8140 (C) / Email: Bill_Enos@palmercay.com
Richmond, VA / 9020 Stony Point Parkway, Suite 200 / Richmond, VA 23235 / 800-520-1134
Boyd Jones, CSP / Senior Risk Control Consultant
Specialties: HPR Property, B&M, Chemical, Manufacturing, Products Liab, Construction, OSHA Regulatory
804-267-3121 / 804-305-5175 (C) / Email: Boyd_Jones@palmercay.com
Savannah, GA / 25 Bull Street, Savannah, GA 31401 / 800-755-9594
Bob Simmons, CSP, ARM / Risk Control Consultant
Specialty: WC, Long shoring, OSHA
912-231-6940 / Email: Bob—Sinunons@patmercay.com
Kemp Nussbaum, CHSP / Risk Control Consultant
Specialties: Performance Based Safety Systems; Healthcare & Casualty Risk Management
912-231-6941 / 912-308-8140 (C) / Email: Kemp_Nussbaum@palmercay.com
Boston, MA / 189 State Street, Boston, MA 02109 / 888-718-6922
John Bouchard / Risk Control Consultant
Specialties: HPR, Large Property Risk Mgt, NFPA Technical Committees, Business Continuity Planning
617-742-8852 / Email: John—Bouchard@palmercay.comjonbski@aol.com
Dick Mertineit, CSP / Risk Control Consultant
Specialties: Large Client Casualty Risk Management, Behavioral Based Safety, Training / Presentations
617-742-8852 / Email: Dick—Mertineit@palmercay.com
Lexington, KY / 360 East Vine Street / Lexington, KY 40588 / 800-796-3565
Ronnie Hall T Risk Control Consultant
Specialties: Captive Risk Control, Casualty Risk Mgt, Safety Program Development, MSHA Compliance
859-254-8023 / Email: RSHALLJR@aol.com, Ronnie_Hall@Pahnercay.com
Resolution No. 2002-R0284
•
CLAIMS CONSULTANTS SERVICES
0
0
I. Claims Consultants Services
A. Overview
The primary role of the Claims Consultant is to assist our clients with achieving the
optimum financial results in the event of a loss or claim. By partnering with the
broker and client management team, client -specific procedures can be established,
both internally and externally to assure valuable and meaningful claim services are
provided to our clients.
We would like to share with you our service plan which is intended to maximize the
Claims Consultant resource:
B. Support For Our Clients
■ Develop internal claims management manuals for our clients.
■ Design/improve in-house claim reporting/handling procedures during the
marketing/renewal of an account.
■ Establish special handling instructions and carrier -performance standards
during the marketing or renewal of an account.
■ Monitor the carriers' performance and delivery of service relative to pre-
established special handling instructions and performance standards.
■ Provide educational memos and material to both internal and external clients,
including advisories on legislative and regulatory issues.
■ Conduct training seminars on claims issues, claim processing procedures, and
clients' in-house claims case management responsibilities.
■ Conduct analysis of large claim reserve files to determine if the reserves are
appropriate to the exposure.
■ Perform claim file audits to determine the quality of work being provided by
the claims service provider. The claim audit segment will be done on an
exception basis with a consulting fee arrangement established for the project.
■ Coordinate claim file reviews and produce claim status reports on difficult and
questionable claims.
0 D. Definitions
In the past, there has been some confusion regarding the terms claim
review, reserve analysis, and file audits. The following is a brief
explanation of the terms, but should you have specific questions or need
clarification, please contact your designated claims consultant.
• Reserve Analysis — The focus is to determine whether the reserves
accurately reflect the exposure on a claim or group of claims. We must
emphasize — the purpose is not to drive the reserves down, but to
determine their accuracy, which means the reserves may require an
increase.
• Claim Review — The objective is to determine the status of the claim,
and evaluate the plan of action to resolve the claim. The reserves are
evaluated, as is the quality of the claims service.
• File Audit — The focus is a detailed analysis of the historical events,
i.e., payment history, reserving history, compliance with best practices,
etc. It is very labor intensive, and time consuming, as payment
histories, and specific events, i.e., first contact, individual follow-up,
specific payments, etc., must be considered.
® We want to thank each and every one of you for your support, guidance
and assistance as we work to build this partnership with the producing
teams and our clients.
0
Resolution No. 2002—RO284
•
CLAIMS MANAGEMENT SERVICES
is
is
I. Claims Management Services
A. Overview
The Palmer & Cay Claims Management Practice, consisting of some of the industry's
most respected claim professionals, is part of our Risk Management Consulting
Division. Team members have extensive claims experience in all lines of insurance
and are capable of responding to virtually every claim situation. Each Palmer & Cay
office has a dedicated senior claims consultant and in turn, every client has access to
all of the claims specialists operating throughout our firm.
One example of the caliber of claims consultants on staff at Palmer & Cay is Mike
York, the senior claims consultant assigned to our Dallas office. Mr. York has almost
23 years of multi -line claims experience, with specialization in workers'
. compensation, auto and general liability, executive protection, directors & officers
liability, employment practices liability, and litigation management. Currently, he
serves as the lead claims consultant for a number of Palmer & Cay's largest clients
and would assume the same role for City of Lubbock.
In addition to Mr. York, Peggy Dutton will serve as the senior workers' compensation
claims consultant for City of Lubbock. Ms. Dutton's experience in this specialty area
spans over 20+ years and she has held various positions with responsibilities for
training, investigation, supervision, auditing and instruction of Workers
Compensation claims handling procedures on the local, regional and national levels
with leading insurance carriers. Kent Powell is the resident Claims Manager for our
Dallas office. Mr. Powell will provide day-to-day claims management service to
City of Lubbock.
•
B. Claims Advocacy Services
Most commercial claims are reported by the insured directly to the insurance carrier
or claims service provider to expedite the claims reporting and handling process.
Palmer & Cay will assist City of Lubbock with the design and implementation of an
aggressive claims advocacy program focused on improving claim outcomes and
financial expenditures. While our role in routine claims is more oversight in nature,
when coverage issues arise or when there are questions about loss adjustment, we also
fill the role of claims advocate for our clients.
Based upon our initial internal discussions of City of Lubbock's claims management
needs and our experience with similar clients, we suggest the following as our initial
approach to providing claims advocacy services to City of Lubbock:
■ Conduct a comprehensive review of the claim service provider office where the
W/C and Auto files are handled and review a cross section of open files to
confirm that Claims Best Practices are utilized in the management of City of
Lubbock claims. We will provide a report to City of Lubbock of our findings and
recommendations for improvement, if necessary.
Establish an annual audit process with the claim service provider. We suggest the
City of Lubbock's Risk Manager, Workers' Compensation Claims Manager and
Palmer & Cay all participate in the audit. The audit should include a
comprehensive review of actual claim files. The objective of the audit is to
establish the claim handlers have a complete understanding of the cases they
manage and they are accurately reflecting case status in the claim diary. The audit
will be designed with the following in mind:
- Audits occur on a regular basis; claim reps anticipate future audits.
- Audits are based on criteria that adjusters know and understand.
- Audits are based on criteria that can be objectively measured.
- They are performed consistently.
•
Mt
■ Palmer & Cay will schedule, attend and participate in all quarterly claim
audit/reviews. Our claims consultants will critique such areas as:
- Compliance with Special Claim Handling Procedures.
- Quality of Claims Investigation
- Level of Supervision
- Evaluate Reserves and Seek Decreases Where Warranted
- Subrogation Efforts
- Vendor Management
- Litigation Management
- Plans for Future Handling
If any deficiencies are identified during the review, we will expect an action
plan from the claim service provider to correct the deficiencies.
ddh
Ir ■ Aid in the design of a Claim Management Information System (Loss Run
Formatting). When Risk Managers identify their primary concerns, their need for
accurate and timely information is consistently at the top of the list. Palmer &
Cay has long recognized that developing measurements that create and sustain
senior management's interest in cost control efforts is the single greatest
contribution a risk manager can make to the organization. Palmer & Cay will aid
City of Lubbock in developing claims management information that fits your
specific long-term goals.
■ Aid in the selection of an effective outside counsel network to handle claim
litigation and development of Third Party Adjustment instructions. Our claim
consultants will assist City of Lubbock screen potential network attorneys by
reputation, knowledge, and commitment to the City's goals and litigation
philosophy. We will aid City of Lubbock in the selection process by utilizing our
membership in the Tort and Insurance practice section of the American Bar
0 Association to aid us in the referral process. We will also draw upon Palmer &
•
Cay's claim consultants vast network of defense attorneys that we have partnered
with on behalf of other clients.
■ Palmer & Cay will aid in the development of special claim handling instructions
for Workers' Compensation, Auto and General Liability. The instructions will
cover areas such as:
- Program Description
- Location Codes
- Denial of Benefit
- Settlement Consultation
- Reserve Advisory Report
- Notice of Hearing
- Surveillance
- RME's
• - Subrogation
- Liens -Workers' Compensation
- Independent Adjusters/Private Investigators
- Rehabilitation
- Payroll Information/Request for Wage Information
- Return to Work
- Claim Audits/Reviews
Resolution No. 2002-R0284
0
SAMPLE REPORTS
v 3r.
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. •?'ce' E` ry,. _..: Y,a: :. .h ... ., ,..<? =. .. Fa' ,. s. ..e�,""
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a, S �+. E Y,J•z`.. .,-.% R ... .�'. X �°a":C-i ..
�` �....: nw u, `^ r.. n.... � a..t.. -_.: .. .._:iY. s,.. ... .. ,p..... :i, �. .. '�-.i�{:.
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P 11
Godeke Branch Libra 660 uaker A A 148
Groves Branch Library 5502 W 19th Street PA A 10,426�
Mahon Library 1306 9th Street _ �SP FE,PA .i., D 73,5371
W _._._ _ t �.
Patterso,o!Bran�Pch Library1836 Par ay Dr SD/PA A 10,426
Buddy F1ftthter 1801 Ave mp�e MSD Sap µ11 769
Fine Arts Center 2600 Ave P FE A 4,203�
y i
c� x'i �
•�k;x. :
°sS+y�.` � :�..v
80
$ 75
$ 100
$ 7
$Sac
$ 80
.:
$
$
$
$
f
,�1 ,. W. i
'�_ .5�. Ln
kF..
89 840
1
781,950
7,353,700
--
781,95
2 942 25
�: .i A.
E.
v:.
1 40
8 1 4
$ 454,025
$ 3,219,213
437,525
200,000
GY ..P..... ,�5 ..
C '1' F.<....1.
1 713,2 80
$ 1,235,975
$ 10,572,913
$ 1,219,475
$ 3,142,250
$ 336,240
$ -
$
336,240
Garden &Arts Center
j4215 Universi
FE
A
7,250
$
80
$
_
. 580000
36,000
$
616,000
LM Arboretum Foundation
'
I
Center
St. Paul's Historic Church
4111 University
4007
FE
NA
A
1,383
726
$
70
$
$
96,81
$ -
$
96,810 0
University
B
$
85
!
61,200i
$ 1,000
$
62,200
Atzlan Park Restrooms
1101 N 127
NA
I D
530
$µ
70
$
37,100.
$ -
$
37,100
Berl Huffman Maint. Barn
N Loo 28 C n on
FE
�i
s
11,200
$ 5
0
$
._
504,00 '
750,248
$
1,254,248
Burns Par�c�aviilion „ ^ _.,
Canyon Lake 6 Shelter
23rd & Ave µin " NA
�N University & Canyon Lake �NA
w p i „
A
1,596
800
$
$
35
$
47,880f
28,000'
-
$
47 880
$
$ -
$
28,000
Canyon Lakes 2 Restroom
N University & Canyon Lake NA
A
300
$
60
$
18,000if-
$ -
$
18,000
Canyon Lakes Gazebo
Rim Shelter
»
N University & Canyon Lake NA
University & Canyon Lake NA
w.. w
F
817
800,
$
[jCan
30
$
24,510?
_..
24,000
$ -
$
24,510
on
�
$
$
24,000
Carlisle Shelter
127th & Ave W
NA
A
800
$
35
$
28,0001
$ -
$
28,697
Central Park Maint
1912 Erskine
FE
A
18,000
$
55
$
990,000
$ 1,396,697
$
2 386�697
,
Charles A S Guy helter
192nd &Memphis
tNA
F
w
800
$
30
$
_..
24,000
$ -
$
24,000
Chatmart Park,
Restroom ��er
i Sap
E. 29th & Juniper
^^
NA
i
Sa
1,596
Sa
$9k$
0am
95,76
l
95,760
FE (auction
€
City Auto Building (Parks)
708E Broadway
Storage)
; C
5,000
$
70
$
350,000
$ -
$
350,000
Clapp Restroom
14500 Ave U
NA
„
D
348
$
85
$
,5 2980
^ _ �
$
29,580
Dawes Pavilion
N. Ave L &Clemson
DNA
F
836
$V
30
$
m
25,080,
$ -
$
25,080
Dub Rushing Gazebo»'82ndw&,Memphis
NA »
FM"
817
$
30
µ $„
24,150
$ -
$
24,150
Helen H ark Restroom Marshall & ty
NA
Sri 1
378
$ Sam
$
30124
A-
$
30,240
Higginbotham Park Restroom
ica tica
1702 Ut
NA
? A
530
$
85
$
45,050
$
$
45,050
Hingosa Shelter
Hoet
�7404 22nd St.
NA
NA
I F
y F
560i
817
$
$
35
30
$
$
19,600,
0
24,510i
$ -
$
19,600
Gazebo
92nd &Chicago
$ -
$
24,510
_....._
Hollins Park Pavllllon
2212 1st St
NA
_.64$Sa
$
15,000_
$
$
_
15,000
Joy-,land .$.w,�rili�
Makenzek
$
2,88 ae;tB
2,880
Joyland Area Shelter
I Park Road 18
NA
F
_..
834
$
30
$
25,020
$ -
$
25,020
Joyland Bonanza Bldg?
Mackenzie Pk
MS/HD
�MS/HD
B
800
$
35
$
28,000
$ -
$
28,000
Joyland Concession #2
Mackenzie Pk
, B
400
$
45
$
18,000
$ -
$
18,000
_, _
Mackenzie Pk
„.._.
MS/HD
; B
200
$
40 i
$
8000'
$ -
$
8,000
" Contents included with Building Structure Page 1 Print Date 04/30/2002
E
.7
•
I ..
Loss Forecaster II Report Prepared For:
Sample Sample Sample Sample
Industry: Retail
Policy Periods: 8
Sample Lmple
in of Coverage: Worice Compensation a
Method: Both
Analysis: Reserve Analysis
Sample Sample Sample Sample
Sample Sample Sample Sample
Sample Sample Sample Sample
Loss Forecaster 11
Sample
Sample
Sample
Sample
Page 1
A
• • •
a
ro
Workers Compensation ti
Losses are limited to historical limitations
N
■■���•��I�■g111A��■II■�A 1�■ ■■■■/I 1�/A ■ - M�■!�I Ip P����AA■I
O
Dala Input
Sample
Sample
Sample
Sample
Sample
Policy Period
Evaluation Dale
Inca ed Loss
Patd Loss Loss Limit
104/01/1993-
06/27/2001
$320,984
$320,984 $250,000
103/31/1994
j
i 04/01/1994-
06/27/2001
$1,011,257
$922,4031 $250,000
103/31/1995
04/01/190r-
06/27/2001
Sample$776,433
Sa e9,787
$ �J
03/31/19
1
04/01/1996-
06/27/2001
$759,717
$T02,307
$250,000
03131 /1997
04/01/1997-
06127/2001
$476.138
$354,945
$250,000
03/31/1998
04/01 /1998-
06/27/2001
$299,279 ; $276,603
.$250,000
03131/19 9
j
Sample,_ 1
04/01/1999-
06/27/2001
$513,418; $438,456
$100,000
03/31/2000
i
04/01/2000-
06127/2001
$25,253 { $13,323
$150,000
03/31/2001
Cn
Sample Sample Sample Sample
N
0
w
N
Sample Sample Sample Sample
p.
A A•■�■■■�•••IAINAI�q• • •�I ■�w1���I��A�.•1■�• •■A AIAI■I
Loss Forecaster 11 Page 2
a
v
m
Workers Compensation o
N
Losses are limited to historical limitations _
N
O
Excess of Loss Limit (Incurred Losses)
Sample Sample
Sample Sample
Sample Sample
Policy PeriodIMT
Incurred Large
Losses
04101/1993-
03131/1994
j
04/01/1994-
1
j $328,536
03/31/1995
,
04101/1995- amp ;
a
03/31 /1995
04/01/1996-
03/31/1997
04/01/1997-
I
03/31/1998
04101/1998-
03/31 /1999 Sampl
Sa
04/01/1999-
03131 /2000
04/01 /2000-
-
03/31/2001
pie Sample
a
r
ple Sample
ple Sample
0
A
Sample Sample Sample Sample Sample
0
'L
A
Sample Sample Sample Sample Sample
A
Loss Forecaster 11 Page 3
a
0
Workers Compensation o
N
Losses are limited to historical limitations _
N
Excess of Loss Limit (Paid Losses
Sample Sample 1
Sample Sample
Sample Sample
ple Samp e M
0
-v
a
ale Sample
ple Sample
r
n
A
a
v,
Sample Sample Sample Sample Sample
0
Sample Sample Sample Sample Sample
T
fG
A
Loss Forecaster If Page 4
Policy Period
Paid Large
Losses
04/01/1993-
03/31/1994
I
04/01/1994-
$328,536
03/31/1995
Sample
04/01 /1995-
03/31/1996
04/01 /1996-
0.3/31/1997
04/01/1997-
03/31/1998
04/01/1998-
-
03/31/1999Sample
Sa
04/01 /1999-
-
03/31/2000
04/01/2000-
03/31/2001
0 0 0
w
1Norkers Compensation N
Losses are limited to historical limitations _
N
Summary of Losses
Sample
Sample
Sample
Sample
Sample
Policy Period
Total Incurred
Limi ed Incurred
Tota Paid Loss
Limited Paid Loss
Loss
Loss
04/01/1993-
$320,984
$320,984
$320,984
$320,984
03/31 /1994
04/01/1994-
$1.011,257
$932,721
$922,403
$843,867
03/31/1995
04/01/19 gmp e
$776,433
am e$776,433
99,787
$699, 87
03/31N996
04101/1996-
$759,717
$759,717
$702,307
$702,307
03/31/1997
I
04/01/1997-
$476,138
$476.138
$354,945
$354,945
03131/1998
04/01/199B- 1 $299,279
$299,279
Sample
$2716,603
Sample
$7576 6pp3
ar4iple
033/-31/19§9mple
' 04/01/1999- $513,418
$513,418
$438,456
$438,456
03/31 /2000 ;
t
04/01/2000- $25,253
$25.253
$13,323
$13.323
03/31 /2001 t
Sample Sample Sample Sample
Sample Sample Sample Sample
Loss Forecaster II Page 5
• • •
Sample
Sample
Sample
Sample
Sample
p
W
Workers Compensation
N
Losses are limited to historical limitations _
N
Loss Development Factors (Incurred Method)_
Policy Period
Evaluation Date,
Lim ed Incurred
Incurred LDF I
Estima ed
j
Loss
Ultimate Incurred
Loss
04/01/1993- I
06/27/2001 ;
$320,9B4
1.000
$320,984
03/31/1994
04/01/1994-
i 06127/2001
$932,721
1.0151
$946,712
iO3/31/iNfimple.
Sample
2 Sample
Sample
04/01/1995-
I 06/27/2001
$776,4331
11.030
$799,726
103131 /1996
1 04/01/1996-
06/27/2001 i
$759,717
1.103
$637,968
1 03/31 /1997
'
`04/0111997-
06/27/2001
$476,138 i 1.139
$542,321
03/31/1998
04/01/19§091ple
06/27/2001
amp e$299,279
! amp el .186
$N MA
03/31 /1999
i
04/01/1999-
06/27/2001
$513,418'
1.278
$656,148
03/31/2000
04/01/2000-
06/27/2001
$26,253 i 1.60B
$40,607
03/31/2001
I
Jil mpic J ailtYic O'LliiYit,
Sample Sample Sample Sample
Loss Forecaster 11 Page 6
Sample
Sample
Sample
Sample
Sample
Workers Compensation
N
Losses are limited to historical limitations _
N
Loss Development Factors (Paid Method)
Policy Penole
Evaluation Date
Limit Paid Loss
O�UIC
id LDF
` Estimated
Ultimate Paid
Loss
04/01/1993-
06/27/2001
$320,984
1.000
^$320,984
03/31 /1994
04/01/1994-
06/27/2001
$843,867
1.172
$989,012
03/31 /19Oimple
Sample
Sample
Sample
0410111995-
06/27/2001
$699,787
1.206
$843,943
03/31/1996
04/01 /1996-
06/27/2001
$702,307
1.262
$886.311
03/31 /1997
04/01/1997-
06/27/2001
$354,945
1.354
$480,596
03/31/1998
04/01/19'ple
06/27/2001
Sample$276,603
Samplet.535;$
03/31/1999
04/01/1999-
06/27/2001
$438,456
1.958
$858,497
03131/2000
04/01/2000-
06/27/2001
$13,323
3.762
$50,121
03/31/2001
sample aampie 041i1Yic JAI.LI ,ll.
Sample Sample Sample Sample
Loss Forecaster 11 Page 7
a 0 0
i
0
Workers Compensation N
Losses are limited to historical limitations
N
Selected Estimated Ultimate Incurred Losses,
Sample
Sample
Sample
Sample
Sample
Sample
Policy Period
Estima ed
Estimated t Ultimate Incurred
Ultimate Loss -
Ultimate Loss - Loss
Incurred Method
Paid Method
r
04/01/1993-
$320,984
$320,934 $320,984
03/31/1994
y
04101 /1994-
$946,712
$989,01 r $967.662
tt+Bi� 1995
Sample[
S4ple ;
04/01/1995-
$799,726
; $843,943
$821,835
03/31 /1996
= '
04101/1996-
$837,96B
i $886,311
$862,140
03/31/1997
04/01/1997-
$542,321 ,^ $480,596
$511,459
03131 /1998
!
vffl�fi
$ $424,
p e $389,7613
03131 /1999
i
04101/1999-
$656,148 $B58,497
$757,323
03/31 /2000
04/01/2000-
$40,607 4 $50,121
$45,364
03/31 /2001
n
Sample Sample Sample
;ample
)ample
ample
Sample
Loss Forecaster 11 Page 8
0 0 0
Sample
Sample
Sample
Sample
Sample
r
Workers Compensation
Losses are limited to historical limitations
Estimated Required Reserves
C- --- --1-
Policy Period
Loss Limit I
Estimated Limiled Paid Loss
Estimated
Ultimate Incurred i
Required Reserve
Loss
04/01/1993-
$250,000
$320.984
$320,984
$0
03/31/1994
04/01/1994-
$250,000
$967,862
$843,867
$123,995
03131/1965mple
Sample
Sample
Sample
04/01/1995-
$250,000
_ $821,835
$699,787
$122,048
03/31 /1996
04/01/199fi-
$250,000
$862,140
$702,307
$159,833
03/31/1997
i
t04/01/1997-
$250,000
$511,459
$354,9451
$156,514
' 03131119Bt3
�
04/01/19 6mp a
$260.000
amp e$389,766
a � ,fiO3
$
03131 /1999
$757,323
$438,456
$318,867
0410111999-
$100,000
03/31 /2000
04/01/2000`
$150,000
$45,364
$13,323
$32,041
03/31/2001
Totals Samp e
amp ,ti76,733
,9,272
$1,;R
Sample
Sample
Sample
Sample
Loss Forecaster 11 Page 9
Sample
Sample
Workers Compensation
Losses are limited to historical limitations
D►sCdAQ'Ayoul schedule Sample
Sample
Policy
Period
06/28/2001
04/01/2002
04/01/20D3
04/D1/2004
0110112105I
0410112016
04/0112fi07
04/0112008 04101/2009
04/01/2010
Inception
Da6e
04/01/2002
04/01/2003
04/01/2004
041D1120D5
04/01/2006
04/01/2007
041D112WB
04/01/20091 04/01/2010
04/01/2011
Total
04/01/93
$0
$0
$0
$0
$9
$0
$0
$0' $0
$0
s0
04/01/94Sar4
le *33,817
$45,089
SaMM5,089
SO
Sale
$0
Sam*
$D . Sampletfl
$0
$123,995
04101195
1 $30,512
$30,512
S30.512
$30,512
so$0
$0
$0 t $0
$0
$122.048
04/01/96
$30,444
$38.055
$30,A44
S30AM
$30,446
$0
$0
$01 $0
$D
$159.833
04101/97
$24.079
$30,099
$30.099
$24,079
$24.079
$24,079
$0
so; $0
$0
$156,514
04/01/98
$23,2981
$16,642
$16,642
$16.642
$13.313
$13,313
$13,313
$0 $0
$0
$113,163
04/01/99
$84,597
$58,567
$32,537
$32,537
$32.537
$26.030
$26,030
$26.032 t $0
$0
t $318.867
D4/01100
38,68D
$7,794
$3,897
$2,165
$2,165
$2,165
$1,732
$1,732 $1731
$D
$32,041
lotal a
p e $235,407
3226,768
?10
$136,379
$102,54
$65,587
$41, 5
$27,764 1,731
$0
$1,026.461
Expected Fulure Payments - Discounted Basis
06)2W2001
04101120D2
410p1Je2003
S
04101120114
041OV2am5
a D4/01/2D08
04�{jltllt e
04/01/2008
c 4 11,��09
04/01/2010
Sample
04101120D2
04101/20D3
04/01/2004
04/01/2005
04/0112006
0410112007
04/0112008
04/0112009
04(0112010
0410112011A$978,619?0
2%
$233.632
5221,163
$180.926
$127.042
$94,236
"9.094
$36,282
$24,043
i $1,470
$04%
$231.905
$215,811
$173,149
$119,99D
$112,756
$86,747
SM,352
$32,126
$20,876
$1,252
$06%
$230,222
$21006
$1 5,844i
$7 ,980
$48,261
I 28,5$18,119
1 89$D
Loss Forecaster 11 Page 1D
No Text
•
ABC Public Entity
AS OF 04/02/02
POLICY PERIOD: 10/01/1995 TO 10/01/1996
Net L&fflPJwents
Allocated l@mts.
O/S Loss Munple
Alloca Reserve Sa
tal Ex erience
352,742
293,264
100,500
16,159
1 762,665
Sample Sample INCURRED CLAIMS MRR�UMMARY Sample
Total Period Experience (10/01/95 to 10/01/96)
762,665
Less Claims Excess of Per Occurrence Retentions
(Reinsurance)
(232,517)
Total Incurred Loss Fund Experience
530,148
Projected 12 Month Loss Fund Ratio
(530,148 divided by 550,000)
96%
Sample Sample Sample
Samp
PAID CLAIMS LOSS FUND SUMMARY
Sample
Total Claim Payments
646,006
Less Reinsurance Recoveries
202,164
Total Payments Applicable to Loss Fund
443,842
Loss Fund Amount Sample S
unple Sam 160,000
Loss Fund Balance
106,158
Total Payments made in Excess of Loss Fund
-
Sample Sample Sample
Sample
Sample
Sample
Sample
Sample
No Text
is
APR-30-02 12:08 FROM -PALMIER CAY +104-553-231b 1-r4u r ui r-yf4
• r
Sample Loss FbWiFster I► Keport Prepar *. Sample
Prepared By: Palmer & Cay, Inc.
Sample Sample Sample Sample
March 18, 2002
Industry: Services
Policy Periods: 4
Sample Line of Coverage: orkers Compensationam
Method: Incurred Method
Analysis: Loss Projection
Exposure: Payroll
Sample LOSS Limit: ^ Sa+ -~,000 Sam
Sample Sample Sample Sample
Sample Sample Sample Sample
Sample Sample Sample Sample
• Sample Sample Sample Sample
Loss Forecaster 11 Page 1
APR-30-02 12:08 FROM-PALMER CAY +704-553-2316 f-RU F.uz r-yfa
Workers Compensation
• Loss Limit = $50,000
Sample Sample Sample Sample
Data Input
Sample
Policy Period
Evaluation Date
Incurred Loss
Payroll
03/01/1997-
04/30/2001
$28,020
$15,258,057
02/28/ 1998
03/01/1998-
04/30/2001
$65,210
$19,980,142
02/28/1999
Sample
Sa
ple
03/01/1999-
04/30/2001
-^ $567,702
$33,584,461
02/28/2000
03/0112000-
04/3012001
$425,442
$50,037,292
02/28/2001
ample
Sample
Sample
Sample
Sample
•
Sample
Sample
P
Sample
p
Sample
pe
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
. Sample Sample Sample Sample
Loss Forecaster 11 Page 2
APR-30-02 12:08 FROM-PALMER CAY +704-553-2316 T-720 P.03/21 F-914
Workers Compensation
. Loss Limit = $50,000
Sample Sample Sample Sample
Excess of Loss Limit (incurred Losses)
Sample
Sample
Poficy Period
Incurred Large
Losses
03/01 /1997-
02/26/1998
-
031119-
02/28/1999
Sa
03/01/1999-
02/28/2000
$56,398
$223,240
$61, 968
$125,475
03/01/2 00-
02/28/2001
$79,489
$73,853
Ile Sample
Ile Sample
•
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
. Sample Sample Sample Sample
Loss Forecaster 11 Page 3
91n
APR-30-02 12:09 FROM-PALMER CAY +704-553-2316 T-720 P.04/21 F-914
Workers Compensation
• Loss Limit = $50,000
Sample Sample Sample Sample
Summary of Losses
Sample
Policy Period
Total Incurred
Limited Incurred
Loss
Loss
03/01/1997-
$28,020_
$28,020
02/28/1998
03/01 /1998- Samp
e $65,210
SampJ65,210
02/28/1999
03/01/1999-
$567,702
$300,621
02/28/2000
03/01/2000-
$425,442
$372,100
02/28/2001
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample Sample Sample Sample
Coss Forecaster p Page 4
APMU—H 12:U9 FRUM—PALMER GAT VU4-bb1-4j1b 1-14U r.Uaici r—U14
Workers Compensation
. Loss Limit = $50,000
Sample Sample Sample Sample
Loss Development Factors (incurred Method)
Policy Period
Evaluation Date
Limited Incurred
Incurred LDF
Estimated
LOSS
Ultimate Incurred
Loss
03/01/1997-
04/30/2001
$28,020
1.129
$31,635
/28/1996
03/01 /1998-
04/30/2001
$65,210
1.172
02MIl 999
- __.. $382,089
03/01/1999-
04/30/2001
$300,621
1.271
02/28/2000
03/01 /2000-
04/30/2001
$372,100
1.637
$609,128
02/28/2001
Sample Sample Sample Sample
® Sample Sample Sample P P p Sample
Sample Sample Sample Sample
Sample Sample Sample Sample
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. Sample Sample Sample Sample
Loss Forecaster 11 Page 5
Cb
APR-30-02 12:09 FROM-PALMER CAY +704-H3-2316 T-720 P.06/21 F-914
Workers Compensation
Loss Limit = $50,000
i
Sample Sample Sample Sample
Inflation Trend Factors
Sample
Policy Period
Payroll
Med Care CPI~
Inflation Trend
Adjustment
Factor
Factor
Factor
03/01 /1997-
1.226
1.201
1.214
02/28/1998
Snmnle
03/01/1998-
1.174
1.163
1.169
02/28/1999
03/0111999-
-- ~ 1.127
1.122
1.125
02/28/2000
03/01 /2000-
1.086
1.082
�1.084
02/28/2001
ample
Sample
Sample
Sample
Sample
is
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
. Sample Sample Sample Sample
Loss Forecaster 11 Page 6
APR-30-OZ 1Z:09 FROM -PALMIER GAY r.ur141 r-n14
Workers Compensation
Loss Limit = $50,000
Sample Sample Sample Sample
Loss Trend Adjustments
Policy Period
Estimated
Inflation Trend
13LCF
Adjusted Loss
Ultimate Incurred
Factor
Loss
03/01/1997-�-
$31,635
1.214
1.021
$39,211
02128/1998
03/0/1998-
w $76,426
1.169
1.016
�772
02/28/1999
03/01/1999-
$382,089
1.125
1.011
$407,104
02/28/2000
03/01/2000-rr
$609,128
1.084
1.004
$654,102
02/28/2001
Sample Sample Sample Sample
isSample Sample Sample Sample
Sample Sample Sample Sample
Sample Sample Sample Sample
Sample Sample Sample Sample
10 Sample Sample Sample Sample
Loss Forecaster 11 Page 7
APR-30-02 12:09 FROM-PALMER CAY trua-aa�-c�io i-rcu r.uni n r-7i4
Workers Compensation
Loss Limit = $50,000
•
Sample Sample Sample Sample
Exposure Trend Adjustments
Sample
Policy Period
~�^ Payroll
Payroll
Adjusted Payroll
Adjustment
Factor
03/01/1997-
$15,258,057
1.226
$18,706,378
02/28/1998
03/01/1998-
$ 9,980,142
1,174
$23,456,687
02/28/1999
03/01/1999-
$33,584,461
1.127
$37,849,688
02/28/2000
0310112000-
$50,037,292
1.086
^ $54,340,499
02/28/2001
ample
Sample Sample Sample Sample
® Sample Sample Sample Sample
p p
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Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
• Sample Sample Sample Sample
Loss Forecaster 11 Page 8
APR-30-02 12:09 FROM-PALMER CAY +704-553-2316 T-720 P.09/21 F-914 a,
Workers Compensation
• Loss Limit = $50,000
Sample Sample Sample Sample
Pure Loss Rate
Sample
Policy Period
Adjusted Losses
Adjusted Payroll
Pure Loss Rate
Per $100 Payroll
03/01/1997-
$39,211
$18,706,378
$0.21
02/28/1998
03/01/1998-
Sample$90,772
$23,456,
ple $0.39
02/28/1999
- _ �.. $1.08
03//0 111999-
1 02/28/2000
$407,104
$37,849,688
03/01/2000- _
$664,102
$54,340,499
$1.20
02/28/2001
Sample Sample Sample
Projected Policy Period
IsSample
Sample
ample
Sample
Projected Period
- Selected
Projected Payroll
Projected Losses
Projected Pure
Loss Rate
03/01 /2002-
02/28/2003
$0.74
Sample
$71,635.153
Sa
$530,100
ple
Average Pure Loss Rates
Weightedailiple
2 Year
- 3 Year
p e All Years
$0.89
$1.14^r
$0.89
$0.72
Projected Payroll is based on a 5% increase of the 2001 estimated payroll.
Sample Sample Sample
Sample
Sample
Sample
ample
ample
Sample
Sample
. Sample Sample Sample Sample
Loss Forecaster 11 page 9
p
"O
o
Workers Compensation N
Loss Limit= $50,000
N
O
[O
Sample Sample D;s& tdF yowl Schedule Sample Sample
a
a
Policy
Period 03/01/2002
03101/2003
03101120D4
03/01/2005
03f0112006
03/01/2007
03101/2008 !
03101/2009 03101/2010
03/010011
Inception i
Date 03101/2003
0310112004
03101/2005
03101/20D6
03/01/2007
03/01/2008
0310112009
03101/2010 03101/2011
0310112012
Total
03/01/02 $106.020
$137,626
$95.418
S47,709
$26,505
$26,505
326,505
$21.2041 $21,204
$21,204
$530,100
Total Sa4le $106.020
$137,826
Sate*,418
$47,709
$SAS
a $26,505
S S
$21,204
1 Sarl$PIS204
1,$21,204
$530,100
Expected Future Payments - Discounted Basis
1 03101/2002
03101/2003
03/01/2004
03101/2005
0310112006
03101=07
0310112008
03101/2009
03101/2010
0310112011
t 03/01/2093
0310112004
03101120135 ,
03/01120D6
03/01/2007
03101/2008 (
03101/2009
03101V010
03101/2011
03101/2012 1 Total
2%
$104,915
$133,792
$90,809
$44,514
$242
$23.770
9a23,
$18,277
7,919
517,568
$499,173
$103,961
$129,951
$86,5D6
$41.589
$22,217
$21,362
$20.541
315.000
$15,193
$14,608
$471,728
L4'%I6
i $102,976
t
S126,291
$82483
$38,9D7
$20,392
$19,237
$18,148
$13,697
$12,922
517,19D
$447,243
Sample Sample Sample Sample Sample
T
C
Sample Sample Sample Sample Sample
T
w I ■ �11����/ ��II��/��/Y,rl�/�i I�,e�l II IUIIIIII 1 P
Loss Forecaster 11 Page 1 D
•
is
APR-30-02 12:10 FROM-PALMER CAY +704-553-2316 T-720 F.II/Z1 F-314
Workers Compensation
Loss Limit = $50,000
Sample Sample Sample Sample
Confidence Interval
Sample
Sample
Interval
Losses
ale
$440,00
55%
$480,000
60%
$510,000
65%
$560,000
70%
$610,000
75%
$660,000
le
$730,000
85%
$830,000
90% 1
$960,000
95%
$1,200,000
99%
$1,810,000
mple Sample
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. Sample Sample Sample Sample
Loss Forecaster 11 Page 11
•
11
•
0 0 0
SCHEDULE OF INSURANCE
ABC Public Entity
11/30/01-02 POLICY PERIOD PALMIER + CAY
nJ'7'v..Y.aq f ro.
' pYeCa a
a , ,.. � . ..
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. .....:.. ....�cttt .... _.:, .,
60,
. �. ' .SrNri
PF�dta (ilM 4
Ilc :� tee �
�r
� «Litytfa� >..s
> y'
. _crnments`
Property
Allianz Insurance Company
55555555555
$425,000
11130/01-02
$120,000,000
Each Occurrence except
"Annual Aggregate
$25,000,000
'Flood
sub -limits
$5,000,000
`Flood - Zones "A and V"
$2,500,000
Transit - Inland
Deductibles:
$50,000
All Perils except
5%
Named Windstorm. Minimum
Sample
Sample
Sample
$25,000
aQ0Sample
rSt- Inland
24 Hours
Service Interruption ($50,000 Min.)
Boiler &
Continental Casualty
5.55556E+12
$69,203
11130/01-02
$50,000,000
Property Damage - BI/Extra Expense
Deductible:
Machinery
Insurance Co.
$1,000,000
Service Interruption
$50,000 - Property Damage
24 Hours-BI/Service Interruptn
General Liability
Federal Insurance
3524-88-59
$75,601
11130101-02
$1,000,000
Each Occurrence
Subject to audit
Company
$2,000,000
General Aggregate
$2,000,000
Products/Completed Operations Agg
$1,000,000
Personal Injury & Advertising
Sample
Sample
Sample
$10,00
Employee Benefits
pi�ayments (per person) Sample
Employee Benefits
$1,000,000
Each Claim
$1,000 deductible -each claim
$1,000,000
Aggregate
Retro Date 7/1/89
Sample Sample Sample Sample Sample
Sample Sample Sample Sample Sample
04/30/2002
Account Executive:
Sr. Account Manager: 1
a 0 0
SCHEDULE OF INSURANCE
ABC Public Entity
11/30/01-02 POLICY PERIOD
PAJ—N ER Af CAY
fT ar Jnc.
�,%((�... rr
j� `rye
µ. '•
(
': �'SS �"c. .'.,
'::
f �y +
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M./� y •
(�
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5 'S .4, t aIW Y
:. �.. .t <:
R�ii av�z: �\l.�i�11J�f,S:Y. m: j;+tz.:
Autom
Federal Insurance
55555
$40,158
-02
$1,000,0
ny ne Accident
Hired car Physical damage
Company
$5,000
Medical Payments (per person)
Rental Reimbursement
Mandatory Limits
Personal Injury Protection
$1,000,000
Uninsured Motorists
$500
Collision & Comprehensive
Deductibles
Umbrella Liability
Federal Insurance
5.55556E+11
$59,973
11/30/01-02
$25,000,000
Each Occurrence
Company
$25,000,000
General Aggregate
Sample
Sample
Sample
$25,000,00
/Completed Operations
Workers's
Insurance
Employer's Liability
Compensation
Company
$1,000,000
Each Accident
$1,000,000
Disease -Each Employee
$1,000,000
Disease -Policy Limit
Sample
am le Sami3le
Aviation Products
Lloyds of London
5555555555
$72,500 plus
11/30/01-02
$100,000,000
Each Occurrence & Annual Aggregate
Deductible:
Liability
tax & fees
Except
$50,000
$100,000,000
Any one Grounding & Aggregate
Crime
National Union
8746308
$17,070
11/30/01-02
$1,000,000
Employee Dishonesty Coverage
Deductible:
Fire Insurance Co.
$1,000,000
Loss Inside the Premises Coverage
$25,000 Single Loss
$1,000,000
Loss Outside the Premises Coverage
$1,000,000
Depositors Forgery Coverage
Sample
Sample
Sample
$1,000,
861pkr Fraud Coverage Sampl
Special Crime
Lloyds of London
1334300
$4,950
11/30/01-02
$10,000,000
AD&D/War Risk Exel
Sample
Sample
Sample
Sample
Sample
04/30/2002
Account Executive:
Sr. Account Manager: 2
• • 0
ABC Public Entity2
Premium Payment Summary Policies Paid in Full -
PAL7VI M Sir CAY
11-30-01 /02 m.. ........ ......
R/'T XAs Iitc
Sam le Sam le Sam le Sam le Sam le
Nov.
Dec. Jan.
Feb.
Mar.
April
May
June July
Aug.
Sept.
Oct.
Nov.
Total
Coverage
Premium
2001
2001 1 202
2002
2002
1 2002
I 2002
2002 2002
2002
2002
2002
2002
Property
425,000.00
425,000.00
555555555
Allianz
B&M
69,203.00
69,203.00
555555555 Sam
ple
Sar
iple
Sample
Sarc
plc
Sample
Cont. Cas.
Umbrella
59,973.00
59,973.00
55555555555
Federal Ins. Co.
xs Umbrella
37,500.00
37,500.00
5555555555
Lumbermens
Aviation Prod is
55555555555
72,500.00
le
Sample
ample
Sa
le
Sample
72,500.00
Lloyds
Crime
17,070.00
17,070.00
555555555
National Union
Taxes & Fees
1 2,356.251
2,356.25
Total Premium
683,602.25
683,602.25
Sample Sample Sample Sample Sample
Sample Sample Sample Sample Sample
•
11
0
a 0 0
Specific Claim Layer Loss Model -Ali Claims Poky Years 1997, 1998, 1999, 2000
Undeveloped Beals - Loss Triangle: Account Specific; Valued as of WSM1
All claims greater than or equal to $250,000
Ta
f525,000to
f53
SS73,000o
00010
fo f260,000 to
Greater than q
Dala
I Incurred
I Dav lop. I
lneurtad�tll
f10,000
I
I OOOo
(
5700 �00
f1 0,000
S20a,000 I
II f200,000
$250,00
f250,000 S5or
f500,000
RI
W0' sample
E 20,925,742
�t�r ff&2 f
0^
S 375,000 S
16
37 ;000
gr�
$ 375;006� mpI�g 000% E 7503.8% f ��3�6% k
3 125,E4.9%
$ 14,050.103
Cumulative:
0.0%
1.8%
3.6%
6.4%
7.2% 10.8%
14.3%
17.9%
32.9%
100.0%
Ace
Total
Claim
Total Developed
$0 to
$10,000 to
$25,000 to
$50,000 to
$76,000 to
$100,000 to
f150,000 to
$200,000 to
$250,000 to
Greater than
WC, Auto, GL
Dete
Incurred
Devela .
Incurted
$10 000
$25 000
$50 000
$76 000
$100 000
5750 000
5200 ODO
$230 000
$500 000
$500 000
1989 f 876,153
1 $
876,153
$ 25,000 f
25.000
f 25,000 $ 25,000 f 50.000 $ 50,000 f
50,000 $ 250,000 $ 376,153
-
1989
f 1,211,183
1
$ 1,211,183
$25,000 S
25,000
$ 25,000 S 25,000
$ 50,000
f 50,000 S
50.000
S 250,000
$ 711,183
1990
$ 841.293
1
f .41,293
-f 26,000 f
25,000
f 25,000 $ 25,000
f 50,000
$ 50,000 f
50.000
E 250,000
$ 341,293
1992
f 609,286
1
f 609,286
$ 25,000 $
25.000
f 25,000 $ 25,000
f 50,000
$ 50,000 f
50,000
f 250.000
E 109.286
1992
f 981,030
1
$ 981.030
f 25,000 E
. 25,000
f 25,000 $ 25,000
f 50,000
$ 50,000 $
50,000
S 250,000
S 481.030
1993
f 269,849
1
f 269,849
$ 26,000 f
26,000
$ 25,000 S 25,000
S 50,000
$ 50,000 f
50,000
f 19,849
$ -
1993
f 760,000
1
$ 750,000
f 25,000 $
25.000
$ 25,000 f 25,000
f 50,000
$ 50.000 f
50,000
$ 250,000
f 250,000
Sample
1993
1994
f 1,524,131
S 1,013:381
1
Sample 1
f 1,624,131
$ 1.013.381
S 25,000 f
f Sable
25,000
25,000
$ 26.000, S 25.000
f 25,�amplC.Do9
f 50,000
f 50,000
$ 50,000
$S
50,000
50,000
$ 250,000
$ 250,000
$ 1.024,131
$ 513.381
1995
E 264,388
1
$ 284,366
$ 25, E
25,000
f 25.000 $ 25,000
f 50,000
f 50, $
50,000
$ 14,366
$
1995
$1,169,452
1
$ 1.169,462
f 25,000 $
25.000
f 25,000 f 25,000
$ 501000
$ 50,000 $
50,000
$ 250,000
$ 669A52
1996
f 1,074,460
1
f 1,074,460
f 25,000 $
26.000
$ 25,000 E 25,000
$ 50,000
$ 50,000 E
50,000
$ 250,000
$ 574.460
1997
f 750,000
1
f 750,0W
f 25.000 f
26,000
$ 25.000 f 25.000
f 50,000
$ 50.000 f
50,000
f 250,000
$ 250,000
1997
f 341,424
1
E 341,424
f 25,000 f
25,000
f 25,000 $ 25,000
f 50.0g0
$ 50,000 f
50,009
$ 91.424
$ -
1998
f 9,249.734
1
f 9,249,734
E 25.000 f
25,000
f 25,000 $ 25,000
$ 50,000
$ 50,000 f
50.0g0
f 250.000
$ 8.749,734
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
Sample
• 5. Fee Compensation Proposal
The price proposal and contract fee is a presentation of the proposer's total offering price
including the cost for providing each component of the required goods or services.
(Please be reminded, and address the fact, that all insurance policies obtained
through the broker are net of commission.) Proposers should indicate the dollar
amount that will be attributable to each line of coverage and each sub -contractor, if any.
•
0
Palmer & Cay of Texas, Inc. proposes the following fee compensation structure for the
City's consideration and adoption:
Proposed Good or Service
Annual Fee Compensation
Broker Consulting, Management and
$60,000
Marketing Services as further defined and
outlined in our RFP response
Risk Control Services, Property Loss Control
7,500
Meeting with Human Resource / Risk
Management Staff, Exposure Identification
for LPL, Civic Services, Public Works and
Information Technology
Quarterly Loss Analysis, Statistical Loss
7,500
Forecasting, Retention Analysis and Reserve
Analysis
TOTAL ANNUAL PROPOSED FEE
$75,000
All insurance policies procured through Palmer & Cay of Texas, Inc. will be net of
commission to Palmer & Cay as required by the CITY. Palmer & Cay will endeavor to
place all policies directly with the selected insurance carriers. Certain coverages carried
by the CITY will require the use of wholesalers who have contracts with these
specialized markets that only deal with wholesalers. Palmer & Cay will request any
wholesaler to negotiate their compensation fairly with our firm and the CITY. It is to the
benefit of the City that Palmer & Cay access all identified insurance carriers who
specialize in public entity coverages.
Palmer & Cay of Texas, Inc. respectfully requests the option to renegotiate our service
fee, subject to a 5% cap, if an unforeseen event causes an unexpected increase in our
expenses incurred in carrying out our service contract to the CITY.
Transition Plan
The Marketing Plan Timeline will be incorporated into Transition Plan.
Week of 6/17/02 — Palmer & Cay meets with City of Lubbock to obtain written Broker of
Record letters, confirm service expectations, agree on marketing timelines, discuss risk
retention appetite, obtain complete copies of policies, deliver renewal applications and
discuss renewal strategies for the 10/1/02 renewal.
We are prepared to take over any outstanding items being handled by your current
broker. Depending on how quickly you want us to get involved, with the Casualty piece
of the program, we will want the following information:
• An open items list
• A complete list of Certificates of Insurance
• Detailed list of service objectives and key timelines
6/22/02 — BOR letters sent to insurance carriers
6/24/02 — Palmer & Cay schedules Risk Control activities as required by the City.
Information from these activities will be incorporated into the renewal applications.
Discuss marketing strategy and timeline with City.
7/8/02 — Submissions for the various coverages are sent the markets. The City is
available to meet with Underwriters on an as needed basis. Palmer & Cay performs
marketing function and continuously advises City of status of marketing project.
8/23/02 — Quotations due from markets.
8/27/02 — Palmer & Cay presents quotes to the City of Lubbock.
8/27/02 to 9/16/02 — The City and Palmer & Cay negotiate with carriers
9/23/02 — City instructs Palmer & Cay to bind coverages with the selected insurance
carriers.
10/1/02 — City of Lubbock effects insurance coverage with selected carriers.
"ALL INFORMATION CONTAINED IN THIS RESPONSE TO REQUEST FOR
i PROPOSAL PREPARED BY PALMER & CAY IS CONSIDERED CONFIDENTIAL
INFORMATION AND IS TO BE USED BY THE CITY OF LUBBOCK FOR THE
PURPOSES OF THIS RFP ONLY. THIS CONFIDENTIAL INFORMATION IS
RESTRICTED FOR USE BY ONLY THOSE EMPLOYEES OF THE CITY OF
LUBBOCK WHO MUST KNOW THIS INFORMATION IN ORDER TO REVIEW
THIS PROPOSAL, AND SHALL NOT BE DISCLOSED TO ANY OUTSIDE
PARTY."
PLEASE DO NOT HESITATE TO CALL SHOULD YOU HAVE ANY QUESTIONS.
0