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<br /> <br />~ <br /> <br />FLORIDA LEAGUE OF CITIES, INC. <br />Public Risk Services <br />P. O. Box 530065 <br />Orlando, FI 32853-0065 <br /> <br />RENEWAL QUOTE FOR 2009-2010 <br /> <br />City of Sunny Isles Beach <br />FMIT 0820 <br /> <br />Workers' Compensation <br />Experience Modification <br /> <br />$2,500 <br />0.81 10/1/09 <br /> <br />Total Payroll <br />$10,226,000 <br /> <br />$134,932 <br /> <br />TOTAL PREMIUM <br /> <br />$134,932 <br /> <br />*Includes: Drug Free Credit: Yes <br />Safety Credit: Yes <br /> <br />Workers' Compensation <br /> <br />Renewal premiums were developed using the payrolls reported on <br />the 2007-08 final audit or projected payrolls submitted and the <br />10/1/09 experience modification factor. <br /> <br />*AVAILABLE CREDITS: <br /> <br />Drug Free Credit <br /> <br />5% <br /> <br />Safety Credit <br /> <br />2% <br /> <br />*ARE YOU RECEIVING ALL AVAILABLE CREDITS? IF NOT, CALL YOUR REPRESENTATIVE <br />FOR INFORMATION. <br /> <br />Your PHR Representative is available to discuss any questions you may have or changes <br />you wish to make. <br /> <br />Exhibit "An <br /> <br />8/6/2009 <br />