PREMIUM SUMMARY Premium (Not Being a Premium Description of Coverage Member) (Being a Member Carrier General Liability $15,006.99 $13,150.20 Lloyd’s of London Commercial Umbrella $8,009.36 $6,674.85 Lloyd’s of London Commercial Auto $89,147.00 $89,147.00 Clear Blue Ins. Cyber Liability $2,340.45 $2,340.45 Tokio Marine HCC Employment Related Practices $2,294.00 $2,294.00 Cincinnati Insurance Premium Total $116,797.80 $113,606.50 Billing / Audit Information Description Selection General Liability - Billing Annual pay or Premium Financed General Liability – Audit Annual Commercial Umbrella - Billing Annual pay or Premium Financed Commercial Auto - Billing Annual pay or Premium Financed Cyber Liability - Billing Annual pay or Premium Financed Employment Related Practices - Billing Direct Bill Quarterly Conditions / Subjectivities • General Liability o 3 Years Loss History o Active ESA Membership to receive discounted rate o Copy of Contract o Joinder Agreements o SL Disclosure and Acknowledgement Form - Signed by the Insured • Auto o All vehicles must be equipped with forward facing cameras. The forward facing cameras must be installed within 30 days of the effective date. The Insured can select its own cameras and comply with this Quote Condition by providing their QEO Loss Control Representative proof of purchase, provider name, or pictures of the installed cameras. The Insured can also select to obtain cameras at a substantially reduced rate through Motive. If the Insured selects Motive, they will sign a two year contract and will then receive a check out link from Motive to bill them $35.00 per month/ per camera. Please see attached documents for additional details within the QEO Fleet Guardian Program Flyer and to select a qualified camera implementation option on the Dash Cam Confirmation Form. If this condition is not complied with, the policy is subject to cancellation. o Continuation of coverage is contingent upon an effective risk control review of the insured's venture within 60 days from the time of binding. A QEO Risk Control Consultant will contact the insured and request a meeting after the policy is bound. Essential risk control 10/22/24 Page 6 of 25
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