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13 1 <br />QUOTE <br />• ( KEY RISK INSURANCE COMPANY <br />P.O. Box 19606 <br />Greensboro, NC 27419 <br />Quota Reference: <br />950000000094110 <br />For Period: July 01, 2010 to July oi, 2011 Divfafon: <br />00000 <br />Proposal Dade: <br />April 28, 2010 <br />Rating Sate: <br />NO <br />LEE COUNTY GOVERNMENT <br />C!O MARILYN MOIdNNEY <br />106 HILLOREST DRIVE <br />SANFORD, NO 27330 <br />cum Fed Clue Descriptlon Rate Payroll Manual <br />Code Premium <br />Premium Breakdown <br />Experience Modifiers: <br />Hanual Premium <br />492,086.00 <br />.9200 7/01/2010 <br />Inc Limits: 1000/1000/1000 <br />2_8001; <br />13,778.00+ <br />Subject Premi= <br />505,864.00 <br />Experience Modifier <br />0.9200 <br />465,395.00 <br />Standard Premitim <br />465,395.00 <br />Premium Discount <br />12.12} <br />56,395.00- <br />, <br />Formal Premium <br />409y DODA10 <br />Expense Constant <br />275.00+ <br />Balance <br />Foreign Te= orim <br />1,472.00+ <br />Premium <br />431,944.00 <br />Domestic Texrorism charge <br />1,472.00+ <br />T^cr=7~ma++t Pees <br />15.00 <br />Estimated Premium <br />412,219.00 <br />Expense Constant <br />275.00 <br />Premium Paid <br />Balanca <br />412,234.00 <br />Insbirmnts: <br />Due Only 1, 2010 <br />103,261.00 <br />Due October 1, 2010 <br />102,991.00 <br />Due Canonry 1, 2D11 <br />102,991.00 <br />Due April 1, 2011 <br />102,991.00 <br />Amount Due July 1, 2010 <br />$103,261.00 <br />MAKE CHECKS PAYABLE TO KEY RISK INSURANCE CC <br />Serviced by: Key Risk In,n•ranze Company (KRIC) Agent: Robert Adams <br />• P.O. Box 18746 00275 H111emvium TM~e Group <br />Greensboro, NC 27419-8746 P_ 0. Box 2005 <br />(800) 366-1511 Thamasi e, BC 27361 <br />(336) 476-0010 <br />Page 2 of 2 <br />