Exhibit 2 - EMS Professional Liability Quote5555 Triangle Parkway, Suite 400
Norcross, GA 30092
Phone: 770-448-7148
Jennifer Cobb Dec 16, 2020
Lockton Companies, LLC - Dallas
2100 Ross Ave. Suite 1400
Dallas, TX 75201
Re: City of Denton, Texas, Ref# 8838866-D
Proposed Effective 2/11/2021 to 2/11/2022
Dear Jennifer:
We are pleased to confirm the attached quotation for ERRORS & OMISSIONS being offered with Admiral
Insurance Company - Mt. Laurel. This carrier is Non-Admitted in the state of TX. Please note that this
quotation is based on the coverage, terms and conditions as stated in the attached quotation, which may be
different from those requested in your original submission. As you are the representative of the Insured, it is
incumbent upon you to review the terms of this quotation carefully with your Insured, and reconcile any
differences from the terms requested in the original submission. CRC Insurance Services, Inc. disclaims any
responsibility for your failure to reconcile with the Insured any differences between the terms quoted as per the
attached and those terms originally requested. The attached quotation may not be bound without a fully
executed CRC brokerage agreement.
NOTE: The Insurance Carrier indicated in this quotation reserves the right, at its sole discretion, to
amend or withdraw this quotation if it becomes aware of any new, corrected or updated information
that is believed to be a material change and consequently would change the original underwriting
decision.
Should coverage be elected as quoted per the attached, Premium and Commission are as follows:
Premium:$20,998.00
Surplus Lines Tax $1,018.40
Stamping Office Fee $15.75
Grand Total: $22,032.15
Commission: 0%
NOTE: If insured is located outside your resident state, you must hold appropriate non-resident
license prior to binding.
CONFIDENTIAL
If Non Admitted the following applies:
Texas Tax Filings are the responsibility of: CRC
Guaranty Fund Nonparticipation Notice
This insurance contract is with an insurer not licensed to transact insurance in this state and is issued and
delivered as surplus line coverage under the Texas insurance statutes. The Texas Department of Insurance
does not audit the finances or review the solvency of the surplus lines insurer providing this coverage, and the
insurer is not a member of the property and casualty insurance guaranty association created under Chapter
462, Insurance Code. Chapter 225, Insurance Code, requires payment of a 4.85 percent tax on gross
premium.
Surplus Lines Agent: CRC Insurance Services, License#18530
Address: 1 Metroplex Drive, Suite 400, Birmingham, AL 35209
The Texas Department of Insurance (TDI) has adopted amendments to the Texas Administrative Code
regarding required complaint notices included in insurance policies. These changes were effective on
November 4, 2019, and must be implemented no later than May 1, 2020.
CRC is compensated in a variety of ways, including commissions and fees paid by insurance companies and
fees paid by clients. Some insurance companies pay brokers supplemental commissions (sometimes referred
to as “contingent commissions” or “incentive commissions”), which is compensation that is based on a broker's
performance with that carrier. These supplemental commissions may be based on volume, profitability,
retention, growth or other measures. Even if a contingent commission agreement exists with a carrier, we
recognize that our responsibility is to promote the best interests of the policyholder in the selection of an
insurance company. For more information on CRC's compensation, please contact your CRC broker.
Financing Insurance Premiums
Premium financing budgets insurance payments and improves liquidity for other business objectives: working
capital, business growth, business expansion.
If your clients choose to pay their insurance in monthly installments, it's fast and easy with AFCO Credit
Corporation, which is an affiliate of CRC, providing premium financing solutions for companies across the
United States.
You can learn more about how premium financing works and how it can expand your relationship with your
clients by emailing afcodirect@afco.com; or call toll-free 877-317-6437, option 1. Additional information is
available at https://www.afco.com/partners/crc.html.
Sincerely,
Jared Hopkins
770-448-7148
jhopkins@crcgroup.com
8838866
Date: 12/16/2020
A.M. Best Rating: A+ (Superior) Financial Size Category: XV
Subject: CITY OF DENTON Renewal Of: EO000032366-05
Carrier: Admiral Insurance Company
QUOTE
Coverage Medical Professional Liability (Claims Made)
Business Service: Ground Ambulance Services
Limits of Liability:
Professional Liability (PL) Each Claim $500,000
Aggregate $500,000
Sexual Abuse Each Claim $500,000
Aggregate $500,000
Claim Expenses Aggregate Limit INCLUDED
Additional Coverages: Each Claim Aggregate
Network Security & Data Privacy Liability $500,000 $500,000 First Party Privacy Breach Expenses $100,000 $100,000
Media Activities $25,000 $25,000
Regulatory Wrongful Acts $25,000 $25,000
HIPAA $100,000 $300,000
License Defense $5,000 $25,000
Peer Review Expenses $5,000 $25,000
Subpoena Assistance $5,000 $5,000
Reimbursement of Lost Wages or Earnings $500 $5,000
Reputation Protection Coverage $5,000 $5,000
Emergency Evacuation Expenses $25,000 $25,000
Patient Property Damage $500 $500
Policy Aggregate Limit: $500,000
PL Deductible: $10,000 Per Claim - Including Expenses
PL Retroactive Date: 02/11/2003
Premium: $20,998 Flat Rate
Minimum Retained Premium: 25% Minimum Retained at Inception
This quotation will expire on 02/11/2021 This quotation may not include all terms and conditions requested.
TERMS & CONDITIONS
Schedule of Forms & Endorsements
JA10010720 COVER JACKET - ADMIRAL INSURANCE COMPANY
AI00120920 TEXAS COMPLAINT NOTICE DE23270820 ADMIRALPRO DELTA MED PROFESSIONAL LIABILITY DECLARATIONS PAGE
AI00101011 GUARANTY FUND NONPARTICIPATION NOTICE
EO13260820 ADMIRALPRO DELTA MED MISCELLANEOUS MEDICAL PROFESSIONAL LIABILITY INSURANCE
EO13390816 PROFESSIONAL LIABILITY TERRORISM EXCLUSION (ABSOLUTE)
EO13440816 CLAIM EXPENSES WITHIN THE LIMITS OF LIABILITY EO14120719 SPECIFIED TREATMENT EXCLUSION
AI44020519 SERVICE OF SUIT
MK01200916 LOSS CONTROL AND RISK MANAGEMENT SERVICES FOR HEALTHCARE PROFESSIONAL LIABILITY POLICYHOLDERS
MK01220619 ADMIRAL CYBER BREACH COACH EVENT HOTLINE
Subjectivities
1)Admiral application and supplemental application need to be signed and dated.
- Please see CRC's cover page for total premium.
COMMENTS
AdmiralPro Delta MED Policyholder Additional Benefits
Admiral Insurance Group has partnered with OmniSure Consulting Group, a leading risk management
consultancy for healthcare professionals, to provide our AdmiralPro Delta MED policyholders with important
free benefits including loss prevention assistance, risk management guidance documents, industry newsletters
and more. To find out more about OmniSure, please visit their website at http://admiral-health.omnisure.com.
The terms and conditions set forth in the renewal policy described in this quote authorization letter may be more restrictive than the terms
and conditions set forth in the expiring policy. The descriptions contained in this letter summarize selected terms and conditions of the
renewal policy. The renewal policy itself, and not this letter, will govern the insured's rights as a policyholder. Specimen copies of most policy forms are available for your review in the PDF file attached to this letter. Complete policy wording may be made available upon your
written request. Please read and compare carefully.