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JULY 1, 2021 TO JULY 1, 2022 Quoted on:6/2/2021 <br />Renewal Estimate EXCESS LIABILITY <br />County or Entity: <br />Excess Liability provides excess General Liability, Automobile Liability, Public Officials or Law Enforcement <br />Liability limits. The Excess Liability comes into play when the primary limits have been exhausted. <br />The Excess Liability allows the member to purchase a single increased limit, and use the limit where it is necessary. <br />The Excess Liability does not increase each individual Liability limit, but is available in any covered Liability area <br />should the need arise. The Pool's Excess Liability extends limits above the Pool's contract only. <br />Higher limits can be purchased in the form of the Excess Liability options as follows: <br />EXCESS LIABILITY <br />DECLINE EXCESS COVERAGE <br />$1,000,000 excess of $2,000,000 underlying 38,341$ <br />$2,000,000 excess of $2,000,000 underlying 55,473$ <br />$3,000,000 excess of $2,000,000 underlying 70,822$ <br />$4,000,000 excess of $2,000,000 underlying 85,675$ <br />To purchase or decline the Excess Liability Coverage, please indicate the limits desired by marking <br />an X inside the box under the "SELECT LIMIT" column. <br />Approved by: <br />Signature <br />Printed Name <br />Print Title <br />Date <br />Financial Officer: <br />Signature <br />Date <br />Please return this document with your signed proposal. <br />This instrument has been pre-audited in the manner required by the Government Budget and Fiscal Control Act. <br />ANNUAL <br />CONTRIBUTION SELECT LIMIT <br />Orange County <br />NCACC 10:39 AM <br />6/17/21 <br />6/17/21 <br />County Manager <br />Bonnie B. Hammersley <br />XXX <br />DocuSign Envelope ID: 4BC4D079-09BF-4F15-BDA0-A24B1EDE73EF