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0. Dose the Public Entity anticipate any spacial projseb smolt will Paean Ina substantial budget increase in the next 3 yurs? <br />40 <br />10. (a) Total amount of outstanding Bonds t ),fi55,t1(N) <br />(b) Latest Moody's and/or Standard and Pools Bond raft 1 I <br />it. The following Boards ere excluded from coverage: Boards (A) (b) and (c) may be considered for coverage by endorsement <br />to the policy upon request Does the Authority of the Govatdnp Bowd heneBped cover the operation and allocated budget <br />12 (►) an airport <br />(b) hospital, clinic, nursing home or <br />other health care operation <br />(c) gas or electric utility <br />(d) school <br />Yea_No X Current Budget $ <br />Yes-140_X Current Budget S <br />Y"_N0 X Current Budget S <br />Yee—NoX_ Current Budget $ <br />13. Does the Public Entity carry primary General Liability Insurance: Yes i— No <br />Limit of General Liability Sinn (100 <br />Does coverage Include Discrimination? nu <br />Does coverage include Personal Injury? Yes <br />Does coverage include Public Officials as adddional imureW <br />If the Public Entity does not carry General Liability Insurance, state the self -Insured retention and limit of liability or the <br />excess insurance for the Entity's self-insurance program If there is no self-insurance program, so state: <br />14. Does the Public Entity presently carry Public Officials Liability or similar insurance? <br />Name of Company <br />Expiration date 5/1/84 <br />Limit tii.lx A). innr <br />Deductible t?in pnrh Inca $1fV1 park Pnhlir offirial which_ran nnr ha inrlmmnifipd <br />Premium (optional) S Indicate annual orthree year by entity <br />15. Has Insurance on behalf of the Public Entity beendecllnKcoviculledorrenewal refused foranyreason? Yes —No <br />_� <br />If yes, provide full details. <br />16. Stale whether any claims or suits have been made or brought egainst the applicant, the Public Entity or against any public <br />Officials or employees of the Public Entity during the past three years which would have fallen within the scope of this <br />insurance had it been in effect. Yes --No X <br />If "yes", then provide details on each below. If necesssay complete on page 4, or attach separate sheet. <br />DATE OF DATE OF NATURE OF CURRENT LOSS SETTLEMENTS AND <br />CLAIM OCCURRENCE CLAIM STATUS RESERVES EXPENSES PAID <br />17. Have any of the following occurred during ft last tfirmy era not otherwise Indicated In 10. above? <br />A) Appropriation or condemnation of W which been Achieved Yee _ No Y <br />B) Improper or elledged wrongful granting of ve iancM building permits or similar grants Yes — No X <br />