HomeMy WebLinkAbout2015-197 RESOLUTION NO. 2015-197
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2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AUTHORIZING THE CITY MANAGER TO PURCHASE THE CITY'S
3 PROPERTY, AUTO, AND CYBER SECURITY INSURANCE.
4 NOW THEREFORE, BE IT RESOLVED BY THE MAYOR AND COMMON
5 COUNCIL OF THE CITY OF SAN BERNARDINO AS FOLLOWS:
6 SECTION 1. The City Manager is hereby authorized and directed to purchase
7 Property, Auto, and Cyber Liability Insurance according to the municipal placements
8 renewal invoices attached hereto as "Exhibit A."
9 SECTION 2. The Purchasing Manager is hereby authorized to issue a
10
11 Purchase Order to AON Risk Insurance Services West, Inc. for Property, Auto, and
12 Cyber Liability Insurance for a total amount of$1,000,364.46.
13 SECTION 3. The authorization granted hereunder shall expire and be void
14 and of no further effect if the purchase is not executed within sixty (60) days following
15 the effective date of this Resolution.
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1
2 RESOLUTION OF THE MAYOR AND COMMON COUNCIL OF THE CITY OF SAN
BERNARDINO AUTHORIZING THE CITY MANAGER TO PURCHASE THE CITY'S
3 PROPERTY, AUTO, AND CYBER SECURITY INSURANCE.
4 1 HEREBY CERTIFY that the foregoing Resolution was duly adopted by the
5 Mayor and Common Council of the City of San Bernardino at a joint regular meeting
6
thereof, held on the 8th day of September, 2015, by the following vote, to wit:
7
8 Council Members: AYES NAYS ABSTAIN ABSENT
9 MARQUEZ x
10 BARRIOS x
11 VALDIVIA x
12 SHORETT x
NICKEL x
13
JOHNSON x
14 MULVIHILL x
15
17 George An Hanna, CMC ity Clerk
18 The foregoing Resolution is hereby approved this day of
19 September, 2015.
20
21 R. Carey avis, Mayor
City of San Bernardino
22 Approved as to form:
23 GARY D. SAENZ,
24 City Attorney
25
By:
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2013--197
Aon Risk Solutions EXHIBIT"A"
Municipal Placements
Renewal Invoices
Policy Period: July 3'1 , o1 - 2016
City of San Bernardino
Presented: August 7, 2015
Dr. William S. Deeb, Ed.D, Director of Public Entities
Ryan Jacques, Account Executive
Aon Risk Insurance Services West, Inc., CA Corp. Lic. No. 0363334
707 Wilshire Blvd., Suite 2500
Los Angeles CA 90017
Proprietary and Confidential
2015-197
•
City of San Bernardino Invoice No. 8200000195269
City of San Bernardino Aon Risk Insurance Services West,Inc.
300 N.D Street San Francisco CA Office
San Bernardino CA 92418-0001 USA 199 Fremont Street
Suite 1500
San Francisco CA 94105
(866)283-7122 FAX(800)363-0105
Client Account No. Invoice Date Currency Account Executive
570000002093 Aug-03-2015 US DOLLAR William Deeb
Insurance Co. Policy No.l Policy Term Trans. Eff. Description Amount
Named Insured Date
Affiliated FM SY827 Jul-31-2015- Jul-31-2015 Renewal-Commercial Property
Insurance Co. Jul-31-2016 Coverage
City of San
Bernardino Premium 418,850.00
Engineering Fee 7,000.00
Policy Administrative Charge 300.00
Discount (71,204.50)
TOTAL INVOICE AMOUNT DUE 1 354,945.50
TO AVOID POTENTIAL DISRUPTION IN YOUR COVERAGE,PAYMENT IS DUE UPON RECEIPT.
Please Make Payable to Aon Risk Services
FATCA Notice: Please go to A on.convFA TCA to obtain the appropriate W-9.
Please see last page for statement regarding Aon compensation. Page 1 of 3
Please detach here. Top portion is for your records, bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195269 Aug-03-2015 US DOLLAR 354,945.50
City of San Bernardino Remit to:
300 N.D Street
San Bernardino CA 92418-0001 USA Aon Risk Services West,Inc.
Services Inc.Aon Risk Services
P.O.Box 849832
Los Angeles CA 90084-9832
2015-197
Aw
City of San Bernardino Invoice No. 8200000195269
FATC.'A A'otice: Please go to Aon.corn FATCA to obtain the appropriate W-9.
Please see last page or statement regardin .Aon compensation. Page 2 of 3
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195269 Aug-03-2015 US DOLLAR 354,945.50
USD ONLY WIREIACH Remit to: Overnight Remit to:
Wells Fargo Bank Aon Risk Services,Inc,
420 Montgomery Street C/O Wells Fargo Bank
San Francisco CA 94104 3440 Flair Drive
El Monte CA 91731
ABA No 121000248
Reference: PO Sax 849832
Swift No: WFBIUS6S
Account Name: ARS,Inc. Phone No: 800-289-3557
Account No:4121512321
Please Reference your Client Account No.&Invoice No.being paid
Wire payment information is for USD currency only, Please contact your Aon representative for Multi-Currency payment instructions.
2015=197
Regarding Compensation, and Taxes
Affiliates of Aon Group, Inc. that provide retail, wholesale and reinsurance brokerage, risk
management, underwriting and/or claim management, captive management, premium financing, or
consulting may receive compensation in the form of (i) commissions and/or fees paid by an insurer
and/or other third party and/or fees paid by a client; and (ii) investment and/or interest income on
premiums, claim payments and return premiums temporarily held as fiduciary funds subject to the
principal's consent as may be required or permitted by applicable law.
To the extent that any portion of Aon's compensation by operation of law, agreement or otherwise
becomes adjusted or credited to you, it is your responsibility to disclose the actual net cost to you of the
brokerage and insurance costs you have incurred to third party(ies) having an interest in such
amounts.
If you have any questions regarding the nature or amount of the compensation paid to any Aon
company on your account, we encourage you to contact the head of the Aon office that services your
account.
We have made every effort to identify any surplus lines or other premium taxes and/or fees due in
advance, if applicable, but in all instances the payment of these taxes and/or fees will remain the
responsibility of the Client and,to the extent tax rates change due to amendments to surplus lines and
similar regulations,we will invoice you for the payment of such taxes and fees.
Page 3of3
2015-197
City of San Bernardino Invoice No. 8200000195423
City of San Bernardino Aon Risk Insurance Services West,Inc.
300 N.D Street San Francisco CA Office
San Bernardino CA 92418-0001 USA 199 Fremont Street
Suite 1500
San Francisco CA 94105
(866)283-7122 FAX(800)363-0105
Client Account No. Invoice Date Currency Account Executive
570000002093 Aug-04-2015 US DOLLAR William Deeb
Insurance Co. Policy No.t Policy Term Trans. Eff. Description Amount
Named Insured Date
Westchester 108883488002 Jul-31-2015- Jul-31-2015 Renewal-Difference In Conditions
Surplus Lines Jul-31-2016 Coverage
Ins Co City of San
Bernardino Premium 156,750.00
Surplus Line Tax 4,702.50
Stamping Fee 313.50
TOTAL INVOICE AMOUNT DUE 161,766.00
TO AVOID POTENTIAL DISRUPTION IN YOUR COVERAGE,PAYMENT IS DUE UPON RECEIPT.
Please Make Payable to Aon Risk Services
F.ATCA Aotice: Please go to Aon.com/FATCA to obtain the appropriate W-9.
Please see last page for statement regarding Aon compensation. Page 1 of 3
Coverage includes insurance with a non-admitted insurer.State insurance guaranty laws may not apply in the event of insolvency of the insurer.
Please detach here. Top portion is for your records, bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195423 Aug-04-2015 US DOLLAR 161,766.00
City of San Bernardino Remit to:
300 N.D Street
San Bernardino CA 92416-0001 USA Aon Risk Insurance Services West,Inc.
Aon Risk Services Inc.
R O.Box 849832
Los Angeles CA 90084-9832
2015-197
Aw
City of San Bemardino Invoice No. 8200000195423
FATCA Notice: Please go to Aon.com/FATCA to obtain the appropriate W-9.
Please see last page for statement regardin Aon compensation. Page 2 of 3
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195423 Aug-04-2015 US DOLLAR 161,766.00
USD ONLY WIRElACH Remit to: Overnight Remit to:
Wells Fargo Bank Aon Risk Services,Inc.
420 Montgomery Street C/O Wells Fargo Bank
San Francisco CA 94104 3440 Flair Drive
El Monte CA 91731
ABA No: 121 00 024 8 Reference: PO Box 849832
Swift No: WFBIUS6S Phone No: 800-289.3557
Account Name: ARS,Inc.
Account No:4121512321
Please Reference your Client Account No.&invoice No.being paid
Wire payment information is for USD currency only.Please contact your Aon representative for Multi-Currency payment instructions.
2015-197
Regarding Compensation and Taxes
Affiliates of Aon Group, Inc. that provide retail, wholesale and reinsurance brokerage, risk
management, underwriting and/or claim management, captive management, premium financing, or
consulting may receive compensation in the form of (i) commissions and/or fees paid by an insurer
and/or other third party and/or fees paid by a client; and (ii) investment and/or interest income on
premiums, claim payments and return premiums temporarily held as fiduciary funds subject to the
principal's consent as may be required or permitted by applicable law.
To the extent that any portion of Aon's compensation by operation of law, agreement or otherwise
becomes adjusted or credited to you,it is your responsibility to disclose the actual net cost to you of the
brokerage and insurance costs you have incurred to third party(ies) having an interest in such
amounts.
If you have any questions regarding the nature or amount of the compensation paid to any Aon
company on your account, we encourage you to contact the head of the Aon office that services your
account.
We have made every effort to identify any surplus lines or other premium taxes and/or fees due in
advance, if applicable, but in all instances the payment of these taxes and/or fees will remain the
responsibility of the Client and, to the extent tax rates change due to amendments to surplus lines and
similar regulations,we will invoice you for the payment of such taxes and fees.
Page 3 of 3
2015-197
•
City of San Bernardino Invoice No. 8200000195414
City of San Bernardino Aon Risk Insurance Services West,Inc.
300 N.D Street San Francisco CA Office
San Bernardino CA 92418-0001 USA 199 Fremont Street
Suite 1500
San Francisco CA 94105
(866)283-7122 FAX(800)363-0105
Client Account No. Invoice Date Currency Account Executive
570000002093 Aug-04-2015 US DOLLAR William Deeb
insurance Co. Policy No./ Policy Term Trans.Eff. Description Amount
Named Insured Date
Endurance CPN10007539300 Jul-31-2015- Jul-31-2015 Renewal-Difference In Conditions
American Jul-31-2016 Coverage
Specialty Ins City of San
Co. Bernardino Premium 166,250.00
Surplus Line Tax 4,992.00
Policy Fee 150.00
Stamping Fee 332.80
TOTAL INVOICE AMOUNT DUE 171,724.80
TO AVOID POTENTIAL DISRUPTION IN YOUR COVERAGE, PAYMENT IS DUE UPON RECEIPT.
Please Make Payable to Aon Risk Services
F.ATCA Notice: Please go to.4on.com'FATCA to obtain the appropriate I3-9.
Please see last page for statement regarding Aon compensation. Page 1 of 3
Coverage includes insurance with a non-admitted insurer. State insurance guaranty laws may not apply in the event of insolvency of the insurer.
Please detach here, Top portion is for your records, bottom portion to be returned with your payment.
Client Account Na. invoice No. Invoice Date Currency Amount Due
570000002093 8200000195414 Aug-04-2015 US DOLLAR 171,724.80
City of San Bernardino Remit to:
300 N.D Street
San Bernardino CA 92418-0001 USA Aon Risk Insurance Services West,Inc.
Aon Risk Services Inc.
P.O.Box 849832
Los Angeles CA 90084-9832
2015-197
City of San Bernardino Invoice No. 8200000195414
FATCA Notice: Please go to Aon.comIFATCA to obtain the appropriate W-9.
Please see last page for statement regarding Aon compensation. Page 2 of 3
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. invoice Date Currency Amount Due
570000002093 8200000195414 Aug-04-201.5 US DOLLAR 171,724.80
USD ONLY WIRElACH Remit to: Overnight Remit to:
Wells Fargo Bank Aon Risk Services,Inc.
420 Montgomery Street C/O Wells Fargo Bank
San Francisco CA 94104 3440 Flair Drive
El Monte CA 91731
ABA No: 121000246
Swift No: WFBIUSBS Reference: PO Box 849832
Account Name:ARS,Inc.
Phone No, 8D0-289-3557
Account No:4121512321
Please Reference your Client Account No.&Invoice No.being paid
Wire payment information is for USD currency only.Please contact your Aon representative for Multi-Currency payment instructions.
2015-197
Regarding Compensation and Taxes
Affiliates of Aon Group, Inc. that provide retail, wholesale and reinsurance brokerage, risk
management, underwriting and/or claim management, captive management, premium financing, or
consulting may receive compensation in the form of (i) commissions and/or fees paid by an insurer
and/or other third party and/or fees paid by a client; and (ii) investment and/or interest income on
premiums, claim payments and return premiums temporarily held as fiduciary funds subject to the
principal's consent as may be required or permitted by applicable law.
To the extent that any portion of Aon's compensation by operation of law, agreement or otherwise
becomes adjusted or credited to you, it is your responsibility to disclose the actual net cost to you of the
brokerage and insurance costs you have incurred to third party(ies) having an interest in such
amounts.
If you have any questions regarding the nature or amount of the compensation paid to any Aon
company on your account, we encourage you to contact the head of the Aon office that services your
account.
We have made every effort to identify any surplus lines or other premium taxes and/or fees due in
advance, if applicable, but in all instances the payment of these taxes and/or fees will remain the
responsibility of the Client and, to the extent tax rates change due to amendments to surplus lines and
similar regulations,we will invoice you for the payment of such taxes and fees.
Page 3 of 3
2015-197
•
City of San Bernardino Invoice No. 8200000195415
City of San Bernardino Aon Risk Insurance Services west,Inc.
300 N.D Street San Francisco CA Office
San Bernardino CA 92418-0001 USA 199 Fremont Street
Suite 1500
San Francisco CA 94105
(866)283-7122 FAX(800)363-0105
Client Account No. invoice Date Currency Account Executive
570000002093 Aug-04-2015 US DOLLAR William Deeb
Insurance Co. policy No.t Policy Term Trans.Eff. Description Amount
Named Insured Date
Aspen Specialty PTAEHOHI5AOJ Jul-31-2015- Jul-31-2015 Renewal-Difference In Conditions
Insurance Jul-31-2016 Coverage
Company City of San
Bernardino Premium 53,440.00
Surplus Line Tax 1,603.20
Stamping Fee 106.88
TOTAL INVOICE AMOUNT DUE 1 55,150.08
TO AVOID POTENTIAL DISRUPTION IN YOUR COVERAGE, PAYMENT IS DUE UPON RECEIPT.
Please Make Payable to Aon Risk Services
F4TCA Notice: Please go to.4on.com,FATCA to obtain the appropriate W-9.
Please see last page for statement regarding Aon compensation. Page 1 of 3
Coverage includes insurance with a non-admitted insurer. State insurance guaranty laws may not apply in the event of insolvency of the insurer.
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195415 Aug-04-2015 US DOLLAR 55,150.08
City of San Bernardino Remit to:
300 N.D Street
San Bernardino CA 92418-0001 USA Aon Risk Insurance Services West,Inc.
Aon Risk Services Inc.
P.O.Box 849832
Los Angeles CA 90084-9832
2015-197
City of San Bernardino Invoice No. 8200000195415
FATCA Notice: Please go to Aon.con2FATCA to obtain the appropriate W-9.
Please see last page for statement regarding.4 on compensation. Page 2 of 3
Please detach here. Top portion is for your records, bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195415 Aug-04 2015 US DOLLAR 55,150.08
USD ONLY WIREIACH Remit to: Overnight Remit to:
Wells Farqo Bank Aon Risk Services,Inc.
420 Montgomery Street C/O Wells Fargo Bank
San Francisco CA 94104 3440 Flair Drive
El Monte CA 91731
ABA No: 1 21 00 0248 Reference PO Box 849832
Swift No: WFBIUS6S Phone No: 800-289-3557
Account Name: ARS,Inc.
Account No:4121512321
Please Reference your Client Account No.8 Invoice No.being paid
Wire payment information is for USD currency only.Please contact your Aon representative for Multi-Currency payment instructions.
2015-197
Regarding Ca rnpen ation and Taxes
Affiliates of Aon Group, Inc. that provide retail, wholesale and reinsurance brokerage, risk
management, underwriting and/or claim management, captive management, premium financing, or
consulting may receive compensation in the form of (i) commissions and/or fees paid by an insurer
and/or other third party and/or fees paid by a client; and (ii) investment and/or interest income on
premiums, claim payments and return premiums temporarily held as fiduciary funds subject to the
principal's consent as may be required or permitted by applicable law.
To the extent that any portion of Aon's compensation by operation of law, agreement or otherwise
becomes adjusted or credited to you, it is your responsibility to disclose the actual net cost to you of the
brokerage and insurance costs you have incurred to third party(ies) having an interest in such
amounts.
If you have any questions regarding the nature or amount of the compensation paid to any Aon
company on your account, we encourage you to contact the head of the Aon office that services your
account.
We have made every effort to identify any surplus lines or other premium taxes and/or fees due in
advance, if applicable, but in all instances the payment of these taxes and/or fees will remain the
responsibility of the Client and,to the extent tax rates change due to amendments to surplus lines and
similar regulations,we will invoice you for the payment of such taxes and fees.
Page 3of3
2015-197
•
City of San Bernardino Invoice No. 8200000195412
City of San Bernardino Aon Risk Insurance Services West,Inc.
300 N.D Street San Francisco CA Office
San Bernardino CA 92418-0001 USA 199 Fremont Street
Suite 1500
San Francisco CA 94105
(866)283-7122 FAX(800)363-0105
Client Account No. Invoice Date Currency Account Executive
570000002093 Aug-04-2015 US DOLLAR William Deeb
Insurance Co. Policy No.l Policy Term Trans.Eff. Description Amount
Named Insured Date
Essex Insurance MKLX14XP005307 Jul-31-2015- Jul-31.2015 Renewal-Difference In Conditions
Company Jul-31-2016 Coverage
City of San
Bernardino Premium 53,440.00
Surplus Line Tax 1,603.20
Stamping Fee 106.88
TOTAL INVOICE AMOUNT DUE 55,750.08
TO AVOID POTENTIAL DISRUPTION IN YOUR COVERAGE,PAYMENT IS DUE UPON RECEIPT.
Please Make Payable to Aon Risk Services
F,4TCA Notice: Please go to.4 on.com,FATCA to obtain the appropriate W-9.
Please see last page for statement regarding Aon compensation. Page 1 of 3
Coverage includes insurance with a non-admitted insurer.State insurance guaranty laws may not apply in the event of insolvency of the insurer.
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195412 Aug-04-2015 US DOLLAR 55,150.08
City of San Bernardino Remit to:
300 N.D Street
San Bernardino CA 92418-0001 USA Aon Risk Insurance Services West,Inc.
Aon Risk Services Inc.
P.O.Box 849832
Los Angeles CA 90084-9832
2015-197
City of San Bernardino Invoice No. 8200000195412
FATCA Notice: Please go to Aon.com,TATCA to obtain the appropriate RZ 9.
Please see last page or statement regarding Aon compensation, Page 2 of 3
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. invoice Date Currency Amount Due
570000002093 8200000195412 Aug-04-2015 US DOLLAR 55,150.08
USD ONLY WIRElACH Remit to: Overnight Remit to:
Wells Fargo Bank Aon Risk Services,Inc.
420 Montgomery Street CO Wells Fargo Bank
San Francisco CA 94104 3440 Flair Drive
El Monte CA 91731
ABA No: 121000248
Swift No: WFBIUS6S Reference: Pp Box 849832
Account No: 800-289-3,557
Name: ARS,Inc,
Account No:4121512321
Please Reference your Client Account No.&Invoice No.being paid
Wire payment information is for USD currency only.Please contact your Aon representative for Multi-Currency payment instructions.
2015-197
Regarding Comperisation and Taxes
Affiliates of Aon Group, Inc. that provide retail, wholesale and reinsurance brokerage, risk
management, underwriting and/or claim management, captive management, premium financing, or
consulting may receive compensation in the form of (i) commissions and/or fees paid by an insurer
and/or other third party and/or fees paid by a client; and (ii) investment and/or interest income on
premiums, claim payments and return premiums temporarily held as fiduciary funds subject to the
principal's consent as may be required or permitted by applicable law.
To the extent that any portion of Aon's compensation by operation of law, agreement or otherwise
becomes adjusted or credited to you, it is your responsibility to disclose the actual net cost to you of the
brokerage and insurance costs you have incurred to third party(ies) having an interest in such
amounts.
If you have any questions regarding the nature or amount of the compensation paid to any Aon
company on your account, we encourage you to contact the head of the Aon office that services your
account.
We have made every effort to identify any surplus lines or other premium taxes and/or fees due in
advance, if applicable, but in all instances the payment of these taxes and/or fees will remain the
responsibility of the Client and, to the extent tax rates change due to amendments to surplus lines and
similar regulations,we will invoice you for the payment of such taxes and fees.
Page 3 of 3
2015-197
•
City of San Bernardino Invoice No. 8200000195606
City of San Bernardino Aon Risk Insurance Services West,Inc.
300 N.D Street San Francisco CA Office
San Bernardino CA 92418-0001 USA 199 Fremont Street
Suite 1500
San Francisco CA 94105
(866)283-7122 FAX(800)363-0105
Client Account No. invoice Date Currency Account Executive
570000002093 Aug-07-2015 US DOLLAR William Deeb
Insurance Co. Policy No./ Policy Term Trans.Eff. Description Amount
Named Insured Date
The Hanover I1-13 A366129-01 Jul-31-2015- Jul-31-2015 New-Business Auto Physical Damage
Insurance Co Jul-31-2016 Coverage
City of San
Bernardino Premium 77,886.00
Policy Administrative Charge 300.00
TOTAL INVOICE AMOUNT DUE 78,186.00
TO AVOID POTENTIAL DISRUPTION IN YOUR COVERAGE,PAYMENT IS DUE UPON RECEIPT.
Please Make Payable to Aon Risk Services
FATCA notice: Please go to.4on.com;FATCA to obtain the appropriate W-9.
Please see last page for•statement regarding Aon compensation. Page 1 of 3
Please detach here. Top portion is for your records, bottom portion to be returned with your payment.
Client Account No. Invoice No. invoice Date Currency Amount Due
570000002093 8200000195606 Aug-07-2015 US DOLLAR 78,186.00
City of San Bernardino Remit to:
300 N.D Street
San Bernardino CA 92418-0001 USA
Aon Risk Insurance Services West,Inc.
Aon Risk Services Inc.
P.0.Box 849832
Los Angeles CA 90084-9832
2015-197
Aw
City of San Bernardino Invoice No. 8200000195606
FATCA Notice: Please go to Aon.com/FATCA to obtain the appropriate 1419.
Please see last page jor statement regarding.4on compensation. gage 2 of 3
Please detach here_ Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195606 Aug-07-2015 US DOLLAR 78,186.00
U5D ONLY WIRElACH Remit to: Overnight Remit to:
Wells Fargo Bank Aon Risk Services,Inc.
420 Montgomery Street C/O Wells Fargo Bank
San Francisco CA 94104 3440 Flair Drive
El Monte CA 91731
ABA No: 121000248 Reference: PO Box 849832
Swift No: WFBIUS6S Phone No: 800-289-3557
Account Name: ARS,Inc.
Account No:4121512321
Please Reference your Client Account No.&Invoice No.being paid
Wire payment information is for USD currency only.Please contact your Aon representative for Multi-Currency payment instructions.
2015-197
Regarding Compensation and Taxes
Affiliates of Aon Group, fnc, that provide retail, wholesale and reinsurance brokerage, risk
management, underwriting and/or claim management, captive management, premium financing, or
consulting may receive compensation in the form of (i) commissions and/or fees paid by an insurer
and/or other third party and/or fees paid by a client; and (ii) investment and/or interest income on
premiums, claim payments and return premiums temporarily held as fiduciary funds subject to the
principal's consent as may be required or permitted by applicable law.
To the extent that any portion of Aon's compensation by operation of law, agreement or otherwise
becomes adjusted or credited to you, it is your responsibility to disclose the actual net cost to you of the
brokerage and insurance costs you have incurred to third party(ies) having an interest in such
amounts.
If you have any questions regarding the nature or amount of the compensation paid to any Aon
company on your account, we encourage you to contact the head of the Aon office that services your
account.
We have made every effort to identify any surplus lines or other premium taxes and/or fees due in
advance, if applicable, but in all instances the payment of these taxes and/or fees will remain the
responsibility of the Client and, to the extent tax rates change due to amendments to surplus lines and
similar regulations,we will invoice you for the payment of such taxes and fees.
Page 3 of 3
2015-197
•
City of San Bernardino Invoice N0. 8200000195411
City of San Bernardino Aon Risk Insurance Services west,Inc.
300 N.D Street San Francisco CA Office
San Bernardino CA 92418-0001 USA 199 Fremont Street
Suite 1500
i San Francisco CA 94105
(866)283.7122 FAX(800)363-0105
Client Account No. Invoice Date Currency Account Executive
570000002093 Aug-04-2015 US DOLLAR William Deeb
Insurance Co. Policy No.l Policy Term Trans. Eff. Description Amount
Named Insured Date
Illinois Union 625870292001 Jul-31-2015- Jul-31-2015 New-CyberLiability
Insurance Jul-31-2015
Company City of San Premium 37,250.00
Bernardino Surplus Line Tax 1,117.50
Stamping Fee 74.50
TOTAL INVOICE AMOUNT DUE 38,442.00
TO AVOID POTENTIAL DISRUPTION IN YOUR COVERAGE,PAYMENT IS DUE UPON RECEIPT.
Please Make Payable to Aon Risk Services
F.41CA Notice:Please go to A on.com,FATCA to obtain the appropriate W-9.
Please see last page for statement regarding Aon compensation. Page 1 of 3
Coverage includes insurance with a non-admitted insurer.State insurance guaranty laws may not apply in the event of insolvency of the insurer.
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195411 Aug-04-2015 US DOLLAR 38,442.00
City of San Bernardino Remit to:
300 N.D Street
San Bernardino CA 92418-0001 USA Aon Risk Services Inc.Services West,Inc.
S
Aon Risk Services
P.O.Box 849832
Los Angeles CA 90084-9832
2015-197
Aw-
City of San Bernardino Invoice No. 8200000195411
FAT(A?Notice; Please go to Aon.com1FAT(A to obtain the appropriate W-9.
Please see last page for statement regarding Aon compensation Page 2 of 3
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. invoice No. Invoice Date Currency Amount Due
570000002093 8200000195411 Aug-04-2015 US DOLLAR 38,442.00
U5D ONLY WIREIACH Remit to: Overnight Remit to:
Wells Fargo Bank Aon Risk Services,Inc.
420 Montgomery Street C/O Wells Fargo Bank
San Francisco CA 94104 3440 Flair Drive
El Monte CA 91731
ABA No: 121000248 Reference: PO Box 849832
Swift No: WFBIUS6S Phone No: 800.289-3557
Account Name: ARS,Inc.
Account No:4121512321
Please Reference your Client Account No.&Invoice No.being paid
Wire payment information is for U5D currency only.Please contact your Aon representative for Multi-Currency payment instructions.
2015-197
Regardir)q Compensation, and "T'axes
Affiliates of Aon Group, Inc. that provide retail, wholesale and reinsurance brokerage, risk
management, underwriting and/or claim management, captive management, premium financing, or
consulting may receive compensation in the form of (i) commissions and/or fees paid by an insurer
and/or other third party and/or fees paid by a client; and (ii) investment and/or interest income on
premiums, claim payments and return premiums temporarily held as fiduciary funds subject to the
principal's consent as may be required or permitted by applicable law.
To the extent that any portion of Aon`s compensation by operation of law, agreement or otherwise
becomes adjusted or credited to you, it is your responsibility to disclose the actual net cost to you of the
brokerage and insurance costs you have incurred to third party(ies) having an interest in such
amounts.
If you have any questions regarding the nature or amount of the compensation paid to any Aon
company on your account, we encourage you to contact the head of the Aon office that services your
account.
We have made every effort to identify any surplus lines or other premium taxes and/or fees due in
advance, if applicable, but in all instances the payment of these taxes and/or fees will remain the
responsibility of the Client and, to the extent tax rates change due to amendments to surplus lines and
similar regulations,we will invoice you for the payment of such taxes and fees.
Page 3 of 3
2015-197
City of San Bernardino Invoice No. 8200000195268
City of San Bernardino Aon Risk Insurance Services West,Inc.
300 N.D Street San Francisco CA Office
San Bernardino CA 92418-0001 USA 199 Fremont Street
Suite 1500
San Francisco CA 94105
(866)283-7122 FAX(800)363-0105
Client Account No. Invoice Date Currency Account Executive
570000002093 Aug-03-2015 US DOLLAR William Deeb
Named Insured Service Term Trans.Eff. Description Amount
Date
City of San Bernardino Jul-31-2015- Jul-31-2015 New Service-Service Fee
Jul-31-2016
Service Fee 85,000.00
TOTAL INVOICE AMOUNT DUE 85,000.00
TO AVOID POTENTIAL DISRUPTION IN YOUR COVERAGE, PAYMENT IS DUE UPON RECEIPT.
Please Make Payable to Aon Risk Services
FATCA Notice: Please go to Aon.comIFATCA to obtain the appropriate W-9.
Please see last page.for statement regarding Aon compensation. Page 1 of 3
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No. Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195288 Aug-03-2015 US DOLLAR 85,000.00
City of San Bernardino
Remit to:
300 N,D Street
San Bernardino CA 92418-0001 USA
Aon Risk Insurance Services West,Inc.
Aon Risk Services Inc.
P.0.Box 849832
Los Angeles CA 90084-9832
2015-197
City of San Bernardino Invoice No. 8200000195268
FATCA Notice: Please go to A on.coiniFATCA to obtain the appropriate W-9.
Please see last page for statement regarding Aon compensation. Page 2 of 3
Please detach here. Top portion is for your records,bottom portion to be returned with your payment.
Client Account No, Invoice No. Invoice Date Currency Amount Due
570000002093 8200000195268 Aug-03-2015 US DOLLAR 85,000.00
USD ONLY W1RVACH Remit to: Overnight Remit to:
Wells Fargo Bank Aon Risk Services,Inc.
420 Montgomery Street CIO Wells Fargo Bank
San Francisco CA 94104 3440 Flair Drive
El Monte CA 91731
ABA No: 121000248 Reference: PO Box 849832
Swift No:WFBIUS6S Phone No: 800-289-3557
Account Name: ARS,Inc.
Account No:4121512321
Please Reference your Client Account No.&Invoice No. being paid
Wire payment information is for USD currency only.Please contact your Aon representative for Multi-Currency payment instructions.
2015-197
Regarding rnpe;nsiation and `;,ues
Affiliates of Aon Group, Inc, that provide retail, wholesale and reinsurance brokerage, risk
management, underwriting and/or claim management, captive management, premium financing, or
consulting may receive compensation in the form of (i) commissions and/or fees paid by an insurer
and/or other third party and/or fees paid by a client; and (ii) investment and/or interest income on
premiums, claim payments and return premiums temporarily held as fiduciary funds subject to the
principal's consent as may be required or permitted by applicable law.
To the extent that any portion of Aon's compensation by operation of law, agreement or otherwise
becomes adjusted or credited to you, it is your responsibility to disclose the actual net cost to you of the
brokerage and insurance costs you have incurred to third party(ies) having an interest in such
amounts.
If you have any questions regarding the nature or amount of the compensation paid to any Aon
company on your account, we encourage you to contact the head of the Aon office that services your
account.
We have made every effort to identify any surplus lines or other premium taxes and/or fees due in
advance, if applicable, but in all instances the payment of these taxes and/or fees will remain the
responsibility of the Client and, to the extent tax rates change due to amendments to surplus lines and
similar regulations,we will invoice you for the payment of such taxes and fees.
Page 3of3