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�Affiant <br /> BIND COVERAGE - • REDLANDS <br /> Please confirm acceptance of this proposal by signing below and faxing to 415- <br /> 874-4811 or email: aferry &alliant com to Andrea Ferry at Alliant Insurance <br /> Services prior to July 1, 2017. <br /> Would you like to bind coverage as proposed below` Yes SI/ No 0 <br /> If yes, please select your options <br /> H Excess Workers' Compensation with Safety National: $25 Million Dollars <br /> Aggregate for annual premium of$169,200 00 <br /> Conor Boughy, ARM <br /> Vice President, Alliant Insurance Services, Inc <br /> 06 <br /> ate <br /> Paul Barich, Mayor Pro Tempore <br /> City of Redlands <br /> 4- z 0 1 7 <br /> Dade ` <br /> 1t.-., .r_, <br /> JeaMe Donaldson, City Clerk <br /> City�20117 <br /> f Redlnds <br /> Date <br /> This proposal does not constitute a binder of insurance Binding is subject to final carrier approval The Actual <br /> terms and conditions of the policy will prevail <br />