DIANNE L HOWARD DIRECTOR. May 31, 2013 Bulletin ItP COO/RBM

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1 THE SCHOOL DSTRCT OF PALM BEACH COUNTY, FL DANNE L HOWARD DRECTOR MCHAElJ. BURKE CHEF OPERATNG OFFCER RSK AND B ENEF TS MANAGEMENT 3300 FOREST Hill BOUlEVARD, SUTE A-103 WEST PAlM BEACH, FL33406 PH: / FAX: ACHSCHOOLS.ORG/RSKMGT May 31, 2013 Bulletin tp coo/rbm Contact: Julie Sessa, PX ju lie.sessa@palmbeachschools.org Action By: July 1, 2013 TO: FROM: SUBJECT: All Principals and Department Heads Michael J. Burke, Chief Ope rating officerj!;f's Vendors' liability nsurance Requirements for Community School Facilities This bulletin replaces all previous bulletins concerning Vendors' liability nsurance. information with your School Treasurer. Please sha re this Policy 7.18 details the lease procedures for the community use of school facilities and requires the following: The use of a Lease Agreement whenever the school facility is used by an individual or group, and liability insurance naming the School Board of Palm Beach County as an additional insured. Although a school center may waive rental fees, as they deem appropriate, insurance requirements may not be waived; even Good Causes and Cha rities must sign a lease and provide insurance. There are no exceptions. The purpose of the bulletin is to provide procedures to all principals regarding liability insu rance for organizations (tenants) leasing School District facilities. Often times, various tenants are unable to purchase liability insurance on their own at an affordable price; therefore, the District has purchased a Vendors liability nsurance Policy from Scottsdale nsu rance Company. With this policy, the insu rance is already in place and applicable tenants reimburse the District per the attached fee sched ule. Schools should record, in nternal Accounts, all premiums collected from the lessees who avail themselves of the Vendors' liability nsurance in the following manner: Fund Account Fund Account Fund Sub-Account Fund Account Type Number Number Name Rental Facilities- nsu rance Proceeds The School District of Palm Beach County - Rated "'A"' by the Florida Department of Education "'Home of Florida's First leed Gold Certified School" The School District of Palm Beach County is an Equal Education Opportunity Provider and Employer

2 Page 2 of 2 May 22, 2011 Bulletin #P.. COO/RBM - Vendors liability nsurance Requirements for the Community Use of School Facilities nsurance premiums collected from renting facilities should be submitted monthly on a Remittance Form (PBSD 0150) to the Accounting Services Department. On the Remittance Form. check " Event nsurance" and attach the check to the Remittance Transmittal Form. The attached Vendors liability nsurance Report must be completed and su bmitted to the Risk and Benefits Management Department (via eforms) as each lessee purchases the insurance. A hard copy of the form is attached for information purposes only (PBSD 1915). All future changes to procedures or premium rates, etc. will be reported on the Risk and Benefits Management's web page at nagementprograms.asp. For additional information, plea se contact the following departments: lease forms - Planning and Real Estate Department at PX nternal accounts - Accounting Services Department at PX 4867S nsurance questions - Risk and Benefits Management at PX Attachments EWG/ MJB/ DlH/JS:lm/ lb Approved: E. Wayne Gent, Superintendent The School District of Palm Beach county - Rated "A" by the Florida Department of Education "Home of Florida's First leed Gold Certified School" The School District of Palm Beach County is on Equal Education Opportunity Provider and Employer

3 Permitees and Licensees of the School District of Palm Beach County GENERAL LABLTY Proposed Term: July 1,2013 to July 1, 2014 Company: Scottsdale nsurance Company Limits of Liability: Deductible: Bodily njury And Propeny Damage General Aggregate Products/Completed Operations Personal & Advertising njury Fire Damage Medical Payments Covera2C:. Premises Operations 2. Contractual Liability Limitation 3. Broad F ann Property Damage 4. Limited Worldwide Coverage Exclusions included but nollimited to: 1. Ath letic Spons Parti cipants 2. Products/Completed Operations hazard 3. Designated Professional Services 4. Personal & Advertising njury S. Fire Damage Liability 6. Special Events Liability 7. Stable Liability 8. Total Liquor Liability 9. Employment Related Practices Liability 10. Contagious nfectious or Transmittable Disease, Communicable Disease. Toxic Metals 12. Violation of Statute that govern fax, phone calls, or others methods to secure materials or information $1,000,000 Per Occurrence $2,000,000 Annually $500 per claim, including claim expense 5. Additional nsured-managers or Lessors of Premises 6. ncidental Medical Malpractice 7. Subject to Contractors Special Conditions Endorsement 13. Year 2000 Computer Related Problems 14. Punitive Damages 15. Assault and/or Battery 16. Pollution 17. Terrorism 18. Silica or Silica Related Dust 19. njury to Employees, Volunteers, Contractors and Workers 20. Medical Payments 21. Microganisms, Biological Organi sms, Bioaerosols or Organic Contamination 22, Unscheduled Activities/EvCnls The brie/ descriplion 0/ insurance cow!mge collwined in his proposal is being provided as an accommodation and is 1101 ntended to COl'er or describe all policy terms. For more complete and detailed in/armaliol re/a/ing 10 the scope and limits 0/ Coverage. please refer 10 the policy docl/ments. Specimen/orms are a"ailabfe llpon request.

4 EXTENSON RATE SCHEDULE/MUNCPAL BULDNGS FOR PERMTTEES AND LCENSEES (EFFECTVE 07/01 /13) CLASS LOW HAZARD Auctions: Auto Shov.'S: Craft Shows: Edu~alional Exhibitions; Lessor Ushered Exhibitions Meetings (indoors): MusicalsPlays; Seminars Social Gatherings: Speaking Engagements; Theatrical Performances: Dog Obedience Training ATfENDEES JOO Over 3000 DALY S $ S $ $ $ CLASS MEDUM HAZARD Bingo Games: Concen.s (Not Roc k): Dances: Dogs Shows: Horse Shows: Lessee Ushered: EXh ibitions: Parades (under 500): Picnics: Rummage Sales: Sponing Events in Buildings: Tennis. Handball or Rru;quelball Couns: Spaghetti Di nne rs AlTENDEES Over 3000 DALY S S S $ CLASS MODERATE HAZARD Animal Racing Circuses ( No rides) Meetings (outdoors) Parades (over 500) Rodeos (over 500) ATTENDEES (}.'cr 3000 DALY CLASS V - HGH HAZARD Carnivals; Circl.lS<:S, Fairs, fun Days (... ith ridn or BOllnCf 10llsts or nnatahln); Conccn ( rock)' GAMES ATHLETC LEAGUES (EXCEPT FOOTBALL) Holding prncticc &; games on school property 0-50 NOlf: Sptctator Lil bilit}' Only ,00 ANNUAL $ $ FOOTBALL LEAGUES Holding practice &; games on school property Note: SPCCUltor Liability Only S NDVDUAL ATHLETC TEAMS (SpeCUlQr Liabi li ty Only) SOCAL GROUPS & CVC CLUBS (weekly meeting.~) (AA. Boys Clubs; Girl Scouts. etc.) SOCAL GROUPS & CVC CLUBS (bi-monthly meetings) SOCAL GROUPS & CVC CLUBS (monthly meetings) SCHOOLS <VOCATONAL & PRVATE( using school classrooms $430.20

5 Vendor Liability nsurance Report PBSD Page 1 of 1 THE SCHOOL DSTRCT OF PALM BEACH COUNTY RSK AND BENEFTS MANAGEMENT Vendors Liability nsurance Report REQURED. To detennlne correct r.tes choose Fllc.1 Ye.r before completing fonn r FY2012 r. FY2013 School Name Complete one form for each vendor. Submit the completed form before June 30th of each year. Select One :.:J Sek'C\ One :.:J.!il Event School Contact Date(s) of Event Contact E mail Lessee Name DRECTONS: Choose only one class or hazard per. vent. f you choose from Section. enter the number of event days and the number of attendees to obtain the ra te. f your choice is in Section enter the number of games/practices 10 oblaln the total rale. f you are using!he annual rates in Section y9!j must indicate!he percenlage of the year that applies to the event to obtain the totat rate. After entering information. tab to the next fleklto activate!he calculation. SECTON (Daily Rates) r. Class Low Hazard ("" Class Medium Hazard r Class Moderate Hazard ("" Class V High Hazard Number of Event Day. ;::===~ Number of A ttendee.;p '~'~d='~'~,====~1 Total Rate SECTON (Athletic Team Rates) r Athletic Leagues (except football) (Speaator liability only) r Football Leagues (Spectator liability only) r ndividual Athletic Teams (Spectator liability only) SECTON (Annual Rates) r SOCial Groups & Civic Clubs (weekly meetings) r SOCial Groups & Civic Clubs (bi monthly meetings) ("" Social Gr9!Jps & Civic Clubs (monthty meetings) ("" Schools (vocational & private) using school classrooms Number of Games Total Rate.!! % of the year charge s applied r Quarter of year r Half of year r Three quarters of year r Full year Total Rate f you have multiple reports to submit click continue before you submit. ~ Otherwise chose complete. r Continue r Complete To Submit Click Go >>> r.1 S~":;: b=m ;-----~3:T ~ POSO 1915 (Rev 05/14/2012) SOP 7 18 mhtml:file:c:\documents and Seuings\burchl\My Documents\Downloads\ Vendor Li abi1 i... 5/17/20 13

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