Attachment L, Historical Loss Experience.pdf

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Attached to
Government Crime Insurance
Solicitation number
ITB-17050
Issued by
Florida

About this file

This is a Historical Loss Experience Report for a Government Crime Insurance contract issued by the State of Florida Department of Management Services. The report, dated June 22, 2026, documents claims history across nine crime commercial insurance policies (Policy numbers 626042013, 626040470, 626039836, 626039239, 626038626, 626037986, 626037436, 626036876, and 626036402) covering the period from January 1, 2018, through January 1, 2027. The report was prepared by CRC Insurance Services, the producer of record located in Woodbury, New York, and covers the State of Florida's Department of Management Services as the insured entity. The loss experience report serves as supporting documentation for ITB No. 27-84131514-ITB, which seeks to establish a new Government Crime Insurance contract to replace the current policy through a single award to the lowest responsive and responsible bidder.

The historical loss data reveals significant activity over the policy period, with notable claims including a $325,000 open reserve related to funds transfer fraud (Policy 626040470, reported April 21, 2025) and a $50,000 open reserve for burglary/theft-disappearance in Tallahassee, Florida (Policy 626037986, reported October 1, 2021). Additional closed claims include an employee dishonesty claim with $17,922 paid loss plus $5,000 in Allocated Loss Adjustment Expenses (ALAE) from the Department of Citrus (Policy 626036402, closed January 27, 2022), and various fidelity and premises liability claims totaling minimal incurred losses. The deductibles across policies range from $0 to $10,000, with most historical claims classified as closed with zero outstanding reserves, except for the two active claims noted above.

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ITB No. 27-84131514-ITB Government Crime Insurance

Attachment L Historical Loss Experience

A historical loss experience report dated June 22, 2026 is provided on the following pages:

Page 1 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

Loss Detail Report

THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT SERVICES

4050EsplanadeWay,Suite360.5Z
Tallahassee,FL32399

Account #: 1068294

ReportFilters:
Createdby:Shubham.Mane@cfins.com
Policy#'s:CrimeCommercial-626042013,626040470,626039836,626039239,626038626,626037986,626037436,626036876,626036402(CommAuto,CR,DO,FI)
ClaimStatus:Open,Closed,Re-opened
FeatureStatus:Open,Closed,Re-opened
Note:Featurestatusisonlyapplicablefornonworker'scompensationclaims
IncurredRangeFrom:
IncurredRangeTo:
AccidentDescriptionType:DefinedDescription
AccidentState:All
Location:All
Department:All
ShowNotification/ReportOnlyClaims:N
ShowBilledDeductible:N
ShowInsuredVehicleVIN:N

Page 2 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Note:TotalincurredlossincludesALAEminusSubroRecovery.
Therearenoclaimsforthispolicy.

Policy Number: 626042013 1/1/2026 - 1/1/2027

Page 3 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES

Note: Total incurred loss includes ALAE minus Subro Recovery.

AccidentLocation:TALLAHASSEE,FL
AccidentDescription:FUNDSTRANSFERFRAUD
ClaimStatus:O
DateClosed:N/A

Claimant Name Policy Number

Claim Number

Claim Type

Damage Type

Date of Loss

Date Reported

Loc/ Dept

Claim/ Feature Status

OS

Reserve

Paid Loss

Paid

ALAE

Total Incurred inc ALAE

THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT

SERVICES

626040470 NJU00777820 INSI 4/14/2025 4/21/2025 O * $325,000 $0 *

Totals: * $325,000 $0 *

* Denotes undisclosed reserves

Policy Number: 626040470 1/1/2025 - 1/1/2026

Page 4 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Deductible:$10,000
TotalClaims:1
ReportOnlyFeatures:0
ClaimType AveragePerClaim OpenClaimFeatures TotalClaimFeatures OutstandingReserves Total
PaidLoss
PaidALAE TotalIncurred
incALAE

* 1 1 * $325,000 $0 *

Totals 1 1 * $325,000 $0 *

* Denotes undisclosed reserves

Summary for Policy Number: 626040470 1/1/2025 - 1/1/2026

Page 5 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Note:TotalincurredlossincludesALAEminusSubroRecovery.
Therearenoclaimsforthispolicy.

Policy Number: 626039836 1/1/2024 - 1/1/2025

Page 6 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Note:TotalincurredlossincludesALAEminusSubroRecovery.
Therearenoclaimsforthispolicy.

Policy Number: 626039239 1/1/2023 - 1/1/2024

Page 7 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES

Note: Total incurred loss includes ALAE minus Subro Recovery.

AccidentLocation:KISSIMMEE,FL
AccidentDescription:NOTCLASSIFIED
ClaimStatus:C
DateClosed:4/25/2023

Claimant Name Policy Number

Claim Number

Claim Type

Damage Type

Date of Loss

Date Reported

Loc/ Dept

Claim/ Feature Status

OS

Reserve

Paid Loss

Paid

ALAE

Total Incurred inc ALAE

THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT

SERVICES.

626038626 NJU00743114 INSI 8/20/2022 9/1/2022 C $0.00 $0 $2,430 $0.00

Totals: $0.00 $0 $2,430 $0.00

* Denotes undisclosed reserves

Policy Number: 626038626 1/1/2022 - 1/1/2023

Page 8 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

AccidentLocation:UNKNOWN,FL
AccidentDescription:NOTCLASSIFIED
ClaimStatus:C
DateClosed:5/9/2023

Claimant Name Policy Number

Claim Number

Claim Type

Damage Type

Date of Loss

Date Reported

Loc/ Dept

Claim/ Feature Status

OS

Reserve

Paid Loss

Paid

ALAE

Total Incurred inc ALAE

THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT

SERVICES.

626038626 NJU00743516 EMDH 4/19/2022 9/13/2022 C $0.00 $0 $770 $0.00

Totals: $0.00 $0 $770 $0.00

* Denotes undisclosed reserves

Page 9 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Deductible:$10,000
TotalClaims:2
ReportOnlyFeatures:0
ClaimType AveragePerClaim OpenClaimFeatures TotalClaimFeatures OutstandingReserves Total
PaidLoss
PaidALAE TotalIncurred
incALAE

Fidelity- Employee Dishonesty

$0.00 0 1 $0.00 $0 $770 $0.00

Fidelity- Inside Premises $0.00 0 1 $0.00 $0 $2,430 $0.00

Totals 0 2 $0.00 $0 $3,200 $0.00

* Denotes undisclosed reserves

Summary for Policy Number: 626038626 1/1/2022 - 1/1/2023

Page 10 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES

Note: Total incurred loss includes ALAE minus Subro Recovery.

AccidentLocation:UNKNOWN,FL
AccidentDescription:FUNDSTRANSFERFRAUD
ClaimStatus:C
DateClosed:11/22/2021

Claimant Name Policy Number

Claim Number

Claim Type

Damage Type

Date of Loss

Date Reported

Loc/ Dept

Claim/ Feature Status

OS

Reserve

Paid Loss

Paid

ALAE

Total Incurred inc ALAE

THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT

SERVICES

626037986 NJU00727280 INSI 7/21/2021 7/28/2021 C $0.00 $0 $0 $0.00

Totals: $0.00 $0 $0 $0.00

* Denotes undisclosed reserves

Policy Number: 626037986 1/1/2021 - 1/1/2022

Page 11 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Deductible:$0
TotalClaims:2
ReportOnlyFeatures:0
ClaimType AveragePerClaim OpenClaimFeatures TotalClaimFeatures OutstandingReserves Total
PaidLoss
PaidALAE TotalIncurred
incALAE

Fidelity- Inside Premises $0.00 0 1 $0.00 $0 $0 $0.00

Totals 0 1 $0.00 $0 $0 $0.00

* Denotes undisclosed reserves

Summary for Policy Number: 626037986 1/1/2021 - 1/1/2022

Page 12 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES

Note: Total incurred loss includes ALAE minus Subro Recovery.

AccidentLocation:TALLAHASSEE,FL
AccidentDescription:BURGLARY/THEFT-DISAPPEARANCE
ClaimStatus:O
DateClosed:N/A

Claimant Name Policy Number

Claim Number

Claim Type

Damage Type

Date of Loss

Date Reported

Loc/ Dept

Claim/ Feature Status

OS

Reserve

Paid Loss

Paid

ALAE

Total Incurred inc ALAE

THE STATE OF FLORIDA DEPARTMENT OF MANAGEMENT

SERVICES

626037986 NJU00730298 INSI 2/10/2021 10/1/2021 O * $50,000 $6,441 *

Totals: * $50,000 $6,441 *

* Denotes undisclosed reserves

Policy Number: 626037986 1/1/2021 - 1/1/2022

Page 13 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Deductible:$0
TotalClaims:2
ReportOnlyFeatures:0
ClaimType AveragePerClaim OpenClaimFeatures TotalClaimFeatures OutstandingReserves Total
PaidLoss
PaidALAE TotalIncurred
incALAE

* 1 1 * $50,000 $6,441 *

Totals 1 1 * $50,000 $6,441 *

* Denotes undisclosed reserves

Summary for Policy Number: 626037986 1/1/2021 - 1/1/2022

Page 14 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Note:TotalincurredlossincludesALAEminusSubroRecovery.
Therearenoclaimsforthispolicy.

Policy Number: 626037436 1/1/2020 - 1/1/2021

Page 15 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES

Note: Total incurred loss includes ALAE minus Subro Recovery.

AccidentLocation:UNKNOWN,FL
AccidentDescription:BURGLARY/THEFT-DISAPPEARANCE
ClaimStatus:C
DateClosed:9/26/2019

Claimant Name Policy Number

Claim Number

Claim Type

Damage Type

Date of Loss

Date Reported

Loc/ Dept

Claim/ Feature Status

OSReserve PaidLoss PaidALAE
TotalIncurred

inc ALAE

FLORIDA A&M - FL DEPARTMENT OF MANAGEMENT

SERVICES

626036876 NJU00687276 INSI 2/22/2019 3/13/2019 C $0.00 $0 $0 $0.00

Totals: $0.00 $0 $0 $0.00

* Denotes undisclosed reserves

Policy Number: 626036876 1/1/2019 - 1/1/2020

Page 16 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

AccidentLocation:TALLAHASSEE,FL
AccidentDescription:NOTCLASSIFIED
ClaimStatus:C
DateClosed:2/11/2020

Claimant Name Policy Number Claim Number Claim Type Damage Type Date of Loss Date Reported Loc/ Dept Claim/ Feature Status

OSReserve PaidLoss PaidALAE TotalIncurred
incALAE

DEPT OF CHILDREN AND FAMILIES 626036876 NJU00692439 OUTS 6/6/2019 6/11/2019 C $0.00 $0 $0 $0.00

Totals: $0.00 $0 $0 $0.00

* Denotes undisclosed reserves

Page 17 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Deductible:$0
TotalClaims:2
ReportOnlyFeatures:0
ClaimType AveragePerClaim OpenClaimFeatures TotalClaimFeatures OutstandingReserves Total
PaidLoss
PaidALAE TotalIncurred
incALAE

Fidelity- Inside Premises $0.00 0 1 $0.00 $0 $0 $0.00

Fidelity- Outside Premises $0.00 0 1 $0.00 $0 $0 $0.00

Totals 0 2 $0.00 $0 $0 $0.00

* Denotes undisclosed reserves

Summary for Policy Number: 626036876 1/1/2019 - 1/1/2020

Page 18 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES

Note: Total incurred loss includes ALAE minus Subro Recovery.

AccidentLocation:TALLAHASSEE,FL
AccidentDescription:EMPLOYEEDISHONESTY
ClaimStatus:C
DateClosed:1/27/2022

Claimant Name Policy Number Claim Number Claim Type Damage Type Date of Loss Date Reported Loc/ Dept Claim/ Feature Status

OSReserve PaidLoss PaidALAE TotalIncurred
incALAE

DEPARTMENT OF CITRUS/MATTHEW MCDERMOTT 626036402 NJU00665632 INSI 4/16/2018 4/17/2018 C $0.00 $17,922 $5,000 $0.00

Totals: $0.00 $17,922 $5,000 $0.00

* Denotes undisclosed reserves

Policy Number: 626036402 1/1/2018 - 1/1/2019

Page 19 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026

ProducerInformation
CRCINSURANCESVCS
175FroehlichFarmBlvd
Woodbury,NY117970000
CrimeCommercial
InsuredName:THESTATEOFFLORIDADEPARTMENTOFMANAGEMENTSERVICES
Deductible:$0
TotalClaims:1
ReportOnlyFeatures:0
ClaimType AveragePerClaim OpenClaimFeatures TotalClaimFeatures OutstandingReserves Total
PaidLoss
PaidALAE TotalIncurred
incALAE

Fidelity- Inside Premises $0.00 0 1 $0.00 $17,922 $5,000 $0.00

Totals 0 1 $0.00 $17,922 $5,000 $0.00

* Denotes undisclosed reserves

Summary for Policy Number: 626036402 1/1/2018 - 1/1/2019

File details come from the government source that posted it. Updated .