Attachment L, Historical Loss Experience.pdf
PDF 348 KB Posted
- 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
| 4050 | Esplanade | Way, | Suite | 360.5Z |
| Tallahassee, | FL | 32399 |
Account #: 1068294
| Report | Filters: | |||||||||||||||
| Created | by: | Shubham.Mane@cfins.com | ||||||||||||||
| Policy | #'s: | Crime | Commercial-626042013, | 626040470, | 626039836, | 626039239, | 626038626, | 626037986, | 626037436, | 626036876, | 626036402 | (Comm | Auto, | CR, | DO, | FI) |
| Claim | Status: | Open, | Closed, | Re-opened | ||||||||||||
| Feature | Status: | Open, | Closed, | Re-opened | ||||||||||||
| Note: | Feature | status | is | only | applicable | for | non | worker's | compensation | claims | ||||||
| Incurred | Range | From: | ||||||||||||||
| Incurred | Range | To: | ||||||||||||||
| Accident | Description | Type: | Defined | Description | ||||||||||||
| Accident | State: | All | ||||||||||||||
| Location: | All | |||||||||||||||
| Department: | All | |||||||||||||||
| Show | Notification/Report | Only | Claims: | N | ||||||||||||
| Show | Billed | Deductible: | N | |||||||||||||
| Show | Insured | Vehicle | VIN: | N |
Page 2 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery. |
| There | are | no | claims | for | this | policy. |
Policy Number: 626042013 1/1/2026 - 1/1/2027
Page 3 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | TALLAHASSEE, | FL | |
| Accident | Description: | FUNDS | TRANSFER | FRAUD |
| Claim | Status: | O | ||
| Date | Closed: | 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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible: | $10,000 | ||
| Total | Claims: | 1 | |
| Report | Only | Features: | 0 |
| Claim | Type Average | Per | Claim Open | Claim | Features Total | Claim | Features Outstanding | Reserves Total |
| Paid | Loss |
| Paid | ALAE Total | Incurred |
| inc | ALAE |
* 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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery. |
| There | are | no | claims | for | this | policy. |
Policy Number: 626039836 1/1/2024 - 1/1/2025
Page 6 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery. |
| There | are | no | claims | for | this | policy. |
Policy Number: 626039239 1/1/2023 - 1/1/2024
Page 7 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | KISSIMMEE, | FL |
| Accident | Description: | NOT | CLASSIFIED |
| Claim | Status: | C | |
| Date | Closed: | 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
| Accident | Location: | UNKNOWN, | FL |
| Accident | Description: | NOT | CLASSIFIED |
| Claim | Status: | C | |
| Date | Closed: | 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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible: | $10,000 | ||
| Total | Claims: | 2 | |
| Report | Only | Features: | 0 |
| Claim | Type Average | Per | Claim Open | Claim | Features Total | Claim | Features Outstanding | Reserves Total |
| Paid | Loss |
| Paid | ALAE Total | Incurred |
| inc | ALAE |
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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | UNKNOWN, | FL | |
| Accident | Description: | FUNDS | TRANSFER | FRAUD |
| Claim | Status: | C | ||
| Date | Closed: | 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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible: | $0 | ||
| Total | Claims: | 2 | |
| Report | Only | Features: | 0 |
| Claim | Type Average | Per | Claim Open | Claim | Features Total | Claim | Features Outstanding | Reserves Total |
| Paid | Loss |
| Paid | ALAE Total | Incurred |
| inc | ALAE |
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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | TALLAHASSEE, | FL | |
| Accident | Description: | BURGLARY | / | THEFT-DISAPPEARANCE |
| Claim | Status: | O | ||
| Date | Closed: | 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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible: | $0 | ||
| Total | Claims: | 2 | |
| Report | Only | Features: | 0 |
| Claim | Type Average | Per | Claim Open | Claim | Features Total | Claim | Features Outstanding | Reserves Total |
| Paid | Loss |
| Paid | ALAE Total | Incurred |
| inc | ALAE |
* 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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Note: | Total | incurred | loss | includes | ALAE | minus | Subro | Recovery. |
| There | are | no | claims | for | this | policy. |
Policy Number: 626037436 1/1/2020 - 1/1/2021
Page 15 of 19 Account #: 1068294 - Loss Detail Report Valuation Date: 6/22/2026
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | UNKNOWN, | FL | |
| Accident | Description: | BURGLARY | / | THEFT-DISAPPEARANCE |
| Claim | Status: | C | ||
| Date | Closed: | 9/26/2019 |
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
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
| Accident | Location: | TALLAHASSEE, | FL |
| Accident | Description: | NOT | CLASSIFIED |
| Claim | Status: | C | |
| Date | Closed: | 2/11/2020 |
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 |
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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible: | $0 | ||
| Total | Claims: | 2 | |
| Report | Only | Features: | 0 |
| Claim | Type Average | Per | Claim Open | Claim | Features Total | Claim | Features Outstanding | Reserves Total |
| Paid | Loss |
| Paid | ALAE Total | Incurred |
| inc | ALAE |
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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
Note: Total incurred loss includes ALAE minus Subro Recovery.
| Accident | Location: | TALLAHASSEE, | FL |
| Accident | Description: | EMPLOYEE | DISHONESTY |
| Claim | Status: | C | |
| Date | Closed: | 1/27/2022 |
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 |
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
| Producer | Information | ||
| CRC | INSURANCE | SVCS | |
| 175 | Froehlich | Farm | Blvd |
| Woodbury, | NY | 117970000 |
| Crime | Commercial | ||||||||
| Insured | Name: | THE | STATE | OF | FLORIDA | DEPARTMENT | OF | MANAGEMENT | SERVICES |
| Deductible: | $0 | ||
| Total | Claims: | 1 | |
| Report | Only | Features: | 0 |
| Claim | Type Average | Per | Claim Open | Claim | Features Total | Claim | Features Outstanding | Reserves Total |
| Paid | Loss |
| Paid | ALAE Total | Incurred |
| inc | ALAE |
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 .