Attachment M Historical Loss Experience.pdf

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Business Automobile Insurance
Solicitation number
ITB-13707
Issued by
Polk County, Florida

About this file

This document is a historical loss experience report from Glatfelter Underwriting Services for the State of Florida, covering insurance claims for multiple state entities including the Department of Children and Families, Florida Insurance Alliance (FIA), and various state departments and universities. The report provides a comprehensive summary of vehicle-related insurance claims from October 2019 to January 2024, detailing incidents involving state-owned vehicles across multiple locations in Florida. The claims span different vehicle types, including Nissan Altimas, Ford Fusions, Chevrolet vehicles, and others, with accident locations primarily in cities like Tallahassee, Orlando, Gainesville, and other Florida municipalities.

The loss experience report breaks down claims by policy type, coverage, and carrier, with two primary insurance carriers: American Alternative Insurance Corporation (AAIC) and National Union Fire Insurance Company of Pittsburgh, Pa. (NUFIC). The total incurred losses across these policies amount to $855,388, with a significant portion related to auto liability and physical damage claims. The report includes detailed information about each claim, such as the date of occurrence, report date, loss reserve, paid losses, and total incurred amounts. Many claims involve minor incidents like glass damage, backing into objects, collisions at low speeds, and vehicle-related accidents, reflecting the typical risk environment for a state government fleet.

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File Type Posted
Attachment C Price Sheet.xlsx XLSX spreadsheet
Attachment F PUR 1000 General Contract Conditions.pdf PDF
Attachment B Mandatory Responsive Requirements.docx DOCX document
Attachment C Price Sheet.xlsx XLSX spreadsheet
Attachment D ATCs.pdf PDF
Attachment G PUR 7801 Vendor Certification Form.docx DOCX document
Attachment I PUR 1355.docx DOCX document
Attachment F PUR 1000 General Contract Conditions.pdf PDF
Attachment A Scope of Work.pdf PDF
Attachment B Mandatory Responsive Requirements.docx DOCX document
Attachment E ESTC 9.12.2024.pdf PDF
Attachment I PUR 1355.docx DOCX document
Attachment L Expiring Policy.pdf PDF
Attachment N Auto Usage.pdf PDF
Attachment A Scope of Work.pdf PDF
Attachment E ESTC 9.12.2024.pdf PDF
Attachment K Broker Information.docx DOCX document
Attachment D ATCs.pdf PDF
Attachment G PUR 7801 Vendor Certification Form.docx DOCX document
Attachment M Historical Loss Experience.pdf PDF
_ITB Business Automobile Insurance.pdf PDF
Attachment C Revised Price Sheet .xlsx XLSX spreadsheet
Attachment H Draft Contract.pdf PDF
Attachment L Expiring Policy.pdf PDF
Business Auto Q&A Addendum No. 1.pdf PDF
_ITB Business Automobile Insurance.pdf PDF
Attachment H Draft Contract.pdf PDF
Attachment J Certification Drug Free.docx DOCX document
Attachment K Broker Information.docx DOCX document
Attachment J Certification Drug Free.docx DOCX document
Attachment N Auto Usage.pdf PDF
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Attachment M Historical Loss Experience

A detailed loss experience report Florida Insurance Alliance (FIA) dated July 02, 2025 for the current policy year, and the previous 5 years loss run from Glatfelter Public Entities dated July 22, 2025 are provided on the following pages.

The claims shown below have been reported to the carrier, but have yet to added to the Insurer's historical loss run.

7/2/2025

As of 7/02/2025

Egis Insurance Advisors, LLC

State of Florida

Agreement Number: 100124525

10/20/2024 to 10/01/2025

Claim #

Claimaint Claim Type Occur Date Report Date

Description Status Close Date Loss Property Dmg Medical Expense Total

FIAD - 1001241197-001 Payments $0.00 $1,195.75 $0.00 $0.00 $1,195.75

State of Florida PROP 11/2/2024 11/2/2024 Reserves $0.00 $0.00 $0.00 $0.00 $0.00

Open Recovery $0.00

Total Incurred $0.00 $1,195.75 $0.00 $0.00 $1,195.75

FIA-1001241197-002 Payments $0.00 $0.00 $0.00 $0.00 $0.00

State of Florida PROP 3/14/2025 3/14/2025 Reserves $0.00 $0.00 $0.00 $0.00 $0.00

Open Recovery $0.00

Total Incurred $0.00 $0.00 $0.00 $0.00 $0.00

FIA-1001241197-003 Payments $0.00 $21,165.00 $0.00 $0.00 $21,165.00

State of Florida PROP 5/7/2025 5/7/2025 Reserves $0.00 $0.00 $0.00 $0.00 $0.00

Closed 5/29/2025 Recovery $0.00

Total Incurred $0.00 $21,165.00 $0.00 $0.00 $21,165.00

Payments $0.00 $0.00 $0.00 $201.99 $201.99

AL 5/7/2025 5/14/2025 Reserves $200,000.00 $7,500.00 $10,000.00 $498.01 $217,998.01

Open Recovery $0.00

Total Incurred $200,000.00 $7,500.00 $10,000.00 $700.00 $218,200.00

Florida Insurance Alliance Dsitrict Experience Report

MVA-not at fault

Parking lot loss- IV struck another IV

T-bone collision to the driver side of IV. Employee was cited for "failure to yield".

1298-AL-25-0300238

"T-Bone" auto collision causing injury and damage

AL: Auto Liability EPLI: Employment Practices Liability GL: General Liability POL: Public Officials Liability PROP: Property Damage 1

Department of Children and Families

Department of Children and Families

Department of Children and Families

7/2/2025

As of 7/02/2025

Egis Insurance Advisors, LLC

State of Florida

Agreement Number: 100124525

10/20/2024 to 10/01/2025

Claim #

Claimaint Claim Type Occur Date Report Date

Description Status Close Date Loss Property Dmg Medical Expense Total

FIA-1001241197-004 Payments $0.00 $0.00 $0.00 $0.00 $0.00

State of Florida PROP 5/27/2025 5/30/2025 Reserves $0.00 $2,165.60 $0.00 $0.00 $2,165.60

Open Recovery $0.00

Total Incurred $0.00 $2,165.60 $0.00 $0.00 $2,165.60

FIA-1001241197-006 Payments $0.00 $2,303.22 $0.00 $0.00 $2,303.22

State of Florida PROP 5/28/2025 6/16/2025 Reserves $0.00 $0.00 $0.00 $0.00 $0.00

Open Recovery $0.00

Total Incurred $0.00 $2,303.22 $0.00 $0.00 $2,303.22

FIA-1001241197-008 Payments $0.00 $0.00 $0.00 $0.00 $0.00

State of Florida PROP 6/11/2025 6/17/2025 Reserves $0.00 $0.00 $0.00 $0.00 $0.00

Open Recovery $0.00

Total Incurred $0.00 $0.00 $0.00 $0.00 $0.00

10/20/2024 to 10/01/2025 Policy Totals Open Closed Total Payments $0.00 $24,663.97 $0.00 $201.99 $24,865.96

6 1 7 Reserves $200,000.00 $9,665.60 $10,000.00 $498.01 $220,163.61

Recoveries $0.00

Gross Incurred $200,000.00 $34,329.57 $10,000.00 $700.00 $245,029.57

Florida Insurance Alliance District Experience Report

IV hit by a Semi tire thread

Hit and Run - CV hit IV while changing lanes and left the scene. Unit #669

IV going through intersection when she was hit by CV. IV flipped over. Unit #594 on the list

AL: Auto Liability EPLI: Employment Practices Liability GL: General Liability POL: Public Officials Liability PROP: Property Damage 2

Department of Children and Families

A detailed loss experience report from dated August xx, 2025 for the current policy year, and the previous 5 years loss run from Glatfelter Public Entities dated JyulJyulyare provided on the following pages.

The claims shown below have been reported to the carrier, but have yet to added to the Insurer's historical loss run

A detailed loss experience report from dated August xx, 2025 for the current policy year, and the previous 5 years loss run from Glatfelter Public Entities dated Jyulyare provided on the following pages.

The claims shown below have been reported to the carrier, but have yet to added to the Insurer's historical loss run

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