Option_4_Bass.pdf

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Attached to
Insurance Brokerage Services for Property and Casualty Insurance Services
Solicitation number
26-12
Issued by
Walton County, Florida

About this file

This is an insurance quote issued by Bass Underwriters, Inc. on behalf of Lloyd's of London for Freeport Business Park Owners Association, Inc., located in Freeport, Florida. The quote provides commercial property coverage with wind protection for the period of February 21, 2026 through February 21, 2027. The insured property consists of two buildings with a combined total building value of $6,764,811, both located at 902 FL-20 in Freeport and constructed in 2007. The coverage includes options for terrorism insurance under both the Terrorism (T3) Endorsement and the Terrorism Risk Insurance Act (TRIA), with the insured required to make a written election regarding terrorism coverage acceptance. The quote is valid for 30 days from the January 27, 2026 issuance date and requires written confirmation from an authorized Bass Underwriters representative to bind coverage.

The total premium, fees, and taxes amount to $38,546.35 with base Lloyd's property coverage, or $40,214.80 if terrorism coverage is included. The premium breakdown includes a Lloyd's property premium of $35,507.00 (or $36,585.00 with terrorism), carrier inspection fees of $600.00, policy fees of $600.00, surplus lines tax of $1,813.33 to $1,891.82, service office fees of $22.02 to $22.98, and miscellaneous state taxes of $4.00. The producer, Norton Insurance of Florida, is entitled to a 10% commission. The quote specifies that all fees are fully earned and non-refundable, coverage cannot be backdated, and binding requires collection of all required funds and a favorable inspection. The policy is placed in the surplus lines market as a non-admitted carrier, meaning coverage is not protected by the Florida Insurance Guaranty Act.

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161 Dauphin Street Mobile, AL 36602

Ph:251-694-3320 Fax: (954) 316-3143

Date: January 27, 2026

To: Elizabeth Ireton - Norton Insurance of Florida

Fax: (850) 243-5986

From: Bragan Jackson Phone: 251-694-3320 Email: bjackson@bassuw.com Fax: (954) 316-3143

Re: Insured: Freeport Business Park Owners Association, Inc Effective Date: 2/21/2026

This transmission is intended to be delivered only to the named addressee(s) and may contain information that is confidential, proprietary or privileged. If this information is received by anyone other than the named addressee(s), the recipient should immediately notify the sender by e-mail and by telephone 251-694-3320 and obtain instructions as to the disposal of the transmitted material. In no event shall this material be read, used, copied, reproduced, stored or retained by anyone other than the named addressee(s), except with the express consent of the sender or the named addressee(s).

Thank you.

Reference #: 4737644D

Bass Underwriters, Inc.

INSURANCE QUOTE

THE TERMS AND CONDITIONS OF THIS QUOTATION MAY NOT COMPLY WITH THE SPECIFICATIONS SUBMITTED FOR CONSID ERATION OR THE EXPIRING POLICY. PLEASE READ THIS QUOTE CAR EFULLY AND COMPARE IT AGAINST YOUR SPECIFICATIONS.

IN ACCORDANCE WITH THE INSTRUCTIONS OF THE BELOW-ME NTIONED INSURER, WHICH HAS ACTED IN RELIANCE UPON T HE STATEMENTS MADE IN THE RETAIL BROKER'S SUBMISSION F OR THE INSURED, THE INSURER HAS OFFERED THE FOLLOWI NG

QUOTATION.

DATE ISSUED: January 27, 2026

PRODUCER: Norton Insurance of Florida PO Box 2078 Fort Walton Beach, FL 32549

INSURED MAILING Freeport Business Park Owners Association, Inc

ADDRESS: 842 FL-20

Freeport, FL 32439

INSURER: Lloyd's of London A (Excellent) AM Best Rating Non-Admitted

COVERAGE: Property W-Wind - Commercial

POLICY PERIOD: 2/21/2026 TO 2/21/2027

RENEWAL OF :

12:01 A.M. STANDARD TIME AT THE LOCATION ADDRESS OF THE NAMED INSURED. THIS INSURANCE QUOTATION WILL BE TERMINATED AND SUPERSEDED UPON DE LIVERY OF THE FORMAL POLICY(IES)

ISSUED TO REPLACE IT.

LIMITS: See attached.

Based INCL EB: T3:

PREMIUM: $35,507.00 $1,589.00

FEES: Carrier Insp Fee $600.00

Policy Fee $600.00 Carrier Insp Fee $600.00

Policy Fee $600.00 Surplus Lines Tax: $1,813.33 $1,891.82 Service office Fee: $22.02 $22.98 Misc State Tax: $4.00 $4.00 FHCF:(Florida) CPIE: (Florida)

TOTAL: $38,546.35 $40,214.80

*Upon request to bind the agent assumes responsibility for the earned premium, fees and taxes.

DEDUCTIBLE : See attached.

Terrorism Options

The Insured has 3 choices regarding Terrorism coverage:.

This coverage is described and defined by the Terrorism (T3) Endorsement and the Terrorism (T3) premium is included in the Lloyd s Property Premium. If the Insured chooses Terrorism (T3), they should reject the TRIA Notices for all carriers, except the Lloyd s Notice that is specifically for TRIA as part of Terrorism (T3). They should elect to purchase coverage on that Notice. Note that this Lloyd s Terrorism (T3) Notice only shows the TRIA portion of the total Terrorism (T3) premium. If TRIA is not available, all Terrorism is considered Non-certified terrorism.

Note that in addition to the PROPERTY EXCLUDED stated elsewhere in the Terrorism (T3) Endorsement, this Terrorism (T3) coverage shall not cover the following Property:

Terrorism (T3) coverage is for the full policy term and may have a sublimit.

a. Property located in the downtown business districts (specific zip codes) of:

Boston, MA: 02108, 02109, 02110, 02111, 02112, 02113, 02114, 02203, 02205, 02210, 02211, 02212 & 02222 b.

San Francisco, CA: 94104, 94105 & 94111

Manhattan, NY: 10002, 10004, 10005, 10006, 10007, 10013, 10038, 10048, 10280 & 10282

Washington, DC: 20001, 20002, 20003, 20004, 20005, 20006, 20024, 20036, 20037, 20045, 20059, 20201, 20204, 20220, 20240, 20260, 20319, 20401, 20407, 20410, 20418, 20500, 20503, 20515, 20530, 20549 & 20560

Buildings with values greater than $250,000,000.

Buildings or Locations where animal testing is conducted.c.

d. Embassies and other Government owned & occupied buildings, except State and Local Municipalities and/or hospitals do not apply to this exclusion.

Abortion Clinics.

Property located in U.S. Virgin Islands.

Accept only TRIA coverage, if available.

Property in Transit not on the Insured's premises.

e.

f.

g.

This coverage is provided by each carrier individually for its respective TRIA premium, as stated under each carrier's Property Premium. The Insured will need to accept the TRIA Notices for each carrier and reject the Lloyd s Terrorism (T3) Notice.

The Insured should reject all Terrorism Notices. Since the Terrorism (T3) premium was included in the Lloyd s Property Premium, the return premium for the rejection of the Terrorism (T3) coverage is stated under the Options on the Quote.

2.

Accept Terrorism (T3) which is Certified TRIA and Non-certified terrorism.1.

Quote Id : 3039550

CERTAIN UNDERWRITERS AT LLOYD'S

DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE

As Related to Terrorism (T3) Offer

INSURED : Freeport Business Park Owners' Association, Inc.

Account ID : 2049406

LIMITS : As per the attached Quote.

(This TRIA offer is in conjuction with the Terrorism (T3) off er from Lloyds including Certified and non-Certified Terrorism )

You are hereby notified that under the Terrorism Risk Insurance Act of 2002, as amended ("TRIA"), that you now have a right to purchase insurance coverage for losses arising out of acts of terrorism, as defined in Section 102(1) of the Act, as amended: The term act of terrorism means any act that is certified by the Secretary of the Treasury, in consultation with the Secretary of Homeland Security and the Attorney General of the United States, to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of an air carrier or vessel or the premises of a United States mission; and to have been committed by an individual or individuals, as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. Any coverage you purchase for "acts of terrorism" shall expire at 12:00 midnight December 31, 2027, the date on which the TRIA Program is scheduled to terminate, or the expiry date of the policy whichever occurs first, and shall not cover any losses or events which arise after the earlier of these dates.

YOU SHOULD KNOW THAT COVERAGE PROVIDED BY THIS POLICY FOR LOSSES CAUSED BY CERTIFIED ACTS OF TERRORISM IS PARTIALLY REIMBURSED BY THE UNITED STATES UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THIS FORMULA, THE UNITED STATES PAYS 80% OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURER(S) PROVIDING THE COVERAGE. YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A USD100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS USD100 BILLION.

IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED USD100 BILLION, YOUR COVERAGE MAY

BE REDUCED.

THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES

FOR THE PORTION OF LOSS COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT.

I hereby elect to purchase coverage for acts of terrorism for a prospective Certified TRIPRA premium of $318 and Non-Certified Terrorism (T3) premium of $1,271 .

I hereby elect to have coverage for acts of terrorism excluded from my policy. I understand that I will have no coverage for losses arising from acts of terrorism.

Various Underwriters at Lloyd's Policyholder/Applicant's Signature On behalf of certain underwriters at Lloyd's

Print Name Policy Number

Date

DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE

INSURED: Freeport Business Park Owners' Association, Inc.

LIMITS: As per the attached Authorization or Indication

Account ID: 2049406

You are hereby notified that under the Terrorism Risk Insurance Act of 2002, as amended ("TRIA"), that you now have a right to purchase insurance coverage for losses arising out of acts of terrorism, as defined in Section 102(1) of the Act, as amended: The term act of terrorism means any act that is certified by the Secretary of the Treasury, in consultation with the Secretary of Homeland Security and the Attorney General of the United States, to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of an air carrier or vessel or the premises of a United States mission; and to have been committed by an individual or individuals, as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. Any coverage you purchase for "acts of terrorism" shall expire at 12:00 midnight December 31, 2027, the date on which the TRIA Program is scheduled to terminate, or the expiry date of the policy whichever occurs first, and shall not cover any losses or events which arise after the earlier of these dates.

YOU SHOULD KNOW THAT COVERAGE PROVIDED BY THIS POLICY FOR LOSSES CAUSED BY CERTIFIED ACTS OF TERRORISM IS PARTIALLY REIMBURSED BY THE UNITED STATES UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THIS FORMULA, THE UNITED STATES PAYS 80% OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE

PAID

BY THE INSURER(S) PROVIDING THE COVERAGE. YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A USD100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS USD100 BILLION.

IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED USD100 BILLION, YOUR COVERAGE MAY

BE REDUCED.

THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES

FOR THE PORTION OF LOSS COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT.

I hereby elect to purchase coverage for acts of terrorism for a prospective premium of USD $3,431

I hereby elect to have coverage for acts of terrorism excluded from my policy.

I understand that I will have no coverage for losses arising from acts of terrorism.

Policyholder/Applicant's Signature

Print Name

Date

TERMS / CONDITIONS:

(a) MINIMUM EARNED PREMIUM AT INCEPTION - See attached. ALL FEES ARE FULLY EARNED AND

NON-REFUNDABLE.

PREMIUM FOR ADDITIONAL INSURED’S ARE FULLY EARNED A ND NON-REFUNDABLE.

(b) SUBJECT TO :

“Favorable Inspection and compliance with any/all recommendations.”

Collection of all required funds prior to requesting the policy be bound.

Please see attached for Terms and Conditions.

(c) ENDORSEMENTS:

Please see attached for Endorsements and Exclusions.

(d) All other terms and conditions apply per form.

(e) Quote is valid for 30 days.

(f) Coverage can not be backdated or assumed to be bound without written confirmation from an authorized representative of Bass Underwriters.

COMMISSION: 10%

THIS QUOTE IS ISSUED BASED UPON THE INSURER'S AGREE MENT TO QUOTE AND IS ISSUED BY THE UNDERSIGNED WITHOUT ANY LIABILITY WHATSOEVER AS AN INSURER. THIS QUOTE MA Y BE WITHDRAWN BY THE INSURER AT ANY TIME PRIOR TO BINDING.

INSURED: Freeport Business Park Owners Association, Inc DATE ISSUED: January 27, 2026

Account Executive: Bragan Jackson Team: Gulf Coast

Reference #: 4737644D

SEND BIND REQUEST TO: Bragan Jackson

Fax : (954) 316-3143 or Email : bjackson@bassuw.com

Agent: Norton Insurance of Florida

INSURED: Freeport Business Park Owners Association, Inc

Quote # 4737644D

Renewal of :

Insurer : Lloyd's of London

Coverage : BRK-Property W-Wind Multi- layer (Online)AmRisc

PLEASE BIND EFFECTIVE: ____________________________ _________

TOTAL PREMIUM, FEES & TAXES:_______________________ ________

TRIA: ( ) Accepted ( ) Declined

Agent Contact: ___________________________________

Contact Phone #: _________________________________

Inspection Contact: _______________________________

Inspection Phone #: _______________________________

Inspection Email: _________________________________ _

Producer License info:

Name ___________________________ License #: _______ ______________

**Producing Agent must sign Acord

Authorized Signature: _____________________________ _____________

“By signing the above, agent acknowledges collection of all related fees and costs.”

Coverage can not be backdated or assumed to be bound without written confirmation from an authorized representative of Bass Underwriters.

ATTACHMENTS :

Please see attached for Terms and Conditions.

The signed application is required via email or fax at time of binding. We request that you do not mail additional copies.

Surplus Lines Disclosure and Acknowledgement

At my direction, Norton Insurance of Florida has placed my coverage in the surplus lines market.

As required by Florida Statute 626.916, I have agreed to this placement. I understand that coverage may be available in the admitted market and that persons insured by surplus lines carriers are not protected by the Florida Insurance Guaranty Act with respect to any right of recovery for the obligation of an insolvent unlicensed insurer. Additionally, I understand surplus lines insurers' policy rates and forms are not approved by any Florida regulatory agency.

I further understand the policy forms, conditions, premiums, and deductibles used by surplus lines insurers may be different from those found in policies used in the admitted market. I have been advised to carefully read the entire policy.

Named Insured

BY:_______________________________________________________________________

Signature of Named Insured

Printed Name and Title of Person Signing

Name of Excess and Surplus Lines Carrier

Type of Insurance

Effective Date

06/11/2025 | Florida Surplus Lines Service Office

If the policy issued by AmRisc Online excludes Flood, the foll owing shall apply:

Flood Exclusion Acknowledgement

I understand the policy issued by AmRisc Online does NOT provide coverage for loss or damage caused by or resulting from Flood, including any Flood and/or storm surge associated with windstorm events.

I understand that Flood insurance can be purchased elsewhere from a private flood insurer or the National Flood Insurance Program.

It is strongly recommended that Insureds in Special Flood Hazard Areas or areas subject to Flood, including Flood and/or storm surge from windstorm events, obtain Flood coverage.

I also understand that execution of this form does NOT relieve me of any obligation that I may have to my mortgagees or lenders to purchase Flood insurance.

If the policy issued by AmRisc Online includes Flood, the foll owing shall apply:

Flood Coverage

I understand the policy issued by AmRisc Online does provide coverage for loss or damage caused by or resulting from Flood, including any Flood and/or storm surge associated with windstorm events.

I understand that loss or damage caused by or resulting from Flood, including any Flood and/or storm surge associated with windstorm events, will be subject to the Flood sublimit stated elsewhere in the policy

I understand that if I do not sign this form that my application for coverage may be denied or that my policy issued by AmRisc Online may be cancelled or non-renewed. I have read and I understand the information above.

Named Insured:

Account No.: 2049406

Freeport Business Park Owners' Association, Inc.

Policyholder/Applicant's Signature

Print Name

Date

Flood Notice AR FN 03 18

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