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CSAC EXCESS INSURANCE AUTHORITY <br /> EXCESS WORKERS' COMPENSATION PROGRAM <br /> 2011/2012 SCHEDULE OF INSURERS <br /> City of Redwood City <br /> PROVIDER MEMORANDUM/POLICY LIMIT <br /> NUMBER <br /> CastlePofnt National Insurance Campany WSRSWC 100001-04 Workers' Compensatlon: <br /> (80% quofa share) $ 875,000 maximum each acddenUeach <br /> employee for disease <br /> $ 875,000 maximum each acddent for <br /> communicable disease <br /> CSAC Exeess Insurence Authority (20�0 - EIA-PE 11 EWC-100 (difference between $1,000,000 and the individual <br /> quota share) member's retention) <br /> Employers Liabillty: <br /> $ 875,000 Each AccideM <br /> $ 875,000 Each Employee for Disease <br /> (dlfference between $1,000.000 and the individual <br /> member's reteniion <br /> CSAC Exeess Insurance Authority EIA-PE 11 EWC-70U $ 4,000,000' each accident or each empbyee for <br /> disease <br /> '(Maximum $4,000,000 or the difference of <br /> $5,00�,000 and individual member refention greater <br /> than $1,000,000 <br /> ACE Amarloan Insurance Company WCL C4624431A $ 45,000,000 each acddenUeach employee for <br /> disease excess of $S,OOD,000 <br /> $ 45,000,000 each acadent for communicable <br /> disease excess of $5 000,000 <br /> Nationai Unfon Fire Insurance Company of 91-0602 Statutory each accident/each employee for <br /> Plits6urgh, PA (Chartis) dfsease excess of $50,000,000 <br /> EWC below $1MIL PAGE 2 of 2 <br />