Date of Occurrence 11-16-2009 State of Florida Crime Policy Application For Governmental Entities Type/Description of Occurrence or Claim Safe burglarized in Building# 686. Date of Claim Amount Paid 1-21-2010 $9,699.62 Claim Status Open Closed Closed 8. Loss History (continued) Comments/Corrective Action Taken: limited access to the safe, changed locks, installed electronic locks, and installed Dual Control on Safe. 9. Classification of Employees and Locations Grand total of ALL employees: # of CLASS 1 522 PLEASE ATTACH TOTAL EMPLOYEE CENSUS BY DEPARTMENT Note: Persons required by law to be individually bonded and treasurers or tax collectors by whatever titles know are automatically excluded. If insurance is desired on any of your appointed or elected agents please complete the following: Capacity in Which Each Agent Serves 10. Money - Securities Which locations require Money and Securities Coverage? Treasury Management $ $ $ $ Limit of Insurance Type Money Securities (other than Payroll Checks) Checks (Excluding Retail Checks) Payroll Checks Money Overnight Securities (In Bank/Safe Deposit) Inside $100,000 $0 $4,800,000 $100,000 $100,000 $0 Messenger #1 Messenger #2 $62,000 $675,000 Please advise if you need to temporarily increase the above limits for what departments and for what timeframe. 11. Premises/Safe Protection UF has an elaborate system of security controls in place at our cashiering operations. We are not comfortable disclosing those in writing in a public document. a. What type of alarm(s) do you have at each of your premises? Hold-up Alarm Premises Alarm Safe Alarm Local Gong Central Station Alarm Police Connected Alarm If alarms vary from location to location, please explain: b. Please specify the number of guards and/or watchpersons on duty each shift: c. Please describe any additional protection (e.g. fences, floodlights, etc.): 12. Internet Security Yes No a. Do you buy or sell goods via the internet? 4
State of Florida Crime Policy Application For Governmental Entities b. Do you have a firewall? c. Do you have an intrusion detection system that identifies unauthorized access? d. Do you have documented internet guidelines for employees? e. Do you have documented emergency procedures? f. Has your computer system ever been invaded by a hacker or virus? If yes, when and what controls have been implemented to prevent further incidences? 13. Food Stamp Procedures Yes No Please complete this section if your organization handles Food Stamps, Vouchers or Debit Cards a. Where is the bulk supply of food stamp coupons or debit cards stored? Who has access to this storage area? 13. Food Stamp Procedures (continued) b. How often are they inventoried? Who has the ability to secure the coupons? c. Are those employees specifically responsible for issuance restricted from access to storage and issuance areas? d. How do you distribute food stamps or debit cards to recipients? e. How are coupons secured for transit? Are they stored in a locked container? Who is responsible for transit? f. When are they activated and by whom? g. If a card is reported lost or stolen, how are they replaced? What controls are in place to prevent duplicates from being issued? h. Safe/Vault Manufacturer Label Door Type Combination Locks Thickness UL/SNMA Class Round Square Outer Inner Chest Door Wall NOTICE TO APPLICANTS: Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. Applicant Signature: Title: Date: Please submit the 15-16 Crime ITB Excel workbook with along with this application. 5
University of North Florida (UNF) Location Detail Limits Inside, Per Location Limits Outside, Per Location Location Number of Department Cash Checks Cash Checks Description Address Locations UNF $ 75,000 $ 900,000 $ 75,000 $ 900,000 1 University 1 UNF Drive Jacksonville FL 32224 1
University of South Florida (USF) Location Detail Limits Inside, Per Location Limits Outside, Per Location Location Department Cash Checks Cash Checks Number of Locations Description Address USF $ 2,000 $ 25,000 $ - $ - 2 University STP Parking Services St. Petersburg FL 33707 USF $ 2,000 $ 50,000 $ - $ - 1 University Cashier - St. Pete FAST St. Petersburg FL 33707 USF $ 5,000 $ 150,000 $ - $ - 1 University Cashier - St. Pete BANNER St. Petersburg FL 33707 USF $ 5,000 $ 2,500,000 $ 5,000 $ 10,000 1 University Athletics Business Office Tampa FL 33620 USF $ 7,220 $ 57,450 $ 5,000 $ 57,450 1 University CASHIER - SARASOTA Sarasota FL 34243 USF $ 10,000 $ 15,000 $ 10,000 $ 15,000 1 University BOTANICAL GARDEN Tampa FL 33620 USF $ 35,000 $ 50,000 $ 35,000 $ 50,000 1 University COMPUTER STORE Tampa FL 33620 USF $ 39,000 $ - $ - $ - 1 University VPA TICKET SALES/BOX OFFICE Tampa FL 33620 USF $ 55,600 $ 95,689 $ 50,000 $ - 1 University ATHLETICS TICKET OFFICE Tampa FL 33620 USF $ 75,841 $ - $ 75,841 $ - 1 University POST OFFICE Tampa FL 33620 USF $ 1,000,000 $ 2,500,000 $ - $ - 1 University CASHIER - TAMPA Tampa FL 33620 USF $ 15,000 $ 15,000 1 University STUDENT HEALTH SERVICES Tampa FL 33620 USF $ $ 2,500 1 University ORACLE Tampa FL 33620 14
University of West Florida (UWF) Location Detail Limits Inside, Per Location Limits Outside, Per Location Location Department Cash Checks Cash Checks Number of Locations Description Address UWF $ 10,000 $ 50,000 $ 10,000 $ 50,000 1 University 1170 Martin Luther King Jr. Blvd. Ft. Walton Bch. FL UWF $ 100,000 $ 1,000,000 $ 100,000 $ 1,000,000 1 University Main Campus-11000 University Parkway Pensacola FL 32514 2