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Home My Public Portal AboutPRR 14-1020Your original request, dated June 20, 2014, is reproduced in the space below: lOZ From: Jordon Menter [mailto:jordonmenter1033 @gmail.com] L9 Sent: Friday, June 20, 201410:43 PM To: Bill Thrasher Subject: life ins record This is my request for a public record from your agency. I do this pursuant to Article 1, Section 24 of the Florida Constitution and Chapter 119.07 of the Florida Statutes. I wish to make a public records request of your agency for the following records: The first page indicating the name of the insured for any life insurance policy issued by Standard Insurance and paid for by the Town in 2013. If you contend that any of the records I am seeking, or any portion thereof, are exempt from inspection or disclosure please cite the specific exemption as required by §119.07(1)(e) of the Florida Statutes and state in writing and with particularity the basis for your conclusions as required by §119.07(1)(f) of the Florida Statutes. Please take note of §119.07(c) Florida Statues and your affirmative obligation to (1) promptly acknowledge receipt of this public records request and (2) make a good faith effort which "includes making reasonable efforts to determine from other officers or employees within the agency whether such a record exists and, if so, the location at which the record can be accessed." I am, therefore, requesting that you notify every individual in possession of records that may be responsive to this public records request to preserve all such records on an immediate basis. If any records are readily available, please produce those records first without waiting for all responsive records to be available. Produce the less readily available records as soon as they are available. If the public records being sought are maintained by your agency in an electronic format please produce the records in the original electronic format in which they were created or received. See §119.01(2)(f), Florida Statutes. If you anticipate the production of any of these public records to exceed $1.00 please notify me in advance of their production with a written estimate of the total cost. Please be sure to itemize any estimates so as to indicate the total number of pages and /or records, as well as to distinguish the cost of labor and materials. If any records may be produced for less than $1.00, please produce those records first while waiting to obtain authorization from me to produce more costly records. Do not incur any costs that you expect me to pay which are greater than $1.00 until first obtaining my authorization to do SO. All responses to this public records request should be made in writing to the following email address: a ordonmenter1033C°7¢mail.com STANDARD INSURANCE COMPANY A Stock Life Insurance Company 900 SW Fifth Avenue Portland, Oregon 97204 -1282 (503) 321 -7000 CERTIFICATE GROUP LIFE INSURANCE Policyholder: Policy [Number: Effective Date: Town of Gulf Stream 156750 -A October 1. 2013 A Group Policy has been issued to the Policyholder. We certify that you will be insured as provided by the terms of the Group Policy. If your coverage is changed by an amendment to the Group Policy, we will provide the Policyholder with a revised Certificate or other notice to be given to you. This policy includes an Accelerated Benefit. Death benefits will be reduced if an Accelerated Benefit is paid. The receipt of this benefit may be taxable and may affect your eligibility for Medicaid or other government benefits or entitlements. However, if you meet the definition of "terminally ill individual" according to the Internal Revenue Code Section 101, your Accelerated Benefit may be non - taxable. You should consult your personal tax and /or legal advisor before you apply for an Accelerated Benefit. Possession of this Certificate does not necessarily mean you are insured. You are insured only if you meet the requirements set out in this Certificate. If the terms of the Certificate differ from the Group Policy, the terms stated in the Group Policy will govern. "We ", "us" and "our" mean Standard Insurance Company. "You" and "your" mean the Member. All other defined terms appear with the initial letter capitalized. Section headings, and references to them, appear in boldface type. This certificate provides life insurance for employees and dependents, if applicable, of Torun of Gulf Stream. 100 Sea Rd. Gulf Stream FL, 33483, under 156750 -A. The employee shall be given a copy of the group enrollment application. The benefits are payable to the beneficiaries of record designated by the employee. Chairman, President and CEO GC 190 -LIFE /5399 TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail October 24, 2014 Jordon Menter [mail to: jordonmenter1033 @gmail.com] Re: GS #1020 (life ins record) The first page indicating the name of the insured for any life insurance policy issued by Standard Insurance and paid for by the Town in 2013. Dear Jordon Menter [mail to: iordonmenterl033na,gnail.coml, This letter provides you with the full production of public records you have requested on June 20, 2014. Your original request can be viewed at the following link: httv://www2.gulf- stream .org /WebLink8 /0 /doc /l 8180/Paeel . asox. The responsive documents can be found at the same link. We consider this matter closed. Sincerely, Town Clerk Custodian of the Records TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail June 24, 2014 Jordon Menter [mailto: jordonmenter1033@gmail.com] Re: life ins record The first page indicating the name of the insured for any life insurance policy issued by Standard Insurance and paid for by the Town in 2013. Dear Jordon Menter [mailto: jordonmenterl033@gmail.com], The Town of Gulf Stream has received your public records request dated June 20, 2014. I£ your request was received in writing, then the first page of that request is attached to this cover letter. If your request was verbal, then the description of your public records request is set forth in the space below. The Town of Gulf Stream is currently working on a large number of incoming public records requests. The Town will use its very best efforts to respond to you in a reasonable amount of time with the appropriate response or an estimated cost to respond. Sincerely, Town Clerk Custodian of the Records