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HomeMy WebLinkAboutResolution - 2022-R0149 - Package Liability Insurance from Gemini InsuranceResolution No. 2022-RO149 Item No. 7.7 March 22, 2022 RESOLUTION BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK: THAT the City Manager of the City of Lubbock is hereby authorized and directed to purchase for and on behalf of the City of Lubbock, package liability insurance coverage from Gemini Insurance Company, for which the premium amount shall not exceed $765,000.00; and THAT the City Manager may execute any routine documents and forms associated with said insurance coverage. Passed by the City Council this ATTEST: Rebec a Garza, City Secre y APPROVED AS TO CONTENT: I D. lu Kostelich, Chief Financial Officer APPROVED AS TO FORM: J sell, Deputy City Attorney vw/RES.Risk Mgmt-Gemini Ins. March 14, 2022 March 22, 2022 (Z�A DANIEL M. POPE, M YOR Resolution No. 2022-RO149 Government Casualty Package Insurance Company: Gemini Insurance Company Policy Term: 04/01/2022 to 04/01/2023 Coverage: Provides coverage for claims arising from an insured's liability due to damage or injury to others during performance of their duties or business. The loss can be reported years later, but the key is when it happened. Annual Premium: $765,000 Including TRIA, SL Taxes & Fees Coverage A - General Liability B- Auto Liability C- Public Officials, Employment Practices and Employee Benefits Liability Self Insured Retention A - General Liability B- Auto Liability C- Public Officials, Employment Practices and Employee Benefits Liability With Regards to all loss arising out of or related to Lubbock Power and Light Limit of Insurance: Each Occurrence, Accident, Act or Claim Aggregate Retained Limit Limits Each Occurrence $3,000,000 Aggregate $6,000,000 Each Occurrence $3,000,000 Aggregate UNLIMITED Each Claim $3,000,000 Aggregate $6,000,000 Each Occurrence $500,000 Each Occurrence $500,000 Each Claim $500,000 $2,000,000 $2,000,000 $1,000,000 USI` Trantment of Clahns Expense Coverage Part Coverage Retained Limit Limits of Insurance A General Liability Inside limit Outside Limit B Automobile Liability Inside Limit Outside Limit C Public Official, Employment Practices and Employee Benefits Liability Inside Limit Outside Limit Schedule Coverage Description Coverage Part Limit Limited Sexual Abuse Coverage Part Limited Sexual Abuse Coverage Part Each Act $2,000,000 Aggregate $2,000,000 Retained Urnits of Insurance Each Act $500,000 Retroactive Date: 10/1 /2020 8CHOULE Pesticide or Herbicide Pollutant Liability Limit: $3,000,000 Each Occurrence $3,000,000 Aggregate Retained Limit $500,000 Each Occurrence GCHEDULE Fire Damage Legal Liability Limit: $1,000,000 Each Occurrenme $1,000,000 Aggregate Retained Limit $500,000 Each Occurrence DAM, RESERVOIR, LEVEE SUBLIMITED COVERAGE ENDORSEMENT omits of Insurance tivul,E Each Occurrence Limit: $3,000,000 Aggregate Limit $3.000,000 Description of Dam(s), Reservolr(s) or Levee(s), • Refer to schedule on file with the company USI Forms and Endorsements: CEN 5007 01115 Schedule of Forms and Endorsements CCP 1001 09117 Common Conditions, Definitions And Exclusions CCP 1002 01/13 General Liability Coverage Part CCP 1003 05112 Automobile Liability Coverage Part CCP 1004 01113 Public Officials, Employment Practices And Employee Benefits Liability CCP 1005 05/12 Limited Sexual Abuse Coverage Part CEN 1000 09/20 Signatures CEN 2001 01115 Exclusion Of Certified Acts Of Terrorism CEN 2002 01115 Cap On Losses From Certified Acts Of Terrorism CEN 1005 01120 Service of Suit Endorsement CEN 3018 05120 Exclusion - Communicable Disease CEN 1009 01114 Pesticide Or Herbicide Pollutant Exception CEN 1013 05/12 Fire Damage Legal Liability To Premises Rented To You CEN 3005 01/13 Dam, Reservoir, Levee Subllmtted Coverage Endorsement CEN 3011 05112 Additional Insured - Specified By Written Contract CEN 9001 05112 Trade Or Economic Sanctions Endorsement PEN 1000 05112 Claims Expense In Addition To Limits Of Insurance PEN 1008 07/18 Additional Insured - Designated Person or Organization MAN 1000 07/20 Designated Operation Amendment of Limits MAN 1000 10/20 Specified Auto Exclusion MAN 1000 10/20 TX UM/UIM Endorsement MAN 1000 02/21 Exception to Failure to Supply Exclusion - Limited Coverage CA U 005 05113 Texas Uninsured/Underinsured Motorists Coverage Selection/Rejection Notice 11/19 TX Complaint Notice IL P 001 01/04 U-S. Treasury Departments Office Of Foreign Assets Control ("OFAC') Advisory Notice To Policyholders LOSS Notice 01/20 Loss Notice RRE Notice 01/20 RRE Loss Notice Terms and Conditions: Quotation Is subject to reconsideration if there are any significant changes in operations, exposure or experience prior to binding. This Quotation Is subject to receipt, review and acceptance of this/these outstanding Item(s). Please forward to us at binding. • You are the surplus Imes broker of record_ It Is your responsibility to follow applicable state surplus Imes taws and, In particular, to see that the appropriate surplus Imes taxes and stamping fee (if applicable) are collected, reported and paid. • Premium due per Invoice specifications. Subjectivities: This authorization is subject to receipt and review of the following information within the time period(s) stated. Upon receipt and review of the items listed below, we reserve the right to modify these Terms and Conditions in accordance with our Underwriting Guidelines. • A signed and completed sexual abuse application, Required within 30 Days of Binding. • Signed UM/UIM forms, Required within 30 Days of Binding. • Receipt of signed and dated Policyholder Disclosure Notice (TRIA), attached hereto, Required Prior to Binding USI COMMERCIALAUTO CA U 005 0513 TEXAS UNINSURED/UNDERINSURED MOTORISTS COVERAGE SELECTION/REJECTION Policy Number. Company: Policy Effective Date: Producer: 10/01 /2021 Gemini Insurance Company I USI Southwest, Inc. - El Paso ApplicantINamed Insured: City of Lubbock Texas law permits you to make certain decisions regarding Uninsured/Underinsured Motorists Coverage. This document briefly describes this coverage and the options available. You should read this document carefully and contact us or your agent d you have any questions regarding Uninsured/Underinsured Motorists Coverage and your options with respect to this coverage. This document includes general descriptions of coverage. However, no coverage is provided by this document. You should read your policy and review your Declarations page(s) and/or Schedule(s) for complete information on the coverages you are provided. UNINSUREDIUNDERINSURED MOTORISTS COVERAGE Uninsured/Undennsured Motorists Coverage provides insurance protection to an insured for damages which the insured is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of bodily injury or property damage caused by an automobile accident Also included are damages due to bodily injury or property damage that result from an automobile accident with a hit-and- run vehicle whose owner or operator cannot be identified. Unless rejected, Uninsured/Underinsured Motorists Coverage will be afforded at limits at least equal to: (1) split limits of $30,000 for each person, subject to $60,000 for each accident with respect to bodily injury, and $25,000 with respect to property damage; or (2) a combined single limit of $85,000 for each accident, but you may select optional higher limits. Page 1 of 2 USI Please indicate your choice from either A. or B. as follows: A. Selection Of Uninsured/Underinsured Motorists Coverage Limits If you wish to select Uninsured/Underinsured Motorists Coverage, you may do so by initialing next to the appropriate items) and signing below. Please note that we only offer Uninsured/Underinsured Motorists Coverage limits up to the Liability Coverage limits of your policy, even though higher limits may appear below. (Initials) I select Uninsure"nderinsured Motorists Coverage at the following Ilmit(s): (Choose one Split Limits Bodily Injury option AND one Property Damage limit option, OR one Combined Single Limit option from the following): Split Limits Property Combined (Initials) Bodily Injury (boats) Damage OR (Initials) Single Limit $ 30,000/60,000 $ 23,000 $ 83,000 50,0001100,000 30,000 100,000 100,0001300,000 100,000 230.000 250,0001500,000 330,000 300,00011.000,000 (Other) 300,000 1,000,000 (Other) (Other) Signature Of Applicant/Named Insured Date B. Rejection Of Uninsured/Underinsured Motorists Coverage If you wish to reject Uninsured/Underinsured Motorists Coverage, you may do so by Initialing and signing below. (initials) I reject Uninsured/Underinsured Motorists Coverage. Signature Of Applicant/Named Insured Date © Insurance Services Office, Inc. Unsurance Services Office, Inc. 02013 Vertafore, Inc. All Rights Reserved. USI POLICYHOLDERDI CLO URE NOTICE OF TERRORI M INS RAI CECOVERAGE You are hereby notified that under Ilie Terrorism Risk Insurance Act. as amended (the "Act"). you have a right to puwhase insurance coverage for losses resulting from acts ofterrorism. us dWilN!d it l S!C'fio11 10. (1)d/he Ad The term 'hct ofterrorism"' 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 Stat cs. or outside the United States in the case of certain air carriers or vessels or the premises of a United Stales mission: and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United Stalesor to influence the policy or affect tlic conduct of the L nired States Government by coercion Coverage under your policy may be affected as follows YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES RESI LTING FROM CERTIFIED ACTS OF TERRORISM. SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVER MENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW HOWEVER. YOUR POLICY MAY CONTAI OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS UNDER THE FORMULA THE UNITED STATES GOVERNMENT GE ERALLY REIMBURSES 80Yo BEGIN ING ON JANUARY I, 1020 OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDI.'CTIBLE PAJD BY THE INSURANCE COMPANY PROVIDING THE COVERAGE THE PREMJUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS THAT MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT YOU SHOULD ALSO KNOW THAT THE ACT. CO :TA1NS A S 100 BILLION CAP THAT UMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS ' UABILITY FOR LOSSES RESULTING FROM CERTIFI ED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALBIDAR YEAR EXCEEDS $100 BILLIO . IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED SI00 BI LLION YOUR COVERAGE MAY BE REDUCED I hereby elect to purchase terrorism coverage. subJeel to the limitations of the Ac for acrs ofterrorism ns defined in the AcL fora oros...... tive oremium ofS7 17000 1 hereby decline to purchase terrorism coverage for certified acts of terrorism I understand that 1 will have no covcral I.e for losses resultml1: from certified ac ofterrorism Policyholder !Applicant's Signature Insurance Company Name L, 2007 National Associat ion of Insurance Commissioners Policy Number LI@k 12s