HomeMy WebLinkAboutResolution - 2012-R0336 - Purchase Workers Comp_ Coverage - TPSWCJSIF - 09_13_2012Resolution No.2012—j$3-+-4 R0336
September 13, 2012
Item No. 5.15
RESOLUTION
� I
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the City Manager of the City of Lubbock and is hereby authorized and
directed to purchase for and on behalf of the City of Lubbock, workers' compensation
coverage from the Texas Political Subdivisions Worker's Compensation Joint Self -
Insurance Fund, for a premium amount not to exceed $1,522,034; and
THAT the City Manager may execute any routine documents and forms
associated with said coverage.
Passed by the City Council this
September 13, 2012
GLE ROBERTSON, MAYOR
ATTEST:
Veb kca Garza, City Secreta
APPROVED AS TO CONTENT:
r
�1
Quincy Wh' Assistant Citr Attorney
APPROVED AS O FORM:
Chad Weaver, Assistant City Attorney
PES.Risk Mgmtt-Workers Compensation
Aupst 21, 2012
Resolution No. 2012—Fk93 4 R�331�
Wells Fargo Insurance Services
L
WORKERS COMPENSATION
Insurance Company Texas Political Subdivisions (TPS)
Not Rated
Effective Date: 10-01-12 to 10-01-13
COVERAGE
Limits of Insurance:
$ 1,000,000 Bodily Injury by Accident - Per Accident
$ 1,000,000 Bodily Injury by Disease - Policy Limit
$ 1,000,000 Bodily Injury by Disease - Per Employee
1.00 Experience Modifier
CLASS CODES & PAYROLL
Code
Description
Estimated Payrolls
WC Rate WC Premium
3064
Sign Manufacturing
$ 60,335
5.55
#3,348
4299
Copying & Duplicating Service & Drivers
$ 113,001
2.46
$2,780
4511
Building Inspection
$ 1,999,162
1.00
$19,962
4519
Exterminator & Drivers
$ 233,923
3.60
$8,421
5190
1 Traffic Signal Control Installation & Drivers
$ 893,363
4.52
$40,380
5506
Street & Road Repair
$ 1,225,043
7.93
$97,146
5506
Street or Road Construction or Repair - All
Operations - & Drivers
$ 660.817
7.93
$52,403
5606
Contractors Executive Supervisor
$ 43,997
1.14
$502
7423
Airport Operations
$ 809,786
6.59
53,365
7520
Waterworks Operations
$ 6,397,835
4.86
$310,935
7539
Electric Light or Power Co Noc - All Employees
- & Drivers
$ 11,208,612
2.07
$232,018
7580
Sewage Disposal Plant Operation & Drivers
$ 952,487
3.12
29,718
7590
Garbage Works
$ 606,769
5.10
$30,945
7704
Fire Fighters & Drivers
$ 21,504,006
3,22
$692,429
7720
Police Officers & Drivers
$ 26,423,948
3.67
$969,759
8107
Heavy Equipment Maintenance
$ 636,381
4.04
$26,710
8292
Warehouse Ops
$ 95,626
5.87
$5,613
This information is intended to be reviewed by the representatives for the entity and no other parties, Reniea b% persons
other than the entih"s representatives is prohibited. Likci%ise, dissemination or copling of this document or the information
contained herein to persons other than the entity's representative is also prohibited.
Wells Fargo Insurance Services
CLASS CODES & PAYROLLS
8391
Automobile Machine Shop & Drivers
$ 83,276
2.73
2,273
8601
Architect or Engineer- Consulting
$ 759,719
0,50
$3,419
8810
Clerical Office Employees Noc
$ 21,313,335
0.23
$49,021
8831
Animal Shelters & Drivers
$ 597,522
1.74
$10,397
8833
Hospital: Professional Employees
$ 1,408,212
1.07
$15,068
8838
Library 1 Museum
$ 1,798,832
0.73
$13,131
7720
1 Motorcycle Police
$ 784,909
3.67
$28,806
9015
Buildings Noc -Operation by Owner or lessee
- & Drivers
$ 1,255,195
4.09
$51,337
9016
Zoo Facility and Drivers
$ 288,765
4.44
$12,821
9079
Restaurant Noc
$ 22,167
2.73
$605
9101
School, Library All Other
$ 37,489
5.54
$1,702
9102
Park Noc- All Employees - & Drivers
$ 2,811,149
5.51
$154,894
9220
Cemetery Operations & Drivers
$ 217.550
7.36
$16,012
9402
Street Cleaning & Drivers
$ 282,796
9.77
$27,629
9402
Refuse Collection & Drivers
$ 2,097,655
9.77
$204,941
3724V
Outside Volunteers
$ 3,995
4.48
$179
8742V
Inside Volunteers
$ 22,204
0.37
82
0570
Volunteer Police Reserves
$ 26,000
3.67
$954
8742
Elected Officials
$ 238,593
0.37
$883
Totals
$107,892,287
$3,169,014
Class Code Changes by TPS
0011 Farm - 8.34 to 7580 Sewage Disposal Plant Ops - 3.02
3365 Welding -11.86 to 7520 Water Works Ops - 3.12
6229 Flood Control - 9.26 to 7580 Sewage Disposal Plant Ops - 3.02
5191 Computer Device Installation - 1.09 to 8810 Clerical - .23
9154 Theater Ops - 2.57 to 9015 Lake Operations rated as Building NOC - 4.09
9101 C Crossing Guards- 3.24 to 7720 Police Officers 3.80
9019 Toll Operations - 2.41 to Lake Operations rated as Building NOC - 4.09
9079 Food Sales - 5.01 to 9015 Lake Operations rated as Building NOC - 4.09
This information is intended to be reviewed by the representatives for the entity and no other parties. Review by persons
other than the entity's representatives is prohibited. Likewise, dissemination or copying of this document or the information
contained herein to persons other than the entity's representative is also prohibited.
Wells Fargo Insurance Services
SPECIAL TERMS & CONDITIONS
Experience Mod -1.00 (1.02 for 10-11 policy period)
Fund Factor - .495 (.484 for 11-12 policy period)*
Terrorism Risk Insurance Act Endorsement
All other States Endorsement except AK, ND, OH, WA, WV, WY
Quotation is based on the estimated payroll provided by the city
Payroll is auditable at expiration and premium is subject to change
TPS is offering a new 3 year rate guarantee
60 days written notice prior to October 1st is required to leave the TPS
Program
WORKERS' COMPENSATION: Under this coverage, the insurance company agrees
to assume statutory liability imposed by the Workers' Compensation law of the State of
Texas and any other state in which incidental operations take place.
EMPLOYER'S LIABILITY: This section protects against tort liability for injury to
employees in the course of their employment. Employer's Liability applies to suits
brought against you by or in behalf of employees injured in the course of their
employment, outside and distinct from any claim for benefits payable under the
Workers' Compensation section.
*Fund Factor is applied after 1.02 increased employers liability factor.
This information is intended to be re%iewcd by the representatives for the entity- and no other parties. Rem ie%N by persons
other than the entity's representatives is prohibited. Likei�ise, dissemination or copying of this document or the information
contained herein to persons other than the entity's representative is also prohibited.
Wells Fargo lilSUrance SCYvices
COVERAGE EXTENSIONS AND ENDORSEMENTS
UNITED STATES LONGSHOREMEN'S AND HARBOR WORKER'S
ENDORSEMENT - Is involved in any operations that come within the USL and HW
Act. This endorsement provides for the statutory coverage as required by this act on an
"If Any" basis.
BROAD FORM OTHER STATES COVERAGE ENDORSEMENT - This form is
designee to grant temporary protection in states not described in the policy. This
extension of coverage does not apply to monopolistic states or to fines and penalties
imposed by any failure to comply with the respective Workers' Compensation law.
VOLUNTARY WORKERS' COMPENSATION - This endorsement is designed to
apply to all employees and provide benefits based upon the law of contract and hire.
This coverage would be available if for some reason the Workers' Compensation law
was not applicable.
KNOWLEDGE OF ACCIDENT - The policy has been amended so that an executive
officer or the administrator of insurance must have knowledge of the accident/injury
before the company considers that the insured has knowledge of the event.
EXECUTIVE OFFICERS - TEXAS ENDORSEMENT - This coverage extension
provides Texas Workers' Compensation benefits for all executive officers in Texas.
STOP GAP LIABILITY - This endorsement provides employer's Iiability coverage in
monopolistic states.
This information is intended to be reviewed by the representatives for the entity and no other parties. ReNiew b) persons
other than the entity's representatives is prohibited. Like%sise, dissemination or coping of this document or the information
contained herein to persons other than the entity's representative is also prohibited.