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HomeMy WebLinkAboutResolution - 2018-R0348 - Excess Liability Insurance Coverage From Atlantic Specialty Insurance - 09/27/2018Resolution No. 2018-RO348 Item No. 6.30 September 27, 2018 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, excess liability insurance coverage from Atlantic Specialty Insurance Company, for which the premium amount shall not exceed $404,338.00; and THAT the City Manager may execute any routine documents and forms associated with said insurance coverage. Passed by the City Council this September 27, 2018 DANIEL M. POPE YOR ATTEST: Rebe a Garza, City Secretar APPROVED AS TO CONTENT: � J Leisa Hutcheson, Director of Human Resources and Risk Management APPROVED AS TO FORM: -/ i� Jeff rlsel , epuly—� CityAttornc vw/RES.Risk Mgmt-Atlantic Specialty Ins. September 11, 2018 Government Casualty Package Insurance Company: Atlantic Specialty Insurance Company Policy Term: 30/1/2018 to 10/1/2019 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: $404,338.00 General Liability Coverage Limit General Aggregate $1,000,000 Products/Completed Operations Aggregate $1,000,000 Coverage A Bodily Injury & Property Damage Each Occurrence $1,000,000 Self -Insured Retention Each Occurrence $500,000 Coverage B Personal and Advertising Injury $1,000,000 Self -Insured Retention Each Offense $500,000 Damage to Premises Rented to you — Each Occurrence $1,000,000 Coverage C Health Care and Social Services Each Wrongful Act $1,000,000 Self -Insured Retention Each Wrongful Act $500,000 Medical Expense Not Covered Cemetery Included in Coverage A Failure to Supply — Each Occurrence $1,000,000 Sexual Abuse — Each Occurrence $1,000,000 Schedule of Exposures 41702 TX Dam, Lake or Pond, or reservoir Existence Hazard Acre Fee[ 118,107 Without Structural Failure — Montford Dam Dam, Lake or Pond, or reservoir Existence Hazard 41702 TX Acre Feet 118,779 Without Structural Failure — Dams 1-6 General purpose Government Risks Organized as 44114 TX ,. cities, Towns, Townships, Village or Boroughs 48727 TX Streets, Roads, Highways or Bridges •44424 & 48727—Apply to Coverages A&B Only, subject to $500,000 Deductible O;km 135 135y Professional Liability Policy Coverages Limit Public Officials Errors & Omissions Each Wrongful Act $1,000,000 Aggregate $1,000,000 Self -Insured Retention $500,000 Retro Date 9/10/1999 Public Officials Employment Practices Each Offense $1,000,000 Aggregate $1,000,000 Self -Insured Retention $500,000 Retro Date 9/10/1999 Public Officials Employee Benefits Administration Each Offense $1,000,000 Aggregate $1,000,000 Self -Insured Retention $500000 Retro Date 9/10/1999 Law Enforcement Liability Each Wrongful Act $1,000,000 Aggregate $1,000,000 Self -Insured Retention $500,000 Excess Liability Aggregate Limit $18,000,000 All Claims excess of Underlying Insurance Each Claim $9,000,000 Each Claim excess of Underlying Insurance Additional Terms, Conditions, and Underwriter Comments: Excess limits go over the following coverages: General Liability, Professional Liability and Auto Liability. This agreement is provided on a following -form basis designed to follow all of the provisions of the underlying coverages with the following general exceptions: Pollution, Failure to Supply, Sexual Abuse and Uninsured/Underinsured Motorist Excluded coverage may be available for an additional premium. Other exclusions and policy limitations may apply. Please refer to the actual policies for specific terms, conditions, limitations and exclusions that will govern in the event of a loss. ® �Ner__ rta�e-" 1 36 1T4v Automobile Policy Coverages Coverage Symbols Limit Bodily Injury & Property Damage Combined Single Limit (CSL) 10 $1,000,000 Medical Payments - Per Person 10 $5,000 except U ninsured/U nderinsu red Motorists Hired Auto - Excess Liability Non -Owned Auto - Excess Liability Broad Form Endorsement Automobile Symbols 1-Any Auto 3 - Owned Private Passenger Autos 5-All Owned Autos Subject to No-fault Coverage 7-Specifically Described Autos 9- Non -owned Autos Only $50,000 Truck/Tractor 10 $1,000,000 Covered Covered 2 - Owned Autos Only 4- Owned Autos Other Than Private Passenger 6- Owned Autos Subject to Compulsory Uninsured Motorists Law 8- Hired Autos only 10-All Owned Autos with the Exception of Citibus Vehicles Schedule of Business Vehicles - Composite Rated Light Trucks 661 Medium Truck Non -Dump 66 Medium Truck Dump 1 Heavy Truck 261 Fire Truck 44 Truck Tractor 4 Trailers 115 Police/Emergency Auto 414 Non -Emergency Autos 21 Name on vehicle registration must match named insured. ®,rNrritaye-an, 137 DMV VEHICLE REPORTING INFORMATION POLICYHOLDER NOTICE COMMERCIAL AUTO We are required to report the existence, or cancellation, of insurance on vehicles to the DMV in your home state or in a state In which you have a vehicle garaged. This is why, at policy inception, we require a list of all vehicles and their VIN numbers to be insured under your policy even if your policy is rated on a composite basis. (Your rate is based on the type and number of vehicles to be insured.) It is important for you to notify us if you remove or add vehicles to your fleet while your policy is in force. This will enable us to comply with DMV reporting requirements which will allow law enforcement access to your insurance information should your vehicle be involved in any traffic - related incidents. We will not make changes to your policy by endorsement or modify your premium from any such nolificabon. Any appropriate changes of that type wit be addressed by policy audit. Please notify us of any vehicle additions or removals by email to dmvnotifications(a)onebeacon.com and provide the vehicle year, make, model and VIN number. No coverage Is provided by this notice nor can It be construed to replace any provisions or your policy. You should read your pollcy and review your Declarations Page for complete Information on the coverages your new policy provides. If there Is any conflict between the policy and this notice, THE PROVISIONS OF THE POLICY WILL PREVAIL. R"a�era, �o-xm_ 138 �L f[AV A"j� One Beacon. I N S 11 R A A C' f Insured Name and Address G3.. Atlantic Specially Insurance Company 180 Royall Street Canton. MA 02021 Quota Number . 1 ._J"—d POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE You are hereby nodded that under the Terrorism RISK Insurance Act (the Act). as amended. you have a right to purchase Insurance coverage for losses resulting from acts of lenonsm, as Manned In Section 102f 1) of fhe Act The tenn'act of lenorism' means any act or acts that are certifted by the Secretary of the Treasury. In consultation with the Secretary of Homeland Seventy, and the Attorney General of the United States - to be an Oct Of terrorism: to N a violent Oct or an act that Is dangerous to human Ida, property. or Infrastructure: to nave resulted in damage within IN United States. or outside the United States In the case of an air camer o vessel or Me premises of a United States mission: and to have been committed by an Individual or Indlvduals as part of an effort to coerce the cur Ilan population of the United States or to influence the policy or affect the conduct of the United States Government by cuerclon. YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM. SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER. YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE. SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REIMBURSES 83 % THROUGH 2O18; 80% BEGINNING ON JANUARY 1. 2018: 80% BEGINNING ON JANUARY 1. 2017: 82%BEGINNING ON JANUARY 1, 2018: 8V9 BEGINNING ON JANUARY 1. 2019 AND 80%BEGINNING ON JANUARY 1. 2020. OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE. THE PREMIUM TO BE 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 TERRORISM RISK INSURANCE ACT. AS AMENDED. CONTAINS A $100 BILLION CAP THAT LIMITS U S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS SIM BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED SIM BILLION, YOUR COVERAGE MAY BE REDUCED. SELECTION OR REJECTION OF TERRORISM INSURANCE COVERAGE The prospective premium required for your terrorism coverage is'. If you wish to reject this offer of coverage, you should chock the box beiaw. sign this dace am send a to your agent. An exclusion of terrorism bases. as Conned by the Act, vnll then be made part of your policy. El I hereby reject the Offer of uirrorlsm coverage. I understand that I will have no coverege for losses arising horn acts of terrorismas defined d the act PHNOM IL01 is Camara Copyrighted rratr dNaoawi Aim at Mlnsu rce comrnvnnen tied,I of vxhaspemusdon. Coryneht MIS QxBeam Inc. 31. LLC �Herita a -am 99 w If your policy Includes Property Coverage In one or more of these stales: CA, CT, GA HI, IA, IL, MA, ME, MO, NC, NJ, NY, OR, RI, VA, WA, Wl, or WV; the following statement applies: The lerronsm exclusion makes an exception for (and thereby continues your coverage for) property fire losses resulting from an act of terrorism. Therefore. It you reject the offer of terrorism coverage, that rejection does not apply to fire losses resulting from an act of terrorism - the coverage In your policy for such Ore losses will continue If such a loss occurs, and Is damned under the Act the loss will be reimbursed by the United Slates Government under the formula detailed above The portion of your policy premium attributable to temodsm (fire only) coverage In all of the states listed above, in which your policy provides property coverage, Is 3 p This amount Is Included in your policy premium and cannot be rejected. If your policy Includes Inland Marl no Coverage In one or more of these stales: CA ME, MO, OR or WI, the fallowing statement applies: The tefronsm exclusion makes an exception for (and Marshy continues your coverage for) direct property damage fire losses resulting from an act of mourism. Therefore, If you reject the offer of Woodson coverage, that rejection Ones not apply to direct property, damage fire losses resulting from an act of terrorism - the coverage in your policy for such fire losses will continue. If such a loss occurs. and is certl0ed under the Act, the toss will be reimbursed by Me United States under the formula detailed above. In all of tie states listed above In which your policy provides Inland Marine Coverage, the potion of your Inland Marine policy premium altnbulable to coverage for direct property damage from fire resulting from tenonsm Is $ a . This amount Is included In your policy premium and cannot be mjectad. PollcyttokterfAppllcant'a Signature Atlantic Specialty Insurance Company Insurance Company Print Name Oat. If you have any questions about this notice. please contact your agent. PHN 00t IL 0110 Contains copyngNea malenais of Natural Aat,p,xg d Nsurame Commasvrer Page 2 of With its pennisSWn. Cenyrighl 2015. oneaeucon Insuance Group LLC OHeraa o-RM 140 IIiSV TEXAS UNINSURED/UNDERINSURED MOTORISTS COVERAGE SELECTION/REJECTION Applicant/Named Insured: Producer: Policy Effective Date: i _ Policy Number: Texas law permits you to make certain declalons regarding UninsuredfUnderinsured Mololsis Coverage. This document briefly describes Nis coverage and the options avallable. You should read INS document carefully and contact us or your agent d you have any questions regarding Unlnsured'Underinsured Mammas Coverage and your options wM respect to this coverage. This document includes general descdpllons of coverage. However. no coverage Is provided by this document. You should read your policy and review your Declarations Pageis) and/or Schedulels) for complete Information on Me coverages you are provided. UNINSUREDNNDERINSURED MOTORISTS COVERAGE UnlnsuredlUndeansured Motorists Coverage pm rides Insurance protection to an insured for damages vaieh the Insured Is legally emitted! to recover from vie 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 of operator cannot be identified Unless rejected, Unlnsure Wridednsured Materials Coverage will be afforded at Ilmlts at least equal to a combined single limit of $85.000 for each accident. but you may select optional higher limits, VCAU W]Ta01 it Includes copYneMeE materel of Insurance Serrcee office. Ira. Pape Iv,2 eepylNnt Ntl oneaeacon lnsulsre G�NpLLC ®JrHerltage-aM 14, )iaiY Please Indicate your choice from either A. or S. as follows' A Selection Of UnlnsuredlUnderinsured Motorists Coverage Limit If you wish b select UninsuradNndeensured Motorists Coverage. you may do so by Initialing hest to the appropriate Harris) and signing below. Please note that we only offer Unlnsure0Nudennsured Motorists Coverage limits up to the Liability Coverage limit of your policy, even though higher limits may appear below. (Initials) 1 select UnlnsuredNnderinsured Motorists Coverage at the following Ilmlt(sy: (Choose one Combined Single Limit option from the following): Combined (Inillils) Single Limit S 115,031) 100.000 250.001) 350.001) y 500,000 1.000,000 (Other) z Signature Of ApplleantfNamed Insured Dale S. Rejection Of UnlnsuretlNnderhaured Motorists Coverage If you wish to reject UninsuredNndermused Motonsts Coverage, you may do as by hushing and signing below. I reject UnlnsuredNllderinsured Motorists Coverage. (Inlgals) Signature Of AppllcantMamed Insured Data Pape 2 d 2 VCA000T11e111 C Iyeph12011, Oreg..Insurance Group LLC �,irMeriterie-aM 42 1tAN' TEXAS PERSONAL INJURY PROTECTION COVERAGE SELECTION/REJECTION Policy Number:-' - Policy Effective Date:: Company: Producer: El rase, TX 'S9>• nppllcanMamed Insured: C:T', D LUBB :-v i•i=_ ii� Texas law permits you to make certain decisions ragardblg Personal Ihury Protectkm Coverage. Too document txlegy describes this coverage and is, options available. You should read this document carefully and conlact us or your agent B you have any questions regarding Personal Injury Protection Coverage and your options we, respect to this coverage. This document Includes general descriptions of coverage. Noveine, no coverage ie provided by this document. You should read your policy and review your Declarations page(s) andlor Schedule(s) for complete Information on Me coverages you am provided. Personal Injury Protection Coverage Personal Injury Protection Coverage provides Insurance benefits for medical and rurleal expenses. loss of Inane end replacement services expenses to or for an Insured who sustains bodily Injury caused by an automobile accident. Unless rejected. Personal Injury Promboon Coverage will be provided at timtls or at least $2.5oo for each insured Injured in an automobile accident. ULUNI 01 it D lnwrmce Slo,1 Me. Inc. 2011 Crye 1.12 ENSURED ®IrReran9e-at, 143 4C3 eII�SV Please Inok:ale you, choice with respect to Personal Injury Protection Coverage from either A or S. as follows: A Selection Of Personal Injury Protection Coverage If you wish to select Personal Injury Protection Coverage, you may do so by Initialing next to me appropriate Item and signing below (Inlualcl I select Personal Injury Protection Coverage at the following Ilmu: (Choose one): Intuale Personal Injury Protection Coverage Limits S 2,500 5.000 10.000 25.000 50.000 75.000 100,000 (Other) OR B. Rejection Of Personat Injury Protection Coverage If you wish to reject Personal Injury Protection Coverage. you may de so by Initualing and signing belch. (Inlllalq I reject Personal Injury Protection Coverage. Signature Of AppllcaniMamed Insured Date Page 2a2 S Imumm Servos 0lfi[C Im-2011 IL uc)10111 127144 OW