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HomeMy WebLinkAboutResolution - 2019-R0295 - Atlantic Specialty Insurance Company - Excess Liability Insurance - 08/27/2019 Resolution No. 2019-RO295 Item No. 6.21 August 27,2019 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$451,586.00; and THAT the City Manager may execute any routine documents and forms associated with said insurance coverage. Passed by the City Council this August 27,2019 L= DANIEL M. POPE, MAYOR ATTEST: Reb cca Garza, City Secreta APPROVED AS TO CONTENT: Leisa Hutcheson, Director of Human Resources and Risk Management APPROVED AS TO FORM: f H tsell, Deputy City Attorney vw/RES.Risk Mgmt-Atlantic Specialty Ins. August 13, 2019 Resolution No. 2019-RO295 Government Casualty Package Insurance Company: Atlantic Specialty Insurance Company Policy Term: 10/1/2019 to 10/1/2020 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: $451,586.00 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 Class Code I ST Description .. sure 41702 TX Dam, Lake or Pond,or reservoir Existence Hazard Without Structural Failure—Montford Dam Acre Feet 118,107 41702 TX Dam, Lake or Pond,or reservoir Existence Hazard Without Structural Failure—Dams 1-6 Acre Feet 118,779 44114 TX General purpose Government Risks Organized as cities,Towns,Townships,Village or Boroughs 48727 TX Streets, Roads, Highways or Bridges *44414&48727—Apply to Coverages A&8 Only,subject to$500,000 Deductible � 40 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 $500,000 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 Policy Coverages Limit Excess Liability Aggregate Limit $18,000,000 Ali Claims excess of Underlying Insurance Each Ciaim $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. W, 141 Automobile Policy Coverages SymbolsCoverage Bodily Injury&Property Damage Combined Single Limit(CSL) 10 $1,000,000 Medical Payments-Per Person 10 $5,000 except $50,000 Truck/Tractor Uninsured/Underinsured Motorists 10 $1,000,000 Hired Auto—Excess Liability Covered Non-Owned Auto—Excess Liability Covered Broad Form Endorsement Automobile Symbols 1—Any Auto 2--Owned Autos Only 3—Owned Private Passenger Autos 4—Owned Autos Other Than Private Passenger S—AII Owned Autos Subject to No-fault Coverage 6—Owned Autos Subject to Compulsory Uninsured Motorists Law 7—Specifically Described Autos 8—Hired Autos only 9—Non-owned Autos Only 10—All Owned Autos with the Exception of Citibus vehicles Schedule of Business Vehicles—Composite Rated .- of Vehicle Number of Vehicles Rate Per Unit Light Trucks 666 $25 Medium Truck Non-Dump 70 $26 Heavy Truck 264 $28 Fire Truck 47 $70 Truck Tractor 5 $34 Trailers 419 $3 Police/Emergency Auto 369 $78 Non-Emergency Autos 30 $29 Name on vehicle registration must match named insured. ®. 142 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 notification. Any appropriate changes of that type will be addressed by policy audit. Please notify us of any vehicle additions or removals by email to dmynotficatioasjflnebeacon Cara 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 of 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 PROWSlONS OF THE POLICY MLL PREVAIL. 143 yneBeacon. AUanilc S cleft Insurance Com nN 5 U R A N C B y Company 1010 Royall Street Canton,MA 02021 Insured Name and Address: Quote Number: 2352016-2 CITY F LUBBOCK 1621.. 13TH ST LUBB ,-:K, TX 79401-3830 POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE You are hereby notified that under the Terrorism Rlsk Insurance Act(the Act),as amended,you have a right to purchase Insurance coverage for losses resulting from acts of terrorism, as defined In Section 102(1)orthe Act The term'act of terrorism"means any act or acts that are certified by the Secretary of the Treasury.in consullalion 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 States,or outside the United States In the case of an air carrier or vessel or the premises of a United States mission;and to have been committed by an Individual or Individuals as part of an effort to coerce the civilian population of the United States or to Influence the policy or affect the conduct of the United States Government by coercion. 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 130170 THROUGH 2013;84r.BEGINNING ON JANUARY 1,2016;83'76 BEGINNING ON JANUARY 1,2017:132,f3 BEGINNING ON JANUARY 1,2018;811/6 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 ANYONE CALENDAR YEAR EXCEEDS$100 BILLION IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED$100 BILLION,YOUR COVERAGE MAY BE REDUCED. SELECTION OR REJECTION OF TERRORISM INSURANCE COVERAGE The prospective premium required for your terrorism coverage is: $ 2, 92- If you wish to refect this offer of Coverage,you should check the box below,sign this notice and send It to your agent An exclusion of terrorism losses.as deflned by the Act will then be made part of your policy I hereby reject the otter of terrorism coverage. I understand that I will have no F-1 coverage for losses arising from acts of terrorism,as defined In the act. PHN 00t IL 01 15 Contains copyrighted materials of National Association of Insvrance Commissioners Pags 1 of 2 Wlth its permission CK)yrl,et 2015, OneBeacon Insurance Group LLC IM-3, 1 44 It your policy Includes Property Coverage In one or more of these states:CA,CT,GA,HI,IA,IL,MA,ME, MO,NC,NJ,NY,OR,RI,VA,WA,WI,or WV;the following statement applies: The terrorism exclusion makes an exception for(arid thereby continues your coverage for)property fire tosses resulting from an act of terrorism. Therefore,if you refect 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 fire losses will continue. If such a loss occurs,and Is certified under the Act,the loss will be reimbursed by the United States Government under the formula detailed above. The portion of your policy premium attributable to terrorism(fire only)coverage in all of the states listed above.In which your policy provides property coverage,is a ri This amount Is Included In your policy premium and cannot be rejected If your policy Includes Inland Marine Coverage In one or more of these states: CA ME,MO,OR or WI,the following statement applies: The terrorism exclusion makes an exception for(and thereby continues your coverage for)direct property damage fire tosses resulting from an act of terrorism Therefore,If you reject the offer of terrorism coverage,that rejection does 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 certified under the Act,the loss will be reimbursed by the United States under the formula detailed above. In all or the states listed above In which your policy provides Inland Marine Coverage,the portion of your Inland Marine policy premium attributable to coverage for direct property damage from fire resulting from terrorism Is $ This amount Is Included in your policy premium and cannot be rejected. Atlantic Specialty Insurance Company Policyholder/Applicant's Signature insurance Company Print Name Date If you have any questions about this notice,please contact your agent. PHN 009 IL Of 15 Contains copyrighted materials of National Association of insurance Commtssioners Page 2 ort with its permission. Copyright 2015, OnoBeacon Insurance Group LLC W14S / Atlantic Specialty Insurance Company t TEXAS UNINSURED/UNDERINSURED MOTORISTS . COVERAGE SELECTION/REJECTION Appftcant/Named Insured: Producer: CITY OF LUBBOCK 1625 13TH ST LUBBOCK, TX 79401-3830 Policy Effective Date: 30/01/2019 Policy Number: 791000230-001 Texas law permits you to make certain decisions regarding Unlnsured/Underinsured Motorists Coverage. This document briefly describes this coverage and the options avallable. You should read this document carefully and contact us or your agent If you have any questions regarding Unlnsured/Urlderinsured Motorists Coverage and your options with respect to this coverage This document Incudes 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. UNINSURED/UNDERINSURED MOTORISTS COVERAGE Uninsured Underinsured 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 vehicie 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 automoblfe accident with a hit-and-run vehicle whose owner Or oporator cannot be Identified Unless rejected,Uninsured/Underinsured Motorists Coverage will be afforded at Ilm Its at least equal to a combined single limit of$85,000 for each accident,but you may select optional higher limits. VCA U 042 TX 01 11 Includes copyrighted material of Insurance Services ONice,Inc Page 1 of 2 Copyright 2011, Onaseacon Insurance Group LLC ©, � 46 Please indicate your choice from either A.or B.as follows A. Selection Of Uninsure"riderinsured Motorists Coverage Urnit If you wish to select UriinsurediUnden.isured Motorists Coverage_ you may do so by initialing next to the appropriate item(s) and sign;ng below. Please note that we only offer Uninsured/Underinsured Motorists Coverage rimits up to the LiaHity Coverage limn or your policy.even though highar Emits may appear below (Initials) I select UninsuredJUnderinsured Motorists Coverage at the following limit(s): (Choose one Combined Single I..imit option from the following): Combined _(Inifiele) Single Limit 5 85,000 100.000 258,000 358,000 580,000 1,000,000 (Other) Signature Of Appiicant[Named Insured hate B. Rejection Of UninsuredjUnderinsured Motorists Coverage If you wish to reject UrnnsuredlUnderrnsured Motorists Coverage, you may do so by initialing and signing below. I reject Uninsured/Underinsured Motorists Coverage. (Initials) Signature Of Applicant/Narreed Insured pate Page 2 of 2 Imivan-s cowonteti rnc"eriai of insurance Serekes onxt inc VCA U 64.2 TX 01 11 Copyright 2oi i oneseacon tnswa—e Group LLC � 47 TEXAS PERSONAL INJURY PROTECTION COVERAGE SELECTION/REJECTION Policy Number.7 91-0 0-0 2-3 0-0 010 Polley Effective Date:10/0 1/2019 Company: Producer. Atlantic Specialty Insurance Company USI SOUTHWEST, INC. 303 N. OREGON, SUITE 310 EL PASO, TX 79901 Applicant/Named Insured: CITY OF LUBBOCK 1625 13TH ST LUBBOCK, TX 79401-3830 Texas law permits you to make certain decisions regarding Personal Injury Protection Coverage This document briefly describes this coverage and the options available You should read this document carefully and contact us or your agent if you have any questions regarding Personal Injury Protection 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 road your policy and review your Declarations page(s)and/or Schedule(s)for complete information on the coverages you are provided. Personal Injury Protection Coverage Personal Injury Protection Coverage provides insurance benefits for medical and funeral expenses.loss of income and replacement services expenses to or for an insured who sustains bodily injury caused by an automobile accident. Unless rejected,Personal Injury Protection Coverage will be provided at limits of at least$2,500 for each Insured injured in an automobile accident. IL U 071 01 11 Insurance Services Office,Inc. 2011 Page 1 of 2 E-INSURED Please indicate your choice with respect to Personal Injury Protection Coverage from either A. or H. 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 the appropriate Item and signing below: (Initials) select Personal Injury Protection Coverage at the following limit: (Choose one): (initials) Personal Injury Protection Coverage Um Its $ 2,500 MOO 10,000 25,0W 50,000 73,000 100,000 (fir) OR D. Rejection Of Personal Injury Protection Coverage If you wish to reject Personal injury Protection Coverage,you may do so by initialing and signing below. (Initials) I reject Personal Injury Protection Coverage. Signature Of Applicant/Named Insured Date Page 2 of 2 Insiaanre Serywes Office Inc 2011 IL U 071 01 11 49