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HomeMy WebLinkAboutResolution - 2016-R0334 - Purchase - Atlantic Specialty Insurance Company - Excess Liability Insurance - 09/22/2016Resolution No.2016-R0334 Item No.6.18 September 22,2016 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 a premium amount not to exceed $366,494.00 or the amount adjusted due to changes inthe premiums required as a result of the annual audit;and THAT the City Manager may execute any routine documents and forms associated with said insurance coverage. Passed by the City Council this September 22,2016 . DANIEL M.POPE,MAYOR ATTEST: ^ Reqecca Garza,City Secrietar APPROVED AS TO CONTENT: Leisa Hutcheson,Director of Human Resources and Risk Management APPROVED AS TO FORM: Jeff-Hartsklf Chief Litigation Attorney sj/RES.Risk Mgmt-Atlantic Specialty Ins. September 7,2016 U ME Commercial liability coverages Named insured: City of Lubbock Insurance carrier: Atlantic Specialty Insurance Company - Admitted A.M. Best rating: A X as of 2016 Policy number: 791-00-02-30-0007 Policy term: October 1, 2oi6 to October 1, 2017 Premium: $ 51,650 (includes $888 for TRIPRA) Coverage: Your legal liability to members of the public for claims arising from your premises, operations, products, or completed operations. Limits of liability: $ i,000,000 General aggregate limit (other than products/completed operations) $ i,000,000 Products/completed operations aggregate limit $ i,000,000 Personal and advertising injury limit $ i,000,000 Each occurrence limit $ 1,000,00o Damage to premises rented to you (any one premises) $ 1,000,00o Health Care & Social Services each wrongful act $ Not quoted Medical Expense $ $1,000,00o Cemetery Liability $ 1,000,000 Failure to supply each occurrence i,000,000 Sexual abuse per occurrence Coverage form: Occurrence Self -insured retention: ❑ Bodily injury ❑ Property damage ® Combined BI/PD $ 500,000 SIR Per occurrence Terms and conditions: As per expiring form Treatment of allocated loss ® Erodes deductible/retention ❑ Pro-rata ❑ Does not erode adjustment expense within deductible / SIR Treatment of allocated loss ® Supplemental to limit ❑ Erodes limit adjustment expense with respect to limit Exclusionary endorsements: As per expiring form Premium basis: Class description: Texas municipality Class code: Various Exposure: Various Rate: Various Audit: Not auditable This proposal is merely a descriptive summary of coverage provided by the Insurance companies being proposed and should be used for reference purposes only. This is a quotation of coverage only. It is not a binder. This proposal does not amend or alter the insurance contract. Please refer to the policy contract for specific terms, conditions, limitations, and exclusions. Proposal date: 9/6/2016 Prepared for City Of Lubbock Confidential. m 2016 Wells Fargo Insurance Services USA, Inc. All Rights Reserved. Page 20 Professional liability coverages Named insured: City of Lubbock Insurance carrier: Carrier name Atlantic Specialty Insurance Company— Admitted A.M. Best rating: A X as of 2016 Policy number: 791-00-02-30-0007 Policy term: October 1, 2016 to October 1, 2017 Premium: S 81.d01 Coverage: Your legal liability to members of the public for claims arising from your premises, operations, products, or completed operations. Limits of liability: $ 1,000,oc o Public Officials Errors & Omissions each wrongful act/annual aggregate $ i,000,000 Public Officials Employment Practices each offense/annual aggregate $ 1,000,000 Law Enforcement Liability each wrongful act / annual aggregate Coverage Form: E&O and EPLI are on claims made and reported form Under a "claims -made" form, the policy that is in effect at the time that a claim is made against you is the policy that will respond to that claim provided the claim was reported in the year it occurred. Law Enforcement is on an occurrence form Self -insured retention: ❑ Bodily injury ❑ Property damage ® Combined BI/PD $ 500,000 per claim for E&O and EPLI $ 500,000 each wrongful act for Law Enforcement Employee benefits liability Limits of liability: $ r,000,000 Each employee $ 1,000,000 Aggregate Retroactive date: 09/10/1999 Self Insured Retention: $ $500,000 Per claim Coverage form: Claims made and reported Under a "claims -made" form, the policy that is in effect at the time that a claim is made against you is the policy that will respond to that claim provided the claim was reported in the year it occurred. Terms and conditions: All as per expiring policy form Treatment of allocated loss ® Erodes deductible/retention ❑ Pro-rata ❑ Does not erode adjustment expense within deductible / SIR Treatment of allocated loss ® Supplemental to limit ❑ Erodes limit adjustment expense with respect to limit This proposal is merely a descriptive summary of coverage provided by the insurance companies being proposed and should be used for reference purposes only. This is a quotation of coverage only. It is not a binder. This proposal does not amend or alter the insurance contract. Please refer to the policy contract for specific terms, conditions, limitations, and exclusions. Proposal date: 9/6/2016 Prepared for City Of Lubbock Confidential, p 2016 Wells Fargo Insurance Services USA, Inc. All Rights Reserved. Page 21 Exclusionary endorsements: Premium basis: Class description: Class code: Exposure: Rate: Audit: Texas Municipality Various Various Various Not auditable This proposal is merely a descriptive summary of coverage provided by the insurance companies being proposed and should be used for reference purposes only. This is a quotation of coverage only. It is not a binder. This proposal does not amend or alter the insurance contract. Please refer to the policy contract for specific terms, conditions, limitations, and exclusions. Proposal date: 9/6/2016 Prepared for City Of Lubbock Confidential. © 2016 Wells Fargo Insurance Services USA, Inc. All Rights Reserved. Page 22 Commercial automobile Named insured: City of Lubbock Insurance carrier: Carrier name Atlantic Specialty —Admitted A.M. Best rating: A X as of 2o16 Policy number: 791-00-02-30-0007 Policy term: October 1, 2016 to October 1, 2017 Premium: $ go,916 Coverage: Automobile bodily injury and property damage liability, subject to terms, conditions, and limitations of the policy. Policy form: Commercial automobile, truckers, garage Liability Limits: $ i,000,000 Combined single limit S r,000,000 Non -owned automobile liability S t,000,000 Hired automobile liability S r,000,000 Uninsured/underinsured motorists — Non -stacked limits S 5,000 Medical payments Deductible or self -insured retention ElBodily injury ❑ Property damage ® Combined BI/PD $500,000 each accident Physical damage Deductibles: $ Not Quoted Comprehensive S Not Quoted Collision Hired auto physical damage Limit: S Not quoted Deductibles: S N/A Comprehensive $ N/A Collision Coverage symbols: Liability 8,9 10 — coverage applies to all owned autos except Citibus units Uninsured motorists 10 - coverage applies to all owned autos except Citibus units Medical payments 10 - coverage applies to all owned autos except Citibus units Valuation: Actual cash value or cost to repair, whichever is less minus deductible for each hired auto. Terms and conditions: All as per expiring policy form Exclusionary endorsements: All as per expiring policy form This proposal Is merely a descriptive summary of coverage provided by the insurance companies being proposed and should be used for reference purposes only. This is a quotation of coverage only. It is not a binder. This proposal does not amend or alter the insurance contract. Please refer to the policy contract for specific terms, conditions, limitations, and exclusions. Proposal date: 9/6/2016 Prepared for City Of Lubbock Confidential. ® 2016 Wells Fargo Insurance Services USA, Inc. All Rights Reserved. Page 23 Commercial automobile Description of covered auto symbols Symbol description I. Any auto. z. Owned auto only. Only those autos you own (and for liability coverage, any trailers you don't own while attached to power units you own). This includes those autos you acquire ownership of after the policy begins. 3. Owned private passenger autos only. Only the private passenger autos you own. This includes those private passenger autos you acquire ownership of after the policy begins. 4. Owned autos other than private passenger autos only. Only those autos you own that are not of the private passenger type (and for liability coverage, any trailers you don't own while attached to power units you own). This includes those autos not of the private passenger type you acquire ownership of after the policy begins. 5. Owned autos subject to no-fault. Only those autos you own that are required to have no-fault benefits in the state where they are licensed or principally garaged. This includes those autos you acquire ownership of after the policy begins, provided they are required to have no-fault benefits in the state where they are licensed or principally garaged. 6. Owned autos subject to a compulsory uninsured motorist law. Only those autos you own that, because of the law in the state where they are licensed or principally garaged, are required to have and cannot reject uninsured motorist coverage. This includes those autos you acquire ownership of after the policy begins provided they are subject to the same state uninsured motorist requirement. 7. Specifically described autos. Only those autos described in Item Three of the Declarations for which a \J premium charge is shown (and for liability coverage, any trailers you don't own while attached to any power units described in Item Three). 8. Hired autos only. Only those autos you lease, hire, rent, or borrow. This does not include any auto you lease, hire, rent, or borrow from any of your employees or partners or members of their households. 9. Non -owned autos only. Only those autos you do not own, lease, hire, or borrow that are used in connection with your business. This includes autos owned by your employees or partners or members of their households but only while used in your business or your personal affairs. 1o. Coverage applies to all owned autos except Citibus units This proposal is merely a descriptive summary of coverage provided by the Insurance companies being proposed and should be used for reference purposes only. This is a quotation of coverage only. It is not a binder. This proposal does not amend or alter the insurance contract. Please refer to the policy contract for specific terms, conditions, limitations, and exclusions. Proposal date: 9/6/2016 Prepared for City Of Lubbock Confidential. p 2016 Wells Fargo Insurance Services USA, Inc. All Rights Reserved, Page 24 Commercial excess liability Named insured: City of Lubbock Insurance carrier: Carrier name Atlantic Specialty Insurance Company — Admitted A.M. Best rating: A X as of 2016 Policy number: 791-00-02-30-Ooo6 Policy term: October 1, 2oi6 to October 1, 2017 Premium: $192,435 (includes $i,9o5 for TRIPRA) Coverage: Excess Liability Policy form: Claims made & reported for EBL, EPLI and E&O Occurrence for GL and AL Limits of liability: $ 9,000,000 Each occurrence limit $ 18,000,000 General aggregate limit Self -insured retention: $ 1,000,000 Underlying limits of liability General liability: Atlantic Specialty Insurance Company Limits: $ i,000,c oo Each occurrence limit $ 1,000,000 Personal/advertising injury $ 1,000,000 General aggregate $ 1,000,000 Products/completed operations aggregate Commercial auto: Atlantic Specialty Insurance Company Limits: $ i,000,000 Combined single limit Professional liability — claims Atlantic Specialty Insurance Company made: Employee Benefits Liability $ i,000,000 Per claim/annual aggregate Errors & Omissions Liability $ 1,000,000 Each wrongful act/annual aggregate Employment Practices Liability $ i,000,000 Each offense/annual aggregate Law Enforcement Liability — $ i,000,000 Each wrongful act/annual aggregate occurrence: Terms and conditions: As per expiring policy form Exclusionary endorsements: Sexual abuse, Failure to supply, Pollution and Uninsured/underinsured motorist Audit: Not auditable This proposal is merely a descriptive summary of coverage provided by the Insurance companies being proposed and should be used for reference purposes only. This is a quotation of coverage only. It is not a binder. This proposal does not amend or alter the insurance contract. Please refer to the policy contract for specific terms, conditions, limitations, and exclusions. Proposal date: 9/6/2016 Prepared for City Of Lubbock Confidential. © 2016 Wells Fargo Insurance Services USA, Inc. All Rights Reserved. Page 29 CERTIFICATE OF INTERESTED PARTIES FORM 1295 1of1 Complete Nos. 1- 4 and 6 if there are interested parties. OFFICE USE ONLY Complete Nos.1, 2. 3. 5, and 6 If there are no interested parties. CERTIFICATION OF FILING Certificate Number: 2016-115610 1 Name of business en ty filing form, and the city, state and country of the business entity's place of business. OneBeacon Governmen tRisks San Antonio, TX United States Date Filed: 2 Name of-governmentalof-governmental entity or state agency that is a party tot the contract for which the form Is being filed. City of Lubbock, TX LDateftknowledged: 3 Provide the Identification number used by the governmental entity or state agency to track or Identify the contract, and provide a description of the services, goods, or other property to be provided under the contract. 791000230 Liability Insurance 4 Name of Interested Party City, State, Country (place of business) Nature of interest (check applicable) Controlling Intermediary Sanford, Douglas Lubbock, TX United States X S Check only If there is NO Interested Party. ❑ 6 AFFIDAVIT I swear, or affirm, under penalty of perjury, that the above disclosure is true and correct. Si ature of authorized agent of contracting business entity AFFIX NOTARY STAMP / SEAL ABOVE Swcm to and subscribed before me, by the said this the day of 20_\U, to certlty which, witness my hand and seal of office. A&AA.►LL&AA.ULAL►A AAA � NORAIRIAS Notary public b. STAT6 OF TEXAS S ` My 061"rf+, 6r;p. 09111/2017 Signature of offtier administering oath Printed name of officer administering oath WeV 6ffl6eri ministering oath rorms proviaea oy i exas t=cs commission www.emics.statem(ms Version V1.0.277