HomeMy WebLinkAboutResolution - 2013-R0290 - Purchase - Workers Comp. Coverage - TPSWCJSIF - 09/10/2013Resolution N0. 2013-RO290
September 10, 2013
Item No. 5.23
RESOLUTION
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 $1,528,304; and
THAT the City Manager may execute any routine documents and forms
associated with said coverage.
Passed by the City Council this September 10, 2013 v�
GLE ROITERTSON, MAYOR
ATTEST:
Ge cca Garza, C ty Secretary
APPROVED AS TO CONTENT:
Leisa Hutcheson, Director of Human Resources
and Risk Management
APPROVD AS TO FORM:
Chad Weaver, Assistant City Attorney
RES Risk Mint -Workers Compensation
August 26, 2013
Resolution No. 2013-RO290
Wells Fargo Insurance Services
Workers' Compensation and Employer's Liability
Insurance Carrier: Texas Political Subdivision (TPS)
Carrier Rating: Not Rated by AM Best
Policy Term: 10/01/2013 to 10/01/2014
Workers' State law requires most employers to provide Workers' Compensation
Compensation insurance for employees. Benefits are paid to employees who suffer work -
Coverage: related injury. Lost wage benefits may be paid in addition to medical
expenses, which can include permanent disability or disfigurement.
Employers Liability Protects your business in the event you are sued by an employee or his/her
Coverage: family as a result of a work-related injury. _
Coverages
A. Compensation Benefits: Statutory
B. Employers Liability: $1,000,000 Each Accident
$1,000,000 Disease - Policy Limit
$1,000,000 Disease - Each Employee
Workers Comp States: TX
Auditable: Yes
Payroll increased 3% from 2012 audit
This Coverage Summary neither amends nor alters the insurance contract. Specific questions on all policy terms and conditions should be referred to your Wells Falgu Insurance
representative, and the policy itself should be reviewed.
Please refer to the policy contract for specific terms, conditions, limitations, and exclusions
Proposal date: 7/11/2013 Prepared for City of Lubbock c/o Risk Management Dept.
Confidential C 2013 Wells Fargo Insurance Services USA, Inc. All Rights Reserved. PAGE 27
Wells Fargo Insurance Services
Workers' Compensation and Employer's Liability - TPS (cont.)
Classification
Code
Payrolls
Classification
Code
Payrolls
Farm NOC
0011
$
-
Architect or Engineers
8601
$
747,322
Sign Manufacturing
3064
$
57,722
Clerical Office Employees
8810
$
21,494,624
Welding/Cutting
3365
$
-
Animal Shelter
8831
$
526,044
Copying/Duplicating Services
4299
$
54,369
Hospital Professional Employees
8833
$
1,048,534
Building Inspection
4511
$
1,564,249
Library / Museum
8838
$
1,466,451
Exterminators
4519
$
165,829
Motorcycle Police
7720
$
Included 7720
Traffic Signal Control Installation
5190
$
946,941
Building Service Contractor
9014
$
-
Computer Device Installation
5191
$
-
Building Maintenance
9015
$
2,069,931
Street & Road Construction
5506
$
1,656,285
Zoo Facility
9016
$
-
Street & Road Construction
5506
$
-
Toll Road Operations
9019
$
-
Contractor Executive Supervisor
5606
$
63,074
Restaurant NOC
9079
$
-
Flood Control
6229
$
-
School Library
9101
$
58,044
Drivers
7380
$
11,837
School Crossing Guard
9101
$
Included 7720
Airport Operations
7423
$
1,251,497
Parks & Recreation
9102
$
1,663,540
Waterworks Operations
7520
$
4,375,856
Theater NOC
9154
$
-
Electric Light & Power Co
7539
$
12,080,766
Cemetery
9220
$
179,219
Sewage Disposal Plant Ops
7580
$
2,182,974
Street Cleaning
9402
$
466,402
Garbage Works
7590
$
868,104
Refuse Collection
9402
$
1,604,934
Firefighters & DriN-ers
7704
$
24,067,378
Outside Volunteers
3724
$
3,995
Police Officers
7720
$
28,299,824
Inside Volunteers
8742
$
22,204
Heavy Equipment Maintenance
8107
$
471,420
Volunteer Police Reserves
0570
$
29,458
Warehouse Ops
8292
$
-
Salespersons, Collectors,
Automobile Machine Shop
8391
$
66,742
Messengers
8742
$
77,479
Total Payroll
$
109,643,048
Annual
Type of Coverage Deductible Contribution
Workers' Compensation $0 $1,559,494
Annual Contribution with discount $1,528,304
This Coverage Summary neither amends nor alters the insurance contract. Specific questions on all policy terms and conditions should be referred to your Wells Fargo Insurance
representative, and the policy itself should be reviewed.
Please refer to the policy contract fur specific terms, conditions, limitations, and exclusions
Proposal date: 7/1112013 Prepared for City of Lubbock c/o Risk Management Dept.
Confidential. ie? 2013 Wells Fargo Insurance Services USA, Inc. All Rights Reserved. PAGE 28