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Home My WebLink AboutResolution - 2020-R0298 - Package Liability Insurance PolicyResolution No. 2020-RO298 Item No. 7.16 September 8, 2020 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, package liability insurance coverage from Gemini Insurance Company, for which the premium amount shall not exceed $589,144.50; and THAT the City Manager may execute any routine documents and forms associated with said insurance coverage. Passed by the City Council this September 8, 2020 Le'. - -- DANIEL M. POPE, MAYOR A T T: Rebe ca Garza, City Secretary APPROVED AS TO CONTENT: D. lu Kostelich, Chic Financial Officer APPROVED AS TO FORM: r"Jwfj�4f� Jeff H ell, eputy City Attorney vw/RES.Risk Mgmt-Gemini Ins. September 2, 2020 Government Casualty Package Insurance Company: Gemini Insurance Company Policy Term: 10/1/2020 to 30/1/2021 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: $589,144.50 Including SL Taxes & Fees Coverage Part Coverage Retention A General Liability Each Occurrence $500.000 B Automobile Liability Each Accident $500.000 C Public Official, Employment Practices and Employee Benefits Liability Each Claim $500.000 i Limits of Uability Coverage Part Coverage A General Liability Each Occurrences $3,0006000 Aggregate $6.000.000 B Automobile Liability Each Accident $3.000,000 C Public Official, Employment Practices and Employee Benefits Liability Claims Made Retroactive Date: 10/1/2020—f Each Claim $3,000,000 Aggregate $6,000,000 Treatment of Claims Expense Coverage Part Coverage Retained Limit Limits of Insurance A General Liability Inside limit Outside Limit B Automobile Liability Inside Limit Outside Limit C Public Official, Employment Practices and Employee Benefits Liability Inside Limit Outside Limit i kh regard to all operations and loss arising out of or related to Lubbock Power and Light (LPBL); the Limits Insurance and Attachment point is amended as follows_ Limit of Insurance: Each Occurrence. Accident. Act or Claim: Policy Aggregate: Retained Limit: $2.000.000 $2,000,000 51.000.000 �us�l Schedule of Forms and Endorsements Form Nu r Descrilption Notes CCP10110&19 Declarations CCP1001 09117 Common Conditims. Definlllons & Exclusions CCP1002 01/13 General Liability Covemge Part CCP1003 05/12 Automobile Liability Coverage Part CCP1004 01/13 Public Official & Employment Practices & Employee Benefits Liability Czwerage Part Retro Date-9/10/1999 CCP1003 05112 Lknfled Sexual Abuse Coverage Part (Retro Date-i0/1/2020) Each Act Limit $2,000.000 Aggregate Limit: $2.000 000 Retained Limit $500,000 Claims Expense. Inside 1 Inside CEN200101115 Exclusion- Certified Ads of Terrorism WRl be removed I/ TRIA is accepted CEN2002 01113 Cap on Losses — Certified Acts of Terrorism WN be removed N TRIA fs re ed CEN1000 05112 Signatures CEN1005 01120 Service of Suit CEN9W1 05112 Trade or Economic Sanctions Endorsement CEN3018 05120 Exclusion-CommUnWAbie Disease MAM000 8/20 UMIUIM Coverage Each Accident: S=,000 Retained Limn: S500 000 CEN3035 Dam, Reservoir. Levee Subfimited Coverage Endorsement Each Occurrence Limit: $2,500.000 Aggregate Limit: $2,500.000 Retained Limit: $5W.000 (included In and not In addition to Coverage A Liability Aggregate Limit). MAN1000 07/20 Designated Operation Amendment of Limits LP&L — Form attached MAN1000 00/12 Exception To Failure To Supply Exclusion: Complete or partial failure to adequately supply electricity, sewer or water. Each Occurrence Limn: $1,000.000 Aggregate Limn: $1.000.000 Retained Limit: $500.000 (Included In and not In addition to Coverage A LIabllily Aggregate Limit). PEN 1008 05112 Additional Insured — Designated Person or Organization Lubbock & Western Rahway. LLC 315 W. 3id Street Pittsburg. KS 667624706 PEN1000=12 Claim lVense In Addition To Umlts Of Insurance CEN1009 05112 Pesticide / Herbicide Pollutant Exception Each Occurrence Limit S2,500.000 Aggregate Limit-. $2.500.000 Retained Limit S500.000 (Included in and not In addition to Coverage A Liability Aggregate unit). CEN3011 05112 Additional Insured—Spectlied By Written Contract (OL) Each Occurrence Llmlt $2,500.000 Aggregate Limit $2.500.000 MAN1000 07120 Unmanned Aircraft for Public Entity Use 11119 TX Complaint Notice IL U 07101/11 TX Personal Injury Protection Coverage 5electlon/Rejection CA U 003 05/13 TX Uninsured/Underinsured Motorists Coverage Selection/Rejection TX Surplus Lines Notice 01120 1 Loss Notice 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. Conditions: 1. A signed and completed sexual abuse application 2. Signed U1M/UM/PIP forms. 3. Signed and completed TRIA form COMMERCIAL AUTO CA U 005 0513 TEXAS UNINSURED/UNDERINSURED MOTORISTS COVERAGE SELECTION/REJECTION Policy Number: Policy Effective Gate: 1010112020 Company: Producer. USt Southwest, Inc. AppllcanUMarned Insured: City of Lubbock Texas law pomnits you to make certain decisions regarding UNnsured/Underinsured Motorists 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 UnlnsuredfUndarinsured Motorists Coverage and your options with rasped to this coverage. This document Includes general descriptions of coverage. However. no overage 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. UNINSURROWNDERINSURED MOTORISTS COVERAGE UnlnsuredlUndedneured Motorists Coverage provides insurance protedlon to an Insured for damages which the Insured Is legally entitled to recover from the 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 or operator cannot be Identlned. Unless rejected. Unlnsured lnderinsured Motorists Coverage will be afforded at limits at least equal to: (1) split limits of 530,000 for each pereoa, subject to $50.000 for each accident with respect to bodily Injury, and S23.000 with rasped to property damage; or (2) a combined single limit of $55.000 for each accident but you may soled optional higher limits. CA U 005 OS 13 ® Insurance Services Office, Inc., 2013 Page 1 of 2 Please Indicate your chotoe from either A. or B. as follows: A. Selection Of Uninsure"nderinsured Motorists Coverage Limits K you wish to select UnlnsuredlUnderinsured Motorists Coverage, you may do so by Initialing next to the appropriate Item(s) and signing below. Please note that we only offer UnlnsuredAJnderinsured Motorists Coverage limits up to the Liability Coverage limits of your policy. even though higher limits may appear below, (Initials) I select Uninsure"riderinsured Motorists Coverage at the following Ilmlt(s): (Choose one Split Limits Bodily Injury option AND one Property Damage limit option, OR one Combined Single Limit option from the following): split Umlts Property Combined initials Bodily In(Initials) Dame OR Initials Sincile Uml 5 30,000160,000 $ 25,000 S 45,000 50100011001000 50.000 100,000 100,0001300,000 100.000 250.000 250.0001500,000 350.000 50010001110001000 (Other) $001080 1,000.080 (der) (sr) ISignature Of ApplicantiNamed Insured pate S. RsjWlon Of UninsuredlUnderinsured Motorists Coverage If you wish to reject UnlnsuredlUndednsured Motorists Coverage, you may do so by Initialing and signing below. 1 reject UnlnsuredlUnderinsured Motorists Coverage. (initials) Signature Of Applicant/Named Insured Page 2 of 2 ® Insurance Services Offlce. Mr.. 2013 Date CA U 006 Of 13 TEXAS PERSONAL INJURY PROTECTION COVERAGE SELECTIONIREJECTION Policy Number. Polley Effective Date:1010112020 Company: Producer. USI Southwest, Inc. Appllca Werned Insured: City of Lubbock Texas law permits you to make certain decislons regarding Personal Injury Prote lion Coverage. This document briefly describes this coverage and the options avalable. You should read this document carefully and contact us or your agent Ir 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 read 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 benellts for medical and funeral expenses, loss or income and replacement services expenses to or for an Insured who sustains badly Injury caused by an automobile accident. Unless rejected. Personal Injury Protection Coverage will be provided at ilmits of at least $2.500 for each insured Injured in an automobile accident. . It. U 07164 11 m Insurance Services Office, Inc.. 2011 Page 1 of 2 Piesse Indicate your choke with respect to Personal Injury Protection Coverage from eNher A. of B. as follows: A. selection Of Personal Injury Protection Coverage if you wish to select Personal Injury Protection Coverage. you may do so by Initiating next to the appropriate Item and signing below: (tnldals) I select Personal Injury Protection Coverage at the following limit: (Choose one): IrdSels Personal Injury Protection CoMeMe Limits f 2.500 5,000 10,000 25.000 50,000 75,000 100,000 (Other) OR B. Rejection Of Personal Injury Protection Coverage It 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 AppiicantlNamed Insured Date Page 2 of 2 V Insurance Services Office. Inc.. 2011 IL It 0710111 Us�� POLICYHOLVER DISCI.OStIRE NOTICE OF TERRORISM IN5VRANCE COVERAGE You are herc4 notified thin under the Terrorism Risk Insurance Act. as amended. Ithe "Acr). you have a right to pur hose insurance coverage for losses mulling from acts of terrorism. rrs Alined in Se lirxt I oNIP of rhr.icr. The term -act of terrorism' means any act thal is crrtifisd by the Serrdary of the Trcasttr)—in consultation with IN Secretary of f lontolaW Security. and the Attorney General of Ike United States to bean act of lerrortsm: to W a violent act or an act that is dangerous to human life. property. or infrastructure: to have resulted in damage within dw United States. or outside the United States in the case of ccnain air carners or vessels or the prernises of a United States mission: and to have been committed by an individual or individuals as pan of an effort to coerce llte civilian population of the United States or to influence the policy or aliM the conduct of the United States Government by coercion. Coverage under your policy may be affected as follows: 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 U%tTED STATES GOVERNMENT GENERALLY REIMBURSES 80% BEGINNING ON JANUARY 1. 20?0 OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE I%SURANCE COMPANY PROVIDING THF: COVERAGE. THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AIND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS THAT MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. YOU SHOULD ALSO KNOWTHAT THE ACT. CONTAINS A SIDO BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AIVIOUNT OF SUCH LOSSES IK ANY ONE CALENDAR YEAR EXCEEDS S100 BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED S1011 BILLION. YOUR COVERAGE MAY BE REDUCED. Aeeemnnee or Relectlon of Terrorism losurauee Coverorn I hereby ctect to purchase terrorism coverage. subject to the limitations of the Act. for acts of terrorism as defined in the Act. for a pmspective pranium of SB 030.00, I hereby decline to purchase terrorism coverage for crnif3ed acts oitcrr»rism. I understand that I will have no coverage for lasxes r%sulfing front certified. acts of terrorism. Policyholder Applicant's Signalure Insurance Company Print Name Policy Number Date us[ l