HomeMy WebLinkAboutResolution - 2020-R0301 - Workers Compensation CoverageResolution No. 2020-R0301
Item No. 7.19
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, workers' compensation coverage
from the Texas Municipal League Intergovernmental Risk Pool, for a total amount not to
exceed $1,572,363.75; and
THAT the City Manager may execute any routine documents and forms associated
with said coverage.
Passed by the City Council this September 8, 2020
11
DANIEL M. POPE, MAYOR
A EST:A )4� P
I'VV,
Reb cca Garza, City Se etary
APPROVED AS TO CONTENT:
2:�L ' 1v�
D. Blu Kostelich, Chief Financial Officer
APPROVED AS TO FORM:
Jef se , Deputy City Attorney
RES.Risk MgmWunicipal League Risk Pool
Sepiem6e, 2, 2020
Workers' Compensation
Insurance Company: Texas Municipal League Intergovernmental Risk Pool
Policy Term: 10/1/2020 to 10/1/2021
Coverage: Part One —Workers' Compensation agrees to paythe benefits required
under the applicable State's Workers' Compensation Law,
PartTwo Employers Liability for work -related injuries ordisease other
than that which is imposed by a state Workers' Compensation Law.
Part Three — Other States in which you have no exposure on the policy
inception date, but in which you may have a temporary or future
worksite or exposure in during the policy term. If listed, statutory
benefits will apply as if the state were listed in Part One; with the
exception of excluded states, North Dakota, Ohio, Washington and
Wyoming.
Coverage Description
Employers Liability - Each Accident $1,000,000
Employers Liability - Disease (Policy Limit) $1,000,000
Employers Liability- Disease (Each Employee) $1,000,000
Experience Mod
Statutory Limits Apply
Deductible
0.48
Yes
$25,000
Coverage is not automatic in all states. Please notify us immediately if you begin operations in another state.
• Total Expected Cost$1,572,363.75
• Total Premium $807,514
• 2% Paid in Full Discount: ($16,150.25)
• Premium Including Discount: $791,363.72
• Average Out of Pocket at $25,000 deductible is: $781,000
This requires $100,000 deposit in addition to the $807,514 premium. The deposit will be credited as
deductible is applied.
Total Due at Binding: $891,363.72
Workers' Compensation Schedule of Exposures — 2.5% Payroll Increase
State: TX
7539 Electric Light Or Power Co Noc--all Employees & Drivers
8107 Contractors' Machinery Dealer & Drivers
8810 Clerical Office Employees NOC
0011 Farm: Noc & Drivers
8810 Counseling Service Inside
3064 Sign Mfg --metal
4299 Printing - Copying & Duplicating Service
4511 Analytical Chemist
4519 Exterminator & Drivers
5190 Traffic Signal Control Installation & Drivers
5506 Street Or Road Construction: Paving Or Repaving & Drivers
7423 Aircraft Or Helicopter Operation: All Other Employees &
Drivers
7520 Waterworks Operations & Drivers
7580 Sewage Disposal Plant Operation & Drivers
7590 Garbage Works
7704 Firefighters & Drivers
7720 Police Officers & Drivers
8107 Heavy Equipment Maintenance
8601 Engineer Or Architect --consulting
8742 Tax Appraisers
8831 Animal Shelter & Drivers
8833 Hospital: Professional Employees & Clerical
8838 Public Library/museum: professional Employees & Clerical
9015 Buildings --operations By Owner Or Lessee
9101 Public Library Or Museum: All Other Employees
9102 Park NOC--all Employees & Drivers
9220 Cemetery Operation & Drivers
9402 Refuse, Ashes or garbage collection & Drivers
I 9402 Street Cleaning & Drivers
9040 Hospital: All Otheremployees
7720 Police Officers & Drivers
7423 Aircraft Ground Support Equipment Repair & Driver
7539 Electric Light Or Power Co Noc--all Employees & Drivers
Total Estimated Standard Premium
$14,013,564
$51,302
$27,480,218
$616,242
If Any
$2,031
$58,895
$1,301,215
$209,203
$1,362,749
$1,594,095
$1,685,773
$5,888,070
$2,625,844
$899,719
$33,748,454
$34,941,759
$681,118
$767,745
$35,748
$702,734
$1,242,136
$1,734,899
$2,509,377
$72,899
$2,188,567
$271,641
$2,231,574
$594,692
If Any
If Any
If Any
If Any
$5,228,497.00
Premium Adjustments Amount
Experience Modifier (0.48) ($2,718,818.00)
Fund Discount (20%) ($501,936.00)
Paid In Full Discount (2%)
Deductible Credit
Audit Provisions
($16,150.25)
($1,200,229.00)
$791,363.75
Description Deposit
Audit based on Payroll $891,363.75
Premiums are calculated based on the insurance company's rules and rates. Premiums shown as advance or deposit
premiums are subject to audit and adjustment at the close of each audit period. If the advance premium is less than
the earned premium as determined by the audit, the insured pays the difference. If the advance premium is more
than the earned premium as determined by the audit, the insurance company returns the difference to the insured.
The Insured must keep records of the information needed for the audit and the premium calculations and send copies
to the insurance company when it requests them.
Excluded coverage or other coverages sought may be available: please discuss with US[
other exclusions and policy limitations may apply. Please refer to the actual policies for specific terms,
conditions, limitations, exclusions and sublimits that will govern in the event of a loss.
USI