HomeMy WebLinkAboutContract No. 2013 2528 Covenant Number: COMMON COVERAGE DECLARATIONS
CMC 35579 ,,,j Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES
Previous Covenant Number: INSURANCE TRUST
CIVIC 34390 (Herein called LMCIT)
Item 1. CITY and MAILING ADDRESS kj I N N I SO 1A
COLUMBIA HEIGHTS,CITY OF& (,',IT1I IS
COLUMBIA HEIGHTS EDA HRA
590 40TH AVENUE NE
COLUMBIAHEIGHTS MN 55421-3835
Item 2. COVERAGE PERIOD:
From: 06/01/2013 To: 06/01/2014 12:01 AM Standard Time at Mailing Address on
Common Coverage Declarations
Item 3. THE COVERED PARTY IS: CITY
Item 4. COVERAGE PARTS:
IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF
THIS COVENANT,LMCIT AGREES TO PROVIDE THE COVERED PARTY WITH COVERAGES
SHOWN BELOW FOR WHICH A PREMIUM CHARGE IS STATED:
PROPERTY,CRIME,BOND,and PETROFUND Premium
Property $ 89,668
Additional Covered Loss or Damages INCLUDED
Water and Supplemental Flood Coverage INCLUDED
Crime INCLUDED
Bond $ 1,677
Petrofund INCLUDED
EQUIPMENT BREAKDOWN $ 8,711
MUNICIPAL LIABILITY $ 96,173
Medical and Related Expense NOT COVERED
AUTOMOBILE LIABILITY $ 10,619
AUTOMOBILE PHYSICAL DAMAGE $ 13,618
TOTAL $ 220,466
Item 5. GENERAL ANNUAL AGGREGATE DEDUCTIBLE: DOES NOT APPLY
Item 6. PREMIUM IS DUE AND PAYABLE: QUARTERLY
Item 7. FORMS APPLICABLE TO ALL COVERAGE PARTS: CCM(I 1/09)
Item 8. DECLARATIONS APPLICABLE:
DEC-011 (11/09) DEC-012 (11/11) DEC-013 (11/12) DEC-016 (07/09)
Executive Director,LMCIT
LMCIT DEC-011(11/86)(Rev.11/09)
COVENANT NUMBER: CMC 35579
COMMON CONDITIONS
ALL COVERAGE PARTS INCLUDED IN THIS COVENANT
ARE SUBJECT TO THE FOLLOWING CONDITIONS:
1. CANCELLATION AND NON-RENEWAL made a part of this covenant or by acknowledgment by
LMCIT that an endorsement will be issued at a later date.
a. The city shown in the Declarations may cancel this
covenant by mailing or delivering to LMCIT 3. RATING AUTHORITY AND
advance written notice of cancellation. EXAMINATION OF THE CITY'S BOOKS
b. LMCIT may cancel this covenant by mailing or AND RECORDS
delivering to the city shown in the Declarations LMCIT shall have full discretionary authority to
written notice of cancellation at least: promulgate rates and establish the premium to be
(1) 10 days before the effective date of the charged for the coverage period under this covenant.
cancellation if LMCIT cancels for nonpayment of LMCIT may, at its discretion or at the city's request,
premium; or examine and audit the city's books as they relate to this
covenant during the coverage period and up to one year
(2) 30 days before the effective date of the thereafter and, accordingly, make any necessary
cancellation if LMCIT cancels for any other reason. adjustments in premium. No premium adjustments will
be made after one year following the expiration of the
c. LMCIT will mail or deliver its notice to the city coverage period.
shown in the Declarations last mailing address
known to LMCIT. 4. INSPECTIONS AND SURVEYS
d. Notice of cancellation will state the effective date of LMCIT has the right, but it is not obligated to:
cancellation. The coverage period will end on that
date. a. Make inspections and surveys at any time.
e. If this covenant is canceled, LMCIT will send the b. Give the city reports on the conditions it finds; and
city shown in the Declarations any premium refund
due. If LMCIT cancels, the refund will be pro-rata. c. Recommend changes.
If the city cancels, the refund may be less than the
pro-rata. The cancellation will be effective even if Neither LMCIT's right to make inspections nor its
LAICIT has not made or offered a refund. making any report thereon shall constitute any
undertaking on behalf of or for the benefit of the city or
f. If LMCIT decides not to renew this covenant, others to determine or warrant that such property or
LMCIT will mail or deliver to the city shown in the operations are safe or healthful or free from hazard or
Declaration written notice of the non-renewal not are in compliance with any law,rule or regulation.
less than 30 days before the expiration date.
These conditions apply not only to LMCIT, but also to
g. If notice is mailed, proof of mailing will be any rating advisory, rate service, or similar organization
sufficient proof of notice. which makes inspections, surveys, reports, or
2. CHANGES recommendations.
This covenant contains all the agreements between 5. PREMIUMS
LMCIT and the city concerning the coverage afforded. The city shown in the Declarations:
The city shown in the Declarations is authorized to make a. Is responsible for the payment of all premiums; and
changes in the terms of this coverage agreement with the
consent of LMCIT. The coverage terms can be amended b. Will be the payee for any return premiums.
or waived only by endorsement issued by LMCIT and
LMCIT CCM(11/89(Rev. 11/09) Pagel of 3
COVENANT NUMBER: CMC 35579
6. TRANSFER OF THE CITY'S RIGHTS AND coverage is primary, excess, contingent, or any other
DUTIES UNDER THIS COVENANT basis, unless that policy or coverage is specifically
written to be excess over this covenant.
The city's rights and duties under this covenant may not
be transferred without the written consent of LMCIT. b. This coverage is primary for any of the following
losses:
7. OVERLAP OF COVERAGE
(1) A covered loss of business personal effects, with
In the event of a dispute between LMCIT and one or respect to any coverage provided under the
more insurers as to which policy or coverage agreement employee's homeowners' insurance or similar
applies to a covered loss,LMCIT shall indemnify the city coverage.
for any legal or other expenses which are necessarily
incurred by the city in determining whether LMCIT or (2) A covered loss of contents or mobile property in
the insurer(s) shall bear the loss. Such indemnification the city's care, custody and control that is used to
shall be made only if it is determined that payment of the maintain the operations of the city, with respect to
loss shall be made under this covenant. If the loss is coverage provided under an insurance policy of the
shared by LMCIT and one or more insurers, owner covering that property.
indemnification shall be made in the same proportion as
the loss payment. The city and LMCIT shall cooperate (3) A covered loss resulting from the city's
in the development and execution of reasonable maintenance or use, including loading or unloading,
procedures to resolve the dispute. of any owned automobile that is not a trailer.
8. ASSESSIBILITY (4) A covered loss resulting from the city's
maintenance or use, including loading or unloading,
All cities in the joint coverage pool are jointly and of any trailer the city does not own but which is
severally liable for all claims and expenses of the pool. connected to an owned automobile.
The amount of any liabilities in excess of assets may be
assessed to the members of the pool when a deficiency is (5) Any covered liability claim against a party who
identified. has been added by endorsement as an additional
covered party under this covenant, unless that
9. NUCLEAR HAZARD endorsement specifically provides that this covenant
is excess.
LMCIT, under this covenant, does not cover any loss or (6) A covered loss to a covered automobile as
claim for damage that is caused in part or in total by provided by the Municipal Automobile Physical
nuclear reaction or radiation, or radioactive
contamination,however caused. Damage Coverage.
10. CONCEALMENT OR FRAUD (7) A covered loss to a builders risk property as
provided by Buildings in the Course of Construction,
This covenant is void if the city has intentionally Alteration or Repair Coverage.
concealed or misrepresented any material fact or 12. RECOVERIES
circumstance relating to this covenant.
IL OTHER COVERAGE Except as otherwise required by statute, any "net
recovery" from a third party on a covered loss will be
a. Except as provided in paragraph b., this coverage is allocated between the city and LMCIT in proportion to
excess over the following: their respective shares of the total covered loss. "Net
recovery"means the total amount recovered from a third
(1) Any liability insurance policy of another party party; minus the cost of obtaining that recovery; but"net
on which the covered party is an additional insured recovery" does not include amounts LMCIT recovers
or additional named insured. from a reinsurer, The city's share of the covered loss
includes any applicable deductible; any amounts for
(2) Any other valid and collectible insurance policy Which the city is responsible under any co-pay
or other coverage, whether such other policy or provisions; and any amounts which exceed the
applicable coverage limit.
LMCIT CCM(11/89(Rev. 11/09) Page 2 of 3
COVENANT NUMBER: CMC 35579
13. TRANSFER OF RIGHTS OF RECOVERY it be deemed to apply to an action brought by a covered
AGAINST OTHERS TO LMCIT party, or any of its officers, employees or agents against
the city or another covered party.
Except as provided below, if any person or organization
to or for whom LMCIT makes payment under this 15. COVENANT EXPIRATION DATE
covenant has rights to recover damages from another,
those rights are transferred to LMCIT to the extent of Covenant expires on the expiration date unless the city
LMCIT's payment. That person or organization must do has requested that coverage be extended and LMCIT has
everything necessary to secure our rights and must do sent a written confirmation of the extension to the city.
nothing before or after a loss to impair them.
16. RIGHT TO OFFSET
a. The city may waive the city's rights against another
party in writing prior to a covered loss or damage Notwithstanding any other provision of this covenant to
but this does not apply to a covered loss or damage the contrary, if the city fails to make timely payment of
as provided by the Municipal Bond Coverage or amounts owed to LMCIT, including premiums,penalties,
Municipal Crime Coverage. The city does not need deductibles, co-pays, premium audit adjustments or
to notify LMCIT in writing. retrospective rating plan charges, LMCIT, in addition to
other remedies available to it, shall have the right to
b. The city may waive the city's rights against another retain and offset any amounts owed to the city and apply
party in writing after a covered loss or damage as the amounts so retained against the unpaid and overdue
provided by the Municipal Property Coverage, only amounts. Amounts owed to the city, which are subject
if at the time of loss that party is one of the to an offset include, but are not limited to, dividends,
following: premium audit adjustments, retrospective rating plan
adjustments, and claims payments owed to the city by
(1) Another covered party covered by this covenant LMCIT.
(2) Another entity
(a) Owned or controlled by the city; or
(b) That owns or controls the city.
14. DUTY TO COOPERATE
The city, or other covered party, including its officers,
employees or agents, shall fully cooperate with LMCIT
in the processing and investigation of claims under this
covenant. In addition, the city, or other covered party,
including its officers, employees or agents, shall not take
any action nor do anything that would impair or
prejudice the investigation or processing of any claim, or
LMCIT's defense of any claim or suit. If the city, or
other covered party, including its officers, employees or
agents fails to cooperate or takes any action or does
anything that impairs or prejudices the investigation or
processing of any claim, or LMCIT s defense of any
claim or suit, LMCIT shall have the right to withdraw
coverage with respect to such claim or suit or to modify,
cancel or not renew coverage. Notwithstanding the
above, nothing herein shall be construed to apply to a
legitimate response by the city, a covered party, or any
of its officers, employees and agents, to a request for
information made as part of a legal proceeding or
pursuant to other statutory or legal obligation; nor shall
LMCIT CCM(11/89(Rev. 11/09) Page 3 of 3
Covenant Number: MUNICIPAL PROPERTY, CRIME,BOND, PETROFUND,
CMC 35579 and EQUIPMENT BREAKDOWN DECLARATIONS
Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES
INSURANCE TRUST
(Herein called LMCIT) NJ I NN 1,'�0 I A
(-r] il'S
Item 1. CITY: COLUMBIA HEIGHTS,CITY OF&
Item 2. COVERAGE PERIOD:
From: 06/01/2013 To: 06/01/2014 12:01 AM Standard Time at Mailing Address
on Common Coverage Declarations
Item 3. THE COVERED PARTY IS: CITY
Item 4. COVERAGE:
IN RETURN FOR THE PAYMENT OF THE PREMIUM,AND SUBJECT TO ALL THE TERMS OF
THIS COVENANT,LMCIT AGREES TO PROVIDE THE COVERED PARTY WITH COVERAGES
SHOWN BELOW FOR WHICH A LIMIT IS STATED:
Item 5. COVERAGE PART ONE—PROPERTY
Section I—Property General Limit of Coverage Per Occurrence 63,925,901
This general limit is subject to the sublimity as described in Section VI,Limits of
Coverage and Valuation,and the specific property limit.
Terrorism loss occurrence-shared limit $ 50,000,000
This limit is subject to the provisions of the Terrorism Losses-Special Pool Limit
Endorsement ME079(11/09)
Section 11—Additional Covered Loss or Damages
1. Loss of Revenue,Extra Expense and Expediting Expense $ 5,000,000. Per Occurrence
2. Demolition and Debris Removal
(Direct Physical Damage to Covered Property) 25%of the Estimated Replacement Cost
of the Covered Property
(No Direct Physical Damage to Covered Property) $ 50,000. Per Occurrence
3. Leasehold Interest $ 500,000. Per Location
4. Accounts Receivable $ 500,000. Per Location
5. Valuable Papers and Records $ 500,000. Per Location
6. Utility Services $ 100,000. Per Occurrence
7. Green Building Expenses I%of the Contract Cost but not to
exceed$100,000. Per Location
8. Asbestos Clean up,Abatement and Removal $ 250,000. Per Location
9. Pollutant Cleanup and Removal $ 250,000. Per Location
10. Errors $ 500,000. Per Occurrence
11. Rental Reimbursement $ 25,000. Annual Aggregate
12. Arson Reward $ 5,000. Per Fire Loss
13. Extraordinary Expense $ 250,000. Annual Aggregate
14. Data Security Breach Expenses $ 250,000, Annual Aggregate
Section IV-Water and Supplemental Flood Coverage $ 500,000. Per Occurrence
$ 500,000, Annual Aggregate
LMCIT DEC-012(l 1,'86)(Rev.1 1/11) Pagel of3
COVENANT NUMBER: CMC 35579
Item 6. REFER TO SCHEDULE OF COVERED PROPERTY FOR THOSE LOCATIONS INCLUDED IN THE
SECTION I COVERAGE; THE SCHEDULE OF COVERED MOBILE PROPERTY FOR THE MOBILE
PROPERTY INCLUDED IN THE SECTION I COVERAGE AND THE SCHEDULE OF COVERED
PROPERTY FOR THOSE LOCATIONS INCLUDED IN SECTION IV COVERAGE.
Item 7. DEDUCTIBLE (Deductible applies per occurrence subject to General Annual Aggregate Deductible,if any,
shown on Common Coverage Declarations):
COVERAGE PART ONE—PROPERTY $ 1,000 Per Occurrence
Item 8. COVERAGE PARTS,FORMS,SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
MPCBP(11/12) PM-100 (11/03) ME079 (11/09) ME063 (11/01)
MPCBP-115 (11/05) MPCBP-209(11/05) PM-109(11/07)
Item 9. MORTGAGE HOLDER(if applicable):
Item 10. COVERAGE PART TWO—CRIME
LIMIT OF COVERAGE PER OCCURRENCE $ 250,000
Item 11. DEDUCTIBLE (Deductible applies per occurrence subject to General Annual Aggregate Deductible,if any,
shown on Common Coverage Declarations):
COVERAGE PART TWO—CRIME $ 1,000 Per Occurrence
Item 12. COVERAGE PARTS,FORMS,SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
ME063 (11/01) MPCBP(11/12)
LMCIT DEC-012(11/86)(Rev.11/11) Pap 2 of
COVENANT NUMBER: CMC 35579
Item 13. COVERAGE PART THREE—BOND IJ AM 1 E !
LIMIT OF COVERAGE PER OCCURRENCE: $ 300,000 C1 1 I FS
DEDUCTIBLE (Deductible applies per occurrence subject to General Annual Aggregate Deductible,if any,
shown on Common Coverage Declarations):
COVERAGE PART THREE-BOND $ 1,000 Per Occurrence
Item 14. COVERAGE PARTS, FORMS,SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
MPCBP(11/12) ME063 (11/01)
Item 15. COVERAGE PART FOUR—PETROFUND(Claims made)
LIMITS OF REIMBURSEMENT BENEFIT MAXIMUM
REIMBURSABLE COSTS AND DEFENSE COSTS
EACH TANK RELEASE $ 250,000
REIMBURSABLE COSTS AND DEFENSE COSTS
AGREEMENT TERM AGGREGATE $ 250,000
DEDUCTIBLE: COVERAGE PART FOUR-PETROFUND NOT APPLICABLE
Item 16. COVERAGE PARTS,FORMS,SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
MPCBP(11/12) ME063 (11/01)
Item 17. EQUIPMENT BREAKDOWN COVERAGE
EQUIPMENT BREAKDOWN LIMIT: $ 62,446,178
DEDUCTIBLE: $ 1,000 ANY ONE ACCIDENT
Item 18. COVERAGE PARTS,FORMS,SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
BM-200(11/12) BM-212 (11/01) PM-100 (11/03) ME063 (11/01)
LMCIT DEC-012(11/86)(Rev.11'11) Page 3 of 3
Covenant Number: 1 MUNICIPAL LIQUOR LIABILITY
LLC 2745 / Coverage Is Provided By:
THE LEAGUE OF MINNESOTA CITIES
Previous Covenant Number: INSURANCE TRUST
LLC 2579 (Herein called LNICIT)
Item 1. CITY and MAILING ADDRESS:
COLUMBIA HEIGHTS,CITY OF&
COLUMBIA HEIGHTS EDA HRA
590 40TH AVENUE NE
COLUMBIAHEIGHTS MN 55421-3835
Item 2. LOCATION(S)OF COVERED PREMISES:
1. 4340 CENTRAL AVENUE NE
2. 2241 37TH AVENUE NE
3.
5225 UNIVERSITY AVENUE NE
Item 3. COVERAGE PERIOD: 12:01 AM Standard Time at
Mailing Address Indicated Above
From: 06/01/2013 To: 06/01/2014
Item 4. COVERAGE LIMITS:
Municipal Liquor Liability Limit: $ 1,000,000 Per Occurrence/Per Covered Premises
$ 1,000,000 Annual Aggregate/Per Covered Premises
Item 5, MUNICIPAL LIQUOR LIABILITY DEDUCTIBLE: $------ Per Occurrence
Item 6. PREMIUM: 11,942
Item 7. FORMS AND ENDORSEMENTS APPLICABLE TO AGREEMENT:
MLLC(11/10)
Executive Director,LMCIT
LMCIT DEC-021(11/97)
COVENANT NUMBER: LLC 2745
UCIL LIQUOR LIABILITY COVERAGE
Various provisions in this covenant restrict coverage. The words "city" and "covered party" are defined
Read the entire coverage agreement carefully to under SECTION II-WHO IS COVERED.
determine rights, duties and what is and is not covered.
Throughout this covenant the word "city" refers to the Other words and phrases that appear in italics have
first "city" shown in the Declarations. The word special meaning, as given in SECTION IV-
LMCIT refers to the League of Minnesota Cities DEFINITIONS.
Insurance Trust.
SECTION I - COVERAGES
A. COVERAGE AGREEMENT 3. The amount LMCIT will pay for damages is
limited as described in SECTION III - LIMITS OF
1. LMCIT will pay on behalf of the "covered COVERAGE.
party" all sums which the "covered party" shall
become legally obligated to pay as damages by B. EXCLUSIONS
reason of selling any alcoholic beverage at or from
a covered premises, as provided by the Minnesota This coverage does not apply to:
Civil Damages Act (M.S. 340A.801 - 340A.802)
or any other law governing liability for illegal 1. Any obligation for which the "covered party"
sales of alcoholic beverages at or from a covered or any carrier as its insurer may be held liable
premises if the following conditions are met: under any workers' compensation, unemployment
compensation, disability benefits, or under any
a. The occurrence which is the basis for such similar law.
damages must have taken place during the
coverage period; and 2. Damages arising from the sale of alcoholic
beverage(s) if the sale occurred while the "covered
b. The occurrence which is the basis for such party's" license, permit or authority by law is
damages must have taken place in the suspended, expired, canceled or revoked.
coverage territory.
3. Damages for which the "covered party" is
2. LMCIT will have the right and duty to defend liable by reason of the assumption of liability in a
any such claim or suit seeking damages. LMCIT contract or agreement, but this exclusion does not
may, at its discretion, investigate any actual or apply to liability for damages which the "covered
potential claim; and unless the "city" has given party" would have in the absence of the contract or
notice as provided in SECTION VI-CONDITIONS, agreement.
6, LMCIT may settle any claim or suit.
SECTION II - WHO IS COVERED
1. "City" means the "city" or other governmental agency;
body or entity first named in the Declarations. Unless
specifically named in the Declarations, "city"shall not c. Municipal power agency;
include any of the following:
d. Municipal gas agency;
a. Gas,electrical or steam utilities commission;
e. Welfare or public relief agency;
b. Port authority, housing and redevelopment
authority, economic development authority, area or f. School board; or
municipal redevelopment authority or similar
LMCIT MLLC(11-97)(Rev. 11110)
Page 1 of 6
COVENANT NUMBER: LLC 2745
g. Joint powers entity; but a joint planning board excluding independent contractors;
created pursuant to an orderly annexation
agreement or joint resolution between the city and (7) "City" relief association and its members,
a township is deemed to be a covered joint powers officers,and employees.
entity under this agreement.
(8) Person while acting in the administrative
2. For purposes of Coverage A, "covered party" capacity of medical director or medical
means: advisor to the"city" ambulance service.
a. The "city", and any other entity named in the c. With respect to a joint powers entity named in
Declarations; the Declarations:
b. For actions within his duties as such, any (1) The joint powers entity;
present or former:
(2) While acting on behalf of the joint powers
(1) Member of the"city"council; entity, or with respect to liability arising out of
the activities of the joint powers entity, any
(2) Member of a "city" board, commission, or present or former:
committee which is not excluded by the
definition of"city"; (a) Governmental member of the joint
powers entity;
(3) Elected or appointed official of the"city";
(b) Elected or appointed official of the
(4) Employee of the"city"; governmental member;
(5) Volunteer person or organization while (c) Employee of the governmental
acting on behalf of the "city" and subject to member;
the"city's"direction and control;
(d) Other authorized person or agent of
(6) Other authorized person or agent of the the governmental member, but excluding
"city" while acting on behalf of the "city", but independent contractors.
SECTION III - LIMITS OF COVERAGE
1. The limits of coverage shown in the Declarations Declarations, the limit shall apply separately to each
and the rules below fix the most LMCIT will pay as consecutive annual period and to any remaining period
damages regardless of the number of. of less than 12 months, starting with the beginning of
the coverage period shown in the Declarations, unless
a. "Covered Parties"; the coverage period is extended after issuance for an
additional period of less than 12 months. In that case,
b. Claims made or suits brought; or the additional period will be deemed part of the last
preceding period for purposes of determining the
c. Persons or organizations making claims or limits of coverage.
bringing suits.
4. LMCIT's obligation to pay damages on behalf of
2. LMCIT shall not be obligated under this covenant the "covered party" applies only to compensatory
to pay any claim or judgment or to defend any suit damages in excess of any deductible amount stated in
after the limit of LMCIT's liability has been exhausted the Declarations. The limit of liability shown as being
by payment of judgments or settlements or by tender applicable to each claim shall be reduced by the
to any excess carrier or excess coverage including amount of the deductible. LMCIT may pay any part or
excess coverage provided by LMCIT, all of the deductible amount to effect settlement of any
claim or suit. Upon LMCIT's request, the "city" shall
3. For any Annual Aggregate Limit shown in the promptly reimburse LMCIT for such part of the
LMCIT MLLC(11-97)(Rev. 11/10)
Page 2 of 6
COVENANT NUMBER: LLC 2745
deductible paid by LMCIT. the Declarations, this covenant shall be construed to
provide at least the coverage required under Minn.
5. Subject to the Annual Aggregate Limit shown in Stat. Sec. 340A.409.
SECTION IV- DEFINITIONS
1. Coverage territory means: Minnesota Civil Damages Act (M.S. 340A.801-
340A.802) or any other law governing liability for
a. The United States of America (including its illegal sales of alcoholic beverages.
territories and possessions), Puerto Rico and
Canada; 4. Joint powers entity means an operating entity
created by two or more governmental units entering
b. International waters or airspace, provided the into an agreement as provided by statute for the joint
injury or damage does not occur in the course of exercise of governmental powers. An
travel or transportation to or from any place not intergovernmental agreement will be deemed to create
included in a. above; or a joint powers entity if the agreement establishes a
board with the effective power to do any of the
c. All parts of the world if: following, regardless of whether the specific consent
of the constituent governmental units may also be
(1) The injury or damage arises out of: required:
(a) Goods or products made or sold by the a. To receive and expend funds;
"city" in the territory described in a.
above; or b. To enter contracts;
(b) The activities of a person whose home c. To hire employees;
is in the territory described in a. above, but
is away for a short time on the "city's" d. To purchase or otherwise acquire and hold real
business; and or personal property; or
(2) The "covered party's"responsibility to pay e. To sue or be sued.
damages is determined in a suit on the merits,
in the territory described in a. above or in a 5. Occurrence means the injury which took place if
settlement LMCIT agrees to. the liability for damages arising from such injury is or
is claimed to be imposed upon the "covered party" by
2. Covered premises means the premises stated in the the provisions of the Minnesota Civil Damages Act
Declarations. Covered premises does not mean any (M.S. 340A.801 -340A.802).
premises acquired by the "covered party" or used by
the "covered party" for the sale or furnishing of 6. Suit means a civil proceeding in which damages
alcoholic beverages unless those premises are stated in to which this coverage applies are alleged. Suit
the Declarations or are included by endorsement to includes an arbitration proceeding alleging such
this coverage agreement. damages to which the "city" must submit or submit
with LMCIT's consent. Suit does not mean any
3. Damages means money damages for which the criminal proceeding against any"covered party"unless
"covered party" may be liable by reason of the damages are also alleged in that proceeding.
SECTION V- SUPPLEMENTARY PAYMENTS
LMCIT will pay, with respect to any claim or suit 1. All expenses LMCIT incurs.
LMCIT defends:
2. The cost of bonds to release attachments, but only
LMCIT MLLC(11-97)(Rev. 11/10)
Page 3 of 6
COVENANT NUMBER: LLC 2745
for bond amount within the applicable limit of 5. Pre judgment interest awarded against the
coverage. LMCIT does not have to furnish these "covered party" on that part of the judgment LMCIT
bonds. pays. If LMCIT makes an offer to pay the applicable
limit of coverage, LMCIT will not pay any pre
3. All reasonable expenses incurred by the "covered judgment interest based on that period of time after the
party" at LMCIT's request, to assist it in the offer.
investigation or defense of the claim or suit,
including actual loss of earnings up to $200 a day 6. All interest on the full amount of any judgment
because of time off from work. that accrues after entry of the judgment and before
LMCIT has paid, offered to pay, or deposited in court
4. All costs taxed against the "covered party" in the the part of the judgment that is within the applicable
suit. limits of coverage.
SECTION VI - CONDITIONS
This coverage agreement is subject to the following available witnesses, shall be given by or for the
conditions: "covered party" to LMCIT or any of its authorized
agents as soon as practicable. The "city" shall
1. LIMITATIONS ON LMCIT'S DUTY TO promptly take, at its own expense, all reasonable steps
INDEMNIFY to prevent damages from arising out of the same or
similar conditions; provided that:
LMCIT's duty to pay on behalf of or to indemnify a
"covered party" other than the "city" shall not apply to (1) A failure to take such preventative measures
any act or violation: shall not constitute a breach of this condition
unless LMCIT has requested the "city" in writing
a. Which constitutes malfeasance in office; or to undertake such preventative measures; and
b. Which constitutes willful neglect of duty; or (2) Such expense shall not be recoverable under
this covenant.
c. Which constitutes bad faith; or
Notice of damages or injury is not notice of a claim.
d. For which the"city" is not authorized to indemnify
any person by statute; or b. If claim is made or suit is brought against the
"covered party", the "covered party" shall immediately
e. Which constitutes dishonesty on the part of a forward to LMCIT every demand, notice, summons or
"covered party". other process received by him or his representative.
The terms "malfeasance", "willful neglect of duty", c. The "covered party" shall cooperate with LMCIT
and "bad faith" shall be given the same meaning in this and, upon LMCIT's request, assist in making
covenant as given in the applicable statute with respect settlements, assist in the conduct of suits and assist in
to the "city's" duty to defend or indemnify its officers, enforcing any right of contribution or indemnity
employees or agents. against any person or organization who may be liable
to the "covered party" because of damages for which
2. "COVERED PARTY'S" DUTIES IN THE coverage is afforded under this covenant; and the
EVENT OF OCCURRENCE, CLAIM OR "covered party" shall attend hearings and trials and
SUIT assist in securing and getting evidence and obtaining
the attendance of witnesses. The "covered party" shall
a. In the event of a claim or suit, notice containing not, except at his own cost, voluntarily make any
particulars sufficient to identify the "covered party" payment, assume any obligation or incur any expense
and also reasonably obtainable information with other than for first aid to others at the time of accident.
respect to the time, place and circumstances thereof,
and the names and addresses of the injured and of
LMCIT MLLC(11-97)(Rev. 11/10)
Page 4 of 6
COVENANT NUMBER: LLC 2745
3. ACTION AGAINST LMCIT number of the individual authorized to give or refuse
consent on the "city's"behalf.
No action shall lie against LMCIT unless as a
condition precedent thereto, there shall have been full c. If the "city" has notified LMCIT that the claim or
compliance with all of the terms of this covenant, nor suit may not be settled without the "city's" consent,
until the amount of the "covered party's" obligation to LMCIT will notify the "city" of the terms and
pay shall have been fully determined either by conditions of any proposed settlement. If the "city"
judgment against the "covered party" after actual trial does not consent to the proposed settlement, the "city"
or by written agreement of the "covered party", the must notify LMCIT within 14 days of the date the
claimant and LMCIT. "city" receives notice of the proposed settlement,
unless the "city" and LMCIT have mutually agreed to
Any person or organization or the legal representative a longer or shorter period. If within that time the "city"
thereof who has secured such judgment or written does not notify LMCIT that the"city" does not consent
agreement shall thereafter be entitled to recover under to the settlement, the "city" will be deemed to have
this covenant to the extent of the coverage afforded by consented to the settlement.
this covenant.
d. If the "city" refuses to consent to a settlement
No person or organization shall have any right under recommended by LMCIT, LMCIT will not be liable
this covenant to join LMCIT as a party to any action for any excess amount. "Excess amount" means the
against the "covered party" to determine the "covered sum of all damages and legal defense costs for the
party's" liability,nor shall LMCIT be impleaded by the claim or suit minus the sum of:
"covered party"or his legal representative.
(1) The amount of the settlement proposed by
Bankruptcy or insolvency of the "covered party" or of LMCIT;and
the "covered party's" estate shall not relieve LMCIT of
any of its obligations hereunder. (2) Any costs of defense incurred before the date
of the "city's"refusal.Any excess amount shall not
4. NO WAIVER OF IMMUNITIES be included in the calculation of damages for
purposes of any applicable "Each Occurrence
It is the express intent of the parties to this covenant Deductible" or"General Aggregate Deductible".
that the procurement of this covenant shall not waive
any immunities, limits, or defenses imposed by or e. If the "city" refuses to consent to a settlement
available under any statute or common law which is recommended by LMCIT, LMCIT may, at its sole
applicable to any "covered party". discretion, exercise either of the following options:
5. CONSENT TO SETTLE (1) LMCIT may pay to the "city"an amount equal
to the amount of the recommended settlement,
The "city" may prohibit LMCIT from settling any minus any applicable deductible. If LMCIT
claim or suit against a "covered party" without the makes such payment, LMCIT has no further duty
"city's" consent, as provided below: to defend or to indemnify the "city" or any other
covered party for this claim or suit, and the "city"
a. At any time before LMCIT has offered or made a assumes any duty which LMCIT would otherwise
settlement of a claim or suit, the "city" may notify have had to defend and to indemnify any other
LMCIT that LMCIT may not settle the claim or suit covered party.
without the "city's" consent. The "city" must give a
separate notice for each claim or suit which the "city" (2) LMCIT may continue to defend the claim or
intends to prohibit LMCIT from settling without the suit. If LMCIT elects to continue to defend the
"city's"consent. claim or suit, the "city" must reimburse LMCIT
for any excess amount.
b. If the "city" notifies LMCIT that the claim or suit
may not be settled without the "city's" consent, the f If the "city" refuses to consent to a settlement
"city" must designate an individual authorized to give recommended by LMCIT, the "city" must defend and
or refuse consent on the "city's" behalf. The "city's" indemnify LMCIT for any claim or suit arising out of
notice must include the name, address, and telephone the failure to settle the original claim or suit, including
LMCIT MLLC(11-97)(Rev. 11/10)
Page 5 of 6
COVENANT NUMBER: LLC 2745
amounts the "city" may owe as a Medicare Secondary
Payer under federal law.
g. If the "city"refuses to consent to a settlement
recommended by LMCIT, and regardless of which of
the options LMCIT chooses to exercise under
subparagraph e. above, LMCIT as an agent of the
"city", will continue to fulfill the mandatory Medicare
Secondary Payer reporting obligation under Section
111 of the Medicare, Medicaid, and SCRIP Extension
Act of 2007, if any, associated with the claim, but shall
have no payment obligation beyond the amount of the
recommended settlement amount. The "city"must
cooperate with LMCIT in providing LMCIT the
necessary information to allow LMCIT to fulfill the
reporting responsibility.
LMCIT MLLC(11-97)(Rev. 11/10)
Page 6 of 6
Covenant Number: MUNICIPAL EXCESS LIABILITY DECLARATIONS
MEL 7858 Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES - =>q
Previous Covenant Number: INSURANCE TRUST
MEL 7520 (Herein called LMCIT)
N�,11N N FSO 1,l
Item 1, CITY and MAILING ADDRESS:
COLUMBIA HEIGHTS,CITY OF&
COLUMBIA HEIGHTS EDA HRA Claims Made
590 40TH AVENUE NE
COLUMBIA HEIGHTS MN 55421-3835
Item 2. COVERAGE PERIOD: 12:01 AM Standard Time at Mailing
Address Indicated on Item 1.
From: 06/01/2013 To: 06/01/2014
Item 3. RETROACTIVE DATE:06/01/2007
Item 4. THE COVERED PARTY IS: CITY
Item 5. LIMITS OF COVERAGE:
Aggregate Limit $ 11000,000
Item 6. PREMIUM: 29,595
Item 7. FORM NUMBERS AND/OR ENDORSEMENTS FORMING A PART OF THE AGREEMENT AT ISSUE:
MELC(11/11) UME-49 (11/03)
Executive Director,LMCIT
LMCIT DEC-017(11/96)(Rev.1 1!02)
COVENANT NUMBER:MEN 7858
MUNICIPAL EXCESS LIABILITY COVERAGE
Various provisions in this covenant restrict coverage. covered. Words and phrases that appear in italics have
Read the entire coverage agreement carefully to special meaning, as given in SECTION III -
determine rights, duties, and what is covered and not DEFINITIONS,or in the underlying coverage.
SECTION I - LIABILITY COVERAGE
1. COVERAGE AGREEMENT compensation or any similar law.
a. Subject to the terms, conditions, limitations, c. Any failure to supply claim.
and exclusions contained herein, LMCIT will
pay amounts in excess of what LMCIT is d. Any mold claim.
obligated to pay under the terms of the
underlying coverage. e. Awards for attorney's fees pursuant to statute,
except for attorney's fees with respect to federal
b. The amount that LMCIT will pay is limited as civil rights suits or state human rights suits.
described in SECTION II - LIMITS OF
COVERAGE. f. Any limited pollution liability claim except for
damages:
c. LMCIT will only pay if the date of the claim is
on or after the retroactive date,if any,shown in (a) Arising out of pesticide or herbicide
the Declarations. application operations;
d. Except as otherwise provided herein, this (b) Arising from the accidental rupture,
coverage is subject to the same terms, backup, or overflow of the city's sanitary
definitions, conditions and exclusions of the sewer, storm sewer, or water supply
underlying coverage. systems;or
2. EXCLUSIONS (c) Caused by an actual,alleged,or threatened
discharge, dispersal, release or escape of
In addition to the exclusions contained in the pollutants which took place entirely above
underlying coverage, the following exclusions ground and not within or on the surface of
apply to this coverage: any lake, stream, surface water, or other
body of water, and in which any resulting
a. Any obligation to pay expenses under medical damages occurred entirely above ground
and related expense coverage. and not within or on the surface of any lake,
stream, surface water, or other body of
b. Any obligation imposed by law under any water.
automobile no-fault, uninsured motorist,
underinsured motorist,workers'compensation, g. Any outside organization claim.
disability benefits, or unemployment
SECTION II - LIMITS OF COVERAGE
1. The Limits of Coverage shown in Item 5. of the b. Claims made or suits brought;
Declarations and the rules below fix the most
LMCIT will pay under the terms of this covenant c. Persons or organizations making claims or
regardless of the number of: suits.
a. Covered parties;
LMCIT MELC(I1/86)(Rev. 11/11) Pagel of2
COVENANT NUMBER: MEN 7858
2. The Aggregate Limit is the most LMCIT will pay 3. Each payment, including defense expenses and
under this covenant. The Aggregate Limit includes supplementary payments,LMCIT makes under this
defense expenses and supplementary payments. covenant reduces,by the amount of the payment,the
Aggregate Limit.
SECTION III - DEFINITIONS
Underlying coverage means the Comprehensive Coverage of the Workers Compensation and Employers
Municipal Coverage and Part Two-Employers Liability Liability Coverage as provided by LMCIT.
SECTION IV - EXTENDED REPORTING PERIOD
The additional premium for the supplemental extended
reporting period will be a percentage the annual expiring
premium for SECTION I-LIABILITY COVERAGE.
Number of Years Since
Retroactive Date Shown
on Declarations Page Additional Cost
1 50%
2 70%
3 80%
4 90%
5+ 100%
LMCIT MELC(11/86)(Rev. 11/11) Page 2 of 2
COVENANT NUMBER:MEL 7858
THIS ENDORSEMENT MODIFIES COVERAGE PROVIDED UNDER MUNICIPAL
EXCESS LIABILITY COVERAGE, SECTION III—DEFINITIONS:
The definition of Underlying coverage is amended to read:
Underlying coverage means the following coverages as provided by LMCIT.-
1. Comprehensive Municipal Coverage;
2. Part Two-Employers Liability Coverage of the Workers Compensation and Employers Liability
Coverage; and
3. Municipal Liquor Liability Coverage.
All other terms and conditions remain unchanged.
LMCIT UME49(11/03) Page 1 of i
Covenant Number: AGREEMENT DECLARATIONS
ONIL 9972 DEFENSE COST - i
REIMBURSEMENT AGREEMENT f "!
Previous Covenant Number: Coverage Is Provided By: I
OML 8801 THE LEAGUE OF MINNESOTA CITIES
INSURANCE TRUST
MfNNt 4fYl,a
('1I'lLS
(Herein called L1tICIT)
Item 1. COVERED PARTY and MAILING ADDRESS:
COLUMBIA HEIGHTS,CITY OF&
COLUMBIA HEIGHTS EDA HRA Claims ade
590 40TH AVENUE NE ll
COLUMBIA HEIGHTS MN 55421-3835
Item 2. COVERAGE PERIOD: 12:01 AM Standard Time at
Mailing Address Indicated Above
From: 06/01/2013 To: 06/01/2014
Item 3. RETROACTIVE DATE:06/01/2002
Item 4. THE COVERED PARTY IS:CITY
Item 5. DEFENSE COST REIMBURSEMENT LIMITS:
1. Agreement Term Annual Aggregate Per City Official: $50,000.
2. Agreement Term Annual Aggregate: $250,000.
Item 6. PREMIUM: $NO CHARGE
Item 7, FORMS AND ENDORSEMENTS APPLICABLE TO AGREEMENT:
ME063 (11/01) OMLRA-1 (11/12)
Executive Director,LAI61T
LMCIT DEC-019(11/93)(Rev.11/11)
COVENANT NUMBER: OML 9972
DEFINITION OF CITY ENDORSEMENT
It is understood and agreed that city is amended to include:
COLUMBIA HEIGHTS ECONOMIC DEVELOPMENT AUTHORITY
COLUMBIA HEIGHTS HOUSING AND REDEVELOPMENT AUTHORITY
All other terms and conditions remain unchanged.
LMCTT ME063(11/95)(Rev. 11/01) Page 1 of 1
COVENANT NUMBER: OML 9972
DEFENSE COST REIMBURSEMENT AGREEMENT
I. DEFENSE COST REIMBURSEMENT LMCIT's requests for information, investigative data,
COVERAGE records, or any other material documentation.
LMCIT will reimburse a city official for 100 percent of 4. The city official will be reimbursed only for defense
the defense costs incurred by the city official in costs incurred with respect to legal services actually
defending a covered lawsuit, if the following conditions rendered and expenses actually incurred.
are met:
5. The city official shall have complete freedom to
1. The date on which the covered lawsuit is choose an attorney licensed in the State of
commenced must be within the term of this Minnesota to provide the city official with legal
agreement; and; services with respect to which defense costs are
reimbursable under this Agreement.
2. The date on which the occurrence giving rise to the
covered lawsuit must be on or after the retroactive 6. It is the express intent of the parties to this
date, if any, shown in the Declarations. Agreement that, neither the city nor the city official,
waive any immunities, defenses, or limitations on
A covered lawsuit is deemed to be commenced on the liability available under Minnesota statutes or
date the city official is served notice of the lawsuit. common law.
II. LIMITS 7. In the event that a city official makes a recovery of
defense costs from any third party, that recovery
1. The Defense Cost Reimbursement Agreement Limit shall be applied first to any defense costs which the
is $50,000. This is the most LMCIT will reimburse city official has incurred which have not been
any one city official for defense costs for covered reimbursed by LMCIT; and any remainder shall be
lawsuits commenced during the term of this applied to reimburse LMCIT for any payment it has
agreement, regardless of the number of lawsuits, the made under this Agreement.
number of actual or alleged violations, or the date
the defense costs are actually incurred. 8. LMCIT may cancel this Agreement by mailing or
delivering written notice to the city at least:
2. The Defense Cost Reimbursement Annual
Aggregate Limit is $250,000. This is the most a. Ten(10)days before the effective date of
LMCIT will pay for defense costs under this cancellation for nonpayment of premium for the
agreement for all city officials for covered lawsuits city's covenant that provides the following
commenced with the term of this agreement. coverages:
III.CONDITIONS AND EXCLUSIONS Municipal Property, Crime, Bond and Petrofund
Coverage;
1. The term of this Agreement shall be one year Equipment Breakdown Coverage;
beginning with the effective date stated in the Comprehensive Municipal Coverage;
Declarations. Subsequent renewals of this Automobile Liability Coverage; or
Agreement shall be treated as separate terms. Automobile Physical Damage Coverage.
2. LMCIT shall have no duty to provide a defense to a b. Thirty (30) days before the effective date of
city official with respect to a covered lawsuit; cancellation for any other reason.
however,LMCIT shall have the right to intervene at
its expense in the investigation or defense of such If LMCIT decides not to renew this Agreement,
legal action. LMCIT will mail or deliver to the city written
notice of non-renewal not less than thirty 30
3. The city or the city official shall give prompt notice days before the expiration date.
to LMCIT of any actual or threatened covered
lawsuit. The city and the city official shall at all 9. It is mutually understood and agreed that the city and
times cooperate with and promptly respond to all other LMCIT pool participants are jointly and
severally liable for all claims and expenses of the
LMCIT OMLRA-1(11/93)(Rev.11/12) Page 1 of 2
COVENANT NUMBER: OMB 9972
pool. The amount of any liabilities in excess of exercise of governmental powers. An
assets may be assessed to LMCIT pool participants intergovernmental agreement will be deemed to
when a deficiency is identified. create a joint powers entity if the agreement
establishes a board with the effective power to do
IV. DEFINITIONS any of the following, regardless of whether the
specific consent of the constituent governmental
1. "Bankruptcy lawsuit"means a lawsuit against a units may also be required:
city official for actions within his or her duties as
such, that arises from or is related to the actual, a. To receive and expend funds;
pending, or threatened bankruptcy of the city.
b. To enter into contracts;
2. "City"means the city or other governmental body
or entity first named in the Declarations. Unless c. To hire employees;
specifically named in the Declarations, city shall not
include a gas, electrical, or steam utilities d. To purchase or otherwise acquire and hold real or
commission; port authority, housing and personal property; or
redevelopment authority, economic development
authority, area or municipal redevelopment e. To sue or be sued.
authority, or similar agency; municipal power
agency; municipal gas agency; hospital or nursing 7. "LMCIT" means the League of Minnesota Cities
home board or commission; airport commission; Insurance Trust.
welfare or public relief agency; school board; or
joint powers entity; but the following are deemed to 8• "Open Meeting Law lawsuit" means a lawsuit
be a covered joint powers entity under this seeking penalties against a city official based on an
agreement: allegation that the city official has violated
M.S.13D.01- 13D.07, commonly known as the
a. A joint planning board created pursuant to an Minnesota Open Meeting Law.
orderly annexation agreement or joint resolution
between the city and a township; or
b. A joint airport zoning board created pursuant to
Minnesota Statute 360.063.
3. "City official" means any former or present elected or
appointed official of the city or any present or
former employee of the city. For the purposes of a
bankruptcy lawsuit, an independent contractor is not
a city official,
4. "Covered lawsuit" means an Open Meeting Law
lawsuit or a bankruptcy lawsuit.
5. "Defense costs" means reasonable and necessary
attorney fees, court costs, court reporter and
transcript fees, general witness and expert witness
fees and expense, and similar defense related costs.
Defense costs does not include any fines or
penalties, or any attorney's fees awarded to a
plaintiff in a suit charging a violation of the Open
Meeting Law.
6. "Joint powers entity" means an operating entity
created by two or more governmental units entering
into an agreement as provided by statute for the joint
LMCIT 0MLRA-1(11/93)(Rev.11/12) Page 2 of 2
LMCIT PREMIUM BREAKDOWN
DATE: 07/09/2013 Coverage Period: 06/01/2013 -
06/01/2014
TO:
CITY OF: COLUMBIA HEIGHTS, CITY OF &
COVERAGE AVERAGE RATE AMOUNT OF COVERAGE PREMIUM
PROPERTY (Per $100 Coverage)* $ 62,446,178 $ 82,085
EQUIPMENT BREAKDOWN COVERAGE $ 62,446, 178 $ 8, 711
MOBILE PROPERTY(Per $100 Coverage) :
SCHED.OVER 25,000 . 38920 $ 1 ,264,909 $ 4,923
UNSCHED. 25 ,000 & LESS $ 214,814 $ 2,660
MUNICIPAL LIABILITY SEE ATTACHED $ 96 , 173
AUTO LIABILITY & PHYSICAL DAMAGE *SEE ATTACHED $ 24,237
CRIME-INSIDE/OUT/FORGERY $ 250,000 $
BONDS $ 300,000 $ 1,677
*These AVERAGE RATES are to be used TOTAL PREMIUM: $ 220,466
for ESTIMATES of PREMIUM ALLOCATION ONLY
07/20 PREPARED BY: - UL--
SCHEDULE of VEHICLES - COLUMBIA HEIGHTS, CITY OF &
COVENANT Number: CMC 35579
COVENANT Period: 06/01/2013 TO 06/01/2014
VEH# YR TRADE NM MODEL - ID - LIAB PHYD
HNO HIRED/NONOWNED $ 35 $
001 1992 CHEV C15 CARGO VAN 6628 $ 132 $ 41
002 1995 FORD LS9000 ENGINE #1 0058 $ 28 $ 875
003 1985 FORD L9000 ENGINE #4 0591 $ 28 $ 447
004 1990 FORD RESCUE #1 8732 $ 100 $ 473
005 2001 FORD EXPEDITION 7504 $ 67 $ 58
006 1996 FORD F250 TRUCK 5895 $ 103 $ 87
007 1989 FELLING TRAILER 2018 $ $ 35
008 1996 DCT TRAILER 1554 $ $ 35
009 1998 FORD TAURUS 2191 $ 67 $ 58
010 1999 FORD TAURUS 8304 $ 67 $ 58
011 1998 HAULMARK TRAILER 9274 $ $ 35
012 2001 FORD TAURUS 2755 $ 227 $ 97
013 2001 SMART TRAILER 8129 $ $ 40
014 1999 FORD VAN 5266 $ 67 $ 58
015 1992 FORD L8000 VACTOR 4702 $ 116 $ 524
016 1994 CHEV 3/4 T PICKUP 6180 $ 103 $ 52
017 2002 FORD F-450 TRUCK 7309 $ 103 $ 88
018 1996 FORD F-250 TRUCK 7963 $ 103 $ 46
019 1998 CHEV 3/4 T PICKUP 3335 $ 103 $ 67
020 1994 FORD F700 TRUCK 9182 $ 116 $ 111
021 2001 STERLING POTHOLE 5864 $ 116 $ 317
022 1991 DCT TRAILER 9194 $ $ 35
023 2001 STERLING DUMP TRUCK 1859 $ 116 $ 204
024 1998 FORD K7511 DUMP TRUCK 1035 $ 116 $ 136
025 1996 FORD L8000 8927 $ 116 $ 229
026 1996 KIEFER TRAILER 3408 $ $ 35
027 1996 FORD CLUB WAGON 1223 $ 103 $ 44
028 1995 FORD F-250 5539 $ 103 $ 70
029 2002 FORD E450 AMBULANCE 5524 $ 100 $ 385
030 2000 FELLING TILT TRAILER 3183 $ $ 35
031 2002 FORD TAURUS 7193 $ 227 $ 97
032 2001 FORD F450 TRUCK 5813 $ 103 $ 77
033 2003 FORD F450 TRUCK 3212 $ 103 $ 86
034 1999 TILT TRAILER 0251 $ $ 35
035 2004 FORD F450 TRUCK 1096 $ 103 $ 86
036 2004 FORD E250 VAN 3288 $ 103 $ 44
037 2004 SPARTAN LADDER TRK 7328 $ 28 $ 2, 174
038 2004 FORD F250 PICKUP 9439 $ 103 $ 52
039 2005 FORD CROWN VICT 2694 $ 67 $ 58
040 2004 FORD F-350 PICKUP 9438 $ 103 $ 52
041 1998 FORD L800 LIFT TRUCK 7601 $ 116 $ 131
SCHEDULE of VEHICLES - COLUMBIA HEIGHTS , CITY OF &
COVENANT Number : CMC 35579
COVENANT Period: 06/01/2013 TO 06/01/2014
VEH# YR TRADE NM MODEL - ID - LIAB PHYD
042 2006 INT'L 4300 JETTER 6095 $ 116 $ 514
043 2006 FORD F350 TRUCK 6584 $ 103 $ 58
044 2007 FORD CROWN VICT 7203 $ 67 $ 58
045 2007 FORD CROWN VICT 9245 $ 67 $ 58
046 2006 FORD F350 TRUCK 6583 $ 103 $ 58
047 2006 FORD F350 TRUCK 6585 $ 103 $ 58
048 2003 FORD E350 VAN 6293 $ 1 ,059 $ 148
049 2007 FORD CROWN VICT 7454 $ 67 $ 58
050 2007 FORD F150 PICKUP 6537 $ 103 $ 40
051 2008 FORD ESCAPE 3873 $ 67 $ 58
052 2008 FORD TAURUS 0604 $ 227 $ 97
053 2009 FORD F250 PICKUP 6730 $ 103 $ 56
054 2008 DODGE CHARGER 6209 $ 227 $ 97
055 2008 FORD F350 PICKUP 7926 $ 103 $ 133
056 2001 FORD ECONOLINE 3879 $ 103 $ 35
057 2009 DODGE CHARGER 1732 $ 227 $ 97
058 2008 CONTRAIL TRAILER 2244 $ $ 35
059 2008 FORD CROWN VICT 6926 $ 227 $ 97
060 2008 FORD CROWN VICT 6925 $ 227 $ 97
061 2009 INT'L DUMP TRUCK 6984 $ 116 $ 371
062 2008 ELGIN EAGLE SWEEPER 9263 $ 116 $ 587
063 2008 FORD TRUCK 8623 $ 116 $ 388
064 2009 INT'L DUMP TRUCK 3631 $ 116 $ 191
065 2009 CHEV IMPALA 3599 $ 227 $ 97
066 2009 ROYAL CARGO TRAILER 1990 $ 92 $ 35
067 2009 FORD CROWN VICT 5132 $ 227 $ 97
068 2011 INT'L CHASSIS 8723 $ 116 $ 199
069 2010 FORD CROWN VIC 5350 $ 227 $ 97
070 2010 FORD CROWN VIC 5351 $ 227 $ 97
071 2010 CHEV IMPALA 0797 $ 227 $ 97
072 2010 FORD E150 VAN 8000 $ 103 $ 52
073 2011 FORD F250 PICKUP 6263 $ 103 $ 77
074 2010 CHEV IMPALA 0877 $ 227 $ 97
075 2011 FORD CROWN VIC 7014 $ 227 $ 97
076 2011 FORD CROWN VIC 7015 $ 227 $ 97
077 2011 ELGIN SWEEPER 2199 $ 116 $ 629
078 2012 CHEV TAHOE 0324 $ 28 $ 124
079 2007 FORD ESCAPE 9394 $ 227 $ 97
080 2012 CHEVROLET SUBURBAN 8301 $ 67 $ 58
081 2009 LINCOLN MKS 0243 $ 227 $ 97
082 2013 INT 'L DUMP 5856 $ 116 $ 224
083 2013 FORD INTERCEPTO 6911 $ 227 $ 97
084 2013 FORD INTERCEPTO 6912 $ 227 $ 97
SCHEDULE of VEHICLES - COLUMBIA HEIGHTS, CITY OF &
COVENANT Number: CMC 35579
COVENANT Period: 06/01/2013 TO 06/01/2014
VEH# YR TRADE NM MODEL - ID - LIAB PHYD
TOTAL VEHICLES $ 10,619 $ 13,618
TOTAL AUTO PRM $ 24,237
MUNICIPAL LIABILITY - COLUMBIA HEIGHTS, CITY OF &
COVENANT Number : CMC 35579
COVENANT Period: 06/01/2013 TO 06/01/2014
PREMIUM ADVANCED
--HAZARD-- BASIS PREMIUM
EXPENDITURES $ 28, 160, 189. 00 $ 18,599
NO FAULT SEWER BACKUP-$10,000 7,233.00 $ 7,505
FIREWORKS 1 . 00 $ 225
LAND USE 7,973 .00 $ 16, 785
SEWER BACKUP 7,233 .00 $ 13,436
EMPLOYMENT 114.00 $ 14, 353
POLICE DEPARTMENT 28 . 00 $ 25,270
TOTAL LIABILITY $ 96, 173
MUNICIPAL PROPERTY - COLUMBIA HEIGHTS, CITY OF &
COVENANT Number: CMC 35579
COVENANT Period: 06/01/2013 TO 06/01/2014
LOC BLD COV DESCRIPTION COVERAGE PREMIUM
001 001 BLD 965 40TH AVENUE NE 13,069,158 19,240
APARTMENT BLDG.
002 001 BLD 590 40TH AVENUE NE 4, 168,230 1 ,975
CITY HALL
002 001 CNT 590 40TH AVENUE NE 383,687 244
CITY HALL
003 001 BLD 637 38TH AVENUE NE 4, 161 ,294 3,626
MUNICIPAL SERVICE CENTER
003 001 CNT 637 38TH AVENUE NE 256,031 340
MUNICIPAL SERVICE CENTER
004 001 BLD 637 38TH AVENUE NE 137, 700 364
TANKS AND PUMPS
005 001 BLD 820 40TH AVENUE NE 2,224,008 1 ,637
LIBRARY
005 001 CNT 820 40TH AVENUE NE 1 ,677,913 1 ,661
LIBRARY
006 001 BLD 4025 VAN BUREN STREET 3,037,662 2,647
PARKING RAMP
007 001 BLD 4700 STINSON BOULEVARD 839,868 334
WATER TOWER-250,000 GALLONS
008 001 BLD 5225 UNIVERSITY AVENUE NE 497, 760 1 , 360
LIQUOR STORE
008 001 CNT 5225 UNIVERSITY AVENUE NE 174,590 808
LIQUOR STORE
009 001 BLD 530 MILL STREET 3,208,920 2,063
MURZYN HALL
009 001 CNT 530 MILL STREET 899, 344 776
MURZYN HALL
010 001 BLD SULLIVAN PARK 104,040 939
RESTROOMS
010 001 CNT SULLIVAN PARK 14,892 134
RESTROOMS
011 001 PIO EDGEMORE PARK 17,604 136
PARK
012 001 BLD GAUVITTE PARK 72,522 655
WARMING HOUSE
013 001 PIO GAUVITTE PARK 18,957 146
PARK
014 001 PIO HILLTOP PARK 24, 374 188
PARK
015 001 BLD HUSET PARK 60,588 547
WARMING HOUSE
MUNICIPAL PROPERTY - COLUMBIA HEIGHTS, CITY OF &
COVENANT Number: CMC 35579
COVENANT Period: 06/01/2013 TO 06/01/2014
LOC BLD COV DESCRIPTION COVERAGE PREMIUM
016 001 BLD HUSET PARK 15, 300 197
PRESS BOX (FIELD #5)
017 001 PIO HUSET PARK 81 ,884 633
PARK
018 001 BLD KEYES PARK 72,522 655
WARMING HOUSE
019 001 PIO KEYES PARK 18,957 146
PARK
020 001 PIO LABELLE PARK 20, 313 157
PARK
021 001 PIO LABELLE CIRCLE TERRACE 20, 313 157
VARIOUS
022 001 BLD LOMIANKI PARK 51 ,000 460
WARMING HOUSE
023 001 BLD MCKENNA PARK 72,522 655
WARMING HOUSE
024 001 PIO MCKENNA PARK 18,957 146
PARK
025 001 BLD OSTRANDER PARK 72,522 655
WARMING HOUSE
026 001 PIO OSTRANDER PARK 40,623 314
PARK
027 001 BLD PRESTEMON PARK 51,510 465
WARMING HOUSE
028 001 PIO PRESTEMON PARK 133,820 1 ,035
PARK
029 001 BLD RAMSDELL PARK 72,522 655
WARMING HOUSE
030 001 PIO RAMSDELL PARK 20, 313 157
PARK
031 001 BLD SILVER LAKE BEACH 81 ,600 737
BEACH HOUSE
032 001 BLD 637 38TH AVENUE NE 350,064 477
MSC BROWN BUILDING
032 001 CNT 637 38TH AVENUE NE 20,540 42
MSC BROWN BUILDING
033 001 PIO SULLIVAN PARK 50, 102 387
PARK
034 001 BLD 4400 RESERVOIR BLVD 126, 378 78
PUMP STATION #2
034 001 CNT 4400 RESERVOIR BLVD 277,290 204
PUMP STATION #2
035 001 BLD 4633 IVANHOE PLACE 165,240 102
PUMP STATION #3
MUNICIPAL PROPERTY - COLUMBIA HEIGHTS, CITY OF &
COVENANT Number : CMC 35579
COVENANT Period: 06/01/2013 TO 06/01/2014
LOC BLD COV DESCRIPTION COVERAGE PREMIUM
035 001 CNT 4633 IVANHOE PLACE 277,290 204
PUMP STATION #3
036 001 BLD 4640 CHATHAM ROAD 44,268 27
LIFT STATION #1 (CHATHAM)
036 001 CNT 4640 CHATHAM ROAD 35,945 26
LIFT STATION #1 (CHATHAM)
037 001 BLD 330 ARGONNE DRIVE 35, 700 22
LIFT STATION #2
037 001 CNT 330 ARGONNE DRIVE 35 ,945 26
LIFT STATION #2
038 001 BLD 4101 STINSON BLVD 82,620 33
LIFT STATION #3 (SILVER LAKE)
038 001 CNT 4101 STINSON BLVD 46,215 22
LIFT STATION #3 (SILVER LAKE)
039 001 BLD 721 51ST AVENUE NE 178,500 71
LIFT STATION #4 (SULLIVAN)
039 001 CNT 721 51ST AVENUE NE 51 , 350 25
LIFT STATION #4 (SULLIVAN)
040 001 BLD HUSET PARK 214,200 582
GARAGE
040 001 CNT HUSET PARK 13, 351 55
GARAGE
041 001 BLD 637 38TH AVENUE NE 261 , 120 355
MSC - BLUE BLDG
042 001 BLD 637 38TH AVENUE NE 51 ,408 70
MSC - SALT SHED
043 001 PTO CITYWIDE 999,439 195
VARIOUS
044 001 PIO 559 MILL STREET 40,836 316
VARIOUS
045 001 PIO 4633 IVANHOE PLACE 37, 150 287
VARIOUS
046 001 BLD 4950 CENTRAL AVENUE NE 3, 163, 122 6, 182
LIQUOR STORE
046 001 CNT 4950 CENTRAL AVENUE NE 1 , 144,900 3, 777
LIQUOR STORE
047 001 BLD 2105 37TH AVENUE 2, 352,018 4,596
LIQUOR STORE
047 001 CNT 2105 37TH AVENUE 787,298 2,597
LIQUOR STORE
048 001 PIO 637 38TH AVE NE 71,817 444
MSC
049 001 PIO 4400 RESERVOIR BLVD 51, 315 373
PUMP HOUSE #2
MUNICIPAL PROPERTY - COLUMBIA HEIGHTS, CITY OF &
COVENANT Number: CMC 35579
COVENANT Period: 06/01/2013 TO 06/01/2014
LOC BLD COV DESCRIPTION COVERAGE PREMIUM
050 001 PIO 4101 STINSON BLVD 11,407 83
LIFT STATION #3
051 001 PIO 530 MILL STREET 68, 328 528
MURZYN HALL
052 001 BLD SULLIVAN PARK 81 ,600 1 ,052
SHELTER
053 001 PIO 40TH & CENTRAL NE 29,858 230
VARIOUS
054 001 BLD SILVER LAKE BEACH 27,030 348
SHELTER
055 001 BLD HUSET PARK 81 ,600 1 ,052
SHELTER
056 001 BLD 825 41ST AVE NE 9,994, 776 5 ,581
PUBLIC SAFETY BUILDING
056 001 CNT 825 41ST AVE NE 563,618 420
PUBLIC SAFETY BUILDING
057 001 PIO JACKSON POND 8, 160 59
STORM WATER RETENTION POND
058 001 BLD 40TH AVENUE 4, 720,560 4, 113
PARKING RAMP
TOTAL PROPERTY 82,085
MOBILE PROPERTY - COLUMBIA HEIGHTS, CITY OF &
LOC BLD COV DESCRIPTION COVERAGE
001 1991 LEE BOY PAVER #60-042 59,914
002 1998 WILDCAT SNOW BLOWER-LOADER #9277 69, 728
003 2007 JOHN DEERE TRACTOR W/BROOM #5648 56,815
004 1994 CASE FRONT END LOADER #0770 165,280
005 1999 HENKE REVE 12 FOOT PLOW/WING ATTA # 34,089
006 1990 JCB 1400 TRACTOR/BACKHOE #8917 77,475
007 2000 CAT 428 TRACTOR/BACKHOE #1795 129, 125
008 1993 FORD 3930 FARM TRACTOR #3655 46,485
009 2010 TRACKLESS MTV TRACTOR W/EQUIPMENT M 134,290
010 1998 MCQUEEN MT TRACKLESS TRACTOR #1475 113,630
O11 2004 BOMAG ROLLER #9591 36, 155
012 2005 TRACKLESS LEAF LOADER 29,957
013 2007 TORO 580D LAWN MOWER #0152 98,135
014 CAT SHD STEER LOADER MDL 247B2 #5909 43, 386
015 2007 CAT 938G11 LOADER #2454 170,445
TOTAL MOBILE PROPERTY 1,264,909
CMC 35579 Mortgagee/AdditionalInsu red/Lienholders
001 SAINT PAUL FESTIVAL & HERITAGE FOUNDATION
ATTN: PARADES
429 LANDMARK CENTER
75 WEST 5TH STREET
SAINT PAUL, MN 55102
N014
RE: PARTICIPATING IN THE WINTER CARNIVAL PARADE.
002 CITY OF NORTHFIELD
ATTN: ELIZABETH WHEELER
801 WASHINGTON STREET
NORTHFIELD, MN 55057
N014
RE: DEFEAT OF JESSE JAMES DAYS CELEBRATION
003 DEFEAT OF JESSE JAMES COMMITTEE, INC.
PO BOX 23
NORTHFIELD, MN 55057
N014
RE: DEFEAT OF JESSE JAMES DAYS CELEBRATION
004 ANOKA COUNTY & ANOKA COUNTY HRA
ATTN: KATE THUNSTUM, CDBG COORDINATOR
2100 3RD AVENUE
ANOKA, MN 55303
N014
RE: ANOKA COUNTY CDBG PROGRAM
CMC 35579 AUTO ADDL INSRDS/LEINHOLDERS
Loc/bld no. TYP
080 22 001 R NORTHEAST BANK 8301
77 NE BROADWAY
MINNEAPOLIS, MN 55413
080 22 002 S EXECUTIVE LEASING LLC 8301
9700 63RD AVENUE NORTH
SUITE 250
MAPLE GROVE, MN 55368
CMC 35579 ENDORSEMENT FORMS SELECTED FOR POLICY
Form Date Mand Description of Form