HomeMy WebLinkAbout2017-2819Covenant Number: COMMON COVERAGE DECLARATIONS
CMC_1002979_ -1 Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES
Previous Covenant Number: INSURANCE TRUST
CMC 39167 (Herein called LMCIT)
Item 1. CITY and MAILING ADDRESS
COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
590 40TH AVE. NE
COLUMBIA HEIGHTS, MN 55421 -3878
Item 2. COVERAGE PERIOD:
From: 06/01/2017 To: 06/01/2018
2017 -2819
e
LEAGU E of
MINNESOTA
CITIES
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:
Executive Director, LMCIT
LMCIT DEC -011 (11/86)(Rev. 11/09) Page 1 of 1
PROPERTY, CRIME, BOND, and PETROFUND
Premium
Property
$
64,213
Additional Covered Loss or Damages
INCLUDED
Water and Supplemental Flood Coverage
INCLUDED
Crime
INCLUDED
Bond
$
1,387
Petrofund
INCLUDED
EQUIPMENT BREAKDOWN
$
7,250
MUNICIPAL LIABILITY
$
171,009
Medical and Related Expense
NOT COVERED
AUTOMOBILE LIABILITY
$
18,287
AUTOMOBILE PHYSICAL DAMAGE
$
14,654
TOTAL
$
276,800
Item 5.
GENERAL ANNUAL AGGREGATE DEDUCTIBLE: DOES NOT APPLY
Item 6.
PREMIUM IS DUE AND PAYABLE: 4 -Pay (25% down + 3 installments)
Item 7.
FORMS APPLICABLE TO ALL COVERAGE PARTS:
CCM(11 /16)
Item 8.
DECLARATIONS APPLICABLE:
DEC-01 1(11/09) DEC - 012(11/15) DEC-01 3(11/15)
DEC- 016(11/15)
Executive Director, LMCIT
LMCIT DEC -011 (11/86)(Rev. 11/09) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -1
COMMON CONDITIONS
ALL COVERAGE PARTS INCLUDED IN THIS COVENANT
ARE SUBJECT TO THE FOLLOWING CONDITIONS:
a. The city shown in the Declarations may cancel
this covenant by mailing or delivering to LMCIT
advance written notice of cancellation.
b. LMCIT may cancel this covenant by mailing or
delivering to the city shown in the Declarations
written notice of cancellation at least:
(1) 10 days before the effective date of the
cancellation if LMCIT cancels for nonpayment of
premium; or
(2) 30 days before the effective date of the
cancellation if LMCIT cancels for any other
reason.
c. LMCIT will mail or deliver its notice to the city
shown in the Declarations last mailing address
known to LMCIT.
d. Notice of cancellation will state the effective date
of cancellation. The coverage period will end on
that date.
e. If this covenant is canceled, LMCIT will send the
city shown in the Declarations any premium
refund due. If LMCIT cancels, the refund will be
pro -rata. If the city cancels, the refund may be
less than the pro -rata. The cancellation will be
effective even if LMCIT has not made or offered a
refund.
f. If LMCIT decides not to renew this covenant,
LMCIT will mail or deliver to the city shown in the
Declaration written notice of the non- renewal not
less than 30 days before the expiration date.
g. If notice is mailed, proof of mailing will be
sufficient proof of notice.
2. CHANGES
This covenant contains all the agreements between
LMCIT and the city concerning the coverage
afforded.
The city shown in the Declarations is authorized to
make changes in the terms of this coverage
agreement with the consent of LMCIT. The coverage
terms can be amended or waived only by
endorsement issued by LMCIT and made a part of
this covenant or by acknowledgment by LMCIT that
an endorsement will be issued at a later date.
3. RATING AUTHORITY AND
EXAMIN• OF BOOKS
AND RECORDS
LMCIT shall have full discretionary authority to
promulgate rates and establish the premium to be
charged for the coverage period under this covenant.
LMCIT may, at its discretion or at the city's request,
examine and audit the city's books as they relate to
this covenant during the coverage period and up to
one year thereafter and, accordingly, make any
necessary adjustments in premium. No premium
adjustments will be made after one year following the
expiration of the coverage period.
4. INSPECTIONS AND SURVEYS
LMCIT has the right, but it is not obligated to:
a. Make inspections and surveys at any time.
b. Give the city reports on the conditions it finds;
and
c. Recommend changes.
Neither LMCIT's right to make inspections nor its
making any report thereon shall constitute any
undertaking on behalf of or for the benefit of the city
or others to determine or warrant that such property
or operations are safe or healthful or free from hazard
or are in compliance with any law, rule or regulation.
These conditions apply not only to LMCIT, but also to
any rating advisory, rate service, or similar
organization which makes inspections, surveys,
reports, or recommendations.
The city shown in the Declarations:
a. Is responsible for the payment of all premiums;
and
b. Will be the payee for any return premiums.
LMCIT CCM (11 /89)(Rev. 11116) Page 1 of 3
COVENANT NUMBER: CMC 1002979 -1
6. TRANSFER OF THE CITY'S RIGHTS
AND DUTIES UNDER THIS COVENANT
The city's rights and duties under this covenant may
not be assigned or otherwise transferred without the
written consent of LMCIT.
7. OVERLAP OF COVERAGE
In the event of a dispute between LMCIT and one or
more insurers as to which policy or coverage
agreement applies to a covered loss, LMCIT shall
indemnify the city for any legal or other expenses
which are necessarily incurred by the city in
determining whether LMCIT or the insurer(s) shall
bear the loss. Such indemnification shall be made
only if it is determined that payment of the loss shall
be made under this covenant. If the loss is shared by
LMCIT and one or more insurers, indemnification
shall be made in the same proportion as the loss
payment. The city and LMCIT shall cooperate in the
development and execution of reasonable
procedures to resolve the dispute.
8. ASSESSIBILITY
All cities in the joint coverage pool are jointly and
severally liable for all claims and expenses of the
pool. The amount of any liabilities in excess of assets
may be assessed to the members of the pool when a
deficiency is identified.
LMCIT, under this covenant, does not cover any loss
or claim for damage that is caused in part or in total
by nuclear reaction or radiation, or radioactive
contamination, however caused.
This covenant is void if the city has intentionally
concealed or misrepresented any material fact or
circumstance relating to this covenant.
a. Except as provided in paragraph b., this
coverage is excess over the following:
(1) Any liability insurance policy of another party
on which the covered party is an additional
insured or additional named insured.
(2) Any other valid and collectible insurance
policy or other coverage, whether such other
policy or coverage is primary, excess, contingent,
or any other basis, unless that policy or coverage
is specifically written to be excess over this
covenant.
b. This coverage is primary for any of the following
losses:
(1) A covered loss of business personal effects,
with respect to any coverage provided under the
employee's homeowners' insurance or similar
coverage.
(2) A covered loss of contents or mobile property
in the city's care, custody and control that is used
to maintain the operations of the city, with respect
to coverage provided under an insurance policy
of the owner covering that property.
(3) A covered loss resulting from the city's
maintenance or use, including loading or
unloading, of any owned automobile that is not a
trailer.
(4) A covered loss resulting from the city's
maintenance or use, including loading or
unloading, of any trailer the city does not own but
which is connected to an owned automobile.
(5) Any covered liability claim against a party who
has been added by endorsement as an additional
covered party under this covenant, unless that
endorsement specifically provides that this
covenant is excess.
(6) A covered loss to a covered automobile as
provided by the Municipal Automobile Physical
Damage Coverage.
(7) A covered loss to a builders risk property as
provided by Buildings in the Course of
Construction, Alteration or Repair Coverage.
Except as otherwise required by statute, any "net
recovery" from a third party on a covered loss will be
allocated between the city and LMCIT in proportion to
their respective shares of the total covered loss. "Net
recovery" means the total amount recovered from a
third party; minus the cost of obtaining that recovery;
but "net recovery" does not include amounts LMCIT
recovers from a reinsurer, The city's share of the
covered loss includes any applicable deductible; any
amounts for which the city is responsible under any
co -pay provisions; and any amounts which exceed
the applicable coverage limit.
LMCIT CCM (11189)(Rev. 11116) Page 2 of 3
COVENANT NUMBER: CMC 1002979 -1
LMCIT
Except as provided below, if any person or
organization to or for whom LMCIT makes payment
under this covenant has rights to recover damages
from another, those rights are transferred to LMCIT to
the extent of LMCIT's payment. That person or
organization must do everything necessary to secure
our rights and must do nothing before or after a loss
to impair them.
a. The city may waive the city's rights against
another party in writing prior to a covered loss or
damage but this does not apply to a covered loss
or damage as provided by the Municipal Bond
Coverage or Municipal Crime Coverage. The city
does not need to notify LMCIT in writing.
b. The city may waive the city's rights against
another party in writing after a covered loss or
damage as provided by the Municipal Property
Coverage, only if at the time of loss that party is
one of the following:
(1) Another covered party covered by this
covenant
(2) Another entity
(a) Owned or controlled by the city; or
(b) That owns or controls the city.
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 it be deemed to apply to an
action brought by a covered party, or any of its
officers, employees or agents against the city or
another covered party.
Covenant expires on the expiration date unless the
city has requested that coverage be extended and
LMCIT has sent a written confirmation of the
extension to the city.
- • •
Notwithstanding any other provision of this covenant
to the contrary, if the city fails to make timely
payment of amounts owed to LMCIT, including
premiums, penalties, deductibles, co -pays, premium
audit adjustments or retrospective rating plan
charges, LMCIT, in addition to other remedies
available to it, shall have the right to retain and offset
any amounts owed to the city and apply the amounts
so retained against the unpaid and overdue amounts.
Amounts owed to the city, which are subject to an
offset include, but are not limited to, dividends,
premium audit adjustments, retrospective rating plan
adjustments, and claims payments owed to the city
by LMCIT.
LMCIT CCM (11/89)(Rev. 11/16) Page 3 of 3
LEAGUE
MINNESOTA
CITIES
Item 1. CITY: COLUMBIA HEIGHTS, CITY OF& COLUMBIA HEIGHTS EDAHRA
Item 2. COVERAGE PERIOD:
From: 06/01C3017 To: 06/01/2018 12:01AK4 Standard Time ot Mailing Address
on Common Coverage Declarations
Item 3, THE COVERED PARTY IS: CITY
Item COVERAGE:
IN RETURN FOR THE PAYMENT OFTHE PREMIUM, AND SUBJECT TO ALL THE TERMS OF
THIS COVENANT, LMCITAGREES T0 PROVIDE THE COVERED PARTY WITH COVERAGES
SHOWN BELOW FOR WHICH A LIMIT IS STATED:
Item 5. COVERAGE PART ONE - PROPERTY
Section |-Property General Limit of Coverage Per Occurrence $ 58,691,326
This general limit is subject to the sublimits as described in Section V1, 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 -MEO79(11/OS)
Section |/- Additional Covered Loss orDamages
1. Loss of Revenue, Extra Expenses and Expediting Expense $ 5.080.000 Per Occurrence
2. Demolition and Debris Removal
(Direct Physical Damage 0u Covered Property) 25%of the Estimated Replacement
Cost of the Covered Property
(No Direct Physical Damage ho Covered Property) $ 50.000 Per Occurrence
3. Leasehold Interest $ 500.000 Per Location
4, Accounts Receivable $ 508.000 Per Location
5. Valuable Papers and Records $ 500.000 Per Location
6. Utility Services $ 100.000 Per Occurrence
7. Green Building Expenses 1Y6of the Contract Cost but not to
exceed $100,000. Per Location
8. Asbestos Clean up, Abatement and Removal u 250.000 Per Location
0. Pollutant Clean up and Removal $ 250.000 Per Location
10. Errors $ 500.080 Per Occurrence
11. Rental Reimbursement $ 250.000 Annual Aggregate
12. Arson Reward $ 5.000 Per Fire Loss
13. Extra ordinary Expense * 258.080 Annual Aggregate
14. Data Security Breach Expenses $ 350.000 Annual Aggregate
15. Organic Pathogen Cleanup and Removal $ 250.000 Annual Aggregate
COVENANT NUMBER: CMC 1002979 -1
Section IV - Water and Supplemental Flood Coverage
LEAGUE or
MINNESOTA
CITIES
$ 500,000 Per Occurrence
$ 500,000 Annual Aggregate
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
Item 8
Item 9.
Item 10.
Item 11
Item 12
DEDUCTIBLE (Deductible applies per occurrence subject to General Annual Aggregate Deductible, if
any, shown on Common Coverage Declarations):
1,000 Per Occurrence
COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
MPCBP(11 /16) PM- 100(11/16) ME079(11/09) ME063(11/01)
MPCBP - 115(11/05) MPCBP- 209(11/05) PM- 109(11/16)
MORTGAGE HOLDER (if applicable):
COVERAGE PART TWO - CRIME
LIMIT OF COVERAGE PER OCCURRENCE $ 250,000
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
COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
MPCBP(11 /16) ME063(11/01)
LMCIT DEC -012 (11/86)(Rev. 11/15) Page 2 of 3
COVENANT NUMBER: CMC 1002979 -1
Item 13
Item 14
Item 15.
Item 16
Item 17
Item 18
LEAG U E ()r
(MINNESOTA
CITIES
COVERAGE PART THREE - BOND
LIMIT OF COVERAGE PER OCCURRENCE: $ 300,000
DEDUCTIBLE (Deductible applies per occurrence subject to General Annual Aggregate Deductible, if
any, shown on Common Coverage Declarations):
1,000 Per Occurrence
COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
MPCBP(11 /16) ME06301/01
COVERAGE PART FOUR - P_ ETROFUND (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
COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
MPCBP(11 /16) ME063(11/01)
EQUIPMENT BREAKDOWN COVERAGE
r•
B
$ 57,133,172
$ 1,000 ANYONE ACCIDENT
COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
BM- 200(11/16) BM- 212(11/01) ME063(11/01) MPCBP- 115(11/05)
PM- 100(11/16)
LMCIT DEC -012 (11 /86)(Rev. 11/15) Page 3 of 3
Covemant#\ CMC1M02979~1
LE ArG U E o F
MINNESOTA
CITIES
COVERAGE AT EACH OF THE LOCATIONS BELOW APPLIES ONLY FOR 8 PROPERTY
IN THE OPEN OR BUILDERS RISK PROPERTY DESCRIBED AND FOR THE *SECTION IV - WATER AND
SUPPLEMENTAL FLOOD COVERAGES INDICATED.
THE ESTIMATED REPLACEMENT COST STATED BELOW IS SUBJECT TO THE SPECIFIC PROPERTY LIMIT.
Loc. #
Location
Occupancy
**Type of
Covered
Property
IV-Water and
Supplemental
Flood
Coverage
Estimated
Replacement
Cost
1
590 40TH AVENUE NE
CITY HALL
B
CODE A
$ 4,836,094
2
637 38TH AVENUE NE
MUNICIPAL SERVICE CENTER
B
CODE A
$ 4,695,218
3
637 38TH AVENUE NE
TANKS AND PUMPS
B
CODE A
$ 146,508
4
4025 VAN BUREN STREET
PARKING RAMP
B
CODE A
$ 3,231,965
5
4700 STINSON BOULEVARD
WATER TOWER-250,000
GALLONS
B
CODE A
$ 893,590
6
5225 UNIVERSITY AVENUE NE
LIQUOR STORE
B
CODEA
$ 712,178
7
530 MILL STREET
MURZYN HALL
B
CODEA
$ 4,354,672
10
GAUVITTE PARK
WARMING HOUSE
B
CODEA
$ 77,160
12
HILLTOP PARK
PARK
PIO
CODEA
$ 25,933
14
HUSETPARK
PRESS BOX (FIELD #5)
B
CODEA
$ 16,279
*The limit of coverage for Section NWater and Supplemental Coverage is $500.000 per occurrencel$500.000 Annual Aggregate
**Type of Covered Property
PIO
Property in the Open
BIR
Builders Risk Property
CO
Contents only
'Section IV-Water and Supplemental Flood Coverage I
Code A: LMCIT Water and Supplemental Flood Coverage applies with no additional exclusions.
Code B: LA�C/TVVmb� and Supplemental Flood Coverage applies inaddd�nho and in excess of the applicable
� National Flood Insurance Program Coverage.
Code C: LA�C/TVVeter and Supplemental HoodCoverage excludes damnageshnmany 000un*noefor vvhiohany
� loss or any damage would be payable under a National Flood Insurance Program Coverage.
e 1 a a *]
Covenant #: CMC 1002979 -1
COVERED PARTY: Columbia Heights, City Of & Columbia Heights EDA HRA
LEAGUE OF
MINNESOTA
CITIES
COVERAGE AT EACH OF THE LOCATIONS BELOW APPLIES ONLY FOR BUILDING /CONTENTS /PROPERTY
IN THE OPEN OR BUILDERS RISK PROPERTY DESCRIBED AND FOR THE *SECTION IV - WATER AND
SUPPLEMENTAL FLOOD COVERAGES INDICATED.
THE ESTIMATED REPLACEMENT COST STATED BELOW IS SUBJECT TO THE SPECIFIC PROPERTY LIMIT.
Loc#
Location
Occupancy
* *Type of
Covered
Property
** *Section
IV -Water and
Supplemental
Flood
Coverage
Estimated
Replacement
Cost
15
HUSET PARK
PARK
PIO
CODE C
$ 87,122
16
KEYES PARK
WARMING HOUSE
B
CODE A
$ 77,160
17
KEYES PARK
PARK
PIO
CODE A
$ 20,170
18
LABELLE PARK
PARK
PIO
CODE C
$ 21,612
19
LABELLE CIRCLE TERRACE
VARIOUS
PIO
CODE C
$ 21,612
20
LOMIANKI PARK
WARMING HOUSE
B
CODE A
$ 54,262
21
MCKENNA PARK
WARMING HOUSE
B
CODE A
$ 77,160
22
MCKENNA PARK
PARK
PIO
CODE A
$ 20,170
23
OSTRANDER PARK
WARMING HOUSE
B
CODE A
$ 77,160
24
OSTRANDER PARK
PARK
PIO
CODE A
$ 43,221
25
PRESTEMON PARK
WARMING HOUSE
B
CODE A
$ 54,805
26
PRESTEMON PARK
PARK
PIO
CODE A
$ 142,379
27
RAMSDELL PARK
WARMING HOUSE
B
CODE A
$ 77,160
28
RAMSDELL PARK
PARK
PIO
CODE A
$ 21,612
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate
**Type of Covered Property
B
=
Building /Contents
PIO
=
Property in the Open
BIR
=
Builders Risk Property
CO
=
Contents only
* *'Section IV -Water and Supplemental Flood Coverage
Code A: LMCIT Water and Supplemental Flood Coverage applies with no additional exclusions.
Code B: LMC /T Water and Supplemental Flood Coverage applies in addition to and in excess of the applicable
National Flood Insurance Program Coverage.
Code C: LMC /T Water and Supplemental Flood Coverage excludes damages from any occurrence for which any
loss or any damage would be payable under a National Flood Insurance Program Coverage.
PM -100 (11/95)(Rev. 11/16) Page 2 of 5
COVERAGE AT EACH OF THE LOCATIONS BELOW APPLIES ONLY FOR BUILDING /CONTENTS /PROPERTY
IN THE OPEN OR BUILDERS RISK PROPERTY DESCRIBED AND FOR THE *SECTION IV - WATER AND
SUPPLEMENTAL FLOOD COVERAGES INDICATED.
THE ESTIMATED REPLACEMENT COST STATED BELOW IS SUBJECT TO THE SPECIFIC PROPERTY LIMIT.
Loc#
Location
Occupancy
* *Type of
Covered
Property
** *Section
IV -Water and
Supplemental
Flood
Coverage
Estimated
Replacement
Cost
29
SILVER LAKE BEACH
BEACH HOUSE
B
CODE A
$ 86,819
30
637 38TH AVENUE NE
MSC BROWN BUILDING
B
CODE A
$ 393,935
31
SULLIVAN PARK
PARK
PIO
CODE A
$ 53,307
32
4400 RESERVOIR BLVD
PUMP STATION #2
B
CODE A
$ 424,440
33
4633 IVANHOE PLACE
PUMP STATION #3
B
CODE A
$ 465,788
34
4640 CHATHAM ROAD
LIFT STATION #1 (CHATHAM)
B
CODE A
$ 84,688
35
330 ARGONNE DRIVE
LIFT STATION #2
B
CODE A
$ 75,572
36
4101 STINSON BLVD
LIFT STATION #3 (SILVER
LAKE)
B
CODE C
$ 136,234
37
721 51ST AVENUE NE
LIFT STATION #4 (SULLIVAN)
B
CODE C
$ 243,618
38
HUSET PARK
GARAGE
B
CODE C
$ 241,863
39
637 38TH AVENUE NE
MSC - BLUE BLDG
B
CODE A
$ 277,822
40
637 38TH AVENUE NE
MSC - SALT SHED
B
CODE A
$ 54,695
41
CITYWIDE
VARIOUS
PIO
CODE C
$ 1,063,369
42
559 MILL STREET
VARIOUS
PIO
CODE A
$ 43,449
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate
**Type of Covered Property
B
=
I Building /Contents
PIO
=
Property in the Open
BR
=
Builders Risk Property
CO
=
Contents only
'Section IV -Water and Supplemental Flood Coverage
Code A: LMCIT Water and Supplemental Flood Coverage applies with no additional exclusions.
Code B: LMCIT Water and Supplemental Flood Coverage applies in addition to and in excess of the applicable
National Flood Insurance Program Coverage.
Code C: LMCIT Water and Supplemental Flood Coverage excludes damages from any occurrence for which any
loss or any damage would be payable under a National Flood Insurance Program Coverage.
PM -100 (11 /95)(Rev. 11/16) Page 3 of 5
Dili S D UV
Covenant #: CMC 1002979 -1
LEAGUE of i
MINNESOTA
CITIES
COVERAGE AT EACH OF THE LOCATIONS BELOW APPLIES ONLY FOR BUILDING /CONTENTS /PROPERTY
IN THE OPEN OR BUILDERS RISK PROPERTY DESCRIBED AND FOR THE *SECTION IV - WATER AND
SUPPLEMENTAL FLOOD COVERAGES INDICATED.
THE ESTIMATED REPLACEMENT COST STATED BELOW IS SUBJECT TO THE SPECIFIC PROPERTY LIMIT.
Loc#
Location
Occupancy
* *Type of
Covered
Property
** *Section
IV -Water and
Supplemental
Flood
Coverage
Estimated
Replacement
Cost
43
4633 IVANHOE PLACE
VARIOUS
PIO
CODE A
$ 39,527
44
4950 CENTRAL AVENUE NE
LIQUOR STORE
B
CODE A
$ 4,562,736
45
2105 37TH AVENUE
LIQUOR STORE
B
CODE A
$ 3,325,786
46
637 38TH AVE NE
MSC
PIO
CODE A
$ 76,411
47
4400 RESERVOIR BLVD
PUMP HOUSE #2
PIO
CODE A
$ 54,597
48
4101 STINSON BLVD
LIFT STATION #3
PIO
CODE A
$ 12,136
49
530 MILL STREET
MURZYN HALL
PIO
CODE A
$ 72,698
50
SULLIVAN PARK
SHELTER
B
CODE A
$ 86,819
51
40TH & CENTRAL NE
VARIOUS
PIO
CODE A
$ 31,768
52
SILVER LAKE BEACH
SHELTER
B
CODE A
$ 28,760
53
HUSET PARK
SHELTER
B
CODE A
$ 86,819
54
825 41ST AVE NE
PUBLIC SAFETY BUILDING
B
CODE A
$ 11,223,498
55
JACKSON POND
STORM WATER RETENTION
POND
PIO
CODE C
$ 8,681
56
40TH AVENUE
PARKING RAMP
B
CODE A
$ 5,022,509
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate
**Type of Covered Property
B
=
I Building /Contents
PIO
=
Property in the Open
BR
=
Builders Risk Property
CO
=
Contents only
*'*Section IV -Water and Supplemental Flood Coverage i
Code A: LMCIT Water and Supplemental Flood Coverage applies with no additional exclusions.
Code B: LMCIT Water and Supplemental Flood Coverage applies in addition to and in excess of the applicable
National Flood Insurance Program Coverage.
Code C: LMCIT Water and Supplemental Flood Coverage excludes damages from any occurrence for which any
loss or any damage would be payable under a National Flood Insurance Program Coverage.
PM -100 (11195)(Rev. 11/16) Page 4 of 5
b! • • 111 ' Z141
Covenant #: CMC 1002979 -1
11111,111 1 Iml 11111 1 11111 ON
LEAGUE o I:
MINNESOTA
CITIES
COVERAGE AT EACH OF THE LOCATIONS BELOW APPLIES ONLY FOR BUILDING /CONTENTS /PROPERTY
IN THE OPEN OR BUILDERS RISK PROPERTY DESCRIBED AND FOR THE *SECTION IV - WATER AND
SUPPLEMENTAL FLOOD COVERAGES INDICATED.
THE ESTIMATED REPLACEMENT COST STATED BELOW IS SUBJECT TO THE SPECIFIC PROPERTY LIMIT.
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate
**Type of Covered Property
B
=
I Building /Contents
** *Section
=
Property in the Open
BR
=
Builders Risk Property
IV -Water and
=
Contents only
* *Type of
Supplemental
Estimated
Covered
Flood
Replacement
Loc#
Location
Occupancy
Property
Coverage
Cost
39TH AVE /JEFFERSON ST
57
NE /HUSET PKWY.
MONUMENT
PIO
CODE A
$ 65,093
3965 JEFFERSON ST - HUSSET
PORTABLE RESTROOM
58
PARK
SPECIALTY UN
PIO
CODE C
$ 2,679
PORTABLE RESTROOM
59
721 -51ST AV- SULLIVAN PARK
SPECIALTY UN
PIO
CODE C
$ 2,679
4956 JOHNSON ST - RAMSDELL
PORTABLE RESTROOM
60
PARK
SPECIALTY UN
PIO
CODE C
$ 2,679
4301 STINSON BLVD- SILVER
PORTABLE RESTROOM
61
LAKE PARK
SPECIALTY UN
PIO
CODE C
$ 2,679
62
3939 CENTRAL AVENUE NE
NEW LIBRARY
B
CODE C
$ 8,764,182
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate
**Type of Covered Property
B
=
I Building /Contents
PIO
=
Property in the Open
BR
=
Builders Risk Property
CO
=
Contents only
** *Section IV -Water and Supplemental Flood Coverage
Code A: LMC /T Water and Supplemental Flood Coverage applies with no additional exclusions.
Code B: LMC /T Water and Supplemental Flood Coverage applies in addition to and in excess of the applicable
National Flood Insurance Program Coverage.
Code C: LMC /T Water and Supplemental Flood Coverage excludes damages from any occurrence for which any
loss or any damage would be payable under a National Flood Insurance Program Coverage.
PM -100 (11/95)(Rev. 11/16) Page 5 of 5
COVENANT NUMBER: CMC 1002979 -1
This Endorsement modifies coverage provided under the Municipal Property Coverage and the Municipal
Automobile Physical Damage Coverage.
1. Shared limit. For any terrorism loss occurrence in which the LMCIT terrorism occurrence loss cost is greater
than $50,000,000, the amount LMCIT will pay for the city's covered losses is limited to an amount equal to the
city's covered loss multiplied by the terrorism loss coverage percentage for that terrorism loss occurrence.
2. Sub limits. LMCIT will not pay more than $1,000,000 for anyone or any combination of the following which rise
out of or are either directly or indirectly related to any terrorist activity during the annual coverage period:
a. Any losses, costs or expenses that result directly or indirectly from any discharge of pollutants including
any resulting fire losses, costs, or expenses;
b. Any losses, costs, or expenses that result directly or indirectly from chemical or biological release or
exposure of any kind including any resulting fire losses, costs or expenses;
c. Any losses, costs, or expenses that result from attack by electronic means including computer hacking, or
the introduction of any form or computer virus or other form of corrupting or unauthorized code or
instructions;
d. Any losses, costs, or expenses that result directly or indirectly from asbestos, emission, release, discharge,
dispersal or escape or asbestos exposure of any kind including any resulting fire or damage;
e. Any losses, costs, or expenses that result from any threat or hoax;
f. Any expediting expense; or
g. Any resulting fire losses, costs or expenses that result directly or indirectly from nuclear detonation, nuclear
reaction, nuclear radiation or radioactive contamination.
These sub limits are part of and not in addition to the shared limit provided in Paragraph 1.
3. No expansion of coverage. The terms and limitations of this terrorism endorsement, or the inapplicability of
this terrorism endorsement, do not serve to create coverage which would otherwise be excluded by this
covenant.
4. Termination of terrorism coverage.
A. Automatic termination. If the LMCIT terrorism occurrence loss cost for any terrorism loss occurrence
exceeds $15,000,000, coverage for loss resulting from any subsequent terrorism loss occurrence is excluded.
B. Discretionary termination. The LMCIT Board of Trustees may terminate coverage for losses arising from
terrorist activities at any time upon ten days notice to the city, if the Board determines that it is necessary to
protect the interests of LMCIT or its member cities.
LMCIT ME079 (11 /01)(Rev. 11109) Page 1 of 3
COVENANT NUMBER: CMC 1002979 -1
5. Definitions
A. Terrorist activity means any of the following, regardless of any other cause or event that in any way contributes
concurrently or in any sequence to the loss, cost or expense:
1. Any deliberate, unlawful act that:
a. Is declared by any authorized governmental official to be or to involve terrorism, terrorist activity or acts
of terrorism; or
b. Includes, involves, or is associated with the use or threatened use of force, violence or harm against
any person, tangible or intangible property, the environment, or any natural resources, where the act or
threatened act is intended, in whole or in part, to:
(1) Promote or further any political, ideological, philosophical, racial, ethnic, social or religious cause or
objective of the perpetrator or any organization, association or group affiliated with the perpetrator;
or
(2) Influence, disrupt or interfere with any government related operations, activities or policies; or
(3) Intimidate, coerce or frighten the general public or any segment of the general public; or
(4) Disrupt or interfere with a national economy or any segment of a national economy; or
c. Includes, involves, or is associated with, in whole or in part, any of the following activities, or the threat
thereof:
(1) Hijacking or sabotage of any form of transportation or conveyance, including but not limited to
spacecraft, satellite, aircraft, train, vessel, or motor vehicle; or
(2) Hostage taking or kidnapping; or
(3) The use of any biological, chemical, radioactive, or nuclear agent, material, device or weapon; or
(4) The use of any bomb, incendiary device, explosive or firearm; or
(5) The interference with or disruption of basic public or commercial services and systems, including
but not limited to the following services or systems: electricity, natural gas, power, postal,
communications, telecommunications, information, public transportation, water, fuel, sewer or
waste disposal; or
(6) The injuring or assassination of any elected or appointed government official or any government
employee; or
(7) The seizure, blockage, interference with, disruption of, or damage to any government buildings,
institutions, functions, events, tangible or intangible property or other assets; or
(8) The seizure, blockage, interference with, disruption of, or damage to tunnels, roads, streets,
highways, or other places of public transportation or conveyance.
LMCIT ME079 (11I01)(Rev. 11109) Page 2 of 3
COVENANT NUMBER: CMC 1002979 -1
2. Any of the activities listed in section A.1.c. above shall be considered terrorist activity except where you can
conclusively demonstrate to us that the foregoing activities or threats thereof were motivated solely by
personal objectives of the perpetrator that are unrelated, in whole or in part, to any intention to:
a. Promote or further any political, ideological, philosophical, racial, ethnic, social or religious cause or
objective of the perpetrator or any organization, association or group affiliated with the perpetrator; or
b. Influence, disrupt or interfere with any government related operations, activities or policies; or
c. Intimidate, coerce or frighten the general public or any segment of the general public; or
d. Disrupt or interfere with a national economy or any segment of a national economy.
B. Terrorism loss occurrence means all individual losses arising from terrorist activity, occurring during any period
of 72 consecutive hours.
C. LMCIT terrorism occurrence loss cost means the cost to LMCIT for covered loss, costs or expenses from a
single terrorism loss occurrence, gross of any applicable deductibles.
D. For any terrorism loss occurrence, the terrorism loss coverage percentage is equal to $50,000,000 divided by
the LMCIT terrorism occurrence loss cost for that terrorism loss occurrence.
LMCIT ME079 (11 /01)(Rev. 11/09) Page 3 of 3
COVENANT NUMBER: CMC 1002979 -1
1 • • so-
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.
LMCIT ME063 (11/95)(Rev. 11/01) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -1
This Endorsement modifies coverage provided under the Municipal Property Coverage.
A. We will pay for direct physical loss of or damage to Covered Property in which you and a loss payee as
shown in this endorsement have an insurable interest.
B. The following is added to Section VIII - Condition 6., paragraph c.:
(3) For Covered Property in which both you and the loss payee have an insurable interest, we will adjust
losses with you; and pay any claim for loss or damage jointly to you and the loss payee, as interests
may appear.
LOSS PAYEE
US BANK NATIONAL ASSOCIATION ATIMA EP -MN-
WS3C
ATTN: CORPORATE TRUST SERVICES
60 LIVINGSTON AVENUE
SAINT PAUL, MN 55107
RE: 2105 37TH AVENUE NE. 4950 CENTRAL
AVENUE NE.
All other terms and conditions remain unchanged.
f1A
Executive Director, LMCIT
LMCIT MPCBP -115 (11105) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -1
err • � • -• - -•- - �-
This endorsement modifies coverage provided under the Municipal Property Coverage by extending coverage on
property in the open to the property described at the locations listed below.
Loc. #
Location
Occupancy
Additional Property To Be Covered
41
CITYWIDE
VARIOUS
Fire Hydrants Only. No Other Property
In The Open Is Covered.
42
559 MILL STREET
VARIOUS
2003 Onan Generator.
43
4633 IVANHOE PLACE
VARIOUS
2007 Cat Generator.
46
637 38TH AVE NE
MSC
2007 Onan Genset Generator/Trans
Switch.
47
4400 RESERVOIR BLVD
PUMP HOUSE #2
2007 Onan Genset Generator.
48
4101 STINSON BLVD
LIFT STATION #3
2005 Kohler Generator.
49
530 MILL STREET
MURZYN HALL
2007 Onan Generator /Trans Switch.
51
40TH & CENTRAL NE
VARIOUS
Clock Tower.
55
JACKSON POND
STORM WATER RETENTION
POND
Equipment.
57
39TH AVE /JEFFERSON ST
NE /HUSET PKWY.
MONUMENT
Monument.
58
3965 JEFFERSON ST -
HUSSET PARK
PORTABLE RESTROOM
SPECIALTY UN
Portable Restroom.
59
721 -51ST AV- SULLIVAN
PARK
PORTABLE RESTROOM
SPECIALTY UN
Portable Restroom.
60
4956 JOHNSON ST -
RAMSDELL PARK
PORTABLE RESTROOM
SPECIALTY UN
Portable Restroom.
61
4301 STINSON BLVD - SILVER
LAKE PARK
PORTABLE RESTROOM
SPECIALTY UN
Portable Restroom.
All other terms and conditions remain unchanged.
LMCIT MPCBP -209 (11/05) Page 1 of 1
Covenant # CMC 1002979 -1
CITY: Columbia Heights, City Of & Columbia Heights EDA HRA
1. Coverage applies to mobile property if identified as "COVERED ".
COVERED /NOT COVERED: COVERED
2. Unless scheduled below, the most LMCIT will pay for loss to mobile property is the smaller of:
(a) The cost of repairing or replacing parts with equivalent size, kind, and quality;
(b) 200% of the fair market value;
(c) The cost to replace the mobile property with a new unit without deduction for depreciation; or
(d) $100,000
3. With respect only to individual units of mobile property scheduled below, 2 (d) above is increased to the amount
displayed in the Limit column.
Description of Mobile Property
(Make, Model and Year) Serial No.
Limit
1
1994 CASE FRONT END LOADER #0770
$ 174,040
2
2000 CAT 428 TRACTOR /BACKHOE #1795
$ 135,969
3
2010 TRACKLESS MTV TRACTOR W /EQUIPMENT MT6 -1295
$ 141,408
4
1998 MCQUEEN MT TRACKLESS TRACTOR #1475
$ 119,653
5
2007 TORO 580D LAWN MOWER #0152
$ 103,336
6
2007 CAT 938G11 LOADER #2454
$ 179,479
LMCIT PM -109 (11/97)(Rev. 11/16) Page 1 of 1
Covenant Number: MUNICIPAL LIABILITY DECLARATIONS
CMC 1002979 -1 Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES r+
INSURANCE TRUST LEAGUEo,
(Herein called LMCIT) MINNESOTA
CITIES
Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
Item 2. COVERAGE PERIOD:
From: 06/01/2017 To: 06/01/2018 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 WITH THE COVERED PARTY TO PROVIDE THE
COVERAGE AS STATED IN THIS COVENANT, SUBJECT TO THE FOLLOWING LIMITS:
PER OCCURRENCE LIMIT * $ 2,000,000
PRODUCTS LIMIT $ 3,000,000 Annual Aggregate
FAILURE TO SUPPLY CLAIM LIMIT $ 3,000,000 Annual Aggregate
EMF CLAIM LIMIT $ 3,000,000 Annual Aggregate
NOT
MEDICAL AND RELATED EXPENSE LIMIT $ COVERED Any One Person /occurrence
LIMITED CONTAMINATION LIABILITY CLAIM LIMIT ** $ 2,000,000 Per Sudden Occurrence
$3,000,000 Annual Aggregate
OUTSIDE ORGANIZATION CLAIM LIMIT ** $ 100,000 Annual Aggregate
DATA SECURITY BREACH CLAIM LIMIT $ 3,000,000 Annual Aggregate
LAND USE AND SPECIAL RISK LITIGATION LIMIT * ** $ 1,000,000 Annual Aggregate
* LMCITs maximum limit of liability for COVERAGES A and C combined.
** LIMIT includes damages, loss adjustment expense, defense costs, and supplementary payments.
* ** LIMIT includes litigation costs.
Item 5. MUNICIPAL LIABILITY DEDUCTIBLE: (Subject to General Annual Aggregate Deductible, if any,
shown on Common Coverage Declarations)
$ 1,000 Per Occurrence
Item 6. RETROACTIVE DATES:
MUNICIPAL LIABILITY RETROACTIVE DATE: 05/09/1995
LIMITED CONTAMINATION LIABILITY CLAIM RETROACTIVE DATE: 06/01/2002
Item 7. ENDORSEMENTS ATTACHED TO THIS COVERAGE PART:
CMC(11 /16) MGL- 1(11/12) ME014(11/15) ME058(11/01)
ME062(11/02) ME066(11/11) ME077(11/14) ME084(11/14)
ME091(11/11)
LMCIT DEC -013 (11/86)(Rev. 11/15) Page 1 of 1
COVERED PARTY COVENANT NUMBER EFFECTIVE DATE
Columbia Heights, City of &
EDA & HRA
CC 1002979
06/01/2017
Emergency Medical Technician Endorsement
Coverage A. Municipal Liability is amended with respect to the Retroactive Date as
follows:
This Coverage applies to any Bodily Injury, Property Damage, or Personal Injury
arising out of those activities in the capacity of an Emergency Medical Technician,
which occurred prior to June 01, 2002, but not before May 09, 1997 provided the City,
at the inception of these coverages had no knowledge of any Claim or Suit, or
knowledge of any Bodily Injury, Property Damage, or Personal Injury which might
reasonably be expected to result in a Claim or Suit.
All other terms and conditions remain unchanged.
/ ) fXA
Executive Director, LMCIT
LMCIT ME091(11/11) Page 1 of 1
MINNESOTA
CITIES
CITY Columbia Heighta, CityOf& Columbia Heights COVENANT NUMBER CM[�1002979-1
EDAHRA
58U4[Vh Ave. NE
Columbia Heighta, MN 55421-3878
HAZARD PREMIUM BASIS ADVANCED
PREMIUM
PREMIUM INCLUDED
FOR ALL HAZARDS
WHERE A PREMIUM
BASIS IS SHOWN
Premises Operations
Code
Basis
EMPLOYMENT
B
142.00
LAND USE
A
8.155.00
POLICE
c
26.00
SEWER DEPARTMENT
D
7.249
EXPENDITURES
E
31.011,738
WD FAULT SEWER BACK-UP COVERAGE
O
7.249
SKATEBOARD PARKS
F
1
COVENANT NUMBER: CMC 1002979 - 1
MUNICIPAL LIABILITY
(Cont'd.)
Municipal Liability Hazard Codes
When used as a premium basis:
Code
(A) Number of Households
Definition: A household is a single housing unit (e.g., an apartment complex with 10 units consists of 10
households). Rate is per household.
(B) Number of Full Time Equivalent's (FTE's)
Definition: FTE's are defined as employees who are eligible for the Public Employees Retirement
Association (PERA) of MN as defined in Minn. Stat. 353.01. Rate is per FTE.
(C) Number of Police Officers FTE'S
Definition: For purposes of police liability, please provide the number of police officer FTE's separately
here. Rate is per Police Officer FTE.
(D) Number of Sewer Connections
Definition: For the purposes of LMCIT liability rating is the number of actual Sewer connections by type
of connection (e.g., residential, business, industrial, etc.) Rate is per sewer connection.
(E) Expenditures
Definition: Ratable expenditures are defined as total expenditures net of transfers and depreciation.
Rate is per $1,000
(F) Each means per unit.
LMCIT MGL -1 (01 /95)(Rev. 11/12) Page 2 of 2
COVENANT NUMBER: CMC 1002979 -1
It is agreed that with respect to coverage afforded only for bodily injury, property damage and personal injury under
Coverage A - Municipal Liability Coverage, the Covered Party provision is amended to include the person or
organization named below, but only with respect to, and to the extent of, claims made upon the additional covered
party by reason of the acts or omissions of the City or its agents or employees and not by reason of any act or
omission of the additional covered party or its agents or employees.
NAME OF PERSON OR ORGANIZATION
St. Paul Festival & Heritage Foundation Attn: Parades
429 Landmark Center - 75 West 5th Street
St. Paul, MN 55102
City of Northfield Attn: Elizabeth Wheeler
801 Washington Street
Northfield, MN 55057
Defeat of Jesse James Committee, Inc.
P.O. Box 23
Northfield, MN 55057
Anoka County & Anoka County HRA Attn: Kate
Thunstum, CDBG Coordinator
2100 3rd Avenue
Anoka, MN 55303
Central Plaza Association
2227 University Avenue
St. Paul, MN 55114
Carmax
12800 Tuckahoe Creek Pkwy.
Richmond, VA 23238
LOCATION OF PREMISES OR
CONTRACT OR OPERATIONS
Re: Participating in the Winter Carnival Parade.
Re: Defeat of Jesse James Days Celebration;
Northfield, MN.
Re: Defeat of Jesse James Days Celebration;
Northfield, MN.
Re: Anoka County CDBG Program.
Re: Use of Central Plaza during Columbia Heights
Jamboree Parade.
Re: Use of Property at: 6900 Lakeland Ave. Brooklyn
Park, MN for Police and Fire Training.
For the persons or organizations listed above, coverage afforded by this endorsement is further limited in the
following respects:
1. Coverage afforded to the additional covered party only applies to the extent permitted by law;
2. If coverage or additional covered party status is required by contract:
A. Coverage afforded to the additional covered party will not be broader than that which the city is
contractually required to provide; and
B. The most LMC/T will pay on behalf of the additional covered party is the lesser of either: 1) the limit
of coverage required by the contract; or 2) the Limits of Coverage otherwise available as specified
in Section III - Limits of Coverage. This endorsement shall not increase the applicable Limits of
Coverage shown in the Declarations or as specified in Section III - Limits of Coverage.
All other terms and conditions remain unchanged.
LMCIT ME014 (11 /96)(Rev. 11/15) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -1
Coverage A. Municipal Liability is amended with respect to the retroactive date as follows:
This coverage applies to claims resulting from any occurrence prior to May 09, 1995 but not before May 09, 1990
and only for claims for bodily injury, property damage, or personal injury, provided that the city as of May 30, 2002
had no knowledge of any occurrence which might reasonably have been expected to result in a claim or suit.
All other terms and conditions remain unchanged.
LMCIT ME058 (03 /93)(Rev. 11/01) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -1
It is understood and agreed that COVERAGE B. MEDICAL AND RELATED EXPENSE, is excluded and the limits
stated for MEDICAL AND RELATED EXPENSE on DEC -013 do not apply.
All other terms and conditions remain unchanged.
LMCIT ME062 (01 /95)(Rev. 11/02) Page 1 of 1
COVENANT
COMPREHENSIVE MUNICIPAL LIABILITY • a
®
Coverage A
Municipal Liability
❑
Coverage A
Municipal Liability, but only for Bodily Injury, Property Damage or Personal Injury
❑
Coverage A
Municipal Liability, except for Bodily Injury, Property Damage or Personal Injury
❑
Coverage B
Medical and Related Expense
0
Coverage C
Automobile Liability - Bodily Injury and Property Damage
rX-1
Coverage D
Land Use and Special Risk Litigation
R
Coverage E, F
Uninsured and Underinsured Motorists Coverage and Basic Economic Loss Benefits
Coverage
In consideration of the premium charged, it is understood and agreed that the Declarations and Section II - Who Is
Covered are amended to include:
Columbia Heights Economic Development Authority; Columbia Heights Housing and Redevelopment Authority
for all coverage where ❑ is X'd above.
All other terms and conditions remain unchanged.
LMCIT ME066 (11 /96)(Rev. 11/11) Page 1 of 1
COVENANAT NUMBER: CIVIC 1002979 -1
Section I, Coverage A, Municipal Liability Coverage, is amended to include no -fault sewer back -up and water main
break coverage as outlined below.
1. No -fault sewer back -up coverage
a. If all of the following four conditions are met, LMCIT will pay for claims presented by the city for sewer back-
up damage to property of others which was not caused by city negligence:
(1) The sewer back -up resulted from a condition in the city's sewer system;
(2) The sewer back -up was not the result of an obstruction or other condition in sewer pipes or lines which
are not part of the city's sewer system or which are not owned or maintained by the city; and
(3) The sewer back -up was not caused by or related to an excluded incident; and
(4) The date of the occurrence giving rise to the claim for damages must be on or after the retroactive date
shown on this endorsement.
b. However, LMCIT will not pay for any damages or expenses:
(1) Which are or would be covered under a National Flood Insurance Program flood insurance policy,
whether or not such insurance is in effect; or
(2) For which the property owner has been reimbursed or is eligible to be reimbursed by any homeowners'
or other property insurance.
2. No -fault water main break coverage.
LMCIT will pay for claims presented by the city for water main break damage to property of others which was
not caused by city negligence. But LMCIT will not pay for any damages or expenses for which the property
owner has been or is eligible to be reimbursed by any homeowners' or other property insurance.
3. Definitions
For purposes of this endorsement, the following definitions apply.
a. Excluded incident means any of the following:
(1) Any weather- related or other event which has been declared by the President of the United States to
be a major disaster pursuant to 42 U.S.C. §§ 5121 -5206, commonly known as the Stafford Act; or
(2) Any interruption in the electric power supply to the city's sewer system or to any city sewer lift station
which continues for more than 72 hours; or
(3) Rainfall or precipitation which exceeds any of the following amounts:
• 2.0 inches in a 1 -hour period; or
• 2.5 inches in a 3 -hour period; or
• 3.0 inches in a 6 -hour period; or
• 3.5 inches in a 12 -hour period; or
• 4.0 inches in a 24 -hour period; or
• 4.5 inches in a 72 -hour period; or
• 5.5 inches in a 168 -hour period.
LMCIT ME077 (11 /07)(Rev. 11/14) Page 1 of 2
COVENANAT NUMBER: CIVIC 1002979 -1
b. Sewer back -up damage means damage to property, including removal and clean -up costs, resulting from a
sewer back -up.
c. Water main break damage means damage to property, including removal and clean -up costs, resulting
from the rupture of a city water main, line or pipe.
4. Limits
a. LMCIT will not pay more than $10,000 for sewer back -up damage to any building under this endorsement,
regardless of the number of occurrences or the number of claimants. For purposes of this limit
(1) A structure or group of structures served by a single connection to the city's sewer system is
considered a single building.
(2) If a single structure is served by more than one connection to the city's sewer system, the portion of the
structure served by each respective connection is considered a separate building.
b. LMCIT will not pay more than $10,000 for water main break damage to any claimant, regardless of the
number of occurrences or the number of properties affected.
c. LMCIT will not pay more than $250,000 for water main break damage resulting from any single occurrence.
All water main break damage which occurs during any period of 72 consecutive hours is deemed to result
from a single occurrence.
If the total water main break damage for all claimants in a single occurrence exceeds $250,000, the
reimbursement to each claimant will be calculated as follows:
A preliminary reimbursement figure is established for each claimant, equal to the lesser of the
claimant's actual damages or $10,000.
The sum of the preliminary reimbursement figures for all claimants will be calculated.
Each claimant will be paid a percentage of his or her preliminary reimbursement figure, equal to the
percentage calculated by dividing $250,000 by the sum of all claimants' preliminary reimbursement
figures.
5. Deductibles
The amount LMCIT pays for sewer back -up damages or water main break damage under this endorsement is
subject to the Municipal Liability Deductible shown in the Municipal Liability Declarations or the General Annual
Aggregate Deductible if any shown in the Common Coverage Declarations.
For purposes of the Municipal Liability Deductible, all claims for sewer back -up damages which are covered
under this endorsement, which occur within a 72 hour period, and which result from or are related to the same
condition or conditions in the city's sewer system are deemed to be a single occurrence; and water main break
damage which is covered under this endorsement and which occurs during any period of 72 consecutive hours
is deemed to be a single occurrence.
6. Retroactive Date
The retroactive date for this endorsement is 06/27/2005.
All other terms and conditions remain unchanged.
LMCIT ME077 (11 /07)(Rev. 11/14) Page 2 of 2
COVENANT NUMBER: CMC 1002979 -1
It is hereby understood and agreed that Coverage A. Municipal Liability, exclusion p. (5) Fireworks displays or
exhibitions, is deleted for the following event only.
Fireworks Display - Heights Jamboree
All other terms and conditions remain unchanged.
LMCIT ME084 (11 109)(Rev. 11/14) Page 1 of 1
Covenant Number: MUNICIPAL AUTOMOBILE DECLARATIONS
CMC 1002979 -1 Coverage is Provided by: ,
THE LEAGUE OF MINNESOTA CITIES
INSURANCE TRUST LEAGUEoi
(Herein called LMCIT) MINNESOTA
CITIES
Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
From: 06/01/2017 To: 06/01/2018 12:01 AM Standard Time at Mailing Address
Indicated on Common Coverage Declarations
Item 3. THE COVERED PARTY IS: CITY
Item 4. COVERAGE:
IN RETURN FOR THE PAYMENT OF PREMIUM AND SUBJECT TO ALL OF THE TERMS OF THIS
COVENANT, LMCIT AGREES WITH THE COVERED PARTY TO PROVIDE THE COVERAGE AS
STATED IN THIS COVENANT, SUBJECT TO THE FOLLOWING LIMITS:
COVERAGE: LIMIT:
AUTOMOBILE LIABILITY *$2,000,000 Per Occurence
BASIC ECONOMIC LOSS BENEFITS Basic Minnesota Statutory Cvg.
UNINSURED AND UNDERINSURED MOTORISTS $ 200,000 Per Occurence
AUTOMOBILE PHYSICAL DAMAGE
Actual Cash Value, Unless Endorsed
* LMCITs maximum limit of liability for COVERAGES A and C combined.
Item 5. DEDUCTIBLE (SUBJECT TO GENERAL ANNUAL AGGREGATE DEDUCTIBLE, IF ANY,SHOWN ON
COMMON COVERAGE DECLARATIONS).
$ 1,000 per occurrence
Item 6. FORMS AND ENDORSEMENTS ATTACHED TO THIS COVERAGE PART:
A0010(11/16) CMC(11/16) ME079(11/09) MA082(11/09)
ME049(11/16) ME057(11/15) ME063(11/01) ME066(11/11)
ME091(11/11)
LMCIT DEC -016 (11/86)(Rev. 11/15) Page 1 of 1
COVERED PARTY ('OWN ANT NTTMRFR FFFF( TIVF T)ATF
Columbia Heights, City of &
EDA & HRA
CC 1002979
06/01/2017
Emergency Medical Technician Endorsement
Coverage A. Municipal Liability is amended with respect to the Retroactive Date as
follows:
This Coverage applies to any Bodily Injury, Property Damage, or Personal Injury
arising out of those activities in the capacity of an Emergency Medical Technician,
which occurred prior to June 01, 2002, but not before May 09, 1997 provided the City,
at the inception of these coverages had no knowledge of any Claim or Suit, or
knowledge of any Bodily Injury, Property Damage, or Personal Injury which might
reasonably be expected to result in a Claim or Suit.
All other terms and conditions remain unchanged.
LMCIT ME09 I (I l /11)
Executive Director, LMCIT
Page 1 of I
COVENANT NUMBER: CMC 1002979 -1
This endorsement amends the Municipal Automobile Physical Damage Coverage.
In consideration of the additional premium of $ INCLUDED it is understood and agreed that with respect to the units
scheduled below:
1111tT,I11
1995
FORD LS9000
ENGINE #1
0058
$
239,810
1985
FORD L9000
ENGINE #4
0591
$
122,489
1990
FORD
RESCUE #1
8732
$
130,000
2002
FORD E450
AMBULANCE
5524
$
105,591
2004
Gladiator Quint
LADDER TRK
7382
$
596,229
2006
INT'L 4300
JETTER
6095
$
141,000
2011
ELGIN
SWEEPER
2199
$
172,367
2014
INT'L
7500
3928
$
328,025
2016
INT,L
7400
0145
$
492,127
2017
TYMCO
600 ST SWE
4371
$
187,830
2017
Ford F250
Crew Cab
9145
$
49,651
SECTION III - LIMITS OF COVERAGE AND VALUATION, paragraph 1. a. (1) (2) is deleted and the following
substituted:
a. The most we will pay for any scheduled unit stolen or damaged in any one loss is the smaller of:
(1) The cost of repairing or replacing parts with like kind and quality without deduction for depreciation;
(2) The cost of an equivalent new automobile without deduction for depreciation;
(3) The limit stated in this endorsement as applicable to each covered automobile.
However, if the repairs are equal to or greater than 80% of the actual cash value, the most we will pay is the
smaller of:
(1) 200 percent of the actual cash value of the automobile;
(2) The cost of an equivalent new automobile without deduction for depreciation;
(3) The limit stated in this endorsement as applicable to each covered automobile.
All other terms and conditions remain unchanged.
LMCIT ME049 (01 /95)(Rev. 11/16) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -1
It is agreed that with respect to the coverage afforded under the Automobile Liability Coverage the Covered Party
provision is amended to include the person or organization named below, but only with respect to the ownership,
maintenance, or use of the automobile designated below.
NAME OF PERSON ORGANIZATION
Executive Leasing LLC
9700 63rd Avenue North
Suite 250
Maple Grove, MN 55369
DESCRIPTION OF AUTOMOBILE
2012 CHEVROLET SUBURBAN 8301
For the persons or organizations listed above, coverage afforded by this endorsement is further limited in the
following respects:
1. Coverage afforded to the additional covered party only applies to the extent permitted bylaw;
2. If coverage or additional covered party status is required by contract:
A. Coverage afforded to the additional covered party will not be broader than that which the city is
contractually required to provide; and
B. The most LMC/T will pay on behalf of the additional covered party is the lesser of either: 1) the limit
of coverage required by the contract; or 2) the Limits of Coverage otherwise available as specified
in Section III - Limits of Coverage. This endorsement shall not increase the applicable Limits of
Coverage shown in the Declarations or as specified in Section III - Limits of Coverage.
All other terms and conditions remain unchanged.
LMCIT ME057 (01 /95)(Rev. 11/15) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -1
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.
LMCIT ME063 (11/95)(Rev. 11/01) Page 1 of 1
COVENANT NUMBER: CMC r
COMPREHENSIVE
®
Coverage A
Municipal Liability
❑
Coverage A
Municipal Liability, but only for Bodily Injury, Property Damage or Personal Injury
❑
Coverage A
Municipal Liability, except for Bodily Injury, Property Damage or Personal Injury
❑
Coverage B
Medical and Related Expense
0
Coverage C
Automobile Liability - Bodily Injury and Property Damage
®
Coverage D
Land Use and Special Risk Litigation
N
Coverage E, F
Uninsured and Underinsured Motorists Coverage and Basic Economic Loss Benefits
Coverage
In consideration of the premium charged, it is understood and agreed that the Declarations and Section II - Who Is
Covered are amended to include:
Columbia Heights Economic Development Authority; Columbia Heights Housing and Redevelopment Authority
for all coverage where ❑ is X'd above.
All other terms and conditions remain unchanged.
LMCIT ME066 (11/96)(Rev. 11/11) Page 1 of 1
Covenant Number:
LLC 1002980-1
Previous Covenant Number:
LLC 3234
MUNICIPAL LIQUOR LIABILITY
Coverage Is Provided By:
THE LEAGUE OF MINNESOTA CITIES
INSURANCE TRUST
(Herein called LMCIT)
Item 1. CITY and MAILING ADDRESS:
COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
590 40th Ave. NE
Columbia Heights, MN 55421-3878
Item 2. LOCATION(S) OF COVERED PREMISES:
1 - 4950 Central Avenue NE Columbia Heights MN 55421
2 - 2105 37th Avenue NE Columbia Heights MN 55421
3 - 5225 University Avenue NE Columbia Heights MN 55421
Item 3. COVERAGE PERIOD:
From: 06/01/2017 To: 06/01/2018
Item 4. COVERAGE LIMITS:
Municipal Liquor Liability Limit $ 1,000,000
$ 1,000,000
12:01 AM Standard Time at
Mailing Address Indicated Above
LEAGUE or
MINNESOTA
CITIES
Per OccurrencelPer Covered Premises
Annual Aggregate/Per Covered Premises
Item 5. MUNICIPAL LIQUOR LIABILITY DEDUCTIBLE: $ ----------- Per Occurrence
Item 6. PREMIUM: $ 8,956
Item 7. FORMS AND ENDORSEMENTS APPLICABLE TO AGREEMENT:
MLLC0 1/15)
/ f; �
Executive Director, LMCIT
LMCIT DEC-021 (11/97)(Rev. 11/15) Page 1 of 1
COVENANT NUMBER: LLC 1002980 -1
Various provisions in this covenant restrict coverage.
Read the entire coverage agreement carefully to
determine rights, duties and what is and is not
covered. Throughout this covenant the word "city"
refers to the first "city" shown in the Declarations. The
word LMCIT refers to the League of Minnesota Cities
Insurance Trust.
A. COVERAGE AGREEMENT
The words "city" and "covered party" are defined
under SECTION II - WHO IS COVERED.
Other words and phrases that appear in italics have
special meaning, as given in SECTION IV-
DEFINITIONS.
1. LMCIT will pay on behalf of the "covered party"
all sums which the "covered party" shall become
legally obligated to pay as damages by reason of
selling any alcoholic beverage at or from a covered
premises, as provided by the Minnesota Civil
Damages Act (M.S. 340A.801 - 340A.802) or any
other law governing liability for illegal sales of
alcoholic beverages at or from a covered premises
if the following conditions are met:
a. The occurrence which is the basis for such
damages must have taken place during the
coverage period; and
b. The occurrence which is the basis for such
damages must have taken place in the
coverage territory.
2. LMCIT will have the right and duty to defend
any such claim or suit seeking damages. LMCIT
may, at its discretion, investigate any actual or
potential claim; and unless the "city" has given
notice as provided in SECTION VI- CONDITIONS,
6, LMCIT may settle any claim or suit.
3. The amount LMCIT will pay for damages is
limited as described in SECTION III - LIMITS OF
COVERAGE.
B. EXCLUSIONS
This coverage does not apply to:
1. Any obligation for which the "covered party" or
any carrier as its insurer may be held liable under
any workers' compensation, unemployment
compensation, disability benefits, or under any
similar law.
2. Damages arising from the sale of alcoholic
beverage(s) if the sale occurred while the "covered
party's" license, permit or authority by law is
suspended, expired, canceled or revoked.
3. Damages for which the "covered party" is
liable by reason of the assumption of liability in a
contract or agreement, but this exclusion does not
apply to liability for damages which the "covered
party" would have in the absence of the contract or
agreement.
1. "City" means the "city" or other governmental d. Municipal gas agency;
body or entity first named in the Declarations. Unless
specifically named in the Declarations, "city" shall not e. Welfare or public relief agency;
include any of the following:
a. Gas, electrical or steam utilities commission;
b. Port authority, housing and redevelopment
authority, economic development authority, area
or municipal redevelopment authority or similar
agency;
c. Municipal power agency;
f. School board: or
g. Joint powers entity; but a joint planning board
created pursuant to an orderly annexation
agreement or joint resolution between the city
and a township is deemed to be a covered joint
powers entity under this agreement.
LMCIT MLLC (11 /97)(Rev. 11/15) Page 1 of 6
COVENANT NUMBER: LLC 1002980 -1
2. For purposes of Coverage A, "covered party"
means:
a. The "city ", and any other entity named in the
Declarations;
b. For actions within his duties as such, any
present or former:
Member of the "city" council;
(2) Member of a "city" board, commission, or
committee which is not excluded by the
definition of "city ";
(3) Elected or appointed official of the "city ";
(4) Employee of the "city ";
(5) Volunteer person or organization while
acting on behalf of the "city" and subject to
the city's direction and control;
officers, and employees.
(8) Person while acting in the administrative
capacity of medical director or medical
advisor to the "city" ambulance service.
c. With respect to a joint powers entity named in
the Declarations:
(1) The joint powers entity;
(2) While acting on behalf of the joint powers
entity, or with respect to liability arising out of
the activities of the joint powers entity, any
present or former:
(a) Governmental member of the joint
powers entity;
(b) Elected or appointed official of the
governmental member;
(c) Employee of the governmental
(6) Other authorized person or agent of the member;
"city" while acting on behalf of the "city ", but
excluding independent contractors; (d) Other authorized person or agent of
the governmental member, but excluding
(7) "City" relief association and its members, independent contractors.
1. The limits of coverage shown in the Declarations
and the rules below fix the most LMCIT will pay as
damages regardless of the number of:
a. "Covered Parties ";
b. Claims made or suits brought; or
c. Persons or organizations making claims or
bringing suits.
2. LMCIT shall not be obligated under this covenant
to pay any claim or judgment or to defend any suit
after the limit of LMCIT's liability has been exhausted
by payment of judgments or settlements or by tender
to any excess carrier or excess coverage including
excess coverage provided by LMCIT.
3. For any Annual Aggregate Limit shown in the
Declarations, the limit shall apply separately to each
consecutive annual period and to any remaining
period of less than 12 months, starting with the
beginning of the coverage period shown in the
Declarations, unless the coverage period is extended
after issuance for an additional period of less than 12
months. In that case, the additional period will be
deemed part of the last preceding period for purposes
of determining the limits of coverage.
4. LMCIT's obligation to pay damages on behalf of
the: "covered party" applies only to compensatory
damages in excess of any deductible amount stated
in the Declarations. The limit of liability shown as
being applicable to each claim shall be reduced by
the amount of the deductible. LMCIT may pay any
part or all of the deductible amount to effect
settlement of any claim or suit. Upon LMCIT's
request, the "city" shall promptly reimburse LMCIT for
such part of the deductible paid by LMCIT.
5. Subject to the Annual Aggregate Limit shown in
the Declarations, this covenant shall be construed to
provide at least the coverage required under Minn.
Stat. Sec. 340A.409.
LMCIT MLLC (11 /97)(Rev. 11/15) Page 2 of 6
COVENANT NUMBER: LLC 1002980 -1
1. Coverage territory means:
a. The United States of America (including its
territories and possessions), Puerto Rico and
Canada;
b. International waters or airspace, provided the
injury or damage does not occur in the course of
travel or transportation to or from any place not
included in a. above; or
c. All parts of the world if:
(1) The injury or damage arises out of:
(a) Goods or products made or sold by
the "city" in the territory described in a.
above; or
(b) The activities of a person whose
home is in the territory described in a.
above, but is away for a short time on the
"city's" business; and
(2) The "covered party's" responsibility to
pay damages is determined in a suit on the
merits, in the territory described in a. above
or in a settlement LMCIT agrees to.
2. Covered premises means the premises stated in
the Declarations. Covered premises does not mean
any premises acquired by the "covered party" or used
by the "covered party" for the sale or furnishing of
alcoholic beverages unless those premises are
stated in the Declarations or are included by
endorsement to this coverage agreement.
3. Damages means money damages for which the
"covered party" may be liable by reason of the
Minnesota Civil Damages Act (M.S. 340A.801-
340A.802) or any other law governing liability for
illegal sales of alcoholic beverages.
4. 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
exercise of governmental powers. An
intergovernmental agreement will be deemed to
create a joint powers entity if the agreement
establishes a board with the effective power to do
any of the following, regardless of whether the
specific consent of the constituent governmental units
may also be required:
a. To receive and expend funds;
b. To enter contracts;
c. To hire employees;
d. To purchase or otherwise acquire and hold
real or personal property; or
e. To sue or be sued.
5. Occurrence means the injury which took place if
the liability for damages arising from such injury is or
is claimed to be imposed upon the "covered party" by
the provisions of the Minnesota Civil Damages Act
(M.S. 340A.801 - 340A.802).
6. Relief association means the following:
a. A relief association as defined under
Minnesota Statute §424.001, subd.4; or
b. A relief associate that has elected to continue
to be in existence under the provisions of
Minnesota Statute §353G.03.
7. Suit means a civil proceeding in which damages
to which this coverage applies are alleged. Suit
includes an arbitration proceeding alleging such
damages to which the "city" must submit or submit
with LMCIT's consent. Suit does not mean any
criminal proceeding against any "covered party"
unless damages are also alleged in that proceeding.
LMCIT MLLC (11/97)(Rev. 11/15) Page 3 of 6
COVENANT NUMBER: LLC 1002980 -1
LMCIT will pay, with respect to any claim or suit
LMCIT defends:
1. All expenses LMCIT incurs.
2. The cost of bonds to release attachments, but
only for bond amount within the applicable limit of
coverage. LMCIT does not have to furnish these
bonds.
3. All reasonable expenses incurred by the
"covered party" at LMCIT's request, to assist it in the
investigation or defense of the claim or suit, actual
loss of earnings up to $200 a day because of time off
from work.
4. All costs taxed against the "covered party" in the
suit.
5. Pre judgment interest awarded against the
"covered party" on that part of the judgment LMCIT
pays. If LMCIT makes an offer to pay the applicable
limit of coverage, LMCIT will not pay any pre
judgment interest based on that period of time after
the offer.
6. All interest on the full amount of any judgment
that accrues after entry of the judgment and before
LMCIT has paid, offered to pay, or deposited in court
the part of the judgment that is within the applicable
limits of coverage.
This coverage agreement is subject to the following
conditions:
1. LIMITATIONS ON LMCIT'S DUTY TO
INDEMNIFY
LMCIT's duty to pay on behalf of or to indemnify a
"covered party" other than the "city" shall not apply to
any act or violation:
a. Which constitutes malfeasance in office; or
b. Which constitutes willful neglect of duty; or
c. Which constitutes bad faith; or
"covered party" to LMCIT or any of its authorized
agents as soon as practicable. The "city" shall
promptly take, at its own expense, all reasonable
steps to prevent damages from arising out of the
same or similar conditions; provided that:
(1) A failure to take such preventative measures
shall not constitute a breach of this condition
unless LMCIT has requested the "city" in writing
to undertake such preventative measures; and
(2) Such expense shall not be recoverable under
this covenant.
Notice of damages or injury is not notice of a claim.
d. For which the "city" is not authorized to indemnify b. If claim is made or suit is brought against the
any person by statute; or "covered party ", the "covered party" shall immediately
forward to LMCIT every demand, notice, summons or
e. Which constitutes dishonesty on the part of a other process received by him or his representative.
"covered party ".
The terms "malfeasance ", "willful neglect of duty ",
and "bad faith" shall be given the same meaning in
this covenant as given in the applicable statute with
respect to the "city's" duty to defend or indemnify its
officers, employees or agents.
2. "COVERED PARTY'S" DUTIES IN THE EVENT
OF OCCURRENCE, CLAIM OR SUIT
a. In the event of a claim or suit, notice containing
particulars sufficient to identify the "covered party"
and also reasonably obtainable information with
respect to the time, place and circumstances thereof,
and the names and addresses of the injured and of
available witnesses, shall be given by or for the
c. The "covered party" shall cooperate with LMCIT
and, upon LMCIT's request, assist in making
settlements, assist in the conduct of suits and assist
in enforcing any right of contribution or indemnity
against any person or organization who may be liable
to the "covered party" because of damages for which
coverage is afforded under this covenant; and the
"covered party" shall attend hearings and trials and
assist in securing and getting evidence and obtaining
the attendance of witnesses. The "covered party"
shall not, except at his own cost, voluntarily make any
payment, assume any obligation or incur any
expense other than for first aid to others at the time of
accident.
LMCIT MLLC (11/97)(Rev. 11/15) Page 4 of 6
COVENANT NUMBER: LLC 1002980 -1
3. ACTION AGAINST LMCIT
No action shall lie against LMCIT unless as a
condition precedent thereto, there shall have been full
compliance with all of the terms of this covenant, nor
until the amount of the "covered party's" obligation to
pay shall have been fully determined either by
judgment against the "covered party" after actual trial
or by written agreement of the "covered party ", the
claimant and LMCIT.
Any person or organization or the legal representative
thereof who has secured such judgment or written
agreement shall thereafter be entitled to recover
under this covenant to the extent of the coverage
afforded by this covenant.
No person or organization shall have any right under
this covenant to join LMCIT as a party to any action
against the "covered party" to determine the "covered
party's" liability, nor shall LMCIT be impleaded by the
"covered party" or his legal representative.
Bankruptcy or insolvency of the "covered party" or of
the "covered party's" estate shall not relieve LMCIT of
any of its obligations hereunder.
4. NO WAIVER OF IMMUNITIES
It is the express intent of the parties to this covenant
that the procurement of this covenant shall not waive
any immunities, limits, or defenses imposed by or
available under any statute or common law which is
applicable to any "covered party ".
5. CONSENT TO SETTLE
The "city" may prohibit LMCIT from settling any claim
or suit against a "covered party" without the "city's"
consent, as provided below:
a. At any time before LMCIT has offered or made a
settlement of a claim or suit, the "city" may notify
LMCIT that LMCIT may not settle the claim or suit
without the "city's" consent. The "city" must give a
separate notice for each claim or suit which the "city"
intends to prohibit LMCIT from settling without the
"city's" consent.
b. If the "city" notifies LMCIT that the claim or suit
may not be settled without the "city's" consent, the
"city" must designate an individual authorized to give
or refuse consent on the "city's" behalf. The "city's"
notice must include the name, address, and
telephone number of the individual authorized to give
or refuse consent on the "city's" behalf.
c. If the "city" has notified LMCIT that the claim or
suit may not be settled without the "city's" consent,
LMCIT will notify the "city" of the terms and conditions
of any proposed settlement. If the "city" does not
consent to the proposed settlement, the "city" must
notify LMCIT within 14 days of the date the "city"
receives notice of the proposed settlement, unless
the "city" and LMCIT have mutually agreed to a
longer or shorter period. If within that time the "city"
does not notify LMCIT that the "city" does not consent
to the settlement, the "city" will be deemed to have
consented to the settlement.
d. If the "city" refuses to consent to a settlement
recommended by LMCIT, LMCIT will not be liable for
any excess amount. "Excess amount" means the
sum of all damages and legal defense costs for the
claim or suit minus the sum of:
(1) The amount of the settlement proposed by
LMCIT; and
(2) Any costs of defense incurred before the date
of the "city's" refusal. Any excess amount shall
not be included in the calculation of damages for
purposes of any applicable "Each Occurrence
Deductible" or "General Aggregate Deductible ".
e. If the "city" refuses to consent to a settlement
recommended by LMCIT, LMCIT may, at its sole
discretion, exercise either of the following options:
(1) LMCIT may pay to the "city" an amount equal
to the amount of the recommended settlement,
minus any applicable deductible. If LMCIT makes
such payment, LMCIT has no further duty to
defend or to indemnify the "city" or any other
covered party for this claim or suit, and the "city"
assumes any duty which LMCIT would otherwise
have had to defend and to indemnify any other
covered party.
(2) LMCIT may continue to defend the claim or
suit. If LMCIT elects to continue to defend the
claim or suit, the "city" must reimburse LMCIT for
any excess amount.
LMCIT MLLC (11/97)(Rev. 11/15) Page 5 of 6
COVENANT NUMBER: LLC 1002980 -1
f. If the "city" refuses to consent to a settlement
recommended by LMCIT, the "city" must defend and
indemnify LMCIT for any claim or suit arising out of
the failure to settle the original claim or suit, including
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. 11/15) Page 6 of 6
Covenant Number: MUNICIPAL EXCESS LIABILITY DECLARATIONS
MEL 1002981-1 Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES
Previous Covenant Number: INSURANCE TRUST
MEL 8878 — (Herein called LMCIT)
Item 1. CITY and MAILING ADDRESS:
LEAGUE of
MINNESOTA
CITIES
COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
590 40th Ave. NE
Columbia Heights, MN 55421-3878
Item 2. COVERAGE PERIOD:
From: 06/01/2017 To: 06/01/2018 12:01 AM Standard Time at Mailing
Address Indicated on Item 1.
Item 3. RETROACTIVE DATE: 06/01/2007
Item 4. THE COVERED PARTY IS: CITY
Item 5. LIMITS OF COVERAGE:
Aggregate Limit $ 1,000,000
Item 6. PREMIUM: $ 44,328
Item 7 FORM NUMBERS AND/OR ENDORSEMENTS FORMING A PART OF THE AGREEMENT AT ISSUE:
M ELC( 11/16)
f;�
Executive Director, LMCIT
LMCIT DEC-017 (11/96)(Rev. 11115) Page 1 of 1
Covenant Number:
OML 1002982-1
Previous Covenant Number:
OML 13523
LEAGUE or
MINNESOTA
CITIES
Item 1. COVERED PARTY and MAILING ADDRESS:
COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
590 40th Ave. NE
Columbia Heights, MN 55421-3878
Item 2. COVERAGE PERIOD:
From: 06/01/2017 To: 06/01/2018 12:01 AM Standard Time at
Mailing Address Indicated Above
Item 3. RETROACTIVE DATE: 06/01/2002
Item 4. THE COVERED PARTY IS:
0 City ❑ Joint Powers Entity ❑ Others (Describe)
Item 5. DEFENSE COST REIMBURSEMENT LIMITS:
1. Agreement Term Annual Aggregate Per City Official:
2. Agreement Term Annual Aggregate:
Item 6. PREMIUM: $ NO CHARGE_
Item 7. FORMS AND ENDORSEMENTS APPLICABLE TO AGREEMENT:
OMLRA-1 (11/14) ME06301/01)
$ 50,000
$ 250,000
lefXA
Executive Director, LMCIT
LMCIT DEC-019 (11/93)(Rev. 11/14) Page 1 of 1
COVENANT NUMBER: OML 1002982 -1
1. DEFENSE COST REIMBURSEMENT
COVERAGE
LMCIT will reimburse a city official for 100 percent of
the defense costs incurred by the city official in
defending a covered lawsuit, if the following
conditions are met:
The date on which the covered lawsuit is
commenced must be within the term of this
agreement; and;
2. The date on which the occurrence giving rise to
the covered lawsuit must be on or after the
retroactive date, if any, shown in the
Declarations.
A covered lawsuit is deemed to be commenced on
the date the city official is served notice of the
lawsuit.
11. LIMITS
The Defense Cost Reimbursement Agreement
Limit is $50,000. This is the most LMCIT will
reimburse any one city official for defense costs
for covered lawsuits commenced during the term
of this agreement, regardless of the number of
lawsuits, the number of actual or alleged
violations, or the date the defense costs are
actually incurred.
2. The Defense Cost Reimbursement Annual
Aggregate Limit is $250,000. This is the most
LMCIT will pay for defense costs under this
agreement for all city officials for covered
lawsuits commenced with the term of this
agreement.
Ill. CONDITIONS AND EXCLUSIONS
The term of this Agreement shall be one year
beginning with the effective date stated in the
Declarations. Subsequent renewals of this
Agreement shall be treated as separate terms.
2. LMCIT shall have no duty to provide a defense to
a city official with respect to a covered lawsuit;
however, LMCIT shall have the right to intervene
at its expense in the investigation or defense of
such legal action.
The city or the city official shall give prompt
notice to LMCIT of any actual or threatened
covered lawsuit. The city and the city official shall
at all times cooperate with and promptly respond
to LMCITs requests for information, investigative
data, records, or any other material
documentation.
4. The city official will be reimbursed only for
defense costs incurred with respect to legal
services actually rendered and expenses actually
incurred.
5. The city official shall have complete freedom to
choose an attorney licensed in the State of
Minnesota to provide the city official with legal
services with respect to which defense costs are
reimbursable under this Agreement.
& It is the express intent of the parties to this
Agreement that, neither the city nor the city
official, waive any immunities, defenses, or
limitations on liability available under Minnesota
statutes or common law.
7. In the event that a city official makes a recovery
of defense costs from any third party, that
recovery shall be applied first to any defense
costs which the city official has incurred which
have not been reimbursed by LMCIT; and any
remainder shall be applied to reimburse LMCIT
for any payment it has made under this
Agreement.
8. LMCIT may cancel this Agreement by mailing or
delivering written notice to the city at least:
a. Ten (10) days before the effective date of
cancellation for nonpayment of premium for
the city's covenant that provides the following
coverages:
Municipal Property, Crime, Bond and
Petrofund Coverage;
Equipment Breakdown Coverage;
Comprehensive Municipal Coverage;
Automobile Liability Coverage; or
Automobile Physical Damage
Coverage.
b. Thirty (30) days before the effective date of
cancellation for any other reason.
If LMCIT decides not to renew this
Agreement, LMCIT will mail or deliver to the
city written notice of non - renewal not less
than thirty 30 days before the expiration date.
9. It is mutually understood and agreed that the city
and all other LMCIT pool participants are jointly
and severally liable for all claims and expenses of
the pool. The amount of any liabilities in excess
of assets may be assessed to LMCIT pool
participants when a deficiency is identified.
LMCIT OMLRA -1 (11 /93)(Rev. 11/14) Page 1 of 2
COVENANT NUMBER: OML 1002982 -1
IV. DEFINITIONS
1. "Bankruptcy lawsuit" means a lawsuit against a
city official for actions within his or her duties as
such, that arises from or is related to the actual,
pending, or threatened bankruptcy of the city.
2. "City" means the city or other governmental body
or entity first named in the Declarations. Unless
specifically named in the Declarations, city shall
not include a gas, electrical, or steam utilities
commission; port authority, housing and
redevelopment authority, economic development
authority, area or municipal redevelopment
authority, or similar agency; municipal power
agency; municipal gas agency; hospital or
nursing home board or commission; airport
commission; welfare or public relief agency;
school board; or joint powers entity; but the
following are deemed to be a covered joint
powers entity under this agreement:
a. A joint planning board created pursuant to
an orderly annexation agreement, pursuant
to Minnesota Statute 462.3585, or pursuant
to a 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 this coverage, an independent
contractor is not a city official, except when
serving as a member of a committee,
subcommittee, board or commission of the city,
or when representing the city as a member of a
committee, subcommittee, board or commission.
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 exercise of governmental
powers. An intergovernmental agreement will be
deemed to create a joint powers entity if the
agreement establishes a board with the effective
power to do any of the following, regardless of
whether the specific consent of the constituent
governmental units may also be required:
a. To receive and expend funds;
b. To enter into contracts;
c. To hire employees;
d. To purchase or otherwise acquire and hold
real or personal property; or
e. To sue or be sued.
"LMCIT' means the League of Minnesota Cities
Insurance Trust.
8. "Open Meeting Law lawsuit" means a lawsuit
seeking penalties against a city official based on
an allegation that the city official has violated
M.S. Chapter 13D, commonly known as the
Minnesota Open Meeting Law,
LMCIT OMLRA -1 (11 /93)(Rev. 11/14) Page 2 of 2
COVENANT NUMBER: OML 1002982 -1
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.
LMCIT ME063 (11/95)(Rev. 11/01) Page 1 of 1