HomeMy WebLinkAbout2018-2877Covenant Number: MUNICIPAL PROPERTY, CRIME, BOND, PETROFUND,
CMC 1002979 -2 and EQUIPMENT BREAKDOWN DECLARATIONS
Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES
INSURANCE TRUST
(Herein called LMCIT)
Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
Item 2. COVERAGE PERIOD:
2018 -2877
I
LEAD U E
MINNESOTA
CITIES
From: 06/01/2018 To: 06/01/2019 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 $ 61,245,229
This general limit is subject to the sublimits as described in Section VI, Limits of
Coverage and Valuation, and the specific property limit.
Terrorism loss occurrence - shared limit S 50 000000
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 Expenses and Expediting Expense
2. Demolition and Debris Removal
(Direct Physical Damage to Covered Property)
(No Direct Physical Damage to Covered Property)
3. Leasehold Interest
4. Accounts Receivable
5. Valuable Papers and Records
6. Utility Services
7. Green Building Expenses
8. Asbestos Clean up, Abatement and Removal
9. Pollutant Clean up and Removal
10. Errors
11. Rental Reimbursement
12. Arson Reward
13. Extra ordinary Expense
14. Data Security Breach Expenses
15. Organic Pathogen Cleanup and Removal
$ 5,000,000 Per Occurrence
25% of the Estimated Replacement
Cost of the Covered Property
$ 50,000
Per Occurrence
$ 500,000
Per Location
$ 500,000
Per Location
$ 500,000
Per Location
$ 100,000
Per Occurrence
1 % of the Contract Cost but not to
exceed $100,000.
Per Location
$ 250,000
Per Location
$ 250,000
Per Location
$ 500,000
Per Occurrence
$ 250,000
Annual Aggregate
$ 5,000
Per Fire Loss
$ 250,000
Annual Aggregate
$ 250,000
Annual Aggregate
$ 250,000
Annual Aggregate
LMCIT DEC -012 (11 /86)(Rev. 11/15) Page 1 of 3
COVENANT NUMBER: CMC 1002979 -2
Section IV - Water and Supplemental Flood Coverage
a' �r
[_EAGUE ()i
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. 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 /17) PM- 100(11/16) ME079(11/09) ME063(11/01
MPCBP - 115(11/17) MPCBP- 209(11/05) PM- 109(11/16)
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.
MPCBP(11 /17) ME063(11/01)
LMCIT DEC -012 (11 /86)(Rev. 11/15) Page 2 of 3
COVENANT NUMBER: CMC 1002979 -2
LEAGUE of
MINNESOTA
CITI ES
Item 13. 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):
COVERAGE PART THREE - BOND $ 1,000 Per Occurrence
Item 14. COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
MPCBP(11 /17) ME063(11/01)
Item 15. COVERAGE PANT 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 /17) ME063(11/01
Item 17 EQUIPMENT BREAKDOWN COVERAGE
EQUIPMENT BREAKDOWN LIMIT: $ 59,655,912
DEDUCTIBLE $ 1,000 ANYONE ACCIDENT
Item 18 COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS
COVERAGE.
BM- 200(11/17) BM- 212(11/01) ME063(11/01) MPCBP- 1150 1/1
PM- 100(11/16)
LMCIT DEC -012 (11/86)(Rev. 11/15) Page 3 of 3
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
SCHEDULE OF COVERED PROPERTY
Covenant #: CMC 1002979 -2
COVERED PARTY: Columbia Heights, City Of & Columbia Heights EDA HRA
LE A G U k=.
MINN ESOTA
CITI ES
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
590 40TH AVENUE NE CITY HALL
637 38TH AVENUE NE MUNICIPAL SERVICE CENTER
* *Type of
Covered
Property
** *Section
IV -Water and
Supplemental
Flood
Coverage
Estimated
Replacement
Cost
1
B
CODE A
$ 4,988,441
2
B
CODE A
$ 4,843,858
3
637 38TH AVENUE NE
TANKS AND PUMPS
B
CODE A
$ 151,196
4
4025 VAN BUREN STREET
PARKING RAMP
B
CODE A
$ 3,335,388
5
4700 STINSON BOULEVARD
WATER TOWER- 250,000
GALLONS
B
CODE A
$ 922,185
6
5225 UNIVERSITY AVENUE NE
LIQUOR STORE
B
CODE A
$ 733,872
7
j 530 MILL STREET
MURZYN HALL
B
CODE A
$ 4,488,379
8
SULLIVAN PARK
RESTROOMS
PARK
B
PIO
CODE A
CODE A
$ 130,217
$ 19,292
9
EDGEMORE PARK
10
GAUVITTE PARK
WARMING HOUSE
B
CODE A
$ 79,629
11
GAUVITTE PARK
PARK
PIO
CODE A
$ 20,775
12
HILLTOP PARK
PARK
PIO
CODE A
$ 26,711
13
HUSET PARK
1 HUSET PARK
WARMING HOUSE
PRESS BOX (FIELD #5)
B
CODE A
$ 66,528
14
B
CODE A Is
16,800
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrence /$500,000 Annual Aggregate
**Type of Covered Property
B = 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: LMC/T 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 1 of 5
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
SCHEDULE OF COVERED PROPERTY
Covenant #: CMC 1002979 -2
COVERED PARTY: Columbia Heights, City Of & Columbia Heights EDA HRA
LEAGUE-
M I N N E SOTA
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
** *Section
IV -Water and
* *Type of Supplemental
Covered Flood
Property Coverage
Estimated
Replacement
Cost
15
HUSET PARK
PARK
PIO
CODE C
$ 89,736
16
KEYES PARK
WARMING HOUSE
B
CODE A
$ 79,629
17
KEYES PARK
PARK
PIO
CODE A
$ 20,775
18
LABELLE PARK
PARK
PIO
CODE C
$ 22,260
19
LABELLE CIRCLE TERRACE
VARIOUS
PIO
CODE C
$ 22,260
20
LOMIANKI PARK
WARMING HOUSE
B
CODE A
$ 55,998
21
MCKENNA PARK
WARMING HOUSE
B
CODE A
$ 79,629
22
MCKENNA PARK
PARK
PIO
CODE A
$ 20,775
23
OSTRANDER PARK
WARMING HOUSE
B
CODE A
$ 79,629
24
OSTRANDER PARK
PARK
PIO
CODE A
$ 44,518
25
PRESTEMON PARK
PRESTEMON PARK
WARMING HOUSE
B
CODE A
$ 56,559
26
PARK
PIO
CODE A
$ 146,650
27
RAMSDELL PARK
RAMSDELL PARK
WARMING HOUSE
PARK
B
CODE A
$ 79,629
28
PIO
CODE A
$ 22,260
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrence /$500,000 Annual Aggregate
**Type of Covered Property
B
=
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: LMC/T 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 2 of 5
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
SCHEDULE OF COVERED PROPERTY
Covenant #: CMC 1002979 -2
COVERED PARTY: Columbia Heights, City Of & Columbia Heights EDA HRA
LEAG U
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
BEACH HOUSE
* *Type of
Covered
Property
** *Section
IV -Water and
Supplemental
Flood
Coverage
Estimated
Replacement
Cost
29
SILVER LAKE BEACH
B
CODE A
$ 89,597
30
637 38TH AVENUE NE
MSC BROWN BUILDING
B
CODE A
$ 406,412
31
SULLIVAN PARK
PARK
PIO
CODE A
$ 54,906
32
4400 RESERVOIR BLVD
PUMP STATION #2
B
CODE A
$ 436,282
33
4633 IVANHOE PLACE
PUMP STATION #3
B
CODE A
$ 478,953
34
4640 CHATHAM ROAD
LIFT STATION #1 (CHATHAM)
B
CODE A
$ 87,172
35
330 ARGONNE DRIVE
LIFT STATION #2
LIFT STATION #3 (SILVER
LAKE)
B
CODE A
$ 77,764
36
4101 STINSON BLVD
B
CODE C
$ 140,304
37
721 51ST AVENUE NE
LIFT STATION #4 (SULLIVAN)
GARAGE
B
I CODE C
$ 251,091
38
HUSET PARK
B
CODE A
$ 249,519
39
637 38TH AVENUE NE
MSC - BLUE BLDG
B
CODE A
$ 286,712
40
637 38TH AVENUE NE
MSC - SALT SHED
B
CODE A
$ 56,445
41
CITYWIDE
VARIOUS
PIO
CODE C
$ 1,095,270
42
559 MILL STREET _
VARIOUS
PIO
CODE A
$ 44,752
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrence /$500,000 Annual Aggregate
**Type of Covered Property
B
-
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
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
SCHEDULE OF COVERED PROPERTY
Covenant #: CMC 1002979 -2
COVERED PARTY: Columbia Heights, City Of & Columbia Heights EDA HRA
tI
LEAG U E
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#
* *Type of
Covered
Location Occupancy Property
** *Section
IV -Water and
Supplemental
Flood
Coverage
Estimated
Replacement
Cost
43
4633 IVANHOE PLACE
VARIOUS
PIO
CODE A
$ 40,713
44
4950 CENTRAL AVENUE NE
LIQUOR STORE
B
CODE A
$ 4,701,559
45
2105 37TH AVENUE
LIQUOR STORE
B
CODE A
$ 3,427,271
46
637 38TH AVE NE
MSC
PIO
CODE A
$ 78,703
$ 56,235
47
4400 RESERVOIR BLVD
PUMP HOUSE #2
PIO
CODE A
48
4101 STINSON BLVD
LIFT STATION #3
PIO
CODE A
$ 12,500
49
530 MILL STREET
MURZYN HALL
PIO
CODE A
$ 74,879
$ 89,597
50
SULLIVAN PARK
SHELTER
B
CODE A
51
40TH & CENTRAL NE
VARIOUS
PIO
CODE A
$ 32,721
52
SILVER LAKE BEACH
SHELTER
B
CODE A
$ 29,680
53
HUSET PARK
SHELTER
B
CODE A
$ 89,597
54
825 41ST AVE NE
PUBLIC SAFETY BUILDING
STORM WATER RETENTION
POND
B
CODE A
$ 11,579,114
55
JACKSON POND
PIO
CODE C
$ 8,941
56
40TH AVENUE
PARKING RAMP
B
CODE A
$ 5,183,229
*The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate
of Covered Pro
B = 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 (11I95)(Rev. 11/16) Page 4 of 5
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
SCHEDULE OF COVERED PROPERTY
Covenant #: CMC 1002979 -2
LEAGUE t�
MINNESOTA
CITIES
COVERED PARTY: Columbia Heights, City Of & Columbia Heights EDA HRA
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.
=
Property in the Open
BR
** *Section
Builders Risk Property
CO
=
Contents only
IV -Water and
* *Type of Supplemental
Estimated
Covered Flood
Replacement
Loc#
Location
Occupancy
Property Coverage
Cost
39TH AVE /JEFFERSON ST
57
NE /HUSET PKWY. MONUMENT
3965 JEFFERSON ST - HUSSET PORTABLE RESTROOM
PIO
CODE A
$ 67,046
58
PARK SPECIALTY UN
PORTABLE RESTROOM
PIO
CODE A
$ 2,759
59
721 -51ST AV- SULLIVAN PARK SPECIALTY UN
4956 JOHNSON ST - RAMSDELL PORTABLE RESTROOM
PIO
CODE A
$ 2,759
60
PARK SPECIALTY UN
4301 STINSON BLVD - SILVER PORTABLE RESTROOM
PIO
CODE A
$ 2,759
61
LAKE PARK SPECIALTY UN
3939 CENTRAL AVENUE NE LIBRARY
PIO
CODE A
$ 2,759
62
B
CODE A
$ 9,034,334
COMMUNITY ROOM, PARK
63
1311 CIRCLE TERRACE BLVD
SHELTER B
CODE C
$ 740,000
*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: 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. 11 116) Page 5 of 5
COVENANT NUMBER: CMC 1002979 -2
LOSS PAYEE ENDORSEMENT
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.
LMCIT MPCBP -115 (11117) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -2
ADDITIONAL COVERAGE/ PROPERTY IN THE OPEN
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
VARIOUS Fire Hydrants Only. No Other Property
In The Open Is Covered.
41
CITYWIDE
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
4101 STINSON BLVD
PUMP HOUSE #2
2007 Onan Genset Generator.
48
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.
Monument.
Portable Restroom.
57
39TH AVE /JEFFERSON ST
NE /HUSET PKWY.
MONUMENT
58
3965 JEFFERSON ST -
HUSSET PARK
PORTABLE RESTROOM
SPECIALTY UN
59
721 -51ST AV- SULLIVAN
PARK
PORTABLE RESTROOM
SPECIALTY UN
Portable Restroom.
60
4956 JOHNSON ST -
RAMSDELL PARK
PORTABLE RESTROOM
SPECIALTY UN
Portable Restroom.
Portable Restroom.
61
4301 STINSON BLVD - SILVER
LAKE PARK
PORTABLE RESTROOM
SPECIALTY UN
All other terms and conditions remain unchanged.
LMCIT MPCBP -209 (11/05) Page 1 of 1
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
SCHEDULE OF COVERED MOBILE PROPERTY
. ..N ( J
Covenant # CMC 1002979 -2
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-
1 1994 CASE FRONT END LOADER #0770
Limit
$ 177,521
2
2000 CAT 428 TRACTOR /BACKHOE #1795
$ 138,688
3
2010 TRACKLESS MTV TRACTOR W /EQUIPMENT MT6 -1295
$ 144,236
4
1998 MCQUEEN MT TRACKLESS TRACTOR #1475
$ 122,046
5
2007 TORO 580D LAWN MOWER #0152
$ 105,403
6
2007 CAT 938G11 LOADER #2454
$ 183,069
LMCIT PM -109 (11/97)(Rev. 11/16) Page 1 of 1
Covenant Number: MUNICIPAL LIABILITY DECLARATIONS
CMC 1002979 -2 Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES {
INSURANCE TRUST Lz:Ac;UL
(Herein called LMCIT) NJ I N N L SOT O
Cal
Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
Item 2. COVERAGE PERIOD:
From: 06/01/2018 To: 06/01/2019 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
MEDICAL AND RELATED EXPENSE LIMIT
$ 3,000,000 Annual Aggregate
NOT
$ COVERED Any One Person /Occurrence
LIMITED CONTAMINATION LIABILITY CLAIM LIMIT **$ 3,000,000 Annual Aggregate
OUTSIDE ORGANIZATION CLAIM LIMIT ** $ 100,000 Annual Aggregate
SYSTEM 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 /17) MGL- 1(11/12) ME014(11/15) ME062(11/02)
ME066(11/11) ME077(11/14) ME084(11/14) ME087(11/11)
ME091(11/17) ME092(11/17) ME093(01/18)
LMCIT DEC -013 (11 /86)(Rev. 11/17) Page 1 of 1
COVERED PARTY COVENANT NUMBER EFFECTIVE DATE
Columbia Heights, City of &
CMC 1002979 -2
06/01/2018
EDA & HRA
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 ME091(11/17) Page I of 1
1 -�6, U E
INNESOTA
( -11-1 ES
MUNICIPAL LIABILITY
CITY Columbia Heights, City Of & Columbia Heights COVENANT NUMBER CMC_1002979 -2
EDA HRA
590 40th Ave. NE
Columbia Heights, 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
27.00
SEWER DEPARTMENT
D
7,260
EXPENDITURES
E
33,678,678
NO FAULT SEWER BACK -UP COVERAGE
D
7,260
SKATEBOARD PARKS
F
1
LMCIT MGL -1 (01 /95)(Rev. 11/12) Page 1 of 2
COVENANT NUMBER: CMC 1002979 - 2
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 -2
ADDITIONAL COVERED PARTY -
MUNICIPAL LIABILITY
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 LMCIT 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 -2
MEDICAL AND RELATED EXPENSES EXCLUSION
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 NUMBER: CMC 1002979 -2
COMPREHENSIVE MUNICIPAL LIABILITY COVERAGE
0
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
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 (11196)(Rev. 11/11) Page 1 of 1
Covenant Number: MUNICIPAL AUTOMOBILE DECLARATIONS
CMC 1002979 -2 Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES
INSURANCE TRUST
(Herein called LMCIT)
Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
Item 2, COVERAGE PERIOD:
From: 06/01/2018 To: 06/01/2019 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:
AUTOMOBILE LIABILITY
BASIC ECONOMIC LOSS BENEFITS
UNINSURED AND UNDERINSURED MOTORISTS
AUTOMOBILE PHYSICAL DAMAGE
LIMIT:
"$2,000,000 Per Occurence
Basic Minnesota Statutory Cvg.
$ 200,000 Per Occurence
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(11/17) CMC(11 /17) ME079(11/09) MA082(11/09)
ME049(11/16) ME057(11/15) ME063(11/01) ME066(11/11)
ME091(11/17)
LMCIT DEC -016 (11/86)(Rev. 11/15) Page 1 of 1
COVERED PARTY COVENANT NUMBER EFFECTIVE DATE
Columbia Heights, City of & CMC 1002979 -2 06/01/2018
EDA & HRA
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.
LMC1T ME091(11/17) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -2
LOSS PAYEE ENDORSEMENT - AUTOMOBILE
It is hereby understood and agreed that the following is added as loss payee:
Northeast Bank 2012 CHEVROLET SUBURBAN 8301
77 NE Broadway
Minneapolis, MN 55413
All other terms and conditions remain unchanged
LMCIT MA082 (11/09) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -2
LIMITED REPLACEMENT COST ENDORSEMENT
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:
LIMIT
1990 FORD RESCUE #1 8732 $ 130,000
2002 FORD E450
2004 Gladiator Quint
2006 INT'L 4300
2011 _ ELGIN
2016 INT.L
2017 TYMCO
AMBULANCE
5524
$
105,591
LADDER TRK
7382
$
596,229
JETTER
SWEEPER
6095
2199
$
$
141,000
172,367
7500
7400
600 ST SWE
3928
$
328,025
0145
$
492,127
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 (01195)(Rev. 11/16) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -2
ADDITIONAL COVERED PARTY - AUTOMOBILE
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 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 LMCIT 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. 11115) Page 1 of 1
COVENANT NUMBER: CMC 1002979 -2
COMPREHENSIVE MUNICIPAL LIABILITY COVERAGE
❑X
Coverage
A
❑
Coverage
A
❑
Coverage
A
❑
Coverage
B
Coverage
C
0
Coverage
D
0
Coverage
E, F
Municipal Liability
Municipal Liability, but only for Bodily Injury, Property Damage or Personal Injury
Municipal Liability, except for Bodily Injury, Property Damage or Personal Injury
Medical and Related Expense
Automobile Liability - Bodily Injury and Property Damage
Land Use and Special Risk Litigation
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 -2
Previous Covenant Number:
LLC 1002980 -1
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: 06/01/2018 To: 06/01/2019
Item 4. COVERAGE LIMITS:
Municipal Liquor Liability Limit $ 1,000,000
$ 1,000,000
Item 5. MUNICIPAL LIQUOR LIABILITY DEDUCTIBLE: $
Item 6. PREMIUM: $ 8,637
12:01 AM Standard Time at
Mailing Address Indicated Above
1\
[ EAG U E of
MINNESOTA
CITIES
Per Occurrence /Per Covered Premises
Annual Aggregate /Per Covered Premises
Per Occurrence
Item 7. FORMS AND ENDORSEMENTS APPLICABLE TO AGREEMENT:
MLLC(11 /15)
LMCIT DEC -021 (11/97)(Rev. 11/17) Page 1 of 1
Covenant Number:
MEL 1002981 -2
Previous Covenant Number:
MEL 1002981 -1
MUNICIPAL EXCESS LIABILITY DECLARATIONS
Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES
INSURANCE TRUST
(Herein called LMCIT)
Item 1. CITY and MAILING ADDRESS:
LEAGUE (,i
MINNESOTA
CITIES
COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA
590 40th Ave. NE
Columbia Heights, MN 55421 -3878
Item 2. COVERAGE PERIOD:
From: 06/01/2018 To: 06/01/2019 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: $ 36,858
Item 7 FORM NUMBERS AND /OR ENDORSEMENTS FORMING A PART OF THE AGREEMENT AT ISSUE:
MELC(11 /17) UME- 49(11/03) UME- 53(01/18)
LMCIT DEC -017 (11/96)(Rev. 11/17) Page 1 of 1
Covenant Number:
OML 1002982 -2
Previous Covenant Number:
AGREEMENT DECLARATIONS
DEFENSE COST
REIMBURSEMENT AGREEMENT
Coverage is Provided By:
THE LEAGUE OF MINNESOTA CITIES
INSURANCE TRUST
(Herein called LMCIT)
f
LM1NNESOTA
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: 06101/2018 To: 06/01/2019 12:01 AM Standard Time at
Mailing Address Indicated Above
Item 3. RETROACTIVE DATE: 06/01/2002
Item 4. THE COVERED PARTY IS:
❑x 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) ME063(11/01)
$ 50,000
$ 250,000
LMCIT DEC -019 (11/93)(Rev. 11/17) Page 1 of 1
Covenant Number: COMMON COVERAGE DECLARATIONS
CMC 1002979_2 Coverage is Provided by:
THE LEAGUE OF MINNESOTA CITIES
Previous Covenant Number: INSURANCE TRUST
CMC 1002979 -1 (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: 06/01/2018 To: 06/01/2019
LEAGUE (1i
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:
LMCIT DEC -011 (11 /86)(Rev. 11/17) Page 1 of 1
PROPERTY, CRIME, BOND, and PETROFUND
Premium
Property
$
75,227
Additional Covered Loss or Damages
INCLUDED
Water and Supplemental Flood Coverage
INCLUDED
Crime
INCLUDED
Bond
$
1,318
Petrofund
INCLUDED
EQUIPMENT BREAKDOWN
$
7,570
MUNICIPAL LIABILITY
$
142,493
Medical and Related Expense
NOT COVERED
AUTOMOBILE LIABILITY
$
13,808
AUTOMOBILE PHYSICAL DAMAGE
$
20,014
TOTAL
$
260,430
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(11/17) DEC - 012(11/15) DEC - 013(11/17)
DEC - 016(11/15)
LMCIT DEC -011 (11 /86)(Rev. 11/17) Page 1 of 1