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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