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Home My WebLink About2020-3041Covenant Number: COMMON COVERAGE DECLARATIONS CMC 1002979 -4 Coverage is Provided by: THE LEAGUE OF MINNESOTA CITIES Previous Covenant Number: INSURANCE TRUST CMC 1002979 -3 (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: 06/01/2020 To: 06/01/2021 Contract # 2020 -3041 E UIC LEAGUE 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: LMCIT DEC -011 (11/86)(Rev. 11/17) Page 1 of 1 PROPERTY, CRIME, BOND, and PETROFUND Premium Property $ 82,707 Additional Covered Loss or Damages INCLUDED Water and Supplemental Flood Coverage INCLUDED Crime INCLUDED Bond $ 1,230 Petrofund INCLUDED EQUIPMENT BREAKDOWN $ 8,457 MUNICIPAL LIABILITY $ 126,029 Medical and Related Expense NOT COVERED AUTOMOBILE LIABILITY $ 21,760 AUTOMOBILE PHYSICAL DAMAGE $ 26,262 TOTAL $ 266,445 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 - 011(11/17) DEC - 012(11/15) DEC - 013(11/19) DEC - 016(11/15) LMCIT DEC -011 (11/86)(Rev. 11/17) Page 1 of 1 Covenant Number: MUNICIPAL PROPERTY, CRIME, BOND, PETROFUND, CMC 1002979 -4 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: LM ''C L1'1C LEAGUE t l MINNESOTA CITIES From: 06/01/2020 To: 06/01/2021 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 $ 68,325,873 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 $ 50,000,000 This limit is subject to the provisions of the Terrorism Losses - Special Pool Limit Endorsement - ME079(11/09) Section II - 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 Section IV - Water and Supplemental Flood Coverage $ 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 $ 500,000 Per Occurrence $ 500,000 Annual Aggregate LMCIT DEC -012 (11/86)(Rev. 11/15) Page 1 of 3 COVENANT NUMBER: CMC 1002979 -4 LMC LEAGUE o MINNESOTA CITIES 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): Item 8. Item 9 Item 10. Item 11 Item 12 COVERAGE PART ONE - PROPERTY 1,000 Per Occurrence COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE. MPCBP(11 /19) PM-1 00(04/20) ME079(11/09) ME063(11/01) MPCBP- 115(11/17) MPCBP- 218(11/18) PM- 109(11/19) 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 500 Per Occurrence COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE. MPCBP(11 /19) ME063(11/01) LMCIT DEC -012 (11/86)(Rev. 11/15) Page 2 of 3 COVENANT NUMBER: CMC 1002979 -4 Item 13. COVERAGE PART THREE - BOND LMC LEAGUE c>- MINNESOTA CITIES 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. MPCBPO1 /19) ME06301/01) Item 15. COVERAGE PART FOUR - PETROFUND (Claims made) LIMITS OF REIMBURSEMENT BENEFIT MAXIMUM REIMBURSABLE COSTS AND DEFENSE COSTS EACH TANK RELEASE $ 250,000 REIMBURSABLE COSTS AND DEFENSE COSTS AGREEMENT TERM AGGREGATE $ 250,000 DEDUCTIBLE: COVERAGE PART FOUR - PETROFUND NOT APPLICABLE Item 16 COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE. MPCBP(11/19) ME06301/01 Item 17 EQUIPMENT BREAKDOWN COVERAGE EQUIPMENT BREAKDOWN LIMIT: DEDUCTIBLE $ 66,646,345 $ 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- 115(11/17) PM- 100(04/20) 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 -4 f LMC 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 1 590 40TH AVENUE NE CITY HALL B CODE A $ 5,509,952 2 637 38TH AVENUE NE MUNICIPAL SERVICE CENTER B CODE A $ 5,551,008 3 637 38TH AVENUE NE TANKS AND PUMPS PIO CODE A $ 163,534 4 4025 VAN BUREN STREET PARKING RAMP B CODE A $ 3,537,040 5 4700 STINSON BOULEVARD WATER TOWER- 250,000 GALLONS B CODE A $ 1,108,952 6 5225 UNIVERSITY AVENUE NE LIQUOR STORE B CODE A $ 767,428 7 530 MILL STREET MURZYN HALL B CODE A $ 4,202,332 8 SULLIVAN PARK RESTROOMS B CODE A $ 136,157 9 EDGEMORE PARK PARK PIO CODE A $ 20,867 10 GAUVITTE PARK WARMING HOUSE B CODE A $ 81,744 11 GAUVITTE PARK PARK PIO CODE A $ 22,470 12 HILLTOP PARK PARK PIO CODE A $ 28,890 13 HUSET PARK WARMING HOUSE B CODE A $ 69,680 14 HUSET PARK PRESS BOX (FIELD #5) B CODE A $ 17,264 *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 = 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 any loss or damage resulting from any occurrence which would be considered a flood for the purpose of the National Flood Insurance Program. PM -100 (11/95)(Rev. 04/20) Page 1 of 6 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED PROPERTY Covenant #: CMC 1002979 -4 •- yr LMIC 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 $ 97,058 16 KEYES PARK WARMING HOUSE B CODE A $ 81,744 17 KEYES PARK PARK PIO CODE A $ 22,470 18 LABELLE PARK PARK PIO CODE C $ 24,076 19 LABELLE CIRCLE TERRACE VARIOUS PIO CODE C $ 24,076 20 LOMIANKI PARK WARMING HOUSE B CODE A $ 57,304 21 MCKENNA PARK WARMING HOUSE B CODE A $ 81,744 22 MCKENNA PARK PARK PIO CODE A $ 23,510 23 OSTRANDER PARK WARMING HOUSE B CODE A $ 81,744 24 OSTRANDER PARK PARK PIO CODE A $ 48,151 25 PRESTEMON PARK WARMING HOUSE B CODE A $ 57,304 26 PRESTEMON PARK PARK PIO CODE A $ 158,617 27 RAMSDELL PARK WARMING HOUSE B CODE A $ 81,744 28 RAMSDELL PARK PARK PIO CODE A $ 24,076 *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 = 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 any loss or damage resulting from any occurrence which would be considered a flood for the purpose of the National Flood Insurance Program. PM -100 (11 /95)(Rev. 04/20) Page 2 of 6 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED PROPERTY Covenant #: CMC 1002979 -4 LMC 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 29 SILVER LAKE BEACH BEACH HOUSE B CODE A $ 90,896 30 637 38TH AVENUE NE MSC BROWN BUILDING B CODE A $ 417,630 31 SULLIVAN PARK PARK PIO CODE A $ 59,386 32 4400 RESERVOIR BLVD PUMP STATION #2 B CODE A $ 349,808 33 4633 IVANHOE PLACE PUMP STATION #3 B CODE A $ 360,880 34 4640 CHATHAM ROAD LIFT STATION #1 (CHATHAM) B CODE A $ 178,448 35 330 ARGONNE DRIVE LIFT STATION #2 B CODE A $ 115,368 36 4101 STINSON BLVD LIFT STATION #3 (SILVER LAKE) B CODE C $ 198,672 37 721 51ST AVENUE NE LIFT STATION #4 (SULLIVAN) B CODE C $ 221,560 38 HUSET PARK GARAGE B CODE A $ 280,091 39 637 38TH AVENUE NE MSC - BLUE BLDG B CODE A $ 299,000 40 637 38TH AVENUE NE MSC - SALT SHED B CODE A $ 58,968 Al CITY \NIIIF VARIOUS PIO CODE C $ 5,928,000 42 559 MILL STREET VARIOUS PIO CODE A $ 48,404 *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 any loss or damage resulting from any occurrence which would be considered a flood for the purpose of the National Flood Insurance Program. PM -100 (11/95)(Rev. 04/20) Page 3 of 6 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED PROPERTY Covenant #: CMC 1002979 -4 hr, LMC LEAGUE (-)l 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 $ 44,036 44 4950 CENTRAL AVENUE NE LIQUOR STORE B CODE A $ 4,410,676 45 2105 37TH AVENUE LIQUOR STORE B CODE A $ 2,915,956 46 637 38TH AVE NE MSC PIO CODE A $ 85,125 47 4400 RESERVOIR BLVD PUMP HOUSE #2 PIO CODE A $ 60,823 48 4101 STINSON BLVD LIFT STATION #3 PIO CODE A $ 13,520 49 530 MILL STREET MURZYN HALL PIO CODE A $ 80,989 50 SULLIVAN PARK SHELTER B CODE A $ 96,928 51 40TH & CENTRAL NE VARIOUS PIO CODE A $ 35,391 52 SILVER LAKE BEACH SHELTER B CODE A $ 30,368 53 HUSET PARK SHELTER B CODE A $ 96,928 54 825 41ST AVE NE PUBLIC SAFETY BUILDING B CODE A $ 11,714,592 55 JACKSON POND STORM WATER RETENTION POND PIO CODE C $ 9,671 56 40TH AVENUE PARKING RAMP B CODE A $ 5,743,400 *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 = 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 any loss or damage resulting from any occurrence which would be considered a flood for the purpose of the National Flood Insurance Program. PM -100 (11/95)(Rev. 04/20) Page 4 of 6 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED PROPERTY Covenant #: CMC 1002979 -4 r„ mac LMC LEAGUE o 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 PROPERTYLIMIT. *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 = 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 $ 72,517 PORTABLE RESTROOM 58 530 MILL ST. SPECIALTY UN PIO CODE A $ 2,984 PORTABLE RESTROOM 59 721 -51ST AV- SULLIVAN PARK SPECIALTY UN PIO CODE A $ 2,984 4956 JOHNSON ST - RAMSDELL PORTABLE RESTROOM 60 PARK SPECIALTY UN PIO CODE A $ 2,984 4301 STINSON BLVD - SILVER PORTABLE RESTROOM 61 LAKE PARK SPECIALTY UN PIO CODE A $ 2,984 62 3939 CENTRAL AVENUE NE LIBRARY B CODE A $ 9,803,686 COMMUNITY ROOM, PARK 63 1311 CIRCLE TERRACE BLVD SHELTER B CODE C $ 423,916 64 590 40TH AVENUE NE CITY HALL PIO CODE A $ 52,000 65 2105 37TH AVENUE LIQUOR STORE PIO CODE A $ 62,400 cr_ 66 nnnn CE NT nvrnll 1 _ nlC I '09739 CEN I R, AL /AV CIVVE IVC, I LIBRAR 1 I LIBRARY PIlI IV f'llrlC A CODE A N �Q non I s I V,nu v *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 = 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 any loss or damage resulting from any occurrence which would be considered a flood for the purpose of the National Flood Insurance Program. PM -100 (11/95)(Rev. 04/20) Page 5 of 6 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED PROPERTY Covenant #: CMC 1002979 -4 COVERED PARTY: Columbia Heights, City Of & Columbia Heights EDA HRA LMC LEAGUE 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 67 4950 CENTRAL AVE NE LIQUOR STORE PIO CODE C $ 62,400 68 825 41 ST AVE NE PUBLIC SAFETY BUILDING PIO CODE C $ 53,040 *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 any loss or damage resulting from any occurrence which would be considered a flood for the purpose of the National Flood Insurance Program. PM -100 (11/95)(Rev. 04/20) Page 6 of 6 COVENANT NUMBER: CMC 1002979 -4 DEFINITION OF CITY ENDORSEMENT It is understood and agreed that city is amended to include: Columbia Heights Economic Development Authority; Columbia Heights Housing and Redevelopment Authority All other terms and conditions remain unchanged. LMCIT ME063 (11/95)(Rev. 11/01) Page 1 of 1 COVENANT NUMBER: CMC 1002979 -4 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. RUFFRIDGE- JOHNSON EQUIPMENT CO., INC. 2065 COMMERCE DRIVE CENTERVILLE, MN 55038 RE: RENTED EQUIPMENT. All other terms and conditions remain unchanged. LMCIT MPCBP -115 (11/17) Page 1 of 1 COVENANT NUMBER: CMC 1002979 -4 PROPERTY IN THE OPEN This endorsement modifies coverage provided under the Municipal Property Coverage. 1. Section VII —DEFINITIONS defines property in the open to mean: a. Benches, fences, light poles or outdoor lighting systems, playground equipment, sports and recreational apparatus, picnic tables, grills, statues, monuments, portable toilets, water fountains, garbage cans, flagpoles, and signs that are not part of the building; or b. Golf course property. Unless otherwise endorsed, property in the open does not mean basketball and tennis court surfaces, fire hydrants, street signs, street lights or traffic signs or signals, or any property described in SECTION I, 1.b., PROPERTY NOT COVERED. 2. This endorsement modifies the definition of property in the open as described at the locations listed below. Examples: To limit what's covered to only a specific item or items, indicate: "A and B only ". To broaden the definition to include more than what is described in 1., a., or b. above, indicate: "The definition is expanded to include C and D ". Loc. # Location Occupancy Property Covered 41 CITYWIDE VARIOUS Fire Hydrants only. 42 559 MILL STREET VARIOUS The Definition is expanded to include 2003 Onan Generator. 43 4633 IVANHOE PLACE VARIOUS The Definition is expanded to include 2003 Cat Generator. 46 637 38TH AVE NE MSC The Definition is expanded to include 2007 Onan Genset Generator/Trans Switch. 47 4400 RESERVOIR BLVD PUMP HOUSE #2 The Definition is expanded to include 2007 Onan Genset Generator. 48 4101 STINSON BLVD LIFT STATION #3 The Definition is expanded to include 2005 Kohler Generator. 49 530 MILL STREET MURZYN HALL The Definition is expanded to include 2007 Onan Generator /Trans Switch. 51 40TH & CENTRAL NE VARIOUS The Definition is expanded to include Clock Tower. 55 JACKSON POND STORM WATER RETENTION The Definition is expanded to POND include Equipment. 57 39TH AVE /JEFFERSON ST MONUMENT The Definition is expanded to NE /HUSET PKWY. include Monument. 58 530 MILL ST. PORTABLE RESTROOM The Definition is expanded to SPECIALTY UN include Portable Restroom. LMCIT MPCBP -218 (11/18) Page 1 of 2 COVENANT NUMBER: CMC 1002979 -4 PROPERTY IN THE OPEN Loc. # Location Occupancy Property Covered 59 721 -51 ST AV-SULLIVAN PARK PORTABLE RESTROOM SPECIALTY UN The definition is expanded to include Portable Restroom. 60 4956 JOHNSON ST - RAMSDELL PARK PORTABLE RESTROOM SPECIALTY UN The definition is expanded to include Portable Restroom. 61 4301 STINSON BLVD - SILVER LAKE PARK PORTABLE RESTROOM SPECIALTY UN The definition is expanded to include Portable Restroom. 64 590 40TH AVENUE NE CITY HALL LED Digital Sign only. 65 2105 37TH AVENUE LIQUOR STORE LED Digital Sign only. 66 3939 CENTRAL AVENUE NE, LIBRARY LED Digital Sign only. 67 4950 CENTRAL AVE NE LIQUOR STORE LED Digital Sign only. 68 825 41ST AVE NE PUBLIC SAFETY BUILDING Bronze Statue only. All other terms and conditions remain unchanged. LMCIT MPCBP -218 (11/18) Page 2 of 2 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED MOBILE PROPERTY LMC LEAGUE c' MINNESOTA CITIES Covenant # CMC 1002979 -4 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) $250,000 3. With respect only to individual units of mobile property scheduled below, the most LMCIT will pay is (a), (b), (c) or the limit specified below. Description of Mobile Property (Make, Model and Year) Serial No. Limit 1 2 3 LMCIT PM -109 (11 /97)(Rev. 11/19) Page 1 of 1 Covenant Number:� cnnc 1002979 -4 MUNICIPAL LIABILITY DECLARATIONS Coverage is Provided by: LMC THE LEAGUE OF MINNESOTA CITIES LEAGUE INSURANCE TRUST MINNESOTA (Herein called LMCIT) CITIES Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA Item 2. COVERAGE PERIOD: From: 06/01/2020 To: 06/01/2021 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 —$ 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 SEXUAL ABUSE CLAIM LIMIT $ 3,000,000 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 /19) 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. 11/19) Page 1 of 1 COVERED PARTY COVFNANTNIIMRFR F.FFFC'T]VF, DATF. Columbia Heights, City of & EDA & HRA CMC 1002979 -4 06/01/2020 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 MG09](11 /17) Page 1 of 1 LMC LEAGUE of MINNESOTA CITIES MUNICIPAL LIABILITY CITY Columbia Heights, City Of & Columbia Heights COVENANT NUMBER CMC 1002979 -4 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 159.00 LAND USE A 8,385.00 POLICE C 28.00 SEWER DEPARTMENT D 7,250 EXPENDITURES E 34,219,333 NO FAULT SEWER BACK -UP COVERAGE D 7,250 SKATEBOARD PARKS F 1 LMCIT MGL -1 (01 /95)(Rev. 11/12) Page 1 of 2 Covenant Number: MUNICIPAL AUTOMOBILE DECLARATIONS CMC 1002979 -4 Coverage is Provided by: �� THE LEAGUE OF MINNESOTA CITIES INSURANCE TRUST LEAGUE o? (Herein called LMCIT) MINNESOTA CITIES Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA Item 2. COVERAGE PERIOD: From: 06/01/2020 To: 06/01/2021 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 Occurrence Basic Minnesota Statutory Cvg. $ 200,000 Per Occurrence Actual Cash Value, Unless Endorsed * LMCIT's 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 /19) ME079(11/09) MA082(11/09) ME049(11/19) ME057(11/15) ME063(11/01) ME066(11/11) LMCIT DEC -016 (11/86)(Rev. 11/15) Page 1 of 1 COVENANT NUMBER: CMC 1002979 -4 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 -4 AUTO PHYSICAL DAMAGE ENHANCEMENT 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 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; /n\ TL.. t F lent F.,r... L :l. ;+I,- + Aed! t;-- fnr rinnrnn' 4'nn 1G,I III cost 1J1 an equivalent Gilt IteVV aULV/IIVI✓IIG VVILIIVUL %A UVllulI lul uupi Vla LlVl it (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. 11/19) Page 1 of 1 COVENANT NUMBER: CMC 1002979 -4 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 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 -4 DEFINITION OF CITY ENDORSEMENT It is understood and agreed that city is amended to include: Columbia Heights Economic Development Authority; Columbia Heights Housing and Redevelopment Authority All other terms and conditions remain unchanged. LMCIT ME063 (11/95)(Rev. 11/01) Page 1 of 1 COVENANT NUMBER: CMC 1002979 -4 COMPREHENSIVE MUNICIPAL LIABILITY 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 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 0 Coverage D Land Use and Special Risk Litigation 0 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