The URL can be used to link to this page

Home My WebLink About2021-4019Contract # 2021-4019 Covenant Number: COMMON COVERAGE DECLARATIONS CMC 1002979-5 Coverage is Provided by: �� THE LEAGUE OF MINNESOTA CITIES Previous Covenant Number: INSURANCE TRUST LEAGUE of CMC 1002979-4 (Herein called LMCIT) M I N N ESOTA CITIES 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: 06/01/2021 To: 06/01/2022 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: Item 5. Item 6. Item 7 Item 8 PROPERTY, CRIME, BOND, and PETROFUND Property Additional Covered Loss or Damages Water and Supplemental Flood Coverage Crime Bond Petrofund EQUIPMENT BREAKDOWN MUNICIPAL LIABILITY Medical and Related Expense AUTOMOBILE LIABILITY AUTOMOBILE PHYSICAL DAMAGE Premium $ 80,638 INCLUDED INCLUDED INCLUDED $ 1,217 INCLUDED $ 7,954 $ 141,174 NOT COVERED $ 20,317 $ 24,449 TOTAL $ GENERAL ANNUAL AGGREGATE DEDUCTIBLE: DOES NOT APPLY PREMIUM IS DUE AND PAYABLE: 4-Pay (25% down + 3 installments) FORMS APPLICABLE TO ALL COVERAGE PARTS: CCM(11/16) DECLARATIONS APPLICABLE: 275,749 DEC-011(11/17) DEC-012(11/20) DEC-013(11/19) DEC-016(11/15) LMCIT DEC-011 (11/86)(Rev. 11/17) Page 1 of 1 Contract # 2021-4019 Covenant Number: MUNICIPAL PROPERTY, CRIME, BOND, PETROFUND, G CMC 1002979-5 and EQUIPMENT BREAKDOWN DECLARATIONS LMC Coverage is Provided by: THE LEAGUE OF MINNESOTA CITIES MINNELEAGUE INSURANCE TRUST CITIES OTA CITIES (Herein called LMCIT) Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA Item 2. COVERAGE PERIOD: From: 06/01/2021 To: 06/01/2022 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 $ 64,354,887 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 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 $ 500,000 Per Occurrence $ 500,000 Annual Aggregate LMCIT DEC-012 (11/86)(Rev. 11/20) Page 1 of 3 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 LMC LEAGUE of 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 Item 8 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 COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE. MPC13P(11/20) PM-100(04/20) ME079(11/09) ME063(11/01) MPCBP-115(11/17) MPCBP-217(11/12) MPCBP-218(11/18) PM-10901/19) 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 $ 500 Per Occurrence Item 12. COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE. MPCBP(11/20) ME063(11/01) LMCIT DEC-012 (11/86)(Rev. 11/20) Page 2 of 3 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 Item 13. COVERAGE PART THREE - BOND d. LMC LEAGUE of 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. MPCBP(11/20) ME063(11/01) Item 15. COVERAGE PART FOUR - PETROFUND (Claims made) LIMITS OF REIMBURSEMENT BENEFIT MAXIMUM REIMBURSABLE COSTS AND DEFENSE COSTS EACH TANK RELEASE $ 250,000 REIMBURSABLE COSTS AND DEFENSE COSTS AGREEMENT TERM AGGREGATE 250,000 DEDUCTIBLE: COVERAGE PART FOUR - PETROFUND NOT APPLICABLE Item 16 COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE. MPCBP(11/20) ME063(11/01) Item 17 EQUIPMENT BREAKDOWN COVERAGE EQUIPMENT BREAKDOWN LIMIT: $ DEDUCTIBLE 5 62, 675, 359 1,000 ANY ONE ACCIDENT Item 18 COVERAGE PARTS, FORMS, SCHEDULES AND ENDORSEMENTS APPLICABLE TO THIS COVERAGE. BM-200(11/17) BM-21201/01) ME063(11/01) MPCBP-115(11/17) PM-100(04/20) LMCIT DEC-012 (11/86)(Rev. 11/20) Page 3 of 3 Contract # 2021-4019 0, LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED PROPERTY LHC Covenant #: CMC 1002979-5 LEAGUE of 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. 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 $ 5,675,007 2 637 38TH AVENUE NE MUNICIPAL SERVICE CENTER B CODE A $ 5,723,366 3 637 38TH AVENUE NE TANKS AND PUMPS PIO CODE A $ 168,931 4 4025 VAN BUREN STREET PARKING RAMP WATER TOWER-250,000 GALLONS LIQUOR STORE B CODE A $ 3,653,762 5 4700 STINSON BOULEVARD B CODE A $ 1,145,547 6 5225 UNIVERSITY AVENUE NE B CODE A $ 786,407 7 530 MILL STREET MURZYN HALL RESTROOMS PARK B CODE A $ 4,321,659 8 SULLIVAN PARK B CODE A $ 140,111 9 EDGEMORE PARK PIO CODE A $ 21,556 10 GAUVITTE PARK WARMING HOUSE B CODE A $ 84,442 11 GAUVITTE PARK PARK PIO CODE A $ 23,212 12 HILLTOP PARK HUSET PARK PARK PIO CODE A $ 29,843 13 WARMING HOUSE B PRESS BOX (FIELD #5) B CODE A $ 71,979 14 HUSET PARK CODE A $ 17,834 *The limit of coverage for Section IV Water and Supplemental Coverage is $bUU,000 per occurrencel$buu,000 Annual Hggregaie **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 1 of 6 Contract # 2021-4019 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST LHC SCHEDULE OF COVERED PROPERTY Covenant #: CMC 1002979-5 LEAGUE of 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. Loc# Location Occupancy **Type of Covered Property ***Section IV -Water and Supplemental Flood Coverage Estimated Replacement Cost 15 HUSET PARK PARK PIO CODE C $ 100,261 16 KEYES PARK WARMING HOUSE B CODE A $ 84,442 17 KEYES PARK PARK PIO CODE A $ 23,212 18 LABELLE PARK PARK VARIOUS PIO CODE C $ 24,871 19 LABELLE CIRCLE TERRACE PIO CODE C $ 24,871 20 LOMIANKI PARK WARMING HOUSE B CODE A $ 59,195 21 MCKENNA PARK WARMING HOUSE B CODE A $ 84,442 22 MCKENNA PARK PARK PIO CODE A $ 24,286 23 OSTRANDER PARK WARMING HOUSE B CODE A $ 84,442 24 OSTRANDER PARK PARK PIO CODE A $ 49,740 25 PRESTEMON PARK WARMING HOUSE B CODE A $ 59,195 26 PRESTEMON PARK PARK PIO CODE A $ 163,851 27 RAMSDELL PARK WARMING HOUSE B CODE A $ 84,442 28 RAMSDELL PARK PARK PIO CODE A $ 24,871 *The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrence/$500,000 Annual Aggregate M E M M )e of Covered Pro = I Building/Contents = I Property in the Open Builders Risk Property = 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 Contract # 2021-4019 (2) LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED PROPERTY LHC Covenant #: CMC 1002979-5 LEAGUE of 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. Loc# Location **Type of Covered Occupancy Property BEACH HOUSE B ***Section IV -Water and Supplemental Estimated Flood Replacement Coverage Cost 29 SILVER LAKE BEACH CODE A $ 93,896 30 637 38TH AVENUE NE MSC BROWN BUILDING B CODE A $ 430,658 31 SULLIVAN PARK PARK PIO CODE A $ 61,346 32 4400 RESERVOIR BLVD PUMP STATION #2 B CODE A $ 356,164 33 4633 IVANHOE PLACE PUMP STATION #3 B CODE A $ 368,293 34 4640 CHATHAM ROAD 330 ARGONNE DRIVE LIFT STATION #1 (CHATHAM) B CODE A $ 183,057 35 LIFT STATION #2 LIFT STATION #3 (SILVER LAKE) LIFT STATION #4 (SULLIVAN) B J B CODE A $ 118,138 36 4101 STINSON BLVD CODE C $ 203,291 $ 226,451 37 721 51 ST AVENUE NE B CODE C 38 HUSET PARK GARAGE B CODE A $ 288,801 39 637 38TH AVENUE NE MSC - BLUE BLDG MSC - SALT SHED B CODE A $ 308,867 40 637 38TH AVENUE NE B CODE A $ 60,914 41 CITYWIDE VARIOUS PIO CODE C $ 6,123,624 42 559 MILL STREET VARIOUS PIO I CODE A 1 $ 50,001 *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 3 of 6 Contract # 2021-4019 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST LMC SCHEDULE OF COVERED PROPERTY Covenant #: CMC 1002979-5 LEAGUE of 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. Loc# Location Occupancy **Type of Covered Property —Section IV -Water and Supplemental Flood ! Coverage CODE A Estimated Replacement Cost 43 4633 IVANHOE PLACE VARIOUS PIO $ 45,489 44 4950 CENTRAL AVENUE NE LIQUOR STORE B CODE A $ 4,509,765 45 2105 37TH AVENUE LIQUOR STORE B CODE A $ 2,983,391 46 637 38TH AVE NE MSC PIO CODE A $ 87,934 47 4400 RESERVOIR BLVD 4101 STINSON BLVD 530 MILL STREET PUMP HOUSE #2 LIFT STATION #3 MURZYN HALL PIO CODE A $ 62,830 48 PIO CODE A $ 13,966 49 PIO CODE A $ 83,662 50 SULLIVAN PARK SHELTER B CODE A $ 100,127 51 40TH & CENTRAL NE VARIOUS PIO CODE A $ 36,559 52 SILVER LAKE BEACH SHELTER B CODE A $ 31,370 53 HUSET PARK SHELTER B CODE A $ 100,127 54 825 41 ST AVE NE PUBLIC SAFETY BUILDING B CODE A $ 12,079,455 55 JACKSON POND STORM WATER RETENTION POND PIO CODE C $ 9,990 *The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate **Type of Covered Property B = Building/Contents PIO = Property in the Open 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. 04120) Page 4 of 6 Contract # 2021-4019 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST SCHEDULE OF COVERED PROPERTY LMIC Covenant #: CMC 1002979-5 LEAGUE o 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. ***Section IV -Water and **Type of Supplemental Estimated Covered Flood Replacement Loc# Location Occupancy Property Coverage Cost 39TH AVE/JEFFERSON ST 56 NE/HUSET PKWY. MONUMENT PIO CODE A $ 74,910 PORTABLE RESTROOM 57 530 MILL ST. SPECIALTY UN PIO CODE A $ 3,082 PORTABLE RESTROOM 58 721-51ST AV-SULLIVAN PARK 4956 JOHNSON ST-RAMSDELL SPECIALTY UN PIO CODE A $ 3,082 PORTABLE RESTROOM 59 PARK 4301 STINSON BLVD-SILVER SPECIALTY UN PORTABLE RESTROOM PIO CODE A $ 3,082 60 LAKE PARK 3939 CENTRAL AVENUE NE SPECIALTY UN LIBRARY COMMUNITY ROOM, PARK PIO CODE A $ 3,082 61 B CODE A $ 10,059,226 62 1311 CIRCLE TERRACE BLVD SHELTER CITY HALL B CODE C $ 436,954 63 590 40TH AVENUE NE PIO CODE A $ 53,716 64 2105 37TH AVENUE LIQUOR STORE PIO CODE A $ 64,459 65 3939 CENTRAL AVENUE NE, LIBRARY PIO CODE A $ 80,574 *The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate **Type of Covered Property B = Building/Contents PIO = Property in the Open 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: LMC/T 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 Contract # 2021-4019 LEAGUE SCH DIULE OF COVEREDPROPERTY TRUST L H C Covenant #: CMC 1002979-5 LEAGUE of 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. Loc# I Location 66 1 4950 CENTRAL AVE NE 67 1 825 41 ST AVE NE Occupancy LIQUOR STORE PUBLIC SAFETY BUILDING ***Section IV -Water and **Type of Supplemental Estimated Covered Flood Replacement Property Coverage Cost PIO CODE C $ 64,459 PIO CODE C $ 54,790 *The limit of coverage for Section IV Water and Supplemental Coverage is $500,000 per occurrencel$500,000 Annual Aggregate M E M 261 **Type of Covered = Building/Contents = I Property in the Open = Builders Risk Property 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 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 TERRORISM LOSSES - SPECIAL POOL LIMIT ENDORSEMENT This Endorsement modifies coverage provided under the Municipal Property Coverage and the Municipal Automobile Physical Damage Coverage. 1. Shared limit. For any terrorism loss occurrence in which the LMCIT terrorism occurrence loss cost is greater than $50,000,000, the amount LMCIT will pay for the city's covered losses is limited to an amount equal to the city's covered loss multiplied by the terrorism loss coverage percentage for that terrorism loss occurrence. 2. Sub limits. LMCIT will not pay more than $1,000,000 for anyone or any combination of the following which rise out of or are either directly or indirectly related to any terrorist activity during the annual coverage period: a. Any losses, costs or expenses that result directly or indirectly from any discharge of pollutants including any resulting fire losses, costs, or expenses; b. Any losses, costs, or expenses that result directly or indirectly from chemical or biological release or exposure of any kind including any resulting fire losses, costs or expenses; c. Any losses, costs, or expenses that result from attack by electronic means including computer hacking, or the introduction of any form or computer virus or other form of corrupting or unauthorized code or instructions; d. Any losses, costs, or expenses that result directly or indirectly from asbestos, emission, release, discharge, dispersal or escape or asbestos exposure of any kind including any resulting fire or damage; e. Any losses, costs, or expenses that result from any threat or hoax; f. Any expediting expense; or g. Any resulting fire losses, costs or expenses that result directly or indirectly from nuclear detonation, nuclear reaction, nuclear radiation or radioactive contamination. These sub limits are part of and not in addition to the shared limit provided in Paragraph 1. 3. No expansion of coverage. The terms and limitations of this terrorism endorsement, or the inapplicability of this terrorism endorsement, do not serve to create coverage which would otherwise be excluded by this covenant. 4. Termination of terrorism coverage. A. Automatic termination. If the LMCIT terrorism occurrence loss cost for any terrorism loss occurrence exceeds $15,000,000, coverage for loss resulting from any subsequent terrorism loss occurrence is excluded- B. Discretionary termination. The LMCIT Board of Trustees may terminate coverage for losses arising from terrorist activities at any time upon ten days notice to the city, if the Board determines that it is necessary to protect the interests of LMCIT or its member cities. LMCIT ME079 (11/01)(Rev. 11/09) Page 1 of 3 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 5. Definitions A. Terrorist activity means any of the following, regardless of any other cause or event that in any way contributes concurrently or in any sequence to the loss, cost or expense: 1. Any deliberate, unlawful act that: a. Is declared by any authorized governmental official to be or to involve terrorism, terrorist activity or acts of terrorism; or b. Includes, involves, or is associated with the use or threatened use of force, violence or harm against any person, tangible or intangible property, the environment, or any natural resources, where the act or threatened act is intended, in whole or in part, to: (1) Promote or further any political, ideological, philosophical, racial, ethnic, social or religious cause or objective of the perpetrator or any organization, association or group affiliated with the perpetrator; or (2) Influence, disrupt or interfere with any government related operations, activities or policies; or (3) Intimidate, coerce or frighten the general public or any segment of the general public; or (4) Disrupt or interfere with a national economy or any segment of a national economy; or c. Includes, involves, or is associated with, in whole or in part, any of the following activities, or the threat thereof: (1) Hijacking or sabotage of any form of transportation or conveyance, including but not limited to spacecraft, satellite, aircraft, train, vessel, or motor vehicle; or (2) Hostage taking or kidnapping; or (3) The use of any biological, chemical, radioactive, or nuclear agent, material, device or weapon; or (4) The use of any bomb, incendiary device, explosive or firearm; or (5) The interference with or disruption of basic public or commercial services and systems, including but not limited to the following services or systems: electricity, natural gas, power, postal, communications, telecommunications, information, public transportation, water, fuel, sewer or waste disposal; or (6) The injuring or assassination of any elected or appointed government official or any government employee; or (7) The seizure, blockage, interference with, disruption of, or damage to any government buildings, institutions, functions, events, tangible or intangible property or other assets; or (8) The seizure, blockage, interference with, disruption of, or damage to tunnels, roads, streets, highways, or other places of public transportation or conveyance. LMCIT ME079 (11/01)(Rev. 11/09) Page 2 of 3 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 2. Any of the activities listed in section A.1.c. above shall be considered terrorist activity except where you can conclusively demonstrate to us that the foregoing activities or threats thereof were motivated solely by personal objectives of the perpetrator that are unrelated, in whole or in part, to any intention to: a. Promote or further any political, ideological, philosophical, racial, ethnic, social or religious cause or objective of the perpetrator or any organization, association or group affiliated with the perpetrator; or b. Influence, disrupt or interfere with any government related operations, activities or policies; or c. Intimidate, coerce or frighten the general public or any segment of the general public; or d. Disrupt or interfere with a national economy or any segment of a national economy. B. Terrorism loss occurrence means all individual losses arising from terrorist activity, occurring during any period of 72 consecutive hours. C. LMCIT terrorism occurrence loss cost means the cost to LMCIT for covered loss, costs or expenses from a single terrorism loss occurrence, gross of any applicable deductibles. D. For any terrorism loss occurrence, the terrorism loss coverage percentage is equal to $50,000,000 divided by the LMCIT terrorism occurrence loss cost for that terrorism loss occurrence. LMCIT ME079 (11/01)(Rev. 11/09) Page 3 of 3 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 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 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 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 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 DATA SECURITY BREACH EXPENSE LIMITS ENDORSEMENT This Endorsement modifies coverage provided under the Municipal Property Coverage SECTION VI -LIMITS OF COVERAGE AND VALUATION, 1. LIMITS OF COVERAGE G. (14) IS AMENDED TO READ: Data security breach expenses: $500,000 per annual aggregate The limits of coverage stated in Item 5. LMCIT DEC-012 is amended to read- 14. Data Security Breach Expenses: $500,000 Annual Aggregate All other terms and conditions remain unchanged. LMCIT MPCBP-217 (11/12) Page 1 of 1 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 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". I o 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". Location CITYWIDE 559 MILL STREET 43 1 4633 IVANHOE PLACE M. Occupancy VARIOUS VARIOUS VARIOUS 637 38TH AVE NE MSC 47 4400 RESERVOIR BLVD PUMP HOUSE #2 48 , 4101 STINSON BLVD I LIFT STATION #3 49 1 530 MILL STREET I MURZYN HALL 51 40TH & CENTRAL NE 55 I JACKSON POND 56 1 39TH AVE/JEFFERSON ST NE/HUSET PKWY. 57 530 MILL ST, VARIOUS i STORM WATER RETENTION POND MONUMENT PORTABLE RESTROOM SPECIALTY UN Property Covered Fire Hydrants only. The Definition is expanded to include 2003 Onan Generator. The Definition is expanded to include 2003 Cat Generator. The Definition is expanded to include 2007 Onan Genset Generator/Trans Switch. I ne Uetinition is expanaea to include 2007 Onan Genset Generator. The Definition is expanded to include 2005 Kohler Generator. The Definition is expanded to include 2007 Onan Generator/Trans Switch. The Definition is expanded to include Clock Tower. The Definition is expanded to include Equipment. The Definition is expanded to include Monument. The Definition is expanded to include Portable Restroom. LMCIT MPCBP-218 (11/18) Page 1 of 2 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 PROPERTY IN THE OPEN Loc. # Location 721-51ST AV-SULLIVAN PARK 4956 JOHNSON ST - RAMSDELL PARK Occupancy PORTABLE RESTROOM SPECIALTY UN Property Covered The definition is expanded to include Portable Restroom. The definition is expanded to include Portable Restroom. 58 59 PORTABLE RESTROOM SPECIALTY UN 60 4301 STINSON BLVD-SILVER LAKE PARK PORTABLE RESTROOM SPECIALTY UN CITY HALL The definition is expanded to include Portable Restroom. 63 590 40TH AVENUE NE LED Digital Sign only. 64 2105 37TH AVENUE LIQUOR STORE LED Digital Sign only. 65 3939 CENTRAL AVENUE NE, LIBRARY LED Digital Sign only. 66 4950 CENTRAL AVE NE LIQUOR STORE PUBLIC SAFETY BUILDING LED Digital Sign only. 67 825 41ST AVE NE Bronze Statue only. All other terms and conditions remain unchanged. LMCIT MPCBP-218 (11/18) Page 2 of 2 Contract # 2021-4019 LEAGUE OF MINNESOTA CITIES INSURANCE TRUST L 0 SCHEDULE OF COVERED MOBILE PROPERTY LEAGUE of MINNESOTA CITIES Covenant # CMC 1002979-5 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 Nc 3 LMCIT PM-109 (11/97)(Rev. 11/19) Page 1 of 1 Contract # 2021-4019 Covenant Number: MUNICIPAL LIABILITY DECLARATIONS � . CMC 1002979-5 Coverage is Provided by: THE LEAGUE OF MINNESOTA CITIES INSURANCE TRUST LEAGUEof MINNESOTA (Herein called LMCIT) CITIES Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA Item 2. COVERAGE PERIOD: From: 06/01/2021 To: 06/01/2022 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(11/20) MGL-1(11/12) ME014(11/15) ME062(11/02) ME066(11/11) _ME077(11/14) ME084(11/14) ME091(11/17) ME092(11/17) ME093(01/18) LMCIT DEC-013 (11/86)(Rev. 11/19) Page 1 of 1 Contract # 2021-4019 COVERED PARTY COVENANT NUMBER EFFECTIVE DATE Columbia Heights, City of & CMC 1002979-5 06/01/2021 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 1 of 1 Contract # 2021-4019 LMC LEAGUE of MINNESOTA CITIES MUNICIPAL LIABILITY CITY Columbia Heights, City Of & Columbia Heights COVENANT NUMBER CMC 1002979-5 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 O erations Code Basis EMPLOYMENT B 154.00 LAND USE A 8,489.00 POLICE C 27.00 SEWER DEPARTMENT D 7,251 EXPENDITURES E 35,554,666 NO FAULT SEWER BACK-UP COVERAGE D 7,251 SKATEBOARD PARKS F 1 LMCIT MGL-1 (01/95)(Rev. 11/12) Page 1 of 2 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979 - 5 MUNICIPAL LIABILITY (Cont'd.) Municipal Liability Hazard Codes When used as a premium basis: Code (A) Number of Househol 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 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 COMPREHENSIVE MUNICIPAL LIABILITY COVERAGE 0 Coverage A ❑ Coverage A ❑ Coverage A ❑ Coverage B 0 Coverage C ❑x Coverage D ❑X 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 Contract # 2021-4019 COVENANAT NUMBER: CMC 1002979-5 COMPREHENSIVE MUNICIPAL COVERAGE NO FAULT SEWER BACK UP AND WATER MAIN BREAK COVERAGE ENDORSEMENT Section I, Coverage A, Municipal Liability Coverage, is amended to include no-fault sewer back-up and water main break coverage as outlined below. 1. No-fault sewer back-up coverage a. If all of the following four conditions are met, LMC/T will pay for claims presented by the city for sewer back- up damage to property of others which was not caused by city negligence: (1) The sewer back-up resulted from a condition in the city's sewer system; (2) The sewer back-up was not the result of an obstruction or other condition in sewer pipes or lines which are not part of the city's sewer system or which are not owned or maintained by the city; and (3) The sewer back-up was not caused by or related to an excluded incident; and (4) The date of the occurrence giving rise to the claim for damages must be on or after the retroactive date shown on this endorsement. b. However, LMCIT will not pay for any damages or expenses: (1) Which are or would be covered under a National Flood Insurance Program flood insurance policy, whether or not such insurance is in effect; or (2) For which the property owner has been reimbursed or is eligible to be reimbursed by any homeowners' or other property insurance. 2. No-fault water main break coverage. LMCIT will pay for claims presented by the city for water main break damage to property of others which was not caused by city negligence. But LMCIT will not pay for any damages or expenses for which the property owner has been or is eligible to be reimbursed by any homeowners' or other property insurance. 3. Definitions For purposes of this endorsement, the following definitions apply. a. Excluded incident means any of the following: (1) Any weather -related or other event which has been declared by the President of the United States to be a major disaster pursuant to 42 U.S.C. §§ 5121-5206, commonly known as the Stafford Act; or (2) Any interruption in the electric power supply to the city's sewer system or to any city sewer lift station which continues for more than 72 hours; or (3) Rainfall or precipitation which exceeds any of the following amounts: • 2.0 inches in a 1-hour period; or 2.5 inches in a 3-hour period; or • 3.0 inches in a 6-hour period; or • 3.5 inches in a 12-hour period; or • 4.0 inches in a 24-hour period; or 4.5 inches in a 72-hour period; or • 5.5 inches in a 168-hour period. LMCIT ME077 (11/07)(Rev. 11/14) Page 1 of 2 Contract # 2021-4019 COVENANAT NUMBER: CIVIC 1002979-5 b. Sewer back-up damage means damage to property, including removal and clean-up costs, resulting from a sewer back-up. c. Water main break damage means damage to property, including removal and clean-up costs, resulting from the rupture of a city water main, line or pipe. 4. Limits a. LMCIT will not pay more than $10,000 for sewer back-up damage to any building under this endorsement, regardless of the number of occurrences or the number of claimants. For purposes of this limit (1) A structure or group of structures served by a single connection to the city's sewer system is considered a single building. (2) If a single structure is served by more than one connection to the city's sewer system, the portion of the structure served by each respective connection is considered a separate building. b. LMCIT will not pay more than $10,000 for water main break damage to any claimant, regardless of the number of occurrences or the number of properties affected. c. LMCIT will not pay more than $250,000 for water main break damage resulting from any single occurrence. All water main break damage which occurs during any period of 72 consecutive hours is deemed to result from a single occurrence. If the total water main break damage for all claimants in a single occurrence exceeds $250,000, the reimbursement to each claimant will be calculated as follows: 1. A preliminary reimbursement figure is established for each claimant, equal to the lesser of the claimant's actual damages or $10,000. 2. The sum of the preliminary reimbursement figures for all claimants will be calculated. 3. Each claimant will be paid a percentage of his or her preliminary reimbursement figure, equal to the percentage calculated by dividing $250,000 by the sum of all claimants' preliminary reimbursement figures. 5. Deductibles The amount LMCIT pays for sewer back-up damages or water main break damage under this endorsement is subject to the Municipal Liability Deductible shown in the Municipal Liability Declarations or the General Annual Aggregate Deductible if any shown in the Common Coverage Declarations. For purposes of the Municipal Liability Deductible, all claims for sewer back-up damages which are covered under this endorsement, which occur within a 72 hour period, and which result from or are related to the same condition or conditions in the city's sewer system are deemed to be a single occurrence; and water main break damage which is covered under this endorsement and which occurs during any period of 72 consecutive hours is deemed to be a single occurrence. 6. Retroactive Date The retroactive date for this endorsement is 06/27/2005. All other terms and conditions remain unchanged. LMCIT ME077 (11/07)(Rev. 11/14) Page 2 of 2 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 MUNICIPAL LIABILITY FIREWORKS It is hereby understood and agreed that Coverage A. Municipal Liability, exclusion p. (5) Fireworks displays or exhibitions, is deleted for the following event only. Fireworks Display - Heights Jamboree All other terms and conditions remain unchanged. LMCIT ME084 (11/09)(Rev. 11/14) Page 1 of 1 Contract # 2021-4019 Covenant Number: MUNICIPAL AUTOMOBILE DECLARATIONS CMC 1002979-5 Coverage is Provided by: THE LEAGUE OF MINNESOTA CITIES �� INSURANCE TRUST LEAGUE of (Herein called LMCIT) MINNESOTA CITIES Item 1. CITY: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA Item 2. COVERAGE PERIOD: From: 06/01/2021 To: 06/01/2022 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: 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 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 AUTO PHYSICAL DAMAGE ENHANCEMENT ENDORSEMENT This endorsement amends the Municipal Automobile Physical Damage Coverage. In consideration of the additional premium of 5 INCLUDED it is understood and agreed that with respect to the units scheduled below: 2004 2006 2011 2014 2016 SPARTAN MOTORS INTERNATIONAL ELGIN INTERNATIONAL INTERNATIONAL FIRETRUCK 4000 4300 SWEEPER 7000 7500 7000 7400 2017 INTERNATIONAL 4000 4300 2017 FORD F250 SUPER DUTY 4S7AX2C924C047382 $ 1 HTMMAAR96H286095 $ S8733DO31635 $ 1 HTWKAZRl EHO13928 $ LIMIT 596,229 141,000 172,367 328,025 3HAWCAZR9GL210145 $ 492.127 1 HTMMMMN7HH50437 1 $ 187,830 1 FT7W21368HEE09145 $ 49,651 SECTION III -LIMITS OF COVERAGE AND VALUATION, paragraph 1. a. (1) (2) is deleted and the following substituted: a. The most we will pay for any scheduled unit stolen or damaged in any one loss is the smaller of: (1) The cost of repairing or replacing parts with like kind and quality without deduction for depreciation; (2) The cost of an equivalent new automobile without deduction for depreciation; (3) The limit stated in this endorsement as applicable to each covered automobile. However, if the repairs are equal to or greater than 80% of the actual cash value, the most we will pay is the smaller of: (1) 200 percent of the actual cash value of the automobile; (2) The cost of an equivalent new automobile without deduction for depreciation; (3) The limit stated in this endorsement as applicable to each covered automobile. All other terms and conditions remain unchanged. LMCIT ME049 (01/95)(Rev. 11/19) Page 1 of 1 Contract # 2021-4019 COVENANT NUMBER: CMC 1002979-5 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 Contract # 2021-4019 Covenant Number: MUNICIPAL LIQUOR LIABILITY LLC 1002980-5 Coverage Is Provided By: THE LEAGUE OF MINNESOTA CITIES LMC Previous Covenant Number: INSURANCE TRUST LEAGUE of LLC 1002980-4 (Herein called LMCIT) M I N N ESOTA CITIES 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: 06/01/2021 To: 06/01/2022 12:01 AM Standard Time at Mailing Address Indicated Above Item 4. COVERAGE LIMITS: Municipal Liquor Liability Limit $ 1,000,000 $ 1,000,000 Item 5. MUNICIPAL LIQUOR LIABILITY DEDUCTIBLE: $ Item 6. PREMIUM: $ 8,079 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 Contract # 2021-4019 Covenant Number: MUNICIPAL EXCESS LIABILITY DECLARATIONS MEL 1002981-5 Coverage is Provided by: THE LEAGUE OF MINNESOTA CITIES LHC Previous Covenant Number: INSURANCE TRUST LEAGUE of MEL 1002981-4 (Herein called LMCIT) M I N N ESOTA CITIES 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: 06/01/2021 To: 06/01/2022 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: $ 36,246 Item 7 FORM NUMBERS AND/OR ENDORSEMENTS FORMING A PART OF THE AGREEMENT AT ISSUE- MELC(11/20) UME-49(11/03) UME-53(01/18) LMCIT DEC-017 (11/96)(Rev. 11/17) Page 1 of 1 Contract # 2021-4019 Covenant Number: AGREEMENT DECLARATIONS Q' OML 1002982-5 DEFENSE COST LMC Previous covenant Number: REIMBURSEMENT AGREEMENT OML 1002982-4 Coverage is Provided By: LEAGUE of THE LEAGUE OF MINNESOTA CITIES MINNESOTA INSURANCE TRUST CITIES (Herein called LMCIT) Item 1. COVERED PARTY and MAILING ADDRESS: COLUMBIA HEIGHTS, CITY OF & COLUMBIA HEIGHTS EDA HRA 590 40th Ave. NE Columbia Heights, MN 55421-3878 Item 2. COVERAGE PERIOD: From: 06/01/2021 To: 06/01/2022 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. $ 50,000 2. Agreement Term Annual Aggregate: $ 250,000 Item 6. PREMIUM: $ NO CHARGE Item 7. FORMS AND ENDORSEMENTS APPLICABLE TO AGREEMENT: OMLRA-1(11/14) ME063(11/01) LMCIT DEC-019 (11/93)(Rev. 11/17) Page 1 of 1