99-246 Resolution No. 99-246
RESOLUTION
ACCEPTING THE PROPOSAL OF LUNDSTROM INSURANCE FOR
LIMITED SELF-INSURANCE PROGRAM
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN,
ILLINOIS, that Joyce A. Parker, City Manager, be and is hereby
authorized and directed to accept the proposal on behalf of
the City of Elgin of Lundstrom Insurance for the city' s
limited self-insurance program for the period October 1, 1999
through September 30 , 2000 as follows :
a. The St . Paul $50 , 000/occurrence (SIR) for the
property policy and $75, 000/occurrence (SIR) for general
liability with $350 , 000 "All Lines" aggregate SIR proposal for
a total excess premium and claims administration cost of
$401, 909;
b. The Illinois National $250 , 000/occurrence
compensation proposal for a total excess premium cost of
$21, 330 ;
c . The Cannon Cochran Management Services proposal for
workers ' compensation claims administration services for
$30, 875 ;
a copy of which is attached hereto and made a part hereof by
reference.
s/ Ed Schock
Ed Schock, Mayor
Presented: September 22 , 1999
Adopted: September 22 , 1999
Omnibus Vote : Yeas 6 Nays 0
Attest :
s/ Dolonna Mecum
Dolonna Mecum, City Clerk
•.` OF t40'
Agenda Item No.
, City of Elgin 9
0, 101
Himo
September 1, 1999
TO: Mayor and Members of the City Council
FROM: Joyce A. Parker, City Manager
SUBJECT: Renewal of Liability and Worker' s Compensation Insurance
Policies for 1999-2000
PURPOSE
The purpose of this memorandum is to provide the Mayor and the
members of the City Council with information to award a contract
for the renewal of our insurance policies with St . Paul, Safety
National, and Cannon Cochrane Management Services, Inc . , through
Lundstrom Insurance.
BACKGROUND
Last year the City' s independent insurance consultant, Risk
Resources, performed a comprehensive review and analysis of various
r insurance proposals presented by Lundstrom Insurance, the City' s
insurance agent . Risk Resources ' recommendations were accepted by
the City Council resulting in the City accepting a three year
guaranteed rate proposal from St . Paul, Safety National, and Cannon
Cochrane Management Services, Inc . Therefore, this year premiums
have increased only to reflect a growth in the certain factors such
as property, citizens and employees .
Highlights of the City' s insurance policies include :
St . Paul $50, 000 per occurrence Self Insured Retention (SIR) for the
property policy, and $75, 000 per occurrence Self Insured Retention
for the general liability policy. The property premium has
increased from $57, 172 to $71, 128 to reflect City assets such as
the expanded water treatment plant and Walton Island improvements .
The City has a $7, 000, 000 umbrella policy with a $10, 000 Self
Insured Retention that sits on top of all other policies except the
Healthcare Professional Liability policy.
The City has a $350, 000 basket aggregate, meaning that once all
claims (property, general liability, employee benefits liability,
public entity management liability and automobile liability)paid by
the City total $350, 000, all future claims in that policy year are
paid by St . Paul .
eft.
r"'' Renewal of Insurance Policies
September 1, 1999
Page 2
Worker' s Compensation claims are administered by Cannon Cochrane
MSI . Excess Worker' s Compensation coverage beyond the statutory
retention amounts of $250, 000 per employee is provided by Illinois
National Insurance for an estimated premium (final amount depends
on payroll figures) of $21, 330 .
Attached is the 1999-2000 proposal summary by Lundstrom Insurance
that details the policies the City holds .
GROUPS/INTERESTED PERSONS CONTACTED
None.
OWINANCIAL IMPACT
There are sufficient funds available in the 1999 Risk Management
Fund to cover the recommended insurance premiums of $423, 239 and
related claims administration expenses of $30, 875 . Sufficient
funds will be established in the Year 2000 Risk Management Fund
budget .
LEGAL IMPACT
1v" None .
ALTERNATIVES
None.
RECOMMENDATIONS
It is recommended that the City Council approve renewal of our
existing insurance policies from the period October 1, 1999 through
September 30 , 2000 as follows :
St . Paul $401, 909
Illinois National $ 21, 330
Cannon Cochrane MSI $ 30, 875
R= .- •ectfully sub ' ted,
6? OAL,_,—
JJ ce A . Parker
City Manager
PROPOSAL SUMMARY
COVERAGE*54';-`i';.'zic' -/404-1999 PREMIUM: 1998 PREMIUM
Property Insurance:
Building and Contents $ 71,128 $ 57,172
Boiler&Machinery $ 9,396 $ 9,396
Inland Marine:
Physical Damage $ 5,108 $ 5,000
Misc. Property $ 434 $ 434
Contractor's Equipment $ 8,986 $ 8,986
Radio Emergency $ 3,635 $ 3,635
EDP $ 1,587 $ 1,587
Fine Arts $ 100 $ 100
Account's Receivable $ 363 $ 363
Valuable Papers $ 150 $ 150
Difference in Condition $ 5,500 $ 5,500
Transit $ 380 $ 380
Crime $ 4,888 $ 4,888
General Liability $ 75,455 $ 68,772
Employee Benefits Included in CGL Incl.
EMT Professional Included in CGL Incl.
Law Enforcement Liability $ 63,716 $ 63,716
Public Entity Management Liability $ 37,982 $ 34,384
Automobile:
Liability $ 43,803 $45,216
Umbrella Liability @ $7,000,000 Limit $ 36.750 $ 35,000
SUBTOTAL $369,361 $344,679
St Paul Claim Administration $ 32,548 $ 32,548
Excess Workers Compensation $ 21,330 $ 21,330
Workers Compensation Claim Administration $ 30,875 $ 30,875
0111.1k TOTAL $454,114 $429,432
August 27, 1999 21
1-0 OWE3CPOSURE
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no
COVERAGC;' 44i.:?,'--e 1999 Pag§.WA.73,1i--, 14?7:1414,4t
EXPbS *
Property Values: $139,446,151 $111,928,030.
Increase By, $27,538,121.
Inland Marine: Vehicles $8,172,694 $7,998,970
Automobile: 279 Units 288 Units
Liability/Expenditures: $40,874,865 $37,236,884
Public Entity Mgmt Liability: 85,068 population 77,010 population
Law Enforcement Liability: 142 Class One 142 Class One
Officers Officers
r
August 27, 1999 22
For
The City of Elgin
150 Dexter Court
•
Elgin, Illinois 60120
Presented By
Lundstrom Insurance
rubk
Ronald Pavlik
Roger Lenart, CIC
Laura Barker
::::::::.�:::::::... •:i':::.i::::n;•::G;::::.�i:ii;:ii<iijiiiiii iii'iii:i•%::iii::::ii::::Y:'�:iiii:jiiyiiii:i::j:ii:j;:;
:.::::.:;::::.:::::. ::••.:'::.:;•::::::••;•:::.. .:iii.';:
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Introduction to the Servicing Team 3
Property 4
Boiler& Machinery 6
Public Entity General Liability 7
Employee Benefits Administration Liability 9
Health Care Facility Medical Professional Liability 10
Law Enforcement Liability 11
Public Entity Management Liability 13
Automobile Liability 15
ellik Inland Marine 16
Difference In Conditions 17
Crime 18
Umbrella/Excess Liability 19
Workers' Compensation 20
•
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August 27, 1999 2
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Lundstrom Insurance offers professional and experienced personnel, who stand ready at all
times to serve your organization in any capacity related to the insurance function. We
strive to attract high level employees that have demonstrated superior academic
achievement, reached at level of maturity to deal with complex problems, and have the
desire to improve through advance training. We continually seek experienced personnel
who can bring us unique skills and have developed a professionalism consistent with our
high standards. Our team approach allows us to provide dedicated and quality insurance,
risk management and claims service to all our clients. You are assured to receive the
utmost in personal service. We have organized the following service team approach:
Roger Lenart and Ron Pavlik-Account Executive. Supervision, as well as
coordination, of the rest of the staff serving their area of responsibility. We assist your
firm with risk analysis including identification of exposures, recommend appropriate
transfer of risk, and proper use of self-insurance and/or deductibles. We believe risk
analysis is at the heart of your program.
Laura Barker-Account Manager. - Maintaining a proper relationship with insurance
company contacts in order to provide the best combination of protection is essential. We
will negotiate with companies for comprehensive coverage's and fair pricing. The
markets or carriers which we use, are selected based on their financial integrity, market
share as it relates to particular coverage's, and quality of local support staff.
Heather Friedel- Claim Representative. - At the time of a loss, we assist to make sure
that the claim is presented in an appropriate and complete manner so that the loss
settlement is fair and satisfactory. We will provide pro-active assistance and support to
you on all claims. Whenever necessary, we will intervene in any coverage or monetary
dispute between you and an insurance carrier.
August 27, 1999 3
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PROPERTY COVERED LIMIT COINS SIR LEVEL OF
COVERAGE
Blanket Building & $139,466,151 100% $50,000* "All Risk"
Contents Agreed
Amount
Blanket Business Income $ 5,000,000 50%
Blanket Extra Expense $ 5,000,000 40/80/100`A
Loss of Tax Revenue $ 8,750,000 50%
(Riverboat)
$350,000 Basket Aggregate (Includes: property, general liability, employee benefits
liability, EMT liability, law enforcement liability, public entity management •
liability, automobile liability)
St. Paul's Property Form Automatically Includes The Following Coverages:
$100,000 Accounts Receivable
$100,000 Increased Cost of Construction& Demolition
No exclusion Change in Temperature & Humidity
$50,000 Computer
$25,000 Extra Expense
$50,000 Fine Arts -
$25,000 Fire Department Service Charge
$10,000 Inventory&Appraisals
$10,000/$5,000 Money& Securities (Inside/Outside)
$1,000,000 Newly Acquired Property-Building for 180 days
$500,000 Newly Acquired Property-Personal Property for 180 days
$25,000 Other People's Property
$50,000 Outdoor Property
$25,000 Pairs & Sets
$50,000 Personal Belongings
$25,000 Pollution Clean-Up
$10,000 Precious Metal- theft
$50,000 Property in Transit
$50,000 Temporary Location
$100,000 Valuable Records Research
$50,000 Water Damage
Valuation:. Replacement cost includes permission to rebuild or replace any real property at
another location, if the damage to the building or other structure is so extensive that it can't
be repaired or replaced without having to tear down the remainder of the building. If the
damage can be repaired without having to tear down the remainder of the building or
structure, the repairs, rebuilding or replacement of the damage must take place on the same
site.
August 27, 1999 4
..................................PROPERTY.: SURANCB:... :c:a ntin . . ...........................
Agreed Value: An agreed amount endorsement will be attached which eliminates any
coinsurance penalty.
Scope of Coverage:
1. Architect's and engineer's fees for plans, specifications, supervision and inspection are
included in the loss recovery when a loss is due to a covered peril.
2. increased Cost of Construction & Demolition coverage is provided as an additional
benefit for $100,000 for the increased costs of upgrading damaged parts of the building
to comply with the minimum requirements of any building code in force at the time of
loss. This additional benefit will apply to any location that is replacement cost
coverage.
3. Collapse coverage is included in our property form for specified perils. The collapse
must be due to any of the following causes of loss:
• Fire, smoke, lightning, wind and hail, explosion, vehicles and aircraft, vandalism and
malicious mischief, civil disturbance and riot, leakage from fire extinguishing
equipment, sinkhole collapse and volcanic action as described in our form.
• Building glass breakage, falling objects, weight of ice and snow or sleet, water
damage as described in our form.
• Hidden decay.
• Hidden insect or vermin damage.
• Weight of people or business contents or other personal property.
• Weight of rain which collects on a roof.
• Use of defective material or methods in construction, remodeling or renovation if
the collapse occurs before such work is completed.
• Collapse doesn't include settling, cracking, bulging, shrinking or expansion.
4. The policy addresses errors and omissions in the General Rules Form.
5. Building coverage includes construction materials, supplies and equipment that the
insured intends to use to alter, repair or expand the insured building. During
construction, these materials are covered at the insured location or in the open within
1,000 feet of it. We'll also cover any temporary structures at the insured location.
6. Business contents are covered in or on a building described in the Statement of Values
and in the open or in vehicles in the open within 1,000 feet of the insured location.
7. Includes Year 2000 Clarification Endorsement.
8. Includes off premises utility failure for $1,000,000.
• Please NOTE: The agreed amount endorsement cannot be attached until a signed
Statement of Values is received from the insured.
rik
$71,128 Is the premium for Building & Contents coverage.
August 27, 1999 5
PROPERTY COVERED LIMIT COINS DED. LEVEL OF
COVERAGE
Blanket Building & $16,000,000 100% $2,000* Comprehensive
Contents A.A. Sewage
Treatment
Plant
* $2,000 Sewage Treatment Plant
$1,000 All Other Objects
This coverage is written by Hartford Steam Boiler. We can include this coverage as part
of our package policy.
Coverage includes Boilers, Vessels, Piping, Air Conditioning and Refrigeration Equipment,
Machinery &Electrical Equipment, including production, process and maintenance
machinery, fiber optics cables, robotics equipment, lasers, pollution control equipment and
telephone systems.
Utility Owned Electrical Distribution Equipment within 500 feet supplying the premises of
. the insured, included extended coverage.
Includes Year 2000 Clarification Endorsement.
$9,396 is the premium for Boiler Coverage.
•
August 27, 1999 6
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Occurrence Coverage Form
$3,000,000 General Total Limit
$3,000,000 Products & Completed Work Total Limit
- $2,000,000 Personal Injury Each Person Limit
$2,000,000 Advertising Injury Each Person Limit
$2,000,000 Each Event Limit
$ 100,000 Premises Damage Limit
$2,000,000 Failure to Supply Limit
$2,000,000 Sewer Back-Up Limit
$ 75,000 Self Insured Retention *
* $350,000 Basket Aggregate (Includes: property, general liability, employee benefits
liability, EMT liability, law enforcement liability, public entity management
liability, automobile liability)
•
rNote: The General Total Limit applies separately to your different operations, as defined in
your operating budget.
Who is Protected
Public Entity
Elected or Appointed Officials
Board Members
Employees and Volunteers
Real Estate Managers
Landlords
Equipment Lessors
Operators of Mobile Equipment
Broad Form Contractual, including coverage for indemnity defense expenses
August 27, 1999 7
Pollution coverage for:
• pesticide/herbicide application
• chemicals used in water treatment - chlorine or sodium hypochlorite
• sewer back-up
• hostile fire heat, fumes or smoke; or mobile equipment operating fluids
Watercraft coverage for non-owned watercraft that is less than 75 feet and owned
watercraft less than 25 feet. Watercraft users as additional protected persons.
iSiik:{$;:$:i`3<: i:%::ti%:%:%:%{`%:%:::.%''%:%:%%%:;:%:%S%:%:%:::::: %:::%j:%%%%;:i%iii%j::{iivi'%i'' %}%S`:%:%':>%:%:i`:%`:%:%:i.•%:?%'%:;:$ii'.::::':::::'::'::ia}%:::i:'::i::':::'::%:i:Ct':'i{L!:i
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This policy is not subject to an annual audit.
Excludes: Year 2000 claims
Includes: Liquor Liability (Limit: $2,000,000/$3,000,000 subject to a $75,000 SIR);
Contract between the City of Elgin and Ohlson Investigation& Security Services
(as it relates to their monitoring of the City of Elgin's cemetery)
r • IROMMININERMERIBERENEESEE:fillERNMENNEMEMINKNEMENWEI:
$75,455 is the premium for Public Entity General Liability.
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August 27, 1999 8
!IIIIIIIIMPLONIERIBENEVI.ISADMINISEERAIIONes:1
Claims Made Coverage form
This policy is designed to cover liability arising only out of the administration of the
employee benefit plans, limited to clerical errors, advice (except as excluded) and
interpretation of benefits. No Retro Date applies. However coverage does not apply if
entity was aware of wrongful act prior to effective date of this agreement or could
reasonably foresee that a suit or claim would be brought against the entity.
$1,000,000 Each Wrongful Act Limit
$3,000,000 Total Limit
$ 75,000 Self Insured Retention *
* $350,000 Basket Aggregate (Includes: property, general liability, employee benefits
liability, EMT liability, law enforcement liability, public entity management
liability, automobile liability)
r
Excludes: Year 2000 claims
Included in CGL is the premium for Employee Benefits Liability.
August 27, 1999 9
11111111111111111111111111ENLTHICAREWACILIVit M ,: ::::.;:
A .:�:: .;.:::::::::
111PROF..........:SJ:..... AL LIA: ILITYIP OTECTIO .E
This Agreement provides coverage for Nurses and EMT's. We will pay amounts the
insured or others protected under this agreement are legally required to pay as damages for
covered professional liability claims. To be covered, claims must be based on events that
arise out of the professional(s)named in the Coverage Summary.
CLAIMS-MADE Retro Date: October 1, 1995
•
$2,000,000 Each Person Limit
$3,000,000 Total Limit
$ 75,000 * Self Insured Retention
* $350,000 Basket Aggregate (Includes: property, general liability, employee benefits
liability, EMT liability, law enforcement liability, public entity management
liability, automobile liability)
.`:
Who P� t.�:C..:::.ana � fi .::.:::
s o e to U e t s Agreement- Organization. If you are an organization
. shown in the coverage summary, you're protected against claims that result from
professional services that were or should have been provided by anyone for whose acts
you're legally responsible.
Additional benefits. All of the following benefits are in addition to the limits of coverage.
However, we won't defend a suit or pay a claim after the limit of coverage that applies has
been used up in paying judgments or settlements.
Defending lawsuits. We'll defend any suit brought against any protected person for
covered claims, even if the suit is groundless or fraudulent. We have the right to
investigate, negotiate and settle any suit or claim if we believe that is proper. We'll pay all
costs of defending the suit, including interest on that part of any judgment that doesn't
exceed the limit of coverage.
Excludes: Year 2000 claims
Included in CGL is the premium for all Health Care -EMT coverage.
August 27, 1999 10
•
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Coverage is provided for any authorized activities, including moonlighting
•
Additional Payment included for Personal property of others - $25,000
Employment Related Practices of the Law Enforcement department are covered under the
Public Entity Management Liability form
All auto related claims are covered under the automobile insuring agreements
OKON05.0t#0.§.1$11111.111111111111111111111111111111111111111111.1.1.1.1.11111.11111.111.1
Subject to review of selected policies and procedures.
Excludes: Year 2000 claims
$63,716 is the premium for Law Enforcement Liability.
r
ernik •
August 27, 1999 12
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This policy is designed to cover damages any protected person is legally required to pay for
covered loss that results from the conduct of duties by or for a public entity and is caused
by a wrongful act. Wrongful act is defined as any error, omission or negligent act,
including employment-related practices.
This coverage is provided on a Claims-Made basis. The Retroactive Date is: October 1,
1987.
Consent to Settle Clause
$2,000,000 Each Wrongful Act Limit
$2,000,000 Total Limit
$ 75,000 * Self Insured Retention
• $350,000 Basket Aggregate (Includes: property, general liability, employee benefits
liability, EMT liability, law enforcement liability, public entity management
liability, automobile liability).
Who is Protected
The Public Entity
Elected or Appointed Officials
Board Members
Volunteer Workers
Estates, Heirs, Legal Representatives or Assigns
Employees (including employees of the entity's boards)
Typical claims made against protected persons include:
• failure to properly zone
• wrongful termination
• violation of civil rights
• wrongful denial of permit
• improper procedures/management
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13
August 27, 1999
..................
::::..:.:.::::::::.::::::::: U LIC N` Y:; ..... . ..•Pay on behalf basis
Duty to defend claims even if allegations are groundless, false, or fraudulent
Settlement Consent clause included in the policy
Prior Acts coverage back to the retroactive date (effective date of the first claims-made
policy)
Automatic Limited Reporting Period of 60 days after the agreement ends
Option to purchase Extended Reporting Period
Punitive damages covered up to full policy limits, if allowed by law
Law Enforcement Duties Exclusion does not apply to employment-related practices
Personal Injury Exclusion does not apply to employment -related practices
No exclusion for Architects, Engineers or Lawyers
Excludes: Year 2000 claims
$37,982 is the premium for all Public Entity Management Liability coverage.
•
August 27, 1999 14
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Autos Covered: All Autos (Based on 279 units)
$2,000,000 Auto Liability
$2,000,000 Uninsured\Underinsured Motorist
$ 5,000 Medical Payments
$ 75,000 Self Insured Retention
. * $350,000 Basket Aggregate (Includes: property, general liability, employee benefits
liability, EMT liability, law enforcement liability, public entity management
liability, automobile liability)
Composite Rate: $157 per unit
Subject to Annual Adjustment
Liability coverage for intentional or expected bodily injury and property damage is
provided if the injury or damage results from the reasonable use of force to protect people
or property.
Subject to satisfactory Motor Vehicle Records on all drivers.
Includes: Removal of the fellow Employee Exclusion; Hired Car Physcial
Damage($30,000. Limit); Hired &Non Owned Automobile Liability
$43,803 is the premium for Auto Liability.
•
•
August 27, 1999 15
k
Limit Premium Deductible
Physical Damage(Vehicles) $ 8,172,694 $5,108 $1,000
Miscellaneous Property $ 1,901,347 $ 434 $1,000
Contractor's Equipment $16,077,520 $8,968 $1,000
>Unscheduled ($100,000 or less) $ 500,000 Included $1,000
Radio Emergency Equipment $ 7,867,202 $3,635 $1,000
Fine Arts $ 150,000 $ 100 $1,000
Account's Receivable $ 250,000 $ 363 $1,000
Valuable Papers $ 1,000,000 $ 150 $1,000
Transit $ 2.50,000 $ 380 $1,000
3 Electronic Data Processing
Equipment $ 1,124,537 $1,587 $1,000
Data/Media $ 500,000 Included $1,000
Breakdown $1,000
iNtMeNitlfiVainingillifilliPMENOMONERMINMENEMPONNIM
Includes: Year 2000 Clarification Endorsement.
$20,725 is the total premium for all Inland Marine coverages.
August 27, 1999 16
•
� � �...
This policy is designed to cover real Property and Business Personal Property against
losses which are not normally covered by the standard property form.
Difference In Conditions Limit $70,000,000 Deductible $50,000
Flood * Limit $ 6,000,000 Deductible $50,000
Earthquake
> Blanket Property Limit $ 6,000,000 Deductible 1%
> Underground Pipes Limit $16,000,000 Deductible 1%
* Excludes Flood Zone "A"
Includes: Year 2000 Clarification Endorsement
$5,500 is the premium for Difference In Conditions coverage.
•
•
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August 27, 1999 17
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LIMIT PREMIUM DEDUCTIBLE
Blanket Public Employee $500,000 $4,888 $5,000
Dishonesty w/faithful
performance option
Depositor's Forgery or $500,000 included $5,000
Alteration
Money& Securities $500,000 Included $5,000
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A deductible of at Ieast $1,000 is required with limits in excess of$25,000.
This quotation is subject to obtaining a completed Acord Crime application and that the
following controls are in place:
• annual audits completed by an independent auditor or state auditor
• bank accounts are reconciled monthly by someone not authorized to make deposits or
withdrawals
elk ' • countersignatures required on checks
Includes: Year 2000 Clarification Endorsement
$4,888 is the premium for all Crime coverage. •
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August 27, 1999 18
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The Umbrella/Excess Insuring Agreement provides:
• excess limits above the primary limits for damages that result from a single catastrophic
event;
• "drop down" coverage to respond to a reduction in the available primary insurance limit
as a result of an impaired total limit, or replace the affected primary insurance if its total
limit is exhausted; and
• broader than primary coverage.
..�'��"•.....:..:.............:.......:......::.::.::::iii>:::::.�.i:ii::
. . ........... ................:.:....::::...::.::�::::::.::::::::::::.:�:.:::::::.:.�:.�::::::::::.:>::.i:.i:;•ii:.;:.;:.;ii:;;.i:;.;.:.i;.>:.>:<.::;:,.iii:;.:;.i:.ii:;;.ii:;;.i:.ii:.;:.i:.;i»:•i:.i:.;:.::<::.:.:.;i::::::%::%:<::::»:«:::::::;::::<:::::::»:
$7,000,000 General Aggregate Limit
$7,000,000 Products & Completed Operations Aggregate Limit
$7,000,000 Personal Injury Limit
$7,000,000 Advertising Injury Limit
$7,000,000 Each Event Limit
$ 10,000 Insured Retention
The Standard Umbrella/Excess form with limits listed above provides coverage over the
following forms:• • General Liability
k • Auto
• Law Enforcement Liability(Occurrence)
• Workers Compensation
A separate Excess Errors and Omissions Liability Protection Claims-made form, with
separate limits and deductibles, applies over the following forms:
• Public Entity Management Liability
• Employee Benefits Liability
Note: The above Umbrella/Excess forms DO NOT provide excess coverage over the
Healthcare Professional Liability Form (EMTs and Nurses).
OteargetftatONSIENINEMINSENEMENNEMININIMENIIIIII
Excludes: Year 2000 claims
$36,750 is the premium for Umbrella coverage.
August 27, 1999 19
•
Insured: City of Elgin
Insurer: Illinois National Insurance
Policy Term: 10/01/99 To 10/01/00
Workers Compensation Benefits (A): Statutory
Employers Liability(B): States: Illinois
$1,000,000. Each Accident
$1,000,000. Policy Limit
$1,000,000. Each Employee
Retention: $250,000. Each Accident
$250,000. Policy Limit
$250,000. Each Employee
Rate: .07 Per 100 Payroll
Premium Basis: $30,471,300. Estimated Payroll
Deposit Premium: $21,330.
± E C. MPEfWkf ti N CLAIM MINIST`` : ' '
Medical Only Losses Up to 90 @ $100.00 each $9,000.
Indemnity Losses up to 35 @ $625.00 each $21,875.
Minimum Program Year Claim Administration $30,875.
Overage Fee:
Medical only losses exceeding 90 per program year will be handled for an additional $95.00
per claim. Indemnity losses exceeding 35 per program year will be handled for an
additional fee of$285.00 per claim.
Multi-Year Claim Fee:
An additional fee of$180. per indemnity claim will be charged for anything remaining
open more than one year, but less than two years from the date CCMSI received the first
report of injury.
An additional fee of$75.00 per indemnity claim will be charged for anything remaining
open for more than two years from the date CCMSI received the first report of injury.
ruk The minimum program year claim administration fee will be payable in quarterly
installments.
August 27, 1999 20
PROPOSAL SUMMARY
r leammunimmouninIONEMMUSIIIIIIIIONIUMMI
Property Insurance:
Building and Contents $ 71,128 $ 57,172
Boiler& Machinery $ 9,396 $ 9,396
Inland Marine:
Physical Damage $ 5,108 $ 5,000
Misc. Property $ 434 $ 434
Contractor's Equipment $ 8,986 $ 8,986
Radio Emergency $ 3,635 $ 3,635
EDP $ 1,587 $ 1,587
Fine Arts $ 100 $ 100
Account's Receivable $ 363 $ 363
Valuable Papers $ 150 $ 150
Difference in Condition $ 5,500 $ 5,500
Transit $ 380 $ 380
Crime $ 4,888 $ 4,888
rk General Liability $ 75,455 $ 68,772
Employee Benefits Included in CGL Incl.
EMT Professional Included in CGL Incl.
Law Enforcement Liability $ 63,716 $ 63,716
Public Entity Management Liability $ 37,982 $ 34,384
Automobile:
Liability $ 43,803 $ 45,216
Umbrella Liability @ $7,000,000 Limit $ 36,750 $ 35,000
SUBTOTAL $369,361 $344,679
St Paul Claim Administration $ 32,548 $ 32,548
Excess Workers Compensation $ 21,330 $ 21,330
Workers Compensation Claim Administration $ 30,875 $ 30,875
rib' TOTAL $454,114 $429,432
August 27, 1999 21
..:���.! ...::..�.�.::..�:..:.::.�.::.:;•::...:�::...:: ::.�.!3��::;��!Ala.�:�:.:::::::::::::::::::::::•:::�.�9$.::::::::..�::::::::::::::::::::::
Property Values: $139,446,151 $111,928,030.
Increase By, $ 27,538,121.
Inland Marine: Vehicles $8,172,694 $7,998,970
Automobile: 279 Units 288 Units
Liability/Expenditures: $40,874,865 $37,236,884
Public Entity Mgmt Liability: 85,068 population 77,010 population
Law Enforcement Liability: 142 Class One 142 Class One
Officers Officers
Aok
22
August 27, 1999