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Home My Public Portal About012-2011 - City & Highland Administrative Sevices - General LiaINDIANA MUNICIPAL INSURANCE PROGRAM INSURANCE PROPOSAL FOR: City of Richmond, Indiana PACKAGE POLICY TERM: 111 /2011—11112012 Presented and Serviced Russ Turner RMDIPatti Insurance & Financial Services 765-966-7531 Administered BY: Hylant Administrative Services Bill Horn — Indiana State Manager Karla Parsons — Indiana Underwriter 1-800-249-5268 ! N 5 U R A N C E P R 0 r R A M This quotation is valid for thirty (30) days from the date of quotation or the inception date, whichever is later. Extensions may be granted upon request to Hylant Administrative Services, Inc. 12/28/2010 Contract NO. 12-2011 INSURANCE PROPOSAL FOR: City of Richmond, Indiana COVERAGE — INDIANA MUNICIPAL INSURANCE PROGRAM IMIP offers coverage through the Argonaut Group of Companies. In addition, reinsurance support for the program is provided by Swiss Reinsurance of America. Both organizations deliver solid financial support and service to our policyholders. Argonaut Insurance Company (AM Best Rating of A) SERVICE — INDIANA MUNICIPAL INSURANCE PROGRAM Service for IMIP is shared between H lant Administrative Services Inc. and Trident Insurance Services LLC. Both organizations are dedicated to servicing the needs of preferred governmental agencies throughout the state of Indiana. Trident's CLAIMS department brings the experience of having settled over 75,000 Public Entity claims in the past 15 years. This brings an unsurpassed level of knowledge and expertise to the program. Hylant's UNDERWRITING staff specializes only in governmental entities. We help to identify the needs of our customers and provide solutions to those needs. H lant's RISK MANAGEMENT staff will assist your public entity in identifying existing or potential property and liability exposures. Technical assistance and resource materials are available to our customers at no cost. H lant's MARKETING department partners with local Indiana independent agents to seek out and gather information from select governmental entities. This results in a tailored insurance package that focuses on the specific need of each entity. K INSURANCE PROPOSAL FOR: City of Richmond, Indiana POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE You are hereby notified that under the Terrorism Risk Insurance Act, as amended, that you have a right to purchase insurance coverage for losses resulting from acts of terrorism, as defined in Section 902(1) of the Act The term "act of terrorism" means any act that is certified by the Secretary of the Treasury —in concurrence with the Secretary of State, and the Attorney General of the United States —to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM, SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW, HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REIMBURSES 85% OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY.THE INSURANCE COMPANY PROVIDING THE COVERAGE. THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS THAT MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A $100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS $100 BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE REDUCED. Acceptance or Reiection of Terrorism Insurance Coverage I hereby elect to purchase terrorism coverage for a prospective premium of $ 10,189. I hereby decline to purchase terrorism coverage for certified acts of terrorism. I understand that I will have no coverage for losses resulting from certified acts of terrorism. d Policyholder/A plicant's Signature W66� qiName _2 Date Argonaut Insurance Company Insurance Company P E-4610715-07 Policy Number 3 INSURANCE PROPOSAL FOR: City of Richmond Indiana COMMERCIAL PROPERTY Standard Coverage Building Personal Property TOTAL INSURED VALUES Blanket Limit Applies Causes of Loss Form Coinsurance Deductible Valuation PREMIUM Miscellaneous: Description Causes of Loss — Earthquake Form Exclusion Amendment— Flood Deductible $50,000 $50, 000 Limit $111,320,608 $27,708,952 $139,029,560 Special 90% $5, 000 Replacement Cost $123,493 Limit $1,000,000 $1,000,000 4 INSURANCE PROPOSAL FOR: City of Richmond, Indiana Commercial Property Features and Benefits Description Deductible Standard Limit Increased Limit Accounts Receivable Policy Deductible $100,000 Arson Reward None $7 500 Building Ordinance or Law Policy Deductible Loss to Undamaged Portion of Building Building Limit Demolition Cost Coverage $100,000 Increased Cost of Construction _ $100,000 Changes in Temperature or Humidity Policy Deductible $50,000 Commandeered Property $250 $100,000 Common Deductible Provision See Forms Included Communication Equipment $250 $50,000 Computer Equipment Policy Deductible, $50,000 Medialsoftware $25,040 Extra Expense LL $10,000 Crime Reward None ^^ � t 3 Per Person $1,000 Maximum x $5,000 Detached Signs Policy Deductible $5,000 Electrical Damage Policy Deductible $50,000 Extra Expense and Business Income Policy Deductible $100,000 $500,000 Fairs, Exhibitions, or Trade Shows Policy Deductible $50,000 Fine Arts Policy Deductible $50,000 Fire Department Service Charge None $5,000 Fire Equipment Recharge None Included Flagpoles Policy Deductible $5,000 Foundations Policy Deductible Included Glass $250 Included Glass Display or Trophy Cases Policy Deductible $5,000 Grounds Maintenance Equipment Policy Deductible $50,000 Lock Replacement None $500 Money and Securities $254 inside Premises -° $5,000 Outside Premises $5,000 Newly Acquired or Constructed Property Policy Deductible Building $1,000,000 Personal Property $500,000 Off Premises Utility Failure Policy Deductible $50,000 Outdoor Property Policy Deductible Any One Tree, Shrub or Plant $1,000 Total Limit $50,000 Personal Effects and Property of Others Policy Deductible Any One Employee or Volunteer $1,540 Any One Occurrence $54,000 Pollution Clean Up and Removal Policy Deductible $25,000 Premises Boundary Increased Limit Policy Deductible 1,000 Feet Property in Transit $250 $50,000 Property Off -Premises Policy Deductible $50,000 Sewer Back -Up Policy Deductible Included Spoilage Policy Deductible $10,000 Valuable Papers Policy Deductible $100,000 5 INSURANCE PROPOSAL FOR: City of Richmond Indiana COMMERCIAL INLAND MARINE Standard Coverage Deductible Limit Parks and Recreation $1,000 $143,044 Street/Highway Equipment $1,000 $180,556 Water and Sewer $1,000 $2,892,100 Miscellaneous Unscheduled Subject to maximum $1,000 $20,000 amount of $2,500 Hired, Leased, Borrowed Equipment $1,000 $131,000 Valuation RC — Scheduled ACV — Unscheduled PREMIUM $6,418 Inland Marine Features and Benefits Description New Acquisitions covered up to 90 Days Rental Expense Reimbursement $2,500 per policy COMMERCIAL CRIME Standard Coverage Deductible Limit Forgery and Alteration $500 $100,000 Public Employees Dishonesty including Faithful $500 $100,000 Performance PREMIUM $3,710 0 INSURANCE PROPOSAL FOR: City of Richmond, Indiana GENERAL LIABILITY Occurrence Form Standard Coverage Limit Bodily Injury/Property Damage $1,000,000 Personal Injury/Advertising Injury $1,000,000 . Fire Damage $100,000 Employee Benefits ($1,000 deductible applies) Included General Aggregate $3,000,000 Products/Completed Operations Aggregate $3,000,000 Deductible None PREMIUM $126,260 Miscellaneous: Description Deductible Limit Limited Pollution Liability Coverage None Included Liability Insurance Deductible -- Sewer Back Up $10,000 Included Claims Limited Failure to Supply None Included Professional Services provided by any Lawyers None Included and Engineers Firework display or Exhibition None Included Public Water Utility None Included Watersiide None Included Public transportation System including but not None Included limited to transport, operations and premises Golf Course None Included Fire District or Department None Included Emergency Medical Service None Included Landfill, dump, Refuse Site or Incinerator None Included Sewer System None Included General Liability Features and. Benefits Description "Pay On Behalf' form Additional Insured by Written Agreement, Contract or Permit Blanket Collapse, Explosion, Underground property damage Broad Form Named Insured Chartered Aircraft Liability Contracted Liability Defense Costs in Addition to Limit of Liability Extended Property Damage Host Liquor Liability Independent Contractors Liability Non auditable Policy Premises I Operations Products I Completed Operations Sewer Backup Coverage Special Events (subject to company approval) Supplementary Payments — Bail Bonds Supplementary Payments — Daily Loss of Earnings Watercraft Liability Worldwide Coverage Territory INSURANCE PROPOSAL FOR: City of Richmond Indiana COMMERCIAL AUTOMOBILE LIABILITY Standard Coverage — Based on 341 units Liability Limit Deductible Uninsured Motorist Bodily Injury and Property Damage (Subject to $300 PD Deductible) Underinsured Motorists Bodily Injury Automobile Medical Payments PREMIUM Symbol Limit 1 $1, 000, 000 None None COMMERCIAL AUTOMOBILE PHYSICAL DAMAGE None None $107,013 Standard Coverage Units Symbol Deductible Comprehensive 340 10 $1,000 Collision 340 10 $1,000 PREMIUM $91,274 Commercial Automobile Features and Benefits Description Fleet Automatic Hired & Non Owned Auto Garagekeepers Coverage - $1,000,000 Limit of Liability - $1,000 Deductible for both Comp and Collision Fellow Employee Exclusion Deleted Supplementary Payment — Bail Bonds Supplementary Payments — Daily Loss Of Earnings Hired Car Physical Damage - $50,000 Limit Permanently Installed Audio, Visual Or Electronic Equipment Loss Payable Clause Transportation Expense For Theft Of Private Passenger Auto - $50 Per Day/$1,000 Maximum Airbag Coverage — Up To $1,000 — Deductible Waived Deductible Reimbursement — Up To $500 For Owned Autos Of Volunteers Or Employees Deductible Waived For Glass Repaired Rather Than Replaced — Private Passenger Autos FLEET AUTOMATIC The premium quoted is the final annual premium. Subject to the conditions described in item #2 below, this coverage will not be audited. #1 — Commercial Automobile Liability With symbol 1, coverage is automatically provided for ANY AUTO the entity owns or acquires during the Policy Period. #2 — Commercial Automobile Physical Damage With symbol 10, coverage is provided on a "Fleet Automatic" basis. This means that any auto the entity acquires during the term of the policy will be covered automatically, provided it is an additional new auto of the same like and usage currently reflected on the schedule, or replaces an auto the entity previously owned which had Physical Damage coverage. The entity must submit a request for coverage for any unit which does not meet the conditions outlined above. IMPORTANT NOTE: The insured should continue to submit all change requests to their agent and the agent should submit copies of all requests to Hylant Administrative Services to insure accurate record keeping and claims verification. 0 INSURANCE PROPOSAL FOR: City of Richmond Indiana Return Premium (if any) REJECTION OF UNINSURED MOTORIST COVERAGE AND UNDERINSURED MOTORIST COVERAGE OR SELECTION OF LOWER LIMIT OF LIABILITY (Indiana) The Indiana Insurance Code (Section 27-7-5-2) requires an insurer to provide bodily injury Uninsured Motorist Coverage and Underinsured Motorist Coverage equal to the limit for Bodily Injury Liability Coverage in the policy and Property Damage Uninsured Motorist Coverage at the basic financial responsibility limit. Property Damage Uninsured Motorist Coverage is only available if Bodily Injury Uninsured Motorist Coverage is afforded under the policy. A named insured can reject either or both Uninsured Motorist Coverage or Underinsured Motorist Coverage, reject the Property Damage portion of the Uninsured Motorist Coverage, or select a limit of liability lower than the limit of Bodily Injury Coverage. (Note: Limit selected for Underinsured Motorist Coverage cannot be less than $50,000/$50,000 Split Limit or $50,000 Single Limit). Uninsured Motorist Coverage and Underinsured Motorist Coverage provide insurance for the protection of persons insured under the policy who are legally entitled to recover damages from owners or operators of uninsured or underinsured motor vehicles because of bodily injury, sickness, or disease, including death, and for the protection of persons insured under the policy who are legally entitled to recover damages from identifiable owners or operators of uninsured motor vehicles for injury to or destruction of property resulting therefrom. The undersigned named insured — (Applicable items marked "X") ❑ agrees that the Uninsured Motorist Coverage afforded in the policy is rejected. ❑ agrees that the Underinsured Motorist Coverage afforded in the policy is rejected ❑ agrees that both the Uninsured Motorist Coverage and the Underinsured Motorist Coverage afforded in the policy are rejected. ❑ agrees that the Property Damage only portion of the Uninsured Motorist Coverage provisions afforded in the policy is rejected. ❑ agrees that the following lower limit of liability applies with respect to the Uninsured Motorist Coverage afforded in the policy. (Enter lower limit of liability): $ each person (enter limit if applicable) $ each accident ❑ agrees that the following lower limit of liability applies with respect to the Underinsured Motorist Coverage afforded in the policy. (Enter the lower limit of liability): $ each person (enter limit if applicable) $ each accident Date 0 t - 17 - 24 i 1 Signafure of Named Insured Policy Number 9 INSURANCE PROPOSAL FOR: City of Richmond Indiana LAW ENFORCEMENT Occurrence Form Standard Coverage Limit Each Wrongful Act $1,000,000 Annual Aggregate $3,000,000 Deductible — Per Wrongful Act $10,000 PREMIUM $33,042 Law Enforcement Liability Features and Benefits Description "Pay On Behalf' Form Authorized Moonlighting Bodily Injury, Assault & Battery Broad Form Named Insured Canine And Equine Exposures Civil Rights Violations Defense Costs in Addition to Limit of Liability False Arrest/Wrongful Imprisonment False Or Improper Service or Process Non Auditable Policy Property Damage 10 INSURANCE PROPOSAL FOR: City Of Richmond, Indiana PUBLIC OFFICIALS' LIABILITY Claims Made Form Standard Coverage Limit Each Wrongful Act $1,000,000 Annual Aggregate $3,000,000 Deductible — Per Wrongful Act $25,000 Retroactive Date 01 /01 /1998 PREMIUM $8,493 Miscellaneous: Description Deductible Limit Non Monetary Defense Coverage None $10,0001$50,000 Professional Services provided by any Lawyers $25,000 Included or Engineers Firework Display or Exhibition $25,000 Included Public Water Utility $25,000 Included Waterslide $25,000 Included Public Transportation System, including but not $25,000 Included limited to transport, operations and premises Goff Course $25,000 Included Fire District or Department $25,000 Included Emergency Medical Service $25,000 Included Landfill, Dump, Refuse Site or Incinerator $25,000 Included Sewer System $25,000 Included EMPLOYMENT PRACTICES LIABILITY Claims Made Form Standard Coverage Limit Each Wrongful Act $1,000,000 Annual Aggregate $3,000,000 Deductible — Per Wrongful Act $25,000 Retroactive Date 1 /111998 PREMIUM $18,163 Miscellaneous: Description Deductible Limit Non Monetary Defense None $50,0001$50,000 EEOC $2,500 $10,0001$50,000 Public Officials'/ EPL Liability Features and Benefits _Description Broad Form Named Insured Civil Rights Violations Defense Costs in Addition to Limit of Liability Licensing & Permitting Coverage Loss of Compensation ("Wage") Claims - $50,000 per person, $10,000 ded_ Non Auditable Policy "Pay On Behalf"Form Wrongful Act "Incident" Reporting 11 INSURANCE PROPOSAL FOR: City of Richmond, Indiana Zoning Coverage COMMERCIAL EXCESS LIABILITY Standard Coverage Each occurrence, Offense, Accident or Wrongful Act Annual Aggregate Retention/Deductible PREMIUM Underlying_ Insurance General Liability Public Officials' Liability Employment Practices Liability Law Enforcement Liability Commercial Auto Liability Miscellaneous, Description Uninsured Motorists Exclusion Underinsured Motorists Exclusion *Please note the Excess Liability quote includes a separate aggregate limit for each line of business as quoted above Limit $5,000,000* $5,000,000" None $79,739 Limit $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000 Limit None None 12 INSURANCE PROPOSAL FOR: City of Richmond Indiana Price Summary The following is a price breakdown for this quotation Coverage Commercial Property Commercial Inland Marine Commercial Crime General Liability Commercial Automobile Liability Commercial Automobile Physical Damage Law Enforcement Liability Public Officials' Liability Employment Practices Liability Commercial Excess Liability Total Premium without Terrorism Total Premium with Terrorism Premium $123,493 $6,418 $3,710 $126,260 $107,013 $91,274 $33,042 $8,493 $18,163 $79,739 $69'7,605 $607,794 13 INSURANCE PROPOSAL FOR: City of Richmond Indiana ADDITIONAL INFORMATION Risk in General Quote is subject to receipt of the following items at time of binding coverage: signed Terrorism Form, page 3 of the proposal Risk Control will be ongoing throughout the year. Quote is subject to receiving insured's written response to the current outstanding recommendation within the next 30 days. Commercial Property Quote is subject to receiving a signed statement of values within 30 days of binding coverage. Commercial Inland Marine Quote is subject to receiving a complete schedule of equipment within 30 days of binding coverage. Commercial Automobile Quote is subject to receipt of updated driver data within 30 days of binding coverage: MVRS will be ordered at that time. Optional quote to add Uninsured Motorists and Underinsured Motorists coverage is as follows: • $250,000 Limit - $124,578 • $1,000,000 Limit - $140,629 GENERAL CONDITIONS Note: This quote is a package offer. The premiums stated in the proposal are applicable only when an order is received for all lines quoted. Please contact your Sales Manager or Underwriter if you would like to receive an alternative quote. This proposal is based on information provided to HylanttTrident by the Agent. An application signed and dated by an official of the entity and the agent/broker must be received within thirty (30) days of binding coverage. The quotation in this proposal does not necessarily match the coverage or limits requested in the bid specifications and/or application. No warranty is made or implied with respect to the total compliance to bid specifications or applications. Each individual policy contains the actual terms, conditions and exclusions. This proposal highlights certain features and benefits of the Trident Program. Specifically excluded liability exposures include, but are not limited to: mechanically operated amusement devices, lead contamination and pollution liability. Any professional liability lines quoted, (Public Officials Liability, Employment Practices Liability and Law Enforcement Liability) include defense costs within the deductible. 14