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:C7-1.13 -71220 <br />?.ME?:C. =N = ._ENC! <br />LMCIT LIABILITY COVERAGE - WAIVER FORM <br />53_ ?.2e /oe <br />Cities obtaining liability cove:age front the League of Minnesota Cities Insurance Trust must decide <br />whether or not to waive the statutory tort liability limits to the extent of the coverage purchased. The <br />decision to waive or not to waive the statutory limits has the following effects: <br />If the city does not waive the statutory tort limits, an individual claimant would be able to recover no <br />more than $300,000.on any cl aim to which the statutory tort limits apply. The total which all claimants <br />would be able to recover for a single occurrence to which the statutory tort limits apply would be limited <br />to $1, 000,000. These statutory tort limits would apply regardless of whether or not the city purchases <br />the optional excess liability coverage. <br />• If the city waives the statutory ton limits and does not purchase excess liability coverage, a single <br />claimant could potentially recover up to $1,000,000. on a single occurrence. The total which all <br />claimants would be able to recover for a single occurrence to which the statutory tort limits apply would <br />also be limited to $1,000,000., regardless of the number of claimants. <br />• If the city waives the statutory ton limits and purchases excess liability coverage, a single claimant <br />could potentially recover an amount up to the limit of the coverage purchased. The total which all <br />claimants would be able to recover for a single occurrence to which the statutory tort limits apply would <br />also be limited to the amount of coverage purchased, regardless of the number of claimants. <br />Claims to which the statutory municipal tort limits do not apply are not affected by this decision. <br />This decision must be made by the city carrell Cities purchasing coverage must complete and return . <br />this form. to LMCIT betwcthe effecdve date ofthe coverage.. For further infoeta #nn, contact LMCIT. <br />You may also wish to discus these issues whit your cityattorney. <br />The City of L; }+ %.e a.Accia accepts liability coverage limits of $ eoai o o a from the League of <br />Minnesota Cities Insurance Trust (MCI'), <br />Check one: <br />X The city DOES NOT WAIVE the monetary limits on municipal tort liability established <br />by Minnesota Statutes 466.04. <br />The city WAIVES the monetary limits on tort liability established by Minnesota Statutes <br />466.04, to the extent of the limits ofthe liability coverage obtained from LMCIT. <br />Date of city council meeting <br />Signature Position <br />Return this completed form to.L3ICTT, 145 University Ave. W., 2. Paul, MN. 55103 -2044 <br />Page 1 of <br />TC PL P.28 <br />Page 30 <br />