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LEAGUE OF I JNESOTA CITIES INSURANCE T' ;ST <br />LIABILITY COVERAGE — WAIVER FORM <br />Cities obtaining liability coverage from 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 claim 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 <br />limited to $1,000,000. These statutory tort limits would apply regardless of whether or not the city <br />purchases the optional excess liability coverage. <br />® <br />If the city waives the statutory tort 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 tort 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 council. Cities purchasing coverage must complete and <br />return this form to LMCIT before the effective date of the coverage. For further information, contact <br />LMCIT. You may also wish to discuss these issues with your city attorney. <br />accepts liability coverage limits of $ from the League of <br />Minnesota Cities Insurance Trust (LMCIT). <br />Check one: <br />❑ The city DOES NOT WAIVE the monetary limits on municipal tort liability established by <br />Minnesota Statutes 466.04. <br />❑ The city WAIVES the monetary limits on tort liability established by Minnesota Statutes 466.04, <br />to the extent of the limits of the liability coverage obtained from LMCIT. <br />Date of city council meeting <br />Signature /Date Position <br />Return this completed form to LMCIT, 145 University Ave. W., St. Paul, MN. 55103-2044 <br />LMCIT (I II00)(Rev.11 /03) Page 1 of I <br />