HomeMy WebLinkAboutItem 5 - LMIT waiver form_2015 s
%�tGOF CONNECTING & INNOVATINGI
II` NESOT.A SINCE 1915
CITIES
LIABILITY E RAGE - WAIVER FORM3
LIT rrsernbe purchasing c�eae must cors�plete and return this form to LMClT be �]
fore the effective date of
the coverage. Please return thleted form to your ands titer or err,ail to petech lmc.org j
This decision must be made by the members governing body every year. You may also wish to discuss these issues with
your attorney.
League of Minnesota Cities Insurance Trust(L.MCiT)members that obtain liability coverage from LMCIT must decide
whether to waive the statutory tort liability limits to the extent of the coverage purchased. The decision has the following
effects:
If the member does not waive the statutory tort limits, an individual claimant would be able to recover no more than
$500,000 on any claim to which the statutory tort limits apply. The total all claimants would be able to recover for a
single occurrence to which the statutory tort limits apply would be limited to$1,500,000. These statutory tort limits
apply regardless of whether the city purchases the optional excess liability coverage.
If the member waives the statutory tort limits and does not purchase excess liability coverage, a single claimant could
potentially recover up to$2,000,000 for a single occurrence. (Under this option, the tort cap liability limits are waived to
the extent of the member's liability coverage limits, and the LMCIT per occurrence limit is $2 million.)The total all
claimants would be able to recover for a single occurrence to which the statutory tort limits apply would also be limited
to$2,000,000, regardless of the number of claimants,
If the member waives the statutory tort limits and,purchases excess liability coverage, a single claimant could
potentially recover an amount up to the limit of the coverage purchased. The total all claimants would be able to
recover for a single occurrence to which the statutory tort limits apply would also be limited to the amount of coverage
purchased, regardless of the number of claimants.
Claims to which the statutory municipal tort limits do not apply are not affected by this decision.
LA
'� selects liability coverage limits of$_ ®�� �® ��m League of Minnesota Cities
Insurance Trust(LMCIT).
Ch ck one
The member DOES PLOT WAIVE the monetary limits on municipal tort liability established by Minnesota Statutes,
Section 466.04. '
i
The member WAIVES the monetary limits on municipal tort liability established by Minnesota Statutes, Section
466.04 to the extent of the limits of the liability coverage obtained from LMCIT.
Date of city council/governing body meeting
Signature Position
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145 UNIVERSITY AVE. WEST PHONE:(651)281-1.200 rAx:(651)281-1299
ST. TACIT., MN SS103-2044 TOLL FREE:(800)925-1122 wmwwwLmc.otto
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