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LEAGUE OF MINNESOTA CITIES INSURANCE TRUST <br /> 3490 Lexington Avenue North <br /> St.Paul,Minnesota 55126 • <br /> ADMINISTERED BY: Berkley Risk Services,Inc. <br /> 920 Second Avenue South, Suite 700 <br /> Minneapolis,MN 554024023 <br /> SUBMITTED BY: <br /> PRODUCER: <br /> ADDRESS: <br /> APPLICATION FOR OPEN MEETING LAW <br /> - - -- DEFENSE COSTREIMBURSEMENT AGREEMENT- <br /> APPLICANT'S INSTRUCTIONS: <br /> 1. Please answer all questions. If the answer is NONE,please state NONE. <br /> 2. If space is insufficient to provide a complete response,attach a separate sheet. <br /> 3. The application must be signed b an authorized representative of the City. e <br /> PP g Y P <br /> Special Note: Please answer all questions. These questions are intended to provide general information only. The <br /> information provided will also be used for a proactive loss control procedure if needed. <br /> APPLICANT <br /> 1. Name of city or other public entity whose city officials are to be covered under the Agreement. <br /> City of St.Anthony <br /> 2. Principal Address: <br /> 3. If Joint Powers entity,identify participants: <br /> Afnrch 23, 1994 City 9XSt.Anthony <br /> Pret ared v-American Risk Services,Inc. <br /> 24 <br />