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• <br /> vUUN M. !v!'1. v UQgwen 1.b a11'. LJACui.LJ. .y iusuL .*A(- <br /> A special levy may be claimed for the coats of paying judgments entered by a eourt.concerning • • <br /> actions on tort liability, out of court settlements concerning actions on tort liability and <br /> the increased cost of liability insurance. Self insurers shall deduct the unused portion of <br /> t )revious year's levy for liability insurance. "Tort action" means any civil action involving <br /> __ongful act except one involving a breach of contract. <br /> ) Court Cases and Out of Court Settlements: Enter separately, .iist ca:>t, name, county where <br /> judgment entered (or action entered on the docket if an out of court bt.ttlement) , docket #, <br /> and date. Please provide a brief description of the subject of each ac.lon. Do not include <br /> court cases or out of court settlements concerning actions on express c-retracts, actions on <br /> implied contracts, actions reducing or refunding property taxes or any ether non-tort action. <br /> Case Name County Docket # Date <br /> •S <br /> S <br /> Subtotal $ <br /> Description of Subject of Each Action <br /> (2) Liability Insurance: Enter each liability insurance package separately. Do not include <br /> workmen's compensation insurance or insurance in excess of statutory limits of liability <br /> under Minnesota Statutes, Section 466.04. Do not include dram shop liability insurance <br /> if paid by liquor store revenues or other non-tax revenues. This special levy is <br /> authorized only for liability insurance providing protection against tort actions for <br /> which a judgment could be entered against the governmental subdivision. <br /> Certified Certified Difference- <br /> Name of Name of Liability Levy in Levy in 1977/1978 minus • <br /> Insurer Insurance Package 1977/1978 1970/1971 1970/1971 <br /> • <br /> Subtotal _ - <br /> Total Court Cases, Out of Court Settlements and Liability Insurance (enter <br /> here and on page 1, line A). Z - - - <br /> SCt®UIS B: Lawful Orders Initially Issued Before January 1, 1977 <br /> A special levy may be claimed for the increased coat of complying with written lawful orders <br /> initially issued prior to January 1, 1977 or fbr the increased costs of stipulation agreements <br /> in lieu of lawful orders entered into with U.S. government agencies or Minnesota agencies or <br /> subdivisions thereof prior to January 1, 1977. (For example, Dept. of Health orders, State <br /> re Marshall orders, Public Service Commission orders.) The increased cost of complying with <br /> itation or order issued prior to January 1, 1977 by the Occupational Safety and Health Divi- <br /> on of the Department of Labor and Industry qualifies, as well as the total cost of wages and <br /> n-wage benefits for the 50% (or less) of employees hired under the federal Emergency Employment <br /> • Act prior to January 1, 1977 who are required under the act to be retained by the employer after <br /> termination of the grant program. Include the increased costs for treatment works or disposal <br /> systems for pollution abatement for which the initial permits to operate were issued prior to <br /> January 1, 1977. Do not include the cost of collecting or transporting solid waste. <br /> (2) <br /> r. <br />