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SECTION I: LIABiLITY COVERAGE WAIVER FORM <br />Cities obtaining liabili#y 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 #he statutory limits has the following effects: <br />�, If the city does not waive the statutary tort limits, an individual claimant would be able to recover no <br />more than $500,000. 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 $1,500,000. These s#atutory tort limits wauld apply regardless of whether or not the city <br />purch�ses the optional excess liability coverage. <br />_ If the city waives the statutory tort limits and does not purchase excess liabilify coverage, a single <br />claimant could potentially recover up to $1,500,000. 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 $1,500,000., regardless of the number of claimants. <br />�!f the city waives ths statutory tort limits and purchases excess liability coverage, a single claimant <br />could poten#ially recover an amount up to the limit of the coverage purchased. The total which all <br />claimants would be able to recover for a singls 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 Gity council. Cities purchasing caverage must complete and <br />return this farm to LMCIT before the �ffective date of the covsrage. For further information, contact <br />LMGIT. You may also wish to discuss these issues with your city attorney. <br />�� ��1 �'1 � �.5 accepts liability coverage limits of $ a�S6D� (�GYi from the League of <br />Minnesota Cities Insurance Trust (LMCIT). <br />Check one: <br />�The city DOES NOT WAN� 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 Statu#es 466.04, <br />to the extent of the limits of the liability coverage obtained from LMCIT, <br />Date of city council meeting <br />Signature <br />Position <br />Return this completed form to LMCIT, 14S UniversityAve. W., St Paul, MN. SS103-2044 <br />