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<br /> I -t . ~ ~ : .I':' wi:,::,,'! ~ ~ .' . ; I ;.i':;. ..:-:-: <br /> ". _. ., _ "' ,.. L. . ~ . <br /> LEAGUE OF MlNNESOTA CITIES INSURANCE TRUST <br /> I MUNICIPALITY QUESTIONNAIRE CONTINUED <br /> Ulcrr EXCESS LIABILITY COVERAGE <br /> ,. Cities obtaininr excess cover~e from the Le~e of Minnesota Cities <br /> Insurance Trus must decide wliether or not to waive the statutory liability <br /> limits to the extent of the excess cover~Ilurchased. This decision must be <br /> I made bbthe cifO council. CITIES PUR SING EXCESS COVERAGE MUST <br /> COMPL E AN RETURN THIS FORM TO LMCIT BEFORE THE EFFECTIVE <br /> DATE OF THE COVERAGE. <br /> I For i'uItllu hllaftlll&tiOZl, refer to the llooompll.lI1lq lDemo. City ol'SeklA mt.1 also wazat to cUsC1U9 <br /> theM IssUII!: with .the city attorzae,. <br /> I The City of accepts exeeM liability coverage <br /> I limits of $ _ irom the League of Minnesota Cities Insurance Trust. <br /> Cheek O1Ie: <br /> I The citY. DOES NOT WAIVE the mone~ limits on tort liability <br /> :- establislied by Mmnesota ~tatutes 466. 4. <br /> I - OR- <br /> _ The city W AlVES the monet~.limits on tort liabililrn~rablished <br /> .. by Minnesota ::ltatutes 466.0 ,to the extent of the 'ts of the <br /> ~~ess liability coverage obtained from the Lea,..,aue of Minnesota <br /> Cities Insurance Trust. <br /> I Date of city _Zion mootizag: <br /> I S{gzaatUfCl: <br /> Pocitioza: _ <br /> I Retv.rZl this eompletClcl fOfm to Berkle, Risk Semces, 920 SeC:Ollcl AftZllIe SOlltb, Suite 700, <br /> I MiZlZleapolis, M1f SS402-4023. <br /> I 4/92 <br /> LMCl'l'31 (2) <br /> I <br /> I <br /> f' <br /> I <br />