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SECT[ON (: ttA81L1TY COVERAGE 1NA�VER F4RM <br />C��ies obtaining liability cover�ge from fhe �eag�e o� Nlinn�sota Ci#�es �ns�ranc� �rust must decide whether �r not t� <br />waive the sta#�tory tor� liabi�i�y �i�nits to the extent of the coverage purchased. The decision to waive o� �a� �o waive <br />�he sta�utory 1im�ts �as �he fo�lo�v�ng e�#ects: <br />D lf the city does not walve �he statutory tort limits, an individual claiman# would be able to recover r�fl r-no�e ��a� <br />$50�,04�. on any claim to w�ic#� #he s�atutory �ort �imits apply. The to#a1 whi�h aii cfaimants wou�d be ab�e t� <br />r£'�QL�P.�' �Qi" 3 cin�1�: 0��� �r!"��1C�' �� !",!�';l�'�' ��"'e ���u}i�t^ry tQt`� �'�1��5 ���� y�l'J��,� u� ��,';;3��u �v^ y�� ,�vv,��iv. i i ic.�,�c <br />• ..... . . .,... v , . c t t <br />statu#ory #ort limits would app�y regardless of w�eth�r or �ot ��e �ity purchases the optiflnal excess liability <br />c�verag�. <br />n If the city v�aiv�s the stat�tor� tort Iimits and does not purchase excess �iability coverage, a sir�g�e claiman� co�Id <br />potentia�ly re�over up #o $� ,500,0�0. on a s�ngle occurrence. The �otal w�ich ai� claiman�s would be able to <br />recover for a single �ccurrenc� �o �v�ic� tt�e sta#u#�ry tort lim�ts apply vvould a�so be �irnited to $�,5Q0,0�0., <br />regar�less of tne number of �1ai�nants. <br />D 1f tfie city waives the statutory tort Iir�its ar�d p�rc�rases excess liabi/ity cove�age, a single clai�nant could <br />�o#en�ially fiecaver ar� amount up �o t�e Iimit of the coverage purchased. The tota� w�ich all cfaimants would be <br />ab�e to recove� for a single occur�ence to v�rhic� �he s#atuto�y �ar# limits apply wauld �isa be �irrai��d to the �moa�nt <br />af coverage pc�rchased�, �-egard�ess o� t�e number of ciaimants. <br />C1a�ms to vvh�ch �he s#��tu#ory r�unicipa� tort lirnits do r�ot apply are not �ffec#e� �y tnis decision. <br />T#�is dec�sion m�st be made by the c�ty council. Cities purchasing coverage r�ust compt�te and return #his forrYa <br />to LMC�T before the effective date of �he coverage. For �urther i►�forrnation, con�act LMC�T. You may also w�sh <br />to discuss #hese �ssues v�rith your ci#y at#orney. <br />� <br />� � " c�� � acce ts � iabil it � ���� - � <br />p y coverage i�m�ts of $ � ���� from the League of Nl�nnesota <br />Citie lnsu�ance Trust. �LNlClT). <br />Cf�e k one; , <br />T�e city D4ES �14�" il1lA�V� the �nonetary �imixs on rr�unicfpa� t�or� liability establ�s�e� by IUli�neso#a S�at�#es <br />456.04. <br />�= <br />The cii}r WA11►"ES the mone�ary 1i�i#s on #ort �iabil�ty es#abiished by 1Vlinr�eso�a Statutes 4��.04, to �he <br />exten# of the limi#s of #h� �iability coverage ob�ained from �.MC�T. <br />Date of city cour�cii �eeting <br />Si na�ure -- . <br />9 Position <br />Retr�rn this corr�pleted form to LN�CIT, 14� University A ve, �/, S�`. Paul, NIlii. .5�103 2044 <br />��zi<3�� �� <br />�. <br />