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SECTION 1: LIABILITY COVERAGE WAIVER FORM <br />Cities obtaining liability coverage from the League of Minnesota Cities Insurance Trust must decide whether or not to <br />- Iva the statutory tort liability limits to the extent of the coverage purchased, The decision to waive or not to waive <br />statutory limits has the following effects: <br />If the city does not waive the statutory tort limits, an individual claimant would be able to recover no more than <br />$500,000. on any claim to which the statutory tort limits apply. The total which all claimants would be able to <br />recover for a single occurrence to which the statutory tort limits apply would be limited to $1,500,000. These <br />statutory tort limits would apply regardless of whether or not the city purchases the optional excess liability <br />coverage. <br />u If the city waives the statutory tort limits and does not purchase excess liability coverage, a single claimant could <br />potentially recover up to $1,500,000. on a single occurrence. The total which all claimants would be able to <br />recover for a single occurrence to which the statutory tort limits apply would also be limited to $1,500,000., <br />regardless of the number of claimants. <br />a If the city waives the statutory tort limits and purchases excess liability coverage, a single claimant could <br />potentially recover an amount up to the limit of the coverage purchased. The total which all claimants would be <br />able to recover for a single occurrence to which the statutory tort limits apply would also be limited to the amount <br />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 city council. Cities purchasing coverage must complete and return this form <br />to LMCIT before the effective date of the coverage. For further information, contact LMCIT. You may also wish <br />to discuss these Issues with your city attorney. <br />accepts liability coverage limits of $ from the League of Minnesota <br />as Insurance Trust (LMCIT). <br />Check one: <br />❑ The city DOES NOT WAIVE the monetary limits on municipal tort liability established by Minnesota Statutes <br />466.04. <br />❑ The city WAIVES the monetary limits on tort liability established by Minnesota Statutes 466.04, to the <br />extent of the limits of the liability coverage obtained from LMCIT. <br />Date of city council meetinc <br />Signature <br />Position <br />Return this co plew fumy to LMCIT, 145 University Ave. W., St. Paul, MN. 55103 -2044 <br />I <br />Y. . <br />Page 14 <br />1a" <br />