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L4�a <br />`` C <br />LEAG4E of <br />MINNESOTA <br />CITIES <br />LIABILITY COVERAGE — WAIVER FORM <br />1VZ6m4ers who. obitain-lixbility coverage through the League of Minnesota Cities Insurance Trust <br />(LMCIT) must complete and return this form to LMCIT before the member's effective date of <br />coverage. Return corn leted form to your -underwriter, or email to pstech@lmc.m. <br />The decision to waive or n6t waive!1he statutory tort limits must be made annually by the <br />member's governing body,: in consultation with .its attorney if necessary. <br />MembL-m who obtain liability coverage from LMCIT must decide whether to waive the statutory -tort. <br />liability limits -to. the extent of the coverage purchased. The decision has the following effects: <br />• If the member-does.not waive the statutory tort limits, an individual claimant could recover no mbre <br />than $500,000 on any.. claim to which the statutory tort limits apply. Thg total. all claimants could <br />recover fora siltiee weurreuce to which.the statutory tort limits apply.:would be limited to $1,500,006. <br />These statutory tort limits would apply regardless of whether the member purchases the optional <br />LMCIT -excess liability. coverage. <br />Ifthe trtevOer waives the statutory tort limits and does notpurchase excess liability coverage, a single <br />:claimant could -recover up to $2,000,000 for a single. occurrence (under the waive option, the tort.cap. <br />liability limits are only waived to the extent of the member's liability coverage limits, and the. LMCIT <br />per occurrence4imit is $2,0001000). The total all claimants coiiM-recover-for a. -single occurrence to <br />Which -the statutorytoit limits apply would also be limited to $2,000,00.0, regardless ofthe-number of <br />claimants. <br />• tf the rrrnembef• waives the sfatr ory tort. limits and purchases excess liability-coverag'e, a single claimant <br />could potentially recover an amount up to the lirnit.of the coverage purchased. The.total: all claimants <br />could recover for single occurrence. to which the statutory tort limits. apply would also be limited to <br />-the amount of coverage purchased, regardless of the number of claimants. <br />Claims to which the statutory municipal tort.liinits Flo hot pplyare-not affected by this decision. <br />LEAGUE OF MINNESOTA CITIES 145 University Avenue West PH: (651) 281-1200 FH: (651) 281-1298 <br />INSURANCE TRUST St, Paul, Minnesota.55103 TF., (800) 925-1122. wwMImc,org <br />