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"" EAGUE op. Cf.TTES CONNECTING &.INNOVATING SINCE 1913 LIABILITY COVERAGE - WAIVER FORM LMCIT members purchasing.coverage must complete and return this form to LMCIT before the effective date of the .coverage. Please .return the completed form toyour underwriter or :email to pstech@lmc.org this decision must be made by the members governing body every year, You may also wish to discuss these issues with your attorney.. Cities and.other League of Minnesota Cities insurance Trust members that obtain liability coverage from LMCIT must decide whether to waive the statutory tort liability limits to the, extent of the coverage purchased.. The decision has the following effects: If the member does not waive the statutory tort.iimits, an individual claimant would be able to recover no more than $500,000 on any claim. to -which the statutory tort. limits apply. The -total all claimants would be able to.. recover for or single occurrence to which the statutorytort limits apply would be limited to $1,500,000, These statutory tort limits would apply regardless of whether the city purchases the optional excess liability coverage. If the member waives the statutorytart limits and sloes not purchase excess liability coverage, a single claimant could potentially recover up to $2,000,000 fora single occurrence. (Linder the waive option, the tort cap liability limits are only waived to the extent of the member's liability coverage limits, and the LMCIT per occurrence limit is $2 million.) ` The total all claimants would be able to recover for as! ngle occurrence to which the statutory tort limits apply would also be limited to V,0001000, regardless of the number of claimants.. n If themember waives. the statutory tort limits and purchases excess liability. coverage, a single claimant could potentially recover an amount up to the limit of the coverage purchased. The total ail claimants would be able to recover for a single occurrence to which the statutory tort limits apply would also be limited to the amount of coverage purchased,. regardless of the number of claimants. Claims to which the statutory municipal tort limits do not apply are. not affected by this decision. :accepts liability coverage limits of $. from the League of Minnesota Cities Insurance Trust (LMCIT). Check one: ❑ The member DOES NOT WAIVE the monetary limits on municipal tort liability established by Minnesota Statutes Section 466.04. ❑ The member WAIVES the monetary limits on municipal tort liability established by Minnesota Statutes Section 466.04, to the extent of the limits of the liability coverage obtained from LMCIT, Date of city council/governing body meeting Signature Position 145 UNIVERSITY-AVE. WEST PiiokE: (01) 28171200 FAA- (G51:j 281.1299 ST..PAUL, MN 55103-2044 ioLL FREE: (800) 9254122 W115: wwtiv1Mc,0KG.