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02/04/2006 08-14 FA 012 7 1543 CITY OF MPLS-FIRE TOWER la oil <br />A "UIUL; I V 1N0UrV1%V%%o1;; VVV=r%M%0= ION V1 I I %O%Jrl I KA11wo 1 IMF <br />Insrn' Wvi Process <br />it jS possible to receive a waiver for certain Idilds of insurance if the Cly Risk Managenront Office considers a waNier to be <br />appmpdate. 'To request a WaNer, please send an E-mail or memo to Risk Management (Gary LmAn or Ellen Vela - <br />Thonvon), that identMeS". <br />I. The name the contractor <br />2. The SCOPO of services for thie contract <br />3. Ifthere are any contmictor employees his does not include owners) <br />4. Mich speoiffic insurance 00verage(s) you want waived <br />5, Any tMer olart inq 'Information you Wieve Risk Management needs in order to determine if a waiver is appro date <br />Pn <br />Risk Management wilt review the matenaj$ and possibly contact you for further 111formation. If they approve Itle waiver, <br />they will send you a ft"k Management War Form ►fth Xs indicated for the areas they are wain. The language neA <br />I <br />to the X is the language that should be typed into the contract Isetf under the appropriate paragraph for that type of <br />insurance. When you sink ycur cohtmct to Contract Management, you will ineed to attach a copy of the F <br />Management Walver Form, <br />The following are possible sRuations where a waiver ma approp6atie: <br />is AnIndividual who its a contractor May receive a Workers Compensation insurance waiver, as there are no employees <br />that need Workers Compensation insurance, <br />A partnership that Is a contractor may revive a Workers Compensation insurancA waiver, as there are no employees <br />that need Workers, Compensation insurance. <br /># An i�ndlivkJual whilo is a cointra(lor' may re"Ne an Auto dial ft y insurance water', as the 'IndWUal will not be using any <br />vehicAe while woridnig on the contract, <br />0 AnIndWidual who, is a contractor may receive an Auto UaNky 'm'surance waiver if the-indWuaft personal auto <br />insurance coverage sufficiently addresses the risk. You will need to get OfthOr 9) 9 copy of the personal insurance <br />deck page that id eft flessperm coverage levels and ft name(s) of the Insured or b) a fetter from tbf, 16surance <br />agent that states the contmictor has an e0orserftnt Nr auto insurance coverage when the auto is used for business <br />purposes. A copy of the insurance card Is not ia=ptable, <br />10, A Professional firm that would typicafty require Professional U'abliftyinsurance may receive a waiver if the work being <br />done for the speeft contract, is AM "professional' work. An example would be an engineering firm that is contraeted <br />wb to count car, usage, on a specft brfter# <br />PmPared by Lee Larson in =4uWian with AM Mann qenwnt-r*viS&d 611" <br />