HomeMy WebLinkAbout4.h. Accept 1991-1992 Liability Insurrance Premium & Authorize PaymentEXECUTIVE SUMMARY FOR ACTION
CITY COUNCIL MEETING DATE: December 3, 1991
AGENDA ITEM: Accept 1991-92 Liability
AGENDA SECTION:
Insurance Premium and Authorize Payment
Consent
PREPARED BY:
AGENDA
# 4A
Jeff May, Finance Director
ATTACHMENTS:
A=PPD Y•
Copy of Premium Summary and Binder, & Invoice
1-1 v Zx
This item is a followup to the presentation given by
representatives from the Berkley Insurance Company at the last
council meeting on November 19, 1991. -Required is action formally
accepting the Liability Insurance renewal for the period of 11/1/91
through 10/31/92 and authorizing the payment of the corresponding
premium.
As a note, the dividend of some $31,000 that was mentioned at the
last meeting should be received sometime in December.
RECOMMENDED ACTION:
Accept the Liability Insurance renewal for the plan year 11/1/91
through 10/31/92 and authorize the corresponding premium payment.
COUNCIL ACTION:
Berk -ley Risk Senices, Inc.
„c�-EvL Toc�C/.3S
�44re��ss� 8"
Date: "rDUlf r3, 14?e1
RE :V zy 6C
Eff. Date:/ell lfrl
RENEWAL PREMIUM SUMMARY AND BINDER
PROPERTY � /� Z Z
INLAND MARINE
GENERAL LIABILITY.5�✓�'
9& l 'z .7
ERRORS AND OMISSIONS
J
•
AUT0MOBILE LIABILITY
'�
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UN/UIM
AUTOMOBILE PHYSICAL DAMAGE
BONDS
TOTAL` G�
REMARKS: DG NOT PAY UNTIL YOU RECEIVE I NVDi : ES !
Renewal covereoe is bound up to 60 days pendinc issuance of renewal
b.sed on L.t;.C.I.T. forms and practices in effect on renewal date.
Sincerely,
- 'o�
14f)) `o.T:.\Jt-r. Suitt 711") s i.{ifltl;:'il'J)is. Minn x= ;',Cy Fax �612 ) F{ )..v.: j.
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PURCHASE ORDER
C111/ trl I\)r.c. tTlfrllt)1 ,
2375 145th Street West • PO Box 510
Phone (612) 423-4411
Rosemount. MN 55068-4997
LMC IT
C f i� 4� r �..�•; R 1 S tc s cue �! �C 2'S, / � � .
10
16405
wept.
Distr.
IMPORTANT
ABOVE ORDER NUMBER MUST APPEAR ON ALL COARESPOW
DENCE. INVOICES. PACKAGES AND S041PPINO PAPERS. NOTIFY
US IMMEDIATELY IF YOU ARE UNABLE TO SHIP COMPLETE
ORDER BY DATE SPECIFIED. YOUR ACCEPTANCE OF THIS ORDER
IS YOURwARRANTY To US THAT YOU ARE COMPLYING WITH THE
U.S. FAIR LABOR STANDARDS ACT IF 1938. AS AMENDED. AND WE
RESERVE THE RIGI0 TO REFUSE MERCHANDISE NOT IN STRICT
ACCORDANCE WITH THIS ORDER.
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6EN'L LIABLTT F/C ANOtNNT
101.15500 660
101-19210-01.369 100 10,l2L36
101-19210-01-369 100 3,059.00
(1991 fedotsr9rots Oslt1
601-ISSOO 860 G,61t.61
601-19100-01-369 100 1,232.14 ,
602-ISS00 860 8,611.61
601-11150-01-369 100 1,732.16
81,510.00
,U.t'114- 2"! z1..+tI!j -.!_1.1'1;1.
r
While: Original Yellow: Duplicate Pink: Triplicate Gold: Ouadruplica
LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
(((( ;1 c/n North Stir Risk Servires, Inr,.
,1111 1401 West 76th Street, Suite 550
70g� Minneapolis, MN 55423
(612) 8f11-8600
MZu
CQVENANT NUMBER VEi57Gi'iE 1 1 COVERAGE PROVIDED 8Y
FROTO
CrIc __Q01.2150-9-2
r.nVFnED PARTY AND ADDnESS
CITY OF ROSEMOUNT
2875 145TH ST. L-1.
ROSEMOUNT, MN.
,TOTAL AMOUNT DUE
I
AMOUNT DUE
;PREVIOUS BALANCE
,MINIMUM AMOUNT DUE
i91 1 11"
55068
3UOIla
DATE I
AGENCY
AGENT
TOOMBS INS. AGENCY
C/O ROBERT TOOMBS
3025 145TH STREET WEST
ROSEMOUNT, MN. 55068
612 423-1121
P R E 1`1 1 U M I N V O I C E
SPECIAL MULTI—PERIL
RENEWAL
w * » DUE 11/20/91 - K «
PLEASE CONTACT YOUP. AGENT FOR EXPLANATION OF CHARGES
ffi86.451.00
$86,451.00
0.00
---------------
$86,451.00
PAGE
C11r_ 0012150 92 0000462 O D DATE DUE 11/20/91
Inv. 1306713
CITY OF ROSEMOUNT
PLEASE REMIT WITH PAYMENT TO:
L.M.C.I.T.
CSO BERKLE:Y RISK SERVICES
1441 Id. 76TH STREET #550
t1INNEAPOLIS, t1N. 55423
I f SURED
`CITY OF ROSEMOUNT
!RI= 11 2875 1 451 H ST, b1.
'iulfil -1111
POSEMOUNT HN.
TOTAL AMOUNT DUE $86.451.00
MINIMUM DUE $86,451.00
(INCL SVC CHG IF ANY)
AMOUNT PAID
55068
i LEAGUE OF MINNESOTA CITIES INSURANCE TRUST
VIII= 1�
C/O BcrklcyRisk Scrviccs, Inc.
I J 1401 It *176111 Sant - sidle W
M� Minnc*1w s, MN.042.149.9
;OVf NntJ f NUMBERCOVERAGE PE11166 COVERAGE PROVIDED BY
rr+OOm TO
_1JC_oo1.126791 1/01/90L11r01/91 L.M.C.I.T.
;�VFRFR F'ARTv AND ADDRESS AGENT`
7:ITY OF ROSEMOUNT TOOMBS INS. AGENCY
O BOX 510 C-eO ROBERT TOOMBS
?A75 145TH ST W 3025 145TH STREET WEST
?OSEHOUNT MN 55068 ROSEMOUNT, MN.
612 423-1121
P R E 11 1 U M I N V D I C E
SPECIAL MULTI -PERIL
ENDORSEMENT
of " 4* DUE 11/20/91 ft - *
TOTAL AMOUNT DUE
ENDORSEMENT OMO iNT
PREVIOUS BALANCF
MINI11UH AMOUNT DUE
PLEASE CONTACT YOUP AGENT FOR EXPLANATION OF CHARGES
, U b I i e
DATE -1 //19/91
1 AGENCY PAGE
55066
$3,059.00
$3,059.00
0.00
---------------
$3,059.00
Ct iC 0011267 91 00 O D DATE DUE 11/20/9100462
CITY OF ROSEMOUNT Inv. #306712
PLEASE PEMIT WITH PAYMENT TO
l_.M.C.I.T. TOTAL AMOUNT DUE $3,059.00
C10 BERKLEY P.ISK SERVICES MINIMUM DUE $3,059.00
1 701 LI. 76TH STREET 0550 (INCL SVC CHG IF ANY)
MINNEAPOLIS. MN. 55423
AMOUNT PAID
CITY OF P.OSEHOLtNT
P n BOY, 510
2875 145TH ST W
POSEMOUNT MN
55068
League of Minnesota Cities
183 University Ave. East
St. Paul, MN 55101.2526
(612) 227-5600 (FAX: 221-0986)
To: LMCIT member cities
From: Peter Tritz
Re: Payment of premiums for L4CIT coverage
Please use the following procedures in making premium payments
for property/casualty or workers compensation coverage through
the League of Minnesota Cities Insurance Trust:
1. PAYMENT SHOULD BE MADE DIRECTLY TO LMCIT. The
city's check for the premium payment is to be made out
to LMCIT.
2. PAYMENT SHOULD BE MAILED TO THE ADDRESS SHOWN ON
THE INVOICE. Payments are to be mailed to the
administrators of the respective programs. The
address is shown on the invoice.
A city which chooses not to follow these procedures does so at
its own risk. Specifically, if the city chooses to make its
payment to the local insurance agent, it will be the city's
responsibility to make sure that the payment is in turn
forwarded to LMCIT.
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CITY OF ROSEMOUNT, MINNESOTA
NOTES TO THE FINANCIAL STATEMENTS
---------------------------------
December 31, 1990
NOTE 3 NOTES RECEIVABLE
The City participates in a Rehabilitation Loan Program
for both residential and commercial rehabilitation.
Total loans receivable at December 31, 1990 and 1989
were $1,421,614 and $1,396,902, respectively. They are
due in monthly installments over various periods and at
varying interest rates.
NOTE 4 FIXED ASSETS
A summary of changes in General Fixed Assets for 1990 is
as follows:
Balance Balance
January 1, Additions December 31,
1990 (Deletions) 1990
Land $ 864,716 S 154,747 $ 1,019,463
Buildings and
Structures 2,270,425 9,800 2,280,225
Improvements Other
than Buildings 4,139,502 1,210,402 5,349,904
Machinery and
Equipment 1,918,243 480,041 2,398,284
Totals $9,192,886 $1,854,990 $11,047,876
A summary of proprietary fund type fixed assets at
December 31, 1990 is as follows:
Enterprise
Land $ 23,720
Buildings 176,057
Water Towers and Mains 3,896,612
Machinery and Equipment 267,951
Total $ 4,364,340
Less Accumulated Depreciation (930,681)
$ 3,433,459
-22-
PURCHASE ORDER
Minn. Tax Exempt Status No. 9757275
%�
Rosemouni
1 D 4 U 0
Fed. Tax No. 41-6005501
1...' tlty of
2875 145th Street West - PO Box 510
Phone (612) 423-4411
Rosemount, MN 55068-4997
Dept.
SL-kk C c-
Distr.
TO W _Q ' r i -1L
4'y G i R
IMPMANT
ABOVE ORDER NUMBER MUST APPEAR ON ALL E R . NOTIFY •
INVOICES, PACKAGES AND SNIPPING PAPERS. COMPLETE
IF YOU ARE UNABLE TO SNIP COMPLETE
US IMMEDIATELY
US IM
ORDER BY DATE SPECIFIED. YOUR ACCEPTANCE OF THIS ORDER
,�.�`
`r'
IS AL WARRANTYTOUSTHAT YCx1ARE CSAME AMENDED, AND
U.S.. FAIR LABOR STANDARDS ACT IF tl�. AS AMENDED. AND WE
RESERVE THE HT TO REFUSE MERCHANDISE NOT M STRICT
k A)
���J//
ACCORDIWGEWITRMTI/15OROER.
DATE DATE REQUIRED
TERMS SHIP VIA
F.O.B. REOU1SFION NO.
< .. R
-QUANTITY.;;-
�. .:..,- PRICE. AMOUNT
DESCRIPTION STOCK NUM9ER;: _
'
Jr t �G � i r � r � 1 Q c'w c�..� ,�a� P u�•�c `.( ,fit.
t3tv.1>
s�g.J3
112-155@! 161 139.!2
526.91
BERKLEY RISK SERVICES
1401 W. 76TH ST. 1500
MINNEAPOLIS, MN 55423
CITY OF ROSEMOUNT
2875 145TH ST. WEST
P.O. BOX 510
ROSEMOUNT. MN 55068
H Nunn upig
PRODUCER CUSTOMER INVOKE RvvOICE
NO. NO. DATE NO.
577 59725 NOV 19 1991 5234 LLJ
t-- PLEASE DETACH HERE AND RETURN TOP PORTION WITH YOUR REMITTANCE THAW YOU
PAYMENT ENCtOSW
1
11;01;91 51-75679 UNITED FIRE & CASUALTY
RENEW POL-BUNG-COMML BLANKET 528,00 111'0192
P.E,B.B.
ISSUE
RENEWAL
PRENIIM
% THNT IS:
EXPENSE
PREPAID
- — ----- pAYlENT ENCODINGS FORS NDRKlE11S COMP
---PAIR
EXP/PREPAID
PORTION
PORTION
LME OF MINNESOTA CITIES
L. M. C.1. T. - VENDOR 9
- — ----- pAYlENT ENCODINGS FORS NDRKlE11S COMP
F/C
ANOINT
SEN'L LIABLTY
- 110RKMAN,9 COP .....(8285681.x181@1L91—J8t@1(9Z_-------.._83,66@.@0__._.257[_-_75f_._...
AMOUNT 1100 CATCHER
F/C
AMOUNT
. 28,917.88.
_ 62,751.88
_ 58,813.30
101-15500 _._
868 .------54,730.40.
__ 191-15599
_.869.
(BEWLEY ADMINISTRATDR'S)
- UMBRELLA Prom 1120041)
11/81/91 11/01/92
86,451.0816.7%
- 83.3%
14,437.32
72,813.68
19,912.36 181-42119-01-415
400
201-155N
869
- BOND COM WANT 1828565!
11/81/91— 11/81/92 ----
528.80
16.7% - 83.3%
86.18
439.82
400 _.___.
_ 361.26
(1991 Endorsements Only)
KBERKLEV RISK SERVICES)
- _--_
------- _.. _----..___
-- -- — 611-15500
860
2,685.74
681-15500
860
8,641.64
601-49400-91-365
400
895.25
TOTALS
35,354.32
134,764.68
662-15500
1,148.34
602-15500
860
NORKMENS COMP
SEN'L LIABLTY
TOTAL
1gRKlENS COMP
GEN+L LIABLTY
TOTAL
- - -- - -- LIABILITY�N/C
_.—_---.11OI+NCOMP.
6EN'L LIABLTY.
PREPAID
PREPAID.
PREPAID_ .
_ 1991 EXPENSE_
_ 1991_EXPENSE
1991,_ENPENSE
76.00% 92.45%
GENERAL - 101
77,351.07
65,782.76
58,013.38
54,730.46
112,743.78
19,337.77
10,972.36
6.06
36,316.13
301.20.-.__
181-15506
—..8.00f.—.1.44><_.EDR
7.201 -____--1,284.82
_.._ 0.08
983.61
2,685.74
0.80 ..._-.
8,641.64
983.61
11,327.38
_...._:._ 381.28.
895.25
1,732.48
_
2,627.73
12.96% 4.28%
WRIER - fill
3,588.99
1,531.12
16,374.12
11,374.12
1,148.34
8,641.64
9,789.99
382.78
1,732.48
2,115.26
12.00% 1.83%
SEVER -602
--------- -
---------
-------
_ _ -
83,668. N
-----------
86,451.00
------------
62,751.60
72, 013.68
134, 764.68
20, 917.88
14, 437.32
35, 354.32
BLACKBURN, NICKELS 1 SMITH, INC. - VENDOR 1121210
- M L C LIABILITY. INS(DOSCATCtEID 111 1/91
- — ----- pAYlENT ENCODINGS FORS NDRKlE11S COMP
F/C
ANOINT
SEN'L LIABLTY
F/C
AMOUNT 1100 CATCHER
F/C
AMOUNT
860.. _
_ 58,813.30
101-15500 _._
868 .------54,730.40.
__ 191-15599
_.869.
0.00
----.- 191-44240-01-365
409
19,337.77
1e1-49246-81-369
400
19,912.36 181-42119-01-415
400
201-155N
869
983.61
181-49248-91-369
409
3,659.68
400 _.___.
_ 361.26
(1991 Endorsements Only)
- _--_
------- _.. _----..___
-- -- — 611-15500
860
2,685.74
681-15500
860
8,641.64
601-49400-91-365
400
895.25
691-49400-91-369
480
1,732.48
662-15500
1,148.34
602-15500
860
...
692-49459-61-365
400
382.70
692-49459-01-36%
400
-------��
1,732.48
-----------
83,668.00
89,519.00 .____
COMMERCIAL. BLANKET
--- - -__ .._...
181-15506
86e
439.82
Ie1-49240.70t-369.......__400
_
-------------
88.16
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