HomeMy WebLinkAbout#5100 - agreement and enrollment with Illinois Counties Risk Management Trust for the group liability/property insurance RESOLUTION NO. _J/D
A RESOLUTION APPROVING AN AGREEMENT AND ENROLLMENT BETWEEN THE
CITY OF CANTON AND THE ILLINOIS COUNTIES RISK MANAGEMENT TRUST FOR
THE GROUP LIABILITY/PROPERTY INSURANCE AND DIRECTING THE MAYOR AND
THE CITY CLERK TO EXECUTE AND DELIVER SAID AGREEMENT ON BEHALF OF THE
CITY OF CANTON ILLINOIS.
WHEREAS,the City Council of the City of Canton,has determined that it is necessary and in
the best interest to enter into an agreement with the Illinois Counties Risk Management Trust for the City
of Canton liability/property insurance.
•
NOW,THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
CANTON,FULTON COUNTY,ILLINOIS,AS FOLLOWS:
I. That the agreement attached hereto and incorporated herein as Exhibit A was hereby approved by
the Canton City Council.
2. That the Mayor and the City Clerk of Canton, Illinois,are hereby authorized and directed to
execute and deliver said agreement on behalf of the City of Canton.
3. That this Resolution shall be in full force and effect immediately upon its passage by the City
Council of the City of Canton,Fulton County,Illinois,and approval by the Mayor thereof.
PASSED by the City Council of the City of Canton,Illinois, at a regular meeting this 25day of April,
2017, upon a roll call vote as follows: �UU2��, 1115
AYES: f erfir"4 JAC.f hew, 1&i- L& r, )".b.It,
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ABSENT: AUornneO A.lck5Otj
APPROVED:
IPAllige Jeffrey A.Fritz, eyor
ATT'
Dian: flvl ock,City Clerk
ILLINOIS COUNTIES RISK MANAGEMENT TRUST
Insurance Program Proposal
PREMIUM SUMMARY
Named Insured: Canton, City of Program Year: 12/01/2016-12/01/2017
2 N Main St Effective Date: 12/01/2016- 12/01/2017
Canton, IL 61520
Quote Number 16/17 Canton Quote
True
Coverage Parts Premium
General Liability $166,490
Law Enforcement Liability ncluded
Commercial Auto ncluded
Public Officials Liability-Claims Made ncluded
Property, Inland Marine ncluded
Equipment Breakdown ncluded
Crime ncluded
Spedal Coverage Not Requested
Excess Liability $43,123
Total Annual Policy Premium: $209,613
Total Pro•Rated Policy Premium: $209,613
Acceptance Statement:
Please accept this as a formal confirmation that all terms and conditions of the proposed Insurance program by the Illinois
Counties Risk Management Trust are accepted effective 05/01/2017
Signature of Official Date
ue
9 ,.
ILLINOIS COUNTIES RISK MANAGEMENT TRUST
Insurance Program Proposal
TERMS AND CONDITIONS
Named Insured: Canton,City of Program Year: 12/01/2016-12/01/2017
2 N Main St Effective Date: 12/01/2016- 12/01/2017
Canton, IL 61520 Quote Number: 16/17 Canton Quote
Terms and Conditions:
- Policy is only cancellable at program anniversary and after 30 day written notice is given. If required notice
is not given,full estimated premium is earned, due and payable.
- All terms and conditions of membership in the Illinois Counties Risk Management Trust are set forth in the
Trust by-laws.A copy of this document Is available for your review.
- The following must be received prior to binding:
- Signed Acceptance Statement
- Prior Acts Letter
- ICRMT Application
- Requested Payment Plan - ❑Annual ❑ 50/50 ❑25/6
- Note that all payment plans may not be available based on the effective date of coverage.
- Contact Information (Primary,Claims,and Risk Management Contacts)
1 y °� le' h/7
Signature of Official Date
10-__
ILLINOIS COUNTIES RISK MANAGEMENT TRUST
Insurance Program Proposal
INVOICE
Named Insured: Canton, City of Program Year: 12/01/2016- 12/01/2017
2 N Main St Effective Date: 12/01/2016. 12/01/2017
Canton, IL 61520
Quote Number: 16/17 Canton Quote
Coverage Pails Premium
General Liability $166,490
Law Enforcement Liability ncluded
Commercial Auto ncluded
Public Officials Liability-Claims Made ncluded
Property, Inland Marine _ _ ncluded
Equipment Breakdown ncluded
Crime ncluded
Special Coverage Not Requested
Excess Liability $43,123
Total Annual Policy Premium: $209,613
Premium due by effective date of coverage
Please make checks payable to:
Illinois Counties Risk Management Trust
6580 Solution Center
Chicago, IL 60677-6005
,!r
Date:
IPMG -Program Administrator for ICRMT
225 Smith Road
St. Charles, Illinois 60174
Re: Prior Acts/Loss Letter
This is to confirm we have made our expiring carrier aware of all errors and omissions
claims and incidents that could result in an errors and omissions claims. al not reported to
current carder, please list incident that may give rise to a claim on this page)
We confirm that continuous claims made coverage has been in force for the retroactive
period(s) ICRMT is providing us (_DATE_)on Public Officials Liability and that the limits
previously carried ($_AMOUNTS_)are the same as the retroactive limits provided by ICRMT.
Further, to the best of my knowledge,the loss data supplied to Insurance Program
Managers Group, LLC and the ICRMT for the purposes of evaluating our Entity for membership
into the ICRMT property and casualty program has not materially changed.
Please feel free to contact this office with any questions you may have.
Sincerely,
2
ICRMT AUTO SUPPLEMENT
ILLINOIS
(To be completed and signed by the Named Insured)
Named Insured Canton, City of
UNINSURED/UNDERINSURED MOTORISTS COVERAGE
Uninsured Motorists (UM) Insurance provides protection for damages as a result of bodily injury
caused by a negligent motorist who has no insurance. Underinsured Motorists (UIM) coverage
provides protection for bodily injury caused by a negligent motorist who does not have enough
liability insurance to pay for the injuries caused. UIM coverage will apply only if your own UIM
limit is higher than the bodily injury limit of the negligent motorist.
Illinois law gives you the right to select UM coverage at a limit higher than the minimum limit
required by law, but not higher than your policy's bodily injury liability limit. Please initial your
choice below.
I want to REJECT Uninsured/Underinsured Motorists coverage at the limit equal to my
policy's bodily injury liability limit. I want to select Uninsured/Underinsured Motorists coverage at
a limit lower than my policy's limit for bodily injury liability by initialing my choice below:
I want a limit of$100,000.
_Iwant alimit of
I understand that I have the right to purchase Uninsured/Underinsured Motorists bodily injury
coverage at limits equal to my policy's limit for bodily injury liability. In response to this offer, I
have indicated my selection of limits above.
I want Uninsured/Underinsured Motorists Coverage at the limit equal to my policy's bodily
injury liability limit.
Signature of Named Insured Date
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