HomeMy WebLinkAboutResolution #5341 - insurance renewal with illinoi public risk fund from December 1, 2021 to December 1, 2022 RESOLUTION NO. 5341
A RESOLUTION APPROVING AN INSURANCE RENEWAL BETWEEN THE CITY
OF CANTON AND ILLINOIS PUBLIC RISK FUND FOR THE CITY' S WORKER' S
COMPENSATION COVERAGE FOR THE POLICY YEAR DECEMBER 1,2021 TO
DECEMBER 1,2022.
WHEREAS,the City of Canton,Illinois has determined that it is necessary and in the best
interest to renew the City of Canton Worker' s compensation insurance with the Illinois Public
Risk Fund(IPRF) for the policy year of December 1, 2021 to December 1, 2022.
NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF CANTON,FULTON COUNTY,ILLINOIS AS FOLLOWS:
1. That the renewal attached hereto as "Exhibit A" is 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 effective immediately upon its passage by
the City Council of the City of Canton,Fulton County,Illinois,and approval by the Mayor thereof.
PASSED AND APPROVED THIS 16`h day of November, 2021.
AYES: Alderperson Andra Chamberlin, John Lovell, Craig West, Angela Hale, Jeff Fritz,
Angela Lingenfetler
NAYS: None
ABSENT: Alderperson Greg Gossett, Justin Nelson
APPRO ED:
By: 9,�,X I
Kent McDowell, ayor
ATTEST:
Diana Pavley- ock, City Clerk
Illinois Public Risk Fund
Workers' Compensation Information Page
Policy Number: P1444-2021
Named Insured and Mailing Address:
City of Canton
2 N. Main Street
Canton, IL 61520
The policy period is from: 12/01/2021 to 12/01/2022
12:01 a.m. Standard Time of the Insured's mailing address
Coverage:
Part One of the policy applies to the Workers Compensation Law of the State of Illinois.
Part Two of the policy applies to Employers Liability in the State of Illinois: The limits of our Liability
under Part Two are:
Bodily Injury by Accident $3,000,000 each accident
Bodily Injury by Disease $3,000,000 policy limit
Bodily Injury by Disease $3,000,000 each employee
This Policy includes these endorsements and schedules:
See listing of endorsements—Extension of,lnformation Page
Broker Name and Address:
Kiesewetter Insurance Agency
115 E. Fort Street,P. O. Box 239
Farmington,IL 61531
Total Estimated Premium: $192,616.00
Administrative Fee: $5,778.00
Total Estimated Cost: $198,394.00
Cancellation: In the event that the Policy is Cancelled prior to the expiration date,then the total annual
premium stated on page 2 will be 100%fully earned
Terms and Conditions: The premium for this policy will be determined by our rules, classifications, rates
and rating plans. All required information is subject to verification and change by audit at policy expiration.
As per Safety National Casualty Corp. Excess policy, and Illinois Public Risk Fund's By-Laws and Pooling
Agreement.
Page 1 of 4
EXTENSION OF INFORMATION PAGE
ENDORSEMENT'SCHEDULE
IPRF WC 00 001 18 Broad Form All Statesfor.Employee Travel
IPRF WC 00 00218 Federal Employers'Liability.Act Coverage:
IPRF WC 00 003.18 Foreign Voluntary Workers'Compensation and Employers' Liability.
For.Traveling Employees
IPRF WC 00 004 T9 Longshoremen's arid Harbor-,Workers'Compensation_Act Coverage.
IPRF WC 00.005 18. Maritime Coverage:
IPRF WC 00.006 18 Voluntary Compensation
Page 2 of 4
LPN
ILLINOIS PUBLIC RISK FUND
Cost Control Through Cooperation Since 1985
1444
City of Canton
2 N. Main Street
Canton, IL 61520
The premium for this policy will be determined by Illinois Public Risk Fund rules,classifications,rates and rating
plans. All information required is subject to verification and change by Audit.
Class
Code Description Payroll Rate/100 Premium
0091 Dispatchers $ 351,353 $ 0.099 $ 348
0170 Animal Control $ 62,141 $. 2.780 $ 1,728
5506 Street Maintenance $ 273,161 $ 7.464 $ 20,389
7520 Waterworks $ 605,157 $ 2.807 $ 16,987
7580 Sewage Disposal $ 475,970 $ 2.870 $ 13,660
7710 Firefighters $ 1',230,219 $ 4.693 $ 57,734
-7720 Policeman $ 1,738,011 $ 1.886 $ 32,779
8380 Auto Repair $ 56,966 $ 3.123 $ 1,779
8810 Clerical $ 438;819 $ 0.099 $ 434
9015 Building.NOC $ 55,932 $ 2.518 $ 1,408
9102 Parks NOC $ 13,947 $ 3.041 $ 424
9220 Cemetery $ 551777 $ 4.982 $ 2,779
9402 Street Cleaning $ 511,766 $ . 4.594 $ 23,511
9403 Garbage $ 216,456 $. 8.619 $ 18,656
(�0851675 Subtotal:- $ 192,616
3%Administrative Fee: $ 5,778
TOTAL: $ 108,394
Selected payment plan: 12 Equal Monthly Installments Prepared on: Fri September 10 1 I:49:01 2021
Page 3 of 4
IL.LINOIS PUBLIC RISK FUND
Cost Control Through Cooperation Since 1985
Installment Schedule
1444
City of Canton
2 N. Main Street
Canton, 1L.61520
12 Equal Monthly Installments
Due Date Amount Due
12/01/2021 $16,531
01/01/2022 $16,533
02/01/2022 $16,533
03/01/2022 $16,533
04/01/2022 $16,533
05/01/2022 $16,533
06/01/2022 $16,533
07/01/2022 $16,533
08/01/2022 $16,533
09/01/2022 $16,533
10/01/2022 $16,533
11/01/2022 $16,533
Page 4 of 4