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Home My WebLink AboutResolution #5395 - insurance renewal with Illinois Public Risk Fund December 1, 2022 to December 1, 2023 t 0 RESOLUTION NO. 539 5 A RESOLUTION APPROVING AN INSURANCE RENEWAL BETWEEN THE CITY OF CANTON AND ILLINOIS PUBLIC RISK FUND FOR THE POLICY YEAR DECEMBER 1,2022 TO DECEMBER 1,2023 AND DIRECTING THE MAYOR AND CITY CLERK TO EXECUTE AND DELIVER SAID AGREEMENT ON BEHALF OF THE CITY OF CANTON. WHEREAS, the City Council of the City of Canton has determined that it is necessary and in the best interest to renew its worker's compensation insurance policies with the Illinois Public Risk Fund. NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF CANTON,ILLINOIS: 1. The coverages set forth in the Worker's Compensation Information Page attached hereto as "Exhibit A"are hereby approved by the City Council of Canton. 2. The City shall renew its participation with the Illinois Public Risk Fund effective December 1, 2022 to the rates and provisions found within"Exhibit A". 3. The Mayor and City Clerk of Canton,Illinois are hereby authorized and directed to execute and deliver any and all documents and agreements necessary on behalf of the City of Canton to renew its worker's compensation insurance policies with the Illinois Public Risk Fund. 4. 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 of the Mayor hereof. PASSED AND APPROVED THIS 1"day of November, 2022. AYES: p1DC►2-T)C"ciu S C-rbsseTT, U5ew'Fe1se-c,C=i.IT )me-ksov,\I O\Av belle i M NAYS: W b M E ABSENT: Nlo00e-i-SouS 401)f-, We.s-r, Lc)Ue11 APPROVED: I Ar VC'J�-�, Ken cDowell,Mayor ATTEST Andi Walters,Acting City Clerk RESOLUTION NO. 5395 A RESOLUTION APPROVING AN INSURANCE RENEWAL BETWEEN THE CITY OF CANTON AND ILLINOIS PUBLIC RISK FUND FOR THE POLICY YEAR DECEMBER 1,2022 TO DECEMBER 1,2023 AND DIRECTING THE MAYOR AND CITY CLERK TO EXECUTE AND DELIVER SAID AGREEMENT ON BEHALF OF THE CITY OF CANTON., WHEREAS, the City Council of the City of Canton has determined that it is necessary and in the best interest to renew its worker's compensation insurance policies with the Illinois Public Risk Fund. NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF CANTON,ILLINOIS: 1. The coverages set forth in the Worker's Compensation Information Page attached hereto as "Exhibit A"are hereby approved by the City Council of Canton. 2. The City shall renew its participation with the Illinois Public Risk Fund effective December 1, 2022 to the rates and provisions found within"Exhibit A". 3. The Mayor and City Clerk of Canton,Illinois are hereby authorized and directed to execute and deliver any and all documents and agreements necessary on behalf of the City of Canton to renew its worker's compensation insurance policies with the Illinois Public Risk Fund. 4. 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 of the Mayor hereof. PASSED AND APPROVED THIS 1'day of November, 2022. AYES: NI-OC--Q �o�u S os5e7'`, L��eti F�1 i��,F tLiTZ ►v�\sow\ Ct\,,w,to6 i vo NAYS: NONE ABSENT:C�10E2��so►�5 I�al�, W�s"c, L�Ue11 APPROVED: Ken cDowell, Mayor ATTEST Andi Walters,Acting City Clerk EXHIBIT A See Worker's Compensation Information Page and Illinois Public Risk Fund Invoice attached. Illinois Public Risk Fund Workers' Compensation Information Page Policy Number: P1444-2022 Named Insured and Mailing Address: City of Canton 2 N:Main Street Canton,IL 61520 The policy period is from: 12/01/2022 to 12/01/2023 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 Information Page Broker Name and Address: Kiesewetter Insurance Agency LLC 115 E. Fort Street,P.O. Box 239 FarniinQton,.IL 61531 Total Estimated Premium: $193,607.00 Administrative Fee: $5,808.00 Total Estimated Cost: $199,415.00 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 States for Employee'Travel IPRF WC 00 002 18 Federal Employers'Liability Act Coverage IPRF WC 00 003 18 Foreign Voluntary Workers'Compensation and Employers' Liability For Traveling Employees IPRF WC 00 004 18 Longshoremen's and 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 $ 414,140 $ 0.095 $ 393 0170 Animal Control $ 80,147 $ 2.942 $ 2,358 5506 Street Maintenance $ 344,172 $ 7.575 $ 26,071 7520 Waterworks $ 664,499 $ 2.511 $ 16,686 7580 Sewage Disposal $ 571,692 $ 1994 $ 17,116 7710 Firefighters $ 1,265,421 $ 4.409 $ 55,792 7720 Policeman. $ 1,782,044 $ 1.760 $ '3.1,364 8380 Auto Repair $ 62,564 $ 2.976 $ 1,862 8810 Clerical $ 444,233 $. 0.095 $ 422 9015 Building NOC $ 64,272 $ 2.442 $ 1,570 9102 ParkS'NOC $ 18,508 $ 2.907 $ 538 9220 Cemetery $ 62,878 $ 4.728 $ 2,973 9402 Street Cleaning $ 494,366 $. 4.167 $ 20,600 9403 Garbage $ 204,509 & 7.756' $ 15,862 Subtotal: $ 193,607 36/a Administrative Fee; $ 5,808 TOTAL: $ 199,415 Selected payment plan: 12 Equal Monthly Installments Prepared on: Wed October 26 14:50:16 2022 Page 3 of 4 LPN ILLIN®IS PUBLIC RISC FUND Cost Control Thromh Cooperation Since 1985 Installment Schedule 1444 City of Canton 2 N.Main Street Canton,IL 61520 12 Equal Monthly Installments Due Date Amount Due 12/01/2022 $.16,617 01/01/2023 $16,618 02/01/2023 $16,6.18 03/01/2023 $16,618 04/01/2023 $16,618 05/01/2023 $16,618 06/01/2023 $4 6,618 07/01/2023 $16,618 08/.01/2023 $16,618 09/0.1/2023 $16,618 10/01/2023 $16,618 11/01/2023 $16;618 Page 4 of 4 Illinois Public Risk Fund Invoice # 79977 Page 1 of P.O:Box 725 Account Number Date - Bedford Park,IL 60499-0725 + 1444-00000 I 10/26/2022 .(800)289-4773 Phone BALANCE DUE ON — i (708)429-6488 Fax i 12/1I2022 AMOUNT PAID Antotnt Due f 816,617.'00 City of Canton Crystal Willcoxen 2 N. Main Street Canton,.IL 61520 Compensation PolicyNumber: 1444 Effective: 12012022 to 12/112023 Iteni# Trans Eff Date Due Date Trans Description Amount 231479 12/1/2022 12/1/2022 INS'1' December Workers'Compensation $16.144.00 231491 12/1/2022 12/l/2022 AFEE December Administrative Fee S473.00 "rota)invoice Balance: S16,617.00 Please remitthe top portion of the invoice to the P. O. Box shown above. I WW2022 chy d canton