HomeMy WebLinkAboutResolution #5396 - insurance renewal with Illinois Counties Risk Management Trust December 1, 2022 to December 1, 2023 ..l
RESOLUTION NO.
A RESOLUTION APPROVING AN INSURANCE RENEWAL BETWEEN THE CITY
OF CANTON AND ILLINOIS COUNTIES RISK MANAGEMENT TRUST 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 liability insurance policies with the Illinois Counties Risk
Management Trust.
NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF CANTON,ILLINOIS:
1. The coverages set forth in the Insurance Program Renewal attached hereto as
"Exhibit A" are hereby approved by the City Council of Canton.
2. The City shall renew its participation with the Illinois Counties Risk Management
Trust 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 liability insurance policies with the Illinois Counties Risk Management Trust.
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 1st day of November,2022.
AYES: �1oe�t�e.R5ota5 Liv��ev►fra�ft.,e_, F2�1Z� A►�.l5c�f C�,�,,,►,bael;N� C-�bSSG�T
NAYS: O
ABSENT: �o�rt�G�sa i5 lka����'v.�e5r� Lt L)e-ll
APPROVED:
Ken McDowell, Mayor
ATTEST v
Andi Walters,Acting City Clerk
EXHIBIT A
s--
RESOLUTION NO. �39 ,
A RESOLUTION APPROVING AN INSURANCE RENEWAL BETWEEN THE CITY
OF CANTON AND ILLINOIS COUNTIES RISK MANAGEMENT TRUST 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 liability insurance policies with the Illinois Counties Risk
Management Trust.
NOW,THEREFORE,BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF CANTON,ILLINOIS:
1. The coverages set forth in the Insurance Program Renewal attached hereto as
"Exhibit A"are hereby approved by the City Council of Canton.
2. The City shall renew its participation with the Illinois Counties Risk Management
Trust 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 liability insurance policies with the Illinois Counties Risk Management Trust.
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 I"day of November, 2022.
AYES:
NAYS:
ABSENT:
APPROVED:
Ken McDowell, Mayor _
ATTESTZ6;Lkk�
Andi Walters,Acting City Clerk
EXHIBIT A
See Insurance Program Renewal and Illinois Counties Risk Management Trust Invoice attached.
ILLINOIS- COUNTIES RISK
MANAGEMENT TRUST
INSURANCE PROGRAM RENEWAL
_ ^J
lT
I -
T'
Canton, City of
PRESENTED BY: POLICY YEAR:
Kiesewetter Insurance Agency DEC 01,2022- DEC 01,2023
Quote Number:
R2-1000562-2223-01
ADMINISTERED BY:
I P M G
INSURANCE PROGRAM MANAGERS GROUP
ABOUT ICRMT
Providing insurance and risk
management services to Illinois Public
Entitles since 1983.
e ' er
Illinois Counties Risk Management Trust
4
(ICRMT) is.one of the leading insurance
�`` -_.• .-may ��':ir`":�i;t:.�Y
programs in Illinois, providing property, a-nd
;..}; workers compensation coverages for Illinois
public entities since 1983. Owned by its
members and administered by IPIVIG, ICRMT
, _ - provides an integrated approach to risk
management, claims administration, and
underwriting tailored to fit the needs of your
entity. ICRMT provides broad coverage and the
most comprehensive service package
specifically designed to protect the entity's
exposures and budgetary constraints.
Size: 425+ Members
Retention Rate: 97%
�,► � Total Premium. ��I2� Million
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i ILLINOIS COUNTIES RISK MANAGEMENT TRUST
t�
IC
PROGRAM MANAGEMENT
PROVIDED BY INSURANCE PROGRAM MANAGERS GROUP
ACCOUNT EXECUTIVES
JEFF WEBER BOB SPRING KYLE SHELL
Executive Vice President Sr.VP-Public Entity Practice Account Executive
jeff.weber@ipmg.com bob.spring@ipmg.com kyle.shell@ipmg.com
314.293.9707 630.485.5885 314.293.9717
UNDERWRITING
TODD GREER KRISTEN TRACY DANIEL KOLE
Senior Vice President VP-Public Entity Underwriting Program Underwriting Associate
to_dd.greer@ipmg.com kristen.tracy@ipmg.com daniel.kole@ipmg.com
630.485.5869, 630.485.5970 630.485.5952
PROGRAM ADMINISTRATION
JACKIE KING KIM DIEDERICH TIM OLSON
ICRMT Program Manager ICRMT Account Assistant ICRMT Administrative Assistant
jackie.king@ipmg.com kim.diederich@ipmg.com tim.olson@ipmg.com
630.485.5874 630.485.5863 630.485.5924
s
ICBM ILLINOIS COUNTIES
RISK MANAGEMENT & LOSS CONTROL SERVICES
ICRMT Risk Management Services consultants deliver a catalog of resources with material expertise in public
entity risk management. The staff has field-based experts in clinical medicine,physical therapy,and advanced
degree safety experts. ICRMT's-risk consultants have a background working in local law enforcement,fire,and
emergency medical services.
The RMS consultants work with each entity to facilitate risk mitigation efforts through policy,training and
engineering controls. These controls are delivered onsite and through online training options. ICRMT RMS
consultants provide policy and training.solutions for all lines of coverage with focus on industry and client loss
trends and emerging risks.
SERVICES INCLUDED:
• Use of Force Training • Essential Functions Testing Policy
• Jail Policies and Procedures Audits • Background Check Policy
• Policy and Procedure Implementation • Supervisors/Leadership Development
• Auto/Driving Exposure Evaluation • Loss Analysis and Trending
• Employment Practices Strategies,Education, • Slip and Fall Prevention Program
and Training • Supervisory/Personnel Safety Training
• Safety Committee Development • Accident Investigation Training
• Hiring and Management Strategies • Hazard Communication Training
• Law Enforcement Seminars • Blood Born Pathogens Training
• Fire Fighter/EMS Training
• Regulatory Compliances
ICIZM �1,LLINOIS.CO 4
RISK MANAGEMENT & LOSS CONTROL CONSULTANTS
BRIAN DEVLIN MARK BELL JEFF BACIDORE
Senior Vice President Public Entity Team Director: Senior Risk Management Consultant
brian.devlin@ipmg.com mark.bell@ipmg.com jeff.bacidore@ipmg.com
630.485.5922 630.200.8711 630.253.4463
DAN LUTTRELL JOSH BLACKWELL BEN HARMENING
Senior Risk Management Risk Management Consultant Risk Management Consultant
Consultant -Law Enforcement Practice -Law Enforcement Practice
dan.luttrell@ipmg.com josh.blackwell@ipmg.com ben.harmening@ipmg.com
224.239.7407 224.227.0819 224.840.4405
KEVIN MADEIRA BRANDON BEYER
Risk Management Support Specialist' Risk Management Support Specialist
kevin.madeira@ipmg.com braridon.beyer@iprhg.com
630.485.1065 630.485.5954
ICRM 1 1 `
CLAIMS MANAGEMENT SERVICES
IPMG Claims Management Services offers a full-service claims team specializing in the public entity sector.
IPMG CMS_services claims for property,casualty.and workers compensation claims.
IPMG CMS has a staff of 39 including 21 seasoned claims professionals with an average claims experience of
over ten years. IPMG CMS's leadership team boasts well over 20 years of experience. IPMG'CMS's staff
specializes in program business, including unique self-insured retention structures.
SERVICES INCLUDED:
• Dedicated service adjuster approach,which promotes service continuity and trust
• On-line claim reporting and investigation tool through In-Sight with loss experience
access
• On-line claim review and claim report generation
• 24-hour contact on every new claim submission'
• Clients,are updated on all critical'events and participate in all major claims decisions
Quarterly claim file reviews
• Data analytics to quickly identify, potential high cost claims
• Tailor made service plans
Nurse Case Management
CONTACT:
MIKE CASTRO DONNA FROMM SUSANNE SKJERSETH
Senior Vice President WC Claims Director PC Claims Manager
mike.castro@ip.mg.com donna:fromm@ipmg.com susanne.-skjerseth@ipmg.com
630.485.5895 630.485.5950 314-.293.9723
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ICRMT FEATURES AND BENEFITS
Program Highlights
• Property and Casualty Policy is Non-Auditable
• Terrorism Coverage Included
' The ICRMT Trust Agreement contains a Resolution by the Executive Board making the
program Non-Assessable
• Specialized Law Enforcement Risk Management Services
• Open Door Legal Consultation
• Tailored Risk Management Services
• Professional Property Appraisals
' Online Claims Reporting
• Crisis Management Assistance
• Enhanced Case Management
• PEDA Coverage Available
• Unemployment Insurance Program
Who is an Insured
' An individual while appointed as a director or executive officer
' A volunteer, unpaid worker, leased or temporary worker
' A board member, commissioner,trustee, or council person
• An employee or staff member
• An elected or appointed official or a member of Vour governing body, board,commission,
council or agency of yours
• A partnership or Joint Venture, including a mutual assistance pact,joint powers agreement
or similar agreement
• Your Medical Directors in conjunction with the medical facilities covered under this Policy,
but only with respect to their administrative duties on your behalf.
Visit our page for more information:
www.ICRMT.com
This is a summary of coverages provided. Please refer to the full policy for complete coverage,
exclusions, and terms &conditions.
I�RMMANAGEMENT
COVERAGE SUMMARY: GENERAL LIABILITY
GENERAL LIABILITY
Each Occurrence $!j000,00Q
General Annual Aggregate e -$3,1000,000
Products/Completed Operatio $1,000,000
ns Annual Aggregate
.Advertising,and'Personal injury $1,0001000
.Premises Medical Payments
Each Person $$,000
Each Occurrence $50,000
Peductible:$5,600 each occurrence
Sexual Abuse Liability—Claims s Made
Each-Occurrence $250,000
Annual Aggregate $500,0-0.0
Retroactive bate: 17/31/2010
Innocent Party Defense Coverage Included
Peductible:$5,000
COVERAGESINCLUDE
• Liquor Liability
• Medical Professional (Excludirig Doctors& Dentists)
• Special Events
• Terrorism
Volunteers
• -Noh-Audi.table
• Herbicides &:Pesticides $50,000 'Coverage Limits
• Premises Liability
IL IS COUNDES,RJSK MANAG.ElMENT TRUST 8
COVERAGE-SU.MM-ARY-:. V;OUENT EVENT RESPONSE COVERAGE
-COVERAGE
LIMIT
-Vlolent Event Response Coverage $5006007$500000
-Chsis |nVest(gOtion Included,
' Personal Crisis K8bndgennOnt Event Response Team included
-Crisis Communication Suppmrt, N{edi§ Management PuNicRe\at ions |ndude6
^TennpocarySeourityMeasures Included
'The fo|[owing 5ub|innitedCoverages:
o - ed�--| Expenses $%S,OOO Per Person
0 Counseling Service EnpeVsbs $.1nOOD Per Person
o Funeral Service $15,OOO Per Person
o Per Event Crisis Tea�nnServices $100\000
oK8-0nnbria|izat|bnExpenses $25O'000
Deductible:$5,O0J each otcurcanoe
'This isadd|tiontothestanddrd liability coverages offer6d under this 'd|icy.
������ �� �[���� U U��8U ��`~~~ ~ ~~^ ^^ ^~~~~ ~~`~^^^~^^ ^^ ^ ^ ^ ~~ ^~ ~ ~~' ^~ —^ ^—~~'`^—^ ^ ^ ~~~ ^--^—^ ' ^
COVERAGE
LIMITS
Each Occurrence ,,e +OOOOOO
General Annual Aygreeate $3,000000
Deductible:$-,000
— ea hmPcurrence
- VE _'GtS II --UD5
'
|CRMTha�parfneredfmith Legal Liability Risk Management|nstitutegiving all rnemnb&s access toupdated
law enforcement poUcies and pnobedu6s and the hOcessarytrain! — For rnqre info please contact.your
designated|2RK8T Risk Manager.
°
AuxiUab/Officers
w |nti2r8overn.mentol/K8Utua[Ajd/� reennents
Jails/Holding Cells
m Good,Samaritan
�
Commandeered Autos
COVERAGE SUMMARY: AUTO LIABILITY & PHYSICAL [DAMAGE
AUTO LIABILITY LIMITS
Each Occurrence $1,000,000
Auto Medical Payments
Each Person $5,000
Each Occurrence $25,000
Deductible:$0 each occurrence
UNINSURED &.UNDERINSURED MOTORIST LIABILITY
Each Occurrence $100,000
Deductible:$0
AUTO PHYSICAL DAMAGE
Total Scheduled Value $7,056,815
Total Agreed Value $0
Number of Vehicles 88
Comprehensive Per Loss Deductible:$2,500
Collision Per Loss Deductibler$2,500
*Or as indicated on the Schedule
COVERAGES INCLUDE
• Automatic Liability for Newly Acquired Vehicles (Non-Auditable) Included
° Newly Acquired Automobiles Physical Damage (Non-Auditable) $500,000
Hired/Non-Owned Liability Included
• Hired Auto Physical Damage Included
° Garagekeepers Legal Liability-per Occurrence $100,000
° Pollution Caused by Upset/Overturn Included
• Commandeered Autos Included
• Loss of Use and Lease Gap Coverage Included
° Rental Reimbursement Included
r}
ICRNI�r , ' -
COVERAGE SUMMARY: PUBLIC OFFICIALS LIABILITY
POBLIC OFFICIALS LIABILITY--CLAIMS MADE LIMITS
Each Occurrence $1,000,000
A.hhu.81 Aggregate $1,000,-000
Rotroacti.Ve Date: 12/31/2010
Deductible:$5,000 each,occurrence
EMPLOYMENT PRACTICES LIABILITY=CLAIMS MADE
Each Occurrence Included
Annual Aggregate Included
Retroactive Date: 12/31/1010
bedluctible:-$5j000 each occurrence:
EMPLOYEE BENEFITS LIABILITY
Each Occurrence included
Annual Aggregate Included
Retroactive Date.- 12/31/2010
Deductible:ucfibl6:$5,000 each occurrence
COVERAGES INCLUDE
• Employee Wage keimbursemerit
Each..Occurrence $10,000
Annual..'Aggrega.t j e $20,000
• Non-Moniftary Legal Defense
Each'Occurrence $50,000
Annual Aggregate $50.,000
• Sexual Harassment
• Discrimination
• Wrongf6l Termination
41 FOIA/Open Meetings Act-
'Re
TCNI
F ® COUNTIES RISK MANAGEMENT TRUST 12-
��� ���y��� ������ LIABILITY
~°^~ ° ~~�"�"~°+~~~~"",=~"��""" ^ _r.~�~�~~
Coverage Underlyipg1imits Excess Limit
6eneralbability $�1 %
Law Enforcement|Liability �4000000
Auto Liability ` OOO
PubUc Officials(Claims Made) 1, 00,000 $l���Ow
COVERAGES— EXCLUDED '
* SexuaiAbuse-
* UnihsuroH/UndehnsuredK8otohst-rovera8e
° Workers Compensation and Employe r Liability
* Unmanned Aircraft
� CyberUabi|i /
w Claims arbing out ofthe.actu6|or,aU 'dtrahsnhissonof6.co[nniunicabk disease or Virus.
1�-R-M ILLINOIS COUNTIES RISK MANAGEMENT TRUST 13
'
COVERAGE SUMMARY: PROPERTY
LIMITS OF INSURANCE: In no event shall'liability in any one occurrence for any one Building, and one Structure or
Business Personal Property at any one location exceed 125%of the individually stated value for such property as
shown in the latest Statement of Values or other documentation on file with the Trust, nor shall liability exceed any
specific Limit of Insurance applying to any Insured, Loss, covera9e or location(s).
COVERED PROPERTY LIMITS
Building Value $69,216,998
Business Personal Property Including Stationary EDP $1,310,000
Personal Property of Others $100,000
Newly Constructed or Aquired Property $1,000,000
Footbridges $100,000
Covered Property in Transit $1,000,000
Deductible: $5,000
*Or as indicated on the Schedule
ADDITIONAL PROPERTY COVERAGES
Earthquake (including mine subsidence) $5,000,000
Program Aggregate $250,000,000
Deductible: $50,000 or 5%of the damaged location;whichever is greater
Flood $5,000,000
Program Aggregate (Excluding Flood Zone A and V) $250,000,000
Deductible: $50,000 per occurrence
COVERED COSTS & EXPENSES
Business Income/Extra Expense $1,000,000
Business Income/Extra.Expense Increased.Limits $0
Course of Construction (Builders Risk) $1,000,000
Debris Removal (whichever is greater) 25%or$500,000
Pollutant Cleanup and Removal, aggregate in any one Policy Year $100,000
Fire Department Service Charge $5,000
Fire Protection Equipment Discharge $5,000
Ordinance or Law Coverage $10,000,000
Preservation of Property $100,000
Protection of Property $100,000'
GMIS COUNTIESMSKMANAOMENT
COVERAGE SUMMARY: PROPERTY (cunt.)
SUPPLEMENT COVERAGE
LIMITS
Unnamed Locations-Unintentional E&O $1,000,000
Communication Towers. $100,000
Tree, Shrubs;and Plants are subject to a maximum per item of
Per Item $25,000
Per Occurrence $100,000
Golf Course Tees and Greens
Per Item $25,000
Per Occurrence. $100,000
Interruption of Computer Operations
Per occurrence $50,000
Annual Aggregate $100,000
Personal Effects $100;000
Retaining Walls and Other Outdoor Walls $10,000
Underground Sprinkler System $100,000
Utility Services-Direct Damage $1,000,000
Utility Services-Time Element $1,0001000
Limited Fungus/Fungi, Wet Rot, and Dry Rot Coverage
Direct Damage $15,000
Business Income and Extra Expense $15,000
Extra Expense Number of Days 30 days
Ancillary Buildings $10,000
Sewer Backup $250,000
Outdoor Property-including but not limited to: $100,000
Fences Goal Posts Traffic Lights/Control Boxes
Light Fixtures/Poles Playground Equipment Bleachers
Road Signs Scoreboards Ticket Booths
Non-Utility Poles Benches Dugouts
Fountains Statues Bike Racks
Monuments; Fire Hydrants
All Supplemental Property Coverages are subject to 8 $5,000 minimum deductible
COVERAGE SUMMARY: MOBILE EQUIPMENT & MISC. ARTICLES
SCHEDULED OMITS
LIMITS
Animal- Disability $12,000
Animal-Mortality $12,000
Mobile lEquipment-gre8ier than or equal to $10,000 $780,881-
per. item
Mobile Equipment less than$10,000 per item $103,500
Deductible: $2,500
*Or as lindlicated on-the Schedule
COVERED COSTS & EXPENSES
Fine Arts $1,000,000.
Accounts Receivable $1,000,000
Valuable Papers and Records $1,000,000,
Contractors Equipment.Non-Owned
Per Item $100,000
Per Occurrence $250,000
Rental Expense Reimbursement s10'000
Pollutant Clean-Up $100,000
Fire Department Equip'rherit- :$50'000
Musical-Instruments,Athletic Equipment,& Uniforms $500,000
Unscheduled Wate'ircrafts, $100,000
ICI�tVIT OIS COUNTIES RISUMANAG'EMENT TRUST
COVERAGE.SUMMARY: EQUIPMENT BREAKDOWN
COVERAGE. LIMIT
Total Building and Contents Value $70,526,998
Deductible: $5,000
BI/EE &Utility Interruption Deductible: 24 Hours
COVERAGE EXTENSION
Combined Business Income Included
Combined Extra Expense Included
Spoilage Damage Included
Utility Interruption-Time Element $10,000,000
Electronic Data or Media $10,000,000
Expediting Expenses Included
Ordinance or Law $10,000,000
Hazardous Substance, Contamination,'Pollutants $10,000,000
Newly Acquired Property $1,000,000
Debris Removal 25%or$500,000
Water Damage $500,00&
Emergency Power Generating Equipment 1,000 kw or less Included
Non Emergency Power Generating Equipment is Excluded.
If..
';I 1
COVERAGE SUMMARY: CRIME
COVERAGE LIMIT
Blanket Employee Dishonesty $500,000
Loss Inside the Premises- Money&Securities $500,000
Loss Outside the Premises $500,000
Money Orders and Counterfeit Currency $500,000
Depositors Forgery or Alterations $500,000
Computer Fraud $500,000
Funds Transfer Fraud $500,000
Social Engineering/False Pretenses $. 50,000
Deductible: $1,000
The ICRMT Crime Form includes coverage for any of your officials who are required by law to,give bonds for
the faithful performance of their service against Loss through the failure of any Employee under the
supervision of that official to faithfully perform his or her duties as prescribed by law and will meet the
requirements for Public Officials bonds up to the statutory limit or policy limit,whichever is less.
ICRMifI'
PREMIUM SUMMARY
Presented By:
Illinois Counties Rlsk Management Trust
Named Insured: Canton, City of
Quote Number: 132-1000562-2223-01
Policy Year: DEC 01, 2022- DEC 01, 2023
Coverage Parts Premium
y
General Liability Included
Law Enforcement Liability Included
Auto Included
Public.,
ublic Officials Liability-Claims Made Included
Property Included
Inland Marine Included
Equipment Breakdown Included
Sales Tax Interruption Not Covered
i Crime Included
Cyber Liability Not Covered
Excess Liability Included.
Package Premium $271,200
Workers`Compensation Not Covered
Total Annual Premium $271,200
4
REQUIREMENTS TO, BIND
The following musf.be-received prior to binding:
- Signed Acceptance Statement
- Requested Payment Plan (if annual Policy).
- Insured's Contact Information (space-below)
CONTACT INFORMATION
Name Title-
Phone Email
Role: (Check-all-that apply EIP-rini8ry Contact nFinabce 0-Claims []Loss Control
CONTACT INFORMATION
Name Title
Phone Email
Role: (Check all that apply) DFihancO Eldalms Ekoss Control
W"ID A 4
ILLINOIS COUNTIES,RISK MANAGEMENT TRUST 2G
ACCEPTANCE STATEMENT
Named Insured: Canton, City of
Quote Number: R2-1000562-2223-01
Policy Year: DEC 01, 2022,- DEC 01, 2023
Total Annual Premium $271,200
Terms and Conditions
• The Named Insured can only cancel the Policy at program anniversary,and only if 90-day prior written
notice of cancellation 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
• Per the Membership Agreement,the member must be with the Trust for 12 months prior to
withdrawing and can only withdraw at anniversary date of effective date.
REQUESTED PAYMENT PLAN:
❑Annual ❑50/50 ❑ 25/6
FEIN:
Acceptance Statement:
Please accept this as a formal confirmation that all terms and conditions, attached scheduled items, and
premiums proposed by the Illinois Counties Risk Management Trust are accepted effective 12/01/2022.
Signature of Official Date
IIZM�TILLINOIS COUNTIES RISK MANAGEMENT TRUST 21
INVOICE
PRESENTED. BY: ILLINOIS COUNTIES RISK MANAGEMENT TRUST
Named Insured: Canton, City of
Quote Number: R2-1000562-2223-01
Policy Year: DEC 01, 2022- DEC 01,2023
Total Annual Premium $271,200
Premium Due by Effective Date of Coverage.
Based upon the payment plan you select,,the following down payment is due:
Annual
50/50 $135,600
25/6 $67,800
----------------------------------------------------------.-----------------
,Please Make Checks Payable"to.:
Illinois Counties Risk Management Trust Named Insured: Canton,City of
6580 Solution Center Quote Number: 112-1000562-2223-01
Chicago, IL 60677-6005 Package Premium Remitted:
r
ICBM ILLINOIS COUNTIES RISK MANAGEMENT
AUTO SCHEDULE Canton, City of
VEH # YEAR MAKE MODEL VIN COMP. COLL, AGREED ORIGINAL
DED. DED. VALUE COST NEW
1 1996 Pierce Pierce Fire 4P1CT02U6TA00 $2,500 $2,500 $300,000
Truck 0126
2 2006 E-One E-One 4ENGAAA866100 $2,500 $2,500 $596,000
Cyclone 1940
Pumper
4 1997 Pierce Lance Fire 4P1CT025'8VA00 $2,500 $2,500 $990,000
Truck. 0582
5 2002 Ford F550 SD 1FDAF56F12ED1 $2,500 $2,500 $55,000
Bucket Truck 2938
6 2008 International Jetter/Vac 1HTWGAZT58.J66 $2,500 $2,500 $270,000
Truck 1637
7 2009 Ford E450 1FDXE45S99DA7 $2,500 $2,500 $150,000
Camera 5279
Truck
8 2012 Ford F250 1FTBF2B68CED1 $2,500 $2,500 $22,000
9254
9 2017 Ford Explorer 1FM5K8AR5HGA $2,500 $2,500 $28,000
24515
1G 2016 Dodge Ram 1C6RR7XT7GS40 $2,500 $2,500 $26,937
2335
11 2015 Ford Taurus 1FAHP2E85FG13 $2,500 $2,500 '$21,000
8762
12 2004 Trailerman Trailer . TBD $2,500 $2,500 $1,500
13 2006 Dodge Ram Pickup 1D7HU18246s51 $2,500 $2,500 $25,000
9560
14 2015 International 7400 Dump 1HTWDAZNIF0 $2,500 $2,500 $121,976
Truck 31486
15 2015 Ford Explorer 1FM5K8AR4FGA $2,500 $2,500 $26,985
41903
16 2015 Ford Explorer 1FM5K8AR6FGA $2,500 $2,500 $26,985
41904
18 2013 Dodge Charger 2C3CDXAG9DH7 $2,500 $2,500 $19,000
34468
1GM 1 ! •
ti
}
AUTO SCHEDULE Canton, City Of
VEH# YEAR MAKE MODEL VIN COMP. COLL. AGREED ORIGINAL
DED. DED. VALUE COST NEW
19 2015 Freightliner Garbage 1FVHCYCYXFHGC $2,500 $2,500 $148,254
Truck 7246
20 2015 Freightliner Garbage 1FVHCYCYIFHGC $2,500 $2,500 $143,254
Truck 7247
21 2014 Falcon- Asphalt 11791341627EM33 $2,500 $2,500 $33,721
Recycler 9097
Trailer
22 2012 Ford F-250 1FTBF2867CEC95 $2,500 $2,500 $22,095
691
23 2013 Trailer 5L3BX1823DL000 $2,500 $2,500 $2,350
107
24 2013 International 7400 Dump 1HTWDAZN7DH2 $2,500 $21500 $114,242
Truck 99189
25 2013 Ford- Taurus 1FAH02M88DG1 $2,500 $2,500 $21,277
44778
26 2012 Ford F-250. 1FTBF2BF2B69CE $2,500 $2,500 $22,790
B08371
27 2012 Ford Fusion 3FAHP0HG3CR18 $2,500 $2,500 $18,376
1217
28 2011 Ford Expedition 1FMJU1G57BEF5 $2,500 $2,500 $22,899
7554
29 2011 Speed Radar 35J13131872016 $2,500 $2,500 $6,800
Trailer
30 2010 Chevrolet Impala 2G1WA5EK8Al2 $21500 $2,500 $18,075
01030
31 2010 Ford F150 B44986 $2,500 $2,500 $15,795
32 2010 International 7400 Dump 281060 $2;500 $2,500 $97,827
Truck
34 2009 Other Novae Corp 23603 $2,500 $2,500 $2,600
Trailer
35 2009 Ford Crown 115661 $2,500 $2,500 $15,650
Victoria
36 2009 Ford Crown 134728 $2,500 $2,500 $15,650
Victoria
ICRIYI ' ILLINOIS COUNUES .
r
AUTO SCHEDULE Canton, City of
VEH# YEAR MAKE MODEL VIN COMP. COLL. AGREED ORIGINAL
DED. DED. VALUE. COST NEW
37 2009 Ford F150 B23312 $2,500 $2,500 $16,630
40 2008 Chevrolet Silverado 182074 $2,500 $2,500 $21,737
41 2008 Chevrolet Impala 338798 $2,500 $2,500 $12,100
42 2007 Chevrolet Pickup Truck 137630 $2,500 $2,500 $22,000
44 2006 Chevrolet Silverado 269112 $2,500 $2,500 $22,497
45 2006 Great Timber Trailer- 62718 $2,500 $2,500 $2,000
IMAT W/
Supplies
46 2006 Atlas Cargo Trailer 6921 $2,500 $2,500 $8,000
47 2006 Ford F-350 CreW A78791 $2,500 $2,500 $27,916
Cab
48 2.006 Chevrolet Truck_ 138463 $2,500 $2,5.00 $17,988
50 2005 Haulmark Haz Mat 135903 $2,500 $2,500 $16,300
Trailer
51 2003 Ford Ranger 955320 $2,500 $2,500 $10,000
52 2003 Chevrolet Silverado 221905 $2,500 $2,500 $15,000
2500
53 2003 IHC Dump Truck j07559 $2,500 $2,500 $75;000
54 2003 Haulmark Enclosed 103237 $2,500 $2,500 $2,400
Trailer
55 2002 GMC Savanna 199411 $2,500 $2,500 $18,000
58 1999 Ford F250 B25345 $21500 $2,500 $15,000
61 1998 Chevrolet Pickup Truck 138382 $2,500 $2,500 $16,000
2500'
62 1997 Ford Dump Truck A16116 $2,500 $2,500 $49,070
63. 1997 IHC. Dump Truck 479054 $2,500 $2,500 $47,880
64 1997 IHC Dump Truck' 479053 $2,500 $2,500 $47,880
66 1996 Ford F150 A75203 $2,500 $2,500 $500
67 1996 International Dump Truck 1HTSHAAR1TH24 $2,500 $2,500 $50,000
-Tandem 2647
5'
1CR�1� - , 2511
AUTO SCHEDULE Canton, City of
VEH# YEAR MAKE MODEL VIN COMP. COLL. AGREED ORIGINAL
D.ED. DED. VALUE COST NEW
72 1992 Ford Tanker/ 1FDYW82A2NVA $2,500 $2,500 $20,000
Pumper 12758
74 1988 International Truck- 578869 $2,500 $2,500 $30,000
Brinks
76 2015 Scag Leaf Vac 323326 $2,500 $2,500 $19,518
Trailer
77 2016 International 4300 Street 744060 $2,500 $2,500 $225,000
Sweeper
78 2002 Other. ODB Leaf 023555 $2,500 $2,500 $16,000
Vac Trailer
79 1900 Krause Heavy Trailer 1031 $2,500 $2,500 $7,500
80. 2006 International Ambulance 34918 $2,500 $2,500 $235,000
82 2009 Pierce Custom 010209 $2,500 $2,500 $545,000
Pumper
83 2018 Rettig Utility Trailer 004364 $2,500 $2,500 $1,555
84. 2019 Ford F350 D40339 $2,500 $2,500 $32,906
85 2019 Ford F350 D40338 $2,500 $2,500 $32,906
86 2019 Dodge Durango 626559 $21500 $2,500 $38,000
87 2019 Dodge Durango 626560 $2,500 $2,500 .$38,000
88 2019 Doolittle Trailer 38107 $2,500 $2,500 $12,215
89 2020 Freightliner Garbage LH8227 $2,500 $2,500 $158,139
Truck
90 2020 Freightliner Garbage KG8228 $2,500 $2;500 $158,139
Truck
91 2020 Dodge Durango 1C4RDJFG8LC205 $2,500 $2,500 $28,300
316
92 2020 Dodge Durango 1C4RDJFG8LC205 $2500 $2,500 $28,300
317
93 2020 Western Star 4700 SF LR3641 $2,500 $2- 500 $154;054
Dump Truck
94 2019 Ford F150 F02124 $2,500 $2;500 $30,415
f� 1
I6RIVI . o
AUTO SCHEDULE Canton, City of
VEH # YEAR MAKE MODEL VIN COMP. COLL. AGREED ORIGINAL
DED. DED. VALUE COST NEW
95 2002 E-One Cyclone 005193 $2,500 $2,500 $800,000
Heavy
Rescue Fire
Truck
96 2021 Dodge Charger 2C3CDXKG9MH5 $2,500 $2,500 $22,000
49271
97 2021 Dodge Durango 1C45DJFT2MC64 $2,500 $2,500 $38,000
2857
98 2021 Western Star 4700SF 5KKAAVFE8MLM $2,500 $2,500 $168,690
Dump Truck Y4231
99 2021 Chevrolet 3500 1GC3YSE73MF29 $2,500 $2,500 $42,000
2091
100 2021 Rettig Trailer 4JMNT1215MSO $2,500 $2,500 $2,800
08834
101 2021 Flat Bed 4YSFB1626MS00 $2,500 $2,500 $2,800
Trailer 0264
102 2022 Doolittle Trailer lDGRS2023NMO $2,500 $2,500 $4,900
55109
103 2021 Dodge Durango 1C4SDJFT9MC82 $2,500 $2,500 $38,000
5818
104 2022 Dodge Charger 2C3CDXKG2NH12 $2,500 $2,500 $27,402
0538
105 2022 Dodge Ram 1500 13322 $2,500 $2,500 $42,646
106 2022 Dodge Ram 1500 13319 $2,500 $2,500 $33,194
107 2021 Old Dominion Leaf 68278 $2,500 $2,500 $107,000
Machine
TOTAL AGREED VALUE $0
TOTAL ORIGINAL COST NEW $7,056,815
TOTAL INSURED VALUE $7,056,815
ICRM . ® eMANAGEMENT
"1
t�,
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING BPP VALUE DEDUCTIBLE
PANCY VALUE
01-01 CITY HALL& 2 N MAIN ST Office Replacement $4,082,050 $426,000 $5,000
POLICE DEPT CANTON, IL Cost/Margin
61520 Clause
01-02 PIO- Lighting, 2 N MAIN ST Property Replacement $23,540 $0 $5,000
Bollards, Flag CANTON, IL in the Cost/Margin
poles, Fencing, etc. 61520 Open Clause
01-03 GENERATOR 2 N MAIN ST Electrical Replacement $224,700 $0 $5,000
CANTON, IL Cost/ Margin
61520' Clause
01-04 RADIO TOWER- 2 N MAIN ST Radio Replacement $29,9G0 $0 $5,000
100 FT CANTON, IL Tower Cost/ Margin
61520 Clause
01-05 STORAGE SHED 2 N MAIN ST Storage Replacement $4,280 $500 $5,000
CANTON, IL Cost/Margin
61520 Clause
02-01 FIRE TRAINING 20TH AVENUE Fire Replacement $69,550 $0 $5,000
FACILITY CANTON, IL Station Cost/Margin
61520 Clause
03-01 MAUSOLEUM 640 S MAIN Other Replacement $678,380 $1,000 $5,000
STREET Public Cost/Margin
CANTON,IL Building Clause
61520
03-02 PIO - Fencing, 27093 EAST Property Replacement $13,910 $0 $5,000
generator MCKINLEY ROAD in the Cost/Margin
Canton, IL 61520 Open Clause
03-02 PIO- Fencing & 640 S MAIN Property Replacement $113,420 $0 $5,000
Flagpole STREET in the Cost/ Margin
CANTON, IL Open Clause
61520
03-03 OFFICE, MAINT& 640 S MAIN Garage Replacement $164,780 $25,000 $5,000
EQUIP BLDG STREET Cost/ Margin
CANTON, IL Clause
61520
ocICRM o e28
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
03-04 STORAGE SHED 640 S MAIN Storage Replacement $25,680 $8,000 $5,000
STREET Cost/Margin
CANTON, IL Clause
61520
05-01 ZINK FARM - LAND 20TH AVENUE Vacant Agreed $0 $0 $5,000
ONLY CANTON, IL Land Amount
61520
06-01 SIREN ON 55' POLE 14TH & Property Replacement $40,935 $0 $5,000
- CHESTNUT CHESTNUT in the Cost/ Margin
CANTON, IL Open Clause
61520
07-01 SIREN ON 55' POLE 190 STONEGATE Property Replacement $40,935 $0 $5,000
-STONEGATE DRIVE in the Cost/ Margin
CANTON, IL Open Clause
61520
08-01 SIREN ON 55' POLE 5 W TAMARACK Property Replacement $40,935 $0 $5,000
-TAMARACK CANTON, IL in the Cost/ Margin
61520 Open Clause
09-01 SIREN ON 55' POLE 965 OLD WEST Property Replacement $40,935 $0 $5,000
- OLD LOCUST LOCUST in the Cost/Margin
CANTON, IL Open Clause
61520
10-01 SIREN ON 55' POLE VAN BUREN & Property Replacement $40,935 $0 $5,000
-VAN BUREN PINE in the Cost/ Margin
CANTON, IL Open Clause
61520
11-01 OFFICE (Former 1 DON EDWARDS Office Replacement $1,243,340 $60,000 $5,000
Depot) LANE Cost/ Margin
CANTON, IL Clause
61520
11-02 PIO -Train Car 1 DON EDWARDS Property Replacement $64,200 $0 $5,000
Monument LANE in the Cost/ Margin
Canton, IL 61520 Open Clause
IC�IVII' COUNTIESI. LINOIS l 1
J
L.
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING gpp VALUE DEDUCTIBLE
PANCY' VALUE
12-02 BOAT DOCK CANTON CITY Parks Replacement $25,680 $0 $5,000
RESTROOM LAKE Buildings Cost/Margin
CANTON, IL Clause
61520
12-04 DRESSING & CANTON CITY Parks Replacement $1481730 $1,000 $5,000
SHOWER FACILITY LAKE Buildings Cost/Margin
41 CANTON, IL Clause
61520
12-06 Pavilion 41 CANTON CITY Parks Replacement $13,910 $0 $5,000
LAKE Buildings Cost/Margin
CANTON, IL Clause
61520
12-07 STORAGE SHED#1 CANTON CITY Storage Replacement $2,140 $1,000 $5,000
LAKE Cost/Margin
CANTON, IL Clause
61520
12-09 PAVILION #2 CANTON CITY Parks Replacement $18,190 $0 $5,000
LAKE Buildings Cost/ Margin
CANTON, IL Clause
615W
12-10 PIO-Slips, boat CANTON CITY Property Replacement $37.7,710 $0 $5,000
launch, docks, LAKE in the Cost/Margin
playground equip., CANTON, IL Open Clause
etc. 61520
13-01 STORAGE 15 SOUTH VAN Storage Replacement $80,250 $85,000 $5,000
BUILDING#1 BUREN ST Cost/Margin
CANTON, IL Clause
61520
13-02 STORAGE 15 SOUTH VAN Storage Replacement $157,290 $20,000 $5,000
BUILDING#2 BUREN ST Cost/Margin
CANTON, IL Clause
61520
14-01 JONES PARK CITY 44 EAST SIDE Parks Replacement $39,550 $0 $5,000
SQUARE-GAZEBO SQUARE Buildings Cost/Margin
CANTON, IL Clause
61520
r
ICRMjCILLINOIS COUNTIES, TRUST
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
14-02 PIO- Clocktower, 44 EAST SIDE Property Replacement $192,065 $0 $5,000
lighting, SQUARE in the Cost/Margin
monument, CANTON, IL Open Clause
signage, etc. 61520
15-01 PUBLIC SAFETY/ 101 E SPRUCE Fire Replacement $3,151,150 $262,000 $5,000
FIRE STATION STREET Station Cost/Margin
CANTON, IL Clause
61520
15-02 PIO - Flag poles, 101 E SPRUCE Property Replacement $136,960 $0 $5,000
generator, STREET in the Cost/ Margin
monument, etc. CANTON, IL Open Clause
61520
15-03 MAINTENANCE 101 E SPRUCE Garage Replacement $146,590 $12,000 $5,000
BUILDING STREET Cost/Margin
CANTON, IL Clause
61520
15-04 STORAGE 101 E SPRUCE Storage Replacement $102,720 $5,000 $5,000
BUILDING STREET Cost/Margin
CANTON, IL Clause
61520
15-07 Radio Antenna - 101 EAST Radio Replacement $29,960 $0 $5,000
100 ft SPRUCE STREET Tower Cost/Margin
Canton, IL 61520 Clause
16-01 MAINTENANCE 520 W LOCUST Garage Replacement $279,270 $50,000 $5,000
GARAGE STREET Cost/ Margin
CANTON, IL Clause
61520
16-02 PIO- Fuel Tanks, 520 W LOCUST Property Replacement $86,670 $0 $5,000
pumps, reader, STREET in the Cost/Margin
fencing CANTON, IL Open Clause
61520
16-03 UPPER YARD 520 W LOCUST Storage Replacement $197,950 $13,000 $5,000
EQUIPMENT STREET Cost/Margin
STORAGE CANTON, IL Clause
61520
fiz
�� I
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU= VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
16-04 VEHICLE STORAGE 520 W LOCUST Garage Replacement $264,290 $6,000 $5,000
GARAGE STREET Cost/Margin
CANTON, IL Clause
61520
16-05 MATERIAL 520 W LOCUST Storage Replacement $123,050 $0 $5,000
STORAGE STREET Cost/ Margin
BUILDING CANTON, IL Clause
60520
16-06 SALT DOME 520 W LOCUST Storage Replacement $131,610 $0 $5,000
STREET Cost/Margin
CANTON, IL Clause
61520
16-07 4 BAY STORAGE 520 W LOCUST Garage Replacement $186,180 $5,000 $5,000
GARAGE" STREET Cost/Margin
CANTON, IL Clause
61520
17-01 INDUSTRIAL PARK 17 ENTERPRISE Water& Replacement $196,880 $0. $5,000
LIFT STATION LANE Sewer Cost/Margin
CANTON., IL Treatmen Clause
61520 t
17-02 P10=Fencing 17 ENTERPRISE Property Replacement $7,490 $0 $5,000
LANE in the Cost/ Margin
CANTON, IL Open Clause
61520
17-03 SAMPLER SHED 17 ENTERPRISE Water& Replacement $16,050 $2,000 $5,000
LANE Sewer Cost/ Margin
CANTON, IL Treatmen Clause
61520 t
18-01 CASEY'S PUMP 2020 N MAIN Water.& Replacement $129,470 $0 $5,000
STATION STREET Sewer Cost/Margin
CANTON, IL Treatmen Clause
61520 t
19-01 SEWAGE LIFT 862 ANDERSON Water& Replacement $318,860 $500 $5,000
STATION #A PLACE Sewer Cost/Margin
CANTON, 1L Treatmen Clause
61520 1 t
5'
r
IC CO RISK MANA
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING gpp VALUE DEDUCTIBLE
PANCY VALUE
19-02 PIO - Fencing 862 ANDERSON Property Replacement $4,280 $0 $5,000
PLACE in the Cost/Margin
Canton, IL 61520 Open Clause
20-01 STORAGE SHED 750 N 11TH Storage Replacement $29,960 $1,000 $5,000
(Lift Station Pumps AVENUE Cost/ Margin
Removed) CANTON, IL Clause
61520
21-01 SEWAGE LIFT 701 S 20TH Water& Replacement $176,550 $0 $5,000
STATION #B AVENUE Sewer Cost/ Margin
CANTON, IL Treatmen Clause
61520 t
21-02 PIO-Fencing, 701 S 20TH Property Replacement $52,430 $0 $5,000
generator, lighting AVENUE in the Cost/Margin
CANTON, IL Open Clause
61520
22-01 SEWAGE LIFT 399 S 9TH Water& Replacement $278,200 $0. $5,000
STATION#C AVENUE Sewer Cost/ Margin
CANTON, IL Treatmen Clause
61520 t
22-02 PIO- Fencing 399 S 9TH Property Replacement $7,490 $0 $5,000
AVENUE in the Cost/Margin
CANTON, IL Open Clause
61520
22-03 Generator 399 SOUTH 9TH Electrical Replacement $123,050 $0 $5,000
AVENUE Cost/ Margin
Canton, IL 61520 Clause
23-01 WATER EAST WALNUT Water& Replacement $1,821,140 $0 $5,000
TREATMENT STREET Sewer Cost/Margin
PACKAGE PLANT CANTON, IL Treatmen Clause
61520 t
23-02 PIO- Fencing, EAST WALNUT Property Replacement $17,120 $0 $5,000
flagpole STREET in the Cost/ Margin
CANTON, IL Open Clause
61520
ICI2IVIJUINOIS
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING gpp VALUE DEDUCTIBLE
PANCY VALUE
23-03 STORAGE EAST WALNUT Storage Replacement $26,750 $5,000 $5,000
BUILDING STREET Cost/Margin
CANTON, IL Clause
61520
23-04 BLOWER BUILDING EAST WALNUT Water,& Replacement $464,380 $500 $5,000-
STREET Sewer Cost/ Margin
CANTON, IL Treatmen Clause.
61520 t
23-05 LIFTSTATION EASTWALNUT Water& Replacement $214,000 $0 $5,000
STREET Sewer Cost/ Margin
CANTON; IL Treatmen Clause
61520 t
23-06 DRYING BEDS EAST WALNUT Water& Replacement $184,040 $0 $5,000
STREET Sewer Cost/ Margin
CANTON, IL Treatmen Clause
61520 t
23-07 DEWATERING EAST WALNUT Water& Replacement $31,030 $0 $5,000
STATION STREET Sewer Cost/ Margin
CANTON, IL Treatmen Clause
61520 t
23=08 EXCESS FLOW EAST WALNUT Water& Replacement $387,340 $0 $S,000
BASIN #1 STREET Sewer Cost/Margin
CANTON, IL Treatmen Clause
61520 t
23-09 EXCESS FLOW EAST WALNUT Water& Replacement $140,170 $0 $5,000
BASIN#2 STREET Sewer Cost/Margin
CANTON, IL Treatmen Clause
61520 t
-23-10 EXCESS FLOW EAST WALNUT Water& Replacement $1401170 $0 $5,000
BASIN#3 STREET Sewer Cost/Margin
CANTON, IL Treatmen Clause
61520 t
23-11 EXCESS FLOW EAST WALNUT Water& Replacement $126,260 $0 $5,000
BASIN#4 STREET Sewer Cost/Margin
CANTON, IL Treatmen Clause
61520 t
ICRIvI}I s t , 34
PROPERTY SCHEDULE Canton, City of
LO_ C# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
24-01 LIFT STATION - 81 S 20TH AVE Water& Replacement $1,564,340 $0 $5,000
KILROY CANTON, IL Sewer Cost/ Margin
61520 Treatmerl Clause
t
24-02 PIO - Fencing, 81 S 20TH AVE Property Replacement $24,610 $0 $5,000
Bollards, Lighting CANTON, IL in the Cost/ Margin
61520 Open Clause
24-03 GENERATOR 81 S 20TH AVE Electrical Replacement $704,060 $15,000 $5,000
BUILDING Canton, IL 61520 Cost/ Margin
Clause
25-01 WATER TOWER 1002 N 4TH Water& Replacement $1,712,000 $0 $5,000
STANDPIPE- 1.5M AVENUE Sewer Cost/ Margin
GAL CANTON, IL Treatmen Clause
61520 t
25-02 PIO - Fencing, 1002 N 4TH Property Replacement $44,940 $0 $5,000
Generator AVENUE in the Cost/ Margin
CANTON, IL Open Clause
61520
25-03 PUMP STATION 1002 N 4TH Water& Replacement $529,650 $0 $5,000
AVENUE Sewer Cost/ Margin
CANTON, IL Treatmen Clause
61520 t
26-01 WATER TOWER VAN BUREN Water& Replacement $1,200,540 $0 $5,000
VAN BUREN -150K STREET Sewer Cost/ Margin
GAL CANTON, IL Treatmen Clause
61520 t
27-01 WATER 25495 N Water& Replacement $6,986,030 $100,000 $5,000
TREATMENT PLANT LAKESHORE Sewer Cost/ Margin
-MAIN BLDG DRIVE Treatmen Clause
CANTON, IL t
61520
27-02 PIO- Fencing, flag 25495 N Property Replacement $58,850 $0 $5,000
pole, lighting etc. LAKESHORE in the Cost/Margin
DRIVE Open Clause
CANTON, IL
61520
WN019 CO UNTIES WX MANAGEMENT TRUST 35
Ic �r
f
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS 0.000- VALUATION BUILDING, Bpp VALUE DEDUCTIBLE
PANCY. VALUE
27-03 CLARIFIER 25495 N Water& Replacement $4,041,390 $25,000 $5,000
BUILDING LAKESHORE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, IL. t
61520
27-04 STORAGE 25495 N Storage Replacement $160,500 $15,000 $5,000
BUILDING LAKESHORE Cost/ Margin
DRIVE Clause
CANTON, IL
61520
27-05 AERATOR 25495 N Water& Replacement $201,160 $1,000 $5,000
BUILDING LAKESHORE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
27-06 BOOSTER 25495 N Water& Replacement $162,6.4.0 $500 $5,000
BUILDING LAKESHORE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
27-07 DAM &SPILLWAY 25495 N Water& Replacement $4,765,780 $0 $5,000
LAKESHORE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
27-08 SLUDGE HOLDING 25495 N Water& Replacement $424,790 $0 $5,000
TANK LAKESHORE Sewer Cost/Margin
DRIVE Treatmeh Clause
CANTON, IL t
61520
27-09 CLEARWELL -25495 N Water& Replacement $1,852,170 $0 $5,000
LAKESHORE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, I L t
61520
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING gpp VALUE DEDUCTIBLE
PANCY VALUE
27-10 GENERATOR 25495 N Electrical Replacement $203,300 $0 $5,000
LAKESHORE Cost/Margin
DRIVE Clause
CANTON, IL
61520
27-11 SETTLING POND#1 25495 N Water& Replacement $105,930 $0 $5,000
LAKESHORE Sewer Cost/ Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
27-12 SETTLING POND#2 25495 N Water& Replacement $57,780 $0 $5,000
LAKESHORE Sewer Cost/ Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
27-13 SETTLING POND#3 25495 N Water& Replacement $87,740 $0 $5,000
LAKESHORE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
27-14 WELL SITE#1 25495 N Water& Replacement $795,010 $0 $5,000
LAKESHORE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
27-15 WELL SITE#2 25495 N Water& Replacement $784,310 $0 $5,000
LAKESHORE Sewer Cost/ Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
27-16 CARBON BUILDING 25495 N Water& Replacement $47,080 $1,000 $5,000
LAKESHORE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
ICBM
r ,
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
27-17 Communication 25495 N Radio Replacement $90,950 $0 $5,000
Tower Lakeshore Dr Tower Cost/ Margin
Canton, IL Clause
28-01 WELL SITE#3 19847 NORTH Water& Replacement $004,150 $0 $5,000
BANNER DIKE Sewer Cost/Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
28-02 PIO - Lighting, 19847 NORTH Property Replacement $18,190 $0 $5,000
Fencing BANNER DIKE in the Cost/Margin
DRIVE Open Clause
CANTON, IL
61520
28-03 GENERATOR 19847 NORTH Water& Replacement $525,370 $1,000 $5,000
BUILDING BANNER DIKE Sewer Cost/ Margin
DRIVE Treatmen Clause
CANTON, IL t
61520
28-04 Communication 19847 NORTH Radio Replacement $20,330 $0 $5,000
Tower BANNER DIKE Tower Cost/Margin
DRIVE Clause
Canton, IL
29-01 SEWER 350 W HICKORY Water& Replacement $1,458,410 $100,000 $5,000
TREATMENT PLANT CANTON, IL Sewer Cost/Margin
-CONTROL BLDG 61520 Treatmen Clause
t
29-03 PRIMARY 350 W HICKORY Water& Replacement $796,080 $0 $5,000
CLARIFIERS 1-2 CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
29-04 PRIMARY 350 W HICKORY Water& Replacement $796,080 $0 $5,000
CLARIFIERS 3-4 CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
ICRIM ILLINGIS, i TRUST
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
29-05 AERATION BASINS 350 W HICKORY Water& Replacement $688,010 $0 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-06 BLOWER BUILDING 350 W HICKORY Water& Replacement $372,360 $3,000 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-07 HOLDING TANK 350 W HICKORY Water& Replacement $763,980 $0 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-08 AEROBIC 350 W HICKORY Water& Replacement $2,558,370 $0 $5,000
DIGESTERS CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
29-09 THICKENER TANK 350 W HICKORY Water& Replacement $289,970 $0 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-10 MAINTENANCE 350 W HICKORY Garage Replacement $186,180 $25,000 $5,000
BUILDING CANTON, IL Cost/ Margin
61520 Clause
29-11 STORAGE 350 W HICKORY Storage Replacement $39,590 $2,000 $5,000
BUILDING #2 CANTON, IL Cost/ Margin
61520 Clause
29-12 BAR SCREEN 350 W HICKORY Water& Replacement $830,320 $1,000 $5,000
BUILDING CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-13 CLARIFIER#1 350 W HICKORY Water& Replacement $1,045,390 $0 $5,000
CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
i
ICIvI�I' U11NOts COUNT IES RISK MANAGEMENT TRUST 39'
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
29-14 CLARIFIER#2 350 W HICKORY Water& Replacement $1,045,390 $0 $5,000
CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
29-15 CLARIFIER#3 350 W HICKORY Water& Replacement $1,071,070 $0 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-16 CLARIFIER#4 350 W HICKORY Water& Replacement $1,071,070 $0 $5,000
CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
29-17 CHLORINE 350 W HICKORY Water& Replacement $558,540 $0 $5,000
CONTACTTANK CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
29-18 DISINFECTION 350 W HICKORY Water& Replacement $558,540 $0 $5,000
BUILDING CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-19 BIO-SOLIDS 350 W HICKORY Water & Replacement $1,223,010 $5,000 $5,000
BUILDING CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
29-20 STORAGE 350 W HICKORY Water& Replacement $39,590 $15,000 $5,000
BUILDING #1 CANTON, 1L Sewer Cost/ Margin
61520 Treatmen Clause
t
29-21 DIVERSION 350 W HICKORY Water& Replacement $148,730 $0 $5,000
STRUCTURE CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-22 STORM PUMP 350 W HICKORY Water& Replacement $3,086,950 $1,000 $5,000
BUILDING CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
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16RMI1 ® 1 ' ' 1
ur {
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
29-23 STORM POND 350 W HICKORY Water& Replacement $2,755,250 $0 $5,000
CANTON, IL Sewer Cost/ Margin
61520 Treatmen Clause
t
29-24 FLUSH POND 350 W HICKORY Water& Replacement $357,380 $0 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-25 DRYING BEDS 1-4 350 W HICKORY Water& Replacement $139,100 $0 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29-26 DRYING BEDS 5-12 350 W HICKORY Water & Replacement $203,300 $0 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause.
t
29-27 RAS BUILDING 350 W HICKORY Water& Replacement $330,630 $0 $5,000
CANTON, IL Sewer Cost/Margin
61520 Treatmen Clause
t
29.28 SCUM STATION 350 WEST Water& Replacement $128,400 $0 $5,000
HICKORY STREET Sewer Cost/Margin
Canton, IL 61520 Treatmen Clause
t
29.29 INTAKE 350 WEST Water& Replacement $184,040 $0 $5,000
STRUCTURE HICKORY STREET Sewer Cost/Margin
Canton, IL 61520 Treatmen Clause
t
29.30 Stormwater 350 WEST Water& Replacement $63,130 $0 $5,000
Junction Well HICKORY STREET Sewer Cost/Margin
Canton, IL 61520 Treatmen Clause
t
29.31 Lagoons#1-#3 350 WEST Water& Replacement $204,370 $0 $5,000
HICKORY STREET Sewer Cost/Margin
Canton, IL 61520 Treatmen Clause
t
i^
I�.RM11LUROIS 1 MANAGETRUST
PROPERTY SCHEDULE Canton, City of
LOC# DESCRIPTION ADDRESS OCCU- VALUATION BUILDING Bpp VALUE DEDUCTIBLE
PANCY VALUE
30-01 Communication 27093 E Radio Replacement $20,330 $0 $5,000
Tower McKinley Rd Tower Cost/Margin
Canton, IL 61520_ Clause
3101 System 603 Grant Place Garage Replacement $402,320 $60,000 $5,000
Maintenance Canton, IL 61520 Cost/ Margin
Garage Clause
TOTAL BUILDING VALUE $69,216,998
TOTAL BPP VALUE $1,310,000
TOTAL PROPERTY IN THE
OPEN VALUE
TOTAL INSURED VALUE $70,526,998
r
i"
�C� ILLINOIS COUNTIES
INLAND MARINE SCHEDULE Canton, City of
Animal-Disability
IM# YEAR DESCRIPTION MAKE/MODEL SERIAL DEDUCTIBLE VALUE
NUMBER
26; 2021 Animal Disability-Ghost German Shepherd $0-Animal $12,000
Only
Animal-Mortality
SERIAL,
IM# YEAR DESCRIPTION MAKE/MODEL DEDUCTIRLE, VALUE
NUMBER
27 2021 Animal Mortality-Ghost German Shepherd $0-Animal $12;000
Only
}
IGRM# RISK MANAGEMENT TRUST
INLAND MARINE SCHEDULE Canton, City of
Mobile Equipment greater than or equal to$10,000 per item
IM# YEAR DESCRIPTION MAKE/MODEL SERIAL DEDUCTIBLE VALUE
NUMBER
2 Backhoe Tractor 580 Case JF0058393 $2,500 $50;000
3 2011 Tractor 95C Case 160217000 $2;500 $40,000
4 2011 Brush Mower 12715L Bush Hog 000000 $2,500 $10,000
5 Endloader Tractor 6200 John Deere 134774 $2,500 $15,000
6 2017 Mower H271 Walker 145276 $2,500 $10,000
7 2001 Backhoe Tractor 212S JCB 923954 $2,500 $20,000
8 2013 Compact Utility Tractor John Deere 111269 $2,500 $10,000
3032E.
9 Santa's House-Trailer 000000 $2,500 $20,000
10 2015 Mini Excavator CX36B Case N62637 $2,500 $60,000
11 Wheel Loader 721E Case 210244 $2,500 $70,000
12 2007 Backhoe Tractor 580 Super Case 525691 $2,500 $50,000
M
14 Fire Safe-House-Trailer Canton 000000 $2,500 $30,000
18 2019 Backhoe model 580SN Case NKC762386 $2,500 $73,885
19 2021 Skidsteer- Model CAT JX905501 $2,500 $69,796
289D3XPS
20 2019 F3990 Mower Kubota 22060 $2,500 $24,000
21 2021 Wheel Loader- Model CAT JC300279 $2,500 $137,700
914-4
22 Mower 4500z Ventrac 4500Z-AJ14972 $2,500 $27,500
23 2021 Side by Side Polaris 401644 $2,500 $18,000
24 2021 Side by Side Polaris 4XAT6E993M8 $2,500 $15,000
405214
25 2022 UTV Polaris 4XARSU992N8 $2,500 $30,000
075292
44
� 1
ICRMv IF
INLAND MARINE SCHEDULE Canton; City of
Mobile Equipment less than$10,000 per item
SERIAL
YEAR DESCRIPTION MAKE/MODEL DEDUCTIBLE VALUE.
NUMBER
13 Misc, Mobile Equipment- $2;500 $100,000
no one item to exceed
$10,000
17 2018 Outboard Motor Yamaha F25SWk: $2,500 $3,500
TOTAL INSURED_VALUE $908,381
r
IGVI • ! TRUST
INVOICE
PRESENTED BY: ILLINOIS COUNTIES RISK MANAGEMENT TRUST
Named Insured: Canton, City of
Quote Number: R2-1000562-2223-01
Policy Year: DEC 01, 2022- DEC 01, 2023
Total Annual Premium $271,200
Premium Due by Effective Date of Coverage.
Based upon the payment plan you select, the following down payment is due:
Annual
50/50 $135,600
25/6 $67,800
------------------------------------------------------------------------
Please Make Checks Payable to:
Illinois Counties Risk Management Trust Named Insured: Canton,City of
6580 Solution Center Quote Number: R2-1000562-2223-01
Chicago, IL 60677-6005 Package Premium Remitted: Z7 I, ZOO
5
0'M� L--L—INOIS—�COUNPIES RISK MANAGEMENTITRILISTr
ACCEPTANCE STATEMENT
Named Insured: Canton, City of
Quote Number: R2-1000562-2223-01
Policy Year: DEC 01, 2022- DEC 01, 2023
Total Annual Premium. $271,200
Terms and Conditions
• The Named Insured can only cancel the Policy at program anniversary and only if 90-day prior written
notice of cancellation 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
• Per the Membership.Agreement,the member must be.with the Trust for 12 months prior to
withdrawing and can only withdraw at anniversary date of effective date.
REQUESTED PAYMENT PLAN:
Annual ❑ 50/50 o 25/6
FEIN:
Acceptance Statement:
Please accept this as a formal confirmation that all terms and conditions, attached scheduled items, and
premiums proposed by the Illinois Counties Risk Management Trust are accepted effective 12/01/2022.
Signature of Official Date
-
j .
REQUIREMENTS TO BIN®
The following must be received prior to binding:
- Signed Acceptance Statement
- Requested Payment Plan (if annual policy.)
- Insured's Contact Information (space below)
CONTACT INFORMATION
Name Title
Phone Email
Role: (Check all that apply) ❑Primary Contact ❑Finance ❑Claims OLoss Control
CONTACT INFORMATION
Name Title
Phone Email
Role: (Check all that apply) ❑Finance OClaims ❑Loss Control
f&M - a
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