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..a <br /> r <br /> LMCMENNESOTA <br /> CITIES <br /> LIABILITY COVERAGE -WAIVER FORM <br /> Members who obtain liability coverage through the League of Minnesota Cities Insurance Trust <br /> (LMCIT) must complete and return this form to LMCIT before the member's effective date of <br /> coverage. Return completed form to your underwriter or email to pstech(a lmc.org. <br /> The decision to waive or not waive the statutory tort limits must be made annually by the <br /> member's governing body, in consultation with its attorney if necessary. <br /> Members who obtain liability coverage from LMCIT must decide whether to waive the statutory tort <br /> liability limits to the extent of the coverage purchased. The decision has the following effects: <br /> • If the member does not waive the statutory tort limits, an individual claimant could recover no more <br /> than $500,000 on any claim to which the statutory tort limits apply. The total all claimants could <br /> recover for a single occurrence to which the statutory tort limits apply would be limited to $1,500,000. <br /> These statutory tort limits would apply regardless of whether the member purchases the optional <br /> LMCIT excess liability coverage. <br /> • If the member waives the statutory tort limits and does not purchase excess liability coverage, a single <br /> claimant could recover up to$2,000,000 for a single occurrence (under the waive option, the tort cap <br /> liability limits are only waived to the extent of the member's liability coverage limits, and the LMCIT <br /> per occurrence limit is$2,000,000). The total all claimants could recover for a single occurrence to <br /> which the statutory tort limits apply would also be limited to $2,000,000,regardless of the number of <br /> claimants. <br /> • If the member waives the statutory tort limits and purchases excess liability coverage, a single claimant <br /> could potentially recover an amount up to the limit of the coverage purchased. The total all claimants <br /> could recover for a single occurrence to which the statutory tort limits apply would also be limited to <br /> the amount of coverage purchased, regardless of the number of claimants. <br /> Claims to which the statutory municipal tort limits do not apply are not affected by this decision. <br /> LEAGUE OF MINNESOTA CITIES 145 University Avenue West PH: (651) 281-1200 Fx: (651)281-1298 <br /> INSURANCE TRUST St. Paul, Minnesota 55103 TF: (800)925-1122 www.lmc.org <br />