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SECTION I: LIABILITY COVERAGE WAIVER FORM <br /> Cities obtaining liability coverage from the League of Minnesota Cities Insurance Trust must decide whether or not to <br /> waive the statutory tort liability limits to the extent of the coverage purchased. The decision to waive or not to waive <br /> s statutory limits has the following effects: <br /> If the city does not waive the statutory tort limits, an individual claimant would be able to recover no more than <br /> $400,000. on any claim to which the statutory tort limits apply. The total which all claimants would be able to <br /> recover for a single occurrence to which the statutory tort limits apply would be limited to$1,200,000. These <br /> statutory tort limits would apply regardless of whether or not the city purchases the optional excess liability <br /> coverage. <br /> If the city waives the statutory tort limits and does not purchase excess liability coverage, a single claimant could <br /> potentially recover up to$1,200,000. on a single occurrence. The total which all claimants would be able to <br /> recover fora single occurrence to which the statutory tort limits apply would also be limited to$1,200,000., <br /> regardless of the number of claimants. <br /> If the city waives the statutory tort limits and purchases excess liability coverage, al single claimant could <br /> potentially recover an amount up to the limit of the coverage purchased. The total which all claim ants'would be <br /> able to recover for a single occurrence to which the statutory tort limits apply would also be limited to the amount <br /> of coverage purchased, regardless of the number of claimants. <br /> Claims to which the statutory municipal tort limits do not apply are not affected by this decision. <br /> This decision must be made by the city council. Cities purchasing coverage must complete and return this form <br /> to LMCIT before the effective date of the coverage. For further information, contact LMCIT. You may also wish <br /> to discuss these issues with your city attorney. <br /> accepts liability coverage limits of$ from the League of Minnesota <br /> Cities Insurance Trust(LMCIT). <br /> LTfeck one: <br /> ❑ The city DOES NOT WAIVE the monetary limits on municipal tort liability established by Minnesota Statutes <br /> 466.04. <br /> ❑ The city WAIVES the monetary limits on tort liability established by Minnesota Statutes 466.04, to the <br /> extent of the limits of the liability coverage obtained from LMCIT. <br /> Date of city council meeting <br /> Signature Position <br /> Return this completed form to LMCIT, 145 University Ave. W, St. Paul, MN. 55103-2044 <br />