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2019 MACO/JPIA LIABILITY INSURANCE 0 liii B HUB International Limited 33 E Helena Street Dillon,MT 59725 P:(406)683-5102 F:(406)683-5227 www.hubinternational.com June 18, 2019 Bonnie Ramey Jefferson County PO Box H Boulder, MT 59632 RE: Annual Policy Commercial Package Policy Montana Association of Counties JPA-JPIA Policy#: MACOJPIA Policy Period: July 1, 2019 to July 1, 2020 Dear Bonnie: We are pleased to enclose your renewal certificates and auto ID cards for the term of July 1, 2019 to July 1, 2020. I have mailed Liberty Place auto ID cards to Paula at Liberty Place. Please let me know if we need to make any changes to your coverage spreadsheets. Thank you for giving us the opportunity to assist you with your insurance needs. Should you have any questions or require any information, please contact our office. Sincerely, Anna Cossel, CISR Operations Leader-Acct Mgr II Enclosure SSOCIATj0 \ / •\ . INCE 1• 0© UNT��S MONTANA ASSOCIATION OF COUNTIES PROPERTY & CASUALTY TRUST CERTIFICATE OF COVERAGE This certifies that Jefferson County is a member of the Montana Association of Counties Property & Casualty Trust and as such is provided with the following coverages: • General Liability • Auto Liability • Fidelity& Crime • Property Coverage • Errors & Omissions • Boiler& Machinery These coverages are provided for the period 07/01/2019 - 07/01/2020. Coverage limits are attached to this certificate. Coverage exists for all entities acting within the scope of their duties. Questions about coverage should be addressed to MACo PCT, 2715 Sykway Drive, Helena, MT 59602-1213 to the attention of Shannon Shanholtzer. Signed: MACo PCT Representative Shannon Shanholtzer Trust Adminstrator Agent: Anna Cossel SSocIAT/o MONTANA ASSOCIATION OF COUNTIES ANg ixcE ,;`; PROPERTY & CASUALTY TRUST '°.etO R-U NA t`� Declaration of Coverage SUMMARY Covered Entity Coverage Period Jefferson County 07/01/2019 to 07/01/2020 PO Box H MACo Indemnity Agreement# Boulder, MT 59632 PCT2020 Certain provisions in this agreement restrict coverage.The entire agreement should be read carefully to determine your rights and duties and to determine what is and is not covered. DECLARATION In consideration of payment of the assessment set out in this document and in reliance upon the statements in the Application and any supplementary information pertaining thereto, which shall be deemed incorporate herein, being representations which inaccurate, will render this coverage null and void, and relieve the Trust from all liability, the MACo Property and Casualty Trusi agrees to provide coverage as follows: SECTION I COVERAGE Excess Policy Territorial Scope Real & Personal Property Travelers, Burlington Applies to property covered at any location, described in this policy that Boiler&Machinery Hartford Steam Boiler is within the continental United States of America, (including Alaska Fidelity& Crime Hanover and Hawaii), Canada, and Puerto Rico. LIMITS OF COVERAGE Property Valuation $300,000,000/Occurrence for buildings and contents Machinery and Equipment, Contractors $15,000,000/Occurrence a Equipment, Vehicles and Watercraft cb5 ° $50,000,000 0- Earth Movements Ta a) (in(in a single occurrence and in the aggregate) ° $2,500,000 Zone A (in a single occurrence and in the aggregate) a) a Flood Zone B $50,000,000 (in a single occurrence and in the aggregate) All Other Zones $50,000,000 (in a single occurrence and in the aggregate) 08 I- Blanket, all risk for all property in which a covered entity has an ownership interest. m $100,000,000/Occurrence 2 Employee Dishonesty E Forgery&Alteration 7a Theft, Disappearance& Destruction $500,000/Occurrence •° 0 Computer Fraud "' Faithful Performance SECTION II COVERAGE As provided by MACo PCT Manuscript Liability Indemnity Agreement Reinsurance Policy Territorial Scope Comprehensive Indemnity Agreement BRIT Law Enforcement Indemnity BRIT Auto Indemnity BRIT Applies World Wide Cyber Liability XL Errors &Omissions Indemnity BRIT Coverage under Errors and Omissions and Cyber Liability is afforded on a claims made basis and contains provisions, which may be different from those of other coverages of this agreement. Retroactive Date for Errors and Omissions Onl : 10/13/1986 LIMITS OF COVERAGE Claim Type Limit of Indemnity Each Claim $750,000 Each Occurrence $1,500,000 Medical Pay for GL&AL- Each Person $5,000 Medical Pay for GL&AL-Each Occurrence $50,000 Weed & Mosquito Spray Sub Limit-Each Claim $500,000 Coverage for all liability coverages per the MACo PCT Agreement is up to the statutory limits of 5750,000/claim; $1,500,000/occurrence. Federal and out-of-state claims are not subject to state tort limits and are covered up to$5,000,000 as provided by BRIT Liability Reinsurance. The above limits are subject to the following additional limits: Annual Aggregate in respects to products and completed operations per member $1,000,000 Annual Aggregate in respects to all Section II coverages per member per year for all claims an( $3,000,000 occurrences Annual Aggregate in respects to Cyber Liability coverages per year for all claims $10,000,000 OPTIONAL ENDORSEMENTS Zoning Commission Liability Yes Endorsement contributions are reflected in the Ethical Violation Liability Yes total contribution for Errors & Omissions and Floodplain Regulation Enforcement Liability Yes are sub'ect to the E&O deductible. MAINTENANCE DEDUCTIBLE For individual claims, the Trust's coverage limits set forth above will be reduced by the amount of the deductible set forth under the section below entitled"Annual Contribution." However, the covered party shall be responsible for only one maintenance deductible per line of coverage for any multi-loss occurrence. These losses shall be subject to the highest applicable maintenance deductible. ANNUAL CONTRIBUTION The contribution is provisional and subject to review by the Trust at each anniversary for the forthcoming period of coverage, based on current underwriting information. Line of Coverage Annual Contribution Deductible Property Coverage* $ 71,018 $ 2,000 Auto $ 2,500 Crime $ 2,000 General Liability $ 75,290 $ 2,000 Law Enforcement $ 37,743 $ 5,000 Auto Liability $ 53,469 $ 2,000 Cyber Liability $ 2,786 $ 15,000 Errors & Omissions $ 30,077 $ 5,000 Land Use $ 10,000 Total Contribution $ 271,122 *Note: The Property Coverage Contribution includes the Property Excess, Fidelity&Crime, and Boiler& Machinery Contributions. Aug.ci r,o INCb 190°g ROP E RTY & CAS MA LTY .__...._..._..:..-_- AGENT APPOINTMENT AND AGREEMENT This Agent Appoi ttnent and Agreement is made this //A Gt.v\Q- 20 /q by and betweenSe ev v, (County/Special Distric hereinafter"Enti MACo Property and Casualty Trust (hereinafter"MACo PCT") and /A vu USs,e —/-/t kivriepr 'ic.+a i (local agent/agency, hereinafter"Agent"), for the purpose of setting forth the rights and responsibilities of each party. It is understood that the agent is the representative of the Entity that designated them to perform the tasks listed below. THE PARTIES AGREE AS FOLLOWS: 1. RELATIONSHIP OF PARTIES: a. The Agent is an independent contractor, not an employee of either MACo PCT or the Entity. The Agent performs services as agreed upon between the Entity and the Agent. MACo PCT is not a party to that agreement. b. MACo PCT agrees to pay to the Agent the commission agreed upon between the Entity and the Agent based on the net contribution assessed on the Entity for property, liability, excess insurance and bond payments. c. Entity is responsible for appointing an Agent to perform the below_described services. 2. RESPONSIBILITY OF AGENT: The Agent will provide the following information and services as needed and required by MACo PCT: • Provide the necessary underwriting information and application for annual renewals in a timely manner as required by MACo PCT. • Provide updated building and contents, vehicle, contractor and other schedules including additions and deletions during the course of the policy year. • Coordinate loss control services and other service provided by MACo PCT including periodic property appraisals and monitoring the achievement of established action plans. • Participate in and coordinate claims reporting, documentation and reviews with their entities and MACo PCT Claims Department at a minimum of once each quarter. 1 • Attend scheduled Agent meetings and report to the entity(s) the information presented at those Agent meetings, specifically mid policy year and renewal information. • Provide input and advice to the MACo PCT Trust Administrator relative to coverages, services and overall program processes and effectiveness. • Cooperate fully with MACo PCT to facilitate investigation and adjustment of any claim when requested to do so. • Refrain from admitting or denying liability on any claim against the Entity. 3 RESPONSIBILITY OF AGENT: INDEMNIFICATION AND ASSURANCES: Agent shall: • Secure and maintain and errors and omissions policy carrying a liability limit of not less than $1,000,000. • Maintain Books of account pertaining to the Entity's business which will be open for inspection by MACo PCT and the Entity upon reasonable notice. • Indemnify and hold harmless the Entity and MACo PCT from all liability arising out of the Agent's error, act or omission, except to the extent that such error resulted from MACo PCT or the Entity. 4. PERFORMANCE AND TERMINATION: The parties agree the services will begin on the above date. This agreement shall remain in force until terminated by either party. Any party may terminate this agreement without cause at any time by written notice. If any party materially breaches any provision of this agreement, the non-breaching parties may terminate immediately without prior written notice and seek damages for losses sustained as a result of such breach. MACo PCT and Entity reserve the right to terminate this agreement immediately if Agent's insurance license is revoked or suspended, or if Agent fails to comply with Montana law, or Agent becomes bankrupt or insolvent. 5. GENERAL PROVISIONS: a. No failure to insist upon strict compliance with any of the above terms shall constitute a waiver of the right to later require compliance or will constitute a waiver of any other provision of the Agreement. b. Entity and MACo PCT reserve the right to require Agent to change the Agent's representative if they are dissatisfied with representative's performance. c. This agreement will be interpreted under the laws of the State of Montana, with 1st Judicial District as the exclusive venue for disputes. 2 6. CONFIDENTIALITY OF INFORMATION: Agent understands that materials in the claims files are highly sensitive and contain privileged information of claimants. Agent agrees to hold in strict confidence all information Agent receives, either orally or in writing, in regard to the claim files. Agent agrees not to divulge any information received or reviewed in relation to the claim files to any person or entity other than MACo PCT Claims personnel and their designated agents. Vl e l l,r A 1 1 i6Yta l Agent/Agency N Agent Signature Date (//' (/) County Cbmmission Chair Date MACo PCT Trust Administrator 06/14/19 Date 3