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<br /> LEAGUE OF CONNECTING & INNOVATING
<br /> MINNESOTA SINCE 1913
<br /> CITIES
<br /> June 27,2016
<br /> NCI-BIB LLC
<br /> Northern Capital Insurance Group Covered Party: Elk River Municipal Utilities
<br /> 8200 Highwood Drive
<br /> P.O.Box 9396 Effective Date: 7/1/2016
<br /> Minneapolis,MN 55440-9396
<br /> RENEWAL PREMIUM SUMMARY
<br /> Common Coverages
<br /> Coverage Deductible Premium
<br /> • Property $ 20,000/40,000/ 1,000. $23,670.
<br /> • Mobile Property 20,000/40,000/ 1,000. 4,133.
<br /> • Municipal Liability 20,000/40,000/ 1,000. 19,340.
<br /> • Automobile Liability 20,000/40,000/ 1,000. 2,616.
<br /> • UM/UIM$200,000 all owned autos 20,000/40,000/ 1,000. Included.
<br /> • Basic Economic Loss Benefits(PIP)all owned autos 20,000/40,000/ 1,000. Included.
<br /> • Automobile Physical Damage 20,000/40,000/ 1,000. 3,912.
<br /> • Crime 20,000/40,000/ 1,000. Included.
<br /> • Petrofund NA. Included.
<br /> • Defense Cost Reimbursement NA. Included.
<br /> Experience Factor Modifier: 0.863 Aggregate Factor Modifier: 1.010
<br /> Expiring Experience Factor Modifier: 0.880
<br /> (Applied to Municipal Liability,Auto Liability,and UM/UIM) The modifier is calculated with a formula which compares the city's actual loss history with the amount of losses that
<br /> would be expected for a city of that size if the city were a perfectly average LMCIT member. If the city's losses and expenses are better than average the city receives a premium credit.
<br /> If the city's losses and expenses are worse than average,the city receives a premium debit.
<br /> Optional Coverages
<br /> Coverage Deductible Premium
<br /> • Bond $ 500,000. 20,000/40,000/ 1,000. 658.
<br /> • Equipment Breakdown 20,000/40,000/ 1,000. 63,103.
<br /> • Excess Liability Limit: $ NA. Not Covered.
<br /> • Liquor Liability Limit: $ NA. Not Covered.
<br /> • Fireworks
<br /> Not Covered.
<br /> • No Fault Sewer Back Up Limit: $ Not Covered.
<br /> • Airport Liability
<br /> Not Covered.
<br /> TOTAL: $117,432.
<br /> DO NOT PAY UNTIL YOU RECEIVE INVOICES
<br /> TORT LIMIT: $500,000/$1,500,000
<br /> LEAGUE OF MINNESOTA CITIES 145 UNIVERSITY AVE.WEST PHONE:(651)281-1200 FAx(651)281-1298
<br /> INSURANCE TRUST ST.PAUL,MN 55103-2044 TOLL FREE:(800)925-1122 WEB:WWW.LMC.ORG
<br /> PREMSUMXM(11/11) 58
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