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LMCIT Member Name: <br />__________________________________________________________________________ <br />Check one: <br />o The member DOES NOT WAIVE the monetary limits on municipal tort liability established by Minn. <br />5 <br />Stat. § 466.04. <br />o The member WAIVES the monetary limits on municipal tort liability established by Minn. Stat. § <br />466.04, to the extent of the limits of the liability coverage obtained from LMCIT. <br />Date of member’s governing body meeting: _____________________________________________ <br />Signature: Position: ________________________________ <br />2 <br />44 <br />