08-14-1995 Council Packet - Laserfiche WebLink

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A MUNiaPAL ENTITYCHECKL.ST OF COMMERCIAL INSURANCE NEEDS FOR:R.L. YOUNCDAHL €c ASSOCIATE: N O f C 0 V • II 1 • Ho T c co o V ¥ f t • II f f 0 0 Mo T C 0 V 1 • f 0 Ml MLOMOi SpacMForm • 3. BIwMLIml »gna Flo«t LMM PolMlon ClMnup PERSONAL PROPERTY SpicWFwm Actual Caali Valu* Agraad Amount BlankalUmt Colnauranoa Paraonai Proparty of OQtan PaNcSoMon LOSS OF INCOME Loos of Eaminga ConUngonl Bus. MsmipHon. Extsndsd Psrtod of Indemnty Off'Promisss Powsr Falurs Coirwurartos/Monlhly UmBsUon Ordinsry Payrol Indudod INLAND MARINE Elsctronic Data Procsasing Accounta Rsosivablo Valuable Pspsra Cargo In TranaR Installation Floater Employee Tools Rental Equipmonl Equip. LaoMd or Loaned to Oittoia □ □ □ □ □ □ □ □ % B" NJUiiD MARME (CONT J ExhiMionFI FraAfts □□□□□□□□ □□ □□ □ □ □□□ □ □ □ □ □ □ □□ O□□□□□a□□ □□ □ □□ %□ □ □ □ □ □ □ □ □ □ □ □ □ u □ □ □ □ %□□□□ □ □ □ □ □ □ □□ •e Cl lA^lOEUTY Faihlul Ptrfonnanot ThMft. DinppMranoM A CMrucfio ERISA Cornpltance KkJnaiVRanMom UABIUTY ComprthtntivM Municipal LtabIHty Ganaral A^KT^gatt ProcKicts A CompMad Oparaliona PMsonal A A<Nai1iaing Injury FIra Oamag# (Any Ont Fire) Medical Expense (Any One Pereon) Aggregate Per Location Aggregate Per Job Site NorvOemed Aircreft Non>Owned Watercraft Employee Benefit Liability Liquor Legal UebiUty Feikjw Employee Exclusion Deleted Umitod Poaubon Liability Lead or Asbestos Claim Limit Land Uea Regulabon Claim 7. SPECIAL LIABILITY COVERAGE Professional Liability Directors A Officers Liability /Entity Fiduciary Liability Foreign Liabiiity Liquor Legal Liability Owned Aircraft Owned Watercraft Emptoymenl-Ralaled Pre^ioee Ltebffity Commercial UmbreOa Products Recall A ConUvnlnation PolKjtion Liability □□□□□ □□□□□□ O□□ □□□□□□□□□□□□□□□□□□□ □□□□□ □□□□□□□□□ □□□□□□□□□□□□□□□□□□□ SPECIAL LIABtUTY COVERAOe (CONT.) Petrofund Suppiamant Open Meetin g Law Ra«nbureamar>t □□□□□□□□□□□ □□□□□□□□□□□ AUTOMOBILE Oemad Autoa NorvOwnad A Hired UebBty Drive Other Car CoMerage Personal tr^jury Protection Broadened PIP Underineured Motorist Umneured Motorist Rental Raimbureament Collision Comprehensive Rental Vehld^ Damage Fellow Employee Exduelon Daisied Towing GARAGE INSURANCE Garage Liability Garagekaapars Legal Garagekaepers Direct Option Dealers Physical Damage WORKERS COMPENSATION Statutory Coverage Employer's Liability Lor^gshoremwi City CouncH Included Voiunteera MadIcal/AD AD BOILER A MACHINERY Boilef A Machinery Business Interruption Mechanical Breakdown Machinery Outage □ □ □ □ □ □ a □ □ □ □□□□□□□□□□□□ □ □ □ U □ □ □ □ □ □ □ □□□□□□ □ □ □ □ □ □o□ □ □□□□□□□□□□□□ □ □□ □ □ □ □ □ □ □ □ □ □□□□□ □ □ □ □ □ □ □□ □ Date Date Agent _ Irrsured