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Home My WebLink AboutContract – Other Liability PoliciesWorkers’ Compensation, Pollution, Airport Liability and Unmanned Aircraft Insurance Renewal Proposal Date Presented December 8, 2023 Brian White Senior Vice President Anne Shackelford First Vice President Jamie Arnoldi Account Manager Lead City of Renton Alliant Insurance Services, Inc. 401 Union Street, 31th Floor Seattle, WA 98101 O 206 204 9140 F 206 204 9205 CA License No. 0C36861 www.alliant.com CAG-23-453 - Other Liability Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 2 Table of Contents Your Service Team ........................................................................................................................................................................................................ 3 Named Insured ............................................................................................................................................................................................................... 4 Premium Summary ........................................................................................................................................................................................................ 5 Excess Workers’ Compensation and Employers Liability Coverage ............................................................................................................................. 6 Airport Liability/War, Hi-Jacking & Other Perils/TRIA Coverage .................................................................................................................................... 8 Storage Tank Pollution Liability Coverage ................................................................................................................................................................... 12 Unmanned Aircraft Liability Coverage ......................................................................................................................................................................... 14 Disclosures ................................................................................................................................................................................................................... 17 NY Regulation 194 ................................................................................................................................................................................................ 18 Privacy .................................................................................................................................................................................................................. 18 FATCA: .................................................................................................................................................................................................................. 18 NRRA: ................................................................................................................................................................................................................... 19 Guarantee Funds .................................................................................................................................................................................................. 19 Claims Reporting: ................................................................................................................................................................................................. 19 Claims Made Policy: ............................................................................................................................................................................................. 19 Changes and Developments ................................................................................................................................................................................ 20 Certificates / Evidence of Insurance .................................................................................................................................................................... 20 Flood Disclosure .......................................................................................................................................................................................................... 21 Optional Coverages ..................................................................................................................................................................................................... 22 Glossary of Insurance Terms ....................................................................................................................................................................................... 23 Request to Bind Coverage ........................................................................................................................................................................................... 24 Binding Subjectivities Recap ........................................................................................................................................................................................ 25 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 3 Your Service Team Brian White Senior Vice President bwhite@alliant.com Phone: 206 204 9126 Kevin Miller, ARM First Vice President kamiller@alliant.com Phone: 206 204 9141 Anne Shackelford First Vice President Anne.Shackelford@alliant.com Phone: 206 454 8021 Renee Judge Assistant Vice President / Account Executive rjudge@alliant.com Phone: 206 204 9174 Vicki Holaday, CRM, CIC Assistant Vice President / Account Executive vholaday@alliant.com Phone: 206 204 9138 J'nai Chatman Account Executive Jnai.Chatman@alliant.com Phone: 949 660 8179 Jamie Arnoldi Account Manager Lead Jamie.Arnoldi@alliant.com Phone: 949 627 7000 Joyce Roberts Account Manager Lead jeroberts@alliant.com Phone: 206 204 9175 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 4 Named Insured City of Renton NAMED INSURED DISCLOSURE  Name Insured(s) should match State of Incorporation filing. Inform Alliant if there is a difference or change  The First Named Insured policy status granted includes certain rights and responsibilities. These responsibilities do not apply to other Named Insureds on the policy. Some examples for First Named Insured status include; (1) being designated to act on behalf of all insureds for making policy changes, (2) receiving of correspondence, (3) distributing claim proceeds, and (4) making premium payments  Are ALL entities listed as named insureds? Coverage is not automatically afforded to all entities unless specifically named. Confirm with your producer and service team that all entities to be protected are on the correct policy. Not all entities may be listed on all policies based on coverage line.  Additional named insured is (1) A person or organization, other than the first named insured, identified as an insured in the policy declarations or an addendum to the policy declarations. (2) A person or organization added to a policy after the policy is written with the status of named insured. This entity would have the same rights and responsibilities as an entity named as an insured in the policy declarations (other than those rights and responsibilities reserved to the first named insured).  Applies to Professional Liability, Pollution Liability, Directors & Officers Liability, Employment Practices Liability, Fiduciary Liability policies (this list not all inclusive). Check your Policy language for applicability. These policies provide protection to the Named Insured for claims made against it alleging a covered wrongful act. Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 5 Premium Summary Coverage Expiring Premium Renewal Premium % Change Excess Workers’ Compensation and Employers Liability $ 110,898.00 $ 120,848.00 9% Airport Liability/War, Hi-Jacking & Other Perils/TRIA $ 30,165.00 $ 31,616.00 5% Storage Tank Pollution Liability $ 2,718.72 $ 3,257.07 20% Unmanned Aircraft Liability $ 3,674.55 $ 4,056.20 10% TOTAL $ 147,456.27 $ 159,777.27 8% Payment Terms • Premium is due within 30 days of policy inception • Agency Bill • Payment Plan: Annual Options • Unmanned Aircraft Liability- $500 additional premium to include Non-Owned Liability Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 6 Excess Workers’ Compensation and Employers Liability Coverage Present Coverage Proposed Coverage Insurance Company Safety National Casualty Corporation Safety National Casualty Corporation A.M. Best Rating A++ (Superior), Financial Size Category: XV ($2 Billion or greater) as of 11/17/22 A (Excellent), Financial Size Category: XV (Greater than or Equal to $2.00 Billion) as of December 16, 2022 Standard & Poor’s Rating A+, as of September 15, 2022 A+ (Strong) as of October 16, 2023 Washington Status Admitted Admitted Policy/Coverage Term January 1, 2023 to January 1, 2024 January 1, 2024 to January 1, 2025 Policy # SP4067912 TBD Coverage Form Excess Workers’ Compensation and Employers Liability Excess Workers’ Compensation and Employers Liability Limits Workers’ Compensation Statutory Statutory Employers Liability $ 1,000,000 $ 1,000,000 Self-Insured Retention $ 750,000 All Others $ 1,000,000 Police Officers $ 750,000 All Others $ 1,000,000 Police Officers Endorsements and Exclusions (including but not limited to) • Washington Amendatory Endorsement • Washington Cancellation Endorsement • Washington Self Insurer Endorsement • Washington Service and Administration • Washington Amendatory Endorsement • Washington Cancellation Endorsement • Washington Self Insurer Endorsement • Washington Service and Administration Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 7 Excess Workers’ Compensation and Employers Liability Coverage - Continued Present Coverage Proposed Coverage Endorsement & Exclusions – Continued (including but not limited to) • Incidental Longshoremen's and Harbor Worker’s Compensation Act Coverage Endorsement • Maritime Coverage Endorsement- No Known Exposure • Foreign Voluntary Workers' Compensation and Employers' Liability • 90 Day Notice of Cancellation • Broad Form All States • Blanket Waiver of Subrogation • Voluntary Compensation Endorsement • Self-Insured Retention Per Occurrence – WA Law Enforcement Officers • Terrorism Risk Insurance Program Reauthorization Act Endorsement • Incidental Longshoremen's and Harbor Worker’s Compensation Act Coverage Endorsement • Maritime Coverage Endorsement- No Known Exposure • Foreign Voluntary Workers' Compensation and Employers' Liability • 90 Day Notice of Cancellation • Broad Form All States • Blanket Waiver of Subrogation • Voluntary Compensation Endorsement • Self-Insured Retention Per Occurrence – WA Law Enforcement Officers • Terrorism Risk Insurance Program Reauthorization Act Endorsement TRIA Included Included Estimated Annual Man-hours 1,157,600 1,224,400 (+5.77%) Net Rate Per Man-hour 0.0958 0.0987 (+3.03%) Premium $ 110,898.00 $ 120,848.00 (+8.97%) Policy Auditable Yes, subject to actual worker hours Yes, subject to actual worker hours Cancellation 90 Days 90 Days Binding Conditions No Longer Applicable See Binding Subjectivities Recap Page See Disclaimer Page for Important Notices and Acknowledgment Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 8 Airport Liability/War, Hi-Jacking & Other Perils/TRIA Coverage Present Coverage Proposed Coverage Insurance Company National Union Fire Insurance Company of Pittsburgh, PA National Union Fire Insurance Company of Pittsburgh, PA A.M. Best Rating A (Excellent), Financial Size Category: XV ($2 Billion or greater) as of October 7, 2021 A (Excellent), Financial Size Category: XV (Greater than or Equal to $2.00 Billion) as of December 16, 2022 Standard & Poor’s Rating A+ (Strong) as of October 16, 2023 A+ (Strong) as of October 16, 2023 Washington Status Admitted Admitted Policy/Coverage Term January 1, 2023 to January 1, 2024 January 1, 2024 to January 1, 2025 Policy # AP 028803096-09 TBD Coverage Form Commercial General Liability Coverage Form - CGL02 (2/05) Commercial General Liability Coverage Form - CGL02-NU Limits Products/Completed Operations – Each Occurrence and Aggregate $ 100,000,000 $ 100,000,000 Personal & Advertising Injury Aggregate $ 25,000,000 $ 25,000,000 Each Occurrence – BI & PD $ 100,000,000 $ 100,000,000 Fire Damage (Any One Fire) $ 500,000 $ 500,000 Medical Expense (Any One Person) $ 10,000 $ 10,000 Hangarkeepers (Any One Occurrence) $ 100,000,000 $ 100,000,000 Hangarkeepers (Any One Aircraft) $ 100,000,000 $ 100,000,000 Non-Owned Aircraft Liability $ 100,000,000 Coverage can be added with additional application Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 9 Airport Liability/War, Hi-Jacking & Other Perils/TRIA Coverage - Continued Present Coverage Proposed Coverage Limits – Continued Extended Coverage – War, Hi-Jacking and Other Perils Aggregate $ 50,000,000 $ 50,000,000 Cargo Liability $ 5,000,000 $ 5,000,000 National Incident Management System/ National Response Plan NIMS Agreement Endorsement (Including Off Airport): Each Occurrence $ 50,000,000 $ 50,000,000 Damage to Premises Rented to You $ 500,000 $ 500,000 Medical Expense $ 10,000 $ 10,000 Personal & Advertising Injury Aggregate $ 50,000,000 $ 50,000,000 Products/Completed Operations Aggregate $ 50,000,000 $ 50,000,000 Employee Benefits Liability Endorsement $ 1,000,000 Each Employee and Annual Aggregate $ 1,000,000 Each Employee and Annual Aggregate Deductible Each Occurrence or Offense/Annual Aggregate $ 5,000 Piston $ 10,000 Turbine Engine $ 5,000 Piston $ 10,000 Turbine Engine Hangarkeeper’s Liability $ 5,000 Piston $ 10,000 Turbine Engine $ 5,000 Piston $ 10,000 Turbine Engine Cargo Liability $ 25,000 Each Claim $ 25,000 Each Claim Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 10 Airport Liability/War, Hi-Jacking & Other Perils/TRIA Coverage - Continued Present Coverage Proposed Coverage Endorsement & Exclusions (including but not limited to) • Amendment of Coverage Territory - Worldwide Coverage • National Incident Management System/National Response Plan NIMS Agreement Endorsement - 2 • Mutual Aid Agreement - 2 • Aviation Operations Definition Endorsement • Deductible Liability Insurance Endorsement • Cancellation by Us Endorsement • Asbestos Exclusion Endorsement • Nuclear Risks Exclusion Clause AVN38B • Date Recognition Exclusion Clause AVN2000A • Date Recognition Limited Coverage Clause • Noise and Pollution and Other Perils Exclusion Clause • Pollution or Contamination of The Product Sold or Supplied • Terrorism Exclusion - Certified Acts • Federal Share of Compensation Under TRIA and Cap on Losses Endorsement • Exclusion Deletion Endorsement • War Hi-jacking and Other Perils Exclusion Clause Aviation AVN48B – Washington • War, Hi-Jacking and Other Perils Exclusion Clause (Aviation) AVN48B Amendatory Endorsement – Washington • Airport Expansion Endorsement • Extended Coverage Endorsement Aviation Liabilities Amendment to Limitation of Liability • Amendment of Coverage Territory - Worldwide Coverage with Specified Exceptions • National Incident Management System/National Response Plan NIMS Agreement Endorsement - 2 • Mutual Aid Agreement - 2 • Aviation Operations Definition Endorsement Deductible Liability Insurance Endorsement • Cancellation by Us Endorsement • Asbestos Exclusion Endorsement • Nuclear Risks Exclusion Clause • Date Recognition Exclusion Clause • Date Recognition Limited Coverage Clause • Noise and Pollution and Other Perils Exclusion Clause • Pollution or Contamination of The Product Sold or Supplied • Terrorism Exclusion - Certified Acts • Federal Share of Compensation Under TRIA and Cap on Losses Endorsement • Exclusion Deletion Endorsement Liability Coverage • War Hi-jacking And Other Perils Exclusion Clause Aviation AVN48B – Washington • War, Hi-Jacking and Other Perils Exclusion Clause (Aviation) AVN48B Amendatory Endorsement – Washington • Airport Expansion Endorsement • Extended Coverage Endorsement Aviation Liabilities Amendment to Limitation of Liability Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 11 Airport Liability/War, Hi-Jacking & Other Perils/TRIA Coverage - Continued Present Coverage Proposed Coverage Endorsement & Exclusions – Continued (including but not limited to) • Non-Owned Aircraft Liability Endorsement - Airport Owner / Operator • Cargo Liability Endorsement • Employee Benefits Liability Endorsement • Excess Auto Legal Liability • Excess Employer's Liability • Waiver of Governmental Immunity Endorsement • Sanctions and Embargo Clause - AVN111 • Other Insurance Amendatory Endorsement • Policyholder Notice • Change of Insurer's Address Notification • Coronavirus Exclusion for Excess Non- Aviation Liability – Washington • Electronic Data Event Liability Exclusion • Software Affirmation Clause • Non-Owned Aircraft Liability Endorsement - Airport Owner / Operator-Removed • Cargo Liability Endorsement • Employee Benefits Liability Endorsement • Excess Auto Legal Liability • Excess Employer's Liability • Waiver of Governmental Immunity Endorsement • Sanctions and Embargo Clause - AVN111 • Other Insurance Amendatory Endorsement • Policyholder Notice • Change of Insurer's Address Notification • Coronavirus Exclusion for Excess Non- Aviation Liability – Washington • Electronic Data Event Liability Exclusion • Software Affirmation Clause Premium Airport Liability $ 22,358.00 $ 23,532.00 War, Hi-Jacking & Other Perils $ 2,985.00-Accepted $ 3,212.00 TRIA $ 4,822.00-Accepted $ 4,872.00 Total Premium $ 30,165.00 $ 31,616.00 (+4.81%) Binding Conditions No Longer Applicable See Binding Subjectivities Recap Page See Disclaimer Page for Important Notices and Acknowledgment Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 12 Storage Tank Pollution Liability Coverage Present Coverage Proposed Coverage Insurance Company Mid-Continent Casualty Company Mid-Continent Casualty Company A.M. Best Rating A+ (Superior), Financial Size Category: IX ($250 Million to $500 Million) as of 10/3/2021 A+ (Superior), Financial Size Category: IX ($250 Million to Less than $500 Million) as of December 16, 2022 Standard & Poor’s Rating A+ (Strong) as of February 23, 2023 A+ (Strong) as of February 23, 2023 Washington Status Admitted Admitted Policy/Coverage Term January 1, 2023 to January 1, 2024 January 1, 2024 to January 1, 2025 Policy # 04-TOP-000035064 TBD Coverage Form Pollution Liability Coverage Form (Designated Sites) - TO 00 01 01 19 Pollution Liability Coverage Form (Designated Sites) - TO 00 01 01 19 Limits Coverage A: Bodily Injury & Property Damage Per Pollution Incident / Annual Aggregate $ 1,000,000 $ 1,000,000 Coverage B: Government Mandated “Clean-Up Costs” Liability $ 1,000,000 $ 1,000,000 Coverage C: Repair of Storage Tank System(s) $ 50,000 $ 50,000 Designated Sites 3555 NE 2nd Street Renton, WA 98056 Two underground storage tanks Two underground storage tanks 4000 Maple Valley Highway Renton, WA 98058 One underground storage tank One underground storage tank Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 13 Storage Tank Pollution Liability Coverage - Continued Present Coverage Proposed Coverage Retroactive Date January 1, 2011 January 1, 2011 Deductible $ 2,500 Per Environmental Incident $ 2,500 Per Environmental Incident Premium $ 2,777.00 Policy Premium $ 150.00 Policy Fee $ (208.28) Credit Commission to Broker Fee $ 2,718.72 Total Cost $ 3,359.00 Policy Premium $ 150.00 Policy Fee $ (251.93) Credit Commission to Broker Fee $ 3,257.07 Total Cost (+19.80%) Binding Conditions No Longer Applicable See Binding Subjectivities Recap Page See Disclaimer Page for Important Notices and Acknowledgment Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 14 Unmanned Aircraft Liability Coverage Present Coverage Proposed Coverage Insurance Company National Union Fire Insurance Company of Pittsburgh, PA National Union Fire Insurance Company of Pittsburgh, PA A.M. Best Rating A (Excellent), Financial Size Category: XV ($2 Billion or greater) as of 10/7/21 A (Excellent), Financial Size Category: XV (Greater than or Equal to $2.00 Billion) as of December 16, 2022 Standard & Poor’s Rating A+ (Strong) as of October 16, 2023 A+ (Strong) as of October 16, 2023 Washington Status Admitted Admitted Policy/Coverage Term January 1, 2023 to January 1, 2024 January 1, 2024 to January 1, 2025 Policy # UM 025440193-06 TBD Coverage Form Unmanned Aircraft Aviation Policy Provisions – UAS01 (03/14) Unmanned Aircraft Aviation Policy Provisions – UAS01 (03/14) Scheduled Aircraft 37 UAVs under 11 lbs. 1 UAV 11-21 lbs. 40 UAVs under 11 lbs. Covered Aircraft Any Unmanned Aircraft owned and operated by the Named Insured weighing less than 55 lbs. Any Unmanned Aircraft owned and operated by the Named Insured weighing less than 55 lbs. Limits Single Limit Each Occurrence – BI & PD $ 1,000,000 $ 1,000,000 Medical Expense (Any One Person) $ 5,000 $ 5,000 Non-Owned Liability Not Covered As Requested and Endorsed Owned Aircraft Physical Damage Not Covered Not Covered TRIA Included Included Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 15 Unmanned Aircraft Liability Coverage - Continued Present Coverage Proposed Coverage Pilot/Operator Warranty Any Operator approved by the named Insured, provided such individuals are under the direct supervision of a properly certificated and rated pilot- in-command who is accompanied at all times by a visual observer. Any Operator approved by the named Insured, provided such individuals are under the direct supervision of a properly certificated and rated pilot-in- command who is accompanied at all times by a visual observer. Terms and Conditions (including but not limited to) • Noise and Pollution and Other Perils Exclusion Clause • Nuclear Risks Exclusion Clause • Terrorism Exclusion - Certified Acts • War, Hi-Jacking and Other Perils Exclusion Clause (Aviation) • Asbestos Exclusion Endorsement • Date Recognition Exclusion Clause • Date Recognition Limited Coverage Clause • Broad Coverage Endorsement • Electromagnetic Interference Exclusion Amendment • Electronic Data Event Liability Exclusion • Exclusion Deletion Endorsement Liability Coverage • Fellow Employee Coverage Endorsement • Knowledge of Occurrence and Failure to Report Endorsement • Pilot/Operator Warranty Endorsement • Policy Territory Endorsement • Purpose of Use Endorsement • Personal Injury Extension • Federal Share of Compensation Under TRIA and Cap on Losses Endorsement • Noise and Pollution and Other Perils Exclusion Clause • Nuclear Risks Exclusion Clause • Terrorism Exclusion - Certified Acts • War, Hi-Jacking and Other Perils Exclusion Clause (Aviation) • Asbestos Exclusion Endorsement • Date Recognition Exclusion Clause • Date Recognition Limited Coverage Clause • Broad Coverage Endorsement • Electromagnetic Interference Exclusion Amendment • Electronic Data Event Liability Exclusion • Exclusion Deletion Endorsement Liability Coverage • Fellow Employee Coverage Endorsement • Knowledge of Occurrence and Failure to Report Endorsement • Pilot/Operator Warranty Endorsement • Policy Territory Endorsement • Purpose of Use Endorsement • Personal Injury Extension • Federal Share of Compensation Under TRIA and Cap on Losses Endorsement • Liability Under Contractual Agreements Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 16 Unmanned Aircraft Liability Coverage - Continued Present Coverage Proposed Coverage Terms and Conditions – Continued (including but not limited to) • Liability Under Contractual Agreements • Software Affirmation Clause • Sanctions and Embargo Clause - AVN111 • Washington Amendatory Endorsement - UAS • Washington Amendatory Endorsement • Exclusionary Endorsement - Washington • Washington Amendatory Endorsement • Policyholder Notice • Change of Insurer's Address Notification • Software Affirmation Clause • Sanctions and Embargo Clause - AVN111 • Washington Amendatory Endorsement - UAS • Washington Amendatory Endorsement • Exclusionary Endorsement - Washington • Washington Amendatory Endorsement • Policyholder Notice • Change of Insurer's Address Notification • Non-Owned Unmanned Aircraft: Liabilities Endorsement- As requested during policy term NET Premium Additional Option: $ 4,323.00 Premium ($ 648.45) Credit Commission to Broker Fee $ 3,674.55 Total Premium $ 4,772.00 Premium ($ 715.80) Credit Commission to Broker Fee $ 4,056.20 Total Premium (10%) $ 500.00 Non-Owned Liability for Drone Shows Policy Territory Worldwide (excludes Russia, Ukraine, and Belarus) subject to UAS117 limitations, but also limited to operations conducted no higher than 400 feet above ground level (AGL). Flights above 400 feet AGL permitted if conducted within 400-foot radius of a structure. Worldwide (excludes Russia, Ukraine, and Belarus) subject to UAS117 limitations, but also limited to operations conducted no higher than 400 feet above ground level (AGL). Flights above 400 feet AGL permitted if conducted within 400-foot radius of a structure. Quote Valid Until No Longer Applicable January 1, 2024 Binding Conditions No Longer Applicable See Binding Subjectivities Recap Page CLAIMS REPORTING NOTICE PLEASE NOTE THAT POLLUTION LIABILITY POLICIES CONTAIN EXTREMELY STRICT CLAIM REPORTING PROCEDURES. Attached please find your policy specific claim reporting requirements - Please make sure you understand these obligations. Contact your Alliant Service Team with any questions. See Disclaimer Page for Important Notices and Acknowledgment Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 17 Disclosures This proposal of insurance is provided as a matter of convenience and information only. All information included in this proposal, including but not limited to personal and real property values, locations, operations, products, data, automobile schedules, financial data and loss experience, is based on facts and representations supplied to Alliant Insurance Services, Inc. by you. This proposal does not reflect any independent study or investigation by Alliant Insurance Services, Inc. or its agents and employees. Please be advised that this proposal is also expressly conditioned on there being no material change in the risk between the date of this proposal and the inception date of the proposed policy (including the occurrence of any claim or notice of circumstances that may give rise to a claim under any policy which the policy being proposed is a renewal or replacement). In the event of such change of risk, the insurer may, at its sole discretion, modify, or withdraw this proposal, whether or not this offer has already been accepted. This proposal is not confirmation of insurance and does not add to, extend, amend, change, or alter any coverage in any actual policy of insurance you may have. All existing policy terms, conditions, exclusions, and limitations apply. For specific information regarding your insurance coverage, please refer to the policy itself. Alliant Insurance Services, Inc. will not be liable for any claims arising from or related to information included in or omitted from this proposal of insurance. Alliant embraces a policy of transparency with respect to its compensation from insurance transactions. Details on our compensation policy, including the types of income that Alliant may earn on a placement, are available on our website at www.alliant.com. For a copy of our policy or for any inquiries regarding compensation issues pertaining to your account you may also contact us at: Alliant Insurance Services, Inc., Attention: General Counsel, 701 B Street, 6th Floor, San Diego, CA 92101. Analyzing insurers' over-all performance and financial strength is a task that requires specialized skills and in-depth technical understanding of all aspects of insurance company finances and operations. Insurance brokerages such as Alliant Insurance typically rely upon rating agencies for this type of market analysis. Both A.M. Best and Standard and Poor's have been industry leaders in this area for many decades, utilizing a combination of quantitative and qualitative analysis of the information available in formulating their ratings. A.M. Best has an extensive database of nearly 6,000 Life/Health, Property Casualty and International companies. You can visit them at www.ambest.com. For additional information regarding insurer financial strength ratings visit Standard and Poor's website at www.standardandpoors.com. Our goal is to procure insurance for you with underwriters possessing the financial strength to perform. Alliant does not, however, guarantee the solvency of any underwriters with which insurance or reinsurance is placed and maintains no responsibility for any loss or damage arising from the financial failure or insolvency of any insurer. We encourage you to review the publicly available information collected to enable you to make an informed decision to accept or reject a particular underwriter. To learn more about companies doing business in your state, visit the Department of Insurance website for that state. Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 18 NY Regulation 194 Alliant Insurance Services, Inc. is an insurance producer licensed by the State of New York. Insurance producers are authorized by their license to confer with insurance purchasers about the benefits, terms and conditions of insurance contracts; to offer advice concerning the substantive benefits of particular insurance contracts; to sell insurance; and to obtain insurance for purchasers. The role of the producer in any particular transaction typically involves one or more of these activities. Compensation will be paid to the producer, based on the insurance contract the producer sells. Depending on the insurer(s) and insurance contract(s) the purchaser selects, compensation will be paid by the insurer(s) selling the insurance contract or by another third party. Such compensation may vary depending on a number of factors, including the insurance contract(s) and the insurer(s) the purchaser selects. In some cases, other factors such as the volume of business a producer provides to an insurer or the profitability of insurance contracts a producer provides to an insurer also may affect compensation. The insurance purchaser may obtain information about compensation expected to be received by the producer based in whole or in part on the sale of insurance to the purchaser, and (if applicable) compensation expected to be received based in whole or in part on any alternative quotes presented to the purchaser by the producer, by requesting such information from the producer. Privacy At Alliant, one of our top priorities is making sure that the information we have about you is protected and secure. We value our relationship with you and work hard to preserve your privacy and ensure that your preferences are honored. At the same time, the very nature of our relationship may result in Alliant’s collecting or sharing certain types of information about you in order to provide the products and services you expect from us. Please take the time to read our full Privacy Policy posted at www.alliant.com, and contact your Alliant service team should you have any questions. Other Disclosures / Disclaimers FATCA: The Foreign Account Tax Compliance Act (FATCA) requires the notification of certain financial accounts to the United States Internal Revenue Service. Alliant does not provide tax advice so please contact your tax consultant for your obligation regarding FATCA. Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 19 Other Disclosures / Disclaimers - Continued NRRA: The Non-Admitted and Reinsurance Reform Act (NRRA) went into effect on July 21, 2011. Accordingly, surplus lines tax rates and regulations are subject to change which could result in an increase or decrease of the total surplus lines taxes and/or fees owed on this placement. If a change is required, we will promptly notify you. Any additional taxes and/or fees must be promptly remitted to Alliant Insurance Services, Inc. Guarantee Funds Established by law in every state, guaranty funds are maintained by a state's insurance commissioner to protect policyholders in the event that an insurer becomes insolvent or is unable to meet its financial obligations. If your insurance carrier is identified as ‘Non-Admitted’, your policy is not protected by your state’s Guaranty Fund. Claims Reporting: Your policy will come with specific claim reporting requirements. Please make sure you understand these obligations. Contact your Alliant Service Team with any questions. Claims Made Policy: This claims-made policy contains a requirement stating that this policy applies only to any claim first made against the Insured and reported to the insurer during the policy period or applicable extended reporting period. Claims must be submitted to the insurer during the policy period, or applicable extended reporting period, as required pursuant to the Claims/Loss Notification Clause within the policy in order for coverage to apply. Late reporting or failure to report pursuant to the policy’s requirements could result in a disclaimer of coverage by the insurer. Any Employment Practices Liability (EPL) or Directors & Officers (D&O) with EPL coverage must give notice to the insurer of any charges / complaints brought by any state / federal agency (i.e. EEOC and similar proceedings) involving an employee. To preserve your rights under the policy, it is important that timely notice be given to the insurer, whether or not a right to sue letter has been issued. Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 20 Other Disclosures / Disclaimers - Continued Changes and Developments It is important that we be advised of any changes in your operations, which may have a bearing on the validity and/or adequacy of your insurance. The types of changes that concern us include, but are not limited to, those listed below:  Changes in any operations such as expansion to another state, new products, or new applications of existing products.  Travel to any state not previously disclosed.  Permanent operations outside the United States, Canada or Puerto Rico.  Mergers and/or acquisition of new companies and any change in business ownership, including percentages.  Any newly assumed contractual liability, granting of indemnities or hold harmless agreements.  Any changes in existing premises including vacancy, whether temporary or permanent, alterations, demolition, etc. Also, any new premises either purchased, constructed or occupied  Circumstances which may require an increased liability insurance limit.  Any changes in fire or theft protection such as the installation of or disconnection of sprinkler systems, burglar alarms, etc. This includes any alterations to the system.  Immediate notification of any changes to a scheduled of equipment, property, vehicles, electronic data processing, etc.  Property of yours that is in transit, unless previously discussed and/or currently insured. Certificates / Evidence of Insurance A Certificate or Evidence is issued as a matter of information only and confers no rights upon the certificate holder. The certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by a policy, nor does it constitute a contract between the issuing insurer(s), authorized representative, producer or recipient. You may have signed contracts, leases or other agreements requiring you to provide this evidence. In those agreements, you may assume obligations and/or liability for others (Indemnification, Hold Harmless) and some of the obligations that are not covered by insurance. We recommend that you and your legal counsel review these documents. In addition to providing a Certificate or Evident of Insurance, you may be required to name your landlord, client or customer on your policy as a loss payee on property insurance or as an additional insured on liability insurance. This is only possible with permission of the insurance company, added by endorsement and, in some cases, an additional premium. By naming the certificate holder as additional insured, there are consequences to your risks and insurance policy including:  Your policy limits are now shared with other entities; their claims involvement may reduce or exhaust your aggregate limit.  Your policy may provide higher limits than required by contract; your full limits can be exposed to the additional insured.  There may be conflicts in defense when your insurer has to defend both you and the additional insured.  An additional insured endorsement will most likely not provide notification of cancellation. Some insurance companies use a “blanket” additional insured endorsement that provides coverage automatically when it is required in a written contract. Most insurance companies do not want to be notified of all additional insureds when there is a blanket endorsement on the policy. If a notice of cancellation is required for the additional insured party, you must notify us immediately and we will request an endorsement from your insurance company. There may be an additional premium for adding a notice of cancellation endorsement for an additional insured. See Request to Bind Coverage page for acknowledgement of all disclaimers and disclosures. Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 21 Flood Disclosure Flooding is a serious threat to both personal and commercial clients. Flooding can happen anywhere, not just zone referred to as high-risk areas (Special Flood Hazard Area). Your Alliant team is ready to explain how it works and the associated costs. Basic Facts Congress created the NFIP in 1968 in response to the rising cost of taxpayer-funded disaster relief for flood victims and the increasing amount of damage caused by floods. The NFIP makes federally backed flood insurance available in communities that agree to adopt and enforce floodplain management ordinances to reduce future flood damage. The NFIP is self-supporting for the average historical loss year. This means that unless there is a widespread disaster, operating expenses and flood insurance claims are financed through premiums collected. Commercial buildings or residential dwellings owned by commercial entities are considered commercial property. All others are residential dwellings The FEMA Summary for Commercial Property and FEMA Standard Summary of Coverage provides information on the following: • Types of Flood Insurance Coverage • What is a Flood- “a General and temporary condition of partial or complete inundation of two or more acres of normally dry land area”… • Deductibles – various options to meet your financial needs • What is Covered and What is Not • The valuation of the Property – Actual Cash Value or Replacement Cost Additional Information • Flood Zones o https://www.fema.gov/flood-zones • Excess Flood Insurance (contact your Producer for additional information) o Increased limits over the maximum flood limit provided by NFIP FEMA Glossary of Flood Terms https://www.fema.gov/national-flood-insurance-program/definitions Please indicate your selection: ☐ I would like to receive a flood quote ☐ I do NOT wish to purchased flood insurance Signature: Date: Name Printed / Typed: Company Name: 12/21/2023 Krista Kolaz, Risk Manager City of Renton /s/ Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 22 Optional Coverages The following represents a list of insurance coverages that may not be included in this proposal but are optional and may be available with further underwriting information. This list is not inclusive of all coverages and if you have questions contact your Alliant representative. If you would like addition quotes please check Yes/No across from the coverage below, sign and return. Target Coverages Yes No CRIME Employee Dishonesty ☐ ☐ Computer Fraud ☐ ☐ Social Engineering ☐ ☐ Increased Limits ☐ ☐ CYBER RISK ☐ ☐ FLOOD INSURANCE ☐ ☐ MANAGEMENT LIABILITY Directors & Officers Liability ☐ ☐ Fiduciary Liability ☐ ☐ Selecting the “Reject All or Accept All” option will override any selections you have made above ☐ Reject All ☐ Accept All for Consideration Signature of Authorized Insurance Representative Date Title Printed / Typed Name 12/21/2023 Risk Manager, City of Renton Krista Kolaz /s/ Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 23 Optional Coverages – Continued Other Coverage Options Note some of these coverages may be included with limitations or insured elsewhere. This is a partial listing as you may have additional risks not contemplated here which are unique to your organization. • Business Income/Extra Expense • Earthquake • Employed Lawyers • Employee Benefits Liability • Equipment Breakdown • Food Borne Illness • Foreign Insurance • Garagekeepers Liability • Hired Auto Physical Damage • Kidnap & Ransom • Law Enforcement Liability • Media and Publishers Liability • Network Security / Privacy Liability and Internet Media Liability • Non-Owned & Hired Automobile Liability • Pollution Liability • Owned/Non-Owned Aircraft • Owned Watercraft • Professional Liability • Property in Transit • Property of Others (Clients, Employees, Other) • Special Events Liability • Spoilage • Student Accident • Volunteer Accidental Death & Dismemberment (AD&D) • Workers Compensation & Employers Liability • Workplace Violence Glossary of Insurance Terms Below are links to assist you in understanding the insurance terms you may find within your insurance coverages: http://insurancecommunityuniversity.com/university-resources/insurance-glossary-free https://consumers.ambest.com/content.aspx?rec=261613 http://www.irmi.com/online/insurance-glossary/default.aspx Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 24 Request to Bind Coverage City of Renton We have reviewed the proposal and agree to the terms and conditions of the coverages presented. We are requesting coverage to be bound as outlined by coverage line below: Coverage Line Bind Coverage for 1/1/24-1/1/25: Excess Workers’ Compensation and Employers Liability ☐ Airport Liability/War, Hi-Jacking & Other Perils/TRIA ☐ Storage Tank Pollution Liability ☐ Unmanned Aircraft Liability ☐ •Unmanned Aircraft Liability-Including Additional Non-Owned Liability ☐ Did you know that Alliant works with premium financing companies? Are you interested in financing your annual premium? Yes, please provide us with a financing quote. No, we do not wish to finance our premium. ☐☐ This Authorization to Bind Coverage also acknowledges receipt and review of all disclaimers and disclosures, including exposures used to develop insurance terms, contained within this proposal. Signature of Authorized Insured Representative Date Title Printed / Typed Name This proposal does not constitute a binder of insurance. Binding is subject to the final carrier approval. The actual terms and conditions of the policy will prevail. Mayor, City of Renton Armondo Pavone ATTEST: Jason A. Seth, City Clerk 12/27/2023 Alliant Insurance Services, Inc. | www.alliant.com | CA License No. 0C36861 Page 25 Binding Subjectivities Recap ALL coverages require a written request to bind coverage. Additional subjectivities are listed below by Coverage Line. Coverage Line and Description of Subjectivity(ies) Excess Workers’ Compensation and Employers Liability •None Airport Liability/War, Hi-Jacking & Other Perils/TRIA •Elect/Reject TRIA •Elect/Reject War Storage Tank Pollution Liability •None Unmanned Aircraft Liability •None In order to complete the underwriting process, we require that you send us any additional information requested above. We are not required to bind coverage prior to our receipt and underwriting acceptance of the above information. However, if we do bind coverage prior to such acceptance, the terms and conditions as indicated above may be amended until such receipt and acceptance. Any agreement to bind coverage in connection with this proposal must be in writing from an authorized employee of the Insurer.