CCR1997241COMMON COUNCIL - CITY OF MUSKEG0
RESOLUTION #241-97
APPROVAL OF CARRIERS FOR CITY'S INSURANCE
FOR 1998
BE IT RESOLVED that the Common Council of the City of Muskego,
upon the recommendation of the Finance Committee, does hereby
approve insurance coverage for the City of Muskego as follows:
Annual
Est.
PROPERTY INSURANCE
($250 Deductible)
WORKERS' cm
(51,000,000 Policy Limit)
GENERAL LIABILITY Wausau Insurance
($3,000,000 Policy Limit)
POLICE PROFESSIONAL LIABILITY Wausau Insurance
($1,000,000 Policy Limit)
AUTCMOBILE Wausau Insurance
($3,000,000 Liability,
$500 Deductible-Collision
No Collision on Older Vehicles &
State of Wisconsin
Insurance F'und
Wausau Insurance
Heavy Trucks
UMBRELLA
($3,000,000 w/$10,000 Deductible)
CRlME Wausau Insurance
PUBLIC OFFICIALS & EPPLOYEES Coregis Insurance Co.
Wausau Insurance
($1,000,000 w/$lO, 000
Deductible)
Premium
$ 9,500
74,878
32,202
21,807
26,605
13,867
617
16,384
I Resolution #241-97
BE IT FURTHER RESOLVED that the Mayor and Clerk-Treasurer are
City.
authorized to execute the necessary documents in the name of the
DATED THIS 14th DAY OF OCTOBER , 1997
SPONSORED BY:
FINANCE COMMITTEE
Ald. Domonic D'Acquisto
Ald. David J. Sanders
Ald. Nancy C. Salentine
This is to certify that this is a true and accurate copy of
Resolution #241-97 which was adopted by the Common Council of
the City of Muskego.
10/97 jmb
Wisconsin Department of Employe TNst Funds RESOLUTION #240-97
RESOLUTION FOR INCLUSION UNDER GROUP LIFE INSURANCE
RESOLVED. by the of the City of Muskego
(Governing Body) (Employer Legal Name)
eat pursuant to the provisions of Chapter 40 of the Wisconsin Statutes such hereby determines to E
(Governing Body)
included under the following group life insurance program(s) provided by Chapter 40 of the Wisconsin Statutes for its eligible personnF
Check box(es) for coverage desired:
Basic Group Life Insurance
Supplemental Group Life Insurance
Additional Group Life Insurance
_.
0 Unit I . 0 Units I and 2
Units I, 2 and 3
Spouse and Dependent Group Life Insurance
0 Amount of insurance for any insured employe who attains age 65
on or after the effective date of this resolution shall be 50%
rather than 25%
BE IT FURTHER RESOLVED, that the proper officers are herewith authorized and directed to take all actions and make SUC.
deductions and submit such payments as are required by the Group Insurance Board of the State of Wisconsin to provide such grou:
life insurance.
BE IT FURTHER RESOLVED, that the City of Mb~k~vo WRS Agent submit a certified copy of thi.
(Employer Name)
ksolution to the State of Wisconsin Department of Employe Trust Funds.
CERTIFICATION
I hereby cekify that the foregoing resolution is a he. correct and complete copy of the resolution duly and regularly passed b:
the Common Council ofthe City of Muskego
(Governing Body) (Employer Name)
onthexhjayof Oct.
19z and that said resolution has not been repealed or amended. and is now In full force and effect. @ated this 15 day of
oct. ,I9 97.
I understand that wis. Stat 5 943.395 provides criminal penalties for knowingly making false and fraudulent statements on thl:
form and hereby certify that, to the best of my knowledge and belief, the information is true and correct.
Employer Identification Number (EIN) 69-036-1 194-000 Clerk-Treasurer
S Agent Signature Title
Number of eligible employes: 113 W182 58200 Racine Avenue - .- Muskego, WI 53150
Mailing Address
Telephone Number (414) 679-5624
The msolutlon shall bo affecuva on the fat of the 4th month afte
recdpt In the offlco of tho DepaNnent of Employe Trust Funds.
ET-I 303 (REV 7/97)