HomeMy WebLinkAbout2023 PL Renewal Documents - Horse Mountain Ranch Metropolitan District (1) (1)Renewal Documents and Invoice 1/1/2023 to EOD 12/31/2023 Acceptance of this coverage is evidenced only by payment of the enclosed invoice by January 1, 2023. The following renewal documents are attached where applicable: 1. Invoice: Payment is due upon receipt. Please return a copy of the invoice with your payment to ensure that it is applied correctly. We have attached a Coverage Contribution instructions sheet which provides details about your payment. 2. Comparison of Annual Contributions. 3. Deductible Options: Provides the difference in cost by coverage line if you were to increase or decrease the deductible for that specific coverage. 4. Quote for Excess Liability limits for your consideration: Limits of up to $8 million, in excess of the primary $2 million Liability limit, are available. Although the primary $2 million Liability limit is sufficient to cover the CGIA tort cap, we do recommend you consider purchasing higher limits primarily due to special districts’ unlimited liability to federal civil rights, discrimination, harassment, whistle blowing, and other employment-related practices claims. 5. Coverage Declaration Pages: Informational page summarizing the key points about the coverage provided including limits and deductible descriptions for all coverage provided. Full coverage forms will be available at csdpool.org/documents by January 1, 2023. 6. Schedules: Lists of exposures and values. 7. Certificates of coverage: Originals are mailed directly to the Certificate Holders. 8. Automobile identification cards: Hard copies will be mailed. Payment evidences “acceptance” of this coverage. The terms of the Intergovernmental Agreement (IGA) require timely payment to prevent automatic cancellation of coverage. Please return this invoice and reference the coverage number on your check to help us apply your payment correctly. Only prior notice to the board of directors of the Colorado Special Districts Property and Liability Pool and subsequent approval may extend cancellation provision. Remit checks to: Colorado Special Districts Property and Liability Pool We accept online payments at E-Bill Express c/o McGriff Insurance Services, Inc. Refer to Payment Instructions page for additional options PO Box 1539 billing@csdpool.org Portland, OR 97207-1539 800-318-8870 ext. 3 Property and Liability Coverage Invoice Named Member:Broker of Record: Horse Mountain Ranch Metropolitan District c/o Marchetti & Weaver LLC 28 Second Street, Suite 213 Edwards, CO 81632 NO BROKER Coverage No.Entity ID Effective Date Expiration Date Invoice Date 23PL-60780-1735 60780 1/1/2023 EOD 12/31/2023 10/31/2023 Coverage Contribution General Liability $ 546.00 Crime $ 135.00 Non-Owned Auto Liability $ 132.00 Hired Auto Physical Damage $ 65.00 No-Fault Water Intrusion & Sewer Backup $ 35.00 Public Officials Liability $1,163.00 Pollution $ 0.00 Total Contribution $2,076 Please note: where included above, Hired Auto Physical Damage, Non-Owned Auto Liability, and No-Fault Water Intrusion & Sewer Backup are mandatory coverages and may not be removed. The following discounts are applied (Not applicable to minimum contributions): 13.78% Continuity Credit Discount 10% Direct Discount 8% Multi Program Discount for WC Program Participation Payment Due Upon Receipt Payment Instructions The annual contribution for coverage with the Pool is due upon receipt of this invoice. We accept the following payment methods: 1. Online using E-Bill Express (www.e-billexpress.com/ebpp/CSDPool). For detailed instructions, please click here or go to csdpool.org/documents. You can also find an FAQ here or go to the E- Bill Express logon screen. 2. Mail your check to: Colorado Special Districts Property and Liability Pool c/o McGriff Insurance Services, Inc. PO Box 1539 Portland, OR 97207 For express or overnight mail services, please use the address below: Colorado Special Districts Property and Liability Pool c/o McGriff Insurance Services, Inc. 1800 SW 1st Ave, Suite 400 Portland, OR 97201 To ensure that your payment is accurately applied, please always include a copy of the invoice. 3. Wire or ACH transfer from your own bank account. Please let us know if you wish to use this method and we will be happy to provide you with these instructions. Please be advised that in accordance with the Intergovernmental Agreement (IGA), automatic expulsion will occur on the 60th day should your account not be current. If you wish to reinstate your district’s coverage after cancellation has occurred, a $100 reinstatement fee will apply. If your district requires a payment extension, please submit a written request within ten (10) business days from the date of the invoice, for consideration by the CSD Pool Board of Directors. Finally, all members of the Pool must be members in good standing with the Special District Association of Colorado (SDA). Please visit the SDA website at sdaco.org for member information. Please contact us at billing@csdpool.org or 800-318-8870 ext. 3 for billing questions. Annual Comparison of 2023 and 2022 contributions. Loss Ratios based on participation years from 2016 to 2023 Horse Mountain Ranch Metropolitan District General Liability Contribution TOE Yr. 2023 $546.00 $154,096.00 Yr. 2022 $520.00 $154,096.00 Difference $26.00 NaN % Difference 5.00%0.00% Loss Ratio 0.00% Equipment Breakdown Contribution Yr. 2023 $0.00 Yr. 2022 $0.00 Difference $0.00 % Difference 0.00% Loss Ratio 0.00% Auto Liability Contribution Auto Count Yr. 2023 $132.00 0 Yr. 2022 $132.00 0 Difference 0 % Difference NaN 0.00% Loss Ratio 0.00% Crime Contribution Yr. 2023 $135.00 Yr. 2022 $135.00 Difference $0.00 % Difference 0.00% Loss Ratio 0.00% Auto Physical Damage Contribution TIV Yr. 2023 $65.00 $0.00 Yr. 2022 $65.00 $0.00 Difference $0.00 % Difference NaN 0.00% Loss Ratio 0.00% Property/Inland Marine Contribution TIV Yr. 2023 $0.00 $0.00 Yr. 2022 $0.00 $0.00 Difference $0.00 $0.00 % Difference 0.00%0.00% Loss Ratio 0.00% Public Officials Liability Contribution EE Count Yr. 2023 $1,163.00 0 Yr. 2022 $1,163.00 0 Difference $0.00 0 % Difference 0.00%0.00% Loss Ratio 0.00% Excess Liability Contribution Yr. 2023 $0.00 Yr. 2022 $0.00 Difference $0.00 % Difference 0.00% Loss Ratio 0.00% Earthquake Contribution Yr. 2023 $0.00 Yr. 2022 $0.00 Difference $0.00 % Difference 0.00% Loss Ratio 0.00% Flood Contribution Yr. 2023 $0.00 Yr. 2022 $0.00 Difference $0.00 % Difference 0.00% Loss Ratio 0.00% No Fault Contribution Yr. 2023 $35.00 Yr. 2022 $34.00 Difference $1.00 % Difference 2.94% Loss Ratio 0.00% Year Contribution 2023 $2,076.00 2022 $2,049.00 Difference $27.00 % Difference 1.32% 2023 Excess Liability Options Proposal This Proposal Does Not Bind Coverage This report demonstrates what it would cost your district to increase coverage from your current limit of liability to a higher limit. Named Member: Horse Mountain Ranch Metropolitan District Certificate Number: 23PL-60780-1735 Excess Limit Annual Excess Contribution Change in Contribution $1,000,000 $330 $330 $2,000,000 $570 $570 $3,000,000 $810 $810 $4,000,000 $1,020 $1,020 $5,000,000 $1,250 $1,250 $6,000,000 $1,500 $1,500 $7,000,000 $1,750 $1,750 $8,000,000 $2,000 $2,000 . Note: This is not your Coverage Document. It was created solely for informational purposes. 10/31/2023 Public Entity Liability and Auto Physical Damage Certificate Holder Declaration Master Coverage Document Number: CSD Pool CTC 01 01 22 and CSD Pool PEL 01 01 23 Certificate Number: 23PL-60780-1735 Coverage Period: 1/1/2023 to EOD 12/31/2023 Named Member:Broker of Record: Horse Mountain Ranch Metropolitan District c/o Marchetti & Weaver LLC 28 Second Street, Suite 213 Edwards, CO 81632 NO BROKER Coverage is provided only for those coverages indicated below for which a contribution is shown. Coverage Per Occurrence Limit Annual Aggregate Limit Deductible Contribution Public Entity Liability Coverage including:$2,000,000 None General Liability Included None None $546 Medical Payments - Premises $10,000 None None Included Employee Benefits Liability Included None None Included Public Officials Liability Included None $1,000 $1,163 Employment Practices Liability Included None *$100,000 Included Pre Loss Legal Assistance $3,500 $7,000 None Included No-Fault Water Intrusion & Sewer Backup $200,000 limited to $10,000 Any One Premises ***$1,000,000 $500 $35 Cyber $200,000 **$200,000 $1,000 Included Fiduciary Liability $200,000 **$200,000 $1,000 Included Excess Liability - Coverage agreements A,B,C,D No Coverage No Coverage N/A No CoverageAuto Liability No Coverage No Coverage N/A No CoverageMedical Payments – Auto No Coverage No Coverage N/A No CoverageNon-Owned and Hired Auto Liability Included None None $132 Uninsured/Underinsured Motorists Liability No Coverage No Coverage N/A No CoverageAuto Physical Damage No Coverage No Coverage N/A No CoverageHired Auto Physical Damage $50,000 N/A $500/$500 $65 Auto Physical Damage - Employee Deductible Reimbursement $2,500 N/A None Included Total Contribution $1,941 *Employment Practices Liability Deductible: 50% of loss including Indemnity and Legal Expenses subject to a maximum deductible of $100,000 each occurrence. **A $5,000,000 All Member Annual Aggregate Limit shall apply to Cyber. **A $1,000,000 All Member Annual Aggregate Limit shall apply to Fiduciary Liability. ***No-Fault Water Intrusion & Sewer Backup has $1,000,000 All Member Annual Aggregate Limit. Additional Endorsements applicable to Member: This Certificate Holder Declaration is made and is mutually accepted by the CSD Pool and the Named Member subject to all terms which are made a part of the Public Entity Liability Coverage Document. This Certificate represents only a brief summary of coverages. Please refer to the Master Coverage Document for actual coverage, terms, conditions, and exclusions. Countersigned by: Authorized Representative Crime Certificate Holder Declaration Master Coverage Document Number: J05931794 Insurer: Federal Insurance Company (Chubb) Certificate Number: 23PL-60780-1735 Coverage Period: 1/1/2023 to EOD 12/31/2023 Named Member:Broker of Record: Horse Mountain Ranch Metropolitan District NO BROKER c/o Marchetti & Weaver LLC 28 Second Street, Suite 213 Edwards, CO 81632 Covered Designated Agent(s): Coverages and Limits: Employee Theft:$5,000 · Limit is maximum for each loss · Employee includes executives, full-time, part-time, seasonal, leased and temporary employee(s), interns or non-compensated volunteer. · Includes funds from a sponsored benefit plan. Public Official Faithful Performance of Duty:$5,000 Client Theft:$5,000 Forgery or Alteration:$5,000 On Premises:$5,000 In Transit:$5,000 Computer System Fraud:$5,000 Funds Transfer Fraud:$5,000 Debit, Credit or Charge Card Fraud:$5,000 Money Orders and Counterfeit Paper Currency Fraud:$5,000 Social Engineering Fraud:$5,000 Deductible(s): All Crime except Social Engineer Fraud:$100 Social Engineering Fraud: 20% of Social Engineering Fraud Limit Contribution: $135 Policy Forms: PF-52815 (04/20) The Chubb Primary℠ Commercial Crime Insurance PF-52853 (04/20) Governmental Entity (Colorado Special Districts Pool) Endorsement PF-53127 (04/20) Colorado Amendatory Endorsement PF-52851 (04/20) Add Corporate Credit Card Coverage This Certificate Holder Declaration is made and is mutually accepted by the CSD Pool and the Named Member subject to all terms which are made a part of the Master Crime Policy. This Certificate represents only a brief summary of coverages. Please refer to the Master Policy Documents for actual coverage, terms, conditions, and exclusions. Countersigned by: Authorized Representative Identity Recovery Certificate Holder Declaration Master Coverage Policy Number: CSD 2009 CP IDR Form 01 01 21 Insurer: The Hartford Steam Boiler Inspection and Insurance Company Certificate Number:23PL-60780-1735 Coverage Period:1/1/2023 to EOD 12/31/2023 Named Member: Broker of Record: Horse Mountain Ranch Metropolitan District c/o Marchetti & Weaver LLC 28 Second Street, Suite 213 Edwards, CO 81632 NO BROKER Member: All permanent employees and District Board members participating in the Colorado Special Districts Property and Liability Pool; Special District Association of Colorado staff and Board of Directors. Coverage: Reimbursement coverage for expenses arising from a defined “Identity Theft” event. Including: legal fees for answer of civil judgements and defense of criminal charges; phone, postage, shipping fees; notary and filing fees; credit bureau reports; lost wages; child/elder care and mental health counseling. This coverage does not reimburse the member for monies stolen or fraudulently charged to the member, and excludes loss arising from the member’s fraudulent, dishonest or criminal act. Annual Aggregate Limit per Member: $35,000 Case Management Service Expenses - does not reduce the limit available Legal Costs - reduces the limit available Sub Limits: $5,000 Lost Wages and Child/Elder Care $1,000 Mental Health Counseling $1,000 Miscellaneous Expenses Coverage Trigger:Coverage is provided on a discovery basis with a 60-day reporting requirement Claims:For Recovery Assistance and Counseling, please call 1-800-945-4617 This Certificate Holder Declaration is made and is mutually accepted by the CSD Pool and the Named Member subject to all terms which are made a part of the Identity Recovery Coverage Policy. This Certificate represents only a brief summary of coverages. Please refer to the Master Coverage document for actual coverage, terms, conditions, and exclusions. Countersigned by: Authorized Representative Page 1 of 2 Environmental Legal Liability Certificate Holder Declaration Master Policy Number: ER00A9V23 Insurer: Aspen Specialty Insurance Company Certificate Number: 23PL-60780-1735 Coverage Period: 1/1/2023 to EOD 12/31/2023 Named Member: Broker of Record: Horse Mountain Ranch Metropolitan District c/o Marchetti & Weaver LLC 28 Second Street, Suite 213 Edwards, CO 81632 NO BROKER Claims-Made Coverage: 1.First Party Protection: For coverages 1.a – 1.d, the pollution incident must be first discovered by the responsible insured and reported to the insurer during the policy period. a.Clean up: Covers clean-up costs resulting from a pollution incident on, at, under, or migrating from or through an insured location. b.Emergency Response: Covers emergency response cost resulting from a c.Pollution Incident: (i) on, at, under or migrating from or through an insured location; (ii) caused by transportation; or (iii) caused by covered operations. d.Environmental Crisis: Covers crisis cost resulting from a crisis event. e.Business Interruption: Covers business interruption cost and extra expense incurred by the insured and solely and directly by a pollution incident on, at or under an insured location, provided the pollution incident results in clean-up cost covered by this policy. 2.Legal Liability Protection: For coverages 2.a – 2.d, the claim for damages because of such bodily injury or property damage, or a claim for such clean-up cost, is first made against an insured and reported to the insurer during the policy period. a.Insured Location: Covers sums the insured becomes legally obligated to pay: (1) as damages because of bodily injury or property damage; or (ii) for clean- up costs, resulting from a pollution incident on, at under, or migrating from or through an insured location. b.Non-owned Site: Covers sums the insured becomes legally obligated to pay (1) as damages because of bodily injury or property damage; or (ii) for clean- up costs, resulting from a pollution incident on, at under, or migrating from or through any non-owned site. c.Transportation: Covers sums the insured becomes legally obligated to pay (1) as damages because of bodily injury or property damage; or (ii) for clean- up costs, resulting from a pollution incident caused by transportation. d.Covered Operations: Covers sums the insured becomes legally obligated to pay (1) as damages because of bodily injury or property damage; or (ii) for clean-up costs, resulting from a pollution incident caused by covered operations or completed operations. Limits of Liability: $1,000,000 Each Pollution Incident $5,000,000 Total Policy and Program Aggregate – Shared All Members Sublimits: $500,000 Environmental Crisis Aggregate $250,000 Business Interruption Aggregate $100,000 Perfluorinated Compounds Aggregate Member Deductible: $1,000 Each Pollution Incident Page 2 of 2 Retroactive Date: January 1, 2009 (unless otherwise specified) Defense Costs:Legal defense expenses and settlement shall erode the Limits of Liability Partial List of Exclusions: Asbestos, Contractual Liability, Criminal Fines and Criminal Penalties, Cross Liability (Insured vs. Insured), Damage to Insured’s Product/Work, Divested Property, Employers Liability, Fraud or Misrepresentation, Intentional Non- Compliance, Internal Expenses, Known Conditions, Lead-Based Paint, Material Change in Risk, Non-Owned Disposal Sites, Underground Storage Tanks and Above Ground Storage Tanks excluded unless scheduled, Vehicle Damage, War or Terrorism, Workers Compensation, Lead at all gun or shooting ranges, Maintenance, Upgrades, Improvements or Installations where required by law, Microbial Matter with carveback for sudden and accidental water intrusion; 10-day discovery period/30 day reporting period, Prior Claims, Communicable Disease Policy Forms: ASPENV110 06 17 Environmental Legal Liability Policy ASPENV098 11 17 Cap on Losses from Certified Acts of Terrorism ASPENV340 05 17 Insured Location(s) Schedule Endorsement ASPENV310 05 17 Known Conditions Exclusion Endorsement ASPENV316 05 17 Legal Expense Aggregate Limit of Liability Endorsement ASPENV117 11 17 Self-Insured Retention Aggregate (Erosion by Underlying Policies) ASPENV117 11 17 Sewage Back-up Deductible Amendatory Endorsement ASPENV117 11 17 Perfluorinated Compounds, Sublimit and Retroactive Date Amendatory Endorsement ASPENV117 11 17 Cancellation Amendatory Endorsement ASPENV117 11 17 Microbial Matter Exclusion Endorsement ASPENV117 11 17 Maintenance, Upgrade, Improvements or Installations Exclusion Endorsement ASPENV117 11 17 Retroactive Date All Coverage Endorsement ASPENV117 11 17 Microbial Matter Sudden and Accidental Coverage Limitation Amendatory Endorsement ASPENV117 11 17 Insured Location/Acquired Property Endorsement ASPENV117 11 17 Public Entity Amendatory Endorsement ASPENV322 05 17 Minimum Earned Premium Endorsement ASPENV341 05 17 Named Insured Schedule Endorsement ASPENV118 11 17 Nuclear, Biological, Chemical, or Radiological Terrorism Exclusion ASPENV003 05 17 Other Insurance Condition Amendatory Endorsement ASPER334 01 14 Prior Claim Exclusion Endorsement ASPENV338 04 19 Schedule of Crisis Management Firms Endorsement ASPENV431 11 17 Aspen Environmental Emergency Response Hotline SNCO 0314 Colorado Surplus Lines Notice ASPENV117 11 17 Communicable Disease Exclusion Additional Endorsements Applicable to Named Member: This Certificate Holder Declaration is made and is mutually accepted by the CSD Pool and the Named Member subject to all coverage terms under the Pollution Liability Policy #EV00A9V23 issued by Aspen Specialty Insurance Company. This Certificate represents a brief summary of coverages. Please refer to the Master Coverage Document for all coverage terms, conditions and exclusions. Countersigned by: Authorized Representative Page 1 of 4 General Liability Schedule Metropolitan District Policy Number:23PL-60780-1735 Coverage Period:1/1/2023 – EOD 12/31/2023 Named Member:Horse Mountain Ranch Metropolitan District Broker:NO BROKER Code Description Unit Amount Effective Date Expiration Date 1 1-Number of Skate Board Parks Total 0.00 1/1/2023 12/31/2023 2 2-Number of Diving Boards Total 0.00 1/1/2023 12/31/2023 3 3-Number of Water Slides Total 0.00 1/1/2023 12/31/2023 4 4-Maximum Bond Issued Dollars 0.00 1/1/2023 12/31/2023 5 5-Number of Bonds Issued Total 0.00 1/1/2023 12/31/2023 20 20-Day Care Operations - Total Annual Payroll Dollars 0.00 1/1/2023 12/31/2023 30 30-Number of EMT Personnel Total 0.00 1/1/2023 12/31/2023 32 32-Paid Firefighters - Non-EMT Total 0.00 1/1/2023 12/31/2023 37 37-Pipe Line - Under Drain Miles 0.00 1/1/2023 12/31/2023 39 39-Pipe Line Miles 0.00 1/1/2023 12/31/2023 43 43-Pipe Line - Sewer / Storm Drainage Combined Miles 0.00 1/1/2023 12/31/2023 50 50-Number of Teachers Total 0.00 1/1/2023 12/31/2023 70 70-Number of Golf Courses Total 0.00 1/1/2023 12/31/2023 80 80-Number of Go Cart Tracks Total 0.00 1/1/2023 12/31/2023 98 98-Additional First Named Members Total 0.00 1/1/2023 12/31/2023 105 105-Total Operating Expenses - Any other Dollars 154,096.00 1/1/2023 12/31/2023 130 130-Total Operating Expenses - Park & Recreation Dollars 0.00 1/1/2023 12/31/2023 131 131-Total Operating Expenses - Cemetery Dollars 0.00 1/1/2023 12/31/2023 132 132-Total Operating Expenses - Soil & Water Conservation Dollars 0.00 1/1/2023 12/31/2023 Page 2 of 4 133 133-Total Operating Expenses - Pest Control Dollars 0.00 1/1/2023 12/31/2023 134 134-Total Operating Expenses - Hospital / Health Dollars 0.00 1/1/2023 12/31/2023 135 135-Total Operating Expenses - Drainage Dollars 0.00 1/1/2023 12/31/2023 136 136-Total Operating Expenses - Library Dollars 0.00 1/1/2023 12/31/2023 137 137-Total Operating Expenses - Water Control Dollars 0.00 1/1/2023 12/31/2023 138 138-Total Operating Expenses - Fire / Ambulance Dollars 0.00 1/1/2023 12/31/2023 139 139-Total Operating Expenses - Water Dollars 0.00 1/1/2023 12/31/2023 140 140-Total Operating Expenses - Irrigation Dollars 0.00 1/1/2023 12/31/2023 141 141-Total Operating Expenses - Sanitation Dollars 0.00 1/1/2023 12/31/2023 142 142-Total Operating Expenses - Transit Dollars 0.00 1/1/2023 12/31/2023 143 143-Total Operating Expenses - Improvement Dollars 0.00 1/1/2023 12/31/2023 151 151-Total Operating Expenses - Sanitation MW Discounted Dollars 0.00 1/1/2023 12/31/2023 215 215-Buildings & Premises Occupied by District Sq. Ft.0.00 1/1/2023 12/31/2023 250 250-Number of Homes – Covenant Enforcement/Design Review Services under District Authority Total 0.00 1/1/2023 12/31/2023 270 270-Number of Aboveground Storage Tanks (excluding water tanks)Total 0.00 1/1/2023 12/31/2023 331 331-Number of Paid Firefighters - Full-Time Total 0.00 1/1/2023 12/31/2023 332 332-Number of Paid Firefighters - Part-Time Total 0.00 1/1/2023 12/31/2023 333 333-Number of Volunteer Firefighters Total 0.00 1/1/2023 12/31/2023 334 334-Number of Paid EMT - Full-Time Total 0.00 1/1/2023 12/31/2023 335 335-Number of Paid EMT - Part-Time Total 0.00 1/1/2023 12/31/2023 341 341-Time Spent by Club/Recreation/Camp Volunteers Hours 0.00 1/1/2023 12/31/2023 342 342-Time Spent by Day Care Volunteers Hours 0.00 1/1/2023 12/31/2023 344 344-Time Spent by Event Organizer Volunteers Hours 0.00 1/1/2023 12/31/2023 345 345-Time Spent by General Volunteers Hours 0.00 1/1/2023 12/31/2023 Page 3 of 4 348 348-Number of Board Members Total 5.00 1/1/2023 12/31/2023 350 350-Number of Permanent Employees - Full-Time Total 0.00 1/1/2023 12/31/2023 351 351-Number of Permanent Employees - Part-Time Total 0.00 1/1/2023 12/31/2023 366 366-Total Payroll Dollars 0.00 1/1/2023 12/31/2023 400 400-Number of Boats - Under 26'Total 0.00 1/1/2023 12/31/2023 411 411-Total Water Delivered Annually - Millions of Gallons (MGAL)MGAL 0.00 1/1/2023 12/31/2023 414 414-Playground/parks (Area)Acres 0.00 1/1/2023 12/31/2023 415 415-Number of Grandstands/Stadiums Total 0.00 1/1/2023 12/31/2023 420 420-Vacant Land Acres 0.00 1/1/2023 12/31/2023 450 450-Miles of Road Maintained Miles 16.00 1/1/2023 12/31/2023 522 522-Number of Ponds, Lakes & Reservoirs Total 0.00 1/1/2023 12/31/2023 550 550-Fire Department Area Served Sq Miles 0.00 1/1/2023 12/31/2023 671 671-Number of Parks Total 0.00 1/1/2023 12/31/2023 710 710-Dams - Class 1 - Low Hazard - Total Acre-Feet Acre Ft.0.00 1/1/2023 12/31/2023 712 712-Dams - Class 1 - Low Hazard - Number of Dams Count 0.00 1/1/2023 12/31/2023 720 720-Dams - Class 2 - Med Hazard - Total Acre-Feet Acre Ft.0.00 1/1/2023 12/31/2023 722 722-Dams - Class 2 - Med Hazard - Number of Dams Count 0.00 1/1/2023 12/31/2023 730 730-Dams - Class 3 - High Hazard - Total Acre-Feet Acre Ft.0.00 1/1/2023 12/31/2023 732 732-Dams - Class 3 - High Hazard - Number of Dams Count 0.00 1/1/2023 12/31/2023 811 811-Number of Spillways Total 0.00 1/1/2023 12/31/2023 900 900-Services Contracted out to Others Dollars 145,070.00 1/1/2023 12/31/2023 924 924-Revenue from use of Swimming Pools Dollars 0.00 1/1/2023 12/31/2023 925 925-Number of Swimming Pools Total 0.00 1/1/2023 12/31/2023 945 945-Number of Sewage Taps Total 0.00 1/1/2023 12/31/2023 Page 4 of 4 946 946-Number of Water Mains or Connections Total 0.00 1/1/2023 12/31/2023 947 947-Sewer and/or Sanitation Line Maintenance (budget)Dollars 0.00 1/1/2023 12/31/2023 948 948-Water Line Maintenance (budget)Dollars 0.00 1/1/2023 12/31/2023 997 997-Number of district sponsored Events/Fundraisers - No Alcohol Served Total 0.00 1/1/2023 12/31/2023 998 998-Number of District sponsored Events/Fundraisers – With Alcohol Served Total 0.00 1/1/2023 12/31/2023 999 999-Prior Acts Coverage Under a Previous “Claims Made” Policy Premium 1/1/2023 12/31/2023 If your district has exposures not listed on the General Liability schedule above, such as airplanes, security staff, bridges, drones, etc., please furnish details. Certain activities may be excluded or restricted.