Reference: 20-F0574 El Paso, TX 79901 500 East Overland County of El Paso
Dear Lorena Rodriguez:
Thank you for choosing to place your coverage in the Texas Political Subdivisions Joint Self-Insurance Fund (TPS).
Our goal is to provide affordable, high-quality coverage and to offer a stable source of coverages specifically tailored to address exposures faced by public entities in the State of Texas. We believe that County of El Paso will benefit from its relationship with TPS as we complement your existing risk management efforts.
Enclosed are your Property/Casualty coverage documents.
If property coverage is provided please sign the Sworn Statement of Values and return to your agent as soon as possible.
If automobile coverage is provided by TPS, you will need to complete the attached Automobile Fleet Audit throughout the year and submit it to your agent upon expiration of the agreement period.
Please let your TPS agent and/or me know if you have questions or concerns regarding your coverage. Sincerely,
Rhonda Ruehle Underwriting Director Office: 972-361-6310 rhonda.ruehle@tpspool.org
Reference: 20-F0574 El Paso, TX 79901 500 East Overland County of El Paso
Dear Lorena Rodriguez, Asst. Contract Administrator:
Thank you for choosing to place your coverage through Texas Political Subdivisions Joint Self Insurance Fund (TPS). This notice is to provide information regarding the loss control services available to you. TPS offers a wide range of loss control services at no cost to assist members in achieving their risk management goals. TPS is familiar with the unique loss control needs of its members and has customized programs for each. We are committed to delivering the highest quality and timely service to each member. Our loss control department will provide assistance with developing specific programs and/or improving existing safety programs, site safety surveys, and employee training.
We have an ever-expanding library of safety resources and training materials. As well as an on-line library of over 250 streaming safety videos which may be viewed anywhere online. These videos are intended to be used in a classroom setting but may be used as a one-on-one training tool. To access these videos visit the TPS website at www.tpspool.org, login at the bottom right corner, then click on “My Safety Videos” under My TPS Access.
In addition the online training center is filled with a wide variety of high quality, accredited training courses that reduce liability and mitigate risk. Members have access to nearly 300 courses covering topics ranging from human resources, safety, management, and productivity to law enforcement and corrections (TCOLE Approved!). To get started simply go to the TPS website and click on the LocalGovU link at the bottom of the page. For help logging into or navigating the site contact your dedicated LocalGovU Account Manager, Steve DiStasi. Steve can be reached at 415-962-5923 or sdistasi@localgovu.com.
We will be contacting you in the near future to discuss our services and/or schedule a meeting. If you have immediate needs, please feel free to reach out to me directly by phone or email.
Sincerely,
E. Allen Hall, CSHM ARM Loss Control Director Office: 972-419-2648 Cell: 214-908-0512 allen.hall@tpspool.org
2505 E Missouri El Paso, TX 79903
Name
Title
Direct
Number
EXT
Comments/Email
800 line Toll Free 800-588-0013 N/A N/A
Allen Hall Director of Loss
Control 972-419-2648 2648 allen.hall@tpspool.org
Kathleen Pucci Director of
Accounting, CFO 972-419-2644 2644 kathleen.pucci@tpspool.org Keith D. Alberts Director of
Marketing 972-361-6303 6303 keith.alberts@tpspool.org Randal M. Beach Executive Director,
CEO 972-361-6302 6302 randal.beach@tpspool.org
Rhonda Ruehle Director of
Underwriting 972-361-6310 6310 rhonda.ruehle@tpspool.org Steve Koon Director of Claims 972-361-6304 6304 steve.koon@tpspool.org
After-Hours Claims Emergency Line 877-976-9457 Direct all Mail to PO Box 803356 Dallas, Texas 75380
For Preauthorization Call 888-705-1070, Fax to 888-667-9572 or Email precert@novarenetwork.com
For Bill Review Questions Call 866-532-1929, Fax 888-846-4140 or Email tpsmbr@novarenetwork.com
Submit all New Claims to claims@tpspool.org or Fax to 866-888-3633 Submit all Medical Bills to medbills@tpspool.org or Fax to 866-880-0156
AGENCY SERVICE CONTACT
USI Southwest-El Paso
Jim Brundage 915-534-9710
NAME AND ADDRESS
OF MEMBER: County of El Paso
INTERLOCAL
AGREEMENT NUMBER: 20-F0574
Agreement Period: From: October 01, 2020 To: October 01, 2021 at 12:01 A.M. Standard Time
at the Member's Mailing 500 East Overland
El Paso, TX 79901
Shown below by an "X' are the Self-Insurance coverages adopted by the Fund Member . Refer to specific Declarations for limits, deductibles and other information.
Total Contribution
X Automobile Liability $ 97,026
X *Crisis Management Coverage
$97,026
TOTAL CONTRIBUTION
*coverage included at no charge
Contract No: 20-F0574 Member Name County of El Paso
10/01/2020 10/01/2021 Contract Effective Date:
Contract Expiration Date: Liability:
Uninsured Motorist: Medical Payments: N/A
PIP Coverage: N/A Liability Deductible:
Liability Contribution: Physical Damage Contribution: Hired Physical Damage Contribution: Garagekeepers Contribution: Hired Car & Non-Owned Auto:
Summary Contribution: Premium Discount Miscellaneous Contribution: Total Contribution 112,429 N/A 400,000 112,391 0 15,403 0 38 97,026 50,000 BI and PD Combined Total Contribution Coll. Deductible Comp. Deductible Vehicle Class
Unit # Territory Year Make Model VIN OCN
Excess Contribution: 0
1 5 2013 Ford Taurus 2419 3 108
2 5 2018 Ford Fusion 4669 3 108
3 5 2006 Chevrolet Express Van 2848 1499 135
4 5 2013 Ford Taurus 9165 3 108 5 5 2016 Ford Fusion 7825 3 108 6 5 2018 Ford Fusion 8975 3 108 7 5 1992 GMC Topkick 3446 23499 189 8 5 1994 Chevrolet Truck 590 1499 135 9 5 1997 GMC Water Truck 542 23499 189 10 5 1998 Chevrolet Kodiak 3929 23499 189 11 5 1998 Ford F150 7073 1499 135 12 5 1999 Ford F150 71 1499 135 13 5 2000 Dodge RamWagon 2064 1499 135 14 5 2000 Chevrolet 1500 8117 1499 135 15 5 2000 Chevrolet C250 6572 23499 189 16 5 2001 Ford F350 9207 23499 189 17 5 2002 Chevrolet Silverado 6809 1499 135 18 5 2002 Chevrolet Dump Trk 6558 33479 196 19 5 2004 Ford F467 2793 23499 189
20 5 2006 Superior Road Boom 806469 7994 130
22 5 2008 Ford F250 4345 1499 135 23 5 2009 Chevrolet Silverado 4587 1499 135 24 5 2010 Ford F150 5773 1499 135 25 5 2015 Chevrolet Silverado 3555 1499 135 26 5 2015 Chevrolet Silverado 6702 1499 135 27 5 2017 Ford F150 4664 7912 182 28 5 2016 Ford Fusion 4400 3 108
29 5 2003 Dodge Ram Truck 3119 1499 135
30 5 2009 Chevrolet Express Van 412 1499 135
31 5 2016 Ford Explorer PI 4637 1499 135 32 5 2016 Ford Explorer PI 4636 1499 135 33 5 2017 Ford Explorer PI 4117 7912 182 34 5 2017 Ford Explorer PI 2553 7912 182 35 5 2018 Chevrolet Tahoe 3676 1499 135 36 5 2009 Toyota Tacoma 3119 1499 135 37 5 2016 Ford Explorer PI 4639 1499 135 38 5 2017 Ford Explorer PI 4118 7912 182 39 5 2017 Ford Explorer PI 2551 7912 182 40 5 2019 Ford Explorer 5194 1499 135 41 5 2016 Ford Explorer PI 4641 1499 135 42 5 2016 Ford Explorer PI 4640 1499 135 43 5 2017 Ford Explorer PI 2552 7912 182 44 5 2018 Ford Explorer PI 8246 7912 182 45 5 2016 Ford Explorer PI 4643 1499 135 46 5 2017 Ford Explorer PI 4119 7912 182 47 5 2017 Ford Explorer PI 2554 7912 182 48 5 2018 Ford Explorer PI 8248 7912 182
49 5 2008 Chevrolet Impala 9096 3 108 50 5 2016 Ford Explorer PI 4644 1499 135 51 5 2016 Ford Explorer PI 4645 1499 135 52 5 2017 Ford Explorer PI 2555 7912 182 53 5 2019 Ford Explorer 5188 1499 135 54 5 2016 Ford Explorer PI 4646 1499 135 55 5 2017 Ford Explorer PI 4120 7912 182 56 5 2017 Ford Explorer PI 4121 7912 182 57 5 2017 Ford Explorer PI 2556 7912 182 58 5 2018 Ford Explorer PI 8244 7912 182 59 5 2018 Ford Explorer PI 8247 7912 182 60 5 2018 Ford Explorer PI 8245 7912 182 61 5 2016 Ford Explorer PI 4647 1499 135 62 5 2016 Ford Explorer PI 4648 1499 135 63 5 2017 Ford Explorer PI 4122 7912 182 64 5 2017 Ford Explorer PI 2550 7912 182 65 5 2016 Ford Fusion 2397 3 108 66 5 2017 Ford Fusion 2004 3 108 67 5 2018 Ford Fusion 8974 3 108 68 5 2018 Ford Fusion 4670 3 108 69 5 2019 Ford F150 0597 1499 135
70 5 2002 GEM E825 Electric 7853 3 108
71 5 2008 Chevrolet Van 2710 1499 135
72 5 2014 Freightliner M2 106 2016 40499 335
73 5 2016 Chevrolet Express 7051 1499 135
74 5 2004 Ford Ranger 1793 1499 135
76 5 2011 GMC Terrain 711 1499 135 77 5 2011 Ford Escape 3013 1499 135 78 5 2011 Ford Fusion 2255 3 108 79 5 2012 Ford Fusion 5509 3 108 80 5 2012 Ford Escape 3848 1499 135 81 5 2013 Chevrolet Equinox 4520 1499 135 82 5 2014 GMC Sierra PU 1336 1499 135 83 5 2016 Chevrolet Malibu 8813 3 108 84 5 2016 Chevrolet Malibu 2957 3 108 85 5 2017 Ford Expedition 9593 1499 135 86 5 2019 Ford Fusion 2501 3 108 87 5 2019 Ford Fusion 9130 3 108 88 5 2019 Ford Fusion 9127 3 108 89 5 2007 Ford EconVan 5735 1499 135 90 5 1999 Ford Econo Trk 980 1499 135 91 5 2014 Ford ECO 3937 1499 135 92 5 2015 Ford E450 8917 23499 189 93 5 2017 Ford Fusion 2005 3 108
94 5 2019 Ford E-450 Box Truck 1372 23499 189
95 5 1999 Dodge ChasisCab 5177 7912 182
96 5 2002 Chevrolet Express Van 6095 1499 135
97 5 2003 Chevrolet Truck 1572 7912 182
98 5 2005 Chevrolet Express Van 0024 1499 135
99 5 2006 Chevrolet Silverado 132 7912 182
100 5 2006 Chevrolet Silverado 133 7912 182
101 5 2007 Ford F150 3447 7912 182
103 5 2009 Ford F350 1559 23499 189 104 5 2009 Ford F150 5688 7912 182 105 5 2009 Ford F150 5689 7911 123 106 5 2012 Ford F150 3218 1499 135 107 5 2012 Ford F150 3219 1499 135 108 5 2013 Ford F150 6792 1499 135 109 5 2013 Ford F150 6793 1499 135 110 5 2015 Ford F150 287 1499 135 111 5 2015 Dodge 1500 1758 1499 135 112 5 2015 Dodge 1500 1804 1499 135 113 5 2016 Ford F150 3168 1499 135 114 5 2017 Ford F550 9309 23499 189
115 5 2019 Ford Transit Connect XL 7357 1499 135
116 5 2019 Chevrolet Silverado 1500 4343 1499 135 117 5 2004 GMC Yukon 1148 7912 182 118 5 2008 Chevrolet Impala 979 3 108 119 5 2008 Chevrolet Impala 952 3 108 120 5 2008 Chevrolet Impala 3136 3 108 121 5 2008 Chevrolet Impala 506 3 108 122 5 2009 Chevrolet Impala 9030 3 108 123 5 2009 Chevrolet Impala 5387 3 108 124 5 2011 Ford F350 0088 23499 189 125 5 2011 Ford Fusion 2254 3 108 126 5 2015 Chevrolet Tahoe 1115 1499 135 127 5 2017 Ford Fusion 2003 3 108 128 5 2019 Ford F150 0596 1499 135 129 5 2012 Ford F150 6680 1499 135
130 5 2013 Nissan Altima 1677 3 108 131 5 2019 Volkswagen Atlas 5263 3 108 132 5 2019 Dodge Charger 5761 3 108 133 5 2019 Dodge Charger 5770 3 108 134 5 2019 Ford F150 4740 1499 135 135 5 2019 Ford F150 4741 1499 135 136 5 2019 Ford F150 4742 1499 135 137 5 2020 Chevrolet Tahoe 5222 1499 135 138 5 2020 Chevrolet Tahoe 6436 1499 135 139 5 2020 Chevrolet Traverse 3316 1499 135
140 5 2001 Ford E-150 Econo 9311 1499 135
141 5 2006 Ford 150Van 7186 1499 135 142 5 2013 Ford E150 5096 1499 135 143 5 2014 Ford ECO 3938 1499 135 144 5 2016 Ford Fusion 4570 3 108 145 5 2019 Ford Fusion 9133 3 108 146 5 1999 Ford F150 4247 1499 135 147 5 2000 GMC VAN 515 1499 135
148 5 2000 Dodge Ram Wagon 4683 1499 135
149 5 2000 Ford F150 1808 1499 135 150 5 2001 Chevrolet Malibu 393 3 108 151 5 2001 Chevrolet ExpressVan 8581 1499 135 152 5 2006 Ford Freestar 2943 1499 135 153 5 2006 Ford Escape 3853 1499 135 154 5 2006 Chevrolet Trailblazer 3573 1499 135 155 5 2007 Ford Exedition 2211 1499 135 156 5 2015 GMC Silverado 3517 1499 135
157 5 2006 Ford Expedition 2845 1499 135 158 5 2009 Ford Fusion 1435 3 108 159 5 2015 Chevrolet Tahoe 5799 1499 135 160 5 2014 Ford F150 3589 1499 135 161 5 2017 Ford Explorer 4123 1499 135 162 5 1997 Ford Van 6007 1499 135 163 5 2006 Dodge Ram 3606 1499 135 164 5 2009 Toyota Tacoma 2396 1499 135 165 5 2009 Toyota Tacoma 2925 1499 135 166 5 2009 Chevrolet Tahoe 3203 1499 135 167 5 2010 Ford Fusion 7779 3 108 168 5 2010 Toyota Corolla 7448 3 108 169 5 2010 Ford Truck 1921 1499 135 170 5 2010 Toyota Corolla 740 3 108 171 5 2010 Dodge Ram2500 6575 1499 135 172 5 2010 Ford F150 1922 1499 135 173 5 2011 Chevrolet Equinox 9440 1499 135 174 5 2011 Ford Escape 4346 1499 135 175 5 2011 Ford Escape 4347 1499 135 176 5 2011 Ford F150 2288 1499 135 177 5 2011 Ford F150 3264 7912 182 178 5 2011 Ford F150 2920 7912 182 179 5 2011 Ford F150 2919 7912 182 180 5 2009 Ford F350 8927 23499 189
181 5 2019 Ford F350 Flat Bed 5107 1499 135
182 5 2000 GMC Safari Van 9330 1499 135
184 5 2013 Ford F150 7302 1499 135 185 5 2018 Ford F150 5361 1499 135 186 5 1992 GMC Top Kick 25 23499 189 187 5 1994 Chevrolet Cheyenne 3768 1499 135 188 5 1995 GMC Srv Trk 109 1499 135 189 5 1995 International Truck 3851 50499 374 190 5 1995 International Truck 7624 50499 374 191 5 1996 GMC/Volvo Semi-Tractor 4087 50499 374 192 5 1997 Ford F800wtrtrk 543 33499 227 193 5 1997 GMC MedDuty 2551 23499 189 194 5 1997 GMC Ut Tandem 2823 23499 189 195 5 1997 Ford F350 3916 23499 189 196 5 1999 Sterling Tractor 2059 50499 374 197 5 1999 Sterling Tractor 2060 50499 374 198 5 1999 Sterling Tractor 2061 50499 374 199 5 1999 Sterling Tractor 2062 50499 374 200 5 1999 Dodge Ram2500 8649 1499 135 201 5 1999 Chevrolet 3500 1950 1499 135 202 5 2000 Ford Explorer 8846 1499 135 203 5 2000 GMC CSRA 239 1499 135 204 5 2000 Chevrolet Kodiak 1430 23499 189 205 5 2000 F-Liner FL80 1619 40499 335 206 5 2000 F-Liner FL80 1620 40499 335 207 5 2000 F-Liner FL-60 4200 40499 335 208 5 2000 Weststar TrkTractor 5220 50499 374 209 5 2000 GMC WaterTrk 5556 33499 227 210 5 2000 Sterling LT9500 6478 50499 374
211 5 2000 F-Liner FL80 9229 40499 335 212 5 2000 Ford F250 5444 1499 135 213 5 2000 Chevrolet C650 1741 33499 227 214 5 2001 Chevrolet Kodiak 88 23499 189 215 5 2001 Ford F150 591 1499 135 216 5 2001 Chev Kodiak 9959 23499 189 217 5 2002 Chevrolet Kodiak 14108 23499 189 218 5 2002 Chevrolet 3500 6480 23499 189 219 5 2002 Ford F650 8515 33499 227
220 5 2003 Freightliner Schwarze Sweeper 7681 7994 130
221 5 2002 Rosco Road Boom 38531 7994 130
222 5 2003 Ford Expedition 2053 1499 135 223 5 2003 Ford F467 9798 23499 189 224 5 2003 Ford F467 9809 23499 189 225 5 2003 Dodge 1500 934 1499 135 226 5 2004 Ford F-75 4614 1499 135 227 5 2004 Ford F-75 4615 1499 135 228 5 2004 Sterling LT9500 6521 50499 374 229 5 2004 Sterling LT9500 9596 50499 374 230 5 2004 Sterling LT9500 9597 50499 374 231 5 2005 Chevrolet Silverado 320 1499 135 232 5 2005 Chevrolet PU 626 1499 135 233 5 2005 Ford F750 2834 33499 227 234 5 2005 Ford F750 2839 33499 227 235 5 2005 Ford F150 6481 1499 135 236 5 2005 Ford F150 6482 1499 135 237 5 2005 Ford F150 6483 1499 135
238 5 2005 Ford F150 6484 1499 135 239 5 2005 Ford F150 6485 1499 135 240 5 2005 Ford F-150 6486 1499 135 241 5 2006 International 7600 575 50499 374 242 5 2006 Ford F150 5100 1499 135 243 5 2006 International Truck 8301 50499 374 244 5 2006 International 7600SAB 8302 50499 374 245 5 2006 Chevrolet Silverado 9860 1499 135 246 5 2006 Chevrolet Silverado 753 1499 135 247 5 2006 Chevrolet Silverado 750 1499 135 248 5 2006 Chevrolet Silverado 135 1499 135 249 5 2006 Sterling Dump Tk 5189 40479 303 250 5 2007 Chevrolet C6500 5423 23499 189 251 5 2007 Sterling Sweeper 4086 7994 130 252 5 2008 International 7600SBA 4833 50499 374 253 5 2008 International 7600SBA 4834 50499 374 254 5 2008 International 7600SBA 4835 50499 374 255 5 2008 Ford CrewCab 1253 1499 135 256 5 2008 Ford F250 1574 23499 189 257 5 2008 Chevrolet C6500 1177 23499 189 258 5 2008 F-Liner M2106 9061 40499 335 259 5 2008 Chevrolet Silverado 7360 1499 135 260 5 2008 Chevrolet Silverado 2568 1499 135 261 5 2008 Chevrolet Silverado 2752 1499 135 262 5 2008 Chevrolet Kodiak 1133 23499 189 263 5 2009 Sterling LT9500 5110 50499 374 264 5 2009 Sterling LT9500 5111 50499 374
265 5 2009 Chevrolet Silverado 3482 1499 135
266 5 2009 GMC T7500 3846 33499 227
267 5 2009 Supieror Broom Sweeper 809872 7994 130
268 5 2010 Kenworth T800 2447 50499 374
269 5 2011 Freightliner M2106 9996 50499 374
270 5 2011 Freightliner M2106 9997 40499 335
271 5 2011 Ford F550 8618 23499 189
272 5 2011 Broce Road Boom 407250 7994 130
273 5 2011 Broce Road Boom 407251 7994 130
274 5 2012 Ford F250 7777 23499 189 275 5 2012 Ford F250 7778 23499 189 276 5 2012 Ford F250 7779 23499 189 277 5 2013 Chevrolet Silverado 82372 1499 135 278 5 2013 Chevrolet Tahoe 69959 1499 135 279 5 2015 Ford F250 2861 23499 189 280 5 2015 Chevrolet Silverado 2589 1499 135
281 5 2015 Kubota Road Boom 409352 7994 130
282 5 2016 International 7400 7613 40499 335
283 5 2016 Ford F150 3169 1499 135
284 5 2016 Freightliner JF8660 8660 50499 374
285 5 2016 Superior Road Boom 816438 7994 130
286 5 2017 International Cab & Chassis 9022 50499 374
287 5 2017 Ford Expedition 7438 1499 135
288 5 2018 Freightliner M2106 755 40499 335
289 5 2018 Ford F150 2580 1499 135
290 5 2018 Ford F150 2581 1499 135
292 5 2019 International 7300 SBA 4x2 1275 50499 374 293 5 2019 Freightliner 108SD 1175 50499 374 294 5 2019 Freightliner 108SD 1176 50499 374 295 5 2019 Freightliner 108SD 1177 50499 374 296 5 2019 Freightliner 108SD 1470 50499 374 297 5 2019 Chevrolet Silverado 5285 1499 135 298 5 2019 Chevrolet Silverado 5563 1499 135
299 5 2020 Freightliner Dump Truck 7477 33479 196
300 5 2020 Freightliner Dump Truck 7478 33479 196
301 5 2020 Freightliner Dump Truck 7479 33479 196
302 5 2020 Freightliner Dump Truck 7480 33479 196
303 5 2020 Freightliner Casadia 122SD 5743 50499 374
304 5 2020 Freightliner Casadia 122SD 5744 50499 374
305 5 2020 Freightliner 122SD 5745 50499 374
306 5 1953 Chevrolet Pick Up N355044CAL 7912 182
307 5 1993 Amercican Hummer 6166 7912 182
308 5 1993 Amercican Hummer 9796 7912 182
309 5 1995 GMC Humvee 3179 7912 182
310 5 1995 Chevrolet S10 2003 1499 135
311 5 1996 Chevrolet Box Van 8682 7912 182
312 5 1996 Dodge Dakota 5592 7912 182
313 5 1999 AmTran Genesis 87778 6484 552
314 5 1999 Chevrolet Astro Van 3803 1499 135
315 5 2000 GMC Flatbed 4749 7912 182
316 5 2001 Chevrolet Tahoe 5561 1499 135
317 5 2001 Chevrolet Silverado 8285 7912 182
319 5 2003 Ford Crown Vic 418 7912 182
320 5 2003 Ford Crown Vic 1843 7911 123
321 5 2003 Ford Crown Vic 1844 7911 123
322 5 2003 Ford Crown Vic 3021 7911 123
323 5 2003 Ford Crown Vic 3022 7911 123
324 5 2003 Ford Crown Vic 3023 7911 123
325 5 2003 Ford Crown Vic 3024 7911 123
326 5 2003 Ford Crown Vic 3026 7911 123
327 5 2003 Ford Crown Vic 3028 7911 123
328 5 2003 Ford Crown Vic 4821 7911 123
329 5 2003 Ford Crown Vic 4822 7911 123
330 5 2003 Ford ClbWagon 4959 7912 182 331 5 2003 Ford Explorer 7917 7912 182 332 5 2004 Dodge PK 62116 7912 182 333 5 2004 Ford Van 6458 7912 182 334 5 2005 GMC Hummer 1349 7912 182 335 5 2005 Chevrolet Silverado 6971 7912 182 336 5 2005 Chevrolet Silverado 8215 7912 182 337 5 2006 Chevrolet 1500 21929 7912 182 338 5 2006 Chevrolet 1500 1973 7912 182 339 5 2006 Chevrolet CrewCab 6089 7912 182
340 5 2006 Ford Crown Vic 7109 7911 123
341 5 2006 Ford Crown Vic 6311 7911 123
342 5 2006 Chevrolet Van 8536 7912 182
343 5 2006 Chevrolet Van 6513 7912 182
344 5 2007 Ford F150 6545 1499 135
346 5 2007 Ford Taurus 680 7911 123 347 5 2007 Ford Taurus 922 7911 123 348 5 2007 Chevrolet Van 2116 7912 182 349 5 2007 Chevrolet Van 4097 7912 182 350 5 2007 Ford Expedition 4919 7912 182 351 5 2007 Ford Expedition 4920 7912 182 352 5 2007 Ford Winneba 8250 7961 114 353 5 2007 Chevrolet Impala 8475 7911 123
354 5 2007 Ford Crown Vic 9375 7911 123
355 5 2007 Ford Interceptor 447 7911 123 356 5 2007 Ford Interceptor 448 7911 123 357 5 2007 Ford Interceptor 451 7911 123 358 5 2007 Ford Interceptor 454 7911 123 359 5 2007 Ford Interceptor 455 7911 123 360 5 2007 Ford Interceptor 457 7911 123 361 5 2007 Ford Taurus 662 7911 123 362 5 2007 Ford Explorer 5100 7912 182 363 5 2007 Ford F150 9687 7912 182 364 5 2007 Chevrolet Silverado 8539 1499 135 365 5 2007 Ford F150 0045 7912 182 366 5 2008 Chevrolet Van 13 7912 182 367 5 2008 Ford 139Super 73 7912 182 368 5 2008 Ford 139Super 75 7912 182 369 5 2008 Ford CrVic 162 7911 123 370 5 2008 Ford Focus 2371 7911 123 371 5 2008 Ford Focus 2373 7911 123 372 5 2008 Ford Focus 2376 7911 123
373 5 2008 Ford Focus 2377 7911 123 374 5 2008 Ford Interceptor 4215 7911 123 375 5 2008 Chevrolet Silverado 4315 7912 182 376 5 2008 Ford Interceptor 5066 7911 123 377 5 2008 Ford Interceptor 5069 7911 123 378 5 2008 Ford Interceptor 5070 7911 123 379 5 2008 Ford Interceptor 5072 7911 123 380 5 2008 Ford Interceptor 5074 7911 123 381 5 2008 Ford Interceptor 5075 7911 123 382 5 2008 Ford F550 620 7912 182 383 5 2008 Chrysler Town/Country 8682 7912 182 384 5 2008 Chevrolet Avalanche 1052 7912 182 385 5 2008 Chevrolet Impala 4625 7911 123 386 5 2009 Toyota Tacoma 4073 1499 135 387 5 2009 Chevrolet Silverado 1267 7912 182 388 5 2009 Chevrolet Silverado 2763 7912 182 389 5 2009 Ford Focus 6520 7911 123 390 5 2009 Ford Focus 6523 7911 123 391 5 2009 Ford Focus 6525 7911 123 392 5 2009 Ford Focus 6526 7911 123 393 5 2009 Ford Focus 76530 7911 123
394 5 2009 Ford Crown Vic 6647 7911 123
395 5 2009 Chevrolet Van 9120 7912 182
396 5 2009 Ford Crown Vic 4216 7911 123
397 5 2009 Ford Crown Vic 4217 7911 123
398 5 2009 Ford Crown Vic 4219 7911 123
400 5 2009 Ford Crown Vic 4221 7911 123
401 5 2009 Ford Crown Vic 4223 7911 123
402 5 2009 Ford Crown Vic 4234 7911 123
403 5 2009 Ford Interceptor 4218 7911 123 404 5 2009 Ford Interceptor 4225 7911 123 405 5 2009 Ford Interceptor 4230 7911 123 406 5 2009 Ford Interceptor 4231 7911 123 407 5 2009 Ford Interceptor 4232 7911 123 408 5 2009 Ford Interceptor 4233 7911 123
409 5 2009 Ford Crown Vic 6648 7911 123
410 5 2009 Ford Crown Vic 1965 7911 123
411 5 2009 Honda Civic 7249 7911 123 412 5 2009 Toyota Tacoma 5566 1499 135 413 5 2009 Toyota Tacoma 3118 7912 182 414 5 2009 Toyota Tacoma 0841 7912 182 415 5 2009 Toyota Tacoma 3260 7912 182 416 5 2009 Toyota Tacoma 2651 7912 182 417 5 2010 Chevrolet ExpressVan 1184 7912 182 418 5 2010 Chevrolet ExpressVan 1452 7912 182 419 5 2010 Ford Fusion 2790 7911 123 420 5 2010 Ford Fusion 2791 7911 123 421 5 2010 Ford F150 4612 7912 182 422 5 2010 Ford F150 4617 7912 182
423 5 2010 Ford Crown Vic 6222 7911 123
424 5 2010 Ford Crown Vic 6223 7911 123
425 5 2010 Ford Crown Vic 6225 7911 123
427 5 2010 Ford Fusion 6666 7911 123 428 5 2010 Ford Fusion 6667 7911 123 429 5 2010 Ford F150 928 7912 182 430 5 2010 Ford F150 7074 7912 182 431 5 2010 Ford F150 7930 7912 182 432 5 2010 Ford F150 7928 7912 182 433 5 2010 Ford Focus 5587 7911 123 434 5 2010 Honda Civic 718 7911 123
435 5 2010 Ford Crown Vic 3949 7911 123
436 5 2010 Ford Crown Vic 3948 7911 123
437 5 2010 Ford Crown Vic 3947 7911 123
438 5 2010 Ford Crown Vic 3946 7911 123
439 5 2010 Ford Crown Vic 3945 7911 123
440 5 2010 Ford Crown Vic 3944 7911 123
441 5 2010 Ford Crown Vic 3943 7911 123
442 5 2010 Ford Crown Vic 3942 7911 123
443 5 2010 Ford Crown Vic 2170 7911 123
444 5 2010 Ford Crown Vic 2169 7911 123
445 5 2010 Ford Taurus 2870 7911 123 446 5 2010 Toyota Corolla 8771 7911 123 447 5 2010 International C3411 Bus 8232 6484 552 448 5 2010 International C3411 Bus 8233 6484 552 449 5 2010 Ford Fusion 7780 7911 123 450 5 2011 Chevrolet Tahoe 6218 7912 182 451 5 2011 Chevrolet Tahoe 2753 7912 182 452 5 2011 Ford E450 5390 7912 182 453 5 2011 Ford Fusion 2334 7911 123
454 5 2011 Ford Fusion 2335 7911 123 455 5 2011 Ford Fusion 2336 7911 123 456 5 2011 Ford Fusion 3409 7911 123 457 5 2011 Ford Fusion 3410 7911 123 458 5 2011 Ford Fusion 3411 7911 123 459 5 2011 Ford Fusion 6625 7911 123 460 5 2011 Ford F150 3263 7912 182 461 5 2012 Ford F150 2559 7912 182 462 5 2012 Ford F150 6679 1499 135 463 5 2012 Ford Fusion 3010 7911 123 464 5 2012 Ford Fusion 3012 7911 123 465 5 2012 Ford Fusion 3013 7911 123 466 5 2012 Ford Fusion 3014 7911 123 467 5 2012 Ford Fusion 3015 7911 123 468 5 2012 Ford Fusion 3016 7911 123 469 5 2012 Ford Fusion 3017 7911 123 470 5 2012 Chevrolet Suburban 9815 7912 182 471 5 2012 IC Bus C3411 Bus 8926 6484 552 472 5 2012 Ford Escape XLT 3345 7912 182 473 5 2012 Ford Fusion 8241 7911 123 474 5 2012 Ford F150 3098 7912 182 475 5 2012 Ford F150 4792 7912 182 476 5 2012 Ford F150 4793 7912 182 477 5 2012 Ford F150 9820 7912 182 478 5 2012 Ford F150 9821 7912 182 479 5 2012 Ford Fusion 3011 7911 123 480 5 2013 Ford Truck 8062 7912 182
481 5 2013 Chevrolet Savanna 2582 7912 182 482 5 2013 Ford F150 3775 7912 182 483 5 2013 Ford Explorer 8629 7912 182 484 5 2013 Dodge Avenger SE 6870 7911 123 485 5 2013 Dodge Avenger SE 6871 7911 123 486 5 2013 Dodge Avenger SE 6872 7911 123 487 5 2013 Dodge Avenger SE 6873 7911 123 488 5 2013 Dodge Avenger SE 6874 7911 123 489 5 2013 Dodge Avenger SE 6875 7911 123 490 5 2013 Dodge Avenger SE 6876 7911 123 491 5 2013 Dodge Avenger SE 4179 7911 123 492 5 2013 Dodge Avenger SE 4180 7911 123 493 5 2013 Dodge Avenger SE 4183 7911 123 494 5 2013 Dodge Avenger SE 4184 7911 123 495 5 2013 Dodge Avenger SE 4185 7911 123 496 5 2013 Dodge Avenger SE 4186 7911 123 497 5 2013 Dodge Avenger SE 4181 7911 123 498 5 2013 Dodge Avenger SE 4182 7911 123 499 5 2013 Dodge Avenger SE 6925 7911 123 500 5 2013 Dodge Avenger SE 6926 7911 123 501 5 2013 Dodge Avenger SE 6928 7911 123 502 5 2013 Dodge Avenger SE 6932 7911 123 503 5 2013 Dodge Avenger SE 6927 7911 123 504 5 2013 Dodge Avenger SE 6929 7911 123 505 5 2013 Dodge Avenger SE 6930 7911 123 506 5 2013 Dodge Avenger SE 6869 7911 123 507 5 2013 Ford Explorer PI 7100 7912 182
508 5 2013 Ford Explorer PI 7101 7912 182 509 5 2013 Ford Explorer PI 7102 7912 182 510 5 2013 Ford Explorer PI 7103 7912 182 511 5 2013 Ford Explorer PI 7104 7912 182 512 5 2013 Ford Explorer PI 7105 7912 182 513 5 2013 Ford Explorer PI 7106 7912 182 514 5 2013 Ford Explorer PI 7107 7912 182 515 5 2013 Ford Explorer PI 7108 7912 182 516 5 2013 Ford Explorer PI 7110 7912 182 517 5 2013 Ford Explorer PI 7111 7912 182 518 5 2013 Ford Explorer PI 7112 7912 182 519 5 2013 Ford Explorer PI 7113 7912 182 520 5 2013 Ford Explorer PI 7096 7912 182 521 5 2013 Ford Explorer PI 7097 7912 182 522 5 2013 Ford Explorer PI 7098 7912 182 523 5 2013 Ford Explorer PI 7099 7912 182 524 5 2013 Ford Transit 8707 7912 182 525 5 2013 Ford Transit 7227 7912 182 526 5 2014 Ford Explorer PI 3364 7912 182 527 5 2014 Ford Explorer PI 3365 7912 182 528 5 2014 Ford Explorer PI 3366 7912 182 529 5 2014 Ford Explorer PI 3367 7912 182 530 5 2014 Ford Explorer PI 3368 7912 182 531 5 2014 Ford Explorer PI 3369 7912 182 532 5 2014 Ford Explorer PI 3371 7912 182 533 5 2014 Ford Explorer PI 3372 7912 182 534 5 2014 Ford Explorer PI 3373 7912 182
535 5 2014 Ford Explorer PI 3374 7912 182 536 5 2014 Ford Explorer PI 3375 7912 182 537 5 2014 Ford Explorer PI 3376 7912 182 538 5 2014 Ford Explorer PI 3377 7912 182 539 5 2014 Ford Explorer PI 3378 7912 182 540 5 2014 Ford Explorer PI 3379 7912 182 541 5 2014 Ford Explorer PI 3380 7912 182 542 5 2014 Ford Explorer PI 3381 7912 182 543 5 2014 Ford Explorer PI 3382 7912 182 544 5 2014 Ford Explorer PI 3383 7912 182 545 5 2014 Ford Explorer PI 3384 7912 182 546 5 2014 Ford Explorer PI 3385 7912 182 547 5 2014 Ford Explorer PI 3386 7912 182 548 5 2014 Ford Explorer PI 3387 7912 182 549 5 2014 Ford Explorer PI 3388 7912 182 550 5 2014 Ford Explorer PI 3389 7912 182 551 5 2014 Ford Explorer PI 3390 7912 182 552 5 2014 Ford Explorer PI 3391 7912 182 553 5 2014 Ford Explorer PI 3393 7912 182 554 5 2014 Ford Explorer PI 3394 7912 182 555 5 2014 Ford Explorer PI 3395 7912 182 556 5 2014 Ford Explorer PI 3396 7912 182 557 5 2014 Ford Explorer PI 3397 7912 182 558 5 2014 Ford Explorer PI 3398 7912 182 559 5 2014 Ford Explorer PI 3399 7912 182 560 5 2014 Ford Explorer PI 3400 7912 182 561 5 2014 Ford Explorer PI 3401 7912 182
562 5 2015 Ford Expedition F13394 1499 135
563 5 2015 Ford Expedition F13393 1499 135
564 5 2015 Ford Explorer SUV 1803 1499 135
565 5 2015 Ford Explorer SUV 1804 1499 135
566 5 2015 Ford Explorer SUV 1805 1499 135
567 5 2015 Ford Explorer SUV 1806 1499 135
568 5 2015 Ford Explorer SUV 1807 1499 135
569 5 2015 Ford Explorer SUV 1808 1499 135
570 5 2015 Ford Explorer SUV 1809 1499 135
571 5 2015 Ford Explorer SUV 1810 1499 135
572 5 2015 Ford Explorer SUV 1811 1499 135
573 5 2015 Ford Explorer SUV 1813 1499 135
574 5 2015 Chevrolet Van Express 3556 1499 135
575 5 2015 Dodge Durango 1887 7912 182 576 5 2016 Ford Fusion 9010 7911 123 577 5 2016 Ford Fusion 9011 7911 123 578 5 2016 Ford Fusion 9012 7911 123 579 5 2016 Ford Fusion 9013 7911 123 580 5 2016 Ford Fusion 9014 7911 123 581 5 2016 Ford Fusion 9015 7911 123 582 5 2016 Ford Fusion 9016 7911 123 583 5 2016 Ford Fusion 9017 7911 123 584 5 2016 Ford Fusion 9018 7911 123 585 5 2016 Ford Fusion 9019 7911 123 586 5 2016 Ford Fusion 9020 7911 123 587 5 2016 Ford F150 8910 7912 182 588 5 2016 Ford Fusion 4389 7911 123
589 5 2016 Ford Fusion 4388 7911 123 590 5 2016 Ford Fusion 2425 7911 123 591 5 2016 Ford Fusion 2420 7911 123 592 5 2016 Ford Fusion 2421 7911 123 593 5 2016 Ford Explorer 4638 7912 182 594 5 2016 Ford Explorer 4642 7912 182 595 5 2016 Ford Explorer 1604 1499 135 596 5 2016 Ford Explorer 1514 1499 135 597 5 2016 Ford F250 4865 1499 135 598 5 2016 Ford Explorer 2968 1499 135 599 5 2017 Ford Explorer PI 4111 1499 135 600 5 2017 Ford Explorer PI 4112 1499 135 601 5 2017 Ford Explorer PI 4113 7912 182 602 5 2017 Ford Explorer PI 4114 7912 182 603 5 2017 Ford Explorer PI 4115 7912 182 604 5 2017 Ford Explorer PI 4116 7912 182 605 5 2017 International Bus 5689 6484 552 606 5 2017 Ford F250 7195 7912 182 607 5 2017 Ford F250 7196 1499 135 608 5 2017 Ford F250 7197 1499 135 609 5 2017 Ford Explorer PI 2813 7912 182 610 5 2017 Ford Explorer PI 2545 7912 182 611 5 2017 Ford Explorer PI 2546 7912 182 612 5 2017 Ford Explorer PI 2547 7912 182 613 5 2017 Ford Explorer PI 2548 7912 182 614 5 2017 Ford Explorer PI 2549 7912 182 615 5 2018 Ford Fusion 8976 7911 123
616 5 2018 Ford Fusion 8977 7911 123 617 5 2018 Harley Davidson FLHTP 2325 7942 63 618 5 2018 Harley Davidson FLHTP 4724 7942 63 619 5 2018 Harley Davidson FLHTP 3153 7942 63 620 5 2018 Harley Davidson FLHTP 2983 7942 63 621 5 2018 Harley Davidson FLHTP 2426 7942 63 622 5 2018 Harley Davidson FLHTP 4600 7942 63 623 5 2018 Harley Davidson FLHTP 4444 7942 63 624 5 2018 Harley Davidson FLHTP 2872 7942 63 625 5 2018 Harley Davidson FLHTP 2548 7942 63 626 5 2018 Ford Fusion 0198 7911 123 627 5 2018 Ford Explorer PI 8239 7912 182 628 5 2018 Ford Explorer PI 8240 7912 182 629 5 2018 Ford Explorer PI 8243 7912 182 630 5 2018 Ford Explorer PI 8241 7911 123 631 5 2018 Ford Explorer PI 8238 7912 182 632 5 2018 Ford Explorer PI 8237 7912 182 633 5 2018 Ford Explorer PI 8242 7912 182
634 5 2018 Ford Transit Van 1972 1499 135
635 5 2018 Ford Transit Van 1970 1499 135
636 5 2018 Ford Transit Van 0446 1499 135
637 5 2018 Ford Transit Van 0445 1499 135
638 5 2018 Ford Transit Van 1973 1499 135
639 5 2019 Ford Fusion 9126 3 108
640 5 2019 Ford Fusion 9128 3 108
641 5 2019 Ford Fusion 9129 3 108
643 5 2019 Ford Fusion 9132 3 108 644 5 2019 Ford Explorer 5185 1499 135 645 5 2019 Ford Explorer 5186 1499 135 646 5 2019 Ford Explorer 5187 1499 135 647 5 2019 Ford Explorer 5189 1499 135 648 5 2019 Ford Explorer 5190 1499 135 649 5 2019 Ford Explorer 5191 1499 135 650 5 2019 Ford Explorer 5192 1499 135 651 5 2019 Ford Explorer 5193 1499 135 652 5 2019 Ford Explorer 5483 1499 135 653 5 2019 Ford Explorer 5484 1499 135 654 5 2019 Ford F150 2773 7912 182 655 5 2019 Ford F150 2541 7912 182 656 5 2006 Chevrolet Van 5119 1499 135 657 5 2009 Hyundai Sante Fe 977 1499 135 658 5 2007 Chevrolet Malibu 8272 3 108 659 5 2015 Dodge Durango SXT 3566 1499 135 660 5 2007 Chevrolet Malibu 4108 3 108 661 5 2013 Dodge Avenger SE 2800 3 108 662 5 2017 Ford Fusion 2002 3 108 663 5 2018 Ford Fusion 8973 3 108 664 5 2020 Ford F150 1800 1499 135 665 5 2020 Ford F150 5378 1499 135 666 5 2019 Freightliner M2106 5295 40499 335 667 5 2020 Chevrolet Silverado 1832 1499 135 668 5 2020 Ford Explorer 5710 1499 135 669 5 2020 Ford Explorer 5713 1499 135
670 5 2020 Chevrolet Silverado 8701 1499 135 671 5 2020 Ford F150 3862 1499 135 672 5 2020 Ford F150 3861 1499 135 673 5 2020 Ford F150 3860 1499 135 674 5 2020 Freightliner M2 0716 40499 335 675 5 2020 Freightliner M2 0711 40499 335 676 5 2020 Ford Fusion 7707 3 108 677 5 2010 GMC Terrain 6447 1499 135 678 5 2020 Ford Fusion 7907 3 108 679 5 2007 Ford F150 46 1499 135 680 5 2004 Ford F350 137 23499 189 681 5 2020 Ford Fusion 7007 7911 123 682 5 2020 Ford Fusion 7713 7911 123 683 5 2020 Ford Fusion 7411 7911 123 684 5 2020 Ford Fusion 7414 7911 123 685 5 2020 Ford Fusion 7765 7911 123 686 5 2020 Ford Fusion 7729 7911 123 687 5 2020 Ford Fusion 7757 7911 123 688 5 2020 Ford Fusion 7721 7911 123 689 5 2020 Ford Fusion 7700 7911 123
PART 1
Name of Member: County of El Paso Interlocal Agreement Number: 20-F0574
Agreement Period: From: October 01, 2020 To: October 01, 2021 at 12:01 A.M. Standard Time at the Member's Mailing Address ITEM ONE
ITEM TWO - SCHEDULE OF COVERAGES
AND COVERED AUTOS
This Coverage document provides only those coverages where a limit is shown below. Each of these coverages will apply only to those autos shown as covered autos.
Autos are shown as covered autos for a particular coverage by the entry of one or more of the symbols from the COVERED AUTOS Section of the Texas Political Subdivisions Joint Self Insurance Fund Automobile Liability and Physical Damage Coverage Document.
COVERAGES COVERED AUTOS LIMIT
(Entry of one or more of the symbols from the COVERED AUTOS Section of the Texas Political Subdivisions Joint Self-Insurance Fund Automobile Liability and Physical Damage Coverage Document shows which autos are covered autos.)
THE MOST THE FUND WILL PAY FOR ANY ONE ACCIDENT OR LOSS LIABILITY Bodily Injury Property Damage Combined Liability Deductible
PERSONAL INJURY PROTECTION AUTO MEDICAL PAYMENTS
UNINSURED/UNDERINSURED MOTORISTS Bodily Injury Property Damage Combined Liability PHYSICAL DAMAGE PHYSICAL DAMAGE PHYSICAL DAMAGE PHYSICAL DAMAGE Comprehensive Coverage
Specified Causes of Loss Coverage
Collision Coverage
Towing and Labor
ITEM THREE - SCHEDULE OF COVERED AUTOS THE MEMBER OWNS
Covered Auto No. DESCRIPTION Except for Towing all physical damage loss is payable to the Member and the loss payee named below as interest may appear at the time of the loss.
Year; Model; Trade Name; Body Type; Serial Number (S); Vehicle Identification Number (VIN)
SEE SCHEDULE ADDENDA TO THE COVERAGE DOCUMENT
Stated Amount, Actual Cash Value or Cost of Repair, whichever is less, minus Ded. for each covered auto, but no deductible applies to loss caused by fire or lightning.
Stated Amount, Actual Cash Value or Cost of Repair, whichever is less, minus Ded. for each covered auto for loss caused by mischief or vandalism.
Stated Amount, Actual Cash Value or Cost of Repair, whichever is less, minus Ded. for each covered auto.
for each disablement of a private passenger auto. $400,000 Each Accident
$50,000 Each Accident
Each Person / Each Accident Each Accident
Each Accident
216a, 222, 223, 232, 236
Name of Member: County of El Paso Interlocal Agreement Number: 20-F0574 ITEM THREE - (Cont'd)
COVERAGE-LIMITS AND DEDUCTIBLES (Absence of a deductible or limit entry to any column below means that the limit or deductible entry in the corresponding ITEM TWO column of the Declarations applies instead)
Cov Auto No.
LIABILITY AUTO. MED PAY COMPREHENSIVE SPEC. CAUSES
OF LOSS
COLLISION TOWING &
LABOR
SEE SCHEDULE
ITEM FOUR-SCHEDULE OF HIRED OR BORROWED COVERED AUTO COVERAGE LIABILITY COVERAGE-RATING BASIS, COST OF HIRE
STATE TX
ESTIMATED COST OF HIRE FOR EACH STATE RATE PER EACH $100 COST OF HIRE CONTRIBUTION
If any See Schedule
Cost of hire means the total amount the Member incurs for the hire of autos the Member doesn't own (not including autos the Member borrows or rents for the Member's employees or persons in their family). Cost of hire does not include charges for services performed by motor carriers of property or passengers.
Limit (in Thousands)
Limit
(in Thousands) minus deductibleLimit* shown below Limit* Limit* minus deductible shown below Limit* per Disablement
*Limit stated in ITEM TWO.
PHYSICAL DAMAGE COVERAGE Coverages COMPREHENSIVE SPECIFIED CAUSES OF LOSS COLLISION LIMIT OF SELF-INSURANCE
THE MOST THE FUND WILL PAY, DEDUCTIBLE
ACTUAL CASH VALUE, COST OF REPAIRS OR , WHICHEVER IS LESS, MINUS DEDUCTIBLE FOR EACH COVERED AUTO, BUT NO DEDUCTIBLE APPLIES TO LOSS CAUSED BY FIRE OR LIGHTNING.
ACTUAL CASH VALUE, COST OF REPAIRS OR $ , WHICHEVER IS LESS, MINUS $25 DEDUCTIBLE FOR EACH COVERED AUTO FOR LOSS CAUSED BY MISCHIEF OR VANDALISM FOR EACH COVERED AUTO.
ACTUAL CASH VALUE, COST OF REPAIRS OR , WHICHEVER IS LESS, MINUS DEDUCTIBLE FOR EACH COVERED AUTO.
PHYSICAL DAMAGE COVERAGE for covered autos the Member hires or borrows is excess unless indicated below by "x". If this box is checked, PHYSICAL DAMAGE COVERAGE applies on a direct primary basis and for purposes of the condition entitled OTHER INSURANCE, any covered auto the Member hires or borrows is deemed to be a covered auto the Member owns. ITEM FIVE-SCHEDULE FOR NON-OWNERSHIP LIABILITY
THE MEMBER'S BUSINESS OTHER THAN A SOCIAL SERVICE AGENCY SOCIAL SERVICE AGENCY
RATING BASIS NUMBER CONTRIBUTION
Number of Employees
Number of Employees Number of Partners
Number of Partners
SECTION I. - COVERED AUTOS
ITEM TWO of the Declarations shows the Autos that are covered Autos for each of the Member's coverages. The following numerical symbols describe the Autos that may be covered Autos. The symbols entered next to a coverage on the Declarations designate the only Autos that are covered Autos.
A. DESCRIPTION OF COVERED AUTO DESIGNATION SYMBOLS
SYMBOL DESCRIPTION
1 = ANY AUTO
2 = OWNED AUTOS ONLY. Only those Autos the Member owns (and for Liability Coverage any Trailers the Member does not own while attached to power units the Member owns). This includes those autos the Member acquires ownership of after the Agreement Period begins.
3 = OWNED PRIVATE PASSENGER AUTOS ONLY. Only the private passenger
Autos the Member owns. This includes those private passenger Autos the Member acquires ownership of after the Agreement Period begins.
4 = OWNED AUTOS OTHER THAN PRIVATE PASSENGER AUTOS ONLY. Only those Autos the Member owns that are not of the private passenger type (and for Liability Coverage any Trailers the Member does not own while attached to power units the Member owns). This includes those Autos not of the private passenger type the Member acquires ownership of after the Agreement
Period begins.
5 = OWNED AUTOS SUBJECT TO NO-FAULT. Only those Autos the Member owns that are required to have No-Fault benefits in the state where they are licensed or principally garaged. This includes those Autos the Member acquires ownership of after the Agreement Period begins provided they are required to have No-Fault benefits in the state where they are licensed or principally garaged.
6 = OWNED AUTOS SUBJECT TO A COMPULSORY UNINSURED
MOTORISTS LAW. Only those Autos the Member owns that because of the law in the state where they are licensed or principally garaged are required to have and cannot reject Uninsured Motorists Coverage. This includes those Autos the Member acquires ownership of after the Agreement Period begins provided they are subject to the same state uninsured motorists requirement.
7 = SPECIFICALLY DESCRIBED AUTOS. Only those Autos described in ITEM THREE of the Declarations (and for Liability coverage any Trailers the
Member does not own while attached to any power unit described in ITEM
9 = NONOWNED AUTOS ONLY. Only those Autos the Member does not own, lease, hire, rent or borrow that are used in connection with the Member's business. This includes Autos owned by the Member's employees or persons of their households but only while used in the Member's business.
B. OWNED AUTOS THE MEMBER ACQUIRES AFTER THE COVERAGE BEGINS
1. If symbols 1, 2, 3, 4, 5, 6, or 10 are entered next to a coverage in ITEM TWO of the Declarations, then the Member has coverage for Autos that the Member acquires of the type described for the remainder of the Agreement Period. However, the most the Fund will pay for Loss to a newly acquired Auto is $100,000. The Member must notify the
Fund or the Fund’s authorized representative within 30 days from the time the newly
acquired Auto is acquired if coverage for Loss to such Autos is desired in excess of the $100,000 limitation.
2. But, if symbol 7 is entered next to a coverage in ITEM TWO of the Declarations, an
Auto the Member acquires will be a covered Auto for that coverage only if:
a. The Fund already covers all Autos that the Member owns for that coverage or it replaces an Auto the Member previously owned that had that coverage; and b. The Member tells the Fund’s authorized representative within 30 days after the
Member acquires it that the Member wants the Fund to cover it for that
coverage.
C. CERTAIN TRAILERS, MOBILE EQUIPMENT AND TEMPORARY SUBSTITUTE
AUTOS
If Liability Coverage is provided by this Coverage Document, the following types of vehicles are also covered Autos for Liability Coverage without specific description.
1. Trailers with a load capacity of 2,000 pounds or less designed primarily for travel on public roads.
2. Trailers designed for use with and being pulled by a private passenger Auto, pickup, panel truck or van if not customarily used for business purposes with another type Auto. 3. Mobile Equipment while being carried or towed by a covered Auto.
4. Any Auto the Member does not own while used with the permission of its owner as a temporary substitute for a covered Auto the Member owns that is out of service because of its:
a. Breakdown; b. Repair;
e. Destruction.
SECTION II. - LIABILITY COVERAGE
A. COVERAGE
The Fund will pay all sums the Covered Party legally must pay as damages because of Bodily
Injury or Property Damage to which this self-insurance applies, caused by an Accident and
resulting from the ownership, maintenance or use of a covered Auto.
The Fund has the right and duty to defend any Suit asking for these damages. However, the
Fund has no duty to defend Suits for Bodily Injury or Property Damage not covered by this
self-insurance. The Fund may investigate and settle any claim or Suit as the Fund or its authorized representative considers appropriate. The Fund’s duty to defend or settle ends when the applicable Limit of Self-Insurance has been exhausted by payment of judgments or settlements.
1. COVERED PARTIES
The following are Covered Parties:
a. The Member for any covered Auto;
b. Any officer, director, elected or appointed official, any member of a board, commission or agency of the Member and any employee of the Member, when such persons are acting within the scope of their duties or employment as such (subject to paragraph d. (1), (2) and (3));
c. Any volunteer while acting within the scope of duties assigned by the Member and while under the general supervision of an officer, director, elected or appointed official, member of a board, commission or agency of the Member, or an employee of the Member (subject to paragraph d. (1), (2) and (3));
d. Anyone else while using with the Member's permission a covered Auto the
Member owns, hires or borrows except:
(1) The owner of a covered Auto a Covered Party hires or borrows from one of the Member's employees or a member of his or her household; (2) Someone using a covered Auto while he or she is working in a business
of the selling, servicing, repairing or parking Autos unless that business is the Member's;
(3) Anyone other than the Member's employees, a lessee or borrower or any of their employees, while moving property to or from a covered Auto. e. Anyone liable for the conduct of a Covered Party described above but only to
a. Supplementary Payments. In addition to the Limit of Self-Insurance, the Fund will pay for the Covered Party:
(1) All expenses the Fund incurs.
(2) Up to $250 for cost of bail bonds (including bonds for related traffic law violations) required because of an Accident the Fund covers. The Fund does not have to furnish these bonds.
(3) The cost of bonds to release attachments in any Suit the Fund defends, but only for bond amounts within the Limit of Self-Insurance.
(4) All reasonable expenses incurred by the Covered Party requested by the
Fund’s authorized representative, including actual loss of earnings up to
$100 a day because of time off from work.
(5) All costs taxed against the Covered Party in any Suit the Fund defends. (6) All interest on the full amount of any judgement that accrues after entry
of the judgment in any Suit the Fund defends; but the Fund’s duty to pay interest ends when the Fund has paid, offered to pay or deposited in court the part of the judgment that is within the Limit of Self-Insurance. b. Out of State Coverage Extensions
While a covered Auto is away from the state where it is licensed the Fund will: (1) Meet the limit or limits specified by a compulsory or financial
responsibility law in the jurisdiction where the covered Auto is being used.
(2) Provide the minimum amounts and types of other coverages, such as no-fault, required of out of state vehicles by the jurisdiction where the covered Auto is being used.
The Fund will not pay anyone more than once for the same elements of loss because of these extensions.
B. EXCLUSIONS
This self-insurance does not apply to any of the following: 1. EXPECTED OR INTENDED INJURY
Bodily Injury or Property Damage expected or intended from the standpoint of the Covered Party.
a. Assumed in a contract or agreement that is an "insured contract"; or
b. That the Covered Party would have in the absence of the contract or agreement. 3. WORKERS' COMPENSATION
Any obligation of the Covered Party under any workers' compensation, disability benefits or unemployment compensation law or similar law, nor any damages or claims by volunteers to the extent the Covered Party could have provided coverage to the volunteer under the above laws but did not.
4. EMPLOYEE INDEMNIFICATION AND EMPLOYER'S LIABILITY
Bodily Injury to:
a. An employee of the Member arising out of and in the course of employment by the Member; or
b. The spouse, child, parent, brother or sister of that employee as a consequence of paragraph a. above.
This exclusion applies:
(1) Whether the Member may be liable as an employer or in any other capacity; and
(2) To any obligation to share damages with or repay someone else who must pay damages because of the injury.
This exclusion does not apply to liability assumed by the Covered Party under an
Insured Contract.
5. FELLOW EMPLOYEE
Bodily Injury to any fellow employee of the Member arising out of and in the course of
the fellow employee's employment. 6. CARE, CUSTODY OR CONTROL
Property Damage to property owned or transported by the Covered Party or in the Covered Party’s care, custody or control. But this exclusion does not apply to liability
assumed under a sidetrack agreement. 7. HANDLING OF PROPERTY
by the Covered Party.
8. MOVEMENT OF PROPERTY BY MECHANICAL DEVICE
Bodily Injury or Property Damage resulting from the movement of property by a
mechanical device (other than a hand truck) unless the device is attached to the covered
Auto.
9. OPERATIONS
Bodily Injury or Property Damage arising out of the operation of any equipment listed
in paragraphs 6 b. and 6 c. of the definition of Mobile Equipment. 10. COMPLETED OPERATIONS
Bodily Injury or Property Damage arising out of the Member's work after that work
has been completed or abandoned. In this exclusion Member's work means:
a. Work or operations performed by the Member or on the Member's behalf; and b. Materials, parts or equipment furnished in connection with such work or
operations.
Member's work includes warranties or representations made at any time with
respect to the fitness, quality, durability or performance of any of the items included in paragraphs a. or b. above.
Member's work will be deemed completed at the earliest of the following times:
(1) When all of the work called for in the Member's contract has been completed.
(2) When all of the work to be done at the site has been completed if the
Member's contract calls for work at more than one site.
(3) When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project.
Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed.
11. POLLUTION
a. Bodily Injury or Property Damage arising out of the actual, alleged or
(b) Otherwise in the course of transit; or
(c) Being stored, disposed of, treated or processed in or upon the covered Auto;
(2) Before the pollutants or any property in which the pollutants are contained are moved from the place where they are accepted by the
Covered Party for movement into or onto the covered Auto; or
(3) After the pollutants or any property in which the pollutants are contained are moved from the covered Auto to the place where they are finally delivered disposed of or abandoned by the Covered Party.
Paragraph a.(1)(c) does not apply to fuels, lubricants, fluids, exhaust gases or other similar pollutants that are needed for or result from the normal electrical, hydraulic or mechanical functioning of the covered Auto or its parts, if:
(1) The pollutants escape or are discharged, dispersed or released directly from an Auto part designed by its manufacturer to hold, store, receive or dispose of such pollutants; and
(2) The Bodily Injury or Property Damage does not arise out of the operation of any equipment listed in paragraphs 6.b. and 6.c. of the definition of Mobile Equipment.
Paragraphs a.(2) and a.(3) of this exclusion do not apply if:
(1) The pollutants or any property in which the pollutants are contained are upset, overturned or damaged as a result of the maintenance or use of a covered Auto; and
(2) The discharge, dispersal, release or escape of the pollutants is caused directly by such upset, overturn or damage.
b. Any loss, cost or expense arising out of any governmental direction or request that the Covered Party or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize pollutants.
Pollutants means any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed.
12. WAR
Bodily Injury or Property Damage due to war, whether or not declared, or any act or
a. (1) With respect to which a Covered Party is also insured under a nuclear energy liability policy issued by Nuclear Energy Liability Association, Mutual Atomic Energy Liability Underwriters, Nuclear Insurance Association of Canada or any of their successors, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or
(2) Resulting from the Hazardous Properties of Nuclear Material and with respect to which (a) any person or organization is required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (b) the Covered Party is, or had this self-insurance had not been entered into would be, entitled to indemnity from the United States of America, or any agency thereof, under any agreement entered into by the United States of America, or any agency thereof, with any person or organization; or
(3) Resulting from the Hazardous Properties of Nuclear Material, if:
(a) The Nuclear Material (a) is at any Nuclear Facility owned by, or operated by or on behalf of, a Covered Party or (b) has been discharged or dispersed therefrom;
(b) The Nuclear Material is contained in Spent Fuel or Waste at any time possessed, handled, used, processed, stored, transported or disposed of by or on behalf of a Covered Party; or
(c) The Bodily Injury or Property Damage arises out of the furnishing by a Covered Party of services, materials, parts or equipment in connection with the planning, construction, maintenance, operation or use of any Nuclear Facility, but if such facility is located within the United States of America, its territories or possessions or Canada, this exclusion (3) applies only to Property Damage to such Nuclear Facility and any property thereat.
b. In addition to words and phrases that are defined in SECTION V - DEFINITIONS, other words and phrases appearing in quotation marks in this exclusion have special meaning. They are defined below.
Hazardous Properties include radioactive, toxic or explosive properties.
Nuclear Material means Source Material, Special Nuclear Material or By-Product Material.
Source Material, Special Nuclear Material, and By-Product Material have
the meanings given them in the Atomic Energy Act of 1954 or in any law amendatory thereof.
the tailings or wastes produced by the extraction or concentration of uranium or thorium from any ore processed primarily for its Source Material content, and (b) resulting from the operation by any person or organization of any Nuclear
Facility included under the first two paragraphs of the definition of Nuclear Facility.
Nuclear Facility means:
(1) Any Nuclear Reactor;
(2) Any equipment or device designed or used for (1) separating the isotopes of uranium or plutonium, (2) processing or utilizing Spent Fuel, or (3) handling, processing or packaging Waste;
(3) Any equipment or device used for the processing, fabricating or alloying of Special Nuclear Material if at any time the total amount of such material in the custody of the Covered Party at the premises where such equipment or device is located consists of or contains more than 25 grams of plutonium or uranium 233 or any combination thereof, or more than 250 grams of uranium 235;
(4) Any structure, basin, excavation, premises or place prepared or used for the storage or disposal of Waste;
and includes the site on which any of the foregoing is located, all operations conducted on such site and all premises used for such operations.
Nuclear Reactor means any apparatus designed or used to sustain nuclear
fission in a self-supporting chain reaction or to contain a critical mass of fissionable material.
Property Damage includes all forms of radioactive contamination of property.
C. LIMIT OF SELF-INSURANCE
Regardless of the number of covered Autos, Covered Parties, contributions, claims made or vehicles involved in an Accident, the most the Fund will pay for all damages resulting from any one Accident is the Limit of Self-Insurance shown in the Declarations.
All Bodily Injury and Property Damage resulting from continuous or repeated exposure to substantially the same conditions will be considered as resulting from one Accident.
D. DEDUCTIBLE
The damages caused in any one Accident which would otherwise be payable under LIABILITY COVERAGE will be reduced by the Combined Liability Deductible shown in the Declarations prior to the application of the Liability Coverage LIMIT OF SELF-INSURANCE provision. The
Declarations. If this happens, the Member must reimburse the Fund for the deductible or the part of the deductible the Fund has paid.
SECTION III. - PHYSICAL DAMAGE
A. COVERAGE
1. The Fund will pay for Loss to a covered Auto or its equipment under: a. Comprehensive Coverage. From any cause except:
(1) The covered Auto's collision with another object; or (2) The covered Auto's overturn.
b. Specified Causes of Loss Coverage. Caused by: (1) Fire, lightning or explosion;
(2) Theft;
(3) Windstorm, hail or earthquake; (4) Flood;
(5) Mischief or vandalism; or
(6) The sinking, burning, collision or derailment of any conveyance transporting the covered Auto.
c. Collision Coverage. Caused by:
(1) The covered Auto's collision with another object; or (2) The covered Auto's overturn.
2. Towing.
The Fund will pay up to the limit shown in the Declarations for towing and labor costs incurred each time a covered Auto of the private passenger type is disabled. However, the labor must be performed at the place of disablement.
3. Glass Breakage-Hitting a Bird or Animal-Falling Objects or Missiles.
The Fund will pay for glass breakage, Loss caused by hitting a bird or animal or by falling objects or missiles under Comprehensive Coverage if the Covered Party carries Comprehensive Coverage for the damaged covered Auto. However, the Member has the
The Fund will also pay up to $20 per day to a maximum of $600 for transportation expense incurred by the Member because of the total theft of a covered Auto of the private passenger type. The Fund will pay only for those covered Autos for which the
Member carries either Comprehensive or Specified Causes of Loss or Theft Coverage.
The Fund will pay for transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the expiration of the Agreement Period, when the covered Auto is returned to use or the Fund pays for its Loss.
B. EXCLUSIONS
1. The Fund will not pay for Loss caused by or resulting from any of the following. Such
Loss is excluded regardless of any other cause or event that contributes concurrently or in
any sequence to the Loss. a. Nuclear Hazard.
(1) The explosion of any weapon employing atomic fission or fusion; or (2) Nuclear reaction or radiation, or radioactive contamination, however
caused.
b. War or Military Action.
(1) War, including undeclared or civil war;
(2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power or action taken by
governmental authority in hindering or defending against any of these. 2. Other Exclusions.
a. The Fund will not pay for Loss to any of the following:
(1) Stereos, radios, tape decks or other sound reproducing equipment unless permanently installed in a covered Auto.
(2) Tapes, records or other sound reproducing devices designed for use with sound reproducing equipment.
(3) Sound receiving equipment designed for use as a citizens' band radio, two-way mobile radio or telephone or scanning monitor receiver, including its antennas and other accessories, unless permanently installed in the dash or console opening normally used by the Auto manufacturer for the installment of a radio.
(a) special carpeting and insulation, furniture, bars or television receivers;
(b) facilities for cooking and sleeping; (c) height-extending roofs; or
(d) custom murals, paintings or other decals or graphics.
This exclusion does not apply if the value of the custom furnishings or equipment has been reported to the Fund prior to a Loss and included in the contribution for this coverage.
(5) When in or upon any motorhome or Trailer, Loss to: (a) TV antennas;
(b) awnings or cabanas; or
(c) equipment designed to create additional living facilities.
(6) Loss to any device or instrument used for detection of radar or other
speed measuring equipment.
b. The Fund will not pay for Loss caused by or resulting from any of the following unless caused by other Loss that is covered by this self-insurance:
(1) Wear and tear, freezing, mechanical or electrical breakdown. (2) Blowouts, punctures or other road damage to tires.
C. LIMIT OF SELF-INSURANCE
The most the Fund will pay for Loss in any one Accident is the smallest of the following amounts:
1. The amount stated in the Declarations of the policy.
2. The actual cash value of the damaged or stolen property at the time of the Loss.
3. The cost of repairing or replacing the damaged or stolen property with other of like kind or quality.
However, the most the Fund will pay for stereos, radios, tape decks or other sound reproducing equipment (excluding citizens band radio, two-way mobile radio or telephone or scanning monitor receiver) is $1500.
D. DEDUCTIBLE
For each covered Auto the Fund’s obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Declarations.
SECTION IV. - BUSINESS AUTO CONDITIONS
A. LOSS CONDITIONS
1. APPRAISAL FOR PHYSICAL DAMAGE LOSS
If the Fund or its authorized representative and Covered Party disagree on the amount of Loss either may demand an appraisal of the Loss. In this event, each party will select a competent appraiser. The two appraisers will select a competent and impartial umpire. The appraisers will state separately the actual cash value and amount of Loss. If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding. Each party will:
a. Pay its chosen appraiser; and
b. Bear the other expenses of the appraisal and umpire equally.
If the Fund or its authorized representative submits to an appraisal, the Fund or its authorized representative will still retain its right to deny the claim.
2. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS
a. In the event of Accident, claim, Suit or Loss, the Covered Party must give the
Fund or the Fund’s authorized representative prompt notice of the Accident or Loss. Include:
(1) How, when and where the Accident or Loss occurred; (2) The Covered Party's name and address; and
(3) To the extent possible, the names and addresses of any injured persons and witnesses.
If the Fund shows that the Covered Party's failure to provide notice prejudices the Fund's defense, there is no liability coverage under this Coverage Document. b. Additionally, the Covered Party must:
(1) Assume no obligation, make no payment or incur no expense without the
Fund’s or the Fund’s authorized representative's consent, except at the Covered Party's own cost.
(3) Cooperate with the Fund or its authorized representative in the investigation, settlement or defense of the claim or Suit.
(4) Authorize the Fund or its authorized representative to obtain medical records or other pertinent information.
(5) Submit to examination, at the Fund’s expense, by physicians of the
Fund’s or its authorized representative's choice, as often as the Fund or
its authorized representative reasonably requires.
c. If there is Loss to a covered Auto or its equipment the Covered Party must also do the following:
(1) Promptly notify the police if the covered Auto or any of its equipment is stolen.
(2) Take all reasonable steps to protect the covered Auto from further damage. Also keep a record of the Covered Party's expenses for consideration in the settlement of the claim.
(3) Permit the Fund’s authorized representative to inspect the covered Auto and records proving the Loss before its repair or disposition.
(4) Agree to examinations under oath at the Fund’s or its authorized representatives request and give the Fund or its authorized representatives a signed statement of the Covered Party's answers.
d. When required by the Fund or its authorized representative: (1) Submit a sworn proof of Loss;
(2) Submit to examination under oath. 3. LEGAL ACTION AGAINST THE FUND
No one may bring a legal action against the Fund until:
a. There has been full compliance with all the terms of this Coverage Document; and
b. Under Liability Coverage, the Fund’s authorized representative agrees in writing that the Covered Party has an obligation to pay or until the amount of that obligation has finally been determined by judgment after trial. No one has the right to bring the Fund into an action to determine the Covered Party's liability. 4. LOSS PAYMENT - PHYSICAL DAMAGE COVERAGE.
c. Take all or any part of the damaged or stolen property at an agreed or appraised value.
5. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO THE FUND If any person or organization to or for whom the Fund makes payment under this Coverage Document has rights to recover damages from another, those rights are transferred to the Fund. That person or organization must do everything necessary to secure the Fund’s rights and must do nothing after Accident or Loss to impair them.
B. GENERAL CONDITIONS
1. ACTION AGAINST A MEMBER OR COVERED PARTY BY A COVERED PARTY This self-insurance is not intended to and does not insure or otherwise protect, any
Covered Party when that Covered Party is asserting a claim against the Member or
any other Covered Party.
2. BANKRUPTCY
Bankruptcy or insolvency of the Covered Party will not relieve the Fund of any obligations under this Coverage Document.
3. NO BENEFIT TO BAILEE-PHYSICAL DAMAGE COVERAGES
The Fund will not recognize any assignment or grant any coverage for the benefit of any person or organization holding, storing or transporting property for a fee regardless of any other provision of this Coverage Document.
4. OTHER INSURANCE
a. For any covered Auto a Member owns, this Coverage Document provides primary insurance. For any covered Auto a Member does not own, the self-insurance provided by this Coverage Document is excess over any other collectible insurance. However, while a covered Auto, which is a Trailer, is connected to another vehicle, the Liability Coverage this Coverage Document provides for the Trailer is:
(1) Excess while it is connected to a motor vehicle a Member does not own. (2) Primary while it is connected to a covered Auto a Member owns.
b. Regardless of the provisions of paragraph a. above, this Coverage Document's Liability Coverage is primary for any liability assumed under an Insured
