CC Resolution 13298 - Excess Workers' Compensation Coverage Contract ExtensionRESOLUTION NO. 13298
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CAMPBELL
APPROVING AN EXTENSION OF AN AGREEMENT AND AUTHORIZING THE
CITY MANAGER TO EXECUTE NECESSARY DOCUMENTS WITH MIDWEST
EMPLOYERS' CASUALTY COMPANY TO PROVIDE EXCESS WORKERS'
COMPENSATION LIABILITY COVERAGE FOR FISCAL YEAR 2025-2026
WHEREAS, the City of Campbell (City) currently contracts with Midwest
Employers Casualty Company (Midwest Employers) for Excess Workers'
Compensation Insurance Coverage; and
WHEREAS, the City received an offer from Midwest Employers to extend its
current contract with Midwest Employers for the term of July 1, 2025, to June 30,
2026, for an estimated premium amount of $131,198, the same amount the City
paid to Midwest Employers for the same coverage from July 1, 2024 to June 30,
2025; and
WHEREAS, the City has taken into consideration the current market and the fact
that insurance rates are seeing an average increase of between 5-9%,
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of
Campbell does hereby approve an extension of its current agreement with
Midwest Employers and authorizes the City Manager to execute any necessary
documents and amendment with Midwest Employers to provide the City with
Excess Workers' Compensation Insurance Coverage for one-year, effective July
1, 2025, through June 30, 2026, for an estimated premium of $131,198.
PASSED AND ADOPTED this 3rd day of June, 2025 by the following roll call
vote:
AYES:
Councilmembers: Bybee, Hines, Scozzola, Furtado, Lopez
NOES:
Councilmembers: None
ABSENT:
Councilmembers: None
ATTEST:
Andrea Sanders, City Clerk
Business Insurance Consulting
and Brokerage Services
City of Campbell
July 1, 2025 to July 1, 2026
Presented by: Tammie Stamp
CA License #0 D22397
Leavitt — Pacific Insurance Brokers
CA License #OD79674
A member of the Leavitt Group
Indemnity Coverage Provided:
Specific Excess Workers' Compensation and Employers Liability Indemnity
Insurance Company: Midwest Employers Casualty Co. — A.M. Best: A++ XV
Policy Period: 7/1/25 to 7/1/28
Annual
Rate
Employer's Deposit
per
Limit of Liability Self -Insured and
$180uf
Liability Sub -Limit Retention Minimum
Payroll
$25.000.000 $1.000.000 $1.000.000 $131.108 0.4808
$118,078
Terms and Conditions
1)The premium iebased onanestimated annual remuneration of$27.287.413.
2) State ofoperations: California
3) Midwest Employers Casualty Co. quotes are subject totheir policy form and the following endorsements:
CK8B-11Amendment b/Schedule Item 11.CyNB-160Foreign, CN1B-19S-CAPolicyholder Disclosure Notice
of Terrorism Insurance, |G|'254-EXCAionaft Exclusion, |S|-260Authorized Volunteers,
|S|-261 Voluntary Compensation, |S|-266 Endemic Disease and Repatriation.
ISI-CA (02-21) California Mandatory Endorsement CMB-6-CLS Amendment to Schedule Item 6
In order to bind coverage, we will need a written request by 6/15/25.
Total Premium due for the 2025 to 2026 policy term: $131,198.