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3.8r 3.8 INSURANCE\Worker's Compensation Insurance Provider—PERMA Renewal-6-20-16 RESOLUTION AUTHORIZING RENEWAL OF TOWN OF QUEENSBURY'S WORKERS' COMPENSATION POLICIES WITH PUBLIC EMPLOYER RISK MANAGEMENT ASSOCIATION, INC. (PERMA) FOR JULY 1, 2016-JUNE 30, 2017 RESOLUTION NO.: ,2016 INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: WHEREAS, by Resolution No.: 167, 2013, the Queensbury Town Board authorized the naming of Haylor, Freyer & Coon, Inc. as Broker of Record (Broker) relating to the Town of Queensbury's Workers' Compensation Policies (Policies), and WHEREAS, by Resolution No.: 218, 2014, the Town Board authorized and awarded the Town of Queensbury's Workers' Compensation Policies to the Public Employer Risk Management Association, Inc., ("PERMA"), and WHEREAS, by Resolution No.: 195,2015, the Town Board authorized its renewal of the Town's Workers' Compensation Policies to PERMA, and WHEREAS, the Town Board wishes to renew such Policies with PERMA for July 1, 2016 — June 30, 2017 as set forth in the renewal quotation dated June 17, 2016 and presented at this meeting, NOW, THEREFORE, BE IT RESOLVED, that the Queensbury Town Board hereby authorizes its renewal of its Town of Queensbury's Workers' Compensation Policies with the Public Employer Risk Management Association, Inc., ("PERMA") for July 1, 2016—June 30, 2017 as set forth in the renewal quotation dated June 17, 2016 and presented at this meeting, with payment for such Policies to be made by July 1, 2016, and BE IT FURTHER, RESOLVED, that the Town Board further authorizes and directs the Town Supervisor to sign any needed Agreement and/or any other documentation and the Town Supervisor and/or Budget Officer to take all actions necessary to effectuate the terms of this Resolution. Duly adopted this 20th day of June, 2016,by the following vote: AYES . NOES : ABSENT: I y \ Public Employer Risk Management Association, Inc. 9 Comell Road, Latham, NY 12110 Toll Free in US(888) 737-6269 K \�\h www.perma.org PERM A' Managed by Northeast Association Management, Inc. June 17,2016 Town of Queensbury Attn:Victoria LaMarque 742 Bay Road Queensbury,NY 12804 Dear Member: Thank you for your business this past year. Your Workers' Compensation coverage will expire on 07/01/2016 and automatically renews as per the enclosed renewal quotation and optional `PERMA Pay Plan.' Please review the documents carefully and advise if any changes to the indicated exposures are necessary. Payment for the enclosed Pay Plan must be received prior to 07/01/2016. We greatly appreciate your cooperation this past year with providing quarterly payroll updates for the NYS Workers Compensation Board assessment billing process. The required changes were implemented in January 2014 and have had cost savings benefits for most members. The 2016 assessment rate was just released and it has dropped slightly from 13.2%to 12.9%,which is reflected in your renewal quotation. Again, many thanks for your continued support. Sincerely, `t ,.. ti. 614. -- Alfred . Campney Senior Director of Marketing&Underwriting 888-737-6269 x3017 acampnev@n.perma.org cc: Haylor,Freyer&Coon, Inc- Syracuse IMPORTANT: If you plan to entertain competitive quotes, it is imperative that you provide written notice to PERMA no later than 30 days before your renewal to avoid penalties. Please contact Member Services for assistance in complying with this requirement. w 4yy ; Public Employer Risk Management Association, Inc. 9 Come!! Road, Latham, NY 12110 Toll Free in US(888) 737-6269 \i\ P E R M A WwW.perRl�.Org Managed by Northeast Association Management Inc. Quote Date: June 17, 2016 Member Number: WC 0001390-02 Broker of Record: 1650-01 Town of Queensbury Haylor, Freyer&Coon, Inc-Syracuse Attn:Victoria LaMarque PO Box 4743 742 Bay Road 231 Salina Meadows Parkway Queensbury, NY 12804 Syracuse, NY 13212 First Dollar Pricing indication Workers' Compensation and Employers Liability Coverage Period: Unit: 1-Town of Queensbury From 07/0112016-0710112017 Class Code Description Estimated Estimated Exposure Contribution 5506 Street Maintenance-Paving 188,202 58,338 5645 Carpentry:Dwellings If any 0 7520 Waterworks 941,719 109,595 7542 Meter Readers-Utility Company 89,926 9,820 7580 Sewer Plant 159,466 15,258 7590 Transfer Station-Operators 164,873 14,336 8391 Automobile Mechanics 306,460 24,223 8810 Clerical Office 2,308,981 8,730 8820 Attorneys 62,605 237 8831 Animal Control Officers If any 0 9015 Lifeguards/Beaches 89,638 4,801 9026 Building Operations,Custodial 341,716 28,033 9063 Recreation 194,191 4,312 9101 Schools:All Others 16,376 1,265 9102 Parks Maintenance 349,022 21,241 9220 Cemetary Operations 262,343 39,225 9402 Street Cleaning 835,492 108,530 9410 Municipal Employees 541,631 55,775 9999 V All Volunteers If any 0 rG i?.c`.: `.lit r ibtotals. a V * ,._.Y ._' , .,_6852641 .e` . . r -',$5113;719': Volunteer Firefighters Benefit Law(VFBL): URgrestdot yyy„; Public Employer Risk Management Association, Inc. v _ 9 Cornell Road, Latham, NY 12110 Toll Free in US(888) 737-6269 �� www.penna.org PERMA' Managed by Northeast Association Management, Inc. Quote Date: June 17,2016 Member Number: WC 0001390-02 Broker of Record: 1650-01 Town of Queensbury Naylor, Freyer&Coon, Inc-Syracuse Attn:Victoria LaMarque PO Box 4743 742 Bay Road 231 Salina Meadows Parkway Queensbury, NY 12804 Syracuse, NY 13212 First Dollar Pricing Indication Workers'Compensation and Employers Liability Coverage Period: Unit: 1-Town of Queensbury From 0710112016-0710112017 Class Code Description Total % Estimated Population Served Contribution 7711 Volunteer Firefighters 25,001 100% 205,714 7711 ELN Extension of Employers Liability Coverage- Coverage Elected- Included Coverage Elected-No Charge No Charge iy - r �.,,. > :•.” s l' Subtotals — " ---, 25 001 - - iq �✓�___r. � ��+ ._w..,._;,,_ hs. .-_. ." -:,:: ,.t ..: z_..... .:.. , ..�:� : �+w_,.+.-`-.. ... ,.:$205714 Volunteer Ambulance Workers Benefit Law(VAWBL): Class Code Description Number of Ambulances % Estimated Used Contribution 7370-01 Volunteer 1st Ambulance 1 100% 11,976 7370-02 Volunteer 2nd Ambulance 9 100% 53,900 7370 ELX Extension of Employers Liability Coverage- No Coverage Excluded No Coverage gg� s "`e ^` xiT'�q`.e. "`.� G`xT..'.. .SUbtat O -"`RS _L P ,i,;s. i 10::.a -s �:e�- .�,.r."�f".*::. .,_�.�.�,r...-spa., ..+._ � . _U.�< ., __.> , a_. . .s�'- x--. ...i._.`__ a _.;e�$65876_', �- t„jx r.L_'t"TSs t iS.".F.j "m at`d-'s.-4 a s _.. n., M} . sr ;.r T_,otal-Contnbutlon $775 30t -= F,,>,_ 'ti,`3,n-ata ;itc alSr"A NNewFYorkStateAssessment. TO ; °i41= s ' $17680:: >.a 3x.--z; ' ramr.>syTotal4EsUmateil.Contnbution&Assessment. _;r r , $792 989;; f r_ R.ESWOM,,a' , ? fAirEst ifigi gigiage Cost due.PERMA - ' t ,.,_;, . 4 . ',$792 989'; N ) 6 'l � F 'RF' .a `��f<<�� -3.r �k�:.-va�ntea airi2%Discount dSn,Full ---:�.@i W - -. 15 506 - x -,, F ° x _7otal Estimated Coverage Cost"du tokroA rf ioiiwi ' '' s ,;N $777 483 Please note that the promulgated Experience Modification Factor for the Town of Queensbury is 1.45. URgrestdot PERMA Pay Plan "r 'Pp D phon._ to r . - .w .' m 2 Annual Billing ffActaze bon x _ " 9 n Due>at lnc ptro i Contribution $775,309 4fi:,.New,York State Assessment�'a 5�.+ $17 680 &, tifte ., - - " .SKrri ,ti rYJ' e -v -'s r r r i t x 1 F�.,�. .,-z ,. " .$792 989 '.5__ _ Invoice Schedule Amount Post Date 06/01/2016 Annual Installment $792,989 Total $792,989 lgrest.dot