3.05 3.5
INSURANCE\Worker's Compensation Insurance Provider—PERMA Renewal-6-19-17
RESOLUTION AUTHORIZING RENEWAL OF
TOWN OF QUEENSBURY'S WORKERS' COMPENSATION POLICIES
WITH PUBLIC EMPLOYER RISK MANAGEMENT
ASSOCIATION, INC. (PERMA) FOR JULY 1, 2017-JUNE 30, 2018
RESOLUTION NO.: ,2017
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, by Resolution No.: 218, 2014, the Queensbury 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 by Resolution No.: 225,2016, the Town
Board again authorized its renewal for 7/1/16-6/30/17, and
WHEREAS, the Town Board wishes to renew such Policies with PERMA for July 1, 2017 —
June 30, 2018 as set forth in the renewal quotation dated May 22nd, 2017 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, 2017 —June 30, 2018 as set forth in the renewal quotation
dated May 22d, 2017 and presented at this meeting, with payment for such Policies to be made by July
1, 2017, 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 19d'day of June, 2017,by the following vote:
AYES
NOES
ABSENT:
Town of Queensbury 2017 Insurance Proposal
Insurance Proposal
Policy Dates 07/01/2017 to 07/01/2018
Town of Queensbury
iimaspe
Town of
Queensbury
Presented by:
Hank Chapman
Haylor, Freyer& Coon, Inc.
231 Salina Meadows Parkway
Syracuse, NY 13212
May 22nd,2017
An ESOP Company / ISO 9001 Certified/ Assurex Global Partner
HAMM.Fit rmcCom--
This form is for illustration purposes only. Please read your Policy for specific details
Town of Queensbury 2017 Insurance Proposal
WORKER COMPENSATION CLASSIFICATION
Carrier : PERMA
State: NY
Current
:Code Classification • q Exposure > Premium
Street Or Road Construction: Paving Or
5506 Repaving & Drivers 244,687 63,304
7520 Waterworks Operation & Drivers 981,181 105,652
7542 Meter Reader-Utility Company 93,610 10,263
7590 Garbage Works 188,969 16,497
Automobile Repair Shop--all Operations &
8391 Drivers 268,826 16,307
8810 Clerical Office Employees Noc 2,369,172 7,266
Attorney--all Employees & Clerical,
8820 Messengers, Drivers 65,193 200
8831 Dog Catchers 42,704 1,009
9015 Bathing Beaches--all Operations 106,236 3,739
Building Operation-commercial-no Dwelling
9026 Occupancy Except By Owner/custodian 302,450 21,665
9063 Clubs-& Clerical: Health 205,859 4,200
9101 School: All Other Employees 16,928 977
9102 Park Noc--all Employees & Drivers 300,098 15,088
9220 Cemetery Operation & Drivers 271,111 38,885
9402 Street Cleaning&Drivers 852,379 89,527
Municipal, Township, County Or State
9410 Employee Noc 567,388 58,204
9999 All Volunteers
7711 Firefighters--volunteer& Drivers 25,001 162,763
Ambulance Operation: Volunteer Ambulance
7370 Service Company-1st ambulance 1 7,847
Ambulance Operation: Volunteer Ambulance
7370 Service Company 2nd ambulance 9 35,319
7580 Sewage Disposal Plant Operation & Drivers 170,294 12,882
Charles & Credits
Description ' Charge. -
Total Premium $671,594
Assessment $18,914
Pay in full discount -$13,432
Total Cost $677,076
This policy is auditable.
An ESOP Company/ ISO 9001 Certified / Assurex Global Partner
I-know.Feerin 5 Cooa^-
This form is for illustration purposes only. Please read your Policy for specific details
Town of Queensbury 2017 Insurance Proposal
WORKER COMPENSATION CLASSIFICATIONS
Carrier : Comp Alliance
State: NY
Current
Code Classification Exposure Premium
Street Or Road Construction: Paving Or Repaving&
5506 Drivers 373,140 97,341.43
7520 Waterworks Operation &Drivers 1,191,070 128,868.27
7590 Garbage Works 173,025 15,161.30
8391 Automobile Repair Shop--all Operations & Drivers 103,950 6,289.94
8810 Clerical Office Employees Noc 2,524,499 6,069.76
Attorney--all Employees & Clerical, Messengers,
8820 Drivers 63,550 152.80
Building Operation-commercial-no Dwelling
9026 Occupancy Except By Owner/custodian 394,900 _28,325.99
9101 School: All Other Employees 17,500 1,007.49
9102 Park Noc--all Employees &Drivers 448,785 22,479.85
9220 Cemetery Operation & Drivers 281,289 40,578.89
9402 Street Cleaning& Drivers 665,234 70,198.08
9410 Municipal, Township, County Or State Employee Noc 609,517 62,771.70
7711 Firefighters--volunteer&Drivers 25,001 177,770
Ambulance Operation: Volunteer Ambulance Service
7370 Company-1st ambulance 1 Incl
Ambulance Operation: Volunteer Ambulance Service
7370 Company 2nd ambulance 9 46,632
7580 Sewage Disposal Plant Operation &Drivers 168,241 12,764.50
Charges & Credits
• ;Description _ Adjustment %u AdjustmentAmount
Total Premium $716,412
Assessment-estimated 18,827
Total Estimated Cost $735,239
' This policy is not audited. Payrolls are figured from budget annually.
An ESOP Company / ISO 9001 Certified/ Assurex Global Partner &C
Hmi.ox
This farm is for illustration purposes only. Please read your Policy for specific details .NEVER 6,Coco:- �7
Town of Queensbury 2017 Insurance Proposal
PREMIUM SUMMARY
!PE5. .._
ea:
Stitittraia
2016-2017 2017-2018 2017-2018 2017-2018
Town $503,719 $465,665 $492,010
VFBL $205,714 $162,763 $177,770
VAWBL $65,876 $43,166 $46,632
Assessment $17,680 $18,914 $18,827
est dividend
Manager's Fee
Entry Fee (one time)
Total $792,989 $690,508 $735,239
discount to pay in full $15,506 $13,432 0
Tigairan:frig"' 2 6W,'8ga YAM]
-12.9% -5.4%
1.45 1.28 1.19 no quote
An ESOP Company/ ISO 9001 Certified/ Assurex Global Partner &C
Hnn.ou Fxtvuis Comte
This form is for illustration purposes only. Please read your Policy for specific details