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17 Insurance Renewal
ACTIONIAqendaItem#174Ü&EEDONNER_PublicUtilityDistrictTo:From:Date:2.HISTORYBoardofDirectorsBrandonPerryJune05,2019Subject:ConsiderationoftheAwardofaContractforProperty,Liability,andWorker’sCompensationCoverage1.WHYTHISMATTERISBEFORETHEBOARDTheDistrict’sannualproperty,equipment,earthquake,flood,generalliability,autoliability,excess,cyber,pollution,andcrimeinsurancecoverageendsJuly1,2019andrequiresBoardapprovalforrenewal.Duetothecomplexityofitsinsurancerequirements,theDistrictutilizesinsurancebrokerageservices.InMarch2018,theDistrictBoardofDirectorsawardedthecontractforinsurancebrokerageservicesforannualproperty,liabilityandcybercoveragetoInterWestInsuranceServicesforuptoathree-yearterm(2018-2020).TheDistrictobtainedacoverageextensioninMay2019foraperiodofonemonth.ThecurrentexpirationdateforliabilityandpropertycoverageisJuly1,2019.Worker’sCompensationcoverageexpiresJuly1,2019.TheDistrict’sannualproperty,equipment,earthquake,flood,generalliability,autoliability,excess,cyber,pollution,andcrimeinsurancecoverageendsJuly1,2019andrequiresBoardapprovalforrenewal.Duetothecomplexityofitsinsurancerequirements,theDistrictutilizesinsurancebrokerageservices.InMarch2018,theDistrictBoardofDirectorsawardedthecontractforinsurancebrokerageservicesforannualproperty,liabilityandcybercoveragetoInterWestInsuranceServicesforuptoathree-yearterm(2018-2020).TheDistrictobtainedacoverageextensioninMay2019foraperiodofonemonth.ThecurrentexpirationdateforliabilityandpropertycoverageisJuly1,2019.Worker’sCompensationcoverageexpiresJuly1,2019.3.NEWINFORMATIONWhymatterisbeforetheBoard:History: NewInformation:TheDistrictworkedwithInterWesttocompletethenecessarylettersandapplicationstoobtaincompetitivebidsfortheinsurancepackage.InterWestsolicitedquotesfromover35insurancecompaniesforthepolicyperiodJune1,2019-June1,2020.lnterWest’sattachedproposal(AttachmentA),summarizestheelementsconsideredduringtheinsurancerenewalprocess.JointPowersRiskandInsuranceManagementAuthority(JPRIMA)istheonlyquotethatlnterWestwasabletosecure.JPRIMAhasacommonanniversarydateofApril1stThiscoveragequoteisforJune1,2019toApril1,2020.CoverageviaJPRIMAisfora3yearterm.JPRIMAQuoteA.:Thequoteandcoveragelimitsaresummarizedbelowforlikecoveragewithrequestedincreasesforpollutioncoverageto$2M,earthquaketo$YOM,andfloodto$5M:PremiumBreakdownInterWest-Current,PremiumBreakdownInterWest-Proposed,2018-20192019-2020Property$53,077Property$56,808EquipmentBreakdownincludedinEquipmentBreakdown$14,098ProperlyEarthquakew/Landmark$51,600EQw/Landmarkw/Fees$77,400Americanw/feesFloodincludedinFloodw/Landmarkw/Fees$56,760Properly—CrimeW/Chubb$4,776CrimeTravelersincludedCyber$12,603CyberTravelers$14,200GeneralLiability$33,717GeneralLiability$178,130PublicEntity&EPLI$13,990PublicEntity$12,776Auto$31,334Auto$48,174Excessw/AWAC$4M$38,155Excessw/AWAC$4M$41,880Excessw/Travelers$YOM$28,500Excessw/Travelers$1OM$37,000Excessw/EnduranceRisk$22,500Excessw/EnduranceRisk$30,000$1OM2017-2020PollutionPremium$7,4132017-2020PollutionPremium$7,413$21,987—$21,987MembershipFeeN/AMembershipFee$29,440increasePollutionto$2MMN/AincreasePollutionto$2MM$8,390increaseEQ$1OMand$5MN/AincreaseEQ$1OMand$5M$57,500Flood—FloodTotalPremium(12mos.)$297,665TotalPremium(10mos.)$669,969Theproposedpremium(A.)fromInterwestis$669,969,whichisanapproximately170%increasefromtheprioryear.Thisincreaseisfor10months. JPRIMAQuoteB.:Thisquotewasproducedtodecreasethecoverageallowedanddecreasethepremium.Theadjustmentstothisquoteincludeddecreasingthelimitoninlandmarine,keepingtheincomelimitto$2,000,000(ratherthanincreasingit),decreasingthelimitsonFloodandEarthquakecoverage,andadding$100,000deductibletotheGeneralLiabilityCoverage.PremiumBreakdownInterWest-Current,PremiumBreakdownInterWest-Proposed,2018-20192019-2020Property$53,077:Property$53,039EquipmentBreakdownIncludedinEquipmentBreakdown$14,098Property—Earthquakew/Landmark$51,600EQw/Landmarkw/Fees$56,192Americanw/feesFloodIncludedinFloodw/Landmarkw/Fees$30,960Properly—CrimeW/Chubb$4,776CrimeTravelers$2,205Cyber$12,603CyberBeazley$6,749GeneralLiability$33,717GeneralLiability$144,897PublicEntity&EPLI$13,990PublicEntity$9,370Auto$31334Auto$49,557Excessw/AWAC$4M$38,155Excessw/AWAC$4M$41,880ExcesswfTravelers$1OM$28,500ExcesswiTravelers$1OM$36,000Excessw/EnduranceRisk$22,500Excessw/EnduranceRisk$30,500$1OM2017-2020PollutionPremium$7,413$21,987MembershipFeeN/AMembershipFee$25,788IncreasePollutionto$2MMN/AIncreaseEQ$YOMand$5MN/AFloodTotalPremium(12mos.)$297,665TotalPremium(10mos.)$501,235Theproposedpremium(B.)fromInterwestis$501,235,whichisanapproximately102%increasefromtheprioryear’scost.Thisincreaseisforashorterperiodoftime,10months.OneadditionalproposalfromtheAssociationofCaliforniaWaterAgenciesJointPowersInsuranceAuthority’s(ACWA)JointPowersInsuranceAuthority(JPIA)wasreceivedbytheDistrict.InterWestdoesnothaveaprovideragreementwithACWAIJPIAtoprovideinsurancecoverage.StaffcontactedACWAIJPIAforaquote.RequirementsforobtainingcoveragefromACWAIJPIAincluderatificationofagreementstojointheACWAandACWAIJPIA.CoverageviaACWAIJPIAisfora3yearterm. ACWAJPIAQuote:PremiumBreakdown-Expiring,2018-2019PremiumBreakdown-ACWA2019-2020Property$53,077Property$75,098EquipmentBreakdownIncludedinEquipmentBreakdownIncludedPropertyEarthquakew/LandmarkAmerican$51,600EarthquakeIncludedw/feesFloodIncludedinFloodIncludedPropertyCrimeW/Chubb$4,776CrimeIncludedCyber$12,603CyberIncludedGeneralLiability$33,717GeneralLiability$164,455PublicEntity&EPLI$13,990PublicEntityIncludedAuto$31,334AutoIncludedExcessw/AWAC$4M$38,155N/AN/AExcesswfTravelers$1OM$28,500N/AN/AExcessw/EnduranceRisk$1OM$22,500N/AN/A2017-2020PollutionPremium$7,413PollutionforSudden&Included$21,987—AccidentalEventsMembershipFeeN/AMembershipFeefor$6,864.38ACWAIncreasePollutionto$2MMN/AN/AIncreaseEQ$YOMand$5MFloodN/AN/ATotalPremium$297,665TotalPremium$247,47738TheestimatedpremiumfromACWAIJPIAis$247,417.38whichisadecreaseofapproximately17%increasefromtheprioryear’scost.Worker’sCompensationInsuranceAttachearequotesfromSpecialDistrictRiskManagementAuthority(SDRMA)andfromACWIJPIA.ACWAJPIAhastheirownGeneralLiabilityandWorker’sCompin-houseclaimsstaff,anddonotutilizeathirdpartyadministrator.ACWAJPIAWorker’sCompensation:CodeClassificationEstimatedRate7/1/2019EstimatedClassificationAnnualPayrollAnnualDeposit7520Waterworks$1,998,157.0451$90,117Operations7539ElectricLight&$4,345,228.0347$150,779Power8742Salespersons-$243,814.0104$2,536MeterReaders8810Clerical$1,561,366.0086$13,428 8810(a)Clerical-Board$24,000.0086$206ofDirectorsTotal$8,172,565$257,066EconomyofSizeDiscount-11%$(28,277)DiscountedPremium$228,789ExperienceModificationFactor1.36ModifiedPremium$311,153JPIAMultipleProgramDiscount(3$(15,558)Programs=5%Estimated7/1/19-20Deposit$295,595PremiumSDRMAWorker’sCompensation:CodeClassificationEstimatedRate7/1/2019EstimatedClassificationAnnualPayrollAnnualDeposit7520Waterworks$1,998,157.0546$109,099.37Operations7539ElectricLight&$4,345,228.0287$124,708.04Power8742Salespersons-$243,814.0063$1,536.03MeterReaders8810Clerical$1,561,366.0055$8,587.518742-DClerical-Board$24,000.0063$151.20ofDirectorsTotal$8,172,565$244,082.16ContributionAdjustedby$331,951.74ExperienceModificationFactor1.36DiscountedPremium-7%$(23,236.62)AdjustedPremium$308,715.12OnlineRQBonus$(75.00)Estimated7/1/19-20Deposit$308,640.12PremiumSummaryThefollowingtablereflectsthepremiumsummaryfromACWAJPIAwithappliedmulti-programdiscounts:ProgramEstimatedAnnualPremiumLiabilityCoverage$157,266PropertyCoverage$72,799Worker’sCompensationCoverage$295,595ExcessCrimeCoverage$1,000TotalEstimatedAnnualPremium$526,660 ThefollowingtablereflectsthepremiumsummaryfromInterwestandSDRMAwithappliedmulti-programdiscounts:ProgramEstimatedAnnualPremiumLiabilityCoverage$154,289PropertyCoverage$312,204Worker’sCompensationCoverage$308,640CrimeCoverage$2,205TotalEstimatedAnnualPremium$871,0784.FISCALIMPACTTheapprovedFY19budgetdoesincludefundsforthisinsurancecontract.AlladditionalfundsneededwillbeincludedintheformationoftheFY20budget,currentlybeingcompiledforBoardconsideration.5.RECOMMENDATIONAuthorizetheGeneralManagertoexecuteacontractwiththecarrierthatisthemostadvantageoustotheDistrict,includingobtaininganynecessarymembershipswithACWAandACWAIJPIAinordertoobtainappropriateinsurancecoverageforaperiodofuptothreeyears.ApproveResolution2019-17ARESOLUTIONOFTHEBOARDOFDIRECTORSOFTRUCKEEDONNERPUBLICUTILITYDISTRICTCONSENTINGTOENTERTHEJOINTPROTECTIONPROGRAMSOFTHEASSOCIATIONOFCALIFORNIAWATERAGENCIES/JOINTPOWERSINSURANCEAUTHORITYApproveResolution2019-18ARESOLUTIONAUTHORIZINGAPPLICATIONTOTHEDIRECTOROFINDUSTRIALRELATIONS,STATEOFCALIFORNIAFORACERTIFICATEOFCONSENTTOSELF-INSUREWORKERS’COMPENSATIONLIABILITIES__)___,4.cBrandonPerryMichaelD.HolleyHumanResource/RiskManagerGeneralManager 1112IStreet,Sufte300SDRMASacramento,Cahfornia95814-2865SPECIAl.DlSiRIC1RISKMANAGEMENTAUIlIORIFYMaximizingProtection.MininiizingRisk.wwwwsdrrna.orgMay17,2019BrandonPerryHRRiskManagerTruckeeDonnerPublicUtilityDistrict11570DonnerPassRoadTrucke,California96161DearBrandon,Enclosedarethe2019-20renewalinvoicefortheSDRMAWorkers’CompensationProgram.WeappreciatetheTruckeeDonnerPublicUtilityDistrict’scontinuedparticipationinourprogramsince2016.ConsistentwiththeratelettersenttoyourdistrictonFebruary20,2019,theattachedWorkers’Compensationrenewalinvoiceincludestheadjustedexperiencemodificationfactorthatincreasedupto136%andthe5%rateincreaseimposedonaltmembersforthe2019-20programyear.Also,wereceivedtheDistrict’snoticeofintenttowithdrawonMarch25,2019inaccordancewiththeSDRMAwithdrawalpolicy.Therefore,theDistrictiseligibletowithdrawfromtheSDRMAWorkers’CompensationProgrameffectiveJuly1,2019.Asyouconsideryouroptiontowithdrawfromourprograms,pleasetakethefollowingfactorsintoconsideration:.SDRMAhasprovidedriskmanagementservicestoCaliforniapublicentitiesforover32years,withacurrentmembershipcountof684.We’veearnedourrespectedreputationbyprovidingabroadlevelofcoveragewithexcellentriskmanagementservicestoourmembersthroughafinanciallysoundpool..AtSDRMA,wesupportourWorkers’Compensationmemberswiththegoalofservingasanextensionofyouragency’sstaffandprovidingthebestvaluethroughproactivelossprevention,effectiveclaimscostcontainment,andenhancedmemberservices.Foryourconvenience,wehaveincludedaStatementofMemberPlusServicesreflectingtheestimateddotlarvalueof$34,386forsomeofourenhancedservicesasnotedbelow,including:.FreeSafety/ComplianceOnlineTrainingthroughTargetSolutions.LossPreventionAllowanceFund.On-sitelosscontrolvisits,ergonomicevaluationsandriskanalysis.ALongevityDistributioncreditonyour2019-20renewalinvoicesAproudCaliforniaSpecialDistrictsCaliforniaSpecialDistrictsAssociationCSDAFinanceCorporationAlliancepartner1112IStreet,Suite2001112IStreet,Suite200Sacramento,California95814-2865Sacramento,California95814-28651877924CSDA12/32)F916442,7889I87L92&CSDA(2732)*F9i64417889 SDRMASPECtA1.[:Hsi-RJcIRISKMANAGF!1ENTAUTHOkIFY.CreditIncentiveProgramtoreduceannualpremiumsby15%.DiscountedCSDAtrainingsandwebinars.Safetylosspreventiontraining.TetephoneTriageforworkplaceinjuries.Apersonalizedonlineportaltomanageyourpolicyinformation,fileclaims,andrenewefficientlyonline.Toensureaccurateandtimelyprocessingofyourcoverages,pleasereturntheenclosedblueremittancecopyalongwithyourpaymentforthetotalcontributionamountshownontheinvoicebyJuly15,2019.Ifyouragencyneedstomakespecãalpaymentarrangementsduetocashflowconstraints,pleasecontactHeatherThomson,ChiefFinancialOfficer,aththomson@sdrrnajgor800.537.7790.PleasenotethatanybalancedueatAugust15,2019willaccrueinterestchargesof1%permonthregardlessofanypaymentarrangements.UpcomingAnnualPayrollReconciliation—InJuly,youragencywillreceiveaseparateletterwithinstructionsregardingtherequirementtosubmittheannualpayrollreconciliationforthe2018-19ProgramYear.Onceyouragencyhascompletedtheonlinereconciliation,youwillreceivearefundcheckforanyoverpaymentorafinalreconciliationinvoiceforanyadditionalamountdue.IthasbeenourprivilegetoprovidecoverageprotectionandriskmanagementservicestotheTruckeeDonnerPublicUtilityDistrict,andwelookforwardtoourcontinuedpartnership.TheDistricthasuntitJune1,2019torescindtheNoticeofIntenttoWithdraw.However,weappreciateyourconfirmationbyemailatyourearliestconvenience.FinalnotificationsshouldbesenttoEllenDoughty,ChiefMemberServicesOfficeratedoughty@sdrmaorg.Sincerestregards,SpecialDistrictRiskManagementAuthorityc%ftLtAJAJ°LauraS.GillChiefExecutiveOfficerEnclosure:StatementofMemberPlusServicesWCRenewalInvoiceCIPLetter2019-20CIPCriteriaCompanyNurseFlyer SDRMASPECA[DIStRICTRISK.MANAGEMfNTAtITHURITY1112IStreet,Suite300Sacramento,CaIfotnia95814-2865T916.231.4141or800537.7790F916231.4111MaximizingProtection.MinimizingRisk.*www.sdrma.orgSTATEMENTOFMEMBERPLUSSERVICESInanefforttohelpourmemberspreventandreduceclaims,SDRMAprovidesComplimentaryMemberPlusServices.BelowareafewoftheseserviceswiththedollarbenefittotheTruckeeDonnerPublicUtilityDistrict.SDRMAMemberPlusServicesEstimatedValueSafety/ComplianceOnlineTrainingthroughTargetSolutions;81employees$8,100LossPreventionAllowanceFund$1,000On-site9controlvisits,ergonornicevaluationsandriskanalysis$1,800*CreditincentiveProrarn;7%earned$23,236Safety/LossPreventionTraining;$250perpersonperday$250TotalEstimatedValue$34,386*pleasenotethatthesecreditswillappearonyourrenewalinvoices.AproudCaliforniaSpecialDistrictsAlliancepartner.CaliforniaSpecialDistrictsAssociation111%1Street,Suite200Sacramento,California95814-2865I877.924.CSDA(2732)*F916.442.7889CSDAFinanceCorporaDon1112tStreet,Suite200Sacramento,California95814-2865I8/7924CSDA(2732)*F916.442.7889 Worker&CompensationProgramInvoiceProgramYear2019-20SDRt4A7520ClassificationDescriptionWaterworksOperations7539ElectricLightorPowerOperations8742-DPaidGoverningBodyMembers8742-M8742-M-Salespersons-Outside8810Clerical/OfficeEmployees**IndicatespercapitarateclasscodeReportedPayroll$1998157$4,345,228$24,000$243,814$1561,366Rateper$100$5.46$2.87$0.63$0.63$0.55AnnualContribution$109,099.37$124,708.04$151.20$1536.03$8587.51TotalEstimatedAnnualContributionBasedonManualRatesContributionasAdjustedbytheExperienceModificationFactorof136%Less:*7%CreditIncentiveProgramDiscountEstimatedAnnualAdjustedContributionLess:LongevityDistributionCreditLess:5%Multi-ProgramDiscountLess:MemberPlusOnlineRQBonusNetEstimatedAnnualContributionTotalContributionAmountDuebyJuly15$244,082.I6$331951.74-23236.62$308,715.120.000.00-75.00$308,640.12$308,640.12Pleasepayinfullbytheduedate.Ifnot,alatechargeofonepercent(1%)permonth,twelvepercent(12%)perannum,willbeassessedonallsumspastdue.Impositionofthischargedoesnotextendtheduedateforpayment.PleasereturnBLUECOPYwithyourpaymentForinvoicequestionscalltheSDRMAFinanceDepartment.SpecialDistrictRiskManagementAuthority11121StreetSuite300,Sacramento,California95814-2865Tel916.231.4141or800.537.7790Fax916.231,4111www.sdrma.orgTruckeeDonnerPublicUtilityDistrictInvoiceDate:05117/201911570DonnerPassRoadInvoiceNumber:66800Truckee,California96161MemberNumber:7692IIIIIIIIIiIIIlIIIIIItIIIIIIIIIIItIIlIIIIIIIIIIIIIIII WorkersCompensationCreditIncentiveProgramSDRI\4ATruckeeDonnerPublicUtilityDistrictCIPPointsEarnedasof:3/31/2019TheCredittncentiveProgram(CVP)isdesignedtoencourageourMemberstotakeaproactiveapproachforlosspreventionadministration,trainingandsafety/riskmanagement.InanefforttoassistourMembersinachievingthelowestcontributionspossible,weperformedareviewofthedocumentssubmittedtodateforthectPprogramyear2018-19.Thefollowingearnedcreditshavebeendocumentedandwillbeappliedtowardtheannualpayrollreconciliationinvoiceforthe2018-19programyear:cwsUhéárñd¶U!nCIPCflteflaDescripIoncir’is‘SORMASafetySpecialistCertificate2$53590$0SpecialDistrictAdministratordesignationfromSDLF0$02$5,359StaffAttendanceatSORMAWorkshop2$5,3590$0AdditionalStaffAttendanceatSDRMAWorkshop1$2,6600$0ManagementStaffAttendanceatCSDASponsoredTraining0$01$2,680AdditionalManagementStaffAttendanceatCSDASponsoredTraining0$01$2,680AttendanceatOSHNSafetyManagementSeminar0$0I$2,660Injury,IllnessandPreventionProgram0$02$5,359TargetSolutionsOnlineTrainingProgram0$03$8039UseofSDRMASafetyVideoLibrary0$02$5,359ADMINISTRATIONTRACKTOTALS-9POINTSMAXIMUM5$13,3984$10,719SDLFDistrictofDistinctiondesignation0$04$10,719SingleBoardMemberAttendanceatSDRMAWorkshop0$01$2,680AdditionalBoardMemberAttendanceatSDRMAWorkshop0$0I$2,680SingleBoardMemberAttendanceatCSDATraining0$01$2,680AdditionalBoardMemberAttendanceatCSDATraining0$01$2,680CompletionoftwoCSDAEducationIWebinarsessions0$02$5,359GeneralSafetySpecialistCertificate0$0I$2,680GOVERNANCETRACKTOTALS-4POINTSMAXIMUM0$04$10,719NoClaimsduringtheyear0$02$5,359UtilizationofCompanyNurse2$5,3590$0CLAIMSTRACKTOTALS-2POINTSMAXIMUM2$5,3590$0COMBINEDTRACKTOTALS-15POINTSMAXIMUM7$18,7578$21,4375YEARNOCLAIMSBONUS0$03$8,039TOTALCREDITINCENTIVEPOINTS7$18,75711$29,476*Fordetailedinformation,pleaseseetheWorkers’CompensationCIPcriteriafortheapplicableProgramYear.Forquestions,pleasecontactDennisTimoney,ChiefRiskOfficerat800537,7790ordtimoneysdrmaorg. Workers’CompensationProgramSIJRtV1J&2019-20CreditIncentiveProgramCriteriaSpecialDistrictRiskManagementAuthority(SDRMA)iscommittedtoestablishingastrategicpartnershipwithourmemberstoprovidemaximumprotection,helpcontrollossesandpositivelyimpacttheoverallcostofworkers’compensationcoveragethroughtheCreditIncentiveProgram.Creditincentivesofupto15pointscanbeearnedbasedonanAgency’sparticipationinmeetingthefollowingprogramguidelines.OneCIPpointisequaltoa1%discountontheAgency’sWorkers’CompensationProgramcontributionsinvoice.ParticipatingmembersmaychooseamongvariousoptionstocompleteduringtheCIPperiod(April1—March31)toreachthemaximumpointsallowablewithineachtrack.Themaximumtotalpointsamembercanreceiveis15points(notincludingbonuspoints)andpointsearnedbeforeMarch31,2020willbeappliedtothe2020-21ProgramYear.OptionsallowingamembertoearnpointsforbothProperty/LiabilityandWorkers’Compensationaredesignatedwith(Creditwillbeappliedtobothprograms).Pointsarecurrentlyawardedasfollows:ADMINISTRATIONTRACK(9POINTSMAXIMUM)ForstaffaccreditedwiththeSDRMAGeneralSafetySpecialistCertificateorSupervisorSafetySpecialistCertificate.ThiscertificateprogramisawayfortheAgency’sstafftodemonstratetheirdedicationtosafetyandlossprevention.TheGeneralSafetySpecialistcertificaterequirestheAgencyemployeecompleteandpassfourOSHAcertifiedgeneraltrainingcoursesandtoreceivetheSupervisorSafetySpecialistcertificate,completeandpasstwosupervisorysafetycoursesinadditiontothefourOSHAcertifiedgeneraltrainingcourses.Certificatesarevalidfor2years.2pointsNoDocumentationRequired-WillbeconfirmedbySDRMA.(Creditwillbeappliedtobothprograms)FormanagementstaffaccreditedwiththeSpecialDistrictAdministratordesignationbytheSpecialDistrictLeadershipFoundation(SDLF).Thiscertificationprogramisawayforspecialdistrictadministratorstoaffirm—totheircustomers,totheirboardofdirectors,andtothemselves—thattheyarecompetentandexperiencedintheirprofession.Requirementsforthiscertificationincludemanagementexperience,continuingeducation,communityservice,andultimatelyanexam.2pointsNoDocumentationRequired-WillbeconfirmedbySDLF.(Creditwillbeappliedtobothprograms)Foreachfull-dayattendancebytheAgency’ssafetyofficer,designatedindividual,oremployee(s)atanSDRMASafety/ClaimsEducationDay(Firstattendeeearns2points,secondattendeeearns1point).3PointsmaximumNoDocumentationRequired-WillbeconfirmedbySDRMAworkshopattendancesheet.(Creditwillbeappliedtobothprograms)Foreachfull-sessionattendancebytheAgency’smanagementstaffinaCaliforniaSpecialDistrictsAssociation(CSDA)sponsoredtrainingprogram,suchasCSDAannualconferenceworkshopsand/orSpecialDistrictLeadershipAcademy(Eachattendeeearns1point).2pointsmaximumNoDocumentationRequired-WillbeconfirmedbyCSDAtrainingattendancesheet.(Creditwillbeappliedtobothprograms)ForattendinganapprovedSeminarrelatingtoOSHA/SafetyManagementissues.MembermustreceiveapprovalfromtheSDRMAClaims/LossPreventionManagertoreceivecredit(Attendeeearns1point).1PointmaximumDocumentationRequired—CoursesyllabusandcertificateofcompletionmustbesubmittedtoSDRMAforcreditS)ec3trktRiskManagementAuthorityPage1:380(1537:/790viwvi.sdruiia.org Workers’CompensationProgramSDRt4A.ForfirsttimesubmissionofanInjury,Illness&PreventionProgram(IIPP).MayalsobeawardedpointsforsubmittingrevisedIIPPduringtheprogramyear.2pointsDocumentationRequired—AcopyoftheIIPPmustbesubmittedtoSDRMAforreview.ForstaffparticipationinSDRMA’sonlinesafetytrainingprogram—TargetSolutionsSafetyPrograms.Twenty-fivepercent(25%)ofmemberemployees(FT,PTandvolunteerfirefighters)musteachsuccessfullycompleteaminimumoffourindividualetrainingmodules.3pointsNoDocumentationRequired-WillbeconfirmedbySDRMA.ForutilizingSDRMA’sSafetyDVD/VideoLibrary.Participatingmembersmustreviewaminimumof4SafetyDVD/Videos.2pointsNoDocumentationRequired-WillbeconfirmedbySDRMA.GOVERNANCETRACK—GOVERNINGBODYRELATED(4POINTSMAXIMUM)ForAgencyaccreditedwithDistrictofDistinctiondesignationbySpecialDistrictLeadershipFoundation(SDLF).Thisaccreditationprogramenablesdistrictstodemonstratetotheircommunities,themediaandlegislatorstheircommitmenttooperateinasound,responsiblemanner.DistrictsapplytoSDLFfordesignationasa“DistrictofDistinction”bysubmittingfinancialaudits,policiesandproceduresandproofofGovernanceandEthicstrainingreceivedbydirectorsandexecutivestaff.4pointsNoDocumentationRequired-WillbeconfirmedbySDLF.(Creditwillbeappliedtobothprograms)Foreachfull-dayattendancebyamemberoftheAgency’sgoverningbodyatanSDRMASafety/ClaimsEducationDay(Eachattendeeearns1point).2PointsmaximumNoDocumentationRequired-WillbeconfirmedbySDRMAworkshopattendancesheet.(Creditwillbeappliedtobothprograms)Forfull-sessionattendancebyamemberoftheAgency’sgoverningbodyinaCaliforniaSpecialDistrictsAssociation(CSDA)sponsoredtrainingprogram,suchasCSDAannualconferenceworkshops(SDRMAapproved),BoardLeadershipTraining,SpecialDistrictLeadershipAcademyand/orSpecialDistrictLeadershipFoundation(Eachattendeeearns1point).2pointsmaximumNoDocumentationRequired-WillbeconfirmedbyCSDAtrainingattendancesheet.(Creditwillbeappliedtobothprograms)ForcompletionbyamemberoftheAgency’sgoverningbodyofaminimumoftwo(2)CSDAEducation/Webinartrainingsession(s).2pointsNoDocumentationRequired-WillbeconfirmedbyCSDAtrainingattendancesheet.FormembersofagoverningbodyaccreditedwiththeSDRMAGeneralSafetySpecialistCertificate.ThiscertificateprogramisawayfortheAgency’sgoverningbodytodemonstratetheirdedicationtosafetyandlossprevention.TheGeneralSafetySpecialistcertificaterequiresanAgency’sgoverningbodymembercompleteandpassfourOSHAcertifiedgeneraltrainingcourses.1pointNoDocumentationRequired-WillbeconfirmedbySDRMA.(Creditwiibeappliedtobothprograms)SpecaDstrktRiskMaflaerner3tAuthontyPage2:38005377790www.sdrmLorg Workers’CompensationProgramS1.JRP%141&CLAIMSTRACK(2POINTSMAXIMUM)Foramemberagencynothavingany“paid”claims(exceptforclaimsinwhichSDRMAhasinitiatedsubrogatedrecoveriesagainstatfault3rdpa-iy).2pointsNoDocumentationRequired-WillbeconfirmedbySDRMA.ForamemberagencyutilizingtheCompanyNurseincidentreportingtoll-freenumber(877518.6711)toreporteachworkplaceincidentduringtheprogramyearpriortofilingaworkers’compensationclaimform(DWC1).2pointsNoDocumentationRequired-WillbeconfirmedbySDRMA.Thefollowingbonuspointsareinadditiontothe15-pointlimit:CLAIMSBONUS(3POINTS)Foramemberagencynothavingany“paid”claimsasoutlinedundertheClaimsTrackfortheprior5consecutiveyears.3pointsNoDocumentationRequired-WillbeconfirmedbySDRMA.CONTACTINFORMATIONForquestionsregardingpointcreditsortheCreditIncentiveProgram,pleasecontactSDRMAChiefRiskOfficerDennisTimoneyatdtimoney@sdrma.orgorSDRMAClaimsManagerDebbieYokotaatdyokota@sdrma.orgorcalltheSDRMAofficeat800.537.7790.Also,visitourwebsiteatwww.sdrma.org,clickonMemberPlusServicesandthenclickonTargetSolutionsProgramtoviewinformationabouttheprogramortakeanonlinedemonstrationcourseofseveralofourOnlineCertifiedSafetyTrainingProgramCoursesavailabletoallmembersincluding:Over800membersafety-trainingcoursesinEnglishandSpanish.CoursesthatmeetStateandFederalgovernmentregulationsforrequiredcontacthoursforcertifiedwaterandwastewateroperators.CoursesendorsedbytheNationalFireProtectionAssociation(NFPA).CoursesthatarerecognizedandacceptedbytheCaliforniaWaterEnvironmentalAssociation(CWEA)andtheCaliforniaDepartmentofHealthServices(DHS).OSHAapprovedtrainingcourses—40newcourses.ProfessionalDevelopmentCoursesinLeadership,Management,ComputerSkills,CustomerService,Finance,HealthandWellness.OnlineDriverTrainingandComplianceProgram.EmergencyVehicleOperator.LawEnforcement,OnlinePoliceTraining.HumanResourcesSpecaDistrictRiskManagementAuthorftyPage3:38005377790WWWSdrfl3Ofg INCASEOfWORKPLACEINJURYACCIONaseguirencasodeunaccidenteen-w_CMPANYNURSEbuus,LccIdL1%UppC?124HOURSADAYEmployerName(NombreDeCompania)SearchCode(CódigoDelEóqueda)SpecialDistrictRiskManagementAuthoritySDRMAInjuredworkernotifiessupervisor.Empleadolesionadonotificaasusupervisor1ims.*. .II*I$s1FTT1P1I1Se1HWfnIr..iuL:.s.JuLi:zLizLSupervisor/Injuredworkerimmediatelycallsinjuryhotline.Supervisor/EmpteadolesionadollamainmediatamenteaIalIneadeenfermeros/as.CompanyNursegathersinformationoverthephoneandhelpsinjuredworkeraccessappropriatemedicaltreatment.ProfesionalMedicoobtieneinformaciónpotteléfonoyasistealempleadolesionadoenlocalizareltratamientomedicoadecuado.NOTICETOEMPLOYER/SUPERVISOR:Pleasepostcopiesofthtsposterinmultiplelocationswithrnyourworksite.Iftheinjuryisnon-lifethreatening,pleasecallCompanyNursepriortoseekingtreatment.Minorinjuriesshouldbereportedpriortoleavingthejobsite,whenpossible. DISCLAIMER:COVERAGESUMMARIESPROVIDEDHEREINAREINTENDEDASANOUTLINEOFCOVERAGESONLY.INTHEEVENTOFALOSS,ALLTERMS,CONDITIONSANDEXCLUSIONSOFTHEACTUALPOLICIESWILLAPPLY.TruckeeDonnerPUDTravelersvs.JPRIMAComparison—Valuation!LTravetersLImitsValuatton/OeductibieJPRIMALimitsCo-InsDeductibleE...BuiIdings&tersonait’roperty$73,966,932RC$25,000$73,966,932RC$50,000BusinessIncome&ExtraExpense$2,500,000RC72Hour$2,000,00072HourInlandMarine-Equipment$1,752,491ACV$2,500$2,425,822ACV$25,000CrimeNoCoverage,$250,000$50,000EqjpmentBreakdownTravelersLimitsDeductibleEquipmentBreakdownFollowsBldg&BPPndInPkg$25,000$75,000,000$10,000E9uIRn:l9ntBreakdown-BusinessIncomeFollowsBldg&BPPmdInPkg72Hour$2,500,00024HourbthjjtnsuranceLandmarkArnericanDeductibleLandmarkAmertcanDeduqpiePerCcc&AnnualAggregateEarthquake$10,000,000PerPolicy$10,000,000PerPolicyBusinessIncomew/EEotherthanRental$2,500,000PerPolicy$2,500,000PerPolicyFloodTravelersLimitsDeductiblejLandmarkAmericanDeductibleFlood$10,000,000IncllnPkg$50k/$iOok$5,000,000$100,000GeneralLiabilityjTravetersDeductibleJPRIMALimitsDeductibleGeneralAggregate$2,000,000$25,000$10,000,000$25,000ProductsCompletedOpsAggregate$2,000,000$25,000$10,000,000$25,000EachOccurrenceLimit$1,000,000$25,000$1,000,000$25,000LimitedFailuretoSupply$1000,000Wtr&Elec$25,000$1,000,000WaterOnly$25,000Personal&Advertisinglnjury$1,000,000$25,000$1,000,000$25,000DamagetoRentedPremised$1000,000$25,000$1,000,000$25,000MedicalExpense(AnyOnePerson)Excluded$10,000$25,000LoggersBroadForm$1,000,000$1,000,000$25,000PublicEntityE&OPerOccurance$1000,000$15,000$1000,000$50,000PublicEntityE&OAggregate$1000,000$15,000$10,000,000$50,000PublicOfficialsEmploymentPracticesPerOccur.$1,000,000$15,000$1,000,000$50,000PublicOfficialsEmploymentPracticesAggregate$1,000,000$15,000$10,000,000$50,000EmployeeBenefitsLiabilityEmployeeLimit$1,000,000$1000$1,000,000$50,000EmployeeBenefitsLiabilityAggregateLimit$3,000,000$1,000$10,000,000$50,000EmployeeBenefitsLiabilityRetroDate05/01/2002OccurrenceInverseCondenationNoCoverageIncludedinGLiabijEpreBaseIj$atesJSalesRateLimitedFailuretoSupplyWater&ElectricityFlatCharge$3927Electric/PowerCompanies$3,165,300$3.488NoAuditWaterCompanies$1893,326$8.952NoAuditAutoCoverage‘11iLimtts$JSymbolsDeductiblesLimitsSymbolsDeductiblejLiability$1,000,000Symboll$25,000$1,000,000SymbollNone TruckeeDonnerPUDTravelersvs.JPRIMAComparisonMedicalPayments$Uninsured/UnderinsuredMotoristCoverage$ComprehensiveDeductibleCollisionDeductibleHiredCarPhysicalDamageCoverageComprehensiveDeductibleCollisionDeductibleFollowFormExcessAggregateLimitEachOccurrenceLimitLimitedFailuretoSupplyWater&ElectricLoggersBroadFormFoflowFormExcessAggregateLimitEachOccurrenceLimitFailuretoSupplyE01IowForrEicessAggregateLimitEachOccurrenceLimitFailuretoSupplyberjaeAggregateLimit$3rdPartyNetwork&InformationSecurity$3rdPartyCommunication&MediaLiability$3rdPartyRegulartoryDefenseExpense$1stPartyCrisisManagementEventExpenses$1StPartySecurityBreach$1stPartyComptrProgram&ElecDataRestore$1stPartyComputerFraud$1stPartyFundsTransferFraud$1stPartyE-CommerceExtortion$1stPartyBizInterruption&AdditionalExpenses$AggregateLimitCleanUpCostBI,PDPreExistingPollutionCleanUpCostBI,PDNewPollutionEventsCleanUpCostBI,PDatNonOwnedLocations$$5,000Symbol21,000,000Symbol2Symbol2Symbol2ActualCashValueAlliedWorld*$4,000,0004,000,0004,000,000$$$NoCoverageTrave1ersLimftsDeductible10,000,000$10,000,000$NoCoverageEnduranceRiskLimits____$10,000,000$10,000,000NoCoverageTravelersLimits___________1,000,0001,000,000EachClaim$1,000,000EachClaim$1,000,000EachClaim$1,000,000lnsdEvent$1,000,000lnsdEvent$1,000,000lnsdEvent$1,000,000lnsdEvent$1,000,000lnsdEvent$1,000,000lnsdEvent$1,000,000lnsdEvent$ArchSpecialty$1,000,000EachClaim$$1,000,000EachClaim$$1,000,000EachClaim$$1,000,000EachClaim$15,00015,00015,00015,000Deductible$$—,AlliedWorld5,000Symbol21,000,000Symbol2Symbol2Symbol2$4,000,000$4,000,000$4,000,000NoCoverageTravelers$10,000,000$10,000,000NoCoverageSompo/EnduranceLimit$10,000,000$10,000,000NoCoverageTravelersDISCLAIMER:COVERAGESUMMARIESPROVIDEDHEREINAREINTENDEDASANOUTLINEOFCOVERAGESONLY.INTHEEVENTOFALOSS,ALLTERMS,CONDITIONSANDEXCLUSIONSOFTHEACTUALPOLICIESWILLAPPLY.$$$25,000$25,000$10,000$25,000$?5,000$$$$100,000,,$$$$$$$$$$$$5,0005,000NoneACVACVNoneNoneNoneNoneNoneNoneNone25,00025,00025,00025,00025,00025,00025,00025,00025,00025,000WaterOnlyEachClaimEachClaimEachClaimlnsdEventInsdEventlnsdEventlnsdEventlnsdEventlnsdEventlnsdEvent25,00025,00025,00025,00025,00025,00025,00025,00025,00025,000$$$$$$$$$$$1,000,0001,000,0001,000,0001,000,0001,000,0001,000,0001,000,0001,000,0001,000,0001,000,0001,000,000$1,000,000EachClaim$15,000$1,000,000EachClaim$15,000$1,000,000EachClaim$15,000$1,000,000EachClaim$15,000 EmployeeTheftsPremisesCoverageInTransitCoverageForgeryCoverageComputerFraudCoverageFundsTransferFraudCoverageMoneyOrdersandCounterfeitFraudCoverageSocialEngineeringFraudPrerrdumBreakdownPropertyEquipmentBreakdownEarthquakew/LandmarkAmericanw/feesFloodCrimeW/ChubbCyberGeneralLiabilityPublicEntity&EPLIAutoExcessw/AWAC$4MExcessw/Travelers$1OMExcessw/EnduranceRisk$YOM2017-2020PollutionPremium$21,987MembershipFeeIncreasePollutionto$2MMIncreaseEQ$1OMand$5MFloodTotaIEstimatedPiemlurn____________çpuIbLimit$2,000,000$2,000,000$2,000,000$2,000,000$2,000,000$2,000,000$2,000,000$250,000r:zziii$53,077IncludedinProperty51,600IncludedinProperty4,77612,60333,71713,99031,33438,15528,50022,5007,413ITL!eIers$2,000,000$2,000,000$2,000,000$2,000,000$2,000,000$2,000,000$2,000,000$250,000PremiumBreakdownjPropertyEquipmentBreakdownEQw/Landmarkw/FeesFloodw/Landmarkw/FeesCrimeTravelersCyberTravelersGeneralLiabilityPublicEntityAutoExcessw/AWAC$4MExcessw/Travelers$YOMExcessw/EnduranceRisk2017-2020PollutionPrem$21,987MembershipFeeIncreasePollutionto$2MMIncreaseEQ$1OMand$5MFlood$250,000$250,000$250,000$250,000$250,000$250,000$250,000$250,000$56,808$14,098$77,400$56,760Included$14,200$178,130$12,776$48,174$41,880$37,000$30,000$7,413$29,440$8,390$57,500—66aiDISCLAIMER:COVERAGESUMMARIESPROVIDEDHEREINAREINTENDEDASANOUTLINEOFCOVERAGESONLY.INTHEEVENTOFALOSS,ALLTERMS,CONDITIONSANDEXCLUSIONSOFTHEACTUALPOLICIESWILLAPPLY.TruckeeDonnerPUDTravelersvs.JPRIMAComparison________RetentIo!i$5,000$5,000$5,000$5,000$5,000$5,000$5,000$10,000$$$$$$$$$$N/AN/AN/A297,665 TruckeeDonnerPUDTravelersvs.JPRIMAComparisonDISCLAIMER:COVERAGESUMMARIESPROVIDEDHEREINAREINTENDEDASANOUTLINEOFCOVERAGESONLY.INTHEEVENTOFALOSS,ALLTERMS,CONDITIONSANDEXCLUSIONSOFTHEACTUALPOLICIESWILLAPPLY. Form:A-2(1-2016)IPage1StateofCaliforniaDepartmentofIndustrialRelationsOfficeofSelf-InsurancePlansI1050OlsonDrive,Suite230RanchoCordova,Ca.95670Phone(916)464-7000Fax(916)464-7007StateofCaliforniaDepartmentofIndustrialRelationsOFFICEOFSELF-INSURANCEPLANSAPPLICATIONFORCERTIFICATEOFCONSENTTOSELF-INSUREASAPUBLICAGENCYEMPLOYERSELF-INSURERAllquestionsmustbeanswered.Ifnotapplicable,enter“N/A”.TotheDirectoroftheDepartmentofIndustrialRelations:ThepublicagencyemployeridentifiedbelowsubmitsthefollowinginformationtoobtainaCertificateofConsenttoSelf-Insurethepaymentofworkers’compensationunderCaliforniaLaborCodeSection3700.LEGALNAMEOFAPPLICANT(ShowexactlyasonCharterorotherofficialdocuments):Address:City:_____________________________State:___ _____Zip÷4:___ _____ -________FederalTaxID#ofGroup:____________________CONTACT-WhoShouldCorrespondenceRegardingThisApplicantBeAddressedTo:Name:_________________________________________Title:_______________________________CompanyName:Address:Ci ty :____________ ________ ________ _State:____ ___ _Zip+4:______ _ _ -________Phone:_____ ___ ___ ___ ___ ___ ___ ___ ___ _E-Mail:__________________________________________TYPEOFPUBLICENTITY(Checkone):i::iCityand/orCountySchoolDistrictPoliceand/orFireDistrictflHospitalDistrictJointPowersAuthority121Other(describe):______________________________________________TYPEOFAPPLICATION(Checkone):IjNewApplicationLIReapplication(Merger/Unification)flReapplication(NameChange):Other(describe):DateSelf-InsuranceProgramwillbegin: Form:A-2(1-2016)IPage2CURRENTWORKERS’COMPENSATIONPROGRAMLICurrentlyInsuredwithStateFundPolicy#_____________________ExpirationDate:_______ ______DCurrentlySellInsured,Certilicate#_____________________LIOther(describe):.LJiHVlFiLIIUIII1IIFIII’.JI1Whowillbeadministeringyouragency’sworkers’compensationclaims?(Checkone)IZIJPAwilladministerUThirdPartyAdministrator,TPACertilicate#__________________Publicentitywillself-administerL1InsuranceCarrierwilladministerNameofThirdPartyAdministrator:Name:MELODYTUCKERTitle:WORKERS’COMP.CLAIMSMANAGERCompanyName:ASSOCIATIONOFCALIFORNIAWATERAGENCIESJOINTPOWERSINSURANCEAUTHORITYAddress:2100PROFESSIONALDRCity:ROSEVILLEState:CAZip+4:95661Phone:(916)7865247E-Mail:MTUCKER@ACWAJPIA.COM#ofclaimsreportinglocationstobeusedtohandleAgency’sclaims:_________DoesapplicantcurrentlyhaveaCaliforniaCertificateofConsenttoSelf-Insure?UYesEJNoIfyes,whatisthecurrentCertificateNumber:____________TotalNumberofAffiliate’sCaliforniaemployeestobecoveredbyGroup:______________________AGENCYEMPLOYERCurrent#ofAgencyEmployees:__________#ofPublicSafetyEmployees(policellfire):__________IfschoolDistrict,#ofcertificatedemployees:________ __WillallAgencyemployeesbecoveredbythisself-insuranceplan?jYesEJNoIf‘No’,explainwhoisnotcoveredandhowworkers’compensationcoveragewillbeprovidedtotheexcludedemployees: Form:A-2(1-2016)IPage3JOINTPOWERSAUTHORITYWillapplicantbeamemberofaJPAforworkers’compensation?YesNo(If‘yes’,completethefollowing)EffectivedateofJPAMembership:____________________JPACertificate#5807NameofJPA:AssocationofCaliforniaWaterAgenciesJointPowersInsuranceAuthorityAGENCYSAFETYPROGRAMDoestheAgencyhaveawrittenInjuryandIllnessPreventionProgram(IIPP)?EYesElNoIndividualresponsibleforAgencyworkplacesafetyandIIPPprogram:Name:_____________________________________Title:___________ ___ _______ _______ ___CompanyName:Address:City:___________________________State:________Zip+4:___ _____-________Phone:_____________________________E-Mail:_______________________________________SUPPLEMENTALCOVERAGEI.)WillyourprogrambesupplementedbyanyinsuranceorpooledcoverageunderaSTANDARDworkers’compensationinsurancepolicy?E1YesjNo(If‘Yes’,completethefollowing):NameofExcessPool/Carrier:____________________________________________________________Policy#: _______ _______ _______ ___ _EffectiveDateofCoverage:___________ _______ ___ _______2.)WillyourprogrambesupplementedbyanyinsuranceorpooledcoverageunderaSPECIFICEXCESSworkers’compensationinsurancepolicy?EZIYesE1No(If‘Yes’,completethefollowing):NameofExcessPool/Carrier:SAFETYNATIONALCASUALTYCORP.Policy#:4056741EffectiveDateofCoverage:07/01/2017RetentionLimits:$2,000,0003.)WillyourprogrambesupplementedbyanyinsuranceorpooledcoverageunderanAGGREGATEEXCESS(stoploss)specificexcessworkers’compensationinsurancepolicy?ElYesNo(If‘Yes’,completethefollowing):NameofExcessPool/Carrier:____________________________________________________________Policy#:_________________________EffectiveDateofCoverage:____________________________RetentionLimits: Form:A-2(1-2016)IPage4RESOLUTIONFROMGOVERNINGBOARDAttachaproperlyexecutedGoverningBoardResolution.Seeattachedsampleresolutiononpage5.CERTIFICATIONTheundersignedonbehalfoftheapplicantherebyappliesforaCertificateofConsenttoSelf-Insurethepaymentofworkers’compensationliabilitiespursuanttoLaborCodeSection3700.TheaboveinformationissubmittedforthepurposeofprocuringsaidCertificatefromtheDirectorofIndustrialRelations,StateofCalifornia.IftheCertificateisissued,theapplicantagreestocomplywithapplicableCaliforniastatutesandregulationspertainingtothepaymentofcompensationthatmaybecomeduetotheapplicant’semployeescoveredbytheCertificate.x______________________________________DATE:SIGNED:AuthorizedOfficialIRepresentativePrintedNameTitleAgencyName Form:A-2(1-2016)IPage5RESOLUTIONNO.:DATED:06/05/2019ARESOLUTIONAUTHORIZINGAPPLICATIONTOTHEDIRECTOROFINDUSTRIALRELATIONS,STATEOFCALIFORNIAFORACERTIFICATEOFCONSENTTOSELF-INSUREWORKERS’COMPENSATIONLIABILITIESAtameetingoftheBoardofDirectors(EnterNameoftheBoard)oftheTruckeeDonnerPublicUtilityDistrict(EnterNameofPublicAgency,District,Etc.(aSpecialDistrictorganizedandexistingunderthe(EnterTypeofAgency,i.e.,County,City,Schoo(District,etc.)lawsoftheStateofCalifornia,heldonthe5tIdayofJunethefollowingresolutionwasadopted:RESOLVED,thattheabovenamedpublicagencyisauthorizedandempoweredtomakeapplicationtotheDirectorofIndustrialRelations,StateofCalifornia,foraCertificateofConsenttoSelf-Insureworkers’compensationliabilitiesandrepresentativesofAgencyareauthorizedtoexecuteanyandalldocumentsrequiredforsuchapplication.INWITNESSWHEREOF:IHAVESIGNEDANDAFFIXEDTHEAGENCYSEAL.x______________________________________DATE:___________________SIGNED:BoardSecretaryorChairPrintedNameTitleAffixSealHereAgencyName FICoverageProposalTruckeeDonnerPublicUtilityDistrictjpIaJMay28,2019 LiabilityCoverageQuotationLIABILITYPROGRAMLIMIT.$60,000,000SUB-LIMIT:Subsidence-$20,0007000INCLUDES:BodilyInjuryErrors&OmissionsPublicOfficialsErrors&OmissionsLiabilityAccidentalPollutionLiabilityPropertyDamageEmploymentPracticesLiabilityInverseCondemnationAutomobileLiability*coverageaffordedfordronesthatfollowFAARulesandRegulationsPart107ofTitleXIVRetrospectiveAllocationPoint(RAP)$25,0001011118TO10/1119ESTIMATEDDEPOSITPREMIUM:ParticipationinthreeJPIAPrograms$157,266Depositpremiumisbasedonestimatedannualpayrollof$8,039,142.CYBERANDTECHNOLOGYLIABILITYCOVERAGEIncludedwithLiabilityProgramLimitofCoverage$3,000,000**INCLUDESThirdPartyLiabilityCoverageFirstPartyCoverage**PoIicyAggregateLimitRETENTIONSCHEDULERevenue:<$5,000,000$10,000$5,000,000to$25,000,000$25,000>$25,000,000$50,000TruckeeDonnerPUD5/28/2019Page1 PropertyCoverageQuotationPROPERTYPROGRAMLIMIT.$500,000,000SUB-LIMITS:AccidentalMechanicalBreakdown$100,000,000BusinessInterruption$100,000,000(mustreportrevenues)ExtraExpense$50,000,000offPremisesServiceInterruption$25,000,000Flood—ProgramAggregate$25,000,000ZonesAorV$10,000,000Earthquake*programaggregate$2,500,000(higherlimitsavailable)Money&Securities$2,500,000EmployeeDishonesty*$100,000CyberLiability$2,000,000TOTALINSURABLEVALUES:Buildings&FixedEquipment$93,398,717PersonalProperty$3,110,000MobileEquipment$1,411,091Vehiclesperschedule*coverageaffordedfordronesthatfollowFAARulesandRegulationsPart107ofTitleXIV;excludesdamagesustainedwhileinflightDEDUCTIBLES:Buildings,MobileEquipmentandPersonalProperty$25,000MobileEquipment$25,000Vehicles&Trailers$25,000AccidentalMechanicalBreakdownTurbineUnits&associatedEquipment,ElectricalGenerators,orElectricalPowerDistribution$50,000Allotherobjects$25,000ServiceInterruption24HourWaitingPeriodEarthquake5%,subjecttominimum$75,000Flood-AllZones$100,000CyberLiability$50,0007/1118TO711119ESTIMATEDDEPOSITPREMIUM:ParticipationinthreeJPIAPrograms$72,799TruckeeDonnerPUD5128/2019Page2 Workers’Compensation&EmployersLiabilityCoverageQuotationWORKERS’COMPENSATIONLimitofCoverageUptoStatutoryLimitsEMPLOYER’SLIABILITYBodilyInjurybyAccident$2,000,000BodilyInjurybyDisease-eachemployee$2,000,000BodilyInjurybyDisease-coveragelimit$2,000,000EstimatedEstimatedClassAnnualRateAnnualCodeClassificationPayroll711/2019Deposit7520WaterworksOperations$1,998,157.0451$90,1177539ElectricLight&Power$4,345,228.0347$150,7798742Salespersons-MeterReaders$243,814.0104$2,5368810Clerical$1,561366.0086$I3,4288810(a)Clerical—BoardofDirectors$24,000.0086$206Total$8,172,565$257,066EconomyofSizeDiscount—II%$(28,277)DiscountedPremium$228,789ExperienceModificationFactorI.36ModifiedPremium$311,153JPIAMultipleProgramDiscount(3Programs=5%$(15,558)Estimated711119-20DepositPremium$295,595Depositpremiumispayableonaquarterlyreportingbasis.Noup-frontdepositisrequired.RetrospectiveAllocationPoint$15,000minimum.TruckeeDonnerPUD5/28/2019Page3 ExcessCrimeCoverageQuotationGROUPPURCHASELimitofCoverage.$1,000,000INCLUDESPublicEmployeeDishonestyForgeryorAlterationComputerFraudFaithfulPerformanceofDutyDeductible$1,000ESTIMATEDANNUALPREMIUMIUEstimatedAnnualPremium$1,000*Subjecttocarrier’sreviewofcompletedapplicationTruckeeDonnerPUD5/28/2019Page4 PremiumSummaryProgramEstimatedAnnualPremiumLiabilityCoverage$157,266PropertyCoverage$72,799Workers’CompensationCoverage$295,595ExcessCrimeCoverage$1,000TOTALESTIMATEDANNUALPREMIUM$526,660EstimatedannualpremiumincludesMulti-ProgramDiscount—assumesparticipationinthreepooledprogramsCONDITIONS:I.Participationinpooledprogramsrequiresaninitialthree-yearcommitment;2.FavorableRiskAssessment;3.NewapplicationsrequireACWAJPIAExecutiveCommitteeapproval;4.MembershipinACWA.TruckeeDonnerPUD5/28/2019Page5 TruckeeDonnerPIUID.06/01/19to04/01/20PresentedbyMatthewBauerandTonyPozasMay10,2019P.O.Box8110Chico,CA95927-8110Phone:530-895-1010•Fax:530-895-1313CADCI#0B01094DISCLAIMER:COVERAGESUMMARIESPROVIDEDHEREINAREINTENDEDASANOUTLINEOFCOVERAGESONLY.INTHEEVENTOFALOSS,ALLTERMS,CONDITIONSANDEXCLUSIONSOFTHEACTUALPOLICIESWILLAPPLY. MatthewBauerDirectLine:Email:TonyPozasDirectLine:Email:NatalieBrockus,CISR,DirectLine:Email:Fax:530-897-3158mbauer@iwins.com530-897-3174tpozas@iwins.comAFIS530-897-3148nbrockus@iwins.com530-891-7748RiskManagement/ClaimsRiskManagementServices:DanteBellinoPhone:530-722-2635Email:dbellino@iwins.comProperty/CasualtyClaims:HeatherHillPhone:530-722-2613Email:hhill@iwins.comWorkersCompensationClaims:DeniseBrownPhone:Email:AdditionalServices530-823-6504dbrown@iwins.comSuretyBonds:JohnHopkinsPhone:Email:PersonalInsurance:SandySundermanPhone:530-897-3152Email:ssunderman@iwins.comYOURSERVICETEAMCoverageandPolicyServices530-897-3156jhopkins@iwins.comLetourexperienceguideyou. NAMEDINSURED/LOCATIONSTruckeeDonnerPublicUtihtyDistrict11570DonnerPassRoadTruckee,CA96161MailingAddress11570DonnerPassRoadTruckee,CA96161Locations115135&16363SkiSlopeWayTruckee,CA96161A&BWell2AirportWells&BoosterTruckee,CA96161AirportWell&Booster314686SlalomWayTruckeeCA96161AlderCreekBooster4AlderDriveBoostersTruckeeCA96161AlderDriveBoosters512534SierraDriveWestTruckeeCA96161ArmstrongTank611222TrailsEndRoadTruckeeCA96161Bridge_Street_6170_Tank711348DeerfieldDriveTruckeeCA96161DonnerCreekWell8DonnerLakeTankTruckeeCA96161DonnerLakeTankLetourexperienceguideyou. NAMEDINSURED/LOCATIONS911777&11783BullPineTrailTruckeeCA96161DonnerTrailsBooster1011882SkiSlopeWayTruckeeCA96161DonnerViewBooster1112564FalconPointPlaceTruckeeCA96161FalconPointBooster1211280ValleyRoadTruckeeCA96161GatewayTank13GlacierTankTruckee,CA96161GlacierTank1410513TheStrandTruckeeCA96161GlenshireBooster1515375KentDriveTruckeeCA96161GlenshireLowerTanks1610726ChickwickRanch&15659SherwoodDriveTruckeeCA96161GlenshireUpperTanks17GlenshireWellTruckeeCA96161GlenshireWell1810565SomersetDriveTruckeeCA96161GlenshireWell#2019HerringboneBoosterTruckeeCA96161HerringboneBooster20HirschdaleWell&TreatmentTruckeeCA96161HirschdaleWell&Treatment2111069lnnsbruckAvenueTruckee,CA96161lnnsbruckAvenueLetourexperienceguideyou. NAMEDINSURED/LOCATIONS22MartisValleyWell#1TruckeeCA96161MartisValleyWell#123MartisWoodsTanks&BoostersTruckeeCA96161MartisWoodsTanks&Boosters2410181IndianJackRoadTruckeeCA96161NorthsideBooster2512701FairwayDriveTruckeeCA96161OldGreenwoodWell2612530&13046PinnacleLoopTruckeeCA96161PinnacleLoop27PonderosaPalisadesBoosterTruckeeCA96161PonderosaPalisadesBooster2811912RioVistaDriveTruckeeCA96161PonderosaPalisadesWestBooster2910620NoOtherWayTruckeeCA96161ProsserAnnexWell3011059&11089BeaconRoadTruckeeCA96161ProsserHeightsHydro3110964AlderDriveTruckeeCA96161ProsserHeightsWells3212007PineForestRoadTruckeeCA96161ProsserLakeviewTank33ProsserVillageWellTruckeeCA96161ProsserVillageWell3414701MountJudahDriveTruckeeCA96161Red_Mountain_Hydro_BoostersLetourexperienceguideyou. NAMEDINSURED/LOCATIONS35RichardsBlvdBoosterTruckeeCA96161RichardsBlvdBooster3613036RoundhillDriveTruckeeCA96161RoundhillBoosters3710692PioneerTrailTruckeeCA96161SandersWell3810601&10665PineConeDriveTruckeeCA96161SierraMeadowsBoosters3911357StizmarkWayTruckeeCA96161SitzmarkBooster4016322SkiSlopeWayTruckeeCA96161SkiLodgeBooster4115528SkiSlopeWayTruckeeCA96161SkiRunBooster4211778CedarTrailTruckeeCA96161SomaSierraBooster43SouthsideWell#1TruckeeCA96161SouthsideWell#144SouthsideWell#2&BoosterTruckeeCA96161SouthsideWell#2&Booster4512450StockholmWayTruckeeCA96161StockholmBooster46WolfeEstatesBoostersTruckeeCA96161WolfeEstatesBooster47WolfeEstatesTankTruckeeCA96161WolfeEstatesTankLetourexperienceguideyou. NAMEDINSUREDILOCATIONS4811570DonnerPassRoadTruckeeCA96161DistrictOffice4911570DonnerPassRoad&MartisValleyand11270TrailsEndRoadTruckeeCA96161—CorpYardStockofTransformers&MiscEquipment50MartisValleySubstationTruckeeCA96161Bldg_for_Housing_Controls51TruckeeSubstationTruckeeCA96161TruckeeSubstation52DonnerLakeSubstationTruckeeCA96161DonnerLakeSubstation53TahoeDonnerSubstationTruckeeCA96161Tahoe_Donner_Substation54MartisValleySubstation,NofRiverviewDr,SofTruckeeRiver,TruckeeCA96161Martis_Valley_Substation55ScadaSystemTruckeeCA96161ScadaSystem56FibreboardWellTruckeeCA96161FibreboardWell57NorthsideWellTruckeeCA96161NorthsideWell58GlenshireControlValveTruckeeCA96161Glenshire_Control_Valve591170TrailsEndRoadTruckee,CA96161DataCenter60GatewayBoosterTruckee,CA96161GatewayPumpStationLetourexperienceguideyou. COMMERCIALPROPERTYCarrier:JPRIMA-ALLIEDWORLDINSCOPolicyPeriod:06/01/19to04/01/20AMBestRating:ADescriptionTotalBlanketBuilding,Contents,ComputerEquipmentTotalBlanketBusinessIncomew/ExtraExpenseLimitScheduledMobileEquipmentMobileEquipmentunscheduledmaxany1Item$lOkRented,Leased&BorrowedEquipmentCrimeBlanketLimits$72,546,700$2,000,000$2,425,822$96,936$500,000$250,000SEEAHACHEDSTATEMENTOFVALUESCoveredCausesofLoss:Valuation:MobileEquipmentValuation:SpecialReplacementCostActualCashValueSupplementalPropertyCoverages(notallinclusive)Limit$100,000$500,000$500,000$100,000$100,000Deductible$10,000$10,000$10,000$10,000$10,000Ded$50,000$50,000$25,000$25,000$25,000$50,000BuildingandPropertyConditions:Description:PollutantCleanUp&RemovalDebrisRemovalBuildingOrdinanceCombinedB&C—EachScheduledLocationPropertyinTransit—PerOccurrencePropertyatOtherLocationLetourexperienceguideyou. CYBERCarrier:PolicyPeriod:AMBestRating:Beazley-Syndicate2623/623atLloyds06/01/19to06/01/20A(NonAdmitted)INTERWESTINSURANCESFMCS.LWPolicyAggregateFirstPartyLoss$1,000,000NotifiedIndividualsLegal,Forensic&PublicRelationsCrisisManagementBusinessInterruption—SecurityBreachBusinessInterruption—SystemFailureDependentBusinessLoss—SecurityBreachDependentBusinessLoss—SystemFailureCyberExtortionDateRecoveryCostsData&NetworkLiabilityRegulatoryDefense&PenaltiesPaymentsCardsLiabilities&CostsMediaLiabilityFraudulentInstructionFundsTransferFraudTelephoneFraudCriminalRewardDeductible/Retention$250,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$1,000,000$250,000$250,000$50,000EachIncident,ClaimorLossCyberRiskWaitingPeriod$10,00010HoursLetourexperienceguideyou. CRIMECarrier:PolicyPeriod:AMBestRating:TravelersProperty06/01/19to06/01/20Organization:TruckeeDonnerPublicUtilityDistrictanditsSubsidiariesCrimeCoverageEmployeeTheftCoverageERISAFidelityPremisesCoverageInTransitCoverageForgeryCoverageComputerFraudCoverageFundsTransferFraudCoverageMoneyOrder&CounterfeitFraudCoverageSocialEngineeringRetention:Limit$2,000,000$1,000,000$2,000,000$2,000,000$2,000,000$2,000,000$2,000,000$2,000,000$250,000$250,000Letourexperienceguideyou. GENERALLIABILITYCarrier:PolicyPeriod:06/01/19to04/01/20AMBestRating:ACOVERAGESGeneralLiabilityAggregateLimitProducts/CompletedOperationsAggregateLimitCoverageABodilyInjuryandPropertyDamage—EachOccurrenceCoverageBPersonalandAdvertisingInjuryDamagetoRentedPremisesMedicalExpense(AnyonePerson)FailuretoSupply—WaterOnly-EachOccurrenceLoggersBroadForm$1,000,000InverseCondemnationIncludedinGLDEDUCTIBLESTYPECombinedBodilyInjury/PropertyDamageDeductibleProducts/CompletedOperationsandPremisesOpsEmploymentBenefits—EachEmployeeJPRIMA-ALLIEDWORLDINSCOLIMITS$10,000,000$10,000,000$1,000,000$1,000,000$1,000,000$10,000$1,000,000NotauditableAMOUNT$100,000$1,000Letourexperienceguideyou.11 PUBLICOFFICIALS&MANAGEMENTJPRIMA—AlliedWorldInsuranceCo06/01/19to04/01/20AGGREGATELIMIT:$10,000,000COVERAGESEachWrongfulAct—PerActEmploymentPractices(Including3rdPartyDiscrimination)PerOffenseEmployeeBenefitPlans—PerActInjunctiveRelief—PerActDEDUCTiBLESTYPEAMOUNTEachClaimincludingExpenses$50,000ENDORSEMENTS:DefenseOutsidetheLimitsCarrier:PolicyPeriod:AMBestRating:ALIMITS$1,000,000$1,000,000$1,000,000$5,000Letourexperienceguideyou.12 COMMERCIALAUTOCarrier:JPRIMA-ALLIEDWORLDINSCOPolicyPeriod:06/01/19to04/01/20AMBestRating:ACOVERAGECombinedSingleLimit-$25,000DeductibleMedicalPaymentsUninsuredMotoristComprehensiveDeductibleCollisionDeductibleHiredAutomobileLiabilityNon-ownedAutomobileLiabilityHiredPhysicalDamageLimitComprehensiveDeductibleCollisionDeductibleSYMBOL(S)12222IncludedIncluded$100,000$25,000$25,000CoverageSymbols:(1)AnyAuto(2)AllOwnedAutos(3)OwnedPrivatePassengerAutos(4)OwnedAutosOtherThanPrivatePassenger(5)AllOwnedAutosRequiringNo-FaultCoverage(6)OwnedAutosSubjectToCompulsoryU.M.Law(7)AutosSpecifiedOnSchedule(8)HiredAutos(9)Non-OwnedAutosLetourexperienceguideyou.SeeattachedSpreadsheetforAutoListLIMITSOFLIABILITY$1,000,000$5,000$1,000,000$5,000$5,00013 EARTHQUAKE&FLOODCarrier:LandmarkAmericanInsCompanyPolicyPeriod:06/01/19to06/01/20AMBestRating:A+EARTHQUAKECOVERAGELIMITSEarthquake—PerOccurrenceandAnnualAggregateFlood—PerOccurrenceandAnnualAggregateBusinessIncomew/ExtraExpenseotherthan“RentalValue”Valuation:ReplacementCost,BusinessIncome—ActualLossCoverages:.Building(Districtofficebuildingincludingpropertydescribedinthesubmissionwhichincludestanks,wells,equipment,generators&substations).PersonalProperty.ElectronicDataProcessing(IncludedasPersonalProperty).BusinessIncomewithExtraExpenseotherthan“RentalValue”.Radio&Television.SpecialFloater.MobileEquipmentPerils:EarthquakeIIncludingEarthquakeSprinklerLeakageForm:ISOForms—Currentto2012versions&RSUIFormsDeductible:Earthquake-16$HourDefinitionofOccurrence-5.00%subjecttoaminimumof$25,000peroccurrence(PropertyDamage&TimeElement)IncludingEarthquakeSprinklerLeakageDeductible:Flood-$100,000*ftheDeductibleisexpressedasapercentage(unlessotherwisestated),theDeductibleiscalculatedseparatelyforandappliesseparatelytoeachbuildingthatsustainslossordamage,thepersonalpropertyateachbuildingatwhichthereislossordamagetopersonalproperty.Personalpropertyintheopen.BusinessIncomeandExtraExpense.Ifthereisdamagetobothabuildingandpersonalpropertyinthatbuilding,separatedeductiblesapplytothebuildingandtothepersonalproperty.PolkyAttachmentsExclusionofPathogenicorPoisonousBiologicalorChemicalMaterialRSG960140504$10,000,000$2,500,000$2,500,000Letourexperienceguideyou.14 Carrier:PolicyPeriod:AMBestRating:AlliedWorldAssurance06/01/19to06/01/20A+GeneralAggregate(OtherthanProducts/CompletedOperations)Products/CompletedOperationsAggregateOtherAggregate(FailuretoSupply)S4,000,000$4,000,000$4,000,000Subjecttoit’sowncoverage’sandexclusionsLetourexperienceguideyou.FOLLOWFORMEXCESSCOVERAGEAggregateLimitsofLiabilityREMARKS:15 Carrier:PolicyPeriod:AMBestRating:AlliedWorldAssurance06/01/19to06/01/20A+LimitsofLiabilityREMARKS:GeneralAggregate(OtherthanProducts/CompletedOperations)Products/CompletedOperationsAggregateOtherAggregate(FailuretoSupplyElec&Water)SIR$4,000,000$4,000,000$4,000,000$1,000,000Subjecttoit’sowncoverage’sandexclusionsExcludesLoggersBroadFormFOLLOWFORMEXCESSCOVERAGELetourexperienceguideyou.16 Carrier:PolicyPeriod:AMBestRating:TravelersInsurance06/01/19to06/01/20LIMITSOFTHISINSURANCE:$10,000,000$10,000,000EachOccurrenceLimitAggregateLimitFIRSTFOLLOWFORMEXCESSPOLICY-AlliedWorld:$4,000,000EachOccurrenceLimit$4,000,000AggregateLimitForms(notallinclusive):XPO1O40214FailuretoSupplyExclusion--XP01690214DesignatedProfessionalServicesExclusionXPO2110214Amendment—FollowformtoExclusionsinunderlyinginsuranceonlywhenExcessofcontrollingunderlyinginsurance&postExcludesLoggersBroadFormLetourexperienceguideyou.SECONDFOLLOWFORMEXCESS‘7 THIRDFOLLOWFORMEXCESSCarrier:EnduranceRiskSolutionsAssuranceCoPolicyPeriod:06/01/19to06/01/20AMBestRating:A+LIMITSOFTHISINSURANCE:$10,000,000EachOccurrenceLimit$10,000,000AggregateLimitFIRSTFOLLOWFORMEXCESSPOLICY-AlliedWorld:$4,000,000EachOccurrenceLimit$4,000,000AggregateLimitSECONDEXCESSFOLLOWPOLICY-Travelers$10,000,000EachOccurrenceLimit$10,000,000AggregateLimitForms(notallinclusive):EXL60010813AbsoluteAsbestosExclusionEXLO5O90110ExclusionforMold&OtherNaturally—OccurringContaminantsEXL05770110EminentDomain/InverseCondemnationExclusionEXLO5160610Exclusion—ViolationofInformationStatuesEXL05240110CrisisResponse&CrisisCommunicationMngmtInsuranceExclusionEXLO53O0110FailuretoSupplyExclusionEXLO5130110LeadExclusionEXL05730110CyberLiabilityExclusionEXL60660813NuclearEnergyLiabilityExclusionEXL60740813PollutionExclusionwithHostileFireExceptionEXL60880813Silica,Silica-RelatedorMixedDustExclusionEXL13230610SubLimitedCoverageExclusionEXL05370110Uninsured/UnderinsuredMotoristExclusionEXL05620110WarLiabilityExclusionEXLO9O70813CaliforniaChanges—CancellationNonRenewallLl2Ol0115ExclusionofCertifiedActsofTerrorism&ExclusionofotherActsEXLO2O30813ExcessLiabilityCoverageFollowForm(ShortForm)ExcludesLoggersBroadFormPolicywillnotbebroaderthananyunderlyingorexcesslayerLetourexperienceguideyou.18 POLLUTIONCarrier:ArchSpecialtyInsurancePolicyPeriod:06/01/17to06/01/20AMBestRating:A+LimitsofLiability$1,000,000PerClaim$1,000,000PolicyAggregateDefenseCostsareincludedwithintheLimitsofLiabilityCOVERAGECoverageA-CleanupCosts,BodilyInjury&PropertyDamageresultingfromPre-existingPollutioneventsCoverageB-CleanupCosts,BodilyInjury&PropertyDamageresultingfromNewPollutioneventsCoverageCN/ACoverageD—CleanCosts,BI,&PDatNonOwnedLocationsGreenStandardsAggregateLimitInsuredCompensationExpenseLimitDeductible$15,000EachPollutionEventRetroDate05/01/04and06/01/17Endorsements:NonOwnedLocationsSchedule(blanketforallISDFacilities)ThirdPartyTransportationCoverageFirstPartyTransportationCoverageMold&FungusExclusionMmEarnedPremiumEndt(100%atinception)DivestedPropertySchedule(appliestothefollowingbc:15670DonnerPassRd,Truckee,CA)TRIATerrorismCoverage(Optional;availableforanadditional1%)OFACAdvisoryNoticeRegulatorycompliance/noticeendorsementsasnecessaryLetourexperienceguideyou.19 PREMIUMCOMPARISONInsured:TruckeeDonnerP.U.D.COVERAGECarrier18-19PremCarrier19-20PremPropertyTravelers$53,077JPRIMA$56,808EquipmentBreakdownTravelersIncIinPropTravelers$14,098EarthquakePrimaryLandmark$51,600LandmarkEQ&FL$118,680CrimeChubb$4,776Travelers$2,205CyberTravelers$12,603Beazley$8,101LiabilityTravelers$33,717JPRIMA$178,130PublicEntity&EPLITravelers$13,990JPRIMA$12,776BusinessAutoTravelers$31,334JPRIMA$48,174MembershipFeeTravelersNoneJPRIMA$29,440Pollution(3year$22,237)ArchPaidthru2020ArchPaidThru2020PrimaryFollowFormAWAC$38,155AWAC$41,880SecondaryFollowFormTravelers$28,500Travelers$37,000ThirdFollowExcessEndurance$22,500Endurance$30,500EstimatedTotal$290,252$577,792Letourexperienceguideyou.20 COMPENSATIONDISCLOSURESTATEMENTInterWestInsuranceServices,LLC,doesbusinesswithmultiplecompetinginsurancecompanies,enablingustoofferavarietyofcoveragechoicesandcustomizeaplantosatisfyyourspecializedneeds.Thisproposalisanoutlineofthecoveragesofferedbyourinsurersbasedontheinformationprovidedbyyourcompany.Itdoesnotincludeallterms,coverages,exclusions,limitationsorconditionsoftheactualcontractlanguage.Tofullyunderstandthedetailsofthecoverages,termsandconditions,youneedtoreviewthepolicycontracts.Atyourrequest,thepolicyformswillbemadeavailable.TheinformationcontainedinthisproposalisbasedonthehistoricallossexperienceandexposuresprovidedbyyoutoInterWestandisnotanactuarialstudy.Fortheservicesweprovidetoourclients,InterWestreceivesusualandcustomarycommissionsorfees,andoccasionallyfeesinadditiontocommissions,fromtheinsurancecarriersprovidingthecoverages.Thiscommissionpercentageissetbytheinsuringcompany,notbyus,andisincludedaspartoftheinsurancepremiumyoupay.Wechargeyounothingfortheplacementofyourpolicies,aswearecompensatedforthisserviceinthecommissionpreviouslydescribed.However,wemaychargefeesforotherprofessionalservicesthatyouaskustoperform.Inadditiontosuchfeesandcommissions,InterWestmayalsoreceiveinvestmentincomeonfiduciaryfundstemporarilyheldinouraccounts,suchaspremiumsorreturnpremiums.Inplacing,renewing,consultingonorservicingretailinsurancepolicies,InterWestmayparticipateincontingentcommissionagreementswithselectinsurersthatprovideforadditionalcompensationifunderwriting,profitability,volumeorretentiongoalsareachievedovermultipleyears.Itisusuallyimpossibletoknowatthetimeofplacementwhetherthatpolicywillcontributeto,ordetractfrom,ourpotentialeligibilityforfutureadditionalcompensationfromtheinsurer.IfyouhavequestionsregardingthecompensationreceivedbyInterWestorouraffiliatesinrelationtoinsuranceplacement,pleasecontactyourInterWestrepresentative.CADOl#OBOI094Letourexperienceguideyou.21 DISCLAIMER:COVERAGESUMMARIESPROVIDEDHEREINAREINTENDEDASANOUTLINEOFCOVERAGESONLY.INTHEEVENTOFALOSS,ALLTERMS,CONDITIONSANDEXCLUSIONSOFTHEACTUALPOLICIESWILLAPPLY.TruckeeDorn;erPUDTravelersvs.JPRIMAComparison$$$‘RtMALimits06/01/19Valuation!r-_________Co-Ins$RC$to04!0112073,966,9322,000,000$2,425,822ACV$250,000Travelers6!1!19-20$75,000,000$2,500,000LandmarkAmerican6/1119-20$5,000,000.-‘PropertyCoveragej.TravetersLirn1tsValuation!DeductibleBlanketBuildings&PersonalProperty73,966,932RC$25,000BusinessIncome&ExtraExpense2,500,000RC72HourInlandMarine-Equipment1,752,491ACV$2,500CrimeNoCoverageEquipmentBreakdownLimitsDeductible]EquipmentBreakdownFollowsBldg&BPPndInPkg$25,000EquipmentBreakdown-BusinessIncomeFollowsBldg&BPPmdInPkg72HourLandmarkAmericanDeductiblePerCcc&AnnualAggregateEarthquake$10,000,000PerPolicyBusinessIncomew/EEotherthanRental$2,500,000PerPolicyNoCoverageFlood&1mz:cTravelersLimitsiimiii&DeductibleLandmarkAmerican6/1/19-20Flood$10,000,000ndInPkg$50k1$lOOk$2,000,000TravetersLimitsIIIVpeductibleJPRIMALimits6/14/1GeneralAggregate$2,000,000$25,000$10,000,000ProductsCompletedOpsAggregate$2,000,000$25,000$10,000,000EachOccurrenceLimit$1000,000$25,000$1,000,000LimitedFailuretoSupply$1000,000Wtr&Elec$25,000$1000,000WaterOnlyPersonal&AdvertisingInjury$1000,000$25,000$1,000,000DamagetoRentedPremised$1000,000$25,000$1,000,000MedicalExpense(AnyOnePerson)Excluded$10,000LoggersBroadForm$1,000,000$1,000,000PublicEntityE&OPerOccurance$1,000,000$15,000$1,000,000PublicEntityE&OAggregate$1000,000$15,000$10,000,000PublicOfficialsEmploymentPracticesPerOccur.$1000,000$15,000$1,000,000PublicOfficialsEmploymentPracticesAggregate$1000,000$15,000$10,000,000EmployeeBenefitsLiabilityEmployeeLimit$1,000,000$1,000$1,000,000EmployeeBenefitsLiabilityAggregateLimit$3,000,000$1000$10,000,000EmployeeBenefitsLiabilityRetroDate05/01/2002OccurrenceInverseCondenation,NoCoverageIncludedinGL$100,000LiabilitySalesRateLimitedFailuretoSupplyWater&ElectricityFlatCharge$3927Electric/PowerCompanies$3,165,300$3.488NoAuditWaterCompanies$1893,326$8.952NoAuditAutoCoverag---—-TravelersLimits$FSymbolsDeductiblesJPRIMA6/1-4/1SymbolsDeductibleLiability$1000,000Symbol1$25,000$1000,000Symbol1NoneDeductible$50,000$50,000$25,000$50,000Deductible$10,00024HourDeductiblePerPolicyPerPolicyDeductible$100,000Deductible$100,000$100,000$100,000$100,000$100,000$100,000$100,000$100,000$50,000$50,000$50,000$50,000$50,000$50,000 MedicalPaymentsUninsured/UnderinsuredMotoristCoverageComprehensiveDeductibleCollisionDeductibleHiredCarPhysicalDamageCoverageComprehensiveDeductibleCollisionDeductibleIFoltowFormExcessAggregateLimitEachOccurrenceLimitLimitedFailuretoSupplyWater&ElectricLoggersBroadForm______________________FollowFotmExcessAggregateLimitEachOccurrenceLimitFailuretoSupplyFollowFormExcessAggregateLimitEachOccurrenceLimitFailuretoSupplyAggregateLimitNetwork&InformationSecurityCommunication&MediaLiabilityRegulartoryDefenseExpenseCrisisManagementEventExpensesSecurityBreachComptrProgram&ElecDataRestoreComputerFraudFundsTransferFraudE-CommerceExtortionBizInterruption&AdditionalExpensesAggregateLimitCleanUpCostBI,PDPreExistingPollutionCleanUpCostBI,PDNewPollutionEventsCleanUpCostBI,PDatNonOwnedLocationsNoCoverageTravelersLimits$10,000,000$10,000,000NoCoverageEnduranceRiskLimits$10,000,000$10,000,000NoCoverageTraveiersLImits$1,000,000$25,000$25,000$10,000$25,000$25,000Deductiblel$$$-,..,...WaitingPeriod12Hrs$1,000,000EachClaim$25,000$1,000,000EachClaim$25,000$1,000,000EachClaim$25,000$1,000,000InsdEvent$25,000$1,000,000InsdEvent$25,000$1,000,000InsdEvent$25,000$1,000,000InsdEvent$25,000$1,000,000InsdEvent$25,000$1,000,000InsdEvent$25,000$1,000,000InsdEvent$25,000$1,000,000EachClaim$15,000$1,000,000EachClaim$15,000$1,000,000EachClaim$15,000$1,000,000EachClaim$15,0005,000Symbol21,000,000Symbol2Symbol2Symbol2100,000NoneAlliedWorld6/1/i9-20$4,000,000$4,000,000$4,000,000ACVACVNoCoverageTravelers6/i/l9-20$10,000,000None$10,000,000NoneNoCoverageSompo/EnduranceLimit6/i/i9-20$10,000,000None$10,000,000NoneNoCoverageBeazley-Lloyds-06/01/19-04/01/20$1,000,000Waiting$1000,000EachClaim$1,000,000EachClaim$1000,000EachClaim$1,000,000lnsdEvent$1,000,000lnsdEvent$1,000,000lnsdEvent$1,000,000lnsdEvent$100,000lnsdEvent$1,000,000lnsdEvent$1,000,000lnsdEventA!chSpecialty6/1/i7-611/20$1,000,000EachClaim$$1,000,000EachClaim$$1,000,000EachClaim$$1,000,000EachClaim$15,00015,00015,00015,000DISCLAIMER:COVERAGESUMMARIESPROVIDEDHEREINAREINTENDEDASANOUTLINEOFCOVERAGESONLY.INTHEEVENTOFALOSS,ALLTERMS,CONDITIONSANDEXCLUSIONSOFTHEACTUALPOLICIESWILLAPPLY.TruckeeDonnerPUDTravelersvs.JPRIMAComparison$5,000Symbol2$1,000,000Symbol2Symbol2Symbol2ActualCashValue$$$,—z-:-:—-—-AlliedWortd$4,000,000$4,000,000$4,000,000$$..-5,0005,000$1,000,000$1,000,000$1,000,000Deductible$$Deductible$$Period10Hrs$10,000$10,000$10,000$10,000$10,000$10,000$10,000$10,000$10,000$10,000 TruckeeDonnerPUDCrimeWIChubbCyberGeneralLiabilityPublicEntity&EPLIAutoExcessw/AWAC$4MExcessw/Travelers$1OMExcessw/EnduranceRisk$1OMMembershipFeeT6IShisdPremium4,77612,60333,71713,99031,33438,15528,50022,500DISCLAIMER:COVERAGESUMMARIESPROVIDEDHEREINAREINTENDEDASANOUTLINEOFCOVERAGESONLY.INTHEEVENTOFALOSS,ALLTERMS,CONDITIONSANDEXCLUSIONSOFTHEACTUALPOLICIESWILLAPPLY.EmployeeTheftsPremisesCoverageInTransitCoverageForgeryCoverageComputerFraudCoverageFundsTransferFraudCoverageMoneyOrdersandCounterfeitFraudCoverageSocialEngineeringFraudPremiumBreaiwnaPropertyEquipmentBreakdownEarthquakew/LandmarkAmericanw/feesFloodTravelersvs.JPRIMAComparisonQhubbRetentionj$2,000,000$5,000$2,000,000$5,000$2,000,000$5,000$2,000,000$5,000$2,000,000$5,000$2,000,000$5,000$2,000,000$5,000$250,000$10,000$53,077IncludedinProperty$51,600IncludedinProperty$$$$$$$$Paidinfull2017N/A2017-2020PollutionPremium$21,987T!avelers6/1/19-20ELRetenj$2,000,000$250,000$2,000,000$250,000$2,000,000$250,000$2,000,000$250,000$2,000,000$250,000$2,000,000$250,000$2,000,000$250,000$250,000$250,000PremiumBreakdownProperty$53,039EquipmentBreakdown$14,098EQw/Landmarkw/Fees$56,192Floodw/Landmarkw/Fees$30,960CrimeTravelers$2,205CyberBeazley$6,749GeneralLiability$144,897PublicEntity$9,370Auto$49,557Excessw/AWAC$4M$41,880Excessw/Travelers$1OM$36,000Excessw/EnduranceRisk$30,500Paiduntil2020MembershipFee$25,7887JJØffjedPremiumjSOça3SZ9O%5% aTRUCKEEResolutionNo.2019-17CONSENTINGTOENTERTHEJOINTPROTECTIONPROGRAMSOFTHEASSOCIATIONOFCALIFORNIAWATERAGENCIES/JOINTPOWERSINSURANCEAUTHORITYWHEREAS,,pursuanttotheprovisionsofSection990,990.4,990.8,and6500oftheGovernmentCode,thisDistrictwishestoenterintoanagreementwithvariousotherdistrictsentitled“JointPowersAgreement:CreatingtheAssociationofCaliforniaWaterAgencies/JointPowersInsuranceAuthority”(theAuthority),forthepurposeofparticipatingintheJointPowersInsuranceAuthoritycreatedthereby,whichsinceitsformationhasprovidedforandadministeredjointprotectionprogramsasmorefullysetforthinsaidagreement;andWHEREAS,saidjointprotectionprogramsoffersignificantadvantagestothisDistrictintermsofcost,liabilityprotection,propertyprotection,workers’compensationprotection,andservices,andenteringsuchprograms,ontheconditionshereinaftersetforth,appearstobeinthebestinterestoftheDistrict.NOW,THEREFORE,BEITRESOLVEDbytheBoardofDirectorsofTruckeeDonnerPublicUtilityDistrict:Section1.ThatTruckeeDonnerPublicUtilityDistrictherebyconsentspursuanttotheabove-mentionedJointPowersAgreement,andtheresolutionsandpoliciesenactedinimplementationofsuchAgreement,toentersaidjointprotectionprograms.Section2.ThattheDistrictherebyelectstojointheLiability,Property,andWorkers’CompensationProgramssponsoredbytheAuthority.Section3.ThattheDistrictherebyselects$25,000.00asitsRetrospectiveAllocationPoint(RAP)forthefirstpartialyearofparticipationundertheAuthority’scostallocationformulaforliabilityexclusiveofDamFailureLiability.Section4.ThattheDistrictherebyselects$15,000.00asitsRetrospectiveAllocationPoint(RAP)forthefirstpartialyearofparticipationundertheAuthority’scostallocationformulaforworkers’compensationliabilities.Section5.ThattheTreasurerofthisDistrictisherebyauthorizedtopaytotheACWNJointPowersInsuranceAuthorityitsfirstdepositpremium.Section6.ThattheDistrictClerkoftheBoardofDirectorsofthisDistrictisdirectedtocertifyacopyofthisresolutionandtoforwardthesameresolution,thesignedJointPowersAgreement,andtheJPIAdepositpremiumpaymentpromptlybymailtotheAssociationofCaliforniaWaterAgencies/JointPowersInsuranceAuthority,P.O.Box619082,Roseville,California,95661,atwhichtimecoveragewillcommencethe1StdayofJuly,2019. PASSEDANDADOPTEDbytheBoardofDirectorsatameetingdulycalledandheldwithintheDistrictonthefifthdayofJune,2019bythefollowingrollcallvote:AYES:NOES:ABSENT:TRUCKEEDONNERPUBLICUTILITYDISTRICTBobEllis,PresidentATTEST:ShannaD.Kuhlemier,CMC,DistrictClerk