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Home My WebLink AboutBudget Extension - Sheriff & JailRyan Rectenwald Undersheriff Office 509-754-2011 ext. 2017 Cell 509-750-7304 rectenwald@grantcountywa.gov Ken Jones Chief Deputy Field Operations Office 509-754-2011 ext. 2018 Cell 509-750-7303 kjones@grantcountywa.gov T. Dustin Canfield Chief Deputy Special Operations Office 509-754-2011 ext, 2021 Cell 509-237-8610 dc.anfield@grantcounlywa.gov Joe Kriete Chief Deputy Corrections Office 509-754-2011 ext. 2026 Cell 509-750-2710 jkriete@grantcountywa.gov Darrik Gregg Chief Deputy Emergency Management Office 509-754-2011 ext. 2001 Cell 509-237-3552 dgregg@grantcountywa.gov Tracy Williams Administrative Assistant Office 509-754-2011 ext 2014 Cell 509-237-2278 twi Ili ams@grantcountywa. gov Grant Coun Gd'._ 6-2to-Is SHERIFF June 18, 2019 Tom Taylor, Chair Cindy Carter, Vice -Chair Richard Stevens, Member Board of County Commissioners Tom Jones, Sheriff ,, Dated this day of 20 I!r Board of County Commissioners �/ Grant County, Washington Approve r v Abstain Dist#1 Dist # 1 Dist # I Dist #_ Dist # 2 Dist # 2 Dist #3 Dist # 3 Dist # 3 Re: Request for Budget Extension for $32,042.04 Professional Liability Insurance Coverage for Corrections Physician (Unforeseen Professional Services Expense) I am requesting a budget extension for our Professional Services Line Item #: 521204100. The extension is regarding Professional Liability Insurance coverage for our Corrections Physician, Dr. Morgan Fife. We share services with Grant Integrated Services (GrIS) and it has been agreed previously we would have to cover 75% of the expense. The cost of the insurance renewal for the liability coverage is $42,722.72. This is nearly a 316% increase from the previous coverage. This amount was unexpected and we did not budget for this increase in 2019. This increase is due to the increased risk of physicians in Correctional facilities, as explained by our county insurance carrier. As a Correctional facility, it is a necessity for us to have a physician work in our facility. Our share of the $42,722.72 is $32,042.04. The remainder of the cost will be covered by GrIS. I believe the funding will have to come from Current Expense funds for the Professional Services line item, but I will have to defer to Chief Accountant Madeline Prentice. I have attached a copy of the proposal with this letter. P.O. Box 37 • Ephrata, WA 98823 • www.grantcountywa.gov/sheriff ` 509-754-2011 ext. 2001 • 509-754-2058 Facsimile -7h,— Administrative Offices in the Law & Justice Center, 35 C St NW, Ephrata, Wash. V 1212018 91 �-/ If you have any questions, please don't hesitate to contact me. 17 All". ANUM Chief Deputy Grant County Sheriff's Office Cc: Ryan Rectenwald, Undersheriff Donna Harrington, Financial Specialist Madeline Prentice, Chief Accountant s 4p!s Risk Placement Services, Inc. iC^o,vledge. Beln!; r.^silos. Risk Placement Services. Inc. - Scottsdale 8800 E. Raintree Drive, Suite 250 Scottsdale, AZ 85260 June 5, 2019 Retail Producer: Denise Lembcke Martin Morris Agency, Inc - Ephrata 105 Basin St. NW Ephrata, WA 98823 Phone: 480-860-5555(509) 754-2021 Fax: (509) 754-4891 Email: dlembcke@martinmorris.com RPS Submission #: 25615386 PROPOSAL OF INSURANCE - Renewal Proposal Information Insured Name: Morgan Scott Fife MD Policy Period: 6/17/2019 to 6/17/2020 Insurance Carrier: Kinsale Insurance Company NAIC #: 38920 Admitted / Non -Admitted: Non -Admitted A. M. Best Rating: A- VIII Retroactive Date (if Claims Made coverage): Per expiring Physical Location 35 CST NW, Ephrata, WA 98837 Coverage: Professional Liability Per Attached Carrier Quote Per Attached Carrier Quote Rating Information See Attached Premium Summary Premium $40,844.00 MEP % -If varies Coverage Premium Commission% from Policy MEP Professional Liability $40,844.00 12.00 Minimum Earned Premium: 25 TRIA Status: NOT APPLICABLE TRIA Premium: (optional) (All applicable taxes and fees are Fully Earned at binding unless otherwise specified.) Fees: Broker Fee - RPS $1,000.00 Tax State (or home state): WA SURPLUS LINES TAXES: TAXES WITHOUT TRIA TAXES WITH TRIA Surplus Lines Tax $836.88 Surplus Lines Tax $836.88 Stamping Office Fee $41.84 Stamping Office Fee $41.84 TOTAL CHARGES W/O $42,722.72 TOTAL CHARGES $42,722.72 TRIA WITH TRIA Coverage Notes This quote is valid for 30 days or until the proposed inception, whichever is later. After binding, flat cancellation is not permitted. Minimum earned premium provision applies. Terms & Conditions Per Attached Carrier Quote Terms & Conditions IN ORDER TO BIND COVERAGE, please provide the following additional information. Please note, coverage and premium terms are subject to change or withdrawal pending review and underwriting approval of this additional information: Binder Issuance is Subject To: REQUIRED PRIOR TO BINDING: Signed/Dated Application showing correctional exposure Copy of Curriculum Vitae Copy of extension issued by RSUI Kinsale Insurance Company A.M. Best Company Rating: A- (Excellent) Financial Size Category: VIII Risk Placement Services - Scottsdale - Jill Osborne QUOTE RE: Morgan Scott Fife MD Submission #:01562362 605 Coolidge Street Quote Letter #:05018024 Moses Lake, WA 98837 Quote Date: 06/05/2019 We are pleased to offer the following quote. This quote is valid until 06/1712019 unless extended and agreed to in writing by us. Please read carefully as the terms and conditions of coverage may differ from those requested. THIS IS NOT A BINDER OF INSURANCE. Company: Kinsale Insurance Company Policy Term: 06/17/2019 - 06/17/2020 Coverage Form: Medical Professional Liability - Claims Made and Reported usiness Description: Correctional Medicine - No Surgery ating State: Washington amed Insured: Specialty: Retro Date: organ Scott Fife MD Correctional Medicine - No Surgery 05/18/2015 Limits: Each Medical Incident Limit $1,000,000 Annual Aggregate Limit $3,000,000 Policy Aggregate Limit $3,000,000 Deductible: Each Claim Deductible $25,000 Premium $40,844 Company Fees $0 Total Due at Inception $40,844 inimum Earned Premium pany Fees are fully earned. iium is 100.00% minimum and deposit. s, fees and surcharges are the responsibil of the broker. 25.0 rage c or 4+ This quote is subject to the specified conditions and may be withdrawn at any time prior to acceptance and in no event will it remain open beyond the quote expiration date unless extended by us in writing. Changes in classifications, operations, exposure or risk specific information require notification to us and may result in changes to this quote. Coverage may not be bound without written confirmation from us. Once bound, coverage may not be cancelled flat and the minimum earned premium will apply. Once bound, a survey of your premises may be conducted by a representative of Kinsale. By requesting this coverage bound, you consent to this survey. Policy Terms and Conditions - please review policy for complete details Written Demand Included Consent to Settle w/ Limitation Included Deductible Applies to Indemnity and/or Claims Expenses Included Defense within the Limit Included No Punitive Damages Included Quote Options - please consult your underwriter for additional available coverages or enhancements Contingencies: This Quote is subject to our receipt and acceptance of the following items: 1) Application must be fully completed to reflect the correctional exposure we are covering 2) Copy of Curriculum Vitae 3) Copy of extension issued by RSUI Comments: THIS MAY INCLUDE ONE OR MORE COVERAGES FOR A CLAIMS MADE AND REPORTED POLICY. THE COVERAGE REQUIRES THAT A CLAIM MUST BE FIRST MADE AGAINST AN INSURED DURING THE POLICY PERIOD AND BE REPORTED IN WRITING TO THE COMPANY WITHIN THE POLICY PERIOD OR AN EXTENDED REPORTING PERIOD, IF APPLICABLE. IF YOUR POLICY PERMITS REPORTING OF INCIDENTS, THEN INCIDENTS MUST BE REPORTED WITHIN THE POLICY PERIOD. PLEASE REFER TO SECTION V -ADDITIONAL TIME IN WHICH TO REPORT CLAIMS FIRST MADE AT THE END OF THE POLICY PERIOD. PLEASE READ THE ENTIRE POLICY CAREFULLY. MPL2028: Correctional Medical Associates MPL5000: Grant County MPL4007: $100K MPL2027: Any and all employees and/or authorized volunteer workers not listed on endorsement MPL2026 MPL2026: Corbin Lynn Moberg PA -C, MSPAS, retro 5/18/15 Eric Aronsohn PA -C, MPAS, retro 5/18/15 Kathleen Tillie Holloway PA -C, retro 5/18/15 Policy Form and Endorsements - Policy Forms & Endorsements correspond to the included Terms 8 Conditions of OPTION 1 (please consult with your underwriter should you need specimens of optional terms and conditions) MPL1001-1115 - Declarations Medical Professional Liability - Claims Made and Reported ADF9013-0419 - Notice - Where To Report A Claim ADF4001-0110 - Schedule of Forms MPL0001-0817 - Medical Professional Liability Policy Page 3 of 4