X hits on this document

Word document

Municipal Entity Underwriting Application - page 14 / 34

90 views

0 shares

0 downloads

0 comments

14 / 34

Municipal Entity Underwriting Application

11.

Underwriting Information

a.

Does your entity contract law enforcement services to any other public or private entity?

If yes, please attach a copy of the contract.

 Yes

 No

b.

Is your entity a party to any mutual aid, reciprocal, or regional task force agreements?

If yes, please attach a copy of the contract.

 Yes

 No

c.

Does your entity authorize employee "moonlighting"?

 Yes

 No

1.

Is "moonlighting" pre-approved?

If yes, please attach a copy of "moonlighting" policies.

 Yes

 No

2.

Is "moonlighting" in bars and taverns approved?

 Yes

 No

d.

Is your entity currently at authorized strength?

 Yes

 No

e.

Total full-time employees:

Last Year?

Prior Year?

Two Years Prior?

SEPARATELY RATED EXPOSURES

.STREET, ROAD, HIGHWAYS or BRIDGES

a.

Roads / Highways

Mileage - Paved

Mileage - Unpaved

i.

Condition of roads?

ii.

Does your entity have a regular maintenance and upkeep program?

 Yes

 No

iii.

Are written records of maintenance kept?

 Yes

 No

iv.

Are barricades and warning signs used at roadwork sites?

 Yes

 No

v.

Are road signs regularly inspected for visibility or missing signs?

 Yes

 No

b.

Sidewalks

i.

Are sidewalks inspected for defects?

If yes, how often?  

 Yes

 No

ii.

Are written records of inspection kept?

 Yes

 No

iii.

Please describe sidewalk replacement program.  

c.

Bridges

i.

How many bridges of over 20 feet in length are maintained by your entity?

ii.

Are all bridges posted with weight limits?

 Yes

 No

iii.

Are there any one-lane bridges?

If so, are warning signs posted?  

 Yes

 Yes

 No

 No

iv.

Are any bridges closed, condemned, or structurally deficient?

List by bridge number and give reasons.  

 Yes

 No

1.

Are warning signs posted?

 Yes

 No

2.

Are barriers permanent?

 Yes

 No

v.

When was the last inspection?

1.

By whom?

2.

Number of Bridges passed.

14 of 3410/23/2007

Document info
Document views90
Page views90
Page last viewedMon Dec 05 09:20:35 UTC 2016
Pages34
Paragraphs84
Words498

Comments