HomeMy WebLinkAbout2017-03-20-J16 ICAP Renewal► � Waukee
THE KEY TO GOOD LIVING
AGENDA ITEM:
CITY OF WAUKEE, IOWA
CITY COUNCIL MEETING COMMUNICATION
MEETING DATE: March 20, 2017
AGENDA ITEM: Renewal with Iowa Communities Assurance Pool (ICAP) for 04/01/2017
— 06/30/2017 Property, Auto, Professional and Liability insurance.
FORMAT: Resolution
SYNOPSIS INCLUDING PRO & CON: PLEASE note the dates above! Staff inquired
this year about changing our April 1" annual renewal to July I", to
coincide with our fiscal year. So, this renewal is for time period of April
P'thru June 30'h only. The attached reports provide detail for the partial
year renewal and billing.
We will receive the typical renewal credit and the complete review of our
coverages will be provided with the July I` renewal. There is no change
to policy coverage at this time.
Also, please note, staff did discover a couple items that were either not
included on the original equipment listing, or should have been removed
from the listing; those items will be corrected by ICAP and issued as an
additional billing or credit once revisions are completed.
FISCAL IMPACT INCLUDING COSTBENEFIT ANALYSIS: $48,483.51
COMMISSIONBOARD/COMMITTEE COMMENT:
STAFF REVIEW AND COMMENT: Staff recommends approving the total payment to
ICAP.
RECOMMENDATION: Approve the Resolution.
ATTACHMENTS: ICAP Renewal paperwork
PREPARED BY: Linda Burkhati A
REVIEWED BY:
PUBLIC NOTICE INFORMATION —
NAME OF PUBLICATION:
DATE OF PUBLICATION:
THE CITY OF WAUKEE, IOWA
RESOLUTION
APPROVING PAYMENT TO IOWA COMMUNITIES ASSURANCE POOL (ICAP)
FOR 04/01/2017 — 06/30/2017 PROPERTY, AUTO, PROFESSIONAL & LIABILITY
INSURANCE IN THE AMOUNT OF $48,483.51
IN THE NAME AND BY THE AUTHORITY OF THE CITY OF WAUKEE, IOWA
WHEREAS, the City of Waukee, Dallas County, State of Iowa, is a duly organized Municipal
Organization; AND,
WHEREAS, Iowa Communities Assurance Pool (ICAP) provides property, auto, professional
and liability insurance services for the City; AND,
WHEREAS, ICAP proposes a partial year renewal of policies for the period of April 1, 2017
through June 30, 2017 at a cost of $48,483.51; thereby extending our annual renewal to July 1st
each fiscal year moving forward; AND,
WHEREAS, City staff recommend approval of the payment.
NOW THEREFORE BE IT RESOLVED by the City Council of the City of Waukee, Iowa on
this the 201h day of March, 2017, that it hereby approves payment to Iowa Communities
Assurance Pool (ICAP) for 04/01/2017 — 06/30/2017 property, auto, professional & liability
insurance in the amount of $48,483.51.
William F. Peard, Mayor
Attest:
Rebecca D. Schuett, City Clerk
ROLL CALL VOTE AYE NAY ABSENT ABSTAIN
Anna Bergman
R. Charles Bottenberg
Brian Harrison
Shelly Hughes
Larry R. Lyon
ICAP
April -June 2017 Billing
changes renewal from April 1 to July 1 for fiscal year invoicing
Description
Total Premium Billed
Total Credit %
Liability Credit %
Excess %
General Liability
$9,446.13
38%
51%
58%
Wrongful Acts Liability
$1,879.48
10%
12%
Law Enforcement Liability
$1,523.43
8%
9%
Business Auto Liability
$3,420.16
18%
21%
Excess Liability (+$6M)
new 2014
$2,343.46
13%
$18,612.66
Property Premium
$22,177.59
46%
Auto Physical Damage
$7,693.26
16%
Boiler & Machinery
$0.00
0%
$48,483.51
$0.00
Credits $'s:
Liability (See Breakdown below)
38%
$0.00
Property
46%
$0.00
Auto
16%
$0.00
Boiler
0%
$0.00
$0.00
Liability Breakdown:
General
51%
$0.00
Wrongful Acts
10%
$0.00
Law Enforcement
8%
$0.00
Business Auto
18%
$0.00
Excess Liability (See Breakdown below)
13%
$0.00
$0.00
Excess Liability Breakdown:
+$6M
Invoiced
Credit
Total Excess Liab
General
58%
$1,360.65
$ -
$1,360.65
Public Officials
12%
$270.73
$ -
$270.73
Law Enforcement
9%
$219.44
$ -
$219.44
Vehicles
21%
$492.65
$ -
$492.65
100%
$2,343.46
$ -
$2,343.46
ICAP
April -June 2017
G/L Account Number Detail
FY17
Budget
Over/(Under)
Budget
Account# Premium$'s
010.10.1100.290000
$
309.94
$
1,200.00
010.10.1100.290100
$
715.39
$
3,000.00
010.10.1110.290300
$
106.64
$
-
010.10.1100.290300
$
1,202.79
$
6,000.00
010.10.1100.290400
$
1,742.87
$
4,077.63
$
8,000.00
$
18,200.00
$
(14,122.37)
010-10.1110.290300
$
500.00
$
500.00
$
(500.00)
010.10,1400.290000
$
646.83
$
2,500.00
010.10.1400.290100
$
3,850.07
$
18,000.00
010.10.1400.290300
$
797.20
$
5,294.09
$
4,000.00
$
24,500.00
$
(19,205.91)
010.10.1500.290000
$
307.36
$
1,230.00
010.10.1500.290100
$
926.69
$
4,300.00
010.10.1500.290300
$
797.20
$
2,031.25
$
4,000.00
$
9,530.00
$
(7,498.75)
060.30.1600.290350
$
901.68
$
901.68
$
3,650.00
$
3,650.00
$
(2,748.33)
060.30.1610.290350
$
1,239.16
$
1,239.16
$
4,000.00
$
4,000.00
$
(2,760.85)
010.10.1900.290000
$
154.97
$
700.00
010.10A900.290100
$
119.91
$
274.88
$
600.00
$
1,300.00
$
(1,025,12)
010.40.3100.290000
$
309.94
$
1,200.00
010.40.3100.290300
$
3,344.38
$
3,654.32
$
5,000.00
$
6,200.00
$
(2,545.68)
010.40.4100.290000
$
505.09
$
2,000.00
010.40.4100.290100
$
374.21
$
1,000.00
010.40.4100.290300
$
835.51
$
1,714.82
$
4,000.00
$
7,000.00
$
(5,285.18)
010.40.4200.290000
$
486.03
$
2,200.00
010.40.4200.290100
$
184.45
$
670.48
$
600.00
$
2,800.00
$
(2,129.52)
010.40.4300.290000
$
154.97
$
1,000.00
010.40.4300.290300
$
263.95
$
418.92
$
1,500.00
$
2,500.00
$
(2,081.08)
010.20.6000.290000
$
807.17
$
2,900.00
010.20.6000.290100
$
90.85
$
500.00
010.20.6000.290300
$
$
898.02
$
-
$
3,400.00
$
(2,501.98)
010.20.6010.290300
$
4,672.39
$
4,672.39
$
21,000.00
$
21,000.00
$
(16,327.61)
010.20.6150.290100
$
57.05
$
57.05
$
300.00
$
300.00
$
(242.95)
010.60,8100.290000
$
2,150.21
$2,150.21
$
8,500.00
$
8,500.00
$
(6,349,79)
010.60.8200.290000
$
154.97
$
154.97
$
-
$
$
154.97
010.60.8300.290000
$
154.97
$
1,600.00
010.60.8310.290300
$
2,361.80
$
2,516.77
$
11,000.00
$
12,600.00
$
(10,083.23)
O10.60.8350.290000
$
154.97
$
154.97
$
600.00
$
600.00
$
(445.03)
010.60.8400.290000
$
154.97
$
154.97
$
650.00
$
650.00
$
(495.03)
010.50.8500.290000
$
154.97
$
154.97
$
750.00
$
750.00
$
(595.03)
010.50.8700.290000
$
154.97
$
154.97
$
600.00
$
600.00
$
(445.03)
010.20.8900.290000
$
154.97
$
600.00
010.20.8900.290100
$
189.89
$
344.86
$
500.00
$
1,100.00
$
(755.14)
010.20.8950.290000
$
154.97
$
600.00
010.20.8950.290100
$
-
$
154.97
$
-
$
600.00
$
(445.03)
060.30.7100.290000
$
360.37
$
3,500.00
060.30.7100.290100
$
3,501.55
$
12,000.00
060.30.7100.290300
$
389.44
$
4,251.36
$
1,500.00
$
17,000.00
$
(12,748.64)
510.30.6510.290000
$
910.67
$
3,500.00
510.30.6510.290100
$
290.19
$
1,500.00
510.30.6510.290300
$
1,409.02
$
2,609.88
$
6,000.00
$
11,000.00
$
(8,390.12)
520.30.6520.290000
$
1,099.11
$
4,500.00
520.30.6520.290100
$
566.24
$
1,300.00
520.30.6520.290300
$
2,272.97
$
3,938.33
$
5,500.00
$
11,300.00
$
(7,361.67)
540.30.6540.290000
$
1,936.18
$
10,000.00
540.30.6540.290100
$
232.46
$
1,500.00
540.30.6540.290300
$
211.28
$
2,379,91
$
1,000.00
$
12,500.00
$
(10,120.09)
560.80.5300.290000
$
309.94
$
1,400.00
560.80.5300.290100
$
468.03
$
1,500.00
560.80.5300.290300
$
-
$
777.97
$
-
$
2,900.00
$
(2,122.03)
750.80.8750.290000
$
1,268.41
$
6,000.00
750.80.8750.290100
$
39.11
$
200.00
750.80.8750.290300
$
1,372.18
$
2,679.71
$
5,000.00
$
11,200.00
$
(81520.29)
$
48,483.51
$
48,483.51
$ 196,180.00 $ 196,180.00
1 $ (147,696.50)
General Fund Over/(Under) Budget $ (92,424.48)
ocation
Address
Iowa Communities Assurance Pool
April 2016
Property Policy
Occupancy Total Value %Location
New Calculations
$from invoice
1-1
University & Ashworth
Shelter -Centennial
$49,437
7.74%
$
35.35
1-2
University & Ashworth
Restroom-Centennial
$51,904
8.12%
$
19.00
1-3
University & Ashworth
Restroom-Centennial
$51,904
8.12%
$
19.00
1-4
University & Ashworth
Concession Stand -Cent
$94,773
14.83%
$
67.78
1-36
University & Ashworth
Playground Equip -Cent
$99,471
15.57%
$
30.63
1-42
University & Ashworth
Siren
$43,297
6.78%
$
13.33
1-49
Centennial Park (old 33-49)
Ball Field Lights
$31,706
4.96%
$
9.76
1-92
Centennial Park on University
Walking Path Bridge
$216,486
33.88%
$
154.82
$ 349.67
$638,977
100.00%
$
349.67
2-6
1205 -6th Street
Maintenance Garage
$108,121
81.47%
$
77.32
2-8
1205 - 6th Street
Storage Garage
$24,585
18.53%
$
17.58
$ 94.90
$132,706
100.00%
$
94.90
.
3-9
South of Waukee
Well House
$23,523
100.00%
$
7.24
$ 7.24
4-10
1215-6th Street
Maintenance Garage
$111,121
100.00%
$
79.47
$ 79.47
5-13
Water Treatment Facility
Aeration Bldg
$195,922
100.00%
$
60.33
$ 60.33
6-15
410-61h Street
Veteran/Community Center $342,254
100.00%
$
105.39
$ 105.39
12-23
New Park/Winfield
Shelter
$179,500
65.67%
$
128.37
12-44
Winfield Park
Playground Equipment
$93,840
34.33%
$
28.90
$ 157.27
$273,340
100.00%
$
157.27
13-24
397 HWY6
Lift Station#2
$358,793
76.18%
$
110.48
13-45
397 HWY 6
Storage Building
$112,167
23.82%
$
80.21
$ 190.69
$470,960
100.00%
$
190.69
14-25
University & Grant Pkwy
Public Safety Bldg
$7,393,773
43.00%
$
1,202.79
28.50%
$
797.20
28.50%
5
797.20
$ 2,797.19
100.00%
$
2,797.19
15-26
50 Little Walnut Crk Dr
Siren
$43,297
300.00%
$
13.33
$ 13.33
16-27
501-4th Street
Siren
$43,297
100.00%
$
13.33.
$ 13.33
17-28
1155 Westbrooke
Siren
$43,297
100.00%
$
13.33
$ 13.33
18-29
701 Boone Dr
Siren
$43,297
100.00%
$
13.33
$ 13.33
19-30
600 - 142nd Street
Pump Station #4
$390,271
68.52%
$
120.17
19-73
600-142nd Street
?
$179,264
31.48%
$
55.20
$ 175.37
$569,535
100.00%
$
175.37
20-31
230 HWY 6
City Hall
$3,154,481
99.50%
$
2,356.90
20-105
230 HWY 6
CH Flag Poles
$15,918
0.50%
$
4.90
$ 2,361.80
$3,170,399
100.00%
$
2,361.80
22-32
Hwy R22
Water Treatment Facility
$1,589,013
100.00%
$
581.73
$ 584.93
22-109
Hwy R22
Bldg
$10,404
$
3.20..
24-34
950 Warrior Lane
Library
$4,649,584
100.00%
$
3,344.38
$ 3,362.30
24-81
950 Warrior Lane
Lift Station#9
$48,960
$
17.92
$4,698,5441
$
3,362.30.
Parks
Parks
Parks
Parks
Parks
Siren
Park
Park
Roads
Roads
Center
Fire
EMS
City Hall
Water
Library
25-35
27-37
27-86
29-40
30-41
30-43
30-57
31-87
31-88
31-89
32-47
32-48
34-50
35-51
37-53
37-78
39-55
39-56
39-76
39-121
41-59
42-60
43-61
44-65
45-74
46-68
48-70
48-100
48-108
49-71
50-72
51-91
3256 Ashworth Rd
Siren
31653 Ute Ave
Lift Station
31653 Ute
Siren
LA Grant Prkwy & Univ
Siren
550 Ashworth Drive
Clock -Triangle Park
550 Ashworth Drive
18 Lamp Posts -Triangle
550 Ashworth Drive
Triangle Park Bandstand
Ridge Pointe Park/655 SE Legacy
Pavillion/Shelter
Ridge Pointe Park/6555E Legacy
Playground Equipment
Ridge Pointe Park/655 RE Legacy
Playground Equipment
Southfork Park
Playground Equipment
Southfork Park
Open Shelter
1300-3rd Street
Lift Station#1
1080 Westwoods
Lift Station #3
Hwy 6 & Alices Rd
Lift Station #6
Hwy 6 & Alices Rd
Street/Traffic Lights
1501 6th Street
Mist: Property
15016th Street
Golf Pole Storage Bldg
15016th Street
bench/ball wash/signs
15016th Street
Lift Station #11
Hickman & North 10th
Street/Traffic Lights
Hickman & 4th Street
Street/Traffic Lights
Hickman & Warrior Lane
Street/Traffic Lights
Boone Drive & University
Street/Traffic Lights
90 N 10th Street
West Town Border Station
Hwy 6 - Alices Road to R22
Street Lights
1255-3rd Street
Water Tower
1255-3rd Street
Water Tower Climate Cntrl
1255-3rd Street
Fence
Intersection Alices/University
Street/Traffic lights
100 Block of SE University
Traffic Lights
445 Maple Street
Mower -Chg Address ,
$43,297
300.00%
$
13.33
$194,040
81.76%
$
71.04
$43,297
18.24%
$
13.33
$237,337
100.00%
$
363.71
$43,297
100.00%
$
13.33
$11,414
4.28%
$
8.16
$232,850
87.28%
$
58.15
$22,523
8.44%
$
8.25
$266,787
100.00%
$
74.56
$p
0.00%
$
-
_
$56,308
83.33%
$
17.34
$11,262
16.67%
$
3.47
$67,570
100.00%
$
20.81
$25,364
44.44%
$
7.81
$31,706
55.56%
$
11.61
$57,069
100.00%
$
19.42
$458,762
100.00%
$
167.95
$310,843
100.00%
$
113.80
$0
0.00%
$
-
_
$223,284
100.00%
$
$
68.75
667.42
$223,284
$682,085
82.87%
$
851.65
$99,021
12.03%
$
30.49
$28,154
3.42%
$
8.67
$13,770
1.67%
$
5.04
$823,030
100.00%
$
895.85
$228,283
100.00%
$
70.29
$228,283
100.00%
$
70.29
$228,283
100.00%
$
70.29
$228,283
100.00%
$
70.29
$179,264
100.00%
$
55.20
$621,687
100.00%
_$_
191.43
$1,874,046
95.27%
$
577.06
$82,548
4.20%
$
28.01
$10,404
0.53%
$
2.60
$1,966,999
100.00%
$
607.67
$295,800
100.00%
$
91.08
$32,987
100.00%.
$
10.16
$U
100.00%
$
-
$ 13.33
Sirens
Sewer
$ 84.37
Siren
$ 13.33
Siren
Park
$ 74.56
to 75-87
$ 20.81
$ 19.42 (Park
$ 167.95 Sewer
$ 113.80 Sewer
moved to 76-53
$ 68.75 50/50 split Street/Traf
$ 895.85 lGolf
$ 70,29
50/50 split Street/Traf
$ 70.29
50/50 split Street/Traf
$ 70.29
50/50 split Street/Traf
$ 70.29
50/50 split Street/Traf
$ 55.20
Gas
$ 191.43
Street Lights
$ 607.67 Water
$ 91.08 50/50 split Street/Traf
$ 10.16 Traffic Lights
52-77
University & LA Grant
Traffic Lights
$225,232
100.00%
$ 69.35
$
69.35
53-79
University & SE Florence
Traffic Lights
$225,232
100.00%
$ 69.35
$
69.35
54-80
University & School Entranc
Traffic Lights
$225,232
100.00%
$ 69.35
$
69.35
55-83
3129- 312th St(GunClub)
Lift Station#12
$420,738
100.00%
$ 154.03
$
154.03
55-91
3107 312th PI (W of Gun Club)
?
$1,482
100.00%
$ 1.85
$
1.85
56-84
106 Baytree Dr/Hemmingway
Lift Station #15
$101,177
100.00%
$ 37.04
$
37.04
57-85
1080 Westwoods
Lift Station#16
$73,440
100.00%
$ 26.89
$
26.89
58-90
Grant Park
Playground Equipment
$60,180
100.00%
$ 18.53
$
33.64
58-107
Grant Park
Building/Restrooms
$51,000
100.00%
$ 15.11
59-91 805 University Ave
59-93 805 University Ave
59-95 805 University Ave
59-120 805 University Ave
60-94 Hickman & 6th
61-96 South Fork
62-97 955 W Hickman Rd
62-102 955 W Hickman Rd
62-103 955 W Hickman Rd
63-101 1725 98th Street
63-106 1725 98th Street
64-17
675 Walnut St
65-104
990 Warrior Lane
66-110
Sugar Creek Trail Bridge
67-122
Hickman & Dartmoor
68-123
Westown Pkwy & LA Grant
69-124
LA Grant & Ashworth
70-125
Alices Rd & Olsen
71-126
Westown Pkwy & Gr Prairie
72-127
Ashworth & Grand Prairie
73-129
Grand Prairie
74-112
1300 4th Street
PW Bldg
PW Bldg -Parking Lot Utes
PW Bldg -Salt Storage
Llift Station #5
Traffic Signal
Street Lights
RRVT Trailhead/Restrooms
RRVT Trailhead Shade Str
RRVTTables/Trash/Bench
Water Tower Base Station
Water Tower Fence
Community Center
Lift Station
Walking Bridge
Traffic Signals
Traffic Signals
Traffic Signals -Temp
Traffic Signals -Temp
Traffic Signals
Traffic Signals
Street Lights
Headworks/Blower Bldg
$10,209,760
96.37%
$ 4,644.63
$90,093
0.85%
$ 27.74
$238,308
2.25%
$ 215.07
$56,610
0.53%
$ 20.72 $
$10,594,771
100.00%
$ 22,396.98
$225,232
100.00%
$ 69.35 $
$563,081
100.00%
$ 173.38 $
$104,888
76.61%
$ 32.30
$20,978
15.32%
$ 15.00
$11,041
8.06%
$ 3.40 $
$136,906
100.00%
$ 50.70
$67,488
100.00%
$ 23.38 $
$5,202
100.00%
$ 1.30
$ 24.68
$514,941
100.00%
$ 158.56 $
$447,830
100.00%
$ 137.90 $
$208,080
100.00%
$ 64.07 $
$229,500
100.00%
$ 70.67 $
$229,500
100.00%
$ 70.67 $
$51,000
100.00%
$ 15.70 $
$51,000
100.009/
$ 15,70 $
$295,800
100.00%
$ 91.08 $
$295,800
100.00%
$ 91.08 $
$1,027,441
100.00%
$ 316.37 $
$1,165,4351
100.00%
$ 358.86 $
Lights
Lights
Lights
Parks
Parks
PW Bldg
PW Bldg
Roads
4,908,19 Sewer
69.35 Traffic Lights
173.38 Street Lights
Parks
Parks
50.70 Parks
24.68 Water
158.56 Comm Center
137.90 Sewer
64.07 Parks
70.67 Traffic Lights
70.67 Traffic Lights
15.70 Traffic Lights
15.70 Traffic Lights
91.08 Traffic Lights
91.08 Traffic Lights
316.37 Street Lights
358.86 Sewer
74-113
74-114
74-115
74-116
74-117
74-118
74-119
75-87
76-53
77-55
77-67
98-98
300-300
Misc
Totals:
'arks
'ublic Works
>ublic Works Bldg
Roads
Community Center
Library
Police
et Lights
he Signals
Course
Hall
Credit:
1300 4th Street
1300 4th Street
1300 4th Street
1300 4th Street
1300 4th Street
1300 4th Street
1300 4th Street
Ridge Pointe Park
1255 E Hwy 6
1505 6th Street
1505 6th Street
Various Locations
Various
Property Coverage Extension
Total Buildings & Contents:
Total Premium Before Credit:
Inlet/Flow Diversion
Clarifier #1 & #2
Clarifier #3 & #4
Bio Solids Tank #1 & #2
Aeration Basin #1
Aeration Basin #2
Generator
Pavillion/Shelter
Lift Station #6
Golf Clubhouse
Golf Pump House #11/Irrig
Unschedules Misc Prop
Fiber Optic Network
Premium
Discount%
$835.51
3.77%
0.00%
$4,672.39
21.07%
$2,272.97
10.25%
$1,409.02
6.35%
$211.28
0.95%
$389.44
1.76%
$263.95
1,19%
$3,344.38
15.08%
$1,202.79
5.42%
$797.20
3.59%
$797.20
3.59%
$106.64
0.48%
$901.68
4.07%
$1,239.16
5.599/
$1,372,18
6.19%
$68,101
100.00%
$ 20.97
$
20.97
$456,720
100.00%
$ 140.63
$
140.63
$456,720
100.00%
$ 140.63
$
140.63
$361,734
100.00%
$ 111.39
$
111.39
$363,630
100.00%
$ 111.97
$
111.97
$363,630
100.00%
$ 111.97
$
111.97
$143,866
100.00%
$ 52.67
$
52.67
$255,583
378.25%
$ 78.70
$
78.70
$277,077
124.09%
$ 101.44
$
101.44
$450,311
54.71%
$ 322.03
$
322.03
$215,762
26.22%
$ 154.30
$
154.30
$125,000
100.00%
$ 156.08
$
156.08
$526,062
100.00%
$ 376.20
$
376.20
$ 131.41
$
131.41
Discount $
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
'chg to Road
for FY16
$ 22,177.59
Total Premium
$797
$797
010.20.6000.290300
010.20.6010.290300
520.30.6520.290300
510.30.6510.290300
540.30.6540.290300
060.30.7100.290300
010.40..4300.290300
010.40.3100.290300
010.10.1100.290300
010.10.1400.290300
010.10.1500.290300
010.10.1110.290300
060.30.1600.290350
060.30.1610.290350
750.80.8750.290300
010.60.8310.290300
ICAP
General Liability Breakdown
April 2016
General Liability Premium Due:
$9,446.13
General Liability - Excess Premium
$1,360.65
Less Credit: General Prem
$0.00
Less Credit: Excess Prem
$0.00
Total Due:
$10,806.78
Excess Prem &
Total
Departments:
Premium $'s
Credit %
Credit $'s
Prem Cr $'s
Premium $'s
Ara 4's
Administration/General Operations
$4,334.72
45.89%
0.00
$624.38
$4,959.08
see below
Fire
$353.34
3.74%
0.00
$50.90
$404.24
010.10.1400.290000
Sewer
$689.81
7.30%
0.00
$99.36
$789.17
520.30.6520.290000
Water
$525.09
5.56%
0.00
$75.64
$600.73
510.30.6510.290000
Public Works
$434.62
4.60%
0.00
$62.60
$497.22
010.20.6000.290000
Parks
$289.39
3.06%
0.00
$41.68
$331.07
010.40.4100.290000
Rec
$289.38
3.06%
0.00
$41.68
$331.06
010.40.4200.290000
Ambulance/Rescue
$66.60
0.71%
0.00
$9.59
$76.19
010.10.1500.290000
EMT/Rescue
$66.60
0.71%
0.00
$9.59
$76.19
010.10.1500.290000
Fireworks Display/Parks
$16.65
0.18%
0.00
$2.40
$19.05
010,40.4100.290000
Fire Fighters
$76.59
0.81%
0.00
$11.03
$87.62
010.10.1400.290000
Golf Course
$837.79
8.87%
0.00
$120.68
$958.47
750.80.8750.290000
Spraying/Road Use
$44.08
0.47%
0.00
$6.35
$50.43
060.30.7100.290000
Employee Benefits/Administration
$0.00
0.00%
0.00
$0.00
$0.00
010,60.8300.290000
Elec Utilities/Gas
$1,421.47
15.05%
0.00
$204.75
$1,626.23
540.30.6540.290000
$9,446.13
100.00%
$0.00
$1,360.65
$10,806.78
Initial Load
Admin/General Operations Breakdown:
(divided based on budgeted
$ to all departments & tried
to make some what
even)
Police
$309.94
$309.94
010.10.1100.290000
Fire
$154.97
$154.97
010.10.1400.290000
EMS
$154.97
$154.97
010.10.1500.290000
Code Compliance
$154.97
$154.97
010.10.1900.290000
Library
$309.94
$309.94
010.40.3100.290000
Parks
$154.97
$154.97
010.40.4100.290000
Recreation
$154.97
$154.97
010.40.4200.290000
Public Works
$309.94
$309.94
010,20.6000.290000
Administration
$154.97
$154.97
010.60.8300.290000
Communications
$154.97
$154.97
010.60.8200.290000
HR
$154.97
$154.97
010.60.8350.290000
Finance
$154.97
$154.97
010.60.8400.290000
Comm/Econ Development
$154.97
$154.97
010.50.8500.290000
Development Services
$154.97
$154.97
010.50.8700.290000
Engineer
$154.97
$154.97
010.20.8900.290000
GIS
$154.97
$154.97
010.20.8950.290000
Community Center
$154.97
$154.97
010.40.4300.290000
Roads
$309.94
$309.94
060.30.7100.290000
Water
$309.94
$309.94
510,30.6510.290000
Sewer
$309.94
$309.94
520.30.6520.290000
Gas
$309.94
$309.94
540,30.6540.290000
Storm Water
$309.94
$309.94
560.80.5300.290000
Golf Course
$309.94
$309.94
750.80.8750.290000
$4,959.08
$4,959.08
Figured: 16 depts with Fire, EMS, Code, Parks, Rec, Admin, Communications, HR, Finance, Comm/Econ Develop, Devel Serv, Engineer, GIS & Comm Center
calculated as being 1/2 depts
Secondary Load
Ambulance/Rescue
EMT/Rescue
Fireworks Display/Parks
Fire Fighters
Golf Course
Employee Benefits/Administration
$4,268.58 Prior Yr%
Current Yr Solit
0.00%
$267.12
0.00%
$267.12
0.00%
$66.78
0.00%
$307.19
0.00%
$3,360.37
0.00%
$0.00
0.00%
$4,268.58
ICAP
April - June 2017 Billing
Law Enforcement & Public Officials Liability
Excess Total
Description Premium Credit$'s Premium Premium AM#
Law Enforcement Liability $1,523.43 $0.00 $219.44 $1,742.87 010.10.1100.290400
Public Officials Liability $1,879.48 $0.00 $270.73 $2,150.21 010.60.8100.290000
[CAP
April 2017
Auto Physical Damage & Auto Liability Premium
Partial Year -April I - June 30, 2017
Autot Physical
Damage
Premium$Due
Auto Liability
Premium $Due
Excess
Auto Liability
Premium $Due
Total
Premium $Due
Acat#
Description VIN $Value Premium$
Credit% Credit $
Roads:
1998 Road Husky Trailer
1N9FW1016W1054761
$1,500 $
0.82
200Z Chevy Silverado
1GCHK24UO2Z234949
$24,000 $
24.47
2002 chevy 2500
Duplicate?
$35,000 $
35.69
2003 Kiefer Trailer
lDVDR10123K04638
$10,000 5
5.49
2003 Spinner Cargo Van
WD2YD542435535001
$28,000 $
28.55
2003 H&H Sign Trailer
4J6UT16Z42B040337
$2,000 $
1.10
2004 Ford F450
1FDXF47524ED93466
$25,000 $
25.49
2005 International Dump Truck
1HTWAAARSSJ000219
$86,000 $
93.69
1998 International Dump Truck
1HTSCAAP2WH515239
$20,000 $
21.79
2006 Doolittle 8x20 Trailer
lDGCS2020M068164
$7,500 $
4.12
2007 International Dump Truck
IHTWAAAR371446404
$108,000 $
117.66
2000 International 4700 Dump Trk
1HTSCAAR2YH266218
$SS,000 $
59.92
2010 International Wing Truck
1HTWAAAR9AJ291378
$135,000 $
147.07
2001 International Dump Trk
1HTSDAAR71H351137
$45,000 5
49.02
2012 International Wing Truck
1HTWAAARXC7543240
$186,000 $
202.63
2012 Ford F350
1FTRF386XCEAS9539
$45,000 $
45.89
2012 Chev Silverado K3500
1GC3KZCG5CZ175476
$45,000 $
45.89
2013 International Wing Truck
1HTWAAARSDJ254181
$169,000 $
184.11
2012 Ford F550 Bucket Truck
1FDUFSGY9CEC56102
$95,000 $
96.87
2013 International Wing/Belly Truck
1HTWAAARXDJ160545
$168,000 $
183.02
2013 Felling FT20 Trailer
5FTFE2524EI00092
$13,500 $
7,41
2013 Falcon FIVE Asphalt Trailer
1F9P41622DM339278
$35,000 $
19.21
2014 International 7300
IHTWAAAR9EH784006
$200,000 $
217.88
2015 Chevy Silverado
1GB4KYCG2FF348972
$35,000 $
35.69
2015 International 7300
3HAWAAAR9FL573089
$200,000 $
217.88
2016 Ford F250
IFT7X2B62GEA66621
$35,000 $
35.69
2015 Sprayer Spec Trailer
?
$20,000 $
10.98
2015 International 7400
3HWAWWAAR9FL573089
$200,000 $
217.88
2007 AM Sig Message Board
lA9AS432372228287
$5,000 $
2.74
2011 Adco Message Board
4SEP1019BM45E058
$4,000 $
2.20
2017 Ford F350
1FTRF3B69HEB80005
$40,000 $
40.79
2017 Ford F150
1FTFX1EF6HFA99490
$32,000 $
32.63
$2,109,500 $
2,214.33
32.90% $0.00
$2,214.33
$1,125.15
$162.07
$3,501.55
060.30.7100.290100
Engineer
2005 Ford Truck
IFTSX21YX5EA75450
$28,000 $
28.55
2005 GMC Pickup
1GTEK19ZSSZ319632
$18,500 $
18.87
2014 Ford F150
1FTFXlEFOEKE65897
$35,000 $
35.69
2015 Chevy Silverado
1GCVKPECIFZ366470
$35,000 $
35.69
$116,500 5
118.80
1.82% $0.00
$118.80
$62.14
$8.95
$189.89
010.20.8900.290100
Sewer:
2006 Ford F450 Pickup
1FDXF46Y86EA79023
$20,320 $
20.72
2010 Ford F350
1FTWF3B57AEB01205
$28,990 $
29.56
2007 Ford E350 Cube Van
1FDSE3SL17DA09559
$11,900 $
12.13
2012 Cl 3500 HD
1GC3KZCG8BZ426053
$45,000 $
45.89
2013 EH Wachs Valve Trailer
14-2296
$70,000 $
38.43
2006 International 7400 Hydro Vac
1HTWHAZT96J245763
$150,000 $
163.41
2015 Ford F250
1FTZX2B66FEB12515
$35,000 $
35.69
$361,210 $
345.83
5,63% $0.00
$345.83
$192.66
$27.75
$566.24
520.30.6520.290100
Gas:
2003 Chevy Silverado
1GCHK24U33E368072
$29,000 $
29.57
2005 Belshe T18-2EP Trailer
16JF0202751041045
$6,000 $
3.29
2009 Ford F350
1FTWF31Y09EA24426
535,000 $
35.69
2M 2009 Belshe Trailer
#5224
$10,000 $
5.49
2015 Sure Trac Util Trailer
?
$1,750 $
0.96
2008 International 4300
SH669175
$66,000 $
67.30
$147,750 $
142.30
2.30% $0.00
$142.301
$78.811
$11.35
$232.46
540.30.6540.290100
Parks:
1999 Noma Trailer
9022WTE01470
$12,000 $
6.59
2013 2005 McLander Trailer
$7,500 $
4.12
2013 2008 Dolittle Trailer
$1,500 $
0.82
2013 2010 H&H Trailer
$1,500 $
0.82
1980 GMC Water Tanker
T17DGAV597392
$25,000 $
25.49
2004 Ford 4x4 F350
1FTSF31124EC87402
$19,000 $
19.37
2005 Ford 1/2 Ton Pickup
IFTRX12W15FB43053
$14,600 $
14.89
2005 Chevy 5ilverado
1GCEK19Z65Z285393
$24,000 $
24.47
2010 Ford F350
IFTWF3B55AEB01204
$28,990 $
29.56
2015 Ford FS50
IFD4FSITY4FEC98812
$51,D00 $
52.01
2015 Ford F550
ITC1600TVEF200349
$51,000 $
52.01
$236,090 $
230.15
3.68%
$0.00
$230.15
$125.92
$18.14
$374.21
010.40.4100.290100
Recreation:
2007 Ford Explorer
IFMEU73E87UB51810
$21,556 $
21.98
2008 Chevy Uplander Van
IGNDV23W98D208615
$18,125 $
18.48
2015 Ford 350 LR Van (rental)
IFBZX2ZG2FKA14207
$28,000 $
28.55
Rental Vehicles
$50,000 $
43.63
$117,681 $
112.64
1.84%
$0.00
$112.64
$62.77
$9.04
$184.45
010.40.4200.290100
Code Compliance:
2014 Ford F1SO
IFTEXlEMOEKF79263
$24,200 $
24.68
2014 Chevy Equinox
2GNFLEEKOE6188095
$2S,000 $
25.49
2016 Ford F150
1FTEX1E85GKF56888
$24,370 $
24.85
$73,570 $
75.02
1.15%
$0.00
$75.02
$39.24
$5.65
$119.91
010.10.1900.290100
Police:
2000 Radar Trailer
0580
$10,000 $
5.49
2008 Ford Crown Vic
1FAFP5528YG209797
$47,500 $
39.59
2010 Ford Explorer
IFMEU7DESAUA75131
$47,500 $
39.59
2011 Ford Crown Intcptr
2FABP7BV8BX182403
$47,500 $
39.59
2013 Ford Interceptor AWD w/eqp
1FAHP2MK8DG170051
$46,000 $
38.34
2013 Ford Interceptor AWD w/eqp
1FAHP2M80DG134844
$40,000 $
33.34
2013 Ford Interceptor AWD w/eqp
AFAHP2M89DG134843
$40,000 $
33.34
2013 Chevy Impala
2GIWGSE37DI126560
$50,000 $
41.67
2014 Ford Interceptor
1FM5K8AR2EGA04119
$50,000 $
41.67
2016 Ford Explorer
IFM5K8AR2GGB55576
$41,000 $
77.50
2016 Ford Explorer
1FM5KSAR7GGA47180
$48,000 $
40.00
$467,500 $
430.12
7.29%
$0.00
$430.12
$249.35
$3S.92
$715.39
010.10.1100.290100
Fire:
1938 Chevy Firetruck
8710
$8,000 $
8.60
20005partan Firetruck
4S7CT2496YCO33683
$480,000 $
859.01
2003 E 195" Ladder Truck
4ENGABAS231006652
$800,000 $
1,431.68
2008 Ford E450 Ambulance
6912
$170,000 $
222.75
2009 Ford Expedition
1FMFU36579E30403
$42,500 $
48.26
2011 Ford F450 Ambulance
1FDUF4HT38EC64532
$170,000 $
236.14
2013 Chevy Tahoe
1GNSK2EOXDR337520
$54,000 $
102.07
2013 Chevy Silverado
1GB3KZC82OF226500
$32,999 $
37.47
2013 Freightiner Pumper Truck
4EN6AAA86D3007939
$450,000 $
483.76
$2,207,499 $
3,429.74
34,43%
$0.00
$3,429.74
$1,177.42
$169.60
$4,776.76
010.10.1400.290100
010.10.1500.290100
Storm Water
2006 Chevy Silverado
2GCEK19V361320365
$25,000 $
25.49
2012 Tymco Street Sweeper
1HTJTSKNIC SS0924
$165,000 $
179.75
2013 Chevy Silverado
IGCRKSE79OZ206753
$26,499 $
27.02
2015 Chevy Silverado
1GCVKPEC4FZ367015
$35,000 $
35.69
2017 Chevy Silverado
1GCVKNECOHZI34725
$28,600 $
29.16
$280,098 $
297.11
4.37%
$0.00
$297.11
$149,40
$21.52
$468.03
560.30.5300.290100
Public Works
2010 Ford F150
IFTEXlESXAKB35590
$28,350 $
28.91
2013 Ford Explorer
IFMSKSB83DGA55410
$27,388 $
27.93
$55,739 $
56.84
0.87%
$0.00
$56.84
$29.73
$4.28
$90.85
010.20.6000.290100
Public Works -Mechanic
2011 Ford F350XL Pickup 1FTRF3A67BEC36631 $35,000 $ 35.69 O.SS% $0.001 $35.691 $19.671 $2.691 $57.051 010.20.6010.290100
Water
2000 H&H Trailer
416UT1620YB000359
$7,500 $
4.12
2009 Ford F150
IFTRX14W39KB12199
$22,400 $
22.84
2012 Ford F250 Super Duty
1FTBF2B69CECO2882
$31,800 $
32.43
2015 Ford F250
1FTZX2B68FEB12516
$33,000 $
33.65
2016 Ford F250
1FTBF2864GEA66620
$35,500 $
36.20
2017 Chevy Silverado
1GC3KYCG3HZ148262
$50,000 $
50.99
$180,200 $
180.23 2.81% $0.00
Golf
1999 Ford 1585 Super Cap Pickup
1FTN221LXXEC68122
$24,000 $
24.47 0.37% $0.00
Total:
Vehicle Premium
Physical Credit:
Auto Liability Premium
Credit
Excess Auto Liability Premium
(includes Credit)
$29,489.34
$0.00
$29,499.34
$ 3,420.16
$0.00
$ 3,420.16
$ 492.65_
$180.23
$24.47
$290.19
$39.11
510.30.6510.290100
750.80.8750.290100
jj •
Iowa Communities Assurance Pool
INVOICE
FOR
City of Waukee
Anniversary Date: 04/01/2017
5701 Greendale Road
Johnston,lA 50131
www.icapiowa.com
NEZ1 D
Iowa Communities Assurance Pool
Member Invoice
Member Name:
City of Waukee Anniversary
Date: 04/01/2017
Policy Number:
R0059PC2017-01
Coverage
Limit of Coverage
Contribution
General Liability
$2,000,000
$9,446.13
Automobile Liability
$2,000,000
$3,420.16
Law Enforcement Liability
$2,000,000
$1,523.43
Public Officials Wrongful Acts $2,000,000
$1,879.48
Excess Liability
$6,000,000
$2,343.46
Vehicles
$6.362,336
$7,693.26
Property
$47,991,723
$22,177.59
Equipment Breakdown
Included
Included
Crime
$5,000
$0.00
TOTAL CONTRIBUTION
$48,483.51
MAKE CHECKS PAYABLE TO IOWA COMMUNITIES ASSURANCE POOL ON OR
BEFORE: 04/01/2017
When you provide a check as payment, you authorize us to use information from your check to make
a one-time electronic fund transfer from your account or to process the payment as a check
transaction. When we use information from your check to make an electronic fund transfer, funds
may be withdrawn from your account as soon as the same day we receive your payment, and you will
not receive your check back from your financial institution. If you have further questions regarding this
process or do not wish to participate, please call us at 515-276-7557.
. , •
Iowa Communities Assurance Pool
Commitment to
Continue Membership
I, City of Waukee, do hereby affix my signature to this form and promise to submit
the contribution of $48,483.51 (less attached vouchers if applicable) by
. In order to fulfill this commitment, our check will be received by
the Iowa Communities Assurance Pool, at the address on this form, no later than
Printed Name
Signature
Date
Iowa Communities
Assurance Pool
5701 Greendale Road
Johnston, IA 50131
A
1=4L V n j:P
Iowa Communities Assurance Pool
Member Proxy
Be it known, that the undersigned representative of the Governmental Sub -Division (hereafter
referred to as MEMBER) by resolution of the governing body, a copy of which is attached hereto,
hereby nominates and appoints the following individual and alternate to represent the MEMBER with
the Iowa Communities Assurance Pool (hereinafter referred to as the POOL). The individual and
alternate shall act as liaison between MEMBER and the POOL for the purposes of relating risk
reduction and loss control information, and any other loss information or instructions concerning the
obligations of the MEMBER imposed by signing the Iowa Risk Management Agreement and the
rules and regulations established thereunder, to the same extent and with like effect as the
undersigned thereunder, to the same extent as the undersigned could do if personally present and
the undersigned does hereby ratify and confirm and adopt all action done or taken by the individual
or alternate.
Primary Contact: Tim Moerman Alternate Contact:Linda Burkhart
Title: City Administrator Title: Director of Finance
Address: 230 Hickman Address: 230 Hickman
Address:
Address:
City, State, Zip: Waukee, IA 50263-5004 City, State, Zip: Waukee, IA 50263-5004
Email: tmoerman@waukee.org Email: Burkhart@waukee.org
Telephone: 5159874522 Telephone: 6159874522
In witness whereof, this proxy was executed on the day of , in the year
by the undersigned duly authorized officers of the Governmental Subdivision indicated
below:.
Governmental Subdivision: City of Waukee
Member ICAP #: 59
By:
Title:
By:
(City Clerk/County Auditor/Board Secretary)
vrzi)
Iowa Communities Assurance Pool
Anniversary Information Acknowledgement
The undersigned representative of the City of Waukee acknowledges that he/she:
Reviewed the information provided on all Iowa Communities Assurance Pool applications
and all applicable supplemental applications.
❑ Reviewed all applicable property and vehicle schedules.
Confirms, to the best of his/her knowledge, that all information provided is complete and
accurate.
Reviewed the optional coverage(s) offered by the Iowa Communities Assurance Pool for
increased limits. After consideration of the coverage(s) offered and the contribution for
same, City of Waukee has elected to:
Waive any and all coverage(s) and any applicable contribution charges. City of
Waukee understands that to add increased limits coverage in the future, it will be
subject to Iowa Communities Assurance Pool's approval and underwriting
guidelines at the time of the request and that such request must be made in
writing. In addition, City of Waukee will not hold the Iowa Communities Assurance
Pool responsible for this decision to waive optional coverage(s).
Accept the increased limits:
(Limit of Liability Accepted)
Executed on the day of , in the year by the
undersigned duly authorized officer of the Governmental Subdivision (City of Waukee) indicated
below:
Title
Member: City of Waukee
Member Number: 59
Anniversary Date: 04/01/2017
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Iowa Communities Assurance Pool
Quote Summary
City of Waukee Anniversary Date: 04/01/2017
Coverage
General Liability
Automobile Liability
Law Enforcement Liability
Public Officials Wrongful Acts
Excess Liability
Vehicles
Property
Equipment Breakdown
Crime
TOTAL CONTRIBUTION
Excess Liability Options
Excess Liability
Excess Liability
Excess Liability
Excess Liability
Excess Liability
Excess Liability
Excess Liability
Limit of
Retroactive
Coverage
Contribution
Coverage
Deductible
Date
Effective
$9,446.13
$2,000,000
$0
04/01/2017
04/01/2017
$3,420.16
$2,000,000
$0
04/01/2017
04/01/2017
$1,523.43
$2,000,000
$2,000
04/01/2017
04/01/2017
$1,879.48
$2,000,000
$500
04/01/2017
04/01/2017
$2,343.46
$6,000,000
04/01/2017
$7,693.26
$6,362,336
See Schedule
04/01/2017
$22,177.59
$47,991,723
See Schedule
04/01/2017
Included
Included
Included
Included
$0.00
$5,000
$500
04/01/2017
$48,483.51
Limit of
Coverage
Contribution
Liability
Effective
$2,654.61
$7,000,000
04/01/2017
$2,951.39
$8,000,000
04/01/2017
$3,232.62
$9,000,000
04/01/2017
$3,499.49
$10,000,000
04/01/2017
$3,750.80
$11,000,000
04/01/2017
$3,988.94
$12,000,000
04/01/2017
$4,219.91
$13,000,000
04/01/2017
This quotation expires on the Proposed Effective Date.
C ". =
Iowa Communities Assurance Pool
Schedule of Covered Vehicles
City of Waukee Effective Date: 04/01/2017
Printed on: 02/22/2017
14 - 25 -1300 L.A. Grant Parkway, Waukee, IA 50263
Year Make Model VIN Type Value Valuation Comp Ded Coll Ded
1 2013 Ford Interceptor AWD w/Eqpt. 4844 Police 40,000 ACV Y $200 Y $600
2 2013 Ford
Interceptor AWD w/Eqpt.
4843
Police
40,000
ACV
Y
$200
Y
$600
3 2013 Ford
Interceptor w/Eqpt.
0051
Police
46,000
ACV
Y
$200
Y
$600
4 2011 Ford
Crown Vic Intcptr w/egpt.
2403
Police
47,500
ACV
Y
$200
Y
$600
5 2010 Ford
Explorer w/Eqpt.
5131
Police
47,500
ACV
Y
$200
Y
$600
6 2008 Ford
Crown Victoria w/Eqpt.
4714
Police
47,500
ACV
Y
$200
Y
$600
7 2000 Spartan
Firetruck/Toyne Pumper
3683
Fire Trucks
480,000
RC
Y
$350
Y
$1,000
8 2003 Miscellaneous El 95' Ladder Truck
6652
Fire Trucks
800,000
RC
Y
$350
Y
$1,000
9 2008 Ford
E450 Ambulance
6912
Ambulances
170,000
RC
Y
$350
Y
$1,000
10 2011 Ford
F450 Ambulance
4532
Ambulances
170,000
RC
Y
$200
Y
$600
11 2009 Ford
Expedition/Fire Dept.
0403
Fire Trucks
42,500
ACV
Y
$200
Y
$600
12 2013 Chevrolet
Tahoe w/Eqpt.
7520
Fire Trucks
54,000
RC
Y
$200
Y
$600
13 2013 Chevrolet
Silverado
6500
Fire Trucks
32,999
ACV
Y
$200
Y
$600
14 1938 Chevrolet
Firetmck
8710
Fire Trucks
8,000
ACV
Y
$350
Y
$1,000
152013 Chevrolet
Impala w/Egpt.
2GiWG5
E37D112
6560
Police
50,000
ACV
Y
$200
Y
$600
16 2013 Freightliner
E-1 Fire Engine
Fire Trucks
450,000
ACV
Y
$350
Y
$1,000
17 2014 Ford
Explorer w/Eqpt.
lFM5K8
AR2EGA
04119
Police
50,000
ACV
Y
$200
Y
$600
18 2000 Trailer
Decatur Galaxy Model
RT-50 Radar Trailer
0580
Trailers
10,000
ACV
Y
$200
Y
$600
192016 Ford
Explorer w/Eqpt.
lFM5K8
AR2GGB
55576
Fire Trucks
41,000
RC
Y
$200
Y
$600
20 2016 Ford
Explorer w/Eqpt.
1FM5K8
AR7GGA
47180
Police
48,000
ACV
Y
$200
Y
$600
Total Location Vehicle Value: 2,674.999
20 - 31 - 230 Hickman, Waukee, IA 50263
C3,=r I P
Iowa Communities Assurance Pool
Schedule of Covered Vehicles
City of Waukee Effective Date: 04/01/2017
Printed on: 02/22/2017
Year Make Model VIN Type Value Valuation Comp Ded Coll Ded
1 2014 Chevrolet Equinox Sport Utility 2FTRF17 Passenger 25,000 ACV Y $200 Y $600
233CA51 Car/Vans/Pic
296 kups
2 2014 Ford F-150 Pickup 1FTEX1E Passenger 24,200 ACV Y $200 Y $600
MOEKF7 Car/Vans/Pic
9263 kups
3 2016 Ford F-1504x4 Pickup IFTEME Passenger 24,370 ACV Y $200 Y $600
85GKF56 CartVans/Pic
888 kups
Total Location Vehicle Value: 73,570
59 - 91 - 805 University Ave., Waukee, IA 50263
Year Make Model VIN
Type
Value Valuation Comp Ded Coll Ded
1 2002 Chevrolet Silverado 4949
Passenger
24,000 ACV Y $200 Y $600
CarNans/Pic
kups
2 2005 Chevrolet Pickup/Public Works 5393
Passenger
24,000 ACV Y $200 Y $600
CarNans/Pic
kups
3
2006
Chevrolet
Silverado
0365
Passenger
25,000
ACV
Y
$200
Y
$600
CarNans/Pic
kups
4
2013
Chevrolet
Silverado (Strmwtr Dept)
6753
Passenger
26,498
ACV
Y
$200
Y
$600
CarNans/Pic
kups
5
2003
Chevrolet
Silverado
8072
Passenger
29,000
ACV
Y
$200
Y
$600
CarNans/Pic
kups
6
2012
Chevrolet
F350 (Street Dept.)
5476
Passenger
45,000
ACV
Y
$200
Y
$600
CarNans/Pic
kups
7
2008
Chevrolet
Uplander (Park & Rec)
8615
Passenger
18,125
ACV
Y
$200
Y
$600
CarNans/Pic
kups
8
2005
GMC
Pickup
9632
Passenger
18,500
ACV
Y
$200
Y
$600
CarNans/Pic
kups
9
2010
H&H
Trailer
1081
Trailers
1,500
ACV
Y
$200
Y
$600
10
2000
H&H
Trailer
4J6UT16
Trailers
7,500
ACV
Y
$200
Y
$600
ZZYB026
625
11
1999
Trailer
Noma Trailer
1470
Trailers
12,000
ACV
Y
$200
Y
$600
12 2014 Trailer
czi�I P
Iowa Communities Assurance Pool
Schedule of Covered Vehicles
City of Waukee Effective Date: 04/01/2017
Printed on: 02/22/2017
Felling Trailer, Model 1132 Trailers 13,500 ACV Y $200
FT20-2LP
Y
$600
13 2008 Trailer
Dolittle Trailer
0895
Trailers
1,500
ACV
Y
$200
Y
$600
14 2003 Trailer
Kiefer Trailer
3638
Trailers
10,000
ACV
Y
$200
Y
$600
15 2005 Trailer
Belshe T18-2EP Trailer
1045
Trailers
6,000
ACV
Y
$200
Y
$600
16 2006 Trailer
Doolittle 8x20 Trailer
8164
Trailers
7,500
ACV
Y
$200
Y
$600
17 2005 Trailer
McLander Trailer
7704
Trailers
7,500
ACV
Y
$200
Y
$600
18 2009 Trailer
Belshe Trailer
5224
Trailers
10,000
ACV
Y
$200
Y
$600
19 2001 International
Dump Truck
1137
Dump Trucks
45,000
ACV
Y
$200
Y
$600
20 2000 International
4700 Dump Truck
6218
Dump Trucks
55,000
ACV
Y
$200
Y
$600
212005 International
Dump Truck
0218
Dump Trucks
86,000
ACV
Y
$200
Y
$600
22 2007 International
Dump Truck
6404
Dump Trucks
108,000
ACV
Y
$200
Y
$600
23 2010 International
Wing Truck
1378
Dump Trucks
135,000
ACV
Y
$200
Y
$600
24 2013 International
7300 SFA 4X2
0545
Dump Trucks
168,000
ACV
Y
$200
Y
$600
25 2013 International
7300 SFA 4x2 Dump
Truck
4181
Dump Trucks
169,000
ACV
Y
$200
Y
$600
26 2012 International
Wing Truck
3240
Dump Trucks
186,000
ACV
Y
$200
Y
$600
27 1998 International
Dump Truck
5239
Dump Trucks
20,000
ACV
Y
$200
Y
$600
28 2006 Ford
w/Crane
9023
Lt. Med
Trucks
20,320
ACV
Y
$200
Y
$600
29 2012 Ford
F550 SD Bucket Truck
6102
Lt. Med
Trucks
95,000
ACV
Y
$200
Y
$600
30 2004 Ford
F450
3466
Lt. Med
Trucks
25,000
ACV
Y
$200
Y
$600
31 2012 Chevrolet
3500 HD (Water Dept.)
6053
Lt. Med
Trucks
45,000
ACV
Y
$200
Y
$600
321980 GMC
Water Tanker
7392
Lt. Med
Trucks
25,000
ACV
Y
$200
Y
$600
33 2008 International
4300 (Gas Dept.)
9175
Lt. Med
Trucks
66,000
ACV
Y
$200
Y
$600
34 2010 Ford
F350
1205
Passenger
Car/Vans/Pic
kups
28,990
ACV
Y
$200
Y
$600
1
�
Iowa
ilk
Communities Assurance Pool
Schedule of Covered Vehicles
City of Waukee
Effective Date:
04/01/2017
Printed
on: 02/22/2017
35
2012
Ford
F250 (Water Dept.)
2282
Passenger
31,800
ACV
Y
$200
Y
$600
CarNans/Pic
kups
36
2009
Ford
F350 (PW/St. Dept.)
4426
Passenger
35,000
ACV
Y
$200
Y
$600
CarNans/Pic
kups
37
2011
Ford
F350 XL Pickup
6631
Passenger
35,000
ACV
Y
$200
Y
$600
CarNans/Pic
kups
38
2012
Ford
F350 (Street Dept.)
9539
Passenger
45,000
ACV
Y
$200
Y
$600
CarNans/Pic
kups
39
2012
International
Tymcc Sweeper, Model
0924
Road
165,000
ACV
Y
$200
Y
$600
4300M7SBA
Maintenance
40
2007
Ford
E350 Cube Van
9559
Passenger
11,900
ACV
Y
$200
Y
$600
Car/Vans/Pic
kups
41
2005
Ford
112 Ton Pickup
3053
Passenger
14,600
ACV
Y
$200
Y
$600
CarNans/Pic
kups
42
2004
Ford
4x4
7402
Passenger
19,000
ACV
Y
$200
Y
$600
CarNans/Pic
kups
43
2007
Ford
Explorer
1810
Passenger
21,556
ACV
Y
$200
Y
$600
CarNans/Pic
kups
44
2009
Ford
F150
2199
Passenger
22,400
ACV
Y
$200
Y
$600
CarNans/Pic
kups
45
1999
Ford
F250 Super Cab
8122
Passenger
24,000
ACV
Y
$200
Y
$600
Pickup/Public Works
CarNans/Pic
kups
46
2013
Ford
Explorer
5410
Passenger
27,388
ACV
Y
$200
Y
$600
CarNans/Pic
kups
47
2005
Ford
Truck
5450
Passenger
28,000
ACV
Y
$200
Y
$600
CarNans/Pic
kups
48
2010
Ford
F150
5580
Passenger
28,350
ACV
Y
$200
Y
$600
CarNans/Pic
kups
49
2010
Ford
F350
1204
Passenger
28,990
ACV
Y
$200
Y
$600
CarNans/Pic
kups
C3=
�
rj
Iowa Communities Assurance Pool
Schedule of Covered Vehicles
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
501998 Miscellaneous Road Husky Trailer
1N9FW1 Trailers
1,500
ACV
Y
$200
Y
$600
016W105
4761
51 2013 Trailer
Falcon RME Asphalt
1F9P416 Trailers
35,000
ACV
Y
$200
Y
$600
Patch Trailer (Street
22DM339
Dept.)
278
52 2003 Miscellaneous Spinner Cargo Van
WD2YD5 Passenger
28,000
ACV
Y
$200
Y
$600
4243553 Car/Vans/Pic
5001 kups
632014 International
7300 SFA 4x2
1HTWAA Dump Trucks
200,000
ACV
Y
$200
Y
$600
AR9EH7
84006
54 2014 Trailer
EH Wachs Valve
1E9PT15 Trailers
70,000
ACV
Y
$200
Y
$600
Maintenance Trailer
11DC297
863
552014 Ford
F-150 Pickup
1FTFX1E Passenger
35,000
ACV
Y
$200
Y
$600
FOERE65 CarNans/Pic
897 kups
56 2015 Chevrolet
Silverado 3500 Pickup
1GB4KY Passenger
35,000
ACV
Y
$200
Y
$600
CG2FF14 CarNans/Pic
8972 kups
57 2015 Ford
F-250 Pickup (Gas Dept.) 1FT7X2B Passenger
35,000
ACV
Y
$200
Y
$600
66FEB12 CarNans/Pic
515 kups
58 2015 Ford
F-250 Pickup (Water
1FT7X2B Passenger
33,000
ACV
Y
$200
Y
$600
Dept.)
68FEB12 CarNans/Pic
516 kups
59. 2015 International
7300 SFA 4x2 (Street
3HAWAA Dump Trucks
200,000
ACV
Y
$200
Y
$600
Dept.)
AR9FL57
3089
60 2015 Trailer
Sure-Trac Utility Trailer
5JW1U12 Trailers
1,750
ACV
Y
$200
Y
$600
18F1112
563
61 2015 Ford
F550
1FDUF5 Lt. Med
51,000
ACV
Y
$200
Y
$600
HY4FEC Trucks
98812
62 2015 Chevrolet
Silverado Pickup
1GCVKP Passenger
35,000
ACV
Y
$200
Y
$600
EC4FZ36 CarNans/Pic
7015 kups
63 2015 Chevrolet
Silverado Pickup
1GCVKP Passenger
35,000
ACV
Y
$200
Y
$600
ECIFZ36 CarNans/Pic
6470 kups
1
Iowa Communities
Assurance Pool
Schedule
of Covered Vehicles
City of Waukee
Effective Date:
04/01/2017
Printed
on: 02/22/2017
64
2016
Ford
F-250 Pickup
1FTBF2B
Passenger
35,500
ACV
Y
$200
Y
$600
64GEA66
CarNans/Pic
620
kups
65
2016
Ford
F-250 Pickup
1FT7X2B
Passenger
35,000
ACV
Y
$200
Y
$600
62GEA66
CarNans/Pic
621
kups
66
2006
International
Series 7400 Hydro -Vac
1HTWHA
Heavy
150,000
ACV
Y
$200
Y
$600
Truck
ZT96J24
5763
67
2015
Trailer
Sprayer Specialties Trailer
TBD
Trailers
20,000
ACV
Y
$200
Y
$600
68
2015
International
7400 Plow Truck
3HAWHS
Dump Trucks
200,000
ACV
Y
$200
Y
$600
UT6GL19
8434
69
2015
Ford
F550
1TC1600
Lt. Mad
51,000
ACV
Y
$200
Y
$600
TVEF200
Trucks
349
70
2002
Chevrolet
2500 Pickup
1GCHK2
Passenger
35,000
ACV
Y
$200
Y
$600
4UO2Z23
CarNans/Pic
4949
kups
71
2003
H&H
UT162 Sign Trailer
4J6UT16
Trailers
2,000
ACV
Y
$200
Y
$600
Z42BO40
337
72
2015
Ford
350 LR Van
1FBZX2Z
Passenger
28,000
ACV
Y
$200
Y
$600
G2FKA14
CarNans/Pic
207
kups
73
2011
Miscellaneous
Addco Message. Board
4SEP101
Trailers
4,000
ACV
Y
$200
Y
$600
Trailer/Unit#604
9BM4SE
058
74
2007
Miscellaneous
American Signal Message
1A9AS43
Trailers
5,000
ACV
Y
$200
Y
$600
Board Trailer
2372228
287
75
2017
Chevrolet
Silverado 4WD Double
1GCVKN
Passenger
28,600
ACV
Y
$200
Y
$600
Cab Pickup
ECOHZ13
CarNans/Pic
4725
kups
762017
Ford
F-3504x4 Pickup
1FTRF3B
Passenger
40,000
ACV
Y
$200
Y
$600
69HEB80
Car/Vans/Pic
005
kups
77
2017
Chevrolet
Silverado K3500
1GC3KY
Passenger
50,000
ACV
Y
$200
Y
$600
CGHZ14
CarNans/Pic
8262
kups
78
2017
Ford
F-150 Supercab 4x4 SS
1TFX1EF
Passenger
32,000
ACV
Y
$200
Y
$600
Pickup
6FA9949
CarNans/Pic
0
kups
Total Location Vehicle Value: 3,613,767
99 - 99 - Liability Only, Waukee, IA 50263
Year Make Model VIN Type Value Valuation Comp Ded Coll Ded
1 1995 Buick LeSabre Custom 3671 Police 0 LO N N
2 2003 John Deere 700CH Motorgrader DW770C Road 0 LO N N
H588662 Maintenance
Total Location Vehicle Value: 0
Total ACV Value: 4,647,336 Total RC Value: 1,715,000 Total SA Value: 0 Grand Total Vehicle Value: 6,362,336
C3=rl
�
Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee
14 - 25 -1300 L.A. Grant Parkway, Waukee, IA 50263
Line Classification Description
1 EDP - Hardware Police/Fire 800 Digital Radios
Effective Date: 04/01/2017
Printed on: 02/22/2017
Coverage
Serial No Limit Valuation Deductible
$207,000 RC $500
2
EDP - Hardware
4-Bay NAS (for use w/body camera system)
$2,278
RC
$500
3
EDP - Hardware
(3) RS2-X2 Docking Stations (valued at $349 each)
$1,047
RC
$500
4
Miscellaneous
Mako Air Compressor
$10,000
RC
$500
Property Scheduled
5
EDP - Hardware
Lazar Hand -Held Radar Unit
$5,000
RC
$500
6
Miscellaneous
Motorcycle Puppet
$5,000
RC
$500
Property Scheduled
7
Miscellaneous
Miscellaneous Police Car Equipment (in -car
$100,000
RC
$500
Property Scheduled
video/computers, radios, stop sticks, guns)
8
Miscellaneous
Jaws of Life/Power Unit, Spreader, Cutter, (2) Rams
$22,000
RC
$500
Property Scheduled
9
EDP -.Hardware
(10) Mobile Vision Cameras in Vehicles (valued Q
$50,000
RC
$500
$5,000 each)
10
EDP - Hardware
Unscheduled EDP Hardware (individual item value not
$60,000
RC
$500
to exceed $4,800 per item)
11
Miscellaneous
Grass Fire Skid
$10,000
RC
$500
Property Scheduled
12
EDP - Hardware
(17) RS2-X2 Body Cameras (valued at $829 each)
$14,093
RC
$500
13
EDP - Hardware
HP ProLiant ML150 G9 Tower Server (for use w/body
$9,161
RC
$500
14 EDP - Hardware Thermal Imaging Camera $10,000 RC $500
15 EDP - Hardware (4) Hand -Held Radar Units (valued at $1,500 each) $6,000 RC $500
16 Miscellaneous John Deere Gator with'Med Bed' 6879 $12,000 RC $500
Property Scheduled
17 EDP - Hardware Thermal Imaging Camera $10,300 RC $500
18 Miscellaneous Miscellaneous Fire Equipment (incl air tanks/fire $100,000 RC $500
Property Scheduled equipment)
19 Miscellaneous (2) Automatic Defibrillator (valued at $18,000 each) $36,000 RC $500
Property Scheduled
20 EDP - Software Unscheduled EDP Software (individual item value not to $40,000 RC $500
exceed $5,300 per item)
Total Location EDP - Hardware $374,879
Total Location EDP - Software $40,000
Total Location Miscellaneous Property Scheduled $295,000
Total Location Additional Property Scheduled Value $709,879
A,
Y�
Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee
Effective Date. 04/01/2017
Printed on: 02122/2017
20 - 31 - 230 Hickman, Waukee, IA 50263
Coverage
Line Classification
Description
Serial No Limit
Valuation
Deductible
1 EDP - Software
Backup Exec Software & tapes
$1,954
RC
$500
2 EDP - Software
Invision Software
$43,517
RC
$500
3 EDP -Software
Fixed Assets
$1,000
RC
$500
4 EDP - Hardware
AST Vision 71 Monitor Model P766d,
$3,247
RC
$500
S#353D700800452: AST Bravo Computer LC 4166
Model #601199-115, S#USC9010072
5 EDP - Hardware
Handheld Computer Meter Readers (Unisys 838
$15,000
RC
$500
systems: 838-CPU, 2 MB Memory 90 MB Disk/Floppy
6
EDP - Hardware
Dell 230OMP Projector
0362 $1,188
RC
$500
7
EDP - Hardware
Tape Drive/Power Supply
$2,925
RC
$500
8
EDP - Hardware
(7) Compac Desk Pros
$9,921
RC
$500
9
EDP - Hardware
B27-LCW W/512KB, B27-LCW-3812 52477,
B25-KS-138891
$995
RC
$500
10
EDP - Software
Budgetary Accounting
$2,500
RC
$500
11
EDP - Software
Powerbook 150 Laptop
$3,000
RC
$500
12
EDP -Hardware
B27-LCW Workstation
$700
RC
$500
13
EDP - Software
Payroll Accounting
$2,500
RC
$500
14
EDP -Software
Report Writer
$1,000
RC
$500
15
EDP -Hardware
HP Laserjet Printer
$1,780
RC
$500
16
EDP - Software
Enhanced Multiplan
$550
RC
$500
17
EDP - Software
Data Base
$500
RC
$500
18
EDP - Software
Payroll/Personal
$500
RC
$500
19
EDP - Software
Windows 2000 Software
$820
RC
$500
20
EDP - Hardware
HP Proliant ML150 Server
NB71 $1,808
RC
$500
21
EDP - Software
Utility Billing
$3,000
RC
$500
22
EDP - Hardware
Okidata 393 Matrix Printer
$1,500
RC
$500
23
EDP -Hardware
Monitor
$1,850
RC
$500
24
EDP - Hardware
(2) 12" Power Supplies
$10,440
RC
$500
25
EDP - Hardware
HP 1600 Printer
MOLM $300
RC
$500
26
EDP - Hardware
Unisys PW2 300-10 PC, 20MB Disk, 640 KB Memor,
Keyboard, Mono Monitor
$2,379
RC
$500
1 �
Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee
Effective Date: 04/01/2017
Printed on: 02/22/2017
27
EDP - Hardware
HP Pavilion 9880
$2,084
RC
$500
28
EDP - Hardware
100' Cluster Cable
$80
RC
$500
29
EDP - Software
Context Manager
$413
RC
$500
30
EDP - Software
New Program to Sequence Meters, Option -Build more $250
RC
$500
than 1 account
31
EDP - Hardware
B27-LCW-3788-35581 Mono Monitor Keyboard, BTOS II
OP Sys B2-Low
$2,105
RC
$500
32
EDP - Software
Inventory
$1,000
RC
$500
33
EDP - Software
Ofis Writer
$825
RC
$500
34
EDP - Hardware
Leased Computer Equipment
$7,036
RC
$500
35
EDP - Software
PC-TOS Net
$700
RC
$500
36
EDP - Hardware
Compac Proliant ML350 Server
$6,583
RC
$500
37
EDP - Software
Perpetual Calendar Program
$300
RC
$500
Total Location EDP - Hardware $71,921
Total Location EDP - Software $64,329
Total Location Additional Property Scheduled Value $136,250
24 - 34 - 950 Warrior Lane, Waukee, IA 50263 Coverage
Line Classification Description Serial No Limit Valuation Deductible
1 Fine Arts American Gothic (-derived) "Iowa - Past and Present - $33,000 RC $500
Living Fence" Sculpture (created by John Brommel in
2 EDP - Hardware Unscheduled EDP Hardware (individual item value not $50,000 RC $500
to exceed $3500 per item)
Total Location EDP - Hardware $50,000
Total Location Fine Arts $33,000
Total Location Additional Property Scheduled Value $83,000
39 - 55 -1501 6th St., Waukee, IA 50263
Coverage
Line
Classification
Description
Serial No Limit
Valuation
Deductible
1
Miscellaneous
2014 Jacobsen LF-570 Fairway Mower
06798202513 $50,000
RC
$500
Properly Scheduled
2
Miscellaneous
Jacobson Greens Mower
6628905033 $16,000
RC
$500
Property Scheduled
3
Miscellaneous
2012 Redexim Seeder
C348211 $11,000
RC
$500
Prooertv Scheduled
4 Miscellaneous 2001 Redexim 1500 B0186 $5,000 RC $500
Property Scheduled
1 P
Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
5
Miscellaneous
2006 Jacobson
6228904050
$25,000
RC
$500
Property Scheduled
6
Miscellaneous
2007 Smitco Sweeper
7901
$10,000
RC
$500
Property Scheduled
7
Miscellaneous
(2) Truckster Dump
9569
$6,000
RC
$500
Property Scheduled
8
Miscellaneous
Turloo Toppdresser
8542
$7,000
RC
$500
Property Scheduled
9
Miscellaneous
Golf Carts
$200,000
RC
$500
Property Scheduled
10
Miscellaneous
2006 Ryan GA60
$25,000
RC
$500
Property Scheduled
11
Miscellaneous
2009 Jacobson
6228905033
$25,000
RC
$500
Property Scheduled
12
Miscellaneous
Jacobson LF-128
677951701
$3,500
RC
$500
Property Scheduled
13
Miscellaneous
2014 Cushman Truckster Utility Cart, Model 84067
84067000212
$22,000
RC
$500
Property Scheduled
5
14
Miscellaneous
Tees & Greens
$100,000
RC
$500
Property Scheduled
15
Miscellaneous
John Deere 1600 Wide Area Mower
$58,000
RC
$500
Property Scheduled
16
Miscellaneous
2001 Sullivan Air Compressor
30536
$12,000
RC
$500
Property Scheduled
17
Miscellaneous
2011 Jacobsen R311T, 60hp Kubota, 1 V Cut Mower, 6917101750
$49,085
RC
$500
Property Scheduled
Model #069171
18
Miscellaneous
2011 Buffalo CKB4
19981
$7,500
RC
$500
Property Scheduled
19
Miscellaneous
2005 Jacobson, Model 3407
06795201655
$50,000
RC
$500
Property Scheduled
Total Location Miscellaneous Property Scheduled $682,085
Total Location Additional Property Scheduled Value $682,085
48 -100 -1255 3rd Street, Waukee, IA 50263 Coverage
Line Classification Description Serial No Limit Valuation Deductible
1 EDP - Hardware Unscheduled EDP Hardware (individual item value not $5,880 RC $500
to exceed $10.000 Der item)
Total Location EDP - Hardware $5,880
Total Location Additional Property Scheduled Value $5,880
1 P
Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee Effective Date: 04/01/2017
Printed on: 02/22/2017
55 - 91 - 3107 312th PI. (West of Gun Club), Waukee, IA 50263 Coverage
Line Classification Description Serial No Limit Valuation Deductible
1 Miscellaneous John Deere 60" Front Blade 1400/1500 (used w/John IM060FBXJG $1,482 RC $500
Property Scheduled Deere 1585 Front Mower) M140062
Total Location Miscellaneous Property Scheduled $1,482
Total Location Additional Property Scheduled Value $1,482
59 - 91 - 805 University Ave., Waukee, IA 50263 Coverage
Line Classification Description Serial No Limit Valuation Deductible
1 Miscellaneous 2016 T750 T4 Track Loader AT5T11714 $60,000 RC $500
Property Scheduled
2 Miscellaneous 2016 eX-Mark X-Series Lazar Z Mower LZX940EKC7 $12,200 RC $500
Property Scheduled 2RT0
3
Miscellaneous
2016 John Deere 310SL Backhoe/Loader; Unit #30
1T0310SLHG
$90,500
RC
$500
Property Scheduled
F301576
4
Miscellaneous
2014 Minnich Concrete Drill, Model A-1-36 (Street
104-4140-
$7,500
RC
$500
Property Scheduled
Dept.)
11.5
5
EDP - Hardware
Unscheduled EDP Hardware (indivdual item value not to
$75,000
RC
$500
exceed $3,500 per item)
6
Miscellaneous
1998 Ingersoll Air Compressor XP185WJD
186959U9032
$20,000
RC
$500
Property Scheduled
9
7
Miscellaneous
2013 Astec RT800 Trencher
RT08000K01
$118,900
RC
$500
Property Scheduled
13
8
Miscellaneous
1991 Jacobson IV Veni-Cut Mower
622871766
$25,000
RC
$500
Prooertv Scheduled
9
Miscellaneous
2013 Minnich Concrete Drill At 3OUTL
104-3735-11
$7,500
RC
$500
Property Scheduled
10
Miscellaneous
1987 Club Car Tun Cart
RG0010-
$500
RC
$500
Property Scheduled
874429
11
Miscellaneous
2011 Bobcat SB200 72" Snowblower
712903913
$4,500
RC
$500
Property Scheduled
12
Miscellaneous
2013 Bobcat 9' Snow Blade
A05SO0798
$3,200
RC
$500
Property Scheduled
13
EDP - Hardware
GIS Server (Public Works)
$13,102
RC
$500
14
Miscellaneous
Graco 3900
4062
$3,800
RC
$500
Propenv Scheduled
15 Miscellaneous 2006 VED Pump Controller N1224240838 $20,000 RC $500
Property Scheduled 79
16 Miscellaneous Christmas Decorations $10,000 RC $500
Property Scheduled
C31 �
Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee Effective Date: 04/01/2017
Printed on: 02/22/2017
17
Miscellaneous
Sewer Jet Machine
$45,000
RC
$500
Property Scheduled
18
Miscellaneous
John Deere 1585 TerrainCut w/ComfortCab Commercial
1TC1585VCG
$33,164
RC
$500
Property Scheduled
Front Mower
R020129
19
Miscellaneous
John Deere 60" Snowblower 1400/1500 (used with John
1 M0038OXVG
$3,875
RC
$500
Property Scheduled
Deere 1585 Front Mower)
M140058
20
Miscellaneous
X-Mark
324333
$15,000
RC
$500
Prooenv Scheduled
21
Miscellaneous
2010 John Deere 507SE
PY507SE001
$30,000
RC
$500
Property Scheduled
676
22
Miscellaneous
2013 John Deere 544K Loader
1DW544KZD
$170,000
RC
$500
Property Scheduled
E657071
23
Miscellaneous
Brushog
TD1500
$2,000
RC
$500
Property Scheduled
24
EDP- Hardware
(2) Gateway Computers, Model EV700 (@ $900 ea)
03606272/03
$1,800
RC
$500
606267
25
Miscellaneous
Advance Zamboni
1987202
$17,500
RC
$500
Property Scheduled
26
Miscellaneous
John Deere 72" Mower
CH310230134
$16,000
RC
$500
Property Scheduled
007
27
Miscellaneous
Rotary Broom for Bobcat
$4,800
RC
$500
Property Scheduled
28
Miscellaneous
2012 ExMark Mower
0606
$12,500
RC
$500
Property Scheduled
29
Miscellaneous
1993 Portable Backup Generator w/Trailer
$23,000
RC
$500
Property Scheduled
30
Miscellaneous
2013 Hitachi ZX35 Compact Excavator
NCM1YAOOA
$43,500
RC
$500
Property Scheduled
00270827
31
EDP - Hardware
HP Officejet 5610 All -In -One Printer
320A
$600
RC
$500
32
Miscellaneous
John Deere 1600 Turbo Series II Commercial
ITC1600TVE
$51,212
RC
$500
Property Scheduled
Wide -Area Mower w/Eqpt.
F200349
33
Miscellaneous
2003 John Deere 770CH Mptorgrader
8662
$120,000
RC
$500
Property Scheduled
34
Miscellaneous
Kubota 72" F3060 Mower
$14,000
RC
$500
Property Scheduled
35
Miscellaneous
2010 John Deere CXIS
POCX16GOO
$16,000
RC
$500
Property Scheduled
8827
36 Miscellaneous 2000 Erskin Snowblower 780 FM 12841 $5,000 RC $500
Property Scheduled
37 Miscellaneous 2007 John Deere MX7 Mower WOOMX7XO1 $3,000 RC $500
Propertv Scheduled 3958
1 �
Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
38
Miscellaneous
2011 Bobcat SBX240 84" Snowblower
713600902
$6,000
RC
$500
Property Scheduled
39
Miscellaneous
2010 Big Ox Snowblade
985-
$5,000
RC
$500
Property Scheduled
C3347103
40
EDP - Hardware
(2) TopCon Units (valued at $15,000 each)
$30,000
RC
$500
41
Miscellaneous
Hydraulic Breaker
$7,000
RC
$500
Property Scheduled
42
EDP - Hardware
GPS Equipment
$35,000
RC
$500
43
Miscellaneous
2007 Vicon PS403 Spreader
75406-09-
$7,500
RC
$500
Property Scheduled
9566
44
Miscellaneous
Ringomatic
$90,000
RC
$500
Property Scheduled
45
EDP - Hardware
(2) AR4002RF Sensus w/2 Charging Stands
312AI674A
$6,000
RC
$500
46
Miscellaneous
John Deere 72" Mower
CD3012DO36
$16,000
RC
$500
Property Scheduled
317
47
Miscellaneous
Park Equipment
$30,000
RC
$500
Property Scheduled
48
Miscellaneous
John Deere 1200A
TC1200A160
$7,500
RC
$500
Property Scheduled
756
49
Miscellaneous
Total Station Survey Equipment
$15,000
RC
$500
Property Scheduled
50
Miscellaneous
2012 John Deere 1600 Wing Mower
ITC160OTPC
$58,000
RC
$500
Property Scheduled
100079
51
Miscellaneous
Case MXI
DFG0006075
$32,000
RC
$500
Property Scheduled
52
Miscellaneous
2012 Husqvarna F54800
00130469300
$35,000
RC
$500
Property Scheduled
1
53
Miscellaneous
1995 Contrail
K1T2C15215
$1,500
RC
$500
Property Scheduled
616175
54
Miscellaneous
2007 Clark C25 Forklift
$15,000
RC
$500
Property Scheduled
55
Miscellaneous
2011 Bobcat 5600
AOW116747
$50,000
RC
$500
Property Scheduled
56
Miscellaneous
Vermeer 3" Mole
$4,200
RC
$500
Property Scheduled
57
Miscellaneous
2014 Crafco Crack Sealer wlrrailer
ICPSY1019E
$33,000
RC
$500
Property Scheduled
1418018
58
Miscellaneous
10' John Deere Ditch Mower
1518
$9,200
RC
$500
Property Scheduled
59 EDP - Hardware Sony Laptop, Model PCG9211 2528 $2,500 RC $500
A
Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee
60 Miscellaneous 2012 John Deere Model 5065M Tractor
Property Scheduled
61 Miscellaneous VXU Unite, Model 3600
Effective Date: 04/01/2017
Printed on: 02/22/2017
l LV506SMTC $45,000 RC $500
J443791
917B $25,000 RC $500
62 Miscellaneous 2008 John Deere Model Z840A TC840ALL01 $10,000 RC $500
Property Scheduled 0701
63 Miscellaneous John Deere 1200A TC1200A135 $7,500 RC $500
Property Scheduled 378
Total Location EDP - Hardware $164,002
Total Location Miscellaneous Property Scheduled $1,518,551
Total Location Additional Property Scheduled Value $1,682,553
59 - 95 - 805 University Ave., Waukee, IA 50263
Coverage
Line Classification Description
Serial No Limit Valuation
Deductible
1 EDP - Hardware Sewer Line Video Camera
$12,000 RC
$500
2 Miscellaneous 2013 Bobcat
2858 $45,000 RC
$500
Property Scheduled
3 Miscellaneous 2012 Bobcat E80 Excavator
2578 $100,000 RC
$500
Property Scheduled
Total Location EDP- Hardware $12,000
Total Location Miscellaneous Property Scheduled $146,000
Total Location Additional Property Scheduled Value $157,000
63 - 101 - 1725 98th St., West Des Moines, IA 50263 Coverage
Line Classification Description Serial No Limit Valuation Deductible
1 EDP - Hardware Unscheduled EDP Hardware (individual item value not $5,880 RC $500
to exceed $10,000 per item)
Total Location EDP - Hardware
Total Location Additional Property Scheduled Value
$5,880
$5,880
98 - 98 - Various Locations, Waukee, IA 50263 Coverage
Line Classification Description Serial No Limit Valuation Deductible
1 Miscellaneous Unscheduled Miscellaneous ProperlylTools (individual $125,000 RC $500
Property Unscheduled item value not to exceed $10,00 per item)
Total Location Miscellaneous Property Unscheduled $125,000
Total Location Additional Property Scheduled Value $125,000
Ak 0
16zr lk Iowa Communities Assurance Pool
Additional Property Statement of Values
City of Waukee
Effective Date: 04/01/2017
Printed on: 02/22/2017
Grand Total EDP - Hardware $684,562
Grand Total EDP - Software $104,329
Grand Total Fine Arts $33,000
Grand Total Miscellaneous Property Scheduled $2,642,118
Grand Total EDP - Hardware
$684,562
Grand Total EDP - Software
$104,329
Grand Total Fine Arts
$33,000
Grand Total Miscellaneous Property Scheduled
$2,642,118
Grand Total Miscellaneous Property Unscheduled
$125,000
Grand Total Additional Property Scheduled Value
$7,053,017
1 �
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Flrs Spklr Built
Year Con Pro
Reno Code Class
Equip FL
Break
EQ Blank
Limit
1- 1: Centennial Park on University
800
1
6
Y N
N Y
Waukee, IA 50263
Shelter
Value
Valuation
Deductible
Building
48,437
RC
$5,000
Personal Property
1,000
RC
$5,000
Total Location TIV
49,437
1- 2: Centennial Park on University
480
2
6
Y N
N Y
Waukee, IA 50263
Restroom
Value
Valuation
Deductible
Building
50,904
RC
$5,000
Personal Property
1,000
RC
$5,000
Total Location TIV
51,904
1- 3: Centennial Park on University
480
2
6
Y N
N Y
Waukee, IA 50263
Restroom
Value
Valuation
Deductible
Building
50,904
RC
$5,000
Personal Property
1,000
RC
$5,000
Total Location TIV
51,904
1- 4: Centennial Park on University
576
1
6
Y N
N Y
Waukee, IA 50263
Concession Stand (addition in 2009)
Value
Valuation
Deductible
Building
84,773
RC
$5,000
Personal Property
10,000
RC
$5,000
Total Location TIV
94,773
1- 36: Centennial Park on University
3
6
Y N
N Y
Waukee, IA 50263
Playground Equipment
Value
Valuation
Deductible
Building
99,471
RC
$5,000
Total Location TIV
99,471
1- 42: Centennial Park on University
3
6
Y N
N Y
Waukee, IA 50263
Siren & Solar Panel System
Value
Valuation
Deductible
Building
43,297
RC
$5,000
Total Location TIV
43,297
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip FL
Eq
Blank
Firs Spklr Built
Reno Code
Class
Break
Limit
1- 49: Centennial Park on University
3
6
Y N
N
Y
Waukee, IA 50263
Ball Field Lights
Value
Valuation
Deductible
Building
31,706
RC
$5,000
Total Location TIV
31,706
1- 92: Centennial Park on University
1 2011
1
6
Y N
N
Y
Waukee, IA 50263
Walk Path Bridge
Value
Valuation
Deductible
Building
216,486
RC
$5,000
Total Location TIV
216,486
2- 6: 1205 6th
4,860
1 1975
1
6
Y N
N
Y
Waukee, IA 50263
Maintenance Garage/Public Works
Value
Valuation
Deductible
Building
106,121
ACV
$5,000
Personal Property
2,000
RC
$5,000
Total Location TIV
108,121
2- 8: 1205 6th
775
1 1975
1
6
Y N
N
Y
Waukee, IA 50263
Storage Garage
Value
Valuation
Deductible
Building
22,585
RC
$5,000
Personal Property
2,000
RC
$5,000
Total Location TIV
24,585
3- 9: South of Waukee
864
3
6
Y N
N
Y
Waukee, IA 50263
Well House
Value
Valuation
Deductible
Building
22,523
RC
$5,000
Personal Property
1,000
RC
$5,000
Total Location TIV
23,523
4- 10: 1215 6th St.
2,190
1 1991
1
6
Y N
N
Y
Waukee, IA 50263
Maintenance/Garage
Value
Valuation
Deductible
Building
106,121
RC
$5,000
Personal Property
5,000
ACV
$5,000
Total Location TIV
111,121
It0
ri
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date: 04/01/2017
Printed on: 02/22/2017
Location Description
Area
#of Auto Year Year
Con Pro
Equip
FL EQ
Blank
Firs Spklr Built Reno
Code
Class
Break
Limit
5- 13: Water Treatment Facility/1300 4th St.
429
1 1994
4
6
Y
N N
Y
Waukee, IA 50263
EQ Basin Blower Building
Value
Valuation
Deductible
Building
180,062
RC
$5,000
Personal Property
15,860
RC
$5,000
Total Location TIV
195,922
6- 15: 410 6th
3,348
1 1928
4
6
Y
N N
Y
Waukee, IA 50263
Community Center ()eased out)
Value
Valuation
Deductible
Building
341,254
RC
$5,000
Personal Property
1,000
RC
$5,000
Total Location TIV
342,254
12-23, Winfield Park
2,000
2015
1
6
Y
N N
Y
Waukee, IA 50263
Restroom R Shelter
Value
Valuation
Deductible
Building
178,500
RC
$5,000
Personal Property
1,000
RC
$5,000
Total Location TIV
179,500
12-44: Winfield Park
3
6
Y
N N
Y
Waukee, IA 50263
Playground Equipment
Value
Valuation
Deductible
Building
93,840
RC
$5,000
Total Location TIV
93,840
13 - 24: 397 Hwy. 6
225
1995
3
6
Y
N N
Y
Waukee, IA 50263
Lift Station #2
Value
Valuation
Deductible
Building
368,793
RC
$5,000
Total Location TIV
358,793
13 - 45: 397 Hwy. 6
350
1 2005
1
6
Y
N N
Y
Waukee, IA 50263
Storage Building
Value
Valuation
Deductible
Building
62,167
RC
$5,000
Personal Property
50,000
RC
$5,000
Total Location TIV
112,167
C1 L
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip
FL ED
Blank
Firs Spklr Built
Reno Code
Class
Break
Limit
14 - 25: 1300 L.A. Grant Parkway
26,743
2 1998
4
6
Y
N N
Y
Waukee, IA 50263
Police/Fire Dept Incl GeneratorlComm. Towers
Value
Valuation
Deductible
Building
6,383,894
RC
$5,000
Personal Property
300,000
RC
$5,000
EDP - Hardware
374,879
RC
$500
EDP - Software
40,000
RC
$500
Miscellaneous Property Scheduled
295,000
RC
$500
Total Location TIV
7,393,773
15 - 26: 50 Little Walnut Creek Drive
3
6
Y
N N
Y
Waukee, IA 50263
Siren & Solar Panel System
Value
Valuation
Deductible
Building
43,297
RC
$5,000
Total Location TIV
43,297
16 - 27: 501 4th St.
3
6
Y
N N
Y
Waukee, IA 50263
Siren & Solar Panel System
Value
Valuation
Deductible
Building
43,297
RC
$5,000
Total Location TIV
43,297
17 - 28: 1155 Westbrooke
3
6
Y
N N
Y
Waukee, IA 50263
Siren & Solar Panel System
Value
Valuation
Deductible
Building
43,297
RC
$5,000
Total Location TIV
43,297
18 - 29: 701 Boone Drive
3
6
Y
N N
Y
Waukee, IA 50263
Siren & Solar Panel System
Value
Valuation
Deductible
Building
43,297
RC
$5,000
Total Location TIV
43,297
19 - 30: 600 142nd St.
146
1999
3
6
Y
N N
Y
Waukee, IA 50263
Lift Station #4
Value
Valuation
Deductible
Building
390,271
RC
$5,000
Total Location TIV
390,271
AI
P
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip
FL EO
Blank
Flrs Spklr Built
Reno Code Class
Break
Limit
19 - 73: 600 142nd St.
3 6
Y
N N
Y
Waukee, IA 50263
East Town Border Station
Value
Valuation
Deductible
Building
179,264
RC
$5,000
Total Location TIV
179,264
20 - 31: 230 Hickman
12,000
1 1999
1 6
Y
N N
Y
Waukee, IA 50263
City Hall & Offices (renovation/2013)
Value
Valuation
Deductible
Building
2,701,641
RC
$5,000
Personal Property
316,590
RC
$5,000
EDP - Hardware
71,921
RC
$500
EDP - Software
64,329
RC
$500
Total Location TIV
3,154,481
20 - 105: 230 Hickman
3 6
Y
N N
Y
Waukee, IA 50263
(3) Flag Poles
Value
Valuation
Deductible
Building
15,918
RC
$5,000
Total Location TIV
15,918
22 - 32: Hwy R22
3,500
1997
2 6
Y
N N
Y
Waukee, IA 50263
Sewer Treatment Facility, incl. Generator & Lagoon Eqpt.
Value
Valuation
Deductible
Building
1,586,013
RC
$5,000
Personal Property
3,000
RC
$5,000
Total Location TIV
1,589,013
22-109: Hwy R22
3 6
Y
N N
Y
Waukee, IA 50263
Fencing
Value
Valuation
Deductible
Building
10,404
RC
$5,000
Total Location TIV
10,404
1 �
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip
FL
ED
Blank
Firs Spklr Built
Reno Code
Class
Break
Limit
24 - 34: 950 Warrior Lane
16,811
1 2002
1
6
Y
N
N
Y
Waukee, IA 50263
New Library
Value
Valuation
Deductible
Building
2,991,584
RC
$5,000
Personal Property
1,575,000
RC
$5,000
EDP - Hardware
50,000
RC
$500
Fine Arts
33,000
RC
$500
Total Location TIV
4,649,584
24 - 81: 950 Warrior Lane
150
2002
2
6
Y
N
N
Y
Waukee, IA 50263
Lift Station #9
Value
Valuation
Deductible
Building
48,960
RC
$5,000
Total Location TIV
48,960
25 - 35: 3256 Ashworth Rd.
3
6
Y
N
N
Y
Waukee, IA 50263
Siren & Solar Panel System
Value
Valuation
Deductible
Building
43,297
RC
$5,000
Total Location TIV
43,297
27 - 37: 31653 Ute
126
2004
2
6
Y
N
N
Y
Waukee, IA 50263
Lift Station #8
Value
Valuation
Deductible
Building
194,040
RC
$5,000
Total Location TIV
194,040
27 - 86: 31653 Ute
3
6
Y
N
N
Y
Waukee, IA 50263
Siren & Solar Panel System
Value
Valuation
Deductible
Building
43,297
RC
$5,000
Total Location TIV
43,297
29 - 40: 225 University Ave.
3
6
Y
N
N
Y
Waukee, IA 50263
Siren & Solar Panel System
Value
Valuation
Deductible
Building
43,297
RC
$5,000
Total Location TIV
43,297
C3
1 D
�4r%
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip
FL ED
Blank
Firs Spklr Built
Reno Code
Class
Break
Limit
30 - 41: 550 Ashworth Drive, Triangle Park
1
6
Y
N N
Y
Waukee, IA 50263
Clock
Value
Valuation
Deductible
Building
11,414
RC
$5,000
Total Location TIV
11,414
30 - 43: 550 Ashworth Drive, Triangle Park
6
6
Y
N N
Y
Waukee, IA 50263
(18) Iron Lampposts
Value
Valuation
Deductible
Building
232,850
RC
$5,000
Total Location TIV
232,850
30 - 57: 550 Ashworth Drive, Triangle Park
120
1 2002
2
6
Y
N N
Y
Waukee, IA 50263
Bandstand
Value
Valuation
Deductible
Building
22,523
RC
$5,000
Total Location TIV
22,523
31 - 88: Ridge Pointe Park
3
6
Y
N N
Y
Waukee, IA 50263
Playground Equipment
Value
Valuation
Deductible
Building
56,308
RC
$5,000
Total Location TIV
56,308
31 - 89: Ridge Pointe Park
3
6
Y
N N
Y
Waukee, IA 50263
Playground Equipment
Value
Valuation
Deductible
Building
11,262
RC
$5,000
Total Location TIV
11,262
32 - 47: Southfork Park
3
6
Y
N N
Y
Waukee, IA 50263
Playground Equipment
Value
Valuation
Deductible
Building
25,364
RC
$5,000
Total Location TIV
25,364
1 �
Iowa Communities Assurance Pool
Statement of Values
City of Waukee Effective Date: 04/01/2017
Printed on: 02/22/2017
Location Description
Area
#of
Auto Year
Year Con Pro
Equip
FL
EO
Blank
Firs
Spklr Built
Reno Code
Class
Break
Limit
32 - 48: Southfork Park
1.200
1
1990
2
6
Y
N
N
y
Waukee, IA 50263
Open Shelter
Value
Valuation
Deductible
Building
31,706
RC
$5,000
Total Location TIV
31,706
34 - 50: 1300 3rd Street
168
1998
2
6
Y
N
N
Y
Waukee, IA 50263
Lift Station #1
Value
Valuation
Deductible
Building
458,762
RC
$5,000
Total Location TIV
458,762
35 - 51: 1080 Westwoods
165
1999
2
6
Y
N
N
Y
Waukee, IA 50263
Lift Station #3 & Silent Pump
Value
Valuation
Deductible
Building
310,843
RC
$5,000
Total Location TIV
310,843
37 - 78: Hickman and Alices Rd.
3
6
Y
N
N
Y
Waukee, IA 50263
Street/Traffic Lights
Value
Valuation
Deductible
Building
223,284
RC
$5,000
Total Location TIV
223,284
39 - 56: 1501 6th St.
Waukee, IA 50263
Value
Valuation
Deductible
Miscellaneous Property Scheduled
682,085
RC
$500
Total Location TIV
682,085
39 - 56: 1501 6th St.
2,940
1
1999
3
6
Y
N
N
Y
Waukee, IA 50263
Pole Building/Storage
Value
Valuation
Deductible
Building
89,021
RC
$5,000
Personal Property
10,000
RC
$5,000
Total Location TIV
99,021
C1 L
1 �
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip
FL
EQ
Blank
Firs Spklr Built
Reno Code
Class
Break
Limit
39 - 76: 1501 6th St.
3
6
Y
N
N
Y
Waukee, IA 50263
Comfort Stations (benches/ball washers-machine/signs)
Value
Valuation
Deductible
Building
28,154
RC
$5,000
Total Location TIV
28,154
39 - 121: 1501 6th St.
150
2001
2
6
Y
N
N
Y
Waukee, IA 50263
Lift Station #11
Value
Valuation
Deductible
Building
13,770
RC
$5,000
Total Location TIV
13,770
41 - 59: Hickman & N. 10th
3
6
Y
N
N
Y
Waukee, IA 50263
Street/Traffic Lights
Value
Valuation
Deductible
Building
228,283
RC
$5,000
Total Location TIV
228,283
42 - 60: Hickman & 4th St.
3
6
Y
N
N
Y
Waukee, IA 60263
Street/Traffic Lights
Value
Valuation
Deductible
Building
228,283
RC
$5,000
Total Location TIV
228,283
43 - 61: Hickman & Warder Lane
3
6
Y
N
N
Y
Waukee, IA 50263
Street/Traffic Lights
Value
Valuation
Deductible
Building
228,283
RC
$5,000
Total Location TIV
228,283
44 - 66: Boone Drive & University
3
6
Y
N
N
Y
Waukee, IA 50263
Street/Traffic Lights
Value
Valuation
Deductible
Building
228,283
RC
$5,000
Total Location TIV
228,283
C1 L rk
A M
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
kof Auto Year
Year Con Pro
Equip
FL
EQ
Blank
Firs Spklr Built
Reno Code Class
Break
Limit
45 - 74: 90 N. 10th St.
2006
3
6
Y
N
N
y
Waukee, IA 50263
West Town Border Station
Value
Valuation
Deductible
Building
179,264
RC
$5,000
Total Location TIV
179,264
46 - 68: Hickman - Alices Road to R22
3
6
y
N
N
y
Waukee, IA 50263
Street Lights
Value
Valuation
Deductible
Building
621,687
RC
$5,000
Total Location TIV
621,687
48 - 70: 1255 3rd Street
1978
3
6
y
N
N
Y
Waukee, IA 50263
Water Tower & Antenna
Value
Valuation
Deductible
Building
1,874,046
RC
$5,000
Total Location TIV
1,874,046
48 - 100: 1255 3rd Street
1 2012
3
6
Y
N
N
y
Waukee, IA 50263
Water Tower Climate Controls w/Base Station/Antenna
Value
Valuation
Deductible
Building
76,668
RC
$53000
EDP - Hardware
5,880
RC
$500
Total Location TIV
82,548
48 - 108: 1255 3rd Street
6
6
Y
N
N
y
Waukee, IA 50263
Fencing
Value
Valuation
Deductible
Building
10,404
RC
$5,000
Total Location TIV
10,404
49 - 71: Intersection/Alice's Rd. & University
2007
3
6
Y
N
N
Y
Waukee, IA 50263
Traffic Lights
Value
Valuation
Deductible
Building
295,800
RC
$5,000
Total Location TIV
295,800
16
1 0
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
#of Auto Year
Year Con Pro
Equip FL EQ Blank
Firs Spklr Built
Reno Code Class
Break Limit
50 - 72, 100 Block of S.E. University Ave.
3 6
Y N N Y
Waukee, IA 50263
Traffic Signals & Cabinets
Value
Valuation
Deductible
Building
32,987
RC
$5,000
Total Location TIV
32,987
52 - 77: University & L.A. Grant
3 6
Y N N Y
Waukee, IA 50263
Traffic Signals
Value
Valuation
Deductible
Building
225,232
RC
$5,000
Total Location TIV
225,232
53 - 79: University & SE Florence
3 6
Y N N Y
Waukee, IA 50263
Traffic Signals
Value
Valuation
Deductible
Building
225,232
RC
$5,000
Total Location TIV
225,232
54 - 80: University & Waukee School Entrance
3 6
Y N N Y
Waukee, IA 50263
Traffic Signals
Value
Valuation
Deductible
Building
225,232
RC
$5,000
Total Location TIV
225,232
55 - 83: 3107 312th PI. (West of Gun Club)
469
1 2008
2 6
Y N N Y
Waukee, IA 50263
Lift Station #12
Value
Valuation
Deductible
Building
420,738
RC
$5,000
Total Location TIV
420,738
55 - 91: 3107 312th PI. (West of Gun Club)
Waukee, IA 50263
Value
Valuation
Deductible
Miscellaneous Property Scheduled
1,482
RC
$500
Total Location TIV
1,482
C3=�kr 1
Iowa Communities Assurance Pool
Statement of Values
City of Waukee Effective Date: 04/01/2017
Printed on: 02/22/2017
Location Description
Area
#of
Auto Year
Year Con Pro
Equip
FL
EQ
Blank
Firs
Spklr Built
Reno Code Class
Break
Limit
56 - 84: 106 SE Baytree Dr./Hemmingway
128
1
2008
2
6
Y
N
N
Y
Waukee, IA 50263
Lift Station #15
Value
Valuation
Deductible
Building
101,177
RC
$5,000
Total Location TIV
101,177
57 - 85: 1080 SE Westwoods Dr
115
1
1999
2
6
Y
N
N
Y
Waukee, IA 50263
Lift Station #16
Value
Valuation
Deductible
Building
73,440
RC
$5,000
Total Location TIV
73,440
58 - 90: Grant Park
3
6
Y
N
N
Y
Waukee, IA 50263
Playground Equipment
Value
Valuation
Deductible
Building
60,180
RC
$5,000
Total Location TIV
60,180
58 - 107: Grant Park
2014
2
3
Y
N
N
Y
Waukee, IA 50263
Restrooms
Value
Valuation
Deductible
Building
51,000
RC
$5,000
Total Location TIV
51,000
59 - 91: 805 University Ave.
69,570
2
Full 2011
4
6
Y
N
N
y
Waukee, IA 50263
Public Works Building
Value
Valuation
Deductible
Building
7,927,207
RC
$5,000
Personal Property
600,000
RC
$5,000
EDP - Hardware
164,002
RC
$500
Miscellaneous Property Scheduled
1,518,551
RC
$500
Total Location TIV
10,209,760
59 - 93: 805 University Ave.
2011
3 6 Y N N y
Waukee, IA 50263
Parking Lot Lights
Value
Valuation
Deductible
Building
90,093
RC
$5,000
Total Location TIV
90,093
1 �
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
#of Auto Year
Year Con
Pro
Equip Blank
FL EQ
Firs Spklr Built
Reno Code
Class
Break Limit
59 - 95: 805 University Ave.
1,200
1 2011
3
6
Y N N Y
Waukee, IA 50263
Sand/Salt Storage w/Canvas Roof
Value
Valuation
Deductible
Building
56,308
RC
$5,000
Personal Property
25,000
RC
$5,000
EDP -Hardware
12,000
RC
$500
Miscellaneous Property Scheduled
145,000
RC
$500
Total Location TIV
238,308
59 - 120: 805 University Ave.
150
2011
2
6
Y N N Y
Waukee, IA 50263
Lift Station #5
Value
Valuation
Deductible
Building
56,610
RC
$5,000
Total Location TIV
56,610
60 - 94: Hickman & 6th
2011
3
6
Y N N Y
Waukee, IA 50263
Traffic Signals
Value
Valuation
Deductible
Building
226,232
RC
$5,000
Total Location TIV
225,232
61 - 96: South Fork Development
2011
3
6
Y N N Y
Waukee, IA 50263
Street Lights
Value
Valuation
Deductible
Building
563,081
RC
$5,000
Total Location TIV
563,081
62 - 97: 955 W. Hickman Rd./Raccoon River Valley Trailhead 180
1 2012
3
6
Y N N Y
Waukee, IA 50263
Restrooms
Value
Valuation
Deductible
Building
104,888
RC
$5,000
Total Location TIV
104,888
62 - 102: 955 W. Hickman Rd./Raccoon River Valley Trailhead
2012
1
6
Y N N Y
Waukee, IA 50263
Shade Structure
Value
Valuation
Deductible
Building
20,978
RC
$5,000
Total Location TIV
20,978
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip
FL EQ
Blank
Flrs Spklr Built
Reno Code
Class
Break
Limit
62 - 103: 955 W. Hickman Rd./Raccoon River Valley Trailhead
2012
3
6
Y
N N
Y
Waukee, IA 50263
Picnic Tables/Trash Receptacles/Benches
Value
Valuation
Deductible
Building
11,041
RC
$5.000
Total Location TIV
11,041
63 - 101: 1725 98th St.
3
6
V
N N
Y
West Des Moines, IA 50263
Water Tower Base Station/Antenna
Value
Valuation
Deductible
Building
61,608
RC
$5.000
EDP - Hardware
5,880
RC
$500
Total Location TIV
67,488
63 - 106: 1725 98th St.
6
6
Y
N N
Y
West Des Moines, IA 50263
Fencing
Value
Valuation
Deductible
Building
5,202
RC
$5.000
Total Location TIV
5,202
64 - 17: 675 Walnut St.
2,744
1 1965
4
6
Y
N N
Y
Waukee, IA 50263
Community Center
Value
Valuation
Deductible
Building
489,941
RC
$5,000
Personal Property
25,000
RC
$5,000
Total Location TIV
514,941
65 - 104: 990 Warrior Lane
100
1 2013
4
6
Y
N N
Y
Waukee, IA 50263
Lift Station #7
Value
Valuation
Deductible
Building
447,830
RC
$5,000
Total Location TIV
447,830
66 - 110, SE of Sugar Creek Golf Course on Bike Trail
800
2014
3
6
Y
N N
Y
Waukee, IA 50263
Walking Bridge
Value
Valuation
Deductible
Building
208,080
RC
$5,000
Total Location TIV
208,080
1 �
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04101/2017
Printed on: 02/22/2017
Location Description
Area
#of Auto Year
Year Con Pro
Equip
FL
EQ
Blank
Firs Spklr Built
Reno Code
Class
Break
Limit
67 - 122: Hickman Rd. & Dartmoor
3
6
Y
N
N
Y
Waukee, IA 50263
Traffic Lights
Value
Valuation
Deductible
Building
229,500
RC
$5,000
Total Location TIV
229,500
68 - 123: Westown Pkwy. & L.A. Grant
3
6
Y
N
N
Y
Waukee, IA 50263
Traffic Lights
Value
Valuation
Deductible
Building
229,500
RC
$5,000
Total Location TIV
229,500
69 - 124: L.A. Grant & Ashworth
3
6
Y
N
N
Y
Waukee, IA 50263
Traffic LightlTent Signals
Value
Valuation
Deductible
Building
51,000
RC
$5,000
Total Location TIV
51,000
70 - 125: Alice's Rd. & Olsen
3
6
Y
N
N
Y
Waukee, IA 50263
Traffic Lightrrent Signals
Value
Valuation
Deductible
Building
51,000
RC
$5,000
Total Location TIV
51,000
71 - 126: Westown Pkwy. & Grand Prairie
3
6
Y
N
N
Y
Waukee, IA 50263
Traffic Lights
Value
Valuation
Deductible
Building
295,800
RC
$5,000
Total Location TIV
295,800
72 - 127: Ashworth & Grand Prairie
3
6
Y
N
N
Y
Waukee, IA 50263
Traffic Lights
Value
Valuation
Deductible
Building
295,800
RC
$5,000
Total Location TIV
295,800
3 L
=r%;)
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Firs Spklr Built
Year Con Pro
Reno Code Class
Equip
Break
FL Eq
Blank
Limit
73 - 128: Grand Prairie Rd.
3
6
Y
N N
Y
Waukee, IA 50263
Street Lights (104 light poles; 19 tunnel fixtures)
Value
Valuation
Deductible
Building
1,027441
RC
$5,000
Total Location TIV
1,027,441
74 - 112: 1300 4th St.
2,220
1997
4
6
Y
N N
Y
Waukee, IA 50263
Headworks/Blower Building
Value
Valuation
Deductible
Building
1,165,435
RC
$5,000
Total Location TIV
1,165,435
74 - 113: 1300 4th St.
305
1995
4
6
Y
N N
Y
Waukee, IA 50263
Inlet -Flow Diversion
Value
Valuation
Deductible
Building
68,101
RC
$5,000
Total Location TIV
68,101
74 - 114: 1300 4th St.
2,375
1997
4
6
Y
N N
Y
Waukee, IA 50263
Clarifier #1-#2
Value
Valuation
Deductible
Building
456,720
RC
$5,000
Total Location TIV
456,720
74 - 115: 1300 4th St.
2,375
1997
4
6
Y
N N
Y
Waukee, IA 50263
Clarifier #344
Value
Valuation
Deductible
Building
456,720
RC
$5,000
Total Location TIV
456,720
74 - 116: 1300 4th St.
1,752
1997
4
6
Y
N N
Y
Waukee, IA 50263
Bio-Solids Tank #142
Value
Valuation
Deductible
Building
361,734
RC
$5,000
Total Location TIV
361,734
C161
0
Iowa Communities Assurance Pool
Statement of Values
City of Waukee
Effective Date:
04/01/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip
FL EQ
Blank
Firs Spklr Built
Reno Code Class
Break
Limit
74 - 117: 1300 4th St.
11,205
1997
4 6
Y
N N
Y
Waukee, IA 50263
Aeration Basin #1
Value
Valuation
Deductible
Building
363,630
RC
$5,000
Total Location TIV
363,630
74 - 118: 1300 4th St.
11,205
1997
4 6
Y
N N
Y
Waukee, IA 50263
Aeration Basin #2
Value
Valuation
Deductible
Building
363,630
RC
$5,000
Total Location TIV
363,630
74 - 119: 1300 4th St.
55
1975
2 6
Y
N N
Y
Waukee, IA 50263
Generator
Value
Valuation
Deductible
Building
143,866
RC
$5,000
Total Location TIV
143,866
75 - 87: 655 BE Legacy Point Blvd
1,088
1 2010
4 6
Y
N N
Y
Waukee, IA 50263
Pavillion/Restroom/Shelter
Value
Valuation
Deductible
Building
256,583
RC
$5,000
Total Location TIV
255,583
76 - 53: 1255 E. Hwy. 6
144
1999
2 6
Y
N Y
Y
Waukee, IA 50263
Lift Station #6
Value
Valuation
Deductible
Building
277,077
RC
$5,000
Total Location TIV
277,077
77 - 55: 1505 6th St.
4,755 2
1993 1
6 Y N N Y
Waukee, IA 50263
Golf Clubhouse
Value
Valuation
Deductible
Building
390,311
RC
$5,000
Personal Property
60,000
RC
$5,000
Total Location TIV
450,311
F 1114 A
P
Iowa Communities Assurance Pool
Statement of Values
City of Waukee Effective Date: 04101/2017
Printed on: 02/22/2017
Location Description
Area
# of Auto Year
Year Con Pro
Equip
FL
EQ
Blank
Firs Spklr Built
Reno Code Class
Break
Limit
77 - 67: 1505 6th St.
64
2001
1 6
Y
N
N
Y
Waukee, IA 50263
Golf Course Pump House #11/Underground Irrigation
Value
Valuation
Deductible
Building
215,762
RC
$5,000
Total Location TIV
215,762
98 - 96: Various Locations
1 6
N
N
N
N
Waukee, IA 50263
Unscheduled Miscellaneous Property
Value
Valuation
Deductible
Miscellaneous Property Unscheduled
125,000
RC
$500
Total Location TIV
125,000
300 - 300: Various Locations (as noted on file)
1 6
Y
N
N
Y
Waukee, IA 50263
Fiber Optic Network
Value
Valuation
Deductible
Total Location TIV 526,062
NEZD
Iowa Communities Assurance Pool
Statement of Values
City of Waukee Effective Date: 04/0112017
Printed on: 02/22/2017
Location Description Area # of Auto Year Year Con Pro Equip FL E� Blank
Firs Spklr Built Reno Code Class Break Limit
Total Blanket TIV
$44,191,594
Building
$41,297,265
Personal Property
$3,005,450
EDP - Hardware
$684,562
EDP -Software
$104,329
Fine Arts
$33,000
Miscellaneous Property Scheduled
$2,642,118
Miscellaneous Property Unscheduled
$125,000
Total TIV
$47,891,723
As of. 07/01/2017
Iowa Communities Assurance Pool
General Liability Breakout
City of Waukee
Anniversary: 04/01/2017
Total
Contribution
Initial Loading
$ 4,334.72
Fire Dept.
$ 353.34
Sewer Dept.
$ 689.81
Waterworks Dept.
$ 525.09
DPW
$ 434.62
Parks and Recreation
$ 578.77
Gas Utility - Distribution
$1,421.47
Secondary Loading
Ambulances
$ 66.60
EMT (No. of technicians, not
$ 66.60
including paid EMT's)
Fireworks displays
$16.65
Golf Course
$ 837.79
Volunteer Firefighters - Basic
$ 76.59
Herbicide/Pesticide
$ 44.08
GL Excess
$1,360.62
Total
$10,806.75
Public Officials Wrongful Acts $1,879.48
Excess $ 318.28
Total $2,197.76
Law Enforcement $1,523.43
Excess $219.39
Total $1,742.82
Iowa Communities Assurance Pool
Auto Liability Breakout
City of Waukee
Anniversary: 04/0112017
Total
Vehicle Type
Contribution
# of Vehicles
Ambulances
$118.57
2
$59.28
Dump Trucks
$771.87
12
$64.32
Fire Trucks
$326.47
8
$40.81
Heavy
$60.97
1
$60.97
Lt. Med Trucks
$315.01
8
$39.38
Passenger Car/Vans/Pickups
$1,256.81
41
$30.65
Police
$552.67
10
$55.27
Road Maintenance
$17.79
2
$8.90
Trailers
$0.00
19
$0.00
Excess
$ 492.65
Total
$3,912.80
Iowa Communities Assurance Pool
Automobile Physical Damage Breakout
City of Waukee
Anniversary: 04101 /2017
Veh. No.
Year
Mag
Model
value
Contribution
2
2002
Chevrolet
Silverado
$24,000
$24.47
3
2005
Chevrolet
Pickup/Public Works
$24,000
$24.47
4
2006
Chevrolet
Silverado
$25,000
$25.49
5
2013
Chevrolet
Silverado (Strmwtr Dept)
$26,498
$27.02
6
2003
Chevrolet
Silverado
$29,000
$29.57
7
2012
Chevrolet
F350 (Street Dept.)
$45,000
$45.89
8
2008
Chevrolet
Uplander (Park & Rec)
$18,125
$18.48
9
2005
GMC
Pickup
$18,500
$18.87
12
2010
H&H
Trailer
$1,500
$0.82
14
2000
H&H
Trailer
$7,500
$4.12
15
1999
Trailer
Noma Trailer
$12.000
$6.59
17
2014
Trailer
Felling Trailer, Model
$13,500
$7.41
FT20-2LP
18
2008
Trailer
Dolittle Trailer
$1,500
$0.82
21
2003
Trailer
Kiefer Trailer
$10,000
$5.49
23
2005
Trailer
Belshe T18-2EP Trailer
$6,000
$3.29
24
2006
Trailer
Doolittle 8x20 Trailer
$7,500
$4.12
25
2005
Trailer
McLander Trailer
$7,500
$4.12
26
2009
Trailer
Belshe Trailer
$10,000
$5.49
27
2013
Ford
Interceptor AWD w/Eqpt.
$40,000
$33.34
28
2013
Ford
Interceptor AWD w/Eqpt.
$40,000
$33.34
31
2013
Ford
Interceptorw/Eqpt.
$46,000
$38.34
36
2011
Ford
Crown Vic Intcptrw/egpt.
$47,500
$39.59
38
2010
Ford
Explorerw/Eqpt.
$47,500
$39.59
40
2008
Ford
Crown Victoria w/Eqpt.
$47,500
$39.59
42
2001
International
Dump Truck
$45,000
$49.02
43
2000
International
4700 Dump Truck
$55,000
$59.92
45
2005
International
Dump Truck
$86,000
$93.69
46
2007
International
Dump Truck
$108,000
$117.66
47
2010
International
Wing Truck
$135,000
$147.07
48
2013
International
7300 SFA 4X2
$168,000
$183.02
49
2013
International
7300 SFA 4x2 Dump Truck
$169,000
$184.11
50
2012
International
Wing Truck
$186,000
$202.63
51
1998
International
Dump Truck
$20,000
$21.79
52
2000
Spartan
Firetruck/Toyne Pumper
$480,000
$859.01
54
2006
Ford
w/Crane
$20,320
$20.72
55
2012
Ford
F550 SD Bucket Truck
$95,000
$96.87
56
2004
Ford
F450
$25,000
$25.49
58
2012
Chevrolet
3500 HD (Water Dept.)
$45,000
$45.89
59
1980
GMC
Water Tanker
$25,000
$25.49
60
2008
International
4300 (Gas Dept.)
$66,000
$67.30
62
2003
Miscellaneous
El 95' Ladder Truck
$800,000
$1,431.68
63
2008
Ford
E450 Ambulance
$170,000
$222.75
64
2011
Ford
F450 Ambulance
$170,000
$236.14
66
2009
Ford
Expedition/Fire Dept.
$42,500
$48.26
67
2013
Chevrolet
Tahoe w/Eqpt.
$54,000
$102.07
68
2013
Chevrolet
Silverado
$32,999
$37.47
69
1938
Chevrolet
Firetruck
$8,000
$8.60
71
2010
Ford
F350
$28,990
$29.56
74
2012
Ford
F250 (Water Dept.)
$31,800
$32.43
75
2009
Ford
F350 (PW/St. Dept.)
$35,000
$35.69
76
2011
Ford
F350 XL Pickup
$35,000
$35.69
77
2012
Ford
F350 (Street Dept.)
$45,000
$45.89
78
2012
International
Tymco Sweeper, Model
$165,000
$179.75
4300M7SBA
81
2007
Ford
E350 Cube Van
$11,900
$12.13
82
2005
Ford
1/2 Ton Pickup
$14,600
$14.89
83
2004
Ford
4x4
$19,000
$19.37
84
2007
Ford
Explorer
$21,556
$21.98
85
2009
Ford
F150
$22,400
$22.84
86
1999
Ford
F250 Super Cab
$24,000
$24.47
Pickup/Public Works
90
2013
Ford
Explorer
$27,388
$27.93
91
2005
Ford
Truck
$28,000
$28.55
92
2010
Ford
F150
$28,350
$28.91
93
2010
Ford
F350
$28,990
$29.56
96
1998
Miscellaneous
Road Husky Trailer
$1,500
$0.82
97
2013
Trailer
Falcon RME Asphalt Patch
$35,000
$19.21
Trailer (Street Dept.)
98
2003
Miscellaneous
Spinner Cargo Van
$28,000
$28.55
99
2014
International
7300 SFA 4x2
$200,000
$217.88
100
2014
Chevrolet
Equinox Sport Utility
$25,000
$25.49
101
2014
Trailer
EH Wachs Valve
$70,000
$38.43
Maintenance Trailer
102
2014
Ford
F-150 Pickup
$35,000
$35.69
103
2015
Chevrolet
Silverado 3500 Pickup
$35,000
$35.69
104
2015
Ford
F-250 Pickup (Gas Dept.)
$35,000
$35.69
105
2015
Ford
F-250 Pickup (Water Dept.)
$33,000
$33.65
106
2015
International
7300 SFA 4x2 (Street Dept.)
$200,000
$217.88
107
2014
Ford
F-150 Pickup
$24,200
$24.68
109
2013
Chevrolet
Impala w/Eqpt.
$50,000
$41.67
110
2013
Freightliner
E-1 Fire Engine
$450,000
$483.76
111
2014
Ford
Explorerw/Eqpt.
$50,000
$41.67
112
2000
Trailer
Decatur Galaxy Model RT-50
$10,000
$5.49
Radar Trailer
113
2015
Trailer
Sure-Trac Utility Trailer
$1,750
$0.96
114
2015
Ford
F550
$51,000
$52.01
115
2015
Chevrolet
Silverado Pickup
$35,000
$35.69
116
2015
Chevrolet
Silverado Pickup
$35,000
$35.69
117
2016
Ford
F-250 Pickup
$35,500
$36.20
118
2016
Ford
F-250 Pickup
$35,000
$35.69
119
2006
International
Series 7400 Hydro -Vac Truck
$150,000
$163.41
120
2016
Ford
Explorerw/Eqpt.
$41,000
$77.50
121
2015
Trailer
Sprayer Specialties Trailer
$20,000
$10.98
122
2015
International
7400 Plow Truck
$200,000
$217.88
123
2016
Ford
Explorerw/Eqpt.
$48,000
$40.00
124
2015
Ford
F550
$51,000
$52.01
126
2002
Chevrolet
2500 Pickup
$35,000
$35.69
127
2003
H&H
UT162 Sign Trailer
$2,000
$1.10
128
2015
Ford
350 LR Van
$28,000
$28.55
129
2011
Miscellaneous
Addco Message Board
$4,000
$2.20
Trailer/Unit #604
130
2007
Miscellaneous American Signal Message
$5,000
$2.74
Board Trailer
131
2016
Ford
F-150 4x4 Pickup
$24.370
$24.85
132
2017
Chevrolet
Silverado 4WD Double Cab
$28,600
$29.16
Pickup
133
2017
Ford
F-350 4x4 Pickup
$40,000
$40.79
134
2017
Chevrolet
Silverado K3500
$50,000
$50.99
135
2017
Ford
F-150 Supercab 4x4 SS
$32,000
$32.63
Pickup
APD Coverage Extension
$43.63
TOTALS
$6,362,336
$7,693.26
Iowa Communities Assurance Pool
Property Breakout
City of Waukee
Anniversary: 0410112017
Location
Address
Total TIV
Contribution
1-1: Centennial Park on University Centennial Park on University
$49,436.67
$35.35
Waukee, IA 50263
1-2: Centennial Park on University Centennial Park on University
$51,903.54
$19.00
Waukee, IA 50263
1-3: Centennial Park on University Centennial Park on University
$51,903.54
$19.00
Waukee, IA 50263
1-36: Centennial Park on
Centennial Park on University
$99,471.19
$30.63
University
Waukee, IA 50263
1-4: Centennial Park on University Centennial Park on University
$94,772.84
$67.78
Waukee, IA 50263
1-42: Centennial Park on
Centennial Park on University
$43,297.29
$13.33
University
Waukee, IA 50263
1-49: Centennial Park on
Centennial Park on University
$31,705.52
$9.76
University
Waukee, IA 50263
1-92: Centennial Park on
Centennial Park on University
$216,486.43
$154.82
University
Waukee, IA 50263
2-6: 1205 6th
1205 6th
$108,120.80
$77.32
Waukee, IA 50263
2-8: 1205 6th
1205 6th
$24,584.95
$17.58
Waukee, IA 50263
3-9: South of Waukee
South of Waukee
$23,523.25
$7.24
Waukee, IA 50263
4-10: 1215 Bth St.
1215 6th St.
$111,120.80
$79.47
Waukee, IA 50263
5-13: Water Treatment
Water Treatment Facility/1300 4th St.
$195,921.62
$60.33
Facility/1300 4th St.
Waukee, IA 50263
6-15: 410 6th
410 6th
$342,254.26
$105.39
Waukee, IA 50263
12-23: Winfield Park
Winfield Park
$179,500.00
$128.37
Waukee, IA 50263
12-44: Winfield Park
Winfield Park
$93,840.00
$28.90
Waukee, IA 50263
13-24: 397 Hwy. 6
397 Hwy. 6
$358,793.16
$110.48
Waukee, IA 50263
13-45: 397 Hwy. 6
397 Hwy. 6
$112,167.33
$80.21
Waukee, IA 50263
14-25: 1300 L.A. Grant Parkway
1300 L.A. Grant Parkway
$7,393,773.32
$2,797.19
Waukee, IA 50263
15-26: 50 Little Walnut Creek
50 Little Walnut Creek Drive
$43,297.29
$13.33
Drive
Waukee, IA 50263
16-27: 501 4th St.
501 4th St.
$43,297.29
$13.33
Waukee, IA 50263
17-28: 1155 Westbrooke
1155 Westbrooke
$43,297.29
$13.33
Waukee, IA 50263
18-29: 701 Boone Drive
701 Boone Drive
$43,297.29
$13.33
Waukee, IA 50263
19-30: 600 142nd St.
600 142nd St.
$390,270.92
$120.17
Waukee, IA 50263
19-73: 600 142nd St.
600 142nd St.
$179,263.75
$55.20
Waukee, IA 50263
20-105: 230 Hickman
230 Hickman
$15,918.12
$4.90
Waukee, IA 50263
20-31: 230 Hickman
230 Hickman
$3,154,481.37
$2,356.90
Waukee, IA 50263
22-109: Hwy R22
Hwy R22
$10,404.00
$3.20
Waukee, IA 50263
22-32: Hwy R22
Hwy R22
$1,589,013.16
$581.73
Waukee, IA 50263
24-34: 950 Warrior Lane
950 Warrior Lane
$4,649,583.50
$3,344.38
Waukee, IA 50263
24-81: 950 Warrior Lane
950 Warrior Lane
$48,960.00
$17.92
Waukee, IA 50263
25-35: 3256 Ashworth Rd.
3256 Ashworth Rd.
$43,297.29
$13.33
Waukee, IA 50263
27-37:31653 Ute
31653 Ute
$194,040.04
$71.04
Waukee, IA 50263
27-86: 31653 Ute
31653 Ute
$43,297.29
$13.33
Waukee, IA 50263
29-40: 225 University Ave.
225 University Ave.
$43,297.29
$13.33
Waukee, IA 50263
30-41: 550 Ashworth Drive,
550 Ashworth Drive, Triangle Park
$11,414.25
$8.16
Triangle Park
Waukee, IA 50263
30-43: 550 Ashworth Drive,
550 Ashworth Drive, Triangle Park
$232,849.56
$58.15
Triangle Park
Waukee, IA 50263
30-57: 550 Ashworth Drive,
550 Ashworth Drive, Triangle Park
$22,523.25
$8.25
Triangle Park
Waukee, IA 50263
31-88: Ridge Pointe Park
Ridge Pointe Park
$56,308.12
$17.34
Waukee, IA 50263
31-89: Ridge Pointe Park
Ridge Pointe Park
$11,261.62
$3.47
Waukee, IA 50263
32-47: Southfork Park
Southfork Park
$25,363.55
$7.81
Waukee, IA 50263
32-48: Southfork Park
Southfork Park
$31,705.52
$11.61
Waukee, IA 50263
34-50: 1300 3rd Street
1300 3rd Street
$458,762.34
$167.95
Waukee, IA 50263
35-51: 1080 Westwoods
1080 Westwoods
$310,843.13
$113.80
Waukee, IA 50263
37-78: Hickman and Alices Rd.
Hickman and Alices Rd.
$223,284.11
$68.75
Waukee, IA 50263
39-121:1501 6th St.
1501 6th St.
$13,770.00
$5.04
Waukee, IA 50263
39-55: 1501 6th St.
1501 6th St.
$682,085.00
$851.65
Waukee, IA 50263
39-56: 1501 6th St.
1501 6th St.
$99,021.39
$30.49
Waukee, IA 50263
39-76: 1501 6th St.
1501 6th St.
$28,154.06
$8.67
Waukee, IA 50263
41-59: Hickman & N. 10th
Hickman & N. 10th
$228,282.78
$70.29
Waukee, IA 50263
42-60: Hickman & 4th St.
Hickman & 4th St.
$228,282.78
$70.29
Waukee, IA 50263
43-61: Hickman & Warner Lane
Hickman & Warner Lane
$228,282.78
$70.29
Waukee, IA 50263
44-65: Boone Drive & University
Boone Drive & University
$228,282.78
$70.29
Waukee, IA 50263
45-74: 90 N. 10th St.
90 N. 10th St.
$179,263.75
$55.20
Waukee, IA 50263
46-68: Hickman - Alices Road to
Hickman - Alices Road to R22
$621,687.33
$191.43
R22
Waukee, IA 50263
48-100: 1255 3rd Street
1255 3rd Street
$82,547.59
$28.01
Waukee, IA 50263
48-108: 1255 3rd Street
1255 3rd Street
$10,404.00
$2.60
Waukee, IA 50263
48-70: 1255 3rd Street
1255 3rd Street
$1,874,046.00
$577.06
Waukee, IA 50263
49-71: Intersection/Alice's Rd. &
Intersection/Alice's Rd. & University
$295,800.00
$91.08
University
Waukee, IA 50263
50-72: 100 Block of S.E. University 100 Block of S.E. University Ave.
$32,987.12
$10.16
Ave.
Waukee, IA 50263
52-77: University & L.A. Grant
University & L.A. Grant
$225,232.48
$69.35
Waukee, IA 50263
53-79: University & SE Florence
University & SE Florence
$225,232.48
$69.35
Waukee, IA 50263
54-80: University & Waukee
University & Waukee School Entrance
$225,232.48
$69.35
School Entrance
Waukee, IA 50263
55-83: 3107 312th PI. (West of
3107 312th PI. (West of Gun Club)
$420,737.76
$154.03
Gun Club)
Waukee, IA 50263
55-91: 3107 312th PI. (West of
3107 312th PI. (West of Gun Club)
$1,482.00
$1.85
Gun Club)
Waukee, IA 50263
56-84: 106 SE Baytree
106 SE Baytree Dr./Hemmingway
$101,176.86
$37.04
Dr./Hemmingway
Waukee, IA 50263
57-85: 1080 SE WestwoodsDr
1080 SE Westwoods Dr
$73,440.00
$26.89
Waukee, IA 50263
58-107: Grant Park
Grant Park
$51,000.00
$15.11
Waukee, IA 50263
58-90: Grant Park
Grant Park
$60,180.00
$18.53
Waukee, IA 50263
59-120: 805 University Ave.
805 University Ave.
$56,610.00
$20.72
Waukee, IA 50263
59-91: 805 University Ave.
805 University Ave.
$10.209,760.16
$4,644.63
Waukee, IA 50263
59-93: 805 University Ave.
805 University Ave.
$90,092.99
$27.74
Waukee, IA 50263
59-95: 805 University Ave.
805 University Ave.
$238,308.12
$215.07
Waukee, IA 50263
60-94: Hickman & 6th
Hickman & 6th
$225,232.48
$69.35
Waukee, IA 50263
61-96: South Fork Development
South Fork Development
$563,081.21
$173.38
Waukee, IA 50263
62-102: 955 W. Hickman
955 W. Hickman Rd./Raccoon River Valley
$20,977.54
$15.00
Rd./Raccoon River Valley
Trailhead
Trailhead
Waukee, IA 50263
62-103: 955 W. Hickman
955 W. Hickman Rd./Raccoon River Valley
$11,040.81
$3.40
Rd./Raccoon River Valley
Trailhead
Trailhead
Waukee, IA 50263
62-97: 955 W. Hickman
955 W. Hickman Rd./Raccoon River Valley
$104,887.68
$32.30
Rd./Raccoon River Valley
Trailhead
Trailhead
Waukee, IA 50263
63-101: 1725 98th St.
1725 98th St.
$67,487.71
$23.38
West Des Moines, IA 50263
63-106: 1725 98th St.
1725 98th St.
$5,202.00
$1.30
West Des Moines, IA 50263
64-17: 675 Walnut St.
675 Walnut St.
$514,941.27
$158.56
Waukee, IA 50263
65-104: 990 Warrior Lane
990 Warrior Lane
$447,829.78
$137.90
Waukee, IA 50263
66-110: SE of Sugar Creek Golf
SE of Sugar Creek Golf Course on Bike Trail
$208,080.00
$64.07
Course on Bike Trail
Waukee, IA 50263
67-122: Hickman Rd. & Dartmoor
Hickman Rd. & Dartmoor
$229,500.00
$70.67
Waukee, IA 50263
68-123: Westown Pkwy & L.A.
Westown Pkwy. & L.A. Grant
$229,500.00
$70.67
Grant
Waukee, IA 50263
69-124: L.A. Grant & Ashworth
L.A. Grant & Ashworth
$51,000.00
$15.70
Waukee, IA 50263
70-125: Alice's Rd. & Olsen
Alice's Rd. & Olsen
$51,000.00
$15.70
Waukee, IA 50263
71-126: Westown Pkwy. & Grand
Westown Pkwy. & Grand Prairie
$295,800.00
$91.08
Prairie
Waukee, IA 50263
72-127: Ashworth & Grand Prairie
Ashworth & Grand Prairie
$295,800.00
$91.08
Waukee, IA 50263
73-128: Grand Prairie Rd.
Grand Prairie Rd.
$1,027,440.90
$316.37
Waukee, IA 50263
74-112: 1300 4th St.
13004th St.
$1,165,434.66
$358.86
Waukee, IA 50263
74-113: 1300 4th St.
1300 4th St.
$68,101.32
$20.97
Waukee, IA 50263
74-114: 1300 4th St.
1300 4th St.
$456,720.30
$140.63
Waukee, IA 50263
74-115: 1300 4th St.
1300 4th St.
$456,720.30
$140.63
Waukee, IA 50263
74-116: 1300 4th St.
1300 4th St.
$361,733.82
$111.39
Waukee, IA 50263
74-117: 1300 4th St.
1300 4th St.
$363,630.00
$111.97
Waukee, IA 50263
74-118: 1300 4th St.
1300 4th St.
$363,630.00
$111.97
Waukee, IA 50263
74-119: 1300 4th St.
1300 4th St.
$143,865.90
$52.67
Waukee, IA 50263
75-87: 655 SE Legacy Point Blvd.
655 SE Legacy Point Blvd
$255,582.80
$78.70
Waukee, IA 50263
76-53: 1255 E. Hwy. 6
1255 E. Hwy. 6
$277,076.88
$101.44
Waukee, IA 50263
77-55: 1505 6th St.
1505 6th St.
$450,311.16
$322.03
Waukee, IA 50263
77-67: 1505 6th St.
1505 6th St.
$215,762.28
$154.30
Waukee, IA 50263
98-98: Various Locations
Various Locations
$125,000.00
$156.08
Waukee, IA 50263
99-99: Liability Only
Liability Only
$0.00
$0.00
Waukee, IA 50263
300-300: Various Locations (as
Various Locations (as noted on file)
$526,062.03
$376.20
noted on file)
Waukee, IA 50263
Earthquake
$69.08
Property Coverage Extension
$62.33
TOTALS
$47,891,723.31
$22,177.59