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Alternative Service Concepts (ASC) Addendum to Workers' Compensation Claims Agreement Copyrighted March 4, 2019 City of Dubuque Consent Items # 15. ITEM TITLE: Alternative Service Concepts (ASC)Addendum to Workers' Compensation Claims Administrative Services Agreement SUMMARY: City Manager recommending approval of anAddendum to the Agreement with Alternative Services Concepts for services related to the administration of the City's Worker's Compensation Program that extends the current Agreement from March 1, 2019 to May 31 , 2019. SUGGESTED DISPOSITION: Suggested Disposition: Receiveand File;Approve ATTACHMENTS: Description Type Addendum to Workers Compensation Claims City Manager Memo Administrati� Services Agreement-MVM Memo Staff Memo Staff Memo ASC Addendum Three Supporting Documentation THE CITY OF Dubuque � AIFA�erlwGh UB E '�� III► Masterpiece on the Mississippi Z°°'�w'2 7A13 2017 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: Approval of an Addendum to the Workers Compensation Claims Administrative Services Agreement DATE: February 11 , 2019 Personnel Manager Randy Peck recommends City Council approval of an Addendum to the Agreement with Alternative Services Concepts for services related to the administration of the City's Worker's Compensation Program. The Addendum extends the current Agreement from March 1 , 2019 to May 31 , 2019, while the City reviews proposals for the third-party administration of the City's Worker's Compensation Program. I concur with the recommendation and respectfully request Mayor and City Council approval. �� Mic ael C. Van Milligen �� MCVM:jh Attachment cc: Crenna Brumwell, City Attorney Teri Goodmann, Assistant City Manager Cori Burbach, Assistant City Manager Randy Peck, Personnel Manager �� "�I��IT��' � _..._ _. duF��I� _ _ ��.�� 2�� .��++�"��'�� •�o�� TO: Michael C. Van Milligen, City Manager FROM: Randy Peck, Personnel Manager SUBJECT: Approval of an Addendum to the Workers Compensation Claims Administrative Services Agreement DATE: February 5, 2019 I received the attached Addendum to the Agreement between the City of Dubuque and Alternative Service Concepts (ASC) for services related to the administration of the City's Workers Compensation Program. The Addendum exfiends the current Agreement and is in effect from March 1, 2019, to May 31, 2019. The reason for the extension of the current agreement is that we are in the process of reviewing proposals for the third- party administration of our Worker's Compensation Program and there is a possibility that we will be changing third-party administrators over the next few months. I request that the City Council pass a motion approving the Addendum and authorize you to sign the Addendum. RP/alk ASC Alternative Servic Concepts, LLC ADDENDUM THREE It is hereby understood and agreed that this Addendum attach to and become a part of the Claims Service Contract which took . effect . on. October 1, 2017 between ALTERNATIVE SERVICE CONCEPTS, LLC ("ASC") and CITY OF DUBUQUE, IOWA ("Client"), as though fully- repeated and set herein and serve to extend the Contract period through May 31, 2019. "Client" agrees to pay "ASC" a fee of Five Thousand, Nine Hundred and Seventy Dollars ($5,970.00) for the administration of Workers' Compensation claims for March 1, 2019 — May 31, 2019. All other terms, conditions, and agreements contained in said Contract remain in full force and effect. IN WITNESS WHEREOF, "ASC" and "Client" have caused this Addendum to be executed by the person authorized to act in their respective names. ALTERNATIVE SERVICE CONC WITNESS: Ab j/(1,446 BY: TITLE: DATE: 2o0 CITY OF DUBUQUE, IOWA BY: Mich .• el C. Van Milligen TITLE: City, Manager DATE: DubuqueAddTwo/1017 Page 1 07269 , � ' �� . � ` �,Iterr�ariv� �ervic��onc�p�5, �B�C; � CLAIMS SERViCE CONTRACT THIS AGREEMENT is made and entered into with an effective date of October 1, 2017 between ALTERNA7IVE �ERVICE CONCEPTS, i,LC, formed in Delaware, with principal offices at 2501 McGavock Pike, Suite 802, P.O, Box 305148 Nashville, Tennessee 37214-1213, hereinafter referred to as "ASC', and CITY OF DUBUQUE, IOWA with principal offices in Dubuque, lowa, h�reinafter referred to as "Clienfi". !NlT�lESS. WHEREAS, "ASC" is in the claims service business; and WHEREAS, "Client" desires to contract with "ASC" as its claims service company to service the workers' compensation claims of "Client's" arising out of their facilifiies locafied in Dubuque, lowa, N�1N, THEREFORE, "ASC' and "Client" contract as follaws; "ASC" AGREE�: � 1. (a) To review all claims and/or losses reported during fihe term of fihis Contract which involve workers' compensation claims against "Cli�nt". (b) To investigate, �djust, settle or resist all such losses and/or claims within the agreed payment authority limit of Two Thousand Five Hundred Dollars ($2,500). (c) To investigate, adjust, settle or resist all such losses and/or ciaims as are in excess of the agreed payment authority limit of Two Thousand Five Hundred Dollars ($2,500) only v�ith specific prior approval of"Client", (d) To report excess claims to "Client's" excess carrier only if"Client" fulfills its obligations under "Client Agrees" Section, 4c, 2. To furnish all claim forms necessary for proper claims administration. 3. To establish claim and/or loss files for each reported claim and/or loss. Such files shall be the exclusive property of "Client". Such files are available for review by "Clienfi" at any reasonable time, with notice. 4, To maint�in adequate Automobile Li�bility, Errors and Omissions, Fidelifiy Bond, General Liability, and Workers' Compensation insurance cover�ge and to maintain insurance as set forth in the attached Insurance Schedule for Profession�l Services. 5, To indemnify, clefencl and hold harmless "Client" with respect to any claims asserted as � result of any errors, omissions, torts, intenfiion�l tor�s or other negligence on the Dubuque/1017 Page1 07269 ; � ' , 9�'9a�3� � , Altern�tive Servoc�a Co��p��, L�C part of "ASC" and/or its employees, uniess fihe complained of actions of "ASC" were � taken at the specific direction of"Client", . ! "CLIENT" AGREES: 1, To make funds available that "ASC" may draw firom at �ny time and from time to time for claim and/or loss payments and for associateci allocated expense within the payment authorifiy limit of Two Thousand Five Hundred Dollars ($2,500) and for claim and/or loss payments in excess of the payment authority limit of Two Thousand Five Hundred Dollars ($2,500) with fihe prior approval of"Client". 2. To pay "ASC"fees in accordance with the Fee Schedule attached ta this Contracfi. 3, To pay "ASC" within thirty (30) days of the efFective date of all invoices. All past due � invoices are subject to an lnfierest pena(ty of one and one-half percent (1 1/2%) per month, In the event "ASC" brings any �ction or proceeding to recov�r any part or all of an outstanding indebfiedness, "ASC' shall be entifiled fia recover as additional � d�mages any reasonabl� attorney fees not to exceed twenty percent (20%) of the ; outstanding indebtedness. �, (a) Ta pay all Allocated Loss �xpenses in addition fio the claim service fee to be paid to "ASC' as prescribed in this Contract, (b) "Allocated Loss Expenses" shall include bui: not be limited to attorneys' fees; experfis' fees (i,e, engineering, physicians, chemists, etc,); fees for independenfi medicaf examinations; witnesses' fees; witnesses' travel expenses; court reporters' fees; transcripfi fees; the cost of obtaining public records; cammercial photogr�phers' fees; automobile appraisal or property appraisal fees; medical cost containment services, such as utilization review, provider bill audifi, preadmission authorization, hospital bill audit, �nd medica! case management; all outside expense ltems; extraordinary travel expenses incurred by "ASC" at the request of "Client"; and any other similar fee, cost or expenses associated with the inVestigation, negotiatian, settlement or defense of any claim hereunder or as required far the collection of subrog�tion on behalf of"Client", (c) To provide "ASC" wifih cornplete copies of all excess policies which apply to the claims reportecl during the Contr�ct period, 5, To relinquish aufihority to "ASC' in �II matters relating to claims service within the agreecl p�yment aufihority limit of Two Thousand Five Hundred Dollnrs ($2,500). Dubuque/10'(7 P�ge 2 07269 - � . ' �� .� ' , �ilfi�3'�3�'l'1�!^c �GYI/9C� C�i�C8��5, L�� 6. To indemnify, defend and hold harmless "ASC" with respect to any claims asser�ed as a result of any errors, omissions, torts, intentional torts, or other negligence on the par� of the "City" and/or ifis employees, unless the complained af acfiions of "City" were taken afi the specific direction of"ASC". "ASC" AND "CLIENT" MUTUAL.LY AGREE AS FOLLOWS: , 1. (a) The fierm of fihis Contracfi is continuous frorn its effective date for one (1) year. This Contracfi may be terminafied by either "ASC" or "Clienfi" with cause by providing sixty (6Q) days' prior written notice by certified mail, (b) In the event thafi fihis Contract fierminates or expires for any reason "Clienfi" shall have the option; (1) to have "ASC" handie open files which have been reported far an � ; �dditional fee bas�d on our prevailing annuai rate per file. (ii) to have "ASC' refiurn the files �to the client, i � 2. This Contract covers Claim Service for"Clienfi" in the United States of Arneric�, ; 3. In the evenfi �ny one or more of fihe provisions of fihis Contract shail be determined to � i be invalid or unenforceable by any court or other �ppropriate authority, fihe � I remainder of fihis Confiract shall confiinue in full force and efFect, as if said invalid and unenforceable portion had not been included in this Contract. 4. This Contract shall be construed and interpreted in accordance with the laws of the state of lowa. � 5. This Contract represenfis fihe enfiire understanding of "ASC" and "Clienfi" and supersedes all prior oral and written communications between "ASC" and "Client" as I to the subJect matter. Neither this Contract nor an � y provisions of it may be � , amended, modified or w�ived except ln writing signed by a dufy aufihorized i representative of"ASC" and "Client". ' � 6. The failure or delay of either "ASC' or "Client" to take action with respect fio any failure of the other p�rty to observe or perform any of the terms or provisions of this Contract, or with respect to �ny default hereuncier by such other party, shail not be construed as a waiver or operate as a waiver of any rights or remedies of either ! i "ASC" or "Client" or operate to deprive either "ASC° or "Clienfi° of its righfi to institute � ancl maintain any �ction or proceeding which it m�y deem necessary to protect, assert or enforce any such ri�hts or remedies, Dubuque/9017 Page 3 07269 , . - ' ��,v .� ' � . �Al�er��riv�S��vice �o��ep�s, �.L� 7. To not employ a person who has been employed by the other party at any fiime during the term of this Confiract, unless the person to be employed shall not have been employed by the other parfiy during the immediately preceding six (6) months or unless the hiring party shall have the other party's prior written consent. This pravlsion shall survive the terminatlon of this Contract for a period of one (1) year. 8. During the term of this Confiract, "ASC" will store closed files for a period of three (3} years from the date of closure, the date of the last payment of benefifis, or the retention requiremer�ts of "Client's" carrier. The storage cost is included in the adminisfir�tive f�es. Affier the fihree (3) year period, files wili either be returned to "Client" or destroyed if perrnitted by Statute. 9. "ASC" will query and firansmit information under MMSEA requirements to CMS. � A�d U�ITNE�S !i!l�ER�O�, "ASC" and °Client" have caused this Contracfi to be executed by the person authorized to act in fiheir respective names. , � ALTERNATIVE SERVICE CONCE S, LLC r WITNESS: �� r'..�'�✓� BY: TITLE; �6� G�Sr,��7� DATE: `��'I��) ., ; ClTY OF DUBUQUE, IOWA ,/� i� i �'",.�"��"`"-� WITN�S'�i� � �'�;., � BY: � , � �. , .—� Nlichael C, Van Nlilligen TITLE; City Manager ;..�. DATE: ��`f I ,/� Dubuque/1017 I'age 4 0726J ' .. � �� ; . /�Ifier�o��:iv� ��rvice C�r�r,�pts, I,LC ' Alternative Service Concepts, LL� City of Dubuque, lowa October 1, 2017 - October 1, 209 8 ; T'wo-Year Claims Handling � New Claims � . , , . � � � � I i Workers' Compensation � Medlcal Only 4 ��7p � 68� � Indemnity 20 $780 $15,600 � I Litigation fee TBD $300 * base fee I i Run-In Claims I Indemnity TBD $q.50 ___ I Medical Only TBp �5p _-_ � Inciclent Reports� TBD $40 .__ Catastrophic Claimsz TBD ___ ___ i ; i Estimated Minimum Claims Fee $16,280 I � MMSEA-Annual Transmission Fees(lncludes query& submissions) $ 2,100 AccountAdminisfration Foe $ 3,000 Systems Fee $ 2,500 j � Minimurn & Deposit Claims Fee $23,880 i Cl�ims will be handled for two years from the date th� loss is reported to ASC with no additional per claim fee, Any claim remaining open after 24 months will be sub)ect to an annual maintenance fee of$450,00 ASC will handle the number of claims indicated for the minimum ciaims fee, If the f�e for i the actual number of claims is more than the minimum claims fee, ASC will invoice fihe � client for the difference. � The account adrninistration fee will be 7,5% of the claims fee or $3,000, whichever is I greater. The administration fee includes; � � s Account Setup � a New Ciaim Setun i i �Recorrlerl d�r. clal��ts systeyr� orrly, �Ylrtst Ge s��ecifled as "I�acider�t"nt tljjie of r^epoi�ti�ag. iCat�ast��op/�lc clraitns—,<I�ty eve�ct Nescrlti�eg i�a 10 os��enre cC�zitn�tnts/strf'fixes fuill Ge l��etated t�s ra cat�astt�o�he i r�jtr(bidl�rl the riuot�rlper cCrtint Nate f'or t{te fif�st.10 clainiraiats/snff7xes arad ratiy claint/snf'f"r.ti over 10 wrll be l�illed rat«per clr�int ��rate of�350 pet•clr�it�a. Dubuque/'10�17 Pac�e 5 07269 � ° � ' � �3�A�N ` � . � : , �1l��n�li�� S��vice��s�r��ts, �.�.0 s Cilent Meetings (�requency to be Determined) � • Excess Reporting • St�fie Reporting � • Storage Fe�s At the conclusion of fihe contracfi, the following options are available for continued ' handling of open claims: ', � ' • Negotiated annual fee per claim �� • Claims returned to client � Subroqation Pursuit and Recovery �I All parties will automafiically be placed on notice if the potential for subrogation exisfis. Pursuit of subrog�tion will be perFormed afi the client's request, Pursui� ofi recovery fee is �5% af recovery, � Additional Services and Fees3 . , i , ( Client Data Transmission........................................ ,,..$2,500 Per Release ` ....................... , Carrier Dafia Transmission,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,$400 Per Rele � ,,.,..,.... ase � State-Mandated EDI .............................................. .... ..,..,.,..,.....$3 Per Reporfi/Biil ' Computer Compafiible Checks & Electronic Tr�nsfers.......................qt Cost � ; Data Conversion From PriorAdministrator,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,At Cost � Ori-Line Access (One User) .,No Charg� � Addifiianai Users......................................................................... .$60 Per Use � Reports Produced by Client............................................. ...........�...��Month r Per i Report�s Produced by ASC................................................................�No Charge i .$50 Per Copy ' SystemsTraining .............................................................................T&E $85 Per Ho � Customized Programming ................................................................T&E �$/Hour) ur) I Actuarial Data Requests.................................................................. .$50 Per H ur I ' ° i Travel Over 100 Miles...................................................................... .T&E $85 Per Hour Outside Investigation ........................................................................T&E �$85 P�r H � our� � Medical Cost Manaqement� ; I Fee Scheduling .................................................28% of Savings i PPOUsage.............................................................................30% of Savings ' Invoicinc� and Pavment Terms � i Fees will be invoiced annually. Fees are p�yable upon receipt of the invoice. "ASC" � reserves the right to charge 1%Z% per month or the maximum legal rate on unpaid balances affier 30 days, Allocatecl Exqenses ; � Ailocated expenses wiil be ch�rged fio the claim file and include fees for: � • Lec��l sarvices o Professional photographs � Medic�l records • Experts' / rehabilitation services • Index Burea�i repor�ing � Accident reconstructian 1 f!s rL'!(ltl/�e�(o��f�equ�sted. lYlost se��vices ris•e optivizrcl. I �1'r�ici�a�r fo�«{r.�r�t��«r,1��,��1�«��e ser�vices rs nvailable u,von j�eqirest, I Dubuque/1017 C'age 6 07269 '. : , �� ,� , � A9��rna�i�� SA�rac��o�c��ts, �LC � Arch)tects, contractors • Engineers, chemist� • Police, fire, coroner, weather reports � Expert witness sfiatements • Surveillance • Official documents and transcripts o Exfiraordinary travel afi client's request • Courfi reporters m Independent medical examinations, • Managed care MRis, etc. Workers' Compensation Definitions (for billinq aurpases on per claim fee contracts) Medica/ Only Claims- Work-relafied claims that require medical treatment only, • Subrogation nat required � Investigafiion sufficient to determine claim type and compensability o Losfi d�ys do nofi exceed statutory waiting period • No loss notices, captioned reports, client meetings, or settlement authority required • Payments do not exceed $2,500 • Two-poinfi contact made Indemnity Claims - Work-related claims that involve dlsability or paymenfi of inedical and ofiher expenses in excess af $2,500. Claims that require investigation for subrogation and settlement negofiiations. All claims, regardless of type, wiil b� investigated, evaluated, and adjudlcated in � accordance with state statutory requirements and carporate guldellnes. ALTERNA711/E SERVIGE CONC . T LLC �,�..r-~''�� N WITNESS: /��G> e.�'�� BY: � a � TITLE: �� I�n� DATE: r�� C1TY O� DUBUQUE, IOWA _ /�� ,� _ � �.r.�� WITNESS;,�'� -�l'%,�`�`".,�;�' /.!�� BY; --- r � Nfichael C. Van Nlilligen TITLE; City NIa ager � � � _�f+, / DATE: j ! : �/ , , Dubuque/1017 Page 7 p�269 • �I City of Dubuquo lnsurance Requlrements for Professional Services INSURANCE SCHEDULE J � Alternative Services Concepts,LLC � 1� shall furnish a signed cerfificate of insurance to ll�e Cily of Dubuque, lowa for fhe coverago required in Exhibit I prior to commencing work and at the end of the project if the ferm of work is longer than 60 clays, Contractors presenting annual certificates shall present a ' certificate at tlie end of each proJect with the final billing, Each certificafe shall be prepared on I � the most current AC�RD form approved by the lowa Department of Insurance or an equivalent ; approved by the Finance Diroctor, Each certificafe shall Include a statement under Description of ; Operations as to why the certificate was Issued, Eg; ProJect# or Project Location at i or constructlon of i I 2. All polioies of Insurance requlred hereunder shall be wilh�n insurer authorized to clo business In ; lowa and all insurers sh�ll liave a rating of A or better In the currenf A,M, Best's Rating Guide, � 3, Each certificate shall be furnished to the Personnel p�partme�t of the City of Dubuque, I 4, Failure to provlde covarage requlred by fhis Insurance Schedule shall not be deemed a walver of those requirements by the City of Dubuque, Failure to obtain or maintain the required insurance ! shall be considered a material breach of this agreement, � 5, Contractors shall require all subconsultants and sub-subconsultants to obtafn and maintain cluring fhs perform�nce af work Insurance for the coverages described in this Insurance Schodule and shall obtain certificates of insurances from all such subconsultants and sub-subconsult�n'fs. �i Confractors agree that they shall be Ilable for the failure of a subcansultant and sub- � subconsultant to obtain and mainfafn such covorages, The City may request a copy of such � '� certificates from the Contractor, 6, All required endorsements shall be attached to certificate of insurance, �. 7. Whenever a speciflc ISO form is listed, required the current eclition of the form must be usecl, or I an equivalent form may be substituted if approved by the Finance Diroctor and subject to the ( contractor ldentlfying �nd listing in wrifing all deviations and exclusions from the ISO form, ; 8, Contr�cfors shall be required to carry fhe minimum coverage/limlts, or greater if required by law or ather I�gal agreemenf, fn Exhibit I, If the contractor's limits of liability are higher than tho requireci minimum limits then fhe provider's lim(ts sh�ll be thls agreement's requlred I(mfts. I � Paga 1 of 4 Scheclula J Profession�l Services July 2017 � City of Dubuque Insurance Requiremenfis for Professional Services INSURANCC SCHEDULE J (continued) �xhibit i A) COMMERCIAL GENERAL LIABILITY G�neral Aggregate Limit $2,OOO,Q00 Products-Completed Operations Aggregafe Limif $1,000,000 � Personal and Advertising Injury Limit $1,000,000 Each Occurrence $1,000,000 ' Fire Damage L(mit(any one occurrence) $50,000 ' Medical Payments $5,000 �I 1) Coverage shall be written on an occurrence, not claims made, form, The general liability coverage shall be written in accord wlth ISO form CG0001 or business owners forrn BP0002,All tleviaflons from the standard ISO commercial general liability form CG 0001,or business owners form BP 0002, shall be clearly fdentified, 2) Include ISO endorsement form CG 25 04"Designated Locatlon(s)General Aggregate Limit"or CG 25 03"Designated Consfruction Project(s)General Aggregafe Llmit"as appropriate. � ' 3) fnclude endorsement(ndicating that coverag� is primary and non-contributory, 4) Include preservatlon of Governmental Irnmunitles Endorsement. (Sample attached). � 5) Include an endorsement that delefes any fellow employee excluslon. � 6) Include additionai (nsurod endorsement for: ' The City of Dubuque, including all its elected and appolnted officials, all its '� employees and volunfeers, �II its boards, commissions and/or authorit(es and their board members, employ�es and volunteers, Use ISO form CG 2026. 7) Policy shall Include Waiver of Ric�ht to Recover from Others endorsement, B) AUTOMOBILE LIABILITY Combined Single l.lmlt $1,000,000 C) WORKERS' COMPENSATI�N & EMPLOYERS L!/�BILITY Sfatufory benefits covering all employees InJured on fhe job by accident or disease as prescribed by lowa Code Chapfer 85 as amended, Coverage � Sfatufory—Skale of lowa Coverage B Employers Llabilify Each Accident $100,000 Each Employee-Disa�so $100,000 Policy Limit-Disease $500,000 Policy shall include Waiver of Right to Recover from Others endorsement, Nonelection of Wor!<ers' Compensation or Employers' Li�bility Coverage under lo�,va Code sec, 87,22 _yes �form a ftached J Paye 2 of 4 Schedule J Professional Seivices July 2017 ' Cify of Dubuque Insurance Requirements for Professional Services (NSURANCE SCHEDULE J (continued) D) UMBRELLA/EXCESS LIABILITY $1,000,000 Umbrella/excess liability coverage musf be al I�ast following form wifh fhe unclerlying policies included herein, ', E) PROFESSIONAL LIABII.ITY $1,000,000 ', Provide evidence of coverage for 5 years after completion of proJect, F) CYBER LIABILITY $1,000,000 I X yes _no Coverage for First and Th1rd Parfy liability inclucling but not limited to lost data and restoration, loss of incnme and cyber breach of information, ,—�,} ) ,; �. 'k �,y�� , Page 3 ef 4 Schetlul� J Professional Services July 2017 City of Dubuque Insur�nce Requirements for Profess(onal Services �, PRESERVATION OF GOVERNMENTl�L IMMUNITI�S �NDORSEMENT 1, Nonwaiver of Governmental Immunitv The insurer expressly agrees and sfates that the purchase of this policy and the including of the City of Dubuque, lowa as an Additional Insured does not waive any of the defenses of governmenfal immunity available fo the City of Dubuque, lowa under Code of lowa Section 670,4 as it is now exists and as it may be amended from time to time, 2, Claims Coveraqe, The Insurer furfher agrees that thls policy of fnsurance shall cover only those � claims not subJect to the defense of governmental immunity under the Code of lowa Section 670,4 as it i naw exists and as it may be amendecl from t(me to time, Those cfaims not subject to Code of lowa Secf(on �70,4 shall be covered by tl�e terms and conditions of this (nsurance policy, . ; 3. Assertion af Government Immunitv The City of Dubuque, Iowa shail be responsible for asserting • any defense of governmenfal immunity, and may do so at any tim�and shall do so upon the timely written ; request of the insurer, � 4, Non-Denial of Coveraae The insurer shall not deny coverage under this policy and the insurer i shall not deny any of the rights and benefits accruing to the City of bubuque, lo�va under this policy for ; reasons of c�overnmental immunify unless and until a court of competent jur(sd�ction has ruled In favor of � the defense(s) of governmentai Immunity asserted by the City of Dubuque, lowa, ; , No Other Chanqe In Policy, The above preservaflon of c�overnmental immunities shall not otherwise � ' change or alter tho coverage availablo under the policy. ; ', � �� , i ) . � �'i I �I i I � i � � (DEPARTMENT MANAGER; FILL IN ALL BLANKS AND CHECK BOXES) � )� � p�� °f`� Scnedule J Profession�l Servic�s July 2017 I