Administration Committee — Agenda Packet
City of Menasha · Winnebago County · Administration Committee · meeting of Oct 19, 2026 · Agenda packets
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A Quorum of the Common Council, Board of Public Works, Personnel Committee, Plan
Commission, Redevelopment Authority, and other City bodies may attend this meeting, though
no official action of these bodies will be taken.
ADMINISTRATION COMMITTEE MEETING AGENDA
Monday, October 19, 2026 at 6:30 PM
First Floor Conference Rooms
100 Main Street, Menasha, WI
or immediately following the Common Council meeting
A. Call to Order
B. Roll Call
C. Minutes to Approve
1. Administration Committee, 9/21/26
D. Discussion / Action Items
1. R-41-26 - A Resolution Consenting to Public Finance Authority Issuance of
Taxable Revenue Bonds for Alexander & Bishop 1, LLC Project
2. Storage Tank Pollution Liability Insurance (ACE American Insurance
Company) (2027 Renewal)
3. Downtown Business Incentive Program Grant Application - 200 Main Street
4. 2027 Health Insurance Change; Vision & Dental Continuation
E. Adjournment
"Menasha is committed to its diverse population. Our Non-English speaking population and
those with disabilities are invited to contact the Menasha City Clerk at 967-3603 24-hours in
advance of the meeting for the City to arrange special accommodations."
Page 1 of 60
ADMINISTRATION COMMITTEE MINUTES
Monday, September 21, 2026 at 6:30 PM
First Floor Conference Rooms
100 Main Street, Menasha, WI
A. CALL TO ORDER
Meeting called to order by Chair Hale at 7:36pm.
B. ROLL CALL
Present: Alds. Rand, Eisenach, Hale, Lewis, Marshall, Grade, School
Absent: Ald. Perkins
Also Present: FD Sassman, DPW Merten, CDD Dane, PRD Sackett, PHD Hutter,
PC Albrecht, Interim CA Walsh, Mayor Hammond, Clerk Janet
C. MINUTES TO APPROVE
1. Administration Committee, 9/8/26
Motion by District 2 Alderperson Eisenach seconded by District 7 Alderperson
Grade to approve. Motion carried on voice vote.
D. DISCUSSION / ACTION ITEMS
1. City of Menasha Ordinance Bond Schedule Revisions - Effective October 5,
2026
Motion by District 2 Alderperson Eisenach, seconded by District 5
Alderperson Lewis to approve.
Motion carried 7-0 on roll call.
2. Downtown Business Incentive Program Grant Application - 2 Tayco Street
Motion by District 2 Alderperson Eisenach, seconded by District 6
Alderperson Marshall to approve.
Motion carried 7-0 on roll call.
Discussion considered if any downtown businesses were affected by the
tornado. Discussion also considered the timeline of this project.
Staff advised that one additional business did reach out regarding this
program and intends to apply. Staff also advised that $150,000 was budgeted
for this program for this year. Staff also advised on a similar program that the
City of Waupaca used to help reinvest in their downtown businesses. Staff
additionally advised that the developer intends to move quickly with this
project.
3. Police Department School Resource Officer Memorandum of Understanding
Page 2 of 60
with MJSD
Motion by District 2 Alderperson Eisenach, seconded by District 7
Alderperson Grade to approve.
Motion carried 6-0-1 on roll call. District 5 Alderperson Lewis abstained due to
her employment with the Menasha Joint School District.
4. Police Department Crossing Guard Memorandum of Understanding with MJSD
Motion by District 2 Alderperson Eisenach, seconded by District 7
Alderperson Grade to approve.
Motion carried 6-0-1 on roll call. District 5 Alderperson Lewis abstained due to
her employment with the Menasha Joint School District.
E. ADJOURNMENT
Motion by District 2 Alderperson Eisenach seconded by District 6 Alderperson
Marshall to adjourn the Administration Committee meeting at 7:47pm. Motion
carried on voice vote.
Minutes submitted by City Clerk Evan Janet.
Page 3 of 60
100 Main Street, Suite 200 | Menasha, Wisconsin 54952-3151
Phone (920) 967-3630 | Fax (920) 967-5271 | menashawi.gov
City of Menasha | Department of Finance
MEMORANDUM
DATE October 19, 2026
TO Common Council
FROM Jennifer Sassman, Finance Director
RE Resolution R-41-26 A Resolution Consenting to Public Finance Authority Issuance of
Taxable Revenue Bonds for Alexander & Bishop 1, LLC Project
The City of Menasha has been asked to consent to the Public Finance Authority issuance of
taxable revenue bonds on behalf of Alexander & Bishop 1, LLC. These taxable bonds would
finance and/or refinance a project on behalf of Alexander & Bishop 1, LLC for a retail center
located at 1604 S. Appleton Road in Menasha.
Pursuant to Section 66.0304(11)(a), Wisconsin Statutes, prior to issuance, bonds authorized
by the Public Finance Authority must be approved by the governing body or highest-ranking
executive or administrator of the political jurisdiction within whose boundaries to the Project
is to be located. The Mayor has the authority to provide written consent to the issuance,
however we thought it made sense to bring this matter forward in the form of resolution to
Council.
The Bonds would not constitute a debt or pecuniary liability, or a legal or moral obligation, of
the City for any reason whatsoever and the City is not obligated to levy and tax or make any
appropriations for payment of the Bonds.
Recommended Motion
Recommend Resolution R-41-26 to Common Council. A Resolution Consenting to Public
Finance Authority Issuance of Taxable Revenue Bonds for Alexander & Bishop 1, LLC Project
Page 4 of 60
RESOLUTION R-41-26
RESOLUTION CONSENTING TO PUBLIC FINANCE
AUTHORITY ISSUANCE OF TAXABLE REVENUE BONDS
FOR ALEXANDER & BISHOP 1, LLC PROJECT
INTRODUCED BY: Mayor Hammond
WHEREAS, the Public Finance Authority (the “Authority”) intends to issue its revenue
bonds in one or more series of taxable bonds in an amount not to exceed $15,000,000 (the “Bonds”)
to finance and/or refinance a project on behalf of Alexander & Bishop 1, LLC (the “Borrower”),
consisting of financing: (i) the refunding of outstanding obligations related to a retail center located
at 1604 S. Appleton Road, Menasha, Wisconsin, (ii) future tenant improvements, (iii) the
providing of cash out to the Borrower, and (iv) the payment of the professional fees and costs of
issuance (collectively, the “Project”); and
WHEREAS, pursuant to Section 66.0304(11)(a), Wisconsin Statutes, prior to their
issuance, bonds issued by the Authority must be approved by the governing body or highest-
ranking executive or administrator of the political jurisdiction within whose boundaries the Project
is to be located; and
WHEREAS, the Borrower has requested that the City of Menasha, Wisconsin (the “City”)
approve the financing of the Project and the issuance of the Bonds in order to satisfy the
requirements of Section 4 of the Amended and Restated Joint Exercise of Powers Agreement
Relating to the Public Finance Authority, dated as of September 28, 2010 (the “Joint Exercise
Agreement”), and Section 66.0304(1l)(a), Wisconsin Statutes.
NOW, THEREFORE, BE IT RESOLVED by the Common Council of the City that the
Common Council hereby approves the issuance of the Bonds by the Authority for financing the
Project. It is the purpose and intent of the Common Council that this Resolution constitutes
approval of the Bonds by the City, which is a governmental unit having jurisdiction over the area
in which the Project is located in accordance with Section 66.0304(11)(a), Wisconsin Statutes, and
Section 4 of the Joint Exercise Agreement.
The Bonds, when and if issued, shall not constitute a debt or pecuniary liability, or a legal
or moral obligation, of the City for any reason whatsoever and the City is not obligated to levy any
tax or make any appropriation for payment of the Bonds.
Page 5 of 60
Adopted and recorded November xx, 2026.
________________________________________
Austin R. Hammond, Mayor
ATTEST:
________________________________________
Evan Janet, City Clerk
Recommended by:
____________________________
Motion/Second:
____________________________
Pass/Fail: _______
Requires: Majority Vote
Page 6 of 60
100 Main Street, Suite 200 | Menasha, Wisconsin 54952-3151
Phone (920) 967-3608 | Fax (920) 967-5273 | www.menashawi.gov
City of Menasha | Office of the City Attorney
MEMORANDUM
DATE October 19, 2026
TO Administration Committee
FROM Yessi Laracuente, Finance Manager
RE Storage Tank Pollution Liability Insurance (ACE American Insurance Company)
(2027 RENEWAL)
Attached for your consideration is the Schedule of Covered Storage Tanks, Storage Tank
Pollution Liability Coverage, and Request to Bind Coverage for the 2027 Storage Tank
Pollution Liability Insurance renewal from ACE American Insurance Company. The renewal
premium will be $1,662, which represents 7.2% increase over the expiring premium ($1,550).
RECOMMENDATION: Staff recommends acceptance of the renewal quote for Storage Tank
Pollution Liability Insurance from ACE Insurance Company for 2027 in the amount of $1,662.
Page 7 of 60
Alliant Insurance Services, Inc
18100 Von Karman Avenue 10th Floor
Irvine, CA 92612
O 949 756 0271
F 619 699 0907
CA License No. 0C36861
www.alliant.com
City of Menasha
Storage Tank Pollution Liability Insurance Proposal
Presented on: October 15, 2026
Presented by: Justin Swarbrick
Page 8 of 60
Table of Contents
Company Profile ........................................................................................................................................................................... 3
Our Service Team for You ............................................................................................................................................................ 4
Named Insureds ........................................................................................................................................................................... 5
Schedule of Covered Storage Tanks .......................................................................................................................................... 6
Storage Tank Pollution Liability .................................................................................................................................................. 7
Premium Comparison ................................................................................................................................................................ 11
Request to Bind Coverage ......................................................................................................................................................... 13
Disclosures ................................................................................................................................................................................... 14
Other Disclosures/Disclaimers ................................................................................................................................................. 15
Page 9 of 60
Company Profile
At Alliant, we’ve created an organizational culture full of high-energy, talented, brokers and creative
professionals who are dedicated to solving your challenges.
As one of the top 5 largest commercial retail insurance brokerage firms in the U.S., we combine the
power and breadth of big-company resources with a hyper-personalized approach that puts your
interests above everything else. Our culture of entrepreneurialism, collaboration, and innovation gives
us the independence and accountability to create solutions that uniquely match your needs. Because
when people come first, more is possible.
To learn more visit
www.Alliant.com
Page 10 of 60
Our Service Team for You
Justin Swarbrick Senior Vice President
Phone: 248 205 2931
Email: jjswarbrick@alliant.com
Shane Storey, CIC, CRIS First Vice President
Phone: 248 205 2934
Email: Shane.Storey@alliant.com
Ethan Salsinger Vice President
Phone: 614 696 5135
Email: Ethan.Salsinger@alliant.com
Margaret Hayes Vice President, Account Executive Lead
Phone: 248 205 2932
Email: mhayes@alliant.com
Michael McIntosh, CISR Account Manager - Lead – Environmental Group
Phone: (949) 660-8124
Email: mmcintosh@alliant.com
Jillian Cooper Assistant Account Manager
Phone: 248 205 2970
Email: jillian.cooper@alliant.com
Page 11 of 60
Named Insureds
Insured Interest
City of Menasha
Additional Named Insureds
Not Applicable
Additional Insureds
Not Applicable
NAMED INSURED DISCLOSURE
Name Insured(s) should match State of Incorporatio n filing. Inform Alliant if there is a difference or change
The First Named Insured policy status granted incl udes certain rights and responsibilities. These responsibilities
do not apply to other Named Insureds on the policy. Some examples for First Named Insured status include; (1)
being designated to act on behalf of all insureds for making policy changes, (2) receiving of correspondence, (3)
distributing claim proceeds, and (4) making premium payments
Are ALL entities listed as named insureds? Coverage is not automatically afforded to all entities unless
specifically named. Confirm with your producer and service team that all entities to be protected are on the correct
policy. Not all entities may be listed on all policies based on coverage line.
Additional named insured is (1) A person or organi zation, other than the first named insured, identified as an
insured in the policy declarations or an addendum to the policy declarations. (2) A person or organization added
to a policy after the policy is written with the status of named insured. This entity would have the s ame rights and
responsibilities as an entity named as an insured in the policy declarations (other than those rights and
responsibilities reserved to the first named insured).
Applies to Professional Liability, Pollution Liabi lity, Directors & Officers Liability, Employment Practices Liability,
Fiduciary Liability policies (this list not all inclusive). Check your Policy language for applicability. These policies
provide protection to the Named Insured for claims made against it alleging a covered wrongful act.
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Schedule of Covered Storage Tanks
Insured Facility Name and
Address
Tank ID
No. Install Date Tank Size
(gal.)
Tank Type
(UST or AST) Retro Date
Municipal Marina
1 Center St
Menasha, Wisconsin 54952
1 11/13/2020 3,000 UST 12/31/2020
Municipal Public Works Facility
455 Baldwin St
Menasha, Wisconsin 54952
1 11/01/2020 12,000 AST 12/31/2020
2 11/01/2020 5,000 AST 12/31/2020
Abbreviations:
Underground Storage Tank - UST
Above-Ground Storage Tank - AST
*NOTE: Site- and tank-specific policy. No coverage provided for locations/tanks not scheduled
*Day Tanks are not covered unless scheduled
Page 13 of 60
Storage Tank Pollution Liability
Insurance Company ACE American Insurance Company
A.M. Best Rating A++ (Superior), Financial Size Category: XV (Greater than or Equal to USD
2.00 Billion) as of January 16, 2026
Standard & Poor’s Rating AA (Very Strong) as of Jan uary 13, 2026
Wisconsin Status Admitted
Policy / Coverage Term December 31, 2026 to December 31, 2027
Retroactive Date See Schedule of Covered Storage Ta nks above
Coverage Form PF-31181 (10/10) TankSafe® Storage Tank Liability I nsurance Policy
CLAIMS MADE AND REPORTED POLICY FORM
Coverages Coverage A: Third-Party Claims and First Party Reme diation Costs –
Coverage for claims and remediation costs arising o ut of a storage tank
incident, provided the claim is first made, or the Insured first discovers the
storage tank incident, during the policy period. Any such claim or discovery of
a storage tank incident must be reported to the Insurer, in writing, during the
policy period or any applicable extended reporting period. Coverage only
applies to storage tank incidents that first commence on or after the retroactive
date and before the end of the policy period.
Coverage B: Legal Defense Expenses – Coverage for legal defense
expense necessarily incurred to respond to a claim pursuant to Coverage A,
above, to which this insurance applies.
Loading and Unloading Coverage included
Covered Storage Tanks See Schedule of Covered Stora ge Tanks
Limits
Per Storage Tank Incident Limit
of Liability (Claims and
Remediation Costs)
$1,000,000
Aggregate Limit of Liability
(Claims and Remediation Costs)
for all Storage Tank Incidents
$2,000,000
Aggregate Limit of Liability for all
Legal Defense Expense for all
Storage Tank Incidents
$1,000,000
Total Policy Aggregate Limit of
Liability for all Storage Tank
Incidents
$3,000,000
Deductible
Per Storage Tank Incident $5,000
Page 14 of 60
Storage Tank Pollution Liability – Continued
Defense Inside/Outside the Limit Inside the Limits ($1M Aggregate Limit of Legal De fense Expense)
Who has the Duty to Defend Insurer
Exclusions
(including but not limited to)
Contractual Liability
Employers Liability
Fines and Penalties
First Party Property Damage, does not apply to reme diation costs
Fraud or Misrepresentation
Known Conditions
Insured’s Internal Expenses
Intentional Non-Compliance
Lead-Based Paint and Asbestos
Nuclear Hazard
Regulatory Compliance
Storage Tank Contents
War or Terrorism
Out of Service or Replacement Tanks
Endorsement
(including but not limited to)
Closure, Removal or Replacement Amendatory - PF-31 156 (09/10)
AST Aggregate Sublimit of Liability Endorsement: $ 2,000,000 - PF-31156
(09/10)
UST Aggregate Sublimit of Liability Endorsement: $ 2,000,000 - PF-31182
(09/10)
Extended Reporting Period Scope Confirmation (Firs t-Party Discovery)
Endorsement - PF-54022 (02/20)
Financial Responsibility Condition - PF-31172 (09/ 10)
Loading and Unloading Coverage (Time Element Repor ting – within 72
Hours) Endorsement - PF-31174 (09/10)
Other Insurance Amendatory Endorsement - PF-57403 (10/22)
Schedule of Covered Storage Tanks - PF-31164 (09/1 0)
Trade or Economic Sanctions Endorsement - ALL-2110 1 (11/06)
Important Notice – Wisconsin - ALL-38969 (08/12)
WI Notice To Policyholders - ALL-5X51a (2/06)
Chubb Producer Compensation Practices & Policies - ALL-20887a (03/16)
U.S. Treasury Department's Office of Foreign Asset s Control ("OFAC")
Advisory Notice to Policyholders - ILP 001 01 04
Terrorism Risk Insurance Act Endorsement - PF-2372 8b (02/20)
Disclosure Pursuant to Terrorism Risk Insurance Ac t - TRIA11e (08/20)
Additional Named Insureds Not Applicable
Additional Insureds Not Applicable
Total Cost Including TRIA $1,662.00 With Loading and Unloading Coverage
Page 15 of 60
Storage Tank Pollution Liability – Continued
Terrorism Option Terrorism Risk Insurance Act Coverage included in premium above
Other Insurance If other valid and collectible insurance is available to the “insured” covering a
loss also covered by this Policy, the insurance afforded by this Policy shall
apply as primary insurance.
Jurisdiction and Venue State of New York
Choice of Law State of New York
Minimum Earned Premium 0%
Notice of Claim or Storage Tank
Incident
Written notice of any claim or incident must be received, ASAP, but no more
than 7 days after first became or should have become aware of said claim or
incident, by:
a. Notice of Claim or Storage Tank Incident:
Chubb Environmental Claims Manager
Chubb USA Claims
P.O. Box 5103
Scranton, PA 18505-0510
Fax: (866) 635-5687
First Notice Fax: (800) 951-4119
First Notice Email:
CasualtyRiskEnvironmentalFirstNotice@chubb.com
b. All Other Notices:
Environmental Underwriting Officer
Chubb Environmental
P.O. Box 1000
436 Walnut Street – WA 07A
Philadelphia, PA 19106
** Applicable to loading and unloading coverage, if pu rchased : Written
notice must be provided to the Insurer of any loading and unloading related
storage tank incident within seventy-two (72) hours of the event during the
policy period.
Page 16 of 60
Storage Tank Pollution Liability – Continued
Notice of Intent to Repair, Close In
Place, Remove From Service
and/or Replace A Covered Tank
Written notice must be provided no fewer than five (5) business days prior
to the commencement date of any intrusive repair, closure-in-place, removal
from service and / or replacement activities pertaining to covered storage
tanks, by:
Chubb Environmental Claims Manager
CHUBB USA Claims
P.O. Box 5103
Scranton, PA 18505-0510
Fax: (866) 635-5687
Extended Reporting Period 180 Day Automatic Basic Extended Reporting Period
30 Month Optional Extended Reporting Period availa ble for not more than
200% of full policy premium
Policy Auditable Auditable
Conditions 60 days Cancellation (15 days for non-payment)
Premium is due within 30 days of policy inception
Agency Bill
Payment Plan: Annual
Written notice must be provided to the Insurer of any loading and
unloading related storage tank incident within 72 hours of the event during
the policy period
Quote Valid Until December 31, 2026
Binding Conditions Written Request to Bind Coverage, please sign the Request to Bind
Coverage section in this proposal.
Signed ACE application and facility worksheet, PRI OR TO BINDING.
Note: Changes to the application attached can change the terms on this
proposal.
CLAIMS REPORTING NOTICE
PLEASE NOTE THAT POLLUTION LIABILITY POLICIES CONTA IN EXTREMELY
STRICT CLAIM REPORTING PROCEDURES.
Attached please find your policy specific claim reporting requirements - Please make sure you understa nd these
obligations. Contact your Alliant Service Team with any questions.
See Disclaimer Page for Important Notices and Acknowledgement
Page 17 of 60
Premium Comparison
Coverage Expiring Premium Renewal Premium
Storage Tank Pollution Liability $1,550.00 $1,662.00
Total Premium $1,550.00 $1,662.00
Page 18 of 60
Other Coverage Options
Note some of these coverages may be included with l imitations or insured elsewhere. This is a partial listing as you may
have additional risks not contemplated here which are unique to your organization.
Business Income/Extra Expense
Earthquake
Employed Lawyers
Employee Benefits Liability
Equipment Breakdown
Food Borne Illness
Foreign Insurance
Garagekeepers Liability
Hired Auto Physical Damage
Kidnap & Ransom
Law Enforcement Liability
Media and Publishers Liability
Network Security / Privacy Liability and Internet Media
Liability
Non-Owned & Hired Automobile Liability
Owned/Non-Owned Aircraft
Owned Watercraft
Professional Liability
Property in Transit
Property of Others (Clients, Employees, Other)
Special Events Liability
Spoilage
Student Accident
Volunteer Accidental Death & Dismemberment
(AD&D)
Workers Compensation & Employers Liability
Workplace Violence
Glossary of Insurance Terms
Below are links to assist you in understanding the insurance terms you may find within your insurance coverages:
http://insurancecommunityuniversity.com/university-resources/insurance-glossary-free
https://consumers.ambest.com/content.aspx?rec=26161 3
http://www.irmi.com/online/insurance-glossary/default.aspx
Page 19 of 60
Request to Bind Coverage
City of Menasha
We have reviewed the proposal and agree to the term s and conditions of the coverages presented. We ar e requesting
coverage to be bound as outlined by coverage line below:
Coverage Line Bind Coverage for:
Storage Tank Pollution Liability ☐
This Authorization to Bind Coverage also acknowledg es receipt and review of all disclaimers and disclosures, including
exposures used to develop insurance terms, contained within this proposal .
Signature of Authorized Representative Date
Title
Printed / Typed Name
This proposal does not constitute a binder of insurance. Binding is subject to final carrier approval . The actual
terms and conditions of the policy will prevail.
Page 20 of 60
Disclosures
This proposal of insurance is provided as a matter of convenience and information only. All informati on included in this
proposal, including but not limited to personal and real property values, locations, operations, products, data, automobile
schedules, financial data and loss experience, is based on facts and representations supplied to Allia nt Insurance
Services, Inc. by you. This proposal does not reflect any independent study or investigation by Alliant Insurance Services,
Inc. or its agents and employees.
Please be advised that this proposal is also expressly conditioned on there being no material change i n the risk between
the date of this proposal and the inception date of the proposed policy (including the occurrence of a ny claim or notice of
circumstances that may give rise to a claim under any policy which the policy being proposed is a renewal or
replacement). In the event of such change of risk, the insurer may, at its sole discretion, modify, or withdraw this
proposal, whether or not this offer has already been accepted.
This proposal is not confirmation of insurance and does not add to, extend, amend, change, or alter any coverage in any
actual policy of insurance you may have. All existing policy terms, conditions, exclusions, and limitations apply. For
specific information regarding your insurance coverage, please refer to the policy itself. Alliant Insurance Services, Inc.
will not be liable for any claims arising from or related to information included in or omitted from this proposal of insurance.
Alliant embraces a policy of transparency with respect to its compensation from insurance transactions. Details on our
compensation policy, including the types of income that Alliant may earn on a placement, are available on our website at
www.alliant.com . For a copy of our policy or for any inquiries regarding compensation issues pertaining to your accou nt
you may also contact us at: Alliant Insurance Services, Inc., Attention: General Counsel, 701 B Street, 6th Floor, San
Diego, CA 92101.
Analyzing insurers' over-all performance and financial strength is a task that requires specialized skills and in-depth
technical understanding of all aspects of insurance company finances and operations. Insurance brokera ges such as
Alliant Insurance typically rely upon rating agencies for this type of market analysis. Both A.M. Best and Standard and
Poor's have been industry leaders in this area for many decades, utilizing a combination of quantitative and qualitative
analysis of the information available in formulating their ratings.
A.M. Best has an extensive database of nearly 6,000 Life/Health, Property Casualty and International companies. You
can visit them at
www.ambest.com . For additional information regarding insurer fina ncial strength ratings visit Standard
and Poor's website at www.standardandpoors.com .
Our goal is to procure insurance for you with underwriters possessing the financial strength to perform. Alliant does not,
however, guarantee the solvency of any underwriters with which insurance or reinsurance is placed and maintains no
responsibility for any loss or damage arising from the financial failure or insolvency of any insurer. We encourage you to
review the publicly available information collected to enable you to make an informed decision to accept or reject a
particular underwriter. To learn more about companies doing business in your state, visit the Department of Insurance
website for that state.
Page 21 of 60
New York Regulation 194
Alliant Insurance Services, Inc. is an insurance producer licensed by the State of New York. Insurance producers are
authorized by their license to confer with insurance purchasers about the benefits, terms and conditio ns of insurance
contracts; to offer advice concerning the substantive benefits of particular insurance contracts; to s ell insurance; and to
obtain insurance for purchasers. The role of the producer in any particular transaction typically inv olves one or more of
these activities.
Compensation will be paid to the producer, based on the insurance contract the producer sells. Depend ing on the
insurer(s) and insurance contract(s) the purchaser selects, compensation will be paid by the insurer(s ) selling the
insurance contract or by another third party. Such compensation may vary depending on a number of fac tors, including
the insurance contract(s) and the insurer(s) the purchaser selects. In some cases, other factors such as the volume of
business a producer provides to an insurer or the profitability of insurance contracts a producer prov ides to an insurer also
may affect compensation.
The insurance purchaser may obtain information about compensation expected to be received by the producer based in
whole or in part on the sale of insurance to the purchaser, and (if applicable) compensation expected to be received
based in whole or in part on any alternative quotes presented to the purchaser by the producer, by requesting such
information from the producer.
Privacy
At Alliant, one of our top priorities is making sure that the information we have about you is protected and secure. We
value our relationship with you and work hard to preserve your privacy and ensure that your preferences are honored. At
the same time, the very nature of our relationship may result in Alliant’s collecting or sharing certain types of information
about you in order to provide the products and serv ices you expect from us. Please take the time to read our full Privacy
Policy posted at www.alliant.com , and contact your Alliant service team should you have any questions.
Other Disclosures/Disclaimers
FATCA
The Foreign Account Tax Compliance Act (FATCA) requ ires the notification of certain financial accounts to the United
States Internal Revenue Service. Alliant does not provide tax advice so please contact your tax consultant for your
obligation regarding FATCA.
Guarantee Funds
Established by law in every state, guaranty funds are maintained by a state's insurance commissioner t o protect
policyholders in the event that an insurer becomes insolvent or is unable to meet its financial obligations. If your insurance
carrier is identified as ‘Non-Admitted’, your policy is not protected by your state’s Guaranty Fund.
Page 22 of 60
Other Disclosures/Disclaimers (continued)
Claims Reporting
Your policy will come with specific claim reporting requirements. Please make sure you understand these obligations.
Contact your Alliant Service Team with any questions.
Claims Made Policy
This claims-made policy contains a requirement stating that this policy applies only to any claim first made against the
Insured and reported to the insurer during the policy period or applicable extended reporting period. Claims must be
submitted to the insurer during the policy period, or applicable extended reporting period, as require d pursuant to the
Claims/Loss Notification Clause within the policy in order for coverage to apply. Late reporting or failure to report
pursuant to the policy’s requirements could result in a disclaimer of coverage by the insurer.
Any Employment Practices Liability (EPL) or Directors & Officers (D&O) with EPL coverage must give notice to the insurer
of any charges / complaints brought by any state / federal agency (i.e. EEOC and similar proceedings) involving an
employee. To preserve your rights under the policy, it is important that timely notice be given to the insurer, whether or
not a right to sue letter has been issued.
Changes and Developments
It is important that we be advised of any changes in your operations, which may have a bearing on the validity and/or
adequacy of your insurance. The types of changes that concern us include, but are not limited to, those listed below:
Changes in any operations such as expansion to ano ther state, new products, or new applications of ex isting
products.
Travel to any state not previously disclosed.
Permanent operations outside the United States, Ca nada or Puerto Rico.
Mergers and/or acquisition of new companies and an y change in business ownership, including percentag es.
Any newly assumed contractual liability, granting of indemnities or hold harmless agreements.
Any changes in existing premises including vacancy , whether temporary or permanent, alterations, demolition,
etc. Also, any new premises either purchased, constructed or occupied
Circumstances which may require an increased liabi lity insurance limit.
Any changes in fire or theft protection such as th e installation of or disconnection of sprinkler sys tems, burglar
alarms, etc. This includes any alterations to the system.
Immediate notification of any changes to a schedul ed of equipment, property, vehicles, electronic dat a
processing, etc.
Property of yours that is in transit, unless previ ously discussed and/or currently insured.
Page 23 of 60
Other Disclosures/Disclaimers (continued)
Certificates / Evidence of Insurance
A Certificate or Evidence is issued as a matter of information only and confers no rights upon the cer tificate holder. The
certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by a pol icy, nor does it
constitute a contract between the issuing insurer(s), authorized representative, producer or recipient.
You may have signed contracts, leases or other agre ements requiring you to provide this evidence. In those agreements,
you may assume obligations and/or liability for others (Indemnification, Hold Harmless) and some of the obligations that
are not covered by insurance. We recommend that yo u and your legal counsel review these documents.
In addition to providing a Certificate or Evident of Insurance, you may be required to name your landl ord, client or
customer on your policy as a loss payee on property insurance or as an additional insured on liability insurance. This is
only possible with permission of the insurance company, added by endorsement and, in some cases, an ad ditional
premium.
By naming the certificate holder as additional insured, there are consequences to your risks and insur ance policy
including:
Your policy limits are now shared with other entit ies; their claims involvement may reduce or exhaust your
aggregate limit.
Your policy may provide higher limits than require d by contract; your full limits can be exposed to the additional
insured.
There may be conflicts in defense when your insure r has to defend both you and the additional insured.
An additional insured endorsement will most likely not provide notification of cancellation. Some insurance
companies use a “blanket” additional insured endors ement that provides coverage automatically when it is
required in a written contract. Most insurance companies do not want to be notified of all additional insureds
when there is a blanket endorsement on the policy. If a notice of cancellation is required for the additional
insured party, you must notify us immediately and we will request an endorsement from your insurance
company. There may be an additional premium for ad ding a notice of cancellation endorsement for an
additional insured.
See Request to Bind Coverage page for acknowledgmen t of all disclaimers and disclosures.
Page 24 of 60
Chubb Environmental
IN THE EVENT OF AN
ENVIRONMENTAL EMERGENCY:
1) Follow your company procedures for reporting and responding to an incident
2) Alert local emergency authorities, as appropriate
3) Report the incident to Chubb Environmental through the Environmental Incident Alert
system by one of the following methods:
Phone: 888-310-9553
Website: www.chubbeia.net
Mobile Incident Reporting:
Be prepared to give basic information about the loc ation and nature of the incident, as well as steps w hich have been taken in
response to the incident. You will be contacted b y a trained representative of Chubb to discuss furt her response steps as soon
as possible.
DO follow your company’s detailed response plan
DO contact your management as well as appropriate a uthorities
DO ensure anyone who could come in contact with a s pill or release is kept away
DO NOT ignore a potential spill or leak
DO NOT attempt to respond beyond your level of trai ning or certification
Page 25 of 60
Request to Bind Coverage
City of Menasha
We have reviewed the proposal and agree to the term s and conditions of the coverages presented. We ar e requesting
coverage to be bound as outlined by coverage line below:
Coverage Line Bind Coverage for:
Storage Tank Pollution Liability ☐
This Authorization to Bind Coverage also acknowledg es receipt and review of all disclaimers and disclosures, including
exposures used to develop insurance terms, contained within this proposal .
Signature of Authorized Representative Date
Title
Printed / Typed Name
This proposal does not constitute a binder of insurance. Binding is subject to final carrier approval . The actual
terms and conditions of the policy will prevail.
Page 26 of 60
100 Main Street, Suite 200 | Menasha, Wisconsin 54952-3151
Phone (920) 967-3650 | Fax (920) 967-5272 | menashawi.gov
City of Menasha | Department of Community Development
M
EMORANDUM
DATE October 19, 2026
TO City of Menasha Administration Committee
FROM Kristi Heim, Associate Planner
RE dfdDDowntown Business Incentive Program Application
The purpose of this memo is to provide background information for a grant
application discussion/action item on the October 19, 2026, Administration
Committee Agenda.
Background
The City of Menasha Downtown Building Incentive Program (DBIP) is designed to
support downtown property owners and business owners in making building
improvements that extend the life of Menasha’s historic downtown buildings. This
program provides matching grant funds to cover design and construction costs
directly related to interior and exterior alternations including Façade, Roof, HVAC,
Electrical, Plumbing, Insulation, Structural, and ADA related improvements.
The Community Development Department administers the DBIP including program
promotion, program intake, reviewing completed applications, interpreting program
guidelines, and reviewing and approving reimbursement requests. Approval or denial
of DBIP applications will occur as applications are submitted.
Qualified projects will be approved on a first-come, first-serve basis. Final
determination of the award amounts and funding recipients will be made by the City
of Menasha Administration Committee.
Application Review
Staff received a DBIP grant application for 200 Main Street from the building owners
(Anna Zoltowski and Robert Ivey). The applicant is requesting funding to pay for roof
work, structural repairs, façade restoration, electrical repairs and upgrades, and
Page 27 of 60
2 of 2
insulation improvements. The total cost of the projects is $150,000.00 and the
applicants are requesting $50,000.00
Staff reviewed the DBIP grant application and found that it meets the guidelines
established for the program. Staff also notes that any proposed façade work must be
reviewed and approved by the Landmarks Commission prior to the onset of work.
Staff Recommendation
Recommend the City of Menasha Administration Committee approve the Downtown
Business Incentive Program application for 200 Main Street for $50,000.00.
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Page 46 of 60
100 Main Street, Suite 200 | Menasha, Wisconsin 54952-3151
Phone (920) 967-3604 | Fax (920) 967-3606 | www.menashawi.gov
City of Menasha | Human Resources Department
MEMORANDUM
DATE October 13, 2026
TO Common Council
FROM Kimberly Cardoza, HR Manager
RE 2027 Health Insurance Change; Vision & Dental Continuation
Health Insurance
The City of Menasha has been insured through Network Health since 2022 and is
seeking a strategic change to its employee health insurance program. The City is
recommending a transition to the WCA (Wisconsin Counties Association) Group
Health Trust (GHT) with health plans administered through UnitedHealthcare/UMR.
The WCA Group Health Trust (GHT) is a health benefits program established in 1991
to help Wisconsin public employers, including cities, counties, towns, villages, and
school districts, provide employee health benefits. The Trust was created by
Wisconsin county officials to pool resources and develop a health benefits program
tailored to the needs of Wisconsin local government employers. GHT provides
participating employers with access to health plan options, provider networks,
prescription drug programs, and wellness resources. Under the proposed
arrangement, GHT would provide the City's health benefits program, while UMR
would serve as the third-party administrator responsible for claims processing and
related administrative services, utilizing the UnitedHealthcare Choice Plus provider
network.
This change would provide employees with access to an expanded provider network
while maintaining the City’s current health plan designs and benefits. The transition
would result in an annual premium increase of 2% compared to the City’s current
plans.
This strategic change would allow the City to expand provider access for employees
and their families while maintaining continuity in plan benefits and responsibly
managing the cost of employee health coverage.
The two plans are outlined in the GHT contract.
Page 47 of 60
2 of 2
Family Advantage Health Plan
2027 will mark the fourth year the City will offer the Family Advantage Health Plan
(FAHP) opt-out option. This plan continues to operate successfully:
• Projected Annual Savings for 2025: $260,000
• 18 Enrolled Employees
Health Reimbursement Account (HRA)
Health Reimbursement Arrangements (HRA) Amounts for 2027 for non-represented
employees remain the same.
Dental & Vision Insurance
The City will continue to offer dental insurance through our self-funded Delta Dental
plan with no change to plan or premium. The City will also continue to offer vision
insurance through Superior Vision with no change to plan or premium.
Recommendation
Accept and recommend that the Common Council approve the transition from
Network Health to the WCA Group Health Trust (GHT), with an anticipated annual
premium increase of 2%, while continuing to offer the Family Advantage Health
Plan, HRA offerings, and Dental and Vision Insurance, as presented.
Plan Coverage Tier Annual Amount Employee Only 500.00$ Employee & Spouse 1,000.00$ Employee & Child 1,000.00$ Family 1,000.00$
Page 48 of 60
Page 1 of 4
CITY OF MENASHA
MEDICAL/RX PROPOSAL
(Effective 01/01/2027)
Proposed Plan Benefits – Current Plan 1 Offering
Network UHC Choice Plus
Plan Type QHDHP - EPO
Accumulation Type Non-Embedded
Benefit Accumulator Calendar Year
In-Network Out-of-Network
Deductible $2,000/$4,000 N/A
Coinsurance 100% N/A
Total Maximum Out-of-Pocket
(Ded, Coins, and Rx) $3,000/$6,000 N/A
Medical Benefits
Inpatient Hospital Deductible/100% N/A
Outpatient Hospital Deductible/100% N/A
Office Visit Deductible/100% N/A
Specialist Office Visit Deductible/100% N/A
Preventive Exam 100%/Deductible Waived N/A
Chiropractic Visit/Manipulation Deductible/100% N/A
Phys/Occ/Sp/Resp Therapy Deductible/100% N/A
Urgent Care PPO Deductible/100%
Emergency Room Care PPO Deductible/100%
Mental Health/Subst. Abuse:
Office Visit
Inpatient
Outpatient
Deductible/100%
Deductible/100%
Deductible/100%
N/A
High Tech Imaging Coverage Deductible then $100 Copay N/A
Diagnostic Imaging/X-Ray Deductible/100% N/A
Outpatient/Office Lab/Pathology Deductible/100% N/A
Oral Surgery Deductible/100% N/A
All Other Covered Medical Services Deductible/100% N/A
Teladoc Benefits 100%/Deductible Waived
Pharmacy Benefits
Drug Plan Formulary
Retail, 30 Days
Retail, 31-90 Days
Mail Order, 90 Days
Specialty, 30 Days
Generic Preferred Non-Preferred
Ded then $10 Copay
Ded then $30 Copay
Ded then $25 Copay
Ded then $100 Copay
Ded then $25 Copay
Ded then $75 Copay
Ded then $60 Copay
Ded then $100 Copay
Ded then $50 Copay
Ded then $180 Copay
Ded then $150 Copay
Ded then $200 Copay
Mandatory Generic: Yes
HDHP Preventive Rx List: Yes
Rx Max Out-of-Pocket: Included in Medical
Other Benefits
Value Adds Betr Health, Maternity Management, Vision Exam, Hearing Exam, One Pass Select, COBRA
Administration
By: CITY OF MENASHA By: WCA Group Health Trust
Signature: ________________________________________ Signature: _______________________________________
Print Name: ______________________________________ Print Name: Michael Lamont________________________
Title: ____________________________________________ Title: Chief Operating Officer________________________
Date: ____________________________________________ Date: ___________________________________________
Page 49 of 60
Page 2 of 4
CITY OF MENASHA
MEDICAL/RX PROPOSAL
(Effective 01/01/2027)
Proposed Plan Benefits – Current Plan 2 Offering
Network UHC Choice Plus
Plan Type EPO
Accumulation Type Embedded
Benefit Accumulator Calendar Year
In-Network Out-of-Network
Deductible $1,500/$3,000 N/A
Coinsurance 90% N/A
Total Maximum Out-of-Pocket
(Ded, Coins, and Rx) $2,500/$5,000 N/A
Medical Benefits
Inpatient Hospital Deductible/90% N/A
Outpatient Hospital Deductible/90% N/A
Office Visit Deductible/90% N/A
Specialist Office Visit Deductible/90% N/A
Preventive Exam 100%/Deductible Waived N/A
Chiropractic Visit/Manipulation Deductible/90% N/A
Phys/Occ/Sp/Resp Therapy Deductible/90% N/A
Urgent Care PPO Deductible/90%
Emergency Room Care PPO Deductible/90%
Mental Health/Subst. Abuse:
Office Visit
Inpatient
Outpatient
Deductible/90%
Deductible/90%
Deductible/90%
N/A
High Tech Imaging Coverage Deductible then $100 Copay N/A
Diagnostic Imaging/X-Ray Deductible/100% N/A
Outpatient/Office Lab/Pathology Deductible/100% N/A
Oral Surgery Deductible/100% N/A
All Other Covered Medical Services Deductible/100% N/A
Teladoc Benefits 100%/Deductible Waived
Pharmacy Benefits
Drug Plan Formulary
Retail, 30 Days
Retail, 31-90 Days
Mail Order, 90 Days
Specialty, 30 Days
Generic Preferred Non-Preferred
$10 Copay
$30 Copay
$25 Copay
$100 Copay
$25 Copay
$75 Copay
$60 Copay
$100 Copay
$50 Copay
$180 Copay
$150 Copay
$200 Copay
Mandatory Generic: Yes
HDHP Preventive Rx List: Yes
Rx Max Out-of-Pocket: Included in Medical
Other Benefits
Value Adds Betr Health, Maternity Management, Vision Exam, Hearing Exam, One Pass Select, COBRA
Administration
By: CITY OF MENASHA By: WCA Group Health Trust
Signature: ________________________________________ Signature: _______________________________________
Print Name: ______________________________________ Print Name: Michael Lamont________________________
Title: ____________________________________________ Title: Chief Operating Officer________________________
Date: ____________________________________________ Date: ___________________________________________
Page 50 of 60
Page 3 of 4
CITY OF MENASHA
MEDICAL/RX PROPOSAL
(Effective 01/01/2027)
Coverage Tier
$2,000/$4,000 Deductible Proposed Premium Rates
Single $744.52
Employee + Spouse $1,572.55
Employee + Child(ren) $1,382.60
Family $2,421.85
Coverage Tier
$1,500/$3,000 Deductible Proposed Premium Rates
Single $871.62
Employee + Spouse $1,841.10
Employee + Child(ren) $1,618.74
Family $2,835.45
By: CITY OF MENASHA By: WCA Group Health Trust
Signature: _____________________________________ Signature: ____________________________________
Print Name: ____________________________________ Print Name: Michael Lamont_____________________
Title: _________________________________________ Title: Chief Operating Officer_____________________
Date: _________________________________________ Date: ________________________________________
Page 51 of 60
Page 4 of 4
CITY OF MENASHA
MEDICAL/RX PROPOSAL
(Effective 01/01/2027)
Assumptions
• Rates are guaranteed for the contract period of 01/01/2027 through 12/31/2027.
• Rates are based on your submitted census. WCA Group Health Trust reserves the right to adjust the
rates from audit date back to effective date if any of the following changes:
• Enrollment +/- 10%
• Average Contract Size +/- 10%
• Area Factor +/- 8
• Age/Sex Factor +/- 10%
• Cobra enrollees are more than 10% of enrollment
• Retiree enrollees are more than 10% of enrollment
• Any Material Changes
• Employer contributes a minimum of 50% toward the employee-only rates and 50% toward the
dependent rates.
• Requires a minimum participation level of 75%
• This offer, unless otherwise stated herein, completely replaces all other previous offers or portions
thereof. Any offers previously extended are hereby null and void.
• WCA Group Health Trust reserves the right to adjust the rates and/or fees (i) in the event of any
changes in federal, state or other applicable legislation or regulation; (ii) in the event any changes in
Plan design required by the applicable regulatory authority (i.e. mandated benefits) or by the Plan
Sponsor; and (iii) as otherwise permitted in our policy.
• This premium may include state and federal taxes and fees.
• Plan design and corresponding premium rates offered herein represent a coverage option that is
consistent with your current group size (based on most recent census or survey information) and
closely matches your current coverage. Additional coverage options may be available to you.
• Premium rates include a $30.00 PEPM commission payable to your agent based on negotiations
between you and your broker/consultant.
• 2028 renewal rates are guaranteed based on the following:
o Not to exceed 8% with MLR 90% or below
o Not to exceed 10% with MLR 91% - 100%
o No offer of rate guarantee with MLR greater than 100%
• Coverage for current benefit provisions not illustrated within the RFP documents are subject to
further review by WCA Group Health Trust.
By: CITY OF MENASHA By: WCA Group Health Trust
Signature: _____________________________________ Signature: ____________________________________
Print Name: ____________________________________ Print Name: Michael Lamont_____________________
Title: _________________________________________ Title: Chief Operating Officer_____________________
Date: _________________________________________ Date: ________________________________________
Page 52 of 60
WISCONSIN COUNTIES ASSOCIATION (WCA)
GROUP HEALTH TRUST (GHT)
Overview
Page 53 of 60
The WCA Group Health Trust was created in 1991 when county
officials joined together to create an employee benefit program
that would meet the unique needs of local governments.
Today, we partner with 120 Schools, Counties, and
Municipalities. We serve 17,000 employees and 45,000
members.
WHO WE ARE
2
Page 54 of 60
WCA PARTNERS
Plan Administration and Customer Service
UMR is the Third-Party Administrator (TPA) that process the health plan
claims, handles customer service and all aspects of the Health Plan
Pharmacy Benefit Manager (PBM)
Caremark manages the prescription drug coverage and processes
pharmacy claims
Choice Plus PPO Provider Network
Providers contract with the network to achieve greater savings to pass
along to you and the health plan
In certain circumstances, The Alliance Network can be utilized
3
Page 55 of 60
Wellness Screenings
01
Vision Exam
STANDARD VALUE ADDED BENEFITS
Teladoc
02
03
05
06
08
Maternity Management
One Pass Select
The 1st annual colonoscopy, mammogram, PAP
Test and Prostate exam are covered at 100%
regardless of the diagnosis
• The 1st annual vision exam is covered at
100% for all enrolled family members
• Includes coverage for refraction
• ALL vision providers are in-network
General Medical, Behavior Health and
Dermatology
Care Management Program for expecting
mothers
Discount Health Club and
Meal Delivery Program
COBRA Administration
No cost COBRA Administration for all eligible
lines of coverage
04
Compliance Reporting
• Pay and file PCORI fees for the medical plan
• Mental Health Parity Filing
• Provide Annual Notices to plan members
• 1094B and 1095B reporting
• Prescription Drug Data Collection (RxDC) reporting to CMS
• Gag Clause attestation
07
Betr Health
Weight Management Program - Healing the body
with food
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We’ll guide you to the best version of you yet -
no starvation, fads or medications needed
BETR HEALTH
Page 57 of 60
www.OnePassSelect.com
ONE PASS SELECT
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HOW TO GET HELP
7
Before the effective date of the plan
• Unsure if your provider is in the network?
• Have a question about a benefit?
• Have an upcoming procedure planned and not sure what to do?
• Wondering if your current prescription medication is covered?
• Wondering what tier your current prescription medication will be in?
• Looking for an in-network pharmacy?
GHTinbox@charlestaylor.com GHTRxquestions@nationalcooperativerx.com
Page 59 of 60
8
Director of Programs and
Services
Trina Kiefer
Account Executive
Martha Freund-
Harmon
Account Manager
Betty Quamme
Account Manager
Jennifer Lange
Benefits Specialist
Tina Kwiatkowski
MEET THE GHT TEAM
Jennifer Dorn
Account Executive
Page 60 of 60
Source: City of Menasha website. First collected Oct 17, 2026.