Finance Committee

« MELANSON

May 9, 2022

Mr. John Griffin

Chief Financial Officer

City of Nashua

229 Main Street

Nashua, New Hampshire 03061

Dear Mr. Griffin:

THE CITY OF NASHUA —

Financial Services Division

Office of the Chief Financial Officer

TO: Mayor James Donchess

FROM: John L. Griffin and Rosemarie Evans

DATE: June 23, 2022

RE: Recommendation to Extend Melanson Contract

Jim Donchess
Mayor e City of Nashua

To: Board of Aldermen

From: Mayor Jim Donchess

Date: June 29, 2022

Re: Multi-Year Contract Award — Financial Auditing Services

Pursuant to NRO: § 5-74/B: A contract that extends from the current fiscal year into succeeding

fiscal year(s) in which no funds have been appropriated nor otherwise designated for this purpose
shall be approved by the full Board of Aldermen before the contract shall become binding on the

City.

City of Nashua

Purchasing Department
Administrative Services Division (603) 589-3330
229 Main Street - Nashua, NH 03060 Fax (603) 594-3233

June 29, 2022
Memo #23-305

TO: Mayor Donchess
Finance Committee

SUBJECT: Financial Audit Services in the amount not to exceed $265,000 funded from 53114
Accounting & Auditing Services/General Fund $193,000/ Solid Waste Fund $29,000/
Wastewater Fund $43,000

Monthly Stop Loss Premium and
Enrollment Statement QBE

Reference

Policyholder Policy number Effective Date

City of Nashua LGS02732-22 July 01, 2022

TPA Report period and date

Anthem

Premium remitted: Report completed by:

O Net or O Gross

Payment details

Specific coverage Covered units Adjustments — Final units Rate Monthly cost
Composite 2050 x $75.46 =$

ACCEPTED BY THE POLICYHOLDER:

Signed at
Policyholder (correct legal name)

Date

By (Officer's signature and title)

(Print Name)

Signature Broker/Agent of Record

(Print Name)
ACCEPTED BY THE COMPANY:
Signed at Marblehead, Massachusetts
On behalf of the Company
Date Tara Krauss, Head of A&H

By (Officer's name and title)

AH-MSL-1001-NH (11-21) © QBE, 2021 Page 4 of 4

3) Estimated Annual Aggregate Attachment Point: N/A
* A. For Total Covered Units under51 employees, amount entered cannot be less thanthe greater of:
(1) $6,200 times the number of Covered Persons;
(2) 120% of expected claims; or
(3) $31,000.
B. For Total Covered Units over 50 employees, amount entered cannot be less than 110% of expected claims

4) Minimum Annual Aggregate Attachment Point Percentage: N/A
5) Estimated Minimum Annual Aggregate Attachment Point: N/A

6) Individual Claim Limit: N/A
Per Covered Person.

12.

13.
14.

15.

16.

17.

Your PPO Network is: Blue Cross Blue Shield

Your Utilization Review Provider is: Anthem

Eligible for coverage:

Retirees: Yes [X] No[ ] Late Entrants: Yes [ ] No [X]
Estimated Covered Units:
Covered Unit Description Units
Composite 2050

initial premium deposit accompanying this Application:
$154,693.00

COVERAGES

Other - Retirees Pre-65 Only: Yes [X] No[ ]

QBE QBE INSURANCE CORPORATION

STATE OF DOMICILE: PENNSYLVANIA

APPLICATION FOR EXCESS LOSS INSURANCE POLICY

Policy Number: LGS02732-22

1.

10.

11.

Full legal name of Policyhoider: Tax ID Number:
City of Nashua 02-6000581
(as it will appear in the Policy)

Principal Office Address:
229 Main Street Nashua, NH 03060

(street) (city) (state) (zip)
Contact Person: Kim Kleiner Email: kleinerk@nashuanh.gov

Nature of Business:9111 Executive Offices

Also enclosed is the Premium & Enrollment statement. Premium is due on the first of every month. Please note that
premium must be remitted directly to the PO BOX address listed on the Premium & Enrollmentstatement. A
completed copy ofthis statement should be remitted with each payment.