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.� <br /> , , - 9 - <br /> � SCHEDULE V <br /> SERVICES AND FEES <br /> Client: City of Decatur, Illinois <br /> Service Period: From 10/1/99 to 10/1/00 GB Client#: 000322 <br /> SERVICES PROVIDED: �� SERVICES PROVIDED: Incl <br /> A. Claims Administration PS Mail <br /> Auto Liability-Bodily Injury(AB) X Other: <br /> Auto Liability-Property Damage(AD) X C. Loss Funding <br /> Auto Physical Damage(APD) X SIMMS X <br /> General Liability-Bodily Injury(GB) X Voucher <br /> Generai Liability-Property Damage(GD) X Client Owned Banking <br /> Products Liability D. Supplemental <br /> Professional Liability Loss Notice Program <br /> Property(PR) X <br /> Reporting Level$ <br />' Topical Captioned Reports X <br /> Workers'Compensation(WC) Reporting Level$25,000 <br /> Medical Only X Meetings X <br /> Indemnity X Settlement Authority$10,000 X <br /> Other: Index Bureau X <br /> Run-Off Coordination X <br /> Assumption Set Up/Program <br /> Other: Incident Processing X <br /> B. Information Services Record Only Processing <br /> RISX-FACS� Update Appraisals <br /> Standard Package X Risk Inspections <br /> NonStandard Reports GB/GCR Mgd.Care(Paid Off File) X <br /> RFFW� E. Risk Control Consulting <br /> Terminals&Printers Loss Control-96 Hours X <br /> Data Transfer X Risx-Control Consulting <br /> Other: <br /> TOTAL $103,048 <br /> ADDITIONAL SERVICE TERMS AND CONDITIONS: <br /> Client will be billed $366 per claim for each Auto Liability, General Liability,Auto Physical Damage or Property claim reported <br /> against the initial deposit of$47,580 and $324 per claim for each Workers'Compensation claim reported against the initial <br /> deposit of$32,400. <br /> BILLING AND PAYMENT TERMS: <br /> Fee is payable in 12 monthly installments beginning 10/1/99. Fees are payable upon receipt of invoice. GB reserves the right <br /> to charge 1% per month, or the maximum legal rate, on balances unpaid after 30 days. <br /> 06\cq 1\17357 <br />