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- 9 - <br /> . SCHEDULE V <br /> ` SERVICES AND FEES <br /> Client: City of Decatur, Illinois <br /> Service Period: From 10/1/98 to 10/1/99 GB Client#: 000322 <br /> SERVICES PROVIDED: � SERVICES PROVIDED: ![iE <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 /> General Liability- Property Damage (GD) X Client Owned Banking <br /> Products Liability D. Supplemental <br /> Professional Liability Loss Notice Program <br /> Property (PR) X Reporting Level S <br /> I Topical Captioned Reports X <br /> Workers' Compensation (WC) Reporting Level "See Below <br /> Medical Only X Meetings X <br /> Indemnity X Settlement Authority S 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° <br /> Update Appraisals <br /> Standard Package X Risklnspections <br />' NonStandard Reports GB/GCR Mgd. Care (Paid Off File) X <br />, MICRO-FACS° X E. Risk Control Consulting <br /> Terminals & Printers Loss Control - 96 Hours X <br /> Data Transfer X Risx-Control Consulting <br /> Other: <br /> TOTAL 565,191 <br /> ADDITtONAL SERVICE TERMS AND CONDITIONS: <br /> Client will be billed$356 per claim for each Auto Liability,General Liability,Auto Physical Damage or Property claim reported <br /> against the initial deposit of$30,972 and $315 per claim for each Workers'Compensation claim reported against the initial <br /> deposit of$11,025. <br /> BILLING AND PAYMENT TERMS: <br /> Fee is payable in 12 monthly installments beginning 10/1/98. 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 /> *Liability/Property-$25,000 � <br /> Indemnity- $50,000 ' <br /> 06/cq 1/17357 <br />