R97-122 AUTHORIZING AGREEMENT - Laserfiche WebLink

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� ' • ' - 9 - :� SCHEDULE V SERVICES AND FEES Client: City of Decatur, Illinois Service Period: From 10/1/97 to 10/1/98 GB Client#: 000322 SERVICES PROVIDED: Incl SERVICES PROVIDED: Incl A. Claims Administration PS Mail Auto Liability - Bodily Injury (AB) X Other: Auto Liability - Property Damage (AD) X C. Loss Funding Auto Physical Damage (APD) X SIMMS X General Liability - Bodily Injury (GB) X Voucher General Liability - Property Damage (GD) X Client Owned Banking Products Liability D. Supplemental Professional Liability Loss Notice Program Property (PR) X Reporting Level S Topical Captioned Reports X Workers' Compensation (WC) Reporting Level $25,000 Medical Only X Meetings X Indemnity X Settlement Authority $10,000 X Other: Index Bureau X Run-Off Coordination X Assumption Set Up/Program Other: Incident Processing X B. Information Services Record Only Processing RISX-FACS° Update Appraisals Standard Package X Risk Inspections NonStandard Reports GB/GCR Mgd. Care (Paid Off File) X MICRO-FACS° E. Risk Control Consulting , Terminals & Printers Loss Control - 96 Hours X '� Data Transfer X Risx-Control Consulting !I Other: I TOTAL 569,205 I ADDITIONAL SERVICE TERMS AND CONDITIONS: Client will be billed $343 per claim for each Auto Liability, General Liability, Auto Physical Damage or Property claim reported in excess of 82 and $303 per claim for each Workers' Compensation claim reported in excess of 61. Additionally, client will be billed $11 per incident reported against the initial deposit of$770. ', BILLING AND PAYMENT TERMS: Fee is payable in 12 monthly installments beginning 10/1/97. Fees are payable upon receipt of invoice. GB reserves the right to charge 1% per month, or the maximum legal rate, on balances unpaid after 30 days. 06/cq 1/17357