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- 9 - � ' . <br /> SCHEDULE V <br /> SERVICES AND FEES <br /> Ciient: City of Decatur, Illinois <br /> Service Period: From 10/1/95 to 10/1/96 GB Client#: 000322 <br /> SERVICES PROVIDED: � SERVICES PROVIDED: � <br /> A. Claims Administration PS Mail <br /> Auto Liability -Bodily Injury (AB) X Other: <br /> Auto Liability -Property Damaga (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 /> Workers' Compensation (WC) Topical Captioned Reports X <br /> Reporting Level S25,000 <br /> Medical Only x Meetings X <br /> Indemnity x Settlement Authority S10,000 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 /> MICRO-FACS� E. Risk Management Consulting <br /> Terminals & Printers � Loss Control -96 Hours X <br /> Data Transfer X Risx-Control Consulting <br /> Other: <br /> TOTAL 565,872 <br /> ADDITIONAL SERVICE TERMS AND CONDITIONS: <br /> Client will be billed$322 per claim for each Auto Liabiliry,General Liability,Auto Physical Damage or Property claim reported <br /> in excess of 73 and $284 per claim for each Workers'Compensation claim reported in excess of 69. <br /> BILLING AND PAYMENT TERMS: <br /> Fee of$65,872 is payable in 12 installments of$5,489 beginning 10/1/95 with a final installment of$5,493. Fees are payable <br /> upon receipt of invoice. GB reserves the right to charge 1% per month, or the maximum legal rate, on balances unpaid after 30 <br /> days. <br /> O6/cq1/17357 <br />