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. � <br /> ��a . ' - 9 - <br /> �- SCHEDULE V <br /> SERVICES AND FEES <br /> Client: City of Decatur, Illinois <br /> Service Period: From 10/1/94 to 10/1/95 GB Client #: 000322 <br /> SERVICES PROVIDED: ���� SERVICES PROVIDED: Inc1 <br /> A. Claims Administration PS Mail <br /> Auto Liability - Bodi1y Injury fAB) 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 (GBi 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 /> Topical Captioned Reports X <br /> Workers' Compensation (WC) Reporting Level S25,000 <br /> Medical Only X Meetings X <br /> Indemnity X Settlement Authority 510,000 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 - 12 Days X <br /> Data Transfer X Risx-Control Consulting <br /> Other: <br /> TOTAL S69,352 <br /> ADDITIONAL S RVI E ERM AND NDI ION : <br /> Client will be billed 5310 per claim for each Auto Liability, General Liability, Auto Physical Damage or Property claim <br /> reported in excess of 86 and 5267 per claim for each Workers' Compensation claim reported in excess of 64. <br />, BILLING AND PAYMENT TERMS: <br /> Fee of 569,352 is payable in 12 installments of 55,779 beginning 10/1/94 with a final installment of 55,783. <br /> 17357 <br />