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-9- <br /> , <br /> • ' . SCHEDULE V <br /> � � SERVICES AND FEES • <br /> i Client: Citv of Decatur, Illinois <br /> Service Period: From 10/1/93 to 10/1/94 GB Client#: 000322 <br /> SERVICES PROVIDED: Incl. 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 /> General Liability-Property Damage (GD)x D. SUppleltleflt8l <br /> Products Liability Loss Notice Program x ' <br /> Professionat Liability � Reporting Level $10,000 <br /> Property (PR) x Topical Captioned Reports x <br /> Workers Comp (WC) Reporting Level $25,000 <br /> W/C Med Only x Meetings x <br /> Indemnity x Discretionary Settlement <br /> Authority $2,500 x <br /> Other: Index Bureau x <br /> Run-Off <br /> Coordination x <br /> Assumption <br /> Set UpiProgram <br /> Other: Incident Processing x <br /> 8. Information Services Record Only Processing <br /> RISX-FACS� Update Appraisals <br /> Standard Package x Risk Inspections <br /> NonStandard Reports GB/GCR Managed Care (Paid Off File) x <br /> MICRO-FACS� E. Risk Management Consulting <br /> Terminals & Printers Loss Control - 12 Days x <br /> Data Transfer x <br /> Risx-Control Consulting <br /> Other: <br /> TOTAL $68,454 <br /> ADDITIONAL SERVICE TERMS AND CONDITIONS: <br /> Client will be billed $299 per claim for each Auto Liability, Generaf Liability, Auto Physical Damage or Property claim <br /> reported in excess of 86 and $251 per claim for each Workers' Compensation claim reported in excess of 68. Claims will <br /> be audited at the 6th, 12th, 18th and 24th month. <br /> BILLING AND PAYMENT TERMS: <br /> Fee of $68,454 is payable in 12 installments of $5,705 beginning 10/1/93 with a final installment of $5,699. <br /> Cont-LE(3/89) <br />