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• ' -7- <br /> __. . , SCHEDULE V <br /> � SERVICES AND FEES <br /> Client: Citv of Decatur, Iilinois I, <br /> Service Period: From 10/1/91 through 9/30/92 GB Client #: 000322 I <br /> SERVICES PROVIDED: Incl. SERVICES PROVIDED: Incl. II <br /> A. Claims Administration PS Mail I <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. Supplemental <br /> Products Liability Loss Notice Program x <br /> Professional Liability Reporting Level $10,000 <br /> Property (PR) Topical Captioned Reports x <br /> Workers Comp (WC) Reporting Level ACS Criteria <br /> W/C Med Only x Meetings x <br /> Indemnity x Settlement Authority$2,500.00 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 <br /> Risk Inspections <br /> NonStandard Reports x Other: <br /> MICRO-FACS� E. Risk Management Consulting <br /> Terminals & Printers Loss Control - 12 Days X <br /> Data Transfer-Fronter Risx-Control Consulting <br /> Data Transfer-Client Other: <br /> � <br /> TOTAL $65,441 <br /> ADDITIONAL SERVICE TERMS AND CONDITIONS: <br /> Client will be billed $260 for each Auto Liability, Auto Physical Damage, General Liability and Property claim reported in <br /> excess of 119 and $183 tor each Workers' Compensation claim reported in excess of 85. <br /> Liability/Property Audit will not exceed $8,580 and Workers' Compensation Audit will not exceed $4,209. <br /> BILLING AND PAYMENT TERMS: <br /> Fee of $65,441 is payable in 12 installments of $5,453 beginning 10/1/91 with a final installment of $5,458. <br /> Cont-LE(3l89) <br />