HomeMy WebLinkAboutResolution - 4593 - Contract - Crawford & Company - Claims Servicing - 08_25_1994Resolution No. 4593
Item #39
August 25, 1994
RESOLUTION
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF LUBBOCK:
THAT the Mayor of the City of Lubbock BE and is hereby authorized and directed to
execute for and on behalf of the City of Lubbock a Contract and all related documents by and
between the City of Lubbock and Crawford and Company for a Claims Servicing Contract
with the City of Lubbock, which contract is attached hereto, which shall be spread upon the
minutes of the Council and as spread upon the minutes of this Council shall constitute and be
a part of this Resolution as if fully copied herein in detail.
Passed by the City Council this 25th day of August 1994.
ATTEST:
Betty A Johnso City Secretary
APPROVED AS TO CONTENT:
Robert Massengale, Assistant
City Manager
APPROVED AS TO FORM:
Wald andiver, First
Assistant City Attorney
DGV:c4AG: codocs\CrawfordRo
July 19, 1994
Resolution No. 4593
CRAWFORD & COMPANY Item #39
CLAIM SERVICE CONTRACT August 25, 1994
THIS AGREEMENT, made and entered into effective this twenty-fifth day of August, 1994,
between CRAWFORD & COMPANY, a corporation of the State of Georgia, hereinafter referred to as the
"Servicing Company," and CITY OF LUBBOCK, a governmental entity of the State of Texas, hereinafter
referred to as "Client."
WTTNESSETH THAT
WHEREAS, the "Servicing Company" operates a business known as CRAWFORD &
COMPANY, Claims Adjusters, and
WHEREAS, The "Client" desires to employ the "Servicing Company" as its Claims Adjusters, to
service its claims for its self -insured exposures as stated in Paragraph (3) hereunder, up to its self -insured
retention.
NOW THEREFORE, the "Servicing Company" and the "Client" mutually agree as follows:
(1) The general agreement pages, to which this is attached, are made a part hereof as
though fully repeated and set out herein.
(2) This contract covers Claim Service for the "Client" in the U.S.A.
(3) The "Client" shall pay the "Servicing Company" fees as follows:
180 State Workers' Compensation Medical Only
claims @ $68.00 per claimant = $ 12,240.00
100 State Workers' Compensation Indemnity
claims @ $655.00 per claimant = $ 65,500.00
37 Automobile Liability claims @ $240.00 per
claimant = $ 8,880.00
209 General Liability claims @ $240.00 per
claimant = $ 50,160.00
$136.780.00
The "Client" agrees to pay the "Servicing Company" at the rate of one -twelfth (1/12) of $136,780.00 per
month ($11,398.33). At the first of each monthly period during the term of this contract, monthly billings
in said amount will be submitted to the "Client" by the "Servicing Company" and such billings will be paid
by the "Client" to the "Servicing Company" within forty-five days of such billing. Twelve months after the
contract term, there shall be a final accounting as to the actual number of claimants handled by the
"Servicing Company" and the "Servicing Company" will be entitled to compensation at the above flat rates
for each claimant in excess of the above numbers. Likewise, the "Client" shall be entitled
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to a refund on the Sdme basis if the number of claimants does not reach the
above projections. If the final accounting results in a refund duce the
"Client," the "Servicing Company" will make such refund within ninety (90)
days of the "Client's" written request for such refund. If the final
accounting results in the "Client" owing the "Servicing Company" additional
sums, the "Client" will pay the "Servicing Company" within ninety (90) days
from the date of the "Servicing Company's" billing for such additional sums.
Any single accident or occurrence resulting in ten or more declared or
potential claimants shall be treated as a catastrophe. Such catastrophe
cases shall be handled on a Time and Expense basis by the "Servicing
Company" at its then prevailing hourly rate and expense method of billing.
Contractual Liability claims, Personal Injury Liability claims, Employer's
Liability claims, Occtipational Disease claims, and subrogation
investigation shall be handled on a Time and Expense basis by the
"Servicing Company" at its then prevailing hourly rate and expense method
of billing. All claim services in Puerto Rico and the Virgin Islands shall
be provided by the "Servicing Company" on a Time and Expense basis at its
then prevailing hourly rate and expense method of billing.
Billings for time and expense claims will be submitted to the "Client" by
the "Servicing Company" when such claims are concluded, or if any such
claims have not been concluded and have accumulated billing amounts of Two
Hundred Dollars ($200) or more, the "Servicing Company" will submit interim
time and expense billings to the "Client" within six (6) months from the
date of assignment of such claims to the "Servicing Company." Subsequent
interim billings will be submitted thereafter only when any such claim has
,accumulated a billing amount of Two Hundred Dollars ($200) or more. Claims
so interim billed shall continue to be handled by the "Servicing Company"
after interim billing on a time and expense basis at the "Servicing
Company's" then prevailing hourly rate and expense method of billing. Such
time and expense billings submitted to the "Client" by the "Servicing
Company" will be paid by the "Client" to the "Servicing Company" within
thirty (30) days of billing.
For all Time and Expense lines of coverage, SISDAT shall be charged on the
basis of $15 per claimant which shall be reconciled by the "Servicing
Company" in the same manner ns stated above.
In addition to the compensation of the "Servicing Company" set forth
herein, any taxes, except taxes on income, which the "Servicing Company"
may be required to pay or collect or which may be incurred by or assessed
against the "Servicing Company," under any existing or future law, in any
way relating to the sale, delivery, rendering or provision of services to
Lite "Client" pursuant to this contract, including but not limited to any
Canadian (Federal, Provincial, territorial or local) or any domestic
(Federal, State or local) sales, use, personal property, ad valorem or
other tax shall be for the account of the "Client." The "Servicing
Company" shall bill the "Client" and the "Client" shall promptly pay the
"Servicing Company" all such taxes in accordance with the provisions of the
applicable law and regulations concerning collection of such taxes and the
"Servicing Company" shall remit such taxes to the appropriate taxing
authority.
The fees of the "Servicing Company" apply only to claims handling within
the "Client's" self-insurance retention. Once the "Client's"
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self-insurance retention(s), either specific or annual aggregate, has/have
been nxceeded, the "Servicing Company" will be considered to have earned
its fee(s) As seL forth under this contract.
GENERAL AGREEMENTS
1. TIfE "SERVICING COMPANY" AGREES:
A. To review all claim and/or loss reports with claim and/or loss
dates incurred during the term of this contract for all
accident/occurrence lines of exposure or claims and/or losses
made during the term of this contract for all claims made lines
of exposure, involving the hereinabove stated exposures to the
"Client."
B. To investigate, with reasonable diligence, all reported claims
and/or losses As defined in Section I.A., above.
C. To investigate, adjust, settle or resist all such losses and/or
claims as defined in Section I.A., within the discretionary
settlement authority limit of the "Servicing Company." The settlement
authority of the 'Servicing CogwrV' shall be described in exhibit 'W'.
D. To investigate, adjust, settle or resist all such losses and/or
claims as defined in Section I.A., in excess of the
discretionary settlement authority limit of the "Servicing
Company" with specific prior Approval of the. "Client."
E. To furnish all claim forms necessary for proper claims
Administration.
F. To establish claim and/or loss files for each reported claim
and/or loss. (Claim and/or loss files are subject to review by
the "Client" at any reasonable time, without prior notice.)
G. That the records, reports and other information created,
gathered, or maintained by "Servicing Company" in discharging
its obligations to City under this agreement may well be
considered public records and accordingly such public records
may not be destroyed (V.A.P.C. Sec. 37.10). "Servicing Company'
Agrees to care for and return all of its records maintained by
it in the discharge of this contract to City for proper
storage. The policy described in Exhibit "A" shall be followed
by "Servicing Company' as to when a record, report or other
information shall he returned to City.
H. To furnish the "Client" with monthly Loss Run, monthly Loss Fund
Activity and gnArterly Loss Cause Analysis claim statistical
information from the "Servicing Company's" SISDAT Department.
The "Client" shall designate the breaks for the total and
subtotals for each division, region, etc. In the event the
"Client" desires a statistical report of its own design, or
additional reports from SISDAT, a separate quotation for the
additional cost will be submitted to the "Client" for approval.
The statistical information will be ftirnished to the "Client"
either as hard copy or microfiche.
-3_ Exhibit A
Exhibit B
J. To maintain adequate General Liability, Automobile Liability,
Workers Compensation, Fidelity Bond, and Errors and Omissions
insurance coverage.
J. To establish an account (regular demand deposit account or
minimum balance controlled disbursement account), hereinafter
referred to as the "Loss Fund Account," with a bank in Atlanta,
Georgia of the choice of the "Servicing Company" for the purpose
of paying claims and/or losses and associated allocated loss
expense and to maintain and perform monthly reconciliations of
that account. The cost of any bank charges shall be paid by the
"Client."
K. To indemnify, defend, and hold harmless the "Client" with
respect to any claims asserted as a result of any errors,
omissions, torts, intentional torts or other negligence on the
part of the "Servicing Company" and/or its employees unless the
complained of actions of the "Servicing Company" were taken at
the specific direction of the "Client."
L. To report directly to the "Client" and to have no responsibility
for reporting to or placing any specific excess insurer(s) or
annual aggregate excess insurer(s) on notice of any claim(s)
that is/are or may be required to be reported or notice given to
Bitch excess insurer(s) under any such excess insurance policies
available to the "Client." The "Servicing Company" will
continue to handle claims once the "Client's" self-insurance
retention, either specific or annual aggregate, has been
exceeded if mutually agreed to by the "Client" and excess
insurer(s), if there is no controversy as to coverage,
liability, and damages between the "Client" and its excess
insurer(s). Such further claims handling will be provided by
the "Servicing Company" at time and expense based upon its then
prevailing hourly rate and expense method of billing with the
excess insurer(s) being responsible for supervision of the
"Servicing Company" and payment of the "Servicing Company's"
time and expense service hills.
M. That its wholly owned subsidiary, Risk Sciences Group, Inc.,
will provide the services set forth in Exhibit B, attached
hereto and made a part hereof, for the consideration and in
accordance with the terms and conditions of the agreement
therein set forth.
II. TIFF "VT,TFNT" AGRFF.S:
A. To make funds available that the "Servicing Company" may draw
from at any time and from time to time for claim and/or loss
payments and for associated allocated expense within the
discretionary settlement authority limit of the "Servicing
Company" and for claim and/or loss payments in excess of the
discretionary settlement authority limit of the "Servicing
Company."
(1) On or before the effective date of this contract,
the "Client" will provide an initial imprest deposit to
the "Servicing Company" in an amount equivalent to five
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(5) banking days of average anticipated claim and/or loss
and associated allocated expense payments or ten thousand
dollars ($10,000), whichever is greater, to be maintained
by the "Servicing Company" as a loss fund deposit,
hereinafter referred to as the "Deposit," for payment of
claims and/or losses and associated allocated expense from
the "Servicing Company's" "Loss Fund Account."
(2) Reimbursement to the "Loss Fund Account" will be made by a
daily direct debit executed by the "Servicing Company's"
bank against the "Client's" designated bank account for
deposit into the "Loss Fund Account" at the "Servicing
Company's" bank. The amount of the daily direct debit
will be limited to the amount computed by the "Servicing
Company" who will instruct its bank as to the appropriate
amount. The amount of the daily direct debit will be
determined by the "Servicing Company" computing the
average claim and/or loss and associated allocated expense
payments made daily for the "Client." Each day the same
average amount will be deposited into the "Servicing
Company's" "Loss Fund Account" via a direct debit drawn
against the "Client's" designated bank account. At the
end of each month, beginning with the end of the first
month from the effective date of this contract, the
"Servicing Company" will compare the total deposits to the
"Loss Fund Account," including all direct debits resulting
from the average daily budgeted amount and any amount as
specified in Section II.A.(4) below, made during the month
to the "Servicing Company's" "Loss Fund Account" to the
actual claim payment account detailed in the SISDAT
Monthly Loss Fund Activity and Loss Run Reports and an
adjustment direct debit will be made, so the monthly
deposits are equal to the totals shown on such SISDAT
reports which post payments based on checks issued.
(3) The "Servicing Company" will conduct a quarterly analysis
of the adequacy of the "Deposit" in the "Servicing
rompany's" "Loss Fund Account" based upon the most current
three (3) months of "Loss Fund Account" activity. If the
analysis determines that the current average "Loss Fund
_Account" activity exceeds the then existing "Deposit,"
then the "Servicing Company" will authorize its bank to
initiate an adjustment direct debit in the amount
necessary to bring the "Deposit" to the level stipulated
in Section II.A.(1), above. The "Servicing Company" will
adjust the average daily direct debit to the revised
average daily amount in accordance with Section II.A.(2)
above.
(4) The "Servicing Company" will notify the "Client," via
telephone, whenever any single claim and/or loss payment
or associated allocated expense payment is made for
twenty-five thousand dollars ($25,000) or more, and these
amounts will be included in the direct debit along with
the daily budgeted amount. The "Servicing Company" will
not consider such amounts in arriving at the daily
hiidgpted direct debits and will not consider such amounts
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In ..omputfng the necessary "Deposit' required of the
"Client" as set forth in Sectlon II.A. M above.
(5) An appropriate letter, hereinafter referred to as the
"Letter of Authority," will be provided, within fifteen
(15) days from the effective date of this contract, to the
"Servicing Company's" bank authorizing the "Servicing
Company's" bank to initiate the necessary daily direct
debits against the "Client's" designated bank account for
deposit to the "Loss Fund Account" at the "Servicing
Company's" bank. In addition, the "Servicing Company"
will be furnished by the "Client" with such account
documentation with respect to the "Loss Fund Account" that
may be required by the "Servicing Company's" bank and the
"Servicing Company" respectively.
(6) The "Servicing Company" shall be and hereby is indemnified
by the "Client" from and against any and all losses,
damages, suits, actions, proceedings, and expenses,
including, without limitation, all attorneys' fees,
incurred or suffered by the "Servicing Company" in
connection with (i) the "Loss Fund Account" established by
the "Servicing Company" at the "Servicing Company's" bank
for the benefit of the "Client;" or (ii) any drafts,
checks, items, overdrafts or other charges to, on, or
related in any way to the "Loss Fund Account" established
by the "Servicing Company" at the "Servicing Company's"
bank for the benefit of the "Client." This provision
shall not include losses, damages, suits, actions,
proceedings and expenses resulting from any negligent,
tortious, fraudulent, or dishonest actions by the
"Servicing Company," its officers, agents or employees.
(7) The "Servicing Company" may draw and authorize checks,
drafts, and other items on the "Loss Fund Account" only if
the "Servicing Company" determines that it has sufficient
funds in the "Loss Fund Account" to cover such checks,
drafts, and other items.
(8) The "Servicing Company" may terminate the "Loss Fund
Account" at any time, in its sole discretion, with or
without cause.
(9) As security for the due and punctual payment and
performance of all indebtedness and obligations of the
"Client" to the "Servicing Company," whether now existing
or hereafter arising, however evidenced, whether direct or
indirect, absolute or contingent, individually or jointly
with any other person, and including, without limitation,
all indebtedness, payments, reimbursement of funds, and
other moneys owed by the "Client" to the "Servicing
Company" pursuant to this contract (the "Secured
Obligations"), the "Client" hereby pledges, assigns,
transfers, sets over, conveys and delivers to the
"Servicing Company," and hereby grants to the "Servicing
Company," a security interest in all right, title and
interest of the "Client" in and to the moneys from time to
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time on deposit in tho "Loss Fund Account" including,
without limitation, the "Deposit" (the "Funds"). The
"Client" acknowledges and agrees that, so long as this
contract remains in force and effect, the "Funds" shall
constitute cash collateral as that term is defined by
Section 363(a) of the Bankruptcy Code, 11 U.S.C. Section
363(a). The "Client" further acknowledges and agrees that
the foregoing security interest is perfected in favor of
the "Servicing Company" by the "Servicing Company's"
control over the accounts into which the "Funds" are
deposited and, in the alternative, by possession of the
'Funds" by the "Servicing Company's" bank where the "Loss
Fund Acr_ount" is established, who, for purposes of the
security interest, shall be and is hereby deemed to be the
Bailee of the "Servicing Company" within the meaning of
Section 9-305 of the Uniform Commercial Code. The
"Client" hereby authorizes the "Servicing Company" at any
time, and regardless of whether there exists or is
continuing an event of default under this contract, to
apply and setoff without notice any indebtedness due or to
become due to the "Servicing Company" from the "Client,"
including, without limitation, the "Funds," against and in
satisfaction of any of the "Secured Obligations" of the
"Client" secured hereby, regardless of the nature of such
obligations or the time they arise.
(10) The "Client" also agrees to provide the "Servicing
Company," within fifteen (15) days from the effective date
of this contract, with financial security in the form of a
"Loss Fend Fscrow Account," which account shall be
maintained with the "Client's" depository bank, and which
account shall at all times be available to the "Servicing
Company" to ensure that (i) the "Loss Fund Account" is at
all times funded in the amounts necessary to enable the
"Servicing Company" to pay claims and/or losses and
associated allocated expenses as set forth in this
contract, and (ii) service fees are paid as set forth in
this contract. Such financial security shall be equal in
amount to two (2) months' anticipated payments of claims
and/or losses and associated allocated expenses, or fifty
thousand dollars ($50,000), whichever is greater. The
"Servicing Company" will conduct a quarterly analysis of
the "Loss Fund Account" activity based upon the three (3)
most current months of "Loss Fund Account" activity. If
the analysis determines that the "Loss Fund Account"
activity warrants an increase in the required financial
security hereunder, the "Servicing Company" will notify
the "Client" of the required increase and the "Client"
will provide such increase to the "Servicing Company"
within thirty (30) days of such notice.
(11) The "Servicing Company" will issue checks from the "Loss
Fund Account" for amounts in excess of the "Client's"
annual aggregate self-insurance retention unless the
"Client" specifically instructs the "Servicing Company" to
the contrary so long as the "Loss Fund Account" balance is
adeqliate to accommodate such amounts or necessary
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additional deposits are made by the "Client" to the "Loss
Fund Account" to adequately accommodate such amounts. The
"Servicing Company" will not intentionally issue a check
from the "Loss Fund Account" in payment of any amount in
excess of the "Client's" specific per claimant or per
occurrence self-insurance retention, as identified by the
"Client" to the "Servicing Company," until such time as
the "Client" transfers funds for the full amount of such
payment into the "Loss Fund Account." The "Servicing
Company" assumes and has no responsibility or obligation
to recover from any of the "Client's" excess insurer(s)
any amounts represented by checks issued from the "Loss
Fund Account."
B. To pay to the "Servicing Company" the claim service fee as
prescribed in this contract.
C. To pay to the "Servicing Company," in addition to the claim
Service fee as prescribed in this contract, at its then
prevailing hourly rate and expense method of billing for all
claims service for all claims and/or losses previously handled
or attempted to be handled by any person, firm or corporation or
the "Client" before being assigned to the "Servicing Company."
D. To pay all allocated loss expense, as defined herein, in
addition to the claim service fee to be paid to the "Servicing
Company" as prescribed in this contract.
E. To allow "Servicing Company" to control, handle and settle all
claims following within its discretionary settlement authority.
The "Servicing Company" may exercise its judgment in connection
with the above described authority provided that the "Servicing
Company" undertakes the following actions:
(1) Keep the City fully informed as to the nature and status
of said claim or claims.
(2) Inform, prior to settlement, City of the settlement value
of the claim or claims as determined by "Servicing
Company."
F. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employees in the event of an adverse result or
judgment when the "Servicing Company" could have settled the
claim and/or loss within its discretionary settlement authority
limit, if the "Servicing Company" is not guilty of error, other
than error in judgment, omission, tort, intentional tort, or
other negligence unless such actions were taken at the specific
direction of the "Client."
G. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employees in the event the "Servicing Company,"
acting at the specific direction of the "Client," becomes liable
to any third parties.
H. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employees if the "Servicing Company" or any of its
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employees are named as a defendant in any action (i) where the
plaintiff's cause of action involved a claim hereunder and (ii)
where there are no allegations of errors, omissions, torts,
intentional torts, or other negligence on the part of the
"Servicing Company."
rII. THE "SERVICING COMPANY" AND THE "CLIENT" MUTUALLY AGREE AS FOLLOWS:
A. The term of this contract is continuous from its effective date
for five (S) years. However, the claim service fees shall be
subject to negotiation at each twelve (12) month anniversary
date. The contract can be terminated by either the
"Servicing Company" or the "Client" with or without cause and
for any reason whatsoever by sixty (60) days written prior
notice.
A. The "Client" shall have the option upon termination of this
contract:
(1) To self -handle to a conclusion all claims and/or losses
and associated services pending on the date of termination
of this contract, such handling not to result in any
expense or reduction in contract revenue to the "Servicing
Company" previously earned or incurred on said claim or
claims; or
(2) To have the "Servicing Company" handle and adjust to a
conclusion all claims and/or losses pending on the date of
termination of this contract. Sufficient funds of the
"Client," including allocated claim and/or loss expense,
shall remain available to the "Servicing Company" to
liquidate such claims and/or losses.
C. The flat rate per claimant claim service fees reflected in this
contract include the provision of claim services by the
"Servicing Company" for the "Client" for a period of two (2)
years from the date of accident/ occurrence for all
accident/occurrence lines of exposure and two (2) years from the
date claim is made for all claims made lines of exposure. Any
claim(s) not concluded within such time parameters shall be
handled to a conclusion by the "Servicing Company" for the
"Client" from that date forward on a time and expense basis at
the "Servicing Company's" then prevailing hourly rate and
expense method of billing.
D. This contract does not include any Risk Control Services,
activities, functions and/or responsibilities whatsoever and
specifically excludes any Risk Control Services, activities,
functions and/or responsibilities.
E. Allocated Loss Expense shall mean and include all expense items
such as attorneys' fees, commercial photographers' fees,
experts' fees (i.e., engineers, physicians, chemists, etc.),
fees for independent medical examinations, rehabilitation fees,
trial/hearing attendance fees, witnesses' travel expense,
extraordinary claim investigation and/or travel expense incurred
by the "Servicing Company" at the. request of the "Client," court
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reporters fees, transcript fees, the cost of obtaining public
records, witness fees, auto appraisal or property appraisal
fees, all outside expense items, and any other similar fee, cost
or expense associated with the investigation, negotiation,
settlement or defense of any claim hereunder or as required for
the collection of subrogation on behalf of the "Client."
F. No periodic reports or reports on the status of individual claim
and/or loss files, other than as provided in Sections I.F.,
I.G., and I.H., are required from the "Servicing Company" unless
the reserve amount on any given claim and/or loss exceeds the
discretionary settlement authority limit of the "Servicing
Company." If a given claim and/or loss reserve amount exceeds
the discretionary settlement authority limit of the "Servicing
Company," reports will be submitted by the "Servicing Company"
to the "Client" as may be mutually agreed to on an individual
claim and/or loss file basis.
G. The "Client" shall have the right during the term of this
contract or during such time after the expiration or termination
of this contract as may be necessary to perform an audit upon
the book of accounts, bank accounts, claim files or other
records maintained by the "Servicing Company" to the extent such
records reflect or concern the activities of the "Servicing
Company" under this contract. In the event such audit reveals
that overpayments have been made to the "Servicing Company,"
then in such event the "Client" shall present to the "Servicing
Company" a detailed copy of said audit showing the basis of such
alleged overpayment and the "Servicing Company" shall have
forty-five (45) days to review said detailed audit. In the
event the "Servicing Company" disputes the detailed audit
presented, the parties hereto agree to meet and confer to
resolve any such dispute.
H. In the event that the "Servicing Company" contends that it has
been underpaid by the "Client" in accordance with the terms of
this contract, it shall present to the "Client" a detailed
account showing the basis of such alleged underpayment and the
"Client" shall have forty-five (45) days to review said detailed
statement. In the event the "Client" disputes the detailed
statement presented, the parties hereto agree to meet and confer
to resolve any such dispute.
I. Both parties agree that the services to be performed under this
agreement require good, sufficient and timely communications
between the "Servicing Company" and the "Client" and to this end
both parties agree to give their full attention to this
undertaking.
J. The "Client" retains full authority to select legal defense
attorneys of the "Client's" choosing.
K. This contract is made and entered into in Lubbock County, Texas,
and accordingly the law of the State of Texas shall govern this
contract and the interpretation of same.
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L. Venue upon any dispute of this contract shall be in Lubbock County, Texas.
IN WITNESS WHEREOF, the "Servicing Company" and the "Client" have caused this contract
to be executed by the persons authorized to act in their respective names.
ATTEST:
BY:
Betty JCIaon, City Se&etary
APPROVED AS TO CONTENT:
BY:_ j�%7 -
ort Massengale, Assit
be
ity Manger for Financial Services
APPROVED AS TO FORM:
h
BY:
d G. Vandiver, First Assistant
City Attorney
OF August 1994
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CR7w-le�rawly
RD�COMPANY
BY:
is 2
TITLE: Vice President
EXHIBIT A
FILE RETENTION AND DESTRUCTION POLICY
LIABILITY FILES: Destroy two (2) years after applicable statute of
limitations has expired.
Exceptions:
a. Suits - retain until expiration of appellate process. Then
destroy.
b. Mental Incompetents - retain indefinitely.
C. Infant (Minor) Claims - retain until infant reaches majority
plus applicable statute of limitations plus two (2) years.
FIRST PARTY CLAIMS, SUBROGATION ARBITRATION, INCIDENT REPORTS, AND BOND
LOSSES:
Destroy one (1) year after file closing.
Exceptions:
a. Suits - retain until expiration of appellate process. Then
destroy.
b. Prevailing Statute Precludes Destruction in one (1) year.
WORKERS' COMPENSATION CLAIMS:
Medical Only Claims Excluding Occupational Disease Claims: Destroy six
(6) months after applicable statute of limitations has expired.
Exceptions:
a. Prevailing Statute Precludes Destruction in six (6) months.
Other Than Medical Only Claims Excluding Occupational Disease Claims:
Destroy one (1) year after applicable statute of limitations has expired.
Exceptions•
A. Formal or Informal Hearing Level Claims - retain until
'expiration of appellate process. Then destroy.
b. Prevailing Statute Precludes Destruction in one (1) year.
Occupational Disease Claims: Destroy four (4) years after applicable
statute of limitations has expired.
Exceptions:
a. Formal or Informal Hearing Level Claims - retain until
expiration of appellate process. Then destroy.
b. Prevailing Statute Precludes Destruction in four (4) years.
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EXHIBIT "B"
The "Servicing Company's" settlement authority shall be limited to that authority granted to it by the
Safety Coordinator on a claim by claim basis.
The foregoing shall in no manner limit the ability of the "Servicing Company" regarding the following:
1. to make settlement recommendations to the City of Lubbock;
2. to limit "Servicing Company's" ability to make periodic payments for expenses in
connection with the defense of a claim as provided by this agreement;
3. to make payments in accordance with the settlement of workers' compensation claims
as provided by the laws of the State of Texas.
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SS/lm
g:Wbrarykntrct94.doc
CRAWFORD & COMPANY
CLAIM SERVICE CONTRACT
ADDENDUM # 1
THIS AGREEMENT, made and entered into effective this twenty-fifth day of August, 1995,
between CRAWFORD & COMPANY, a corporation of the State of Georgia, hereinafter referred to as the
"Servicing Company," and CITY OF LUBBOCK, a governmental entity of the State of Texas, hereinafter
referred to as "Client."
WITNESSETH THAT
WHEREAS, the "Servicing Company" operates a business known as CRAWFORD &
COMPANY, Claims Adjusters, and
WHEREAS, The "Client" desires to employ the "Servicing Company" as its Claims Adjusters, to
service its claims for its self -insured exposures as stated in Paragraph (3) hereunder, up to its self -insured
retention.
NOW THEREFORE, the "Servicing Company" and the "Client" mutually agree as follows:
(1) The general agreement pages, to which this is attached, are made a part hereof as
though fully repeated and set out herein.
(2) This contract covers Claim Service for the "Client" in the U.S.A.
(3) The "Client" shall pay the "Servicing Company" fees as follows:
170 State Workers' Compensation Medical Only
claims @ $68.00 per claimant = $ 11,560.00
90 State Workers' Compensation Indemnity
claims @ $655.00 per claimant = $ 58,950.00
30 Automobile Liability claims @ $240.00 per
claimant = $ 7,200.00
200 General Liability claims @ $240.00 per
claimant = $ 48,000.00
$125,710.00
The "Client" agrees to pay the "Servicing Company" at the rate of one -twelfth (1/12) of $125,710.00 per
month ($10,475.83). At the first of each monthly period during the term of this contract, monthly billings
in said amount will be submitted to the "Client" by the "Servicing Company" and such billings will be paid
by the "Client" to the "Servicing Company" within forty-five days of such billing. Twelve months after the
contract term, there shall be a final accounting as to the actual number of claimants handled by the
"Servicing Company" and the "Servicing Company" will be entitled to compensation at the above flat rates
for each claimant in excess of the above numbers. Likewise, the "Client" shall be entitled
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to a refund on tho tame basis if the number of claimants does not reach the
above projections. If the final accounting results in a refund due the
"Client," the "Servicing Company" will make such refund within ninety (90)
days of the "Client's" written request for such refund. If the final
accounting results in the "Client" owing the "Servicing Company" additional
sums, the "Client" will pay the "Servicing Company" within ninety (90) days
from the date of the "Servicing Company's" billing for such additional sums.
Any single accident or occurrence resulting in ten or more declared or
potential claimants shall be treated as a catastrophe. Such catastrophe
cases shall be handled on a Time and Expense basis by the "Servicing
Company" at its then prevailing hourly rate and expense method of billing.
Contractual Liability claims, Personal Injury Liability claims, Employer's
Liability claims, Occupational Disease claims, and subrogation
investigation shall be handled on a Time and Expense basis by the
"Servicing Company" at its then prevailing hourly rate and expense method
of billing. All claim services in Puerto Rico and the Virgin Islands shall
he provided by the "Servicing Company" on a Time and Expense basis at its
then prevailing hourly rate and expense method of billing.
Billings for time and expense claims will be submitted to the "Client" by
the "Servicing Company" when such claims are concluded, or if any such
claims have not been concluded and have accumulated billing amounts of Two
Hundred Dollars ($200) or more, the "Servicing Company" will submit interim
time and expense billings to the "Client" within six (6) months from the
date of assignment of such claims to the "Servicing Company." Subsequent
interim billings will be submitted thereafter only when any such claim has
acc»mulated 1 billing amount of Two Hundred Dollars ($200) or more. Claims
so interim billed shall continue to be handled by the "Servicing Company"
after interim billing on a time and expense basis at the "Servicing
Company's" then prevailing hourly rate and expense method of billing. Such
time and expense billings submitted to the "Client" by the "Servicing
Company" will be paid by the "Client" to the "Servicing Company" within
thirty (30) days of billing.
For all Time and Expense lines of coverage, SISDAT shall be charged on the
basis of $15 per claimant which shall be reconciled by the "Servicing
Company" in the same manner ns stated above.
In addition to the compensation of the "Servicing Company" set forth
herein, any taxes, except taxes on income, which the "Servicing Company"
may be required to pay or collect or which may be incurred by or assessed
against the "Servicing Company," tinder any existing or future law, in any
way relating to the sale, delivery, rendering or provision of services to
the "Client" pursuant to this contract, including but not limited to any
Canadian (Federal, Provincial, territorial or local) or any domestic
(Federal, State or local) sales, use, personal property, ad valorem or
other tax shall be for the account of the "Client." The "Servicing
Company" shall bill the "Client" and the "Client" shall promptly pay the
"Servicing Company" all such taxes in accordance with the provisions of the
applicable law and regulations concerning collection of such taxes and the
"Servicing Company" shall remit such taxes to the appropriate taxing
authority.
The fees of the "Servicing Company" apply only to claims handling within
the "Client's" self-insurance retention. Once the "Client's"
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self-insitrance rotention(s), either specific or annual aggregate, has/have
Neon exceoded, the "Servicing Company" will be considered to have earned
its fee(s) As spy forth cinder this contract.
GENERAL AGREEMENTS
I. THE "SERVICING COMPANY" AGREES:
A. To review all claim and/or loss reports with claim and/or loss
dates incurred during the term of this contract for all
Accident/occurrence lines of exposure or claims and/or losses
mnde during the term of this contract for all claims made lines
of exposure, involving the hereinAhove stated exposures to the
"Client."
B. To investigate, with reasonable diligence, all reported claims
And/or losses As defined in Section i.A., above.
C. To investigate, adjust, settle or resist all such losses and/or
claims as defined in Section I.A., within the discretionary
settlement Authority limit of the "Servicing Company."'fie settlement
authority of the 'Servicing Caparry" shall be described in exhibit 'V'-
n. To investigate, adjust, settle or resist all such losses and/or
claims as defined in Section I.A., in excess of the
discretionary settlement authority limit of the "Servicing
Company" with specific prior Approval of the "Client."
E. To furnish all claim forms necessary for proper claims
administration.
F. To establish claim and/or loss files for each reported claim
and/or loss. (Claim and/or loss files are subject to review by
the "Client" at any reasonable time, without prior notice.)
G. That the records, reports and other information created,
gathered, or maintained by "Servicing Company" in discharging
its obligations to City under this agreement may well be
considered public records and accordingly such public records
may not be destroyed (V.A.P.C. Sec. 37.10). "Servicing Company"
Agrees to care for and return all of its records maintained by
it in the discharge of this contract to City for proper
storage. The policy described in Exhibit "A" shall be followed
by "Servicing Company" as to when a record, report or other
information shall he rettirned to City.
H. To furnish the "Client" with monthly Loss Run, monthly Loss Fund
Activity and gnarterly Loss Cause Analysis claim statistical
information from the "Servicing Company's" SISDAT Department.
The "Client" shall designate the breaks for the total and
subtotals for each division, region, etc. In the event the
"Client" desires a statistical report of its own design, or
additional reports from SISDAT, a separate quotation for the
Additional cost will be submitted to the "Client" for approval.
The statistical information will be furnished to the "Client"
either as hard copy or microfiche.
_3 Exhibit A
Exhibit B
1. To maintain adequate General Liability, Automobile Liability,
Workers Compensation, Fidelity Bond, And Errors and Omissions
insurance coverage.
J. To establish an account (regular demand deposit account or
minimum balance controlled disbursement account), hereinafter
referred to as the "Loss Fund Account," with a bank in Atlanta,
Georgia of the choice of the "Servicing Company" for the purpose
of paying claims and/or losses and associated allocated loss
expense and to maintain And perform monthly reconciliations of
that account. The cost of any bank charges shall be paid by the
"Client."
K. To indemnify, defend, and hold harmless the "Client" with
respect to any claims asserted as a result of any errors,
omissions, torts, intentional torts or other negligence on the
part of the "Servicing Company" and/or its employees unless the
complained of actions of the "Servicing Company" were taken at
the specific direction of the "Client."
L. To report directly to the "Client" and to have no responsibility
for reporting to or placing any specific excess insurers) or
annual aggregate excess insurer(s) on notice of any claim(s)
that is/are or may be required to be reported or notice given to
such excess insurer(s) under any such excess insurance policies
available to the "Client." The "Servicing Company" will
continue to handle claims once the "Client's" self-insurance
retention, either specific or annual aggregate, has been
exceeded if mutually agreed to by the "Client" and excess
insurer(s), if there is no controversy as to coverage,
liability, and damages between the "Client" and its excess
insurer(s). Such further claims handling will be provided by
the "Servicing Company" at time and expense based upon its then
prevailing hourly rate and expense method of billing with the
excess insurer(s) being responsible for supervision of the
"Servicing Company" and payment of the "Servicing Company's"
time And expense service hills.
M. That its wholly owned subsidiary, Risk Sciences Group, Inc.,
will provide the services set forth in Exhibit B, attached
hereto and made a part hereof, for the consideration and in
accordance with the terms and conditions of the agreement
therein set forth.
II. THE "C, UNT" AGREES:
A. To make funds Available that the "Servicing Company" may draw
from at any time and from time to time for claim and/or loss
payments and for associated allocated expense within the
discretionary settlement authority limit of the "Servicing
Company" and for claim and/or loss payments in excess of the
discretionary settlement authority limit of the "Servicing
Company."
(1) On or before the effective date of this contract,
the "Client" will provide an initial imprest deposit to
the "Servicing Company" in an amount equivalent to five
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(5) banking days of average Anticipated claim and/or loss
and associated allocated expense payments or ten thousand
dollars (t10,000), whichever is greater, to be maintained
by the "Servicing Company" as A loss fund deposit,
hereinafter referred to as the "Deposit," for payment of
claims and/or losses and associated allocated expense from
the "Servicing Company's" "Loss Fund Account."
(2) Reimbursement to the "Loss Fund Account" will be made by a
daily direct debit executed by the "Servicing Company's"
bank against the "Client's" designated bank account for
deposit into the "Loss Fund Account" at the "Servicing
Company's" bank. The amount of the daily direct debit
will be limited to the amount computed by the "Servicing
Company" who will instruct its bank as to the appropriate
amount. The amount of the daily direct debit will be
determined by the "Servicing Company" computing the
average claim and/or loss and associated allocated expense
payments made daily for the "Client." Each day the same
average amount will be deposited into the "Servicing
Company's" "Loss Fund Account" via a direct debit drawn
against the "Client's" designated bank account. At the
end of each month, beginning with the end of the first
month from the effective date of this contract, the
"Servicing Company" will compare the total deposits to the
"Loss Fund Account," including all direct debits resulting
from the average daily budgeted amount and any amount as
specified in Section II.A.(4) below, made during the month
to the "Servicing Company's" "Loss Fund Account" to the
actual claim payment account detailed in the SISDAT
Monthly Loss Fund Activity and Loss Run Reports and an
adjustment direct debit will be made, so the monthly
deposits are equal to the totals shown on such SISDAT
reports which post payments based on checks issued.
(3) The "Servicing Company" will conduct a quarterly analysis
of the adequacy of the "Deposit" in the "Servicing
rompany's" "Loss Fund Account" based upon the most current
three (3) months of "Loss Fund Account" activity. If the
analysis determines that the current average "Loss Fund
.Account" activity exceeds the then existing "Deposit,"
then the "Servicing Company" will authorize its bank to
initiate An adjustment direct debit in the amount
necessary to bring the "Deposit" to the level stipulated
in Section II.A.(1), above. The "Servicing Company" will
adjust the average daily direct debit to the revised
average daily Amount in accordance with Section II.A.(2)
above.
(4) The "Servicing Company" will notify the "Client," via
telephone, whenever any single claim and/or loss payment
or associated allocated expense payment is made for
twenty-five thousand dollars ($25,000) or more, and these
amounts will be included in the direct debit along with
the daily budgeted amount. The "Servicing Company" will
not consider such amounts in arriving at the daily
huAgPted direct debits and will not consider such amounts
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in -omputing the necessary "Deposit' required of the
"Client" as set forth in Section II.A.(3) above.
(5) An appropriate letter, hereinafter referred to as the
"Letter of Authority," will be provided, within fifteen
(15) days from the effective date of this contract, to the
"Servicing Company's" bank authorizing the "Servicing
Company's" bank to initiate the necessary daily direct
debits against the "Client's" designated bank account for
deposit to the "Loss Fund Account" at the "Servicing
Company's" bank. In addition, the "Servicing Company"
will be furnished by the "Client" with such account
documentation with respect to the "Loss Fund Account" that
may be required by the "Servicing Company's" bank and the
"Servicing Company" respectively.
(6) The "Servicing Company" shall be and hereby is indemnified
by the "Client" from and against any and all losses,
damages, suits, actions, proceedings, and expenses,
including, without limitation, all attorneys' fees,
incurred or suffered by the "Servicing Company" in
connection with (i) the "Loss Fund Account" established by
the "Servicing Company" at the "Servicing Company's" bank
for the benefit of the "Client;" or (ii) any drafts,
checks, items, overdrafts or other charges to, on, or
related in any way to the "Loss Fund Account" established
by the "Servicing Company" at the "Servicing Company's"
bank for the benefit of the "Client." This provision
shall not include losses, damages, suits, actions,
proceedings and expenses resulting from any negligent,
tortious, fraudulent, or dishonest actions by the
"Servicing Company," its officers, agents or employees.
(7) The "Servicing Company" may draw and authorize checks,
drafts, and other items on the "Loss Fund Account" only if
the "Servicing Company" determines that it has sufficient
funds in the "Loss Fund Account" to cover such checks,
drafts, and other items.
(8) The "Servicing Company" may terminate the "Loss Fund
Account" at any time, in its sole discretion, with or
without Cause.
(9) As security for the due and punctual payment and
performance of all indebtedness and obligations of the
"Client" to the "Servicing Company," whether now existing
or hereafter arising, however evidenced, whether direct or
indirect, absolute or contingent, individually or jointly
with any other person, and including, without limitation,
all indebtedness, payments, reimbursement of funds, and
other moneys owed by the "Client" to the "Servicing
Company" pursuant to this contract (the "Secured
Obligations"), the "Client" hereby pledges, assigns,
transfers, sets over, conveys and delivers to the
"Servicing Company," and hereby grants to the "Servicing
Company," a security interest in all right, title and
interest of the "Client" in and to the moneys from time to
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time on deposit in thn "Lass Fund Account" including,
without limitation, the "Deposit" (the "Funds"). The
"Client" acknowledges and agrees that, so long as this
contract remains in force and effect, the "Funds" shall
constitute cash collateral as that term is defined by
Section 363(a) of the Bankruptcy Code, 11 U.S.C. Section
363(a). The "Client" further acknowledges and agrees that
the foregoing security interest is perfected in favor of
the "Servicing Company" by the "Servicing Company's"
control over the accounts into which the "Funds" are
deposited and, in the alternative, by possession of the
"Funds" by the "Servicing Company's" bank where the "Loss
Fund Account" is established, who, for purposes of the
security interest, shall be and is hereby deemed to be the
Bailee of the "Servicing Company" within the meaning of
Section 9-305 of the Uniform Commercial Code. The
"Client" hereby authorizes the "Servicing Company" at any
time, and regardless of whether there exists or is
continuing an event of default under this contract, to
apply and setoff without notice any indebtedness due or to
become due to the "Servicing Company" from the "Client,"
including, without limitation, the "Funds," against and in
satisfaction of any of the "Secured Obligations" of the
"Client" secured hereby, regardless of the nature of such
obligations or the time they arise.
(10) The "Client" also agrees to provide the "Servicing
Company," within fifteen (15) days from the effective date
of this contract, with financial security in the form of a
"insa Fend Escrow Account," which account shall be
maintained with the "Client's" depository bank, and which
account shall at all times be available to the "Servicing
Company" to ensure that (i) the "Loss Fund Account" is at
all times funded in the amounts necessary to enable the
"Servicing Company" to pay claims and/or losses and
associated allocated expenses as set forth in this
contract, and (ii) service fees are paid as set forth in
this contract. Such financial security shall be equal in
amount to two (2) months' anticipated payments of claims
and/or losses and associated allocated expenses, or fifty
thousand dollars ($50,000), whichever is greater. The
"Servicing Company" will conduct a quarterly analysis of
the "Loss Fund Account" activity based upon the three (3)
most current months of "Loss Fund Account" activity. If
the analysis determines that the "Loss Fund Account"
activity warrants an increase in the required financial
security hereunder, the "Servicing Company" will notify
the "Client" of the required increase and the "Client"
will provide such increase to the "Servicing Company"
within thirty (30) days of such notice.
(11) The "Servicing Company" will issue checks from the "Loss
Fund Account" for amounts in excess of the "Client's"
annual aggregate self-insurance retention unless the
"Client" specifically instructs the "Servicing Company" to
the contrary so long as the "Loss Fund Account" balance is
adequate to accommodate such amounts or necessary
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additional deposits are made by the "Client" to the „Loss
Fund Account" to adequately accoaunodate such amounts. The
"Servicing Company" will not intentionally issue a check
from the "boss Fund Account" in payment of any amount in
excess of the "Client's" specific per claimant or per
occurrence self-insurance retention, as identified by the
"Client" to the "Servicing Company," until such time as
the "Client" transfers funds for the full amount of such
payment into the "Loss Fund Account." The "Servicing
Company" assumes and has no responsibility or obligation
to recover from any of the "Client's" excess Insurer(s)
any Amounts represented by checks issued from the "Loss
Fund Account."
B. To pay to the "Servicing Company" the claim service fee as
prescribed in this contract.
C. To pay to thn "Servicing Company," in addition to the claim
service fee as prescribed in this contract, at its then
prevailing hourly rate and expense method of billing for all
claims service.for all claims and/or losses previously handled
or attempted to be handled by any person, firm or corporation or
the "Client" before being assigned to the "Servicing Company."
D. To pay all allocated loss expense, as defined herein, in
addition to the claim service fee to be paid to the "Servicing
Company" as prescribed in this contract.
E. To Allow "Servicing Company" to control, handle and settle all
claims following within its discretionary settlement authority.
The "Servicing Company" may exercise its judgment in connection
with the above described authority provided that the "Servicing
Company" undertakes the following actions:
(1) Keep the City fully informed as to the nature and stAtus
of said claim or claims.
(2) Inform, prior to settlement, City of the settlement value
of the claim or claims as determined by "Servicing
Company."
F. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employees in the event of an adverse result or
judgment when the "Servicing Company" could have settled the
claim and/or loss within its discretionary settlement authority
limit, if the "Servicing Company" is not guilty of error, other
than error in judgment, omission, tort, intentional tort, or
other negligence unless such actions were taken at the specific
direction of the "Client."
G. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employees in the event the "Servicing Company,"
acting at the specific direction of the "Client," becomes liable
to any third parties.
H. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employees if the "Servicing Company" or any of its
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employees Are nnmed as a defendant in any action (i) where the
plaintiff's cause of action involved a claim hereunder and GO
where there are no allegations of errors, omissions, torts,
intentional torts, or other negligence on the part of the
"Servicing Company."
rII. THE "SERVICING COMPANY" AND T1rF "CLIENT" MUTUALLY AGREE AS FOLLOWS:
A. The term of this contract is continuous from its effective date
for five (5) years. However, the claim service fees shall be
subject to negotiation at each twelve (12) month anniversary
date. The contract can be terminated by either the
"Servicing Company" or the "Client" with or without cause and
for any reason whatsoever by sixty (60) days written prior
notice.
A. The "Client" shall have the option upon termination of this
contract:
(1) To self -handle to a conclusion all claims and/or losses
and associated services pending on the date of termination
of this contract, such handling not to result in any
expense or reduction in contract revenue to the "Servicing
Company" previously earned or incurred on said claim or
claims; Or
(2) To have Lire "Servicing Company" handle and adjust to a
conclusion all claims and/or losses pending on the date of
termination of this contract. Sufficient funds of the
"Client," including allocated claim and/or loss expense,
shall remain available to the "Servicing Company" to
liquidate such claims and/or losses.
C. The flat rate per claimant claim service fees reflected in this
contract include the provision of claim services by the
"Servicing Company" for the "Client' for a period of two (2)
years from the date of accident/ occurrence for all
accident/occurrence lines of exposure and two (2) years from the
date claim is made for all claims made lines of exposure. Any
claim(s) not concluded within such time parameters shall be
handled to a conclusion by the "Servicing Company" for the
"Client" from that date forward on a time and expense basis at
the "Servicing Company's" then prevailing hourly rate and
expense method of billing.
D. This contract does not include any Risk Control Services,
activities, functions and/or responsibilities whatsoever and
specifically excludes any Risk Control Services, activities,
functions and/or responsibilities.
E. Allocated Loss Expense shall mean and include all expense items
such as attorneys' fees, commercial photographers' fees,
experts' fees (i.e., engineers, physicians, chemists, etc.),
fees for independent medical examinations, rehabilitation fees,
trial/hearing attendance fees, witnesses' travel expense,
extraordinary claim investigation and/or travel expense incurred
by the "Servicing Company" at the request of the "Client," court
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reporters fees, transcript fees, the cost of obtaining public
records, witness fees, auto appraisal or property appraisal
fees, all outside expense items, and any other similar fee, cost
or expense associated with the investigation, negotiation,
settlement or defense of any claim hereunder or as required for
the collection of subrogation on behalf of the "Client."
F. No periodic reports or reports on the status of individual claim
and/or loss files, other than as provided in Sections I.F.,
I.G., and I.H., are required from the "Servicing Company" unless
the reserve amount on any given claim and/or loss exceeds the
discretionary settlement authority limit of the "Servicing
Company.' If a given claim and/or loss reserve amount exceeds
the discretionary settlement authority limit of the "Servicing
Company," reports will be submitted by the "Servicing Company"
to the "Client" as may be mutually agreed to on an individual
claim and/or loss file basis.
G. The "Client" shall have the right during the term of this
contract or during such time after the expiration or termination
of this contract as may be necessary to perform an audit upon
the book of accounts, bank accounts, claim files or other
records maintained by the "Servicing Company" to the extent such
records reflect or concern the activities of the "Servicing
Company" under this contract. In the event such audit reveals
that overpayments have been made to the "Servicing Company,"
then in such event the "Client" shall present to the "Servicing
Company" a detailed copy of said audit showing the basis of such
alleged overpayment and the "Servicing Company" shall have
forty-five (45) days to review said detailed audit. In the
event the "Servicing Company" disputes the detailed audit
presented, the parties hereto agree to meet and confer to
resolve any such dispute.
H. In the event that the "Servicing Company" contends that it has
been underpaid by the "Client" in accordance with the terms of
this contract, it shall present to the "Client" a detailed
account showing the basis of such alleged underpayment and the
"Client" shall have forty-five (45) days to review said detailed
statement. In the event the "Client" disputes the detailed
statement presented, the parties hereto agree to meet and confer
to resolve any such dispute.
I. Both parties agree that the services to be performed under this
agreement require good, sufficient and timely communications
between the "Servicing Company" and the "Client" and to this end
both parties agree to give their full attention to this
undertaking.
J. The "Client" retains full authority to select legal defense
attorneys of the "Client's" choosing.
K. This contract is made and entered into in Lubbock County, Texas,
and accordingly the law of the State of Texas shall govern this
contract and the interpretation of same.
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L. Venue upon any dispute of this contract shall be in Lubbock County, Texas.
IN WITNESS WHEREOF, the "Servicing Company" and the "Client" have caused this contract
to be executed by the persons authorized to act in their respective names.
DATED THIS � V r 1� DAY OF % I(� J—�, T l 1995
CITY OF
LUBBOCK
BY:
Mary Andr s
TITLE: Director of Human Resources
APPRO AS TO CQ
BY:
Scott Snider, Safety Coordinator
APPROVED AS TO FORM:
BY: � n
D d G. Vandiver, First Assistant
City Attorney
CRAW
RD COMPANY
BY/-
B.W.
Crawly
TITLE: Vice President
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EXHIBIT A
FILE RETENTION AND DESTRUCTION POLICY
LIABILITY FILES: Destroy two (2) years after applicable statute of
limitations has expired.
Exceptions:
a. Suits - retain until expiration of appellate process. Then
destroy.
b. Mental Incompetents - retain indefinitely.
c. Infant (Minor) Claims - retain until infant reaches majority
plus applicable statute of limitations plus two (2) years.
FIRST PARTY CLAIMS, SUBROGATION/ARBITRATION, INCIDENT REPORTS, AND BOND
LOSSES:
Destroy one (1) year after file closing.
Exceptions:
a. Suits - retain until expiration of appellate process. Then
destroy.
b. Prevailing Statute Precludes Destruction in one (1) year.
WORKERS' COMPENSATION CLAIMS:
Medical Only Claims Excluding Occupational Disease Claims: Destroy six
(6) months after applicable statute of limitations has expired.
Exceptions:
a. Prevailing Statute Precludes Destruction in six (6) months.
Other Than Medical Only Claims Excluding Occupational Disease Claims:
Destroy one (1) year after applicable statute of limitations has expired.
Exceptions.
A. Formal or Informal Hearing Level Claims - retain until
expiration of appellate process. Then destroy.
b. Prevailing Statute Precludes Destruction in one (1) year.
Occupational Disease Claims: Destroy four (4) years after applicable
statute of limitations has expired.
Exceptions:
a. Formal or Informal Hearing Level Claims - retain until
expiration of appellate process. Then destroy.
b. Prevailing Statute Precludes Destruction in four (4) years.
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EXHIBIT "B"
The "Servicing Company's" settlement authority shall be limited to that authority granted to it by the
Safety Coordinator on a claim by claim basis.
The foregoing shall in no manner limit the ability of the "Servicing Company" regarding the following:
to make settlement recommendations to the City of Lubbock;
2. to limit "Servicing Company's" ability to make periodic payments for expenses in
connection with the defense of a claim as provided by this agreement;
3. to make payments in accordance with the settlement of workers' compensation claims
as provided by the laws of the State of Texas.
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&\18766\maa95
—Kesa tu% 4595
CRAWFORD & COMPANY
CLAIM SERVICE CONTRACT
ADDENDUM #2
THIS AGREEMENT, made and entered into effective this twenty-fifth day of August, 1996,
between CRAWFORD & COMPANY, a corporation of the State of Georgia, hereinafter referred to as
the "Servicing Company," and CITY OF LUBBOCK, a governmental entity of the State of Texas,
hereinafter referred to as "Client."
WITNESSETH THAT
WHEREAS, the "Servicing Company" operates a business known as CRAWFORD &
COMPANY, Claims Adjusters, and
WHEREAS, The "Client" desires to employ the "Servicing Company" as its Claims Adjusters,
to service its claims for its self -insured exposures as stated in Paragraph (3) hereunder, up to its self -
insured retention.
NOW THEREFORE, the "Servicing Company" and the "Client" mutually agree as follows:
(1) The general agreement pages, to which this is attached, are made a part hereof as
though fully repeated and set out herein.
(2) This contract covers Claim Service for the "Client" in the U.S.A.
(3) The "Client" shall pay the "Servicing Company" fees as follows:
181 State Workers' Compensation Medical Only
claims @ $68.00 per claimant = $ 12,308.00
44 State Workers' Compensation Indemnity
claims @ $655.00 per claimant = $ 28,820.00
66 Automobile Liability claims @ $240.00 per
claimant = $ 15,840.00
172 General Liability claims @ $240.00 per
claimant = $ 41,280.00
$ 98,248.00
The "Client" agrees to pay the "Servicing Company" at the rate of one -twelfth (1/12) of $98,248.00 per
month ($8,187.33). At the first of each monthly period during the term of this contract, monthly billings
in said amount will be submitted to the "Client" by the "Servicing Company" and such billings will be
paid by the "Client" to -the "Servicing Company" within forty-five days of such billing. Twelve months
after the contract term, there shall be a final accounting as to the actual number of claimants handled by
the "Servicing Company" and the "Servicing Company" will be entitled to compensation at the above
flat rates for each claimant in excess of the above numbers. Likewise, the "Client" shall be entitled
to a refund on the !,amn bnsis if the number of claimants does not reach the
above projoctions. If the final accounting results in a refund due the
"Client," the "Servicing Company" will make such reftind within ninety (90)
dAys of th•, "Client's" written request for such refund. If the final
accounting results in the "Client" owing the "Servicing Company" additional
sums, the "Client" will pAy the "Servicing Company" within ninety (90) days
from the date of the "Servicing Company's" billing for such additional sues.
Any single Accident or occurrence resulting in ten or more declared or
potential claimants shnil be treated as a catastrophe. Such catastrophe
cAses shall be handled on a Time and Expense basis by the "Servicing
Company" at its then prevailing hourly rate And expense method of billing.
Contractual Liability claims, Personal Injury Liability claims, Employer's
Liability claims. Occupational Disease claims, and subrogation
investigAtion shall be handled on a Time and Expense basis by the
"Servicing Company" at its then prevailing hourly rate and expense method
of billing. All claim services in Puerto Rico and the Virgin Islands shall
he provided by the "Servicing Company" on a Time and Expense basis at its
then prevailing hourly rate and expense method of billing.
Billings for time and expense claims will be submitted to the "Client" by
the "Servicing Company" when such claims are concluded, or if any such
claims have not been concluded and have accumulated billing amounts of Two
Hundred Dollars ($200) or more, the "Servicing Company" will submit interim
time and expense billings to the "Client" within six (6) months from the
date of assignment of such claims to the "Servicing Company." Subsequent
interim billings will be submitted thereafter only when any such claim has
acclimiilated n billing amount of Two Hundred Dollars ($200) or more. Claims
so interim billed shall continfte to be handled by the "Servicing Company"
after interim billing on a time and expense basis at the "Servicing
Company's" then prevailing hourly rate and expense method of billing. Such
time and expense billings submitted to the "Client" by the "Servicing
Company" will be paid by the "Client" to the "Servicing Company" within
thirty (30) days of billing.
For all Time And Expense lines of coverage, SISDAT shall be charged on the
bads of $15 per claimant which shall be reconciled by the "Servicing
Company" in the same_ manner ns stated above.
In addition to the compensation of the "Servicing Company" set forth
herein, any taxes, except taxes on income, which the "Servicing Company"
may be required to pay or collect or which may be incurred by or assessed
against the "Servicing Company," tinder any existing or future law, in any
way relating to the sale, delivery, rendering or provision of services to
Lh,- "Client" pursuant to this contract, including but not limited to any
Canadian (Federal, Provincial, territorial or local) or any domestic
(Federal, State or local) sales, use, personal property, ad valorem or
other tax shall be for the account of the "Client." The "Servicing
Company" shall bill the "Client" and the "Client" shall promptly pay the
"Servicing Company" all such taxes in accordance with the provisions of the
applicable law and regulations concerning collection of such taxes and the
"Servicing Company" shall remit such taxes to the appropriate taxing
Authority.
The fees of the "Servicing Company" apply only to claims handling within
the "Client's" self-insurance retention. Once the "Client's"
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self - insurance rPtention(s), either specific or
heon exceeded, the "Servicing Company" will be
its fee(s) AS set forth cinder this contract.
annual aggregate, has/have
considered to have earned
GENF.RAi. AGREEMENTS
1. THE "SERVICING COMPANY" AGRFF.S:
A. To review All claim and/or loss reports with claim and/or loss
dates incurred during the term of this contract for all
accident/occurrence lines of exposure or claims and/or losses
mode during the term of this contract for all claims made lines
of exposure, involving the hereinnhove stated exposures to the
"Client."
B. To investigate, with reasonable diligence, all reported claims
and/or losses As defined in Section i.A., above.
C. To investigate, adjust, settle or resist all such losses and/or
claims as defined in Section I.A., within the discretionary
settlement authority limit of the "Servicing Company." The settlement
authority of the 'Servicing Carry" shall be described in exhibit "g'.
n. To investigate, adjust, settle or resist all such losses and/or
claims as defined in Section I.A., in excess of the
discretionary settlement authority limit of the "Servicing
Company" with sr.•cific prior ApprovAl of the "Client."
E. To furnish all claim forms necessary for proper claims
administration.
F. To establish claim and/or loss files for each reported claim
and/or loss. (Claim and/or loss files are subject to review by
the "Client" at any reasonable time, without prior notice.)
G. That the records, reports and other information created,
gathered, or maintained by "Servicing Company" in discharging
its obligations to City under this agreement may well be
considered piihlic records and accordingly such public records
may not be destroyed (V.A.P.C. Sec. 37.10). "Servicing Company"
Agrees to care for and return all of its records maintained by
it in the discharge of this contract to City for proper
storage. The policy described in Exhibit "A" shall be followed
by "Servicing Company" as to when a record, report or other
information shall he returned to City.
H. To furnish the "Client" with monthly Loss Run, monthly Loss Fund
Activity and quarterly Loss Cause Analysis claim statistical
information from the "Servicing Company's" SISDAT Department.
The "Client" shall designate the breaks for the total and
subtotals for each division, region, etc. In the event the
"Client" desires a statistical report of its own design, or
additional reports from SISDAT, a separate quotation for the
additional cost will be submitted to the "Client" for approval.
The statistical information will be furnished to the "Client"
either as hard copy or microfiche.
_g Exhibit A
Exhibit B
To maintain adequate General Liability, Automobile Liability,
Workr.rs Compensation, Fidelity Bond, and Errors and Omissions
insurance coverage.
J. To establish an account (regular demand deposit account or
minimum balance controlled disbursement account), hereinafter
referred to as the "Loss Fund Account," with a bank in Atlanta,
Georgia of the choice of the "Servicing Company" for the purpose
of paying claims and/or losses and associated allocated loss
expense and to maintain And perform monthly reconciliations of
that Account. The cost of any bank charges shall be paid by the
"Client."
K. To indemnify, defend, and hold harmless the "Client" with
respect to any claims asserted as a result of any errors,
emissions, torts, intentional torts or other negligence on the
part of the "Servicing Company" and/or its employees unless the
complained of actions of the "Servicing Company" were taken at
the specific direction of the "Client."
L. To report directly to the "Client" and to have no responsibility
for reporting to or placing any specific excess insurer(s) or
annual aggregate excess insurer(s) on notice of any claim(s)
that is/Are or may be required to be reported or notice given to
such excess insurer(s) under any such excess insurance policies
available to the "Client." The "Servicing Company" will
continue to handle claims once the "Client's" self-insurance
retention, either specific or annual aggregate, has been
exceeded if mutually agreed to by the "Client" and excess
insurer(s), if there is no controversy as to coverage,
liability, and damages between the "Client" and its excess
insurer(s). Such further claims handling will be provided by
the "Servicing Company" at time and expense based upon its then
prevailing hourly rate and expense method of billing with the
excess insurer(s) being responsible for supervision of the
"Servicing Company" and payment of the "Servicing Company's"
time and expense service hills.
H. That its wholly owned subsidiary, Risk Sciences Group, Inc.,
will provide the services set forth in Exhibit B, attached
hereto and made a part hereof, for the consideration and in
accordance with the terms and conditions of the agreement
therein set forth.
II. THE "C,T,TF.NV AGREES:
A. To make funds Available that the "Servicing Company" may draw
from at any time and from time to time for claim and/or loss
payments and for associated allocated expense within the
discretionary settlement authority limit of the "Servicing
Company" and for claim and/or loss payments in excess of the
discretionary settlement authority limit of the "Servicing
Company."
(1) On or before the effective date of this contract,
the "Client" will provide an initial imprest deposit to
the "Servicing Company" in an amount equivalent to five
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(5) banking days of average Anticipated claim and/or loss
and associated allocated expense payments or ten thousand
dollars ($10,000), whichever is greater, to be maintained
by the "Servicing Company" as A loss fund deposit,
hereinafter referred to as the "Deposit," for payment of
claims and/or losses and associated allocated expense from
the "Servicing Company's" "Loss Fund Account."
(2) Reimbursement to the "Loss Fund Account" will be made by a
daily direct debit executed by the "Servicing Company's"
bank against the "Client's" designated bank account for
deposit into the "Loss Fund Account" at the "Servicing
Company's" bank. The amount of the daily direct debit
will be limited to the amount computed by the "Servicing
Company" who will instruct its bank as to the appropriate
amount. The amount of the daily direct debit will be
determined by the "Servicing Company" computing the
average claim and/or loss and associated allocated expense
payments made daily for the "Client." Each day the same
average amount will be deposited into the "Servicing
Company's" "Loss Fund Account" via a direct debit drawn
against the "Client's" designated bank account. At the
end of each month, beginning with the end of the first
month from the effective date of this contract, the
"Servicing Company" will compAre the total deposits to the
"Loss Fund Account," including all direct debits resulting
from the average daily budgeted amount and any amount as
specified in Section II.A.(4) below, made during the month
to the "Servicing Company's" "Loss Fund Account" to the
actual claim payment account detailed in the SISDAT
Monthly Loss Fund Activity and Loss Run Reports and an
adjustment direct debit will be made, so the monthly
deposits are equal to the totals shown on such SISDAT
reports which post payments based on checks issued.
(3) The "Servicing Company" will conduct a quarterly analysis
of the adequacy of the "Deposit" in the "Servicing
company's" "Loss Fund Account" based upon the most current
three (3) months of "Loss Fund Account" activity. If the
analysis determines that the current average "Loss Fund
Account" activity exceeds the then existing "Deposit,"
then the "Servicing Company" will authorize its bank to
initiate An adjustment direct debit in the amount
necessary to bring the "Deposit" to the level stipulated
in Section II.A.(1). above. The "Servicing Company" will
adjust the average daily direct debit to the revised
average daily amount in accordance with Section II.A.(2)
above.
(4) The "Servicing Company" will notify the "Client," via
telephone, whenever any single claim and/or loss payment
or associated allocated expense payment is made for
twenty-five thousand dollars ($25,000) or more, and these
amounts will be included in the direct debit along with
the An ily budgeted amount. The "Servicing Company" will
not consider such amounts in arriving at the daily
budgeted direct debits and will not consider such amounts
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in ..omputing the necessary "Deposit' required of the
"Client" as set forth in Section II.A.(3) above.
(5) An appropriate letter, hereinafter referred to as the
"Letter of Authority," will be provided, within fifteen
(15) days from the effective date of this contract, to the
"Servicing Company's" bank authorizing the "Servicing
Company's" bank to initiate the necessary daily direct
debits against the "Client's" designated bank account for
deposit to the "Loss Fund Account" at the "Servicing
Company's" bank. In addition, the "Servicing Company'
will be furnished by the "Client" with such account
documentation with respect to the "Loss Fund Account" that
may be required by the "Servicing Company's" bank and the
"Servicing Company" respectively.
(6) The "Servicing Company" shall be and hereby is indemnified
by the "Client" from and against any and all losses,
damages, suits, actions, proceedings, and expenses,
including, without limitation, all attorneys' fees,
incurred or suffered by the "Servicing Company" in
connection with (i) the "Loss Fund Account" established by
the "Servicing Company" at the "Servicing Company's" bank
for the benefit of the "Client;" or (ii) any drafts,
checks, items, overdrafts or other charges to, on, or
related in any way to the "Loss Fund Account" established
by the "Servicing Company" at the "Servicing Company's"
bank for the benefit of the "Client." This provision
shall not include losses, damages, suits, actions,
proceedings and expenses resulting from any negligent,
tortious, fraudulent, or dishonest actions by the
"Servicing Company," its officers, agents or employees.
(7) The "Servicing Company" may draw and authorize checks,
drafts, and other items on the "Loss Fund Account" only if
the "Servicing Company" determines that it has sufficient
funds in the "Loss Fund Account" to cover such checks,
drafts, and other items.
(8) The "Servicing Company" may terminate the "Loss Fund
Account" at any time, in its sole discretion, with or
withoott cause.
(9) As security for the due and punctual payment and
performance of all indebtedness and obligations of the
"Client" to the "Servicing Company," whether now existing
or hereafter arising, however evidenced, whether direct or
indirect, absolute or contingent, individually or jointly
with any other person, and including, without limitation,
all indebtedness, payments, reimbursement of funds, and
other moneys owed by the "Client" to the "Servicing
Company" pursuant to this contract (the "Secured
Obligations"), the "Client" hereby pledges, assigns,
transfers, sets over, conveys and delivers to the
"Servicing Company," and hereby grants to the "Servicing
Company," a security interest in all right, title and
interest of the "Client" in and to the moneys from time to
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time on deposit in thn "Lnss Fund Account" including,
without limitation, the "Oeposit" (the "Funds"). The
"Client" acknowledges and agrees that, so long as this
contract remains in force and affect, the "Funds" shall
constitute cash collateral as that term is defined by
Section 363(a) of the Bankruptcy Code, 11 U.S.C. Section
363(0. The "Client" further acknowledges and agrees that
the foregoing security interest is perfected in favor of
the "Servicing Company" by the "Servicing Company's"
control over the accounts into which the "Funds" are
deposited and, in the alternative, by possession of the
"Funds" by the "Servicing Company's" bank where the "Loss
Fund Account" is established, who, for purposes of the
security interest, shall be and is hereby deemed to be the
Bailee of the "Servicing Company" within the meaning of
Section 9-305 of the Uniform Commercial Code. The
"Client" hereby authorizes the "Servicing Company" at any
time, and regardless of whether there exists or is
continuing an event of default under this contract, to
apply and setoff without notice any indebtedness due or to
become due to the "Servicing Company" from the "Client,"
including, without limitation, the "Funds," against and in
satisfaction of any of the "Secured Obligations" of the
"Client" secured hereby, regardless of the nature of such
obligations or the time they arise.
(10) The "Client" also agrees to provide the "Servicing
Company," within fifteen (15) days from the effective date
of this contract, with financial security in the form of a
"Los, Fend Escrow Account," which account shall be
maintained with the "Client's" depository bank, and which
account shall at all times be available to the "Servicing
Company" to ensure that (i) the "Loss Fund Account" is at
all times funded in the amounts necessary to enable the
"Servicing Company" to pay claims and/or losses and
associated allocated expenses as set forth in this
contract, and (ii) service fees are paid as set forth in
this contract. Such financial security shall be equal in
amount to two (2) months' anticipated payments of claims
and/or losses and associated allocated expenses, or fifty
thousand dollars ($50,000), whichever is greater. The
"Servicing Company" will conduct a quarterly analysis of
the "Loss Fund Account" activity based upon the three (3)
most current months of "Loss Fund Account" activity. If
the analysis determines that the "Loss Fund Account"
activity warrants an increase in the required financial
security hereunder, the "Servicing Company" will notify
the "Client" of the required increase and the "Client"
will provide such increase to the "Servicing Company"
within thirty (30) days of such notice.
(11) The "Servicing Company" will issue checks from the "Loss
Fund Account" for amounts in excess of the "Client's"
annual aggregate self-insurance retention unless the
"Client" specifically instructs the "Servicing Company" to
the contrary so long as the "Loss Fund Account" balance is
adequate to acccxmmodate such amounts or necessary
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additional deposits are made by the "Client" to the "Loss
Fund Account" to adequately accommodate such amounts. The
"Servicing Company" will not intentionally issue a check
from the "Loss Fund Account" in payment of any amount in
excess of the "Client's" specific per claimant or per
occurrence self-insurance retention, as identified.—b the
"Client" to the "Servicing Company," until such time as
the "Client" transfers funds for the full amount of such
payment into the "Loss Fund Account." The "Servicing
Company" assumes and has no responsibility or obligation
to recover from any of the "Client's" excess insurer(s)
any amounts represented by checks issued from the "Loss
Fund Account."
B. To pay to the "Servicing Company" the claim service fee as
prescribed in this contract.
C. To pay to the "Servicing Company," in addition to the claim
service fee as prescribed in this contract, at its then
prevailing hourly rate and expense method of billing for all
claims service.for all claims and/or losses previously handled
or attempted to be handled by any person, firm or corporation or
the "Client" before being assigned to the "Servicing Company."
D. To pay all allocated loss expense, as defined herein, in
addition to the claim service fee to be paid to the "Servicing
Company" as proscribed in this contract.
E. To allow "Servicing Company" to control, handle and settle all
claims following within its discretionary settlement authority.
The "Servicing Company" may exercise its judgment in connection
with the above described authority provided that the "Servicing
Company" undertakes the following actions:
(1) Keep the City fully informed as to the nature and status
of said claim or claims.
(2) Inform, prior to settlement, City of the settlement value
of the claim or claims as determined by "Servicing
Company."
F. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employees in the event of an adverse result or
judgment when the "Servicing Company" could have settled the
claim and/or loss within its discretionary settlement authority
limit, if the "Servicing Company" is not guilty of error, other
than error in judgment, omission, tort, intentional tort, or
other negligence unlems such actions were taken at the specific
direction of the "Client."
G. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employees in the event the "Servicing Company,"
acting at the specific direction of the "Client," becomes liable
to any third parties.
H. To indemnify, defend, and hold harmless the "Servicing Company"
and/or its employes if the "Servicing Company" or any of its
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employees ArA named as a defendnnt in any action (i) where the
plaintiff s cause of action involved a claim hereunder and (ii)
whore there Are no allegations of errors, omissions, torts,
intentional torts, or other npRligence on the part of the
"Servicing Company."
III. THE "SERVICING COMPANY" AND 111F "CLIENT" MUTUALLY AGREE AS FOLLOWS:
A. The term of this contract is continuous from its effective date
for five (5) years. However, the claim service fees shall be
subject to negotiation at eAch twelve (12) month anniversary
date. The contract can be terminated by either the
"Servicing Company" or the "Client" with or without cause and
for any reason whatsoever by sixty (60) days written prior
notice.
R. The "Client" shall have the option upon termination of this
contract:
(1) To self -handle to a conclusion all claims and/or losses
and associated services pending on the date of termination
of this r-ontract, such handling not to result in any
expense or reduction in contract revenue to the "Servicing
Company" previously earned or incurred on said claim or
claims; or
(2) To have Lite "ServicLng Company" handle and adjust to a
conclusion all claims and/or losses pending on the date of
termination of this contract. Sufficient funds of the
"Client," including allocated claim and/or loss expense,
shall remain available to the "Servicing Company" to
liquidate such claims and/or losses.
C. The flat rate per claimant claim service fees reflected in this
contract include the provision of claim services by the
"Servicing Company" for the "Client" for a period of two (2)
years from the date of accident/ occurrence for all
accident/occurrence lines of exposure and two (2) years from the
date claim is made for all claims made lines of exposure. Any
claim(s) not concluded within such time parameters shall be
handled to a conclusion by the "Servicing Company" for the
"Client" from that date forward on a time and expense basis at
the "Servicing Company's" then prevailing hourly rate and
expense method of billing.
D. This contract does not include any Risk Control Services,
activities, functions and/or responsibilities whatsoever and
specifically excludes any Risk Control Services, activities,
functions and/or responsibilities.
E. Allocated Loss Expense shall mean and include all expense items
such as attorneys' fees, commercial photographers' fees,
experts' fees (i.e., engineers, physicians, chemists, etc.),
fees for independent medical examinations, rehabilitation fees,
trial/hearing attendance fees, witnesses' travel expense,
extraordinary claim investigation and/or travel expense incurred
by the "Servicing Company" at the request of the "Client," court
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reporters fees, transcript fees, the cost of obtaining public
records, witness fees, auto appraisal or property appraisal
fees, all outside expense items, and any other similar fee, cost
or expense associated with the investigation, negotiation,
settlement or defense of any claim hereunder or as required for
the collection of subrogation on behalf of the "Client."
F. No periodic reports or reports on the status of individual claim
and/or loss files, other than as provided in Sections I.F.,
I.G., and I.H., are required from the "Servicing Company" unless
the reserve amount on any given claim and/or loss exceeds the
discretionary settlement authority limit of the "Servicing
COmpAny." If a given claim and/or loss reserve amount exceeds
the discretionary settlement authority limit of the "Servicing
Company," reports will be submitted by the "Servicing Company"
to the "Client" as may be mutually agreed to on an individual
claim and/or loss file basis.
G. The "Client" shall have the right during the term of this
contract or during such time after the expiration or termination
of this contract as may be necessary to perform an audit upon
the book of accounts, bank accounts, claim files or other
records maintained by the "Servicing Company" to the extent such
records reflect or concern the activities of the "Servicing
Company" under this contract. In the event such audit reveals
that overpayments have been made to the "Servicing Company,"
then in such event the "Client" shall present to the "Servicing
Company" a detailed copy of said audit showing the basis of such
alleged overpayment and the "Servicing Company" shall have
forty-five (45) days to review said detailed audit. In the
event the "Servicing Company" disputes the detailed audit
presented, the parties hereto agree to meet and confer to
resolve any such dispute.
H. In the event that the "Servicing Company" contends that it has
been underpaid by the "Client" in accordance with the terms of
this contract, it shall present to the "Client" a detailed
account showing the basis of such alleged underpayment and the
"Client" shall have forty-five (45) days to review said detailed
statement. In the event the "Client" disputes the detailed
statement presented, the parties hereto agree to meet and confer
to resolve any such dispute.
I. Both parties agree that the services to be performed under this
agreement require good, sufficient and timely communications
between the "Servicing Company" and the "Client" and to this end
both parties agree to give their full attention to this
undertaking.
J. The "Client" retains full authority to select legal defense
attorneys of the "Client's" choosing.
K. This contract is made and entered into in Lubbock County, Texas,
and accordingly the law of the State of Texas shall govern this
contract and the interpretation of same.
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L. Venue upon any dispute of this contract shall be in Lubbock County, Texas.
IN WITNESS WHEREOF, the "Servicing Company" and the "Client" have caused this contract
to be executed by the persons authorized to act in their respective names.
THIS 15TH DAY OF
AUGUST 1996
l; K CRAWFORD & C MPANY
BY:
David Langston B.W. Craw
TITLE: Mayor, City of Lubbock TITLE: Vice President
APPROVED AS TO CONTENT:
BY: &d4�� axyj-a�
Mary Andre s
Managing Di ctor of Human Resources
APPROVED AS TO FORM:
9ZOAPAr�:�
DUN
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EXHIBIT A
FILE RETENTION AND DESTRUCTION POLICY
LIABILITY FILES: Destroy two (2) years after applicable statute of
limitations has expired.
Exceptions•
a. Suits - retain until expiration of appellate process. Then
destroy.
b. Mental Incompetents - retain indefinitely.
c. Infant (Minor) Claims - retain until infant reaches majority
plus applicable statute of limitations plus two (2) years.
FIRST PARTY CLAIMS, UBROGATION1 ARBITRATION, INCIDENT REPORTS, AND BOND
LOSSES:
Destroy one (1) year after file closing.
Exceptions•
a. Suits - retain until expiration of appellate process. Then
destroy.
b. Prevailing Statute Precludes Destruction in one (1) year.
WORKERS' COMPENSATION CLAIMS:
Medical Only Claims Excludini Occupational Disease Claims: Destroy six
(6) months after applicable statute of limitations has expired.
Exceptions:
a. Prevailing Statute Precludes Destruction in six (6) months.
Other Than Medical Only Claims Excludin Occupational Disease Claims:
nestroy one (1) year after applicable statute of limitations has expired.
Exc_ptions:
A. Formal or Informal Hearing Level Claims - retain until
'expiration of appellate process. Then destroy.
b. Prevailing Statute Precludes Destruction in one (1) year.
Occupational Disease Claims: Destroy four (4) years after applicable
statute of limitations has expired.
Exceptions:
a. Formal or Informal Hearing Level Claims - retain until
expiration of appellate process. Then destroy.
b. Prevailing Statute Precludes Destruction in four (4) years.
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EXHIBIT `B"
The "Servicing Company's" settlement authority shall be limited to that authority granted to it by the
Risk Manager on a claim by claim basis.
The foregoing shall in no manner limit the ability of the "Servicing Company" regarding the following:
1. to make settlement recommendations to the City of Lubbock;
2. to limit "Servicing Company's" ability to make periodic payments for expenses in
connection with the defense of a claim as provided by this agreement;
3. to make payments in accordance with the settlement of workers' compensation claims
as provided by the laws of the State of Texas.
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SS/lm
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