Loading...
HomeMy Public PortalAboutORD13218 '9.. �4 ff' •{i' .':t�a!• .!k Ft ..fi 5 t".� } .~aR r'jy # :1. t i r , i i 4 •.tt,. C,'!4`t, shy=4ri s' +, `!�°. }i�tc2�C } cc;.;k, tfn• a:'};,;�,'.J F.,rJ< i 1. Y,t r'r#.}t �: f r t. y�3 ? ' r •`$Y,: 't;'YJ "�'R: ,.£,?,-:tJ,° '-,is i .>," t r t , V y it t' u: 11 ,.Yc1s ;;.s r �' .�'P j .�rt. •s,r5}:,yxn,"Lttyk�.,r."?(ri,�5''.ylS ti';j,�t�i�a Ii.1Y,7�� f t j,i 3 '+a',i,,i q ti:... $ %.F�.j!�y,�f ,r: �..sz a�"Tt. !+4 .1 a �n {M �•�r,"', �f u. ,�. w} , slYt^ aY TY�i �E^ � S•.'r� i-, 2� 4 t. f.7 ji Rhp. � t. i ,+,1`• '�d + s`r r �i '�,' 4 i .:i ut:`i+ Cs�. t �k r1F{� (; r ,�r t .�7" � ctle,; �a��'t<"t, ;e,.w- n { ' .r � u:1. �;{; '.,a,5,,., r•.:.:�.t,. ,7 i',,: .�`•1:t' p.f:�°"t„f�''j.• t' -r,�ii :r R.,tJ�S.f •;5�4 ;4`Jriti'! C. .t' ,.�', 'ta- ,. '�+ :.'t;s,�'' i'•,y7..Y:,+;!'r`� .i. {.:,jq.• s W.r .� 1ka.:'fp{.r{:� :"1r8- c ,` t ?w. w.S ) #sY"13 ` = 1` {`..r:y.wr f t `t. 4 S A aiY S r:Y,t�.�ij�l.'.�;:.rj,�Y•..61 �7X t; t• 2:. �`, �;�'„3y '. ��,:s;;., t Y ;'r P' t. ..i i c.( 1 t ',s J '5,-.7 1,;„ ,,r t�S 7%„,{ t.. iff � s i.t ! ''�,. �,fp�.�,•a?�;,� '4,c ?-;, .+i}sg1�i• t` A '" `3i1��`7 '1. r 3 u k t "wwdaiib(�,td�aDl tiN�Nt'h'htif6+`'frYH�tilfll'/1k1Jt[PF`Sl �� j '�''}^ �+�ti� !izm� G�`�1�Ir�'•��.'d"`i5� $,d�?n!t'Jfif7�?`h??Y.4!'1zt'?'d ifilCyto/k3+JS Ws�`.Mws ^� p+ js .M1=.t• rt ss. BILL NO, 20- SPONSORED BY COUNCILMAN Vincent ORDINANCE NO.— AN ORDINANCE OF THE CITY OF JEFFERSON, MISSOURI, AUTHORIZING THE ' MAYOR AND CITY CLERK TO EXECUTE AN AGREEMENT WITH CANNON COCHRAN �' a'!' MANAGEMENT , INC. OMPENSATION SERVICES INC FOR WORKERS' a ADMINISTRATIVE SERVICES. f , ' 'UU`' r r >�1 BE IT ENACTED BY THE COUNCIL OF THE CITY OF JEFFERSON, MISSOURI, AS ,,Y ,::r FOLLOWS: s Section 1. The Mayor and City Clerk are hereby authorized and directed to execute with Cannon Cochran Management Services, Inc. for Workers an agreement Compen sation Administrative Services and to accept the quote for reinsurance included r., " �rj y.,;:•t;. in their proposal. Section 2. The agreement shall be substantially the same inform and content as ' that agreement attached hereto as Exhibit A. 'r �a Section 3. This Ordinance shall be in full force and effect from and after the date ` of its passage and approval. Passed:��.�/���d/ Approved: Presiding Officer Mayor ATTEST: APPROVED AS TO ARM: ;;, }Y' ity Cl k City Court el r p: i�t'v`t' t 3 yU':7. r°I !'7•;:'s,"i+�7U1�cr:'.{fit 31r l .r1 ?} 5� ,(( y,7:' r�S'�tti r}.�; a ...�'' � Gkr4't t / � . � �c,�•, '� ';� 'r7�)' F�4�}lbh�l'Tr J tI::XLY{.i 44;C eJ t �'''�t' �� �.+*v, '. Fy • ,. t ! � 1V7'• }s '>t s 1 .y;I'G '4'� t!- A,ay�� !�{: q- f' f 3•e" ..?. £�t2•t .,� ��.•�.,SFS.,�, :S�z #: rt. ' §�•''p ,t°' t �: i a ,� �'���,�i.,�,. �si�, ..�..�. s�:;yG�;l •!'.V����;'{��r tta�p'�Y';�t� #?it ttr4,� '�{r<� ,ray 'F ,'t�- Y` `- � 1�. >tt# � � 4��➢b�a?; }�;t��s�"i,t�Y�r.lR�r�r�li�t�s t�,�Sv�t�'7�„,£:l',r�,;:t:'.�{ rt��1rr� ;� t, ts�yk ,. .��;a"s� Y�, �, ���?,s�� yy?'. �';��1 �`,rt t y T h•+"•.,h%',!•�.� 4i,x C� tic�;�td�r,, �.,yyt•N17t�.fi �� '�;r.?ry{4fit-{Niy=���'�,�,.,�r•, d`t „f. r,4 f ,,S £ 1�yq� g.. a� ., �. 1 ,st £..�3i 'r •i t.,L,'; y""+13G r,: -!tk'; , W rt t, ��yF ifi`.4�tr•xt�Ja 'N',F��tr'k� tf wft�r'v�; r.J, rF,�+,,Yr,�s:,tFj t itlh��s t.r=jy�r�;..:•r n !'! �y fn:. ;4�Is4 P.'• "��.�� �.".' a .�. �;��FF :9 ))ti.: ,�r,:.i"r•,S ...�.:nri.K{ 'fie x, .Ffi't;',). 't, ,� ;f'Z' ♦♦'�r :�ry5:e, N� 1 •fix '!,�',1��5y ra•✓'Y.r'•y i'�°11 t' Y',} 4J4 5[�L'r33jtl � .{!,_ � �'. � � ♦t •: sl � U :'}t:/� `4Y,F�4, rl..uJ�y.�.l.','J�. �kt il. '.�: '�V�p �^'�'..;,,+f��^.�,i'sleyts�jv�� ��...i:���a�'$',q�Y,sy l.. 'y�.�J yF':t' � x,13%''.*• n „. '• ,£:.' [r{ .y a: ,1` ',,i�vif c F e.:s y '. t.rMi ,.L.+r'`pF:A'( �i;.+, �,5)7f.' i +- .L. ,c �,'.. ,i .Y` n tr?'�; .j .f?Iit:tr iyr•i P4 .�Sf.,...lrl. •.ry,�, ,,i t x, .31 z^.4,� t tiP., '' ,8,.6 rr;Kr {r .t,� .NS' li i`,•� ' �LY h f;� ! 'tS r,^." i" _ .,. �..' . r•. Fa ; t .i.ii�S,, ,.,.[`: '� � � � ��,�.yr.! {. 7'y�'. ? 4 a,. � J111 t�ii.. ,•fi#1tt �.t<r'Gi 'rr` % t> r s t yra<Aa . c;t t4i• ,i. .,�;;r{,',;`:1:.+ �-✓ ;; •� t t. [s <. :� i {'a.,5 t r�. y„�,.,k,,..�e�.tt1"����,�,rx t4� �'yu,.;, "+ta fr ,•.1:jr„i >i 7 ;,lF:: ; {,. �(,'J;r.s #,. tr 4} i�r.4ry�;''`�::I<�SYy Y•F.2>i#a.. 'xC4 i�#ant ' t ;:r $ 3. i r {. .1. atir .�:�.'Sy?i»i4ii a fa •�a;�'r,�'k� ra,[�.i%r s.�r'!��.3n1,a�jJr !s`-, 1I1ZJ�t,}�71"ts r �.'� r 7�4 �t � i• , t.' 'a, ,.l'ti t�i,'�{�}`�r+,.:..7.�•;i�„�kr}�,,�#f �Ip'q, � t( I f: �`r•'4: ztM? { V 4't{} . i isl;FYf�1� AJ1w.'r ,� t:. ,! .,+YlJR' V IL #r'7`S`t':F f'•y7'r Ye25„t fX' (,r.< {'I •i' ''� l :.,�, .t,n,• #,t, 1.{,. F% .tti �;�sM:+' xb,:}A�l.'•�,,.i'tttfi,.�.''•`i>`ty+:, '.;t`.,4,,..,.(,r.t.1. :,4§*l N.f'•.Sts”.�.,,'�;a�.'�..'.+ ;ss,:�:��}+.nf+,','�'i Y,�`;c�:�5;4Raa`:7Y?J�i^t�� �Yft?r 1'4','{ttetY3,nn+w+t.+w4,.,..w.x.s.;::..iwie�Rh7��;t :12���` .�5,(�.,},r v.. CITY OF JEFFERSON ;f AMENDMENT TO SERVICE AGREEMENT WHEREAS, the City of Jefferson, Missouri, a municipal corporation, hereinafter designated "City,” with offices : at 320 East McCarty Street,Jefferson City, Missouri, 65101, entered into an Agreement with Cannon Cochran Management Services, Inc., a Delaware corporation,with offices in Missouri at 133 South Eleventh Street,Suite 430,St.Louis,Missouri,63102,hereinafter referred to as”CCMSI,"on June 19,2001,and amended June 19,2002. WHEREAS,the Agreement was forappointment of CCMSI as the Third Party Administrator of the City's workers' compensation self-insurance program; and WHEREAS, both parties wish to renew the Agreement for a one (1) year period. NOW,THEREFORE, be it agreed as follows: ? ;' A. Paragraph H(1) of the Agreement executed June 19, 2001 is hereby amended to read as follows: 1. Term of Agreement. Unless earlier terminated as provided hereunder, this Agreement shall be for a term of one (1) year beginning on July 1,966?2003, and terminating on June 30, 9663 2004, and will automatically renew for successive one (1) year terms for a total of five (5) one year renewal terms. The parties agree to negotiate in good faith the service fee schedule on an annual ' rl•n t} i basis. If agreement cannot be reached,CCMSl,at its option,can terminate the Agreement upon thirty (30) days written notice, or elect to continue the a tfit,l'.st.. � Agreement pursuant to the then current fee schedule. B. Exhibit D of the Agreement executed June 19, 2001, and amended June 19, 2002, is hereby amended and replaced by the new Exhibit D attached hereto. €,•; y}�rzx; d ' C. All other sections of the Agreement executed June 19 2001,and amended June 19 2002 shall remain in effect as stated. IN TESTIMONY WHEREOF, the parties have hereunto set their hands and seals this 1r day of June, 2003. CITY OF JEFFERSON,MISSOURI CANNON COCHRAN MANAGEMENT r J.r-t l SERVICES, INC. rr,zr 1, ii a �> .SJ r Ma or President Operations Officer :' ATT ATTEST: � �/� ✓f'�� L'��7 1 f�C•` Z 4" [�� /�J CMG Z/C. �i�-Lt fin- ' #;lr;(f �dsn;aiv 14� City ClerV Title: tr��„;. Administrative Assistant APPROV D AS TO F M: A Ti 9fi f�'t `Sti:x. ec—Ity Coun elor } fit,, 10 HAContract FI#es\sen'Ice\cannon coc-Nan•ms r endment 2003.04.wpd �„'a.Y{k•;rr,i.":4u t t �h`,!tf'�••t,r'SfUgf.t.a�,s 7t{yY,,^,�tir f+'r1.P•y1.,i.r�)".'",H,�,'l(^�'J�i}.�f'�x}it S ti,,vJ.a i,`+;:Y.1�l/:t..:?�i+^•�::r'3 F.•,i�,�n tbp•it 1,4•ir,'.,7,.fS iy F tt#i�T�i:i,;l#.Sz}..{•cbt�}n;,.,'�l,..4y..v l;'!:.trhi=.,:ri{r,'kp„✓.,.:,.+:i S F.a�3 P�(s..',t�.t o`;._{J+7'°t�5:r,.F.�tt'a/.,.+t�r..,',..,1 J,�j.;4,`•.-'rfi:#,.ci,r,•,a,':.t:•i.:F.r''.f.l.n a.ra•'`.�i'}F,�t.�l r�•:i I.•f i{/✓,r:�i'.r'�'.q l+�,Y h 9 S'a.T.W ti:,t i,:'r 1 e fi,,','�,t 7 f,1.7.t,1t t..I..•{t',t'.,�a't``,,t7,t.�'.i:?��,.''tt.,i f L {+lS,r C x t�,:�} r:�. 1 4,,!1,:t r�' + t.,;'+,)}.t, '1,j.r,.',..'fJ i.}�,.;T.�:Y::i:!',;t't`g,ri�l`x r r.,'F 41 t y 4 r t t;:t t�C t..r t'^#1 a:11,,i tJ'•.t 1 i i 4!1,tr t r.,'.7t t-.I....`{I yi.t:t.'t 1.i.>C.',.,.v,-•,a F1,.}r 15,�j ti.;..�1 t.tr t�t.if t t s,.,!i 3..7?1,t.i�..}:Yt;,.,lr•1,r,,.t,c?.1 t.t?i1t u,,::r'a•r i't!';t 1,ft.,�::'�/i;`{.,.-4,K'S#t..,�:r4{,o r)Y:tJ ile'ty-7,r t,,1=+lr,!x'.P�aj�.,1lX.'j.l J--r(t S�r5'+s-,-.t•,�Y,Yrf:,)1 r,..4�.{�t1,�{,.,1'.?..i},,,,T',.,�F�:r..?;'E}I I(4.'�.`:,ti6,y•�'t�t” •C-e:/,, �v �r�,i E.�4),�X{'t{�k1:5 314 5'7'{.i�'kph✓I t��tY fJ 7 j�'x t .' t; l, �i0 4 i/F.z . Pp ; Z,� v3�.`r!'�.,L�,°L,:t,.,t;d.;r,.�, .�J.:=�,;,..>'i"..?t ,s't .( t : .4'...r'- �, t,i,� # t f• :1�{;tk;sa �., '� �r�r,t, r,�kith .,7 t>..e . � , r..„ a .4,..,;H:F:•., ° ., .,•,._' '....,,-.. „.: .,+,t, 6 :L r;,:l' y(`1 tr,.'':.t.t .�.'t(,�,i�,�,.\`C�S.Q n R'Y4!2 ,e'.'Tr2�,{ .1:.,',Y-:.)iti n}. ;,, rl?7I.,. .Y,4,�Tir.:•a;,,rt+ 'Y t.'fr :p { 'f t� {' i t ,', ti •',( i r 3i'^.f#.G:• r;:' '".t .,t r t.{, 1�71r; .,-�: y,f�'ti,%J,,„r,";t:i.Z+ .jCl r,ti1 u.. ! t;•'r;X i{: ,r,.,+r. k" >' .i,t "s 15» +S''` .T % :4' t= = a IrY�. ;Y ,f,.Y� 7�. 4t 3.$> i„r .,, tt y4,. 12 �.}. �t}. %t:L. �I�� t {,t: .! ') ••} :7i '!iB t '.1 !r• Y. �•.1.i1.r /,Lt' :.I�.a .,: ',. ! ,i { ':f .. +Yi ..t , t .F. .7 P,`,i 1'{h 'f l r A }�\ '�T. f �('1Y 'l��lii l� Yt”� 'S 7 t 'i" 5,�, .. ri.:Ii'� 7,.: ff�1`F i•',;t'` P{4 a:)�. 1'�'r7)?f 1 .;v1 t h n ��ih`'r i5� t s��,.fr r• r`•r tei r _ y•r .: c.r. '�';st�tv'*..r;,,:w�~�,trytrr,,�,.�'� ..Z "r yy�.,'H,,,ttu a:�E'e. is i } t, ee •Sii r•i�r r:. ) + tPxj"G�+�� ,:t{•.�,s '�i` �t;S5t'{ JJ ��iq ' •• {Me!?y���'SSyy,, .Y7.,i:tt .3'h` i`9h. J , }Y L 1 ! N:t i 4i. ,4' F q. Y�• f' i ... ;i�s+`' ylq'"�+^•y' 1''�`+yM1.`",Ik;u �4•'�Y•nSs�'f�` �pr'{ .y1t ; ?`"t�,St'"'Y �E4trYlr<jtvl ?�i,)sly `{zr�,l/..•hp'T" AS y r 5¢{ •'j'�i� J ����`.G,r t t�9 l t„ s p •. g� r z�ti� � s t. 1. . 7. j s -t , t i �•rid Y�+i ltt'�4 �,..S.r 4�w �+� itr �r��1; ,�, �a f"• '!�F;��l�„"�;# Pc �1'!5iF{,,.tt�r��. U� �: h °r J f. dt t:i'K x � •.y(..Ott yr u f rtr �i�'r,��t � r., � �' jr'' kk,,Y��k[5.�s„�;;yHic '�;�jx��`,�F�ti A{5•t iii r � / Fa r.,° .Jt. �o, y.vyY�k Vii:jar'4t`(✓t'`"'yt�y'M?y»E'tt>��«'"�'r ��"' r�•{i :P,�Y, t 5�q :J'�n�+t�,�f:: f...95�:,.;f.. t .:x ..•{'r y. Y:'_.t ',t 7 t .i: a 4 tf� }•V�5 tr'r l.t 7."�,yW (���'��. ,( ��S ,.;r.��'.1'�1.1'J�?t�};..�� 1t5(„P�''t1[^S4J�,�"�t.'.14'^�IJ'I LISA JZ:.t�,�( } it Yt i `) �'4 :r4f�.`�ii�•'�yf.L:ty}r4,�r"�����{�k'•��,."2;�t•}��fX���,`�5{J r4� "lN. yr "9,” Sr� it{€p�N!{<,.ikK.r�d.K d,�tiJ....�.i � i{ � Sa t {7 •r � S4 �j��i,b7+};:•fh a tt'�ISJiSi.i�,�`f('S,���. �r�Ft�F:�{e� .i .gip "1 ',�''� $ Yg,,.'r n'1 �Fka�',�hta'(c��'7 �'F�sad S;Iq,,r7::�ri;r •.,,.stJ',,.;. r .y,l;;�,1.• •.,3 t f: �` .r' r r � ..�;} I;.+��:{r .. tY.'t ti�`2 :b� �,y " ,`,� zh4}.�11K��Jiy'tr4 4h ��,d � rt�4a.�r�.r.;rv' F J: � 2'.ti' d ,ast x S 1 4 i. f "ii•, a, e... � 'frt;;�;,�' y •„p, ^�`•�, �� �r# y� ' z f'�' t r 't� ids 3 J t c i v >t ,,..i.,.? .;t1Su Y:.,��tf.;. 4�.r f'. C•r`r' tA't 7 �7n,,�. n S+M1{ i���.t' s.;1+•`�.�5 .s�.WNtd�'+a`,i�;3{ ".Sw..wls:Katie'!{7'!N�t'1ex'3�`JP����t�'r��'� �C������+lif(d�!�5� �1 .. EXHIBIT D ' URZ v2 FEE AND PAYMENT SCHEDULE ` '`' 1101 . CLAIMS ADMINISTRATION "" h �'�','q` CCMSI will handle claims for the following fees: Claims Administration '' ,; ' r '�� d��•j •+ Jf Medical-Only . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . $ 150.00 per claim .;r r Indemnity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 525.00 per claim Incident-Only . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . $ 25.00 per claim `M o Minimum Claim Service Fee . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . $ $11,450 'It t� 3 Y.104.3 f.'tc,�Y Jj;•*y ;+' Indemnity claims open after 24 months from the date reported to CCMSI will continue to be handled for a fee of$25 per claim per each month open, and will be billed and payable on a quarterly basis. R I RiskManagement Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,500,00 Annual Executive Summary On-Line System Access f; Monthly Management Information Reports Claim Reviews Central Index Bureau Z Sr -t • . . , • . . . . .. . . • . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . ESTIMATED SERVICE FEE $-X96:99 $17,950 p r PAYMENT SCHEDULE 950.00 to be billed and payable in quarterly installments of •:. F 'ai°{ '` i Total service fee of$1 7,598,E) $17, p q $�:Ci6$4,487.50 y �{, ,,•,;. on the first day of July, October, January and April. �SV! G. + Y J .t. tJ1Yt'� MContract F11es\serv1ce\cannon cochron•msi\amendment 20)3-04.wpd 1 i r• .k�1'r� 'a' "nrc��S�;i t tr (1 L•�F�a a; fi as't �:':, S.r�.y fit' ('"t i� (,* •"4.`r t,- t t ,y7 a S ,f• �' � `.`�rtitj!I r. k t a��t '' at"�'��;„ ;.."�'`kfc ,a�tt rFtz7jc'rrt;• .^.ir7N: j,'�i5 1t�re�S,i'~~ ��l ��IYI i s?: r .r(� 7, t c� t t y ..'� pty',r�,•t�,rr'.r,; t�.St•.w.+ra at't ,ft"-',n• ��' '`!':r' 5 >, i `r�: 2t�, .�,• � � ,;(',r � ,1'iz)q' �. al h' .dk 4 li <c}A •r " �'• �•' r+. U �t ` :. �.• ��J E.r,2tti{y�.�1"',i'I�k.nF`dl'•kP;.�t�s�i{. .�{ t�''' •'�'t��'h 'Y .�•�� � {7 '? p' •.� ;'�, t;;s, .z}@ ��.� a��z��t+p,e.t L •�.. .t 1 < ?'{� i ..�n�"+'i�11� t Foy r} � ,�y� x• r' J•.. +. • �fy'rE§�:;.e��'�,`.r yt.,rtiyi fi,����•�„ �i"d,�,Y�F',�� ��.•t� .,} �, j + r ,z"sr,• }. } .3.l 1,",.:��,;.,.,. .Ys•�. F.#.r?at.y,• t;J;;,F h��,�;. �`�.k.; t1��' ��;,�'t'�,i��. ;;fa+1•• f.� 'z #'iv :��', 110+,10 `:tat• 'S+f�{{�Yt':',�s:�,'1aT�ss 5 ,,�:��tt r:19Ffi �r;,� a�fi4.•�tk�`i�r�s.”f�er.til'`4''i5�•"t.�,�{L��•7;hry;:t• .sf{�,?n'F,�!a¢"V}SEA! �:6Y �• .I;o �t ;y.. ,;y't F,, s3 r;±ry, ,{ �S: 9,a _:�"�. ',{,";'� ".n� �� ,�;''?,d�'y;,;��,-,,.,5 b 1 "f a.��5 � �,q ,t. iq �r�1• +� t t' „.�. t t.w 4 •'tr,art 'y�=r `E..k ,t w . r r.7sis 1,f�4' 'tv,;tk &j.r� t9� r f 1 ��n1 } f�S.t+ t.`y.x , .�.yL(pia,.(�.•..t',�i�r,,f:r..�}'�.{r`te {;;,5 C;s a4.yt���,��i'' ��13� .6.�b7,S:.±.��,rk.11s?a w+,�a' �3',t;�t�';�,r:• ,.}.;..xy..:arSr��.•,�i:��'wp',�t �' ••� y�t+. . s, Iz.j, �'v "r�Yjji.l���': "i�"4tY `ttjly.tt tl {v`!I. ! tv;;,,_ ! •+t3 } :r,. .f�:i SF{i?ittl•.4�,�.a .�'•i:'2� "f s+.�.. :. J.rv,.4 s'R v`;!' :1 ttT ."Y ,}r �y 3i�latitF xt27tlu'1S•. '� ,}.,.:t, 5 � '$;.I .h ��� .,Y�., J°,q t ,�,r,. �t r}: at ��4.r., .,f.r_ f a a�" t�`7;yv�,� 1`;�•t:iv��"�1'4Y ,{r, Ybly*1?3 � ; tpf itJt�•bs F. ,Y , i , C. t }.. r , a i •ryt l , 1 , t I ry f } V 1'113.'�>zt`?'i t�S kr�vj i.�r t >'�Sf}tAti���k �,yl `1i4..•S.. i ,{ ! f t d r� i,4"'�r.ii°3 t r�'1 it�1 t4!{�4� 4 7 si,J �� .� 5��+ ,,S��i *;'�la r.�h4ElY�t F�{rX A4 (;.r lj+!•( ) i�P,{a F"5{ S Vt;V�rf {�`:S¢(..i at �i`3;rs'�{ t �^" ,��'1 at+ �+ .�� ',F t "��,a1� l{r �1 y�t�,. �r t `�,(d3 ' r �•1 �j.'S r 3 a y{', �t {,� ,r c � �1• }mr�' �'.v`�� SrrS�:AR 4��t(ifi�� .,�aE� 1 S J,4 iJ d, ,�� � a `� �Ys a( ��r?`.'•�'�'i,.S�.r � f 1 tl�4 n 1 (t t: ..iri'' k';(i'�t i 35 rJ••' 1 1 Ss�'G NJ'j3 S f3� 1 ! qtr�' yE• 1... �, =v f.. `'(+Ja�ri'��'r�E>� �r�& 1,r". (f t?,>✓j r��'.}:. ,f 1 t r i n , e V 6, . > M 1 ��' IrftY • • • ,1([�P! 4`9IT f F 3� •F1�1,4• • O �yAt rNttrf;� • It �",'ty t t: �t'• tF"�J��°,:•tip:"` iti'YY'trj1 �: lit y 7 1 �tr4 1, 2i �VI VI r t*t t ,to�) '4n.�e �yJ. �, ro 3 "' '-1 •, ><. i , ,r � '�:�� �',�'•"� nS 3�sr v� •� `rk.i� { �� � ,c it .i,; ; Wp.tiTS r tW •R1 t 4 ti �tid3 `fit , 3.;yl: i',r„"µ ,r r�4 !t' 3 h� ( k ' Sr .rt"r�Y ?. w+4'^r..4,.�r.9,y.�4;'4 r Y �i ty,1t :A3V a r r`= r it di�Y qrr` s tl �('h'?Y.,4sif.l,fj `a).V'ril di '• f.t In, ���f y �q. .r:�t>�•i !• q ��. h� !6.:r `l�n r itlr. ! ,y�4s.,'.d �Gi+ :+s�tt?,7"^r,p��..h Y T. '� ' t.- t`r .� K,�` ��yyf a4.s;�l�iye•y..:�,•e. >( <. },f 4,`i•k;r}'f�}4.=���[�'`j, l�,�StS ;.5pt• .rt:.9 Sr Ir,4��},r )).,r r�'l�•i„ r•-F_{ •. a��, ',T(r�t � S.,�Y �' ''_ `rl'F`+S (;� **�ai;7t � J��i;, ., .r l'..b• i t qSG' ri-�i � t..ir l' C. ;;((���� ��,,a '1 � p ; S � •rF' Sta,'� 1 �y."h r E 1, �1.'f, }k�••l,•t^r l...<. 31.,.. e,,i x." rF.. „F"r�S`„ ���.}��#�[d',at`Y;�.''.. {i �� .�S'� �;�'.�4i'>" d7yf �ro ��'� ��' rr •.'�'� 4 s'�•i��!*;`4,nS. •{`fS,1))i v s;',�yY tl�r t P J.. t ! :i ,'"i.`v. t. r') r! j♦ Y '1�' y '!3 3,A t ..,�.. .�.A a'1,k[.,.3 ( .AS ': ,S.... 3u-JQ n sr= ,� .i r G t« .7 �' •,< M'�'�.F. �•t�yVt� •��.,r.�i. t�,t}y;�o.�5.1, ;5..:� €, r'r t i ' '1 �`Yl:t,� i#r!"�`,a -'�1. {-; +r ��"t r r. r y •, 1,rr x. ;;�� ,"�. �.•4r;.y,�,';r.'r:'c1 i., 3'S.r='rj..;:,f'•� t�: 4 t'4'f;';.,t''i+,...a E .� k fi�i.' '�S y( ri'r�i' .��t'tii S,"fR�i�, "• } t.?. r't, :E�' ,.�;�.v�._S.n.� ^F,;7 e i; —4!•J.+ti ,L#t .{ N t�'�:(�, t r"S� 1} 'it � {`yF �A t*r .r 'r t M�)..� 4: r��n'13. tnS:+'7..`i/., ;7 .•`'j''3 1 tlFp ;S !t,4 r,{ ; tr r i,y. 4 � .M' t i Q{�dj��'�; ,h��{'.�y,g:� r.�4 �;v ur,xi�n�l I•1��ri1�41 ;a1 {gyp bc'?��=r l -(a�}}�•}W�:rPr�r G?t. 1 �£ 1 rT � •�4r �I 4!1 P "I�'{'•""M1.s1 fr;tl '{L`�i� S�J�^Ylr. �,n���?� S i,{'.�1 t 1 71�. 'e}'�'�!SiR 4 X51, ,s't =.I h fSx i. 4 3 r}�. tt�y �, ` i r C �{r tr 4 i}i' t�F, .rt��• ��i^-; •t;;;,. t�. ^air. :'tS.' �•'4a.CS< �' ' `r :, .t. r 1 r. .,cf-„xty'{,, 1� .?,ia'!(.,'.6,; � t '�f `�}; t .,a..7 tt. x.., .�' , , , ,r t is i`ir5 f' �i'gl�'{I kYiJ,t"'` ' ,Ti �'ii-.i•,rf.� i,r�S'tl'�`;,R i.. l r�`'�yf :(� s :S"� b ft }, q t�}-xtJr �r `�.�s r y. �t � .,.:•��;� P. PO . .{.>•,,....s ..7tF.t t�"�.t,.::�t f,�'..,.,»'}.lN.'c;,>;. .r h. .s*,r ; �.r; .11 a ,i ,.,, •K .. r .dr., F ..•f,=r,r t .. ,2!•.., 2F.,,,•(.h ,:tE7;'t.. '?tixir:fS;'1�h!•#�}'��'<Y„:4rSi$!1,i4kili+tb?fih•v4T4�S"'.,E4'w!}"2tLftt/tt4i2d'NV}�f+4udV!1cf!NS7Gri +'�'�'������`{+ty �5 fi?�7t:2f4}''� ,li•,1J}IrFF'p � � !its t t• Y f L�`} •• :. CITY OF JEFFERSON AMENDMENT TO SERVICE AGREEMENT S i WHEREAS, the City of .Jefferson, Missouri, a municipal corporation, hereinafter designated "City,” with offices at 320 East McCarty Street,Jefferson City,Missouri,65101, entered into an Agreement with Cannon Cochran Management Services, Inc.,a Delaware corporation,with offices in Missouri at 133 South Eleventh Street Suite j 430,St.Louis,Missouri,63102,hereinafter referred to as"CCMSI,"on June 19,2001,and amended June 19,2002. a,;.5�°r.ifs�,r y,•. .'. WHEREAS,the Agreement was for appointment of CCMSI as the Third Party Administrator of the City's workers' Y� t `'�� W}'''` compensation self-insurance program; and l�A;.�.�,,; �,���•b ° 5} ti•'tr'f�� ' WHEREAS, both parties wish to renew the Agreement for a one 1 I g ( ) Year period. NOW, THEREFORE, be it agreed as follows: �:':,�,'`,';;•„-'t,;' follows: A. Paragraph H(1) of the Agreement executed June 19 hereby amended to read as 2001 is 1. Term of Agreement. Unless earlier terminated as provided hereunder, this ?�.'`,<>„'.:•;,tJA;a: Agreement shall be for a term of one (1) year beginning on July 1,2692 2003, and terminating on June 30, 2993 2004, and will automatically renew for successive one (1) year terms for a total of five 5 one year renewal terms. The patties agree to negotiate in good faith the service fee schedule on an annual 1�''i}eft•'f c-�,•; , basis. If agreement cannot be reached,CCMSI,at its option,can terminate the p ✓.drat,+,�"`{,:,�_.:;'" Agreement upon thirty (30) days written notice, or elect to continue the ,I Agreement pursuant to the then current fee schedule. B. Exhibit D of the Agreement executed June 19, 2001, and amended June 19, 2002, is hereby amended and replaced by the new Exhibit D attached hereto. C. All other sections of the Agreement executed June 19,2001,and amended June 19,2002,Khali �. fr,�r;.�r,, T•.:'>}}' p�,.yC tl remain in effect as stated. IN TESTIMONY WHEREOF, Y WI the parties p have hereunto set their hands and seals this l �day of June, 2003. `'' ` ���''�`r•' � • CITY OF JEFFERSON, MISSOURI CANNON COCHRAN MANAGEMENT it SERVICES, IN C. :•.'�{f,r'r'`t:`f1 x;<;y; ,k!'r, ' y t �S`fi%•'�} Mayor Pre sident/ Operations Officer ATT ATTEST: li ty Cler Title: Administrative Assistant ,� 4 . �; AP TO F ` t M• , r � PROV D AS Y'T 7 i 3'a+ } City Coun elor 1 '''' H:\Contract Flles\servke\cannon coctvan- ©ndment 2003.04.wpd V d } ,+?�iZti•l{:t^}'.hit 'i �•( '�C „4%•Xq-a,,,,``•t 'r >',� ,¢ e1.. k,t ;;t::, 5: i ��r r; r 7t.• 1 ':+ i;: ;f .,3'{, :',L�:S•.,tL.,:t`•' reu,}1 � . rrpp Y1 t A ..r,e, t r �. 5 5 t,. . .•t71..•v,',f��c,�(h.�rS� a'�' Sfi '{ '1'•, s. n,r•i,t'..,b.. ir;; i”' ';'XtL't+��I`'t. �' i <'d r .li~ �, .,1,„2`j :.r•'rrfr.`.:Y'ra r'S"sL`f%:cl,;.,.�\s, �'�t.'` t �t,,,- ? }; t, ! it t t' tj' ,lit•' r��r .�;;it vyrtt:.",f,(;a.�,�`;y°yx..r:x.•','�:,,y �C � ,�.�. �: ,�',�. t it,:, ..r..l. ..�.i. , t ,j. t s� •�' J'i" I t?�.',:.7 it`- $,�} '{ .) ,5.; ..fit. ./ �i lrlt, ,r�{,�.pp 'L` �:;i +y. s' .,.,i ti.r.t '.•:,``6 . },,,�,, r„��; '�t.`}.{,1y. ,f,f,�..�? ' ',Z��•,S�l'rl'�•,i t3':"^tr h,�.3.i+ t:�; •t.'l'.�r jf. ..,-,t• t. .f.'' st. , , �. ";� 5 t 1 .-.T, 5 i.. r, c: ..x} r t.rr'.,� 4.r �.,.�.;,ir�i5r��fq�;' �� n ;t�*.. Y �,�,•�`�..E..,� ,.a�=t .It, 1'” 7 a � t t.t it, i J. .,i t r t. ,. 1 }, ;s; ?r ''2. r,.at~4.r� �r.. tk3+'' �t��i��` �`� ,; r.a to ..�. r N„ ,y. ,. ..1 1 5 4•`. l :: i}.s•...1._, rr.2`.y.fi 3, i r+! ,,ss"K•,kt'., y'? C u er; '�;' i-t t,r 47tr >< 4 f :5 Y rt 3r c , :r.. ' r L 1.� C. R. A tl t+„;t,?;-•,:StiiF !.,{l•x''. �'if,`! 'k t. :�„ r./� ..t:. f f �.. .�s ���I (1 �.t't^n'ib• V {''S `�4 } ,2, i i t' .:S•tk i:'..-•3' i� ar, v^ S:+r,•t i„v `.s' i� '$ .M.. t, t .•I ^n.(i.fr. r. `.t. .i� ! t r, f� !' t•' s�i } i' ;�}:�:}rd.}�4 :{{» .�;fr,. :S!•. 'iN' }F ,it t!��� ,;",[Q' r i :•, t Y °S' r.. ',l ; . { 34,,... .trt.>X.i. jl, .i ! ; 'f 1} ! x f :1 '' ,1 f t;,,�, 4v�X?.lh y�.'F•1 t�� h [� 0 f ' r U.. .#yti4 rt �� n�1�� � '+5� 4 1 t t .t 1 S,1 b 5 .��} ^`Lid'''�\ �5��>ili W:}��, ri :,�,��,��ftt2h rf•� �t N ,�', �,', d �'t 'v e t"` ` sN ��f r�r� �':3�X1,p�`94t'`; }gy 4•.J `{� ;�,5,"{-a j D�� ,3a�•: t � tY��s0�k (r=' {t.j-� t .�,,,. �' s .i.5F FE�`-0, �r.j r�`�ttyk �' ,'�'.J.a: {4 '� � 1 �' ��+� 3 '� t f'' f:,� `1 r >41 �`^:`!';, � LR s 1 k.}�+�+5'�}'f�;.•x. R f��� S �„ ��• #��'�' '� ��,�4x`,4+f � S .(�. t, l�,<, .rat.y," 1 I+1 ,'�} t+.n(' xt�tN,i'l� x�'�t����,`. �'b�f�,��r���R�d���i�������'`���� ��� dg�=�R� � � �''. , ✓t Sk��ry7����13���.� ''t? .S4 tit, b'$a 4 P ! ?1.}.f. .Sj. 3,t�. p 'n� i' EXHIBIT D FEE AND PAYMENT SCHEDULE . CLAIMS ADMINISTRATION �� �R.•; CCMSI will handle claims for the following fees; r. Claims Administration 1 Viz, h Medical-Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 150.00 per claim " . ,t Indemnity . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. $ 525.00 per claim Ft Incident-Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. $ 25.00 per claim , �;. Minimum Claim Service Fee . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . $42-,3A8:69 $12,450 Indemnity claims open after 24 months from the date reported to CCMSI will continue to be handled for a fee of$25 per claim per each month open,and will be billed and payable on a quarterly basis. p p p p Y q Y a j Risk Management Fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . $ 5,500.00 Annual Executive Summa ry I' On-Line System Access �t �3 Monthly Management Information Reports 4 'ik Claim Reviews ; . t A rry� Central Index Bureau ` ' y'pt ESTIMATED SERVICE r �N ,. E FEE $17,950 ._ PAYMENT SCHEDULE Total service fee of $17,950.00 to be billed and payable in quarterly installments of $4,375:96$4,487,50 ' on the first day of July,October, January and April. fp, . +Yfi .j 7dti;ry�� yt4�t n .4 H;\Contract Hles\service\cannon cochron-mst\amendment 2003.04rwpd i 1, ,�i�„7?��}�,•7��Sy1,"s�' i f&;��; I:...(.>.x 5 r�i,;f!.-''�/ uyrl} 4 r Fytik J . { �<i'�i I rs),. { ,.r i [• .� .> 4, .'�z(r� �� ,t�, r 1 r gk.. ,� x). ,p a�` _t '�,�. s�Y r,y. s.�n.. �'<. , f. tl (. ,wt ,,,t z�: ,..� .5'?;•t ,�� �F�j"�{�i,t 4� } „4 :tt S, , .�,. •.iSR�,, . 'fr• _L;, # s � l �.�� '� tR rr. s 1 ttt s r f r .�! .4 4 ,.jt ��G.JY. � rF.:.qys. },yFe 4rt 1�,4F N t ' :rt�`4,F itt• r , v > .., .,.,, t� ,fit aaf` ♦,',t !i M,' 1 1' t @{ n j e v><g,%;rA,,fi7�.,+`r{I, d+.•ait x.rTrf yy{pp,i ik .: •t. f�� ,LE '{ :. �,,r tti'rr } ;t;' .;V::ir atix 'rtt. ct, '� . • §'t". t';t°2 .,:r4. :: t! 3' ,i rt `cf ••d.,n3.I` , • .,,-y,. .;., ,.,r�f M. irin:,:.:�s('' •4.::t': it t,. �4,'+�*ij�b. r11,f+7Yi', � (�� S-•{.. ;+r�* h' rN , An IV,d f I .., le '1 a '_, ,, ,l ' � I .��ir 2:.'rr,:�s 'rl�xuTtYf/c•,' !""i: ^>t4,�(x`i°`'�r)t, :�Jt wia't } F' I '1♦ "l��� }��r p,..i,�f j.:•,x:7,'',r'1 R7,,,y n<F1�'k,u.}?',s1�;"4i,.7r,,�y{4`C;rhi,�'Mt<'brf"'`.�."r..,r)Y,'-.}y'[-.7:J�:.1'.�t`A�rY..*"..�n.F..�.4 F+7 C`'.l•..,.:}t,r+�t E't h,,,.�:�j'd' ,'..}u.i F('r:#7 'F,r'T,aS'a'rY l.:',},y t pi.u.!r#..:.y,4 r„tt•Y4wr R:iISb?h,�'�#`.r h,.5r z��G„t,1l�;,+�'tuS�+;}�j,�{ci�Y��i,1:�1.�t'>•',''}�k J7}.M1'.s°f.�'t'�I.:.`k4.httF...it,1•t4m.t:,.k',2+..,i.+.iw3:a.{ir�(f.+':,'x1'a17k1»c,#1}},.:4�I t i {iy tIt 1t� .«,`.d1.{�R,e"+•:b.t,7 f h.0 J• CITY OF JEFFERSON AMENDMENT TO SE RV►�E AGREEMENT WHEREAS,the City of Jefferson, Missouri, a municipal corporation, hereinafter designated "City,”with offices at 320 East McCarty Street, Jefferson City, Missouri,65101,entered into an Agreement with Cannon Cochran Management Services, Inc.,a Delaware corporation,with offices in Missouri at 133 South Elevenih Street,Suite 430, St. Louis, Missouri, 63102, hereinafter referred to as "CCMSI,"on June 19 2001, WHEREAS,the Agreement was for appointment of CCMSI as the Third Party Administrator of the City's workers' compensation self-insurance program; and WHEREAS, both parties wish to renew the Agreement for a one (1) year period. NOW,THEREFORE be it agreed as follows: A. Paragraph H(1) of the Agreement executed June 19, 2001 is hereby amended to read as follows: 1. Term of Aareement. Unless earlier terminated as provided hereunder, this Agreement shall be for a term of one (1) year beginning on July 1,26('3'1'2002, and terminating on June 30, -2.6&2 2003, and will automatically renew for successive one(1)year terms for a total of five(5)one year renewal terms. The parties agree to negotiate in good faith the service fee schedule on an annual basis. If i t agreement cannot be reached,CCMSI,at its option,can terminate the g p i'1;lSit71E%:.ttq`•{ti'y'yt.:r.l. � Agreement upon thirty (30) days written notice, or elect to continue the '„f• �5"�,,��;Yr�:;'�r,� ,;; Agreement pursuant to the then current fee schedule. i{=a' l� ?; B. Exhibit D of the Agreement executed June 19 2001 is h r'' ' �•' sr, replaced by F•��5��,�:�Vra� ,,�7. g hereby amended and r the new Exhibit D attached hereto. I .,..; C. All other sections of the Agreement executed June 19, 2001 shall remain in effect as stated. IN TESTIMONY WHEREOF, the parties have hereunto set their hands and seals this IX day of June, 2002. CITY OF JEFFERSON, MISSOURI CANNON COCHRAN MANAGEMENT ✓'yAi:A'ki F,' ;f'tys SERVICES, INC. May r _ (}',� ��1��✓;}} ��•� '': i President/ChVib perations Officer ATTEST: EST: ATT ` a,•r�rb,e@ ,4 .=� •(irA �Z7/ L/li �//'� ,�/�iC. ``,`�`�.�r�,tr a�J.a :,�.,'...,i /� site 1���• , City Clerk Title: D AS TO FORM: , i APPROVE - - - Li:.f:�a.�.l:zirA.a,;�;.. ... _._ xi`��.t�r,,;��1��,:>•:�,�',.,�.�;,', "OFFICIAL SEAV :� i ,► �� MELANIE STEVENSON +` t lYruwae COMM SSION EXRRES 11/27/Ob r;F Cit Counselor ' s y xrrrs'"I^_''TT1'.i^1"t5�'.., _.. ,.y^�. .h�`•',�i etr, H:\Coiitrocf Flles\sarvko\cannon cnchran•msAamendmerU 2002-03.w c < dr lip � Jf .7,Y�,ryry<�t�,..iK+c�`::r'nt}f.nF,7"4J,�'a�ti Lrt.St a, .�, C xrw..p .*w.w,r�xww.a 1h+!�nrgn.awrctdor,N(�ctitX).i'�f�r .fit,, rY: td• ,, �S >>". tlf ni, S r; :j. �f 1. 4" �'h�'I i:�F*,+.�'�4f+i,..{,,y+. •;�; x i i '.j. i .j f �1: 't: �� .t �t :�s , j. 1 fV Y,•.,{JyF t r: F �'sn., k.,1 y` ' v� `+' , l i l;v3lt S:•.r,, {1� �'+`^` M,•';;�^�,. H.J.�,t y. ,q;t^,t„ .t.s-' , t .t ,r,• .� ., r '�: rr :i i�.r;t �.r .j r :,r'.,xj•!,t',a•1 F }'�!'�.,,-i,'t;6 e{'•S •#: t`�K`•Y:''t ,.tr.(}�.r.,lF. v �.>..�:.5•„�1:+ tri•11lJ ,:i..:7, f, -:il "t{t S1.•'g ai, ,, ,;,... SS> ,�,,,, '�',,. �aT .,. a i• 'c.�,:fi',@�.�., � i 'e9 v( w.. # i: fi '` 1 +� `' "i. it� r r.i: r,�f� t '' ,Lyy{.,.�i�.iy4=,+:, p:.'Ld.,.,'lif i�`r y�''. .� „''�,. .,{> fit:, ` ui,,. :i� Y ,< �.. :.s �tr 7.' s , . �.,it ri i�l:' r t ..�..:+.t tirx �ti•s%#.fir 1at'1 -+r.��'F 'n�� �: r.r �M4?��4J�a,LrL}.,<55��?t. fi.3, r-.`t i _, �,,t.., ,.1�r:rr.'•�! .i' }i: f•. ,. ,, ^,.'. � .4 :}, l�c�. -r T� � .rr.ry�.r•r°.n`+� ;•'T°nr`,r••:;t �i ,,,,�r 1�'{.,(J� ;,r: 1.} .Y- 'l,i 4; , , F � .r �x a] ;., k rt€y� .�:;•,” :S.', l'f: ir,>P • {,,, ai''#.:?ni+::r•tt•,i.r• ':J,L �.! �'.•yf.., �/1 �7 e�, y'{:, 11.trr Cii''s a( ry,,�,Y$Fy�tt.{:.. IT ,tr lit :i, :�i,Y; ?,',rrk}!,U.` «'f'• :t', i i '.�•, r',i, .1 , .r r i. f°.,,,. 1:�;:,Y",„t.,..;,;i�i.�!,i,... .r)+' '{fy,,r.a'.t` iY.. �itt R�iq'rt� rn::�`:b. ,,��, .F.' .i „•tt x .it "'s Y,::a t',t:t;,i: .if,F.,9�Gf.; ;74•.hr,t ti{';;t}pa a�j.. '`'4r•}-ir. .+t 5 .,.:. >s i ;'.t. .�t!J , y e` Y �' d r, {t S� .< &5t2,,14” . . i r , Ali lw' WW A."I s ^a ,ft Yeti 'RN 14 RA A 3114S v, Y'.!10�, EXHIBIT D FEE AND PAYMENT SCHEDULE _4 CLAIMS ADMINISTRATION CCMSI will handle claims for the following fees: IP2 Claims Administration Medical-only . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . Indemnity . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 125. G-1 50-00 per claim $ 525.00 per claim Incident-Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . $ 25-00 per claim Minimum Claim Service Fee 7-5�- $ 12,000.00 Indemnity claims open after 24 months from the date reported to CCMSI will continue to be handled for a fee of$25 per claim per each month open, and will be billed and payable on a quarterly basis. Risk Management Fee I . . . . . . $ 5,500.00 Annual Executive Summary On-Line System Access r....... .... Monthly Management Information Reports Claim Reviews Central Index Bureau ESTIMATED SERVICE FEE 17,500.00 PAYMENT SCUeftliff Total service fee Of$+6,-3?-5$17,500.00 to be billed and payable in quarterly installments of$47G93-.7-5$4,375.00 on the first day of July, October, January and April. ..... ...... f H:\Controct filasVem-el,,cannon coovan-mg\amendmenl 2002-03.wpd �7 ­0Rl'ljjj1A loll 1-� o 43 rn : �� .' 4 i'! .X dti(��frr�k�4,;,; 7j•Se��••3i'.''�,`x.:l{:,t�,i s .r ,�.:�' r i r i r I i 4 '�' T Yf `hr i4�t I,�'�IW� Y�q. .,�; '_4� tI '0� D. q �l A r- q; 52 14 Of co r_ W) N co 40 1 . t. Oct (D 0) f2 c 0 Ln ic Cl) GO a c 04 a 69 69 M D D ,ts 3t ny td Cl a C14 (D V a) 0 0 rD V), to d 61 61). Is 0 15 0 0 co E E 15 vi 0 C*4 v; tvi o z 0 z a LO rill C) W 0 CI 0) Cl r- t- CD Ci ci R r & f_: W I,. N W CL 0 0 0 to Co m 0 E C, rIII 0 0 V) r, Cl) C\l m to 01 C6 co 61% flo 69 V)� cc (D it N; E LO to 0 g� U') C14 C%l 69 C 06 V, C l 0 0 0 0 0 v v t w 4) 0 V d) a V M CL 13 LO Cd to a E .6 6CD 1 11 0> 69 c V� % , I 4) M V "a E 'a 0i C 0 CD c, 0 9 N ;� 0i 0 a C'4 C, 4) 0 Ln 61 d) LL E E E E E L 4� V V a < o Lu 0 A U_CL m E Ad E CO V g'Ai-gnove �.IWR*11',}J'WO '4POS Yq gpr� A tv'R, ITI A Ph, ot. Ii, V., W.- mrim cm I I lqm I ',.'11,}rt$ t�u,1�>t � :'.,� -t�,•:�:^ r .. � ,i zt.r 'y'x!w}:� ,f}� 'a. 'yt�q•�``{4 y','�5,';#x x�•y'�''..•r'7�,r^.i'��"�'4Y�tM�•5'.(c5 ,^„r",!y.,E'x�'L'R?t�/.s���k�a��.3,�4e'tY,ty�x(k��a Ftii.iI.<'S?{�QS S'4,�C t"V:'.,t'"ilx:{f1rS.y.c•i'�{.+j+��Y5pt Sr7.x:(r,,t+y•�Y.i�;E t.^+y,"bSyt;{.1,V�'c�Y:�,r,',,�[F:,'`.��,,r}{ft,x,,?✓,t'}.i;e�,t 4tl1i3,-ar V.A;.`at1tl,i Y.��r,�4�'.n{r rf��'IYt'Yt t,+,�4.�„r Y{y..a{+i.t e+.S..i�yi.,,?1a x t.t,'.j e.",rt•�V;:.}tSf,F ii k r��t s,:�.i:t.is a+l,'1,Af.#j�,ljs}z�'t,f>.ti r t i 5 ti t!v:.i'{,1.13iJ.,+s'!�,..r,„:t;t,1r�,'i,,:t.1'•i`.'3'fi r r1'.e E x�lr..t'"x.7!7'r,,.}t y f:„..;�,'f.,tr.,r s•t,t;:±tS:7}v:..',,'y`{:'.fy l.•r'..';�'f tr✓..''.;.r,r r.�t,. "+ .,..af,;,.. t r f' ,', jf,l t�r k:.,r?l r i :1 e.�,f'...;,.1.3;:j��rt tt�:f:}AV}7,Y 1;..?i;,t',}.?,t 4!ft. fl,r.}'�l 1.Fr 4}Y ki t k ws1a`k<i�1111, ; i.:,l•�X)�SS,,:t.t}�k�i.rr'$.i f}:.”`�•3'4 • ?.� .' ' f M ESL�{l�, t if ! k ,,� !t �5Y+ • ��'t�},A�,�, J�} }' �rf{ ,��i,', �� +:Y•: i t.8!!.��.� v A fj i r..: :+. +,±,.,., ,s +i s ! r A?.;:t { + ?r ,.� r•�•:;�; 'tom. r{ �1' •{?' y': a�' tea,t- y�5 ,i w'h£f A 4 .`i3i4 �V ..(, y. t i ;,� irti;'n�a,,,., v iS'•'' ie`'� 4:# 1 " ' t l .�N.j f ,1. 7C7➢krny��'.p,{L� f� {. ,�`� I�` 1 r+l � yk�.;3'•�t�fi' �1 SERVICE AGREEMENT BETWEEN CITY O F JEFFERSON JEFF � AND CANNON COCHRAN MANAGEMENT SERVICES, INC, rd ) S}r Y Sf THIS SERVICE AGREEMENT is made and entered into this•(L16ay of June 2001 by 0 7: . ai and between City of Jefferson (the "Client") and Cannon Cochran Management Services Inc. ("CCMSI"), ad Delaware corporation. It is agreed between the parties hereto as follows: 41� `��A��1••3 `> A. APPOINTMENT OF CCMSI. The Client appoints CCMSI and CCMSI t hereby , hereby agrees to serve,as Third Party Administrator("Administrator")of the Client's '. workers' compensation self-insurance program created and existing under the State of Missouri ("State") Self-Insurance Regulations. l' � •"' ` ' B. FUNCTIONS OF CCMSI_ During this agreement, the regular functions of CCMSI at: as the Client's Administrator shall include the following: 13 General Administrative Duties and Responsibilities" is Mk �'"f k:rX •! M 1 ;1 (a) Regulatory Functions. ��� r ' '�' TRI s ti CCMSI will perform or supervise functions set forth in the rules and regulations promulgated by the State Self-Insurance ' „' .. Regulations. 2) CCMSI will prepare, compile, and file notices reports documents, forms and Y be required surveys as may re d of the k +' y q Administrator by the State= � i4�r'r A# tl After consultation and direction from the Client,CCMSI will represent the Client to the best of its ability at necessary ...`:. hearings, meetings, conventions and administrative inquiries . ;` i involving the interests of the Client as required of the '�r� `s Administrator by the State, except those .requiring ? representation by an attorney at law. ' tx`'r (b) Mann ement Functions. CCMSI will perform and manage the daily <� business affairs of the Client's self-insurance program,including but not limited to: #IL , '; 1) Preparing and maintaining adequate. and correct books, 1`r records and accounts on behalf of the Client in compliance •t,-,, with applicable statutes,regulations and established practices. 2) Recommending firms or individuals to perform legal, nt� financial and other professional services on behalf of the 1 ;r FIPContract Files'scnyce`wnnon Cochran•msPcontrnct:001.+1pd 4, A wt IvY. NA��,skg4"�s �+r�a�'y�"1.•.,'!'ape!°�,,,r��.�.�"�+'�+1r�t�Yw {t+Si:gW fi'.�`��ak:•Y�ks j'�� ip 4�'7 .gr f..•,viC' ( �" .�:#�s,,kil.,Y l45` .5 '•ei7t�5+,r: `i Jts ',.z/ t. r;{t4<t,Y �'S .;;•r'i;n„ yvx',y'.',"T.,.�."�t`,•,,�.e�� �.., T: 't• , 't�';1 t•!'t �',qin, .;ire::"$•)#r(t,�,.��f; t 'rs t' lY. Y °. tl �{� k a,:, .c ' tf"„tc��K.�i `.:�,...fr.'•C. �t. 6, .-l,�#1 t,. �t., �; t> 't' ! a4'*!�! f :'l14,t���f�e �r t t. t YS'.r; + �Sax'7 ,a.fi r;aF ,t �..�•t.x* t r'2Tk r.., rSA^•sj �,, ; J' ��� S.,rl, ;�X r.1 i.�}3 .S'+�� .•� k" ,+•,.> r r ,;'t'1 ! s h yr; Yr 'i<ta�, .-Y•.,.t.`.� `f,.? 1• _ ,�,, „ b ;x,7.k�G,.:;,#d;.y;;,{ y tV,°'f• ''!z. 'il'.r i'ik!,.,i" ,5,:�'iL�S;, ,{.,;;<6, h .s$'.�;'- L,.tt., .a'I f., v, iy�.a:di! } .rt1. e t"'` .1.� .��¢jttA .0 `x� r '�, {1 e 1.,'rS tvT.3��'i�G a. t(..p4y, tkPltt, 4.lz. .,;:it f'".ysAe,:•t.•r62j•:. `atrr y r PSi%fix :t {f,.: jai >",i,ii4.irt#rN4'7} }'{;.y 13tF'`?'�' yb�u;:4Y}X- •i r'? . 't`i'#/+„ r ..t '�'• �' .1`:'1 f:3{. ( .+�✓... 5�trN.S.k, .1.. ,i •�n,,i±t,t Yt'.!•i5:1�.0+1 - F..• .,1�,.tq.:'.i. r..4Y" :;.1..9 f..�JV. 7.,5;` ! a`,!d .{,.LY"z`• .':F •.t^" ,r„ :, ..r 'lr. .;}l,!,.a., ".,: r •,�,. rly t.,,a' i�.•'; a. {?3,rs�".�d: Rh r .`Ti.. �,..j�'�.rf,�i'•�` (�G •.r, i .9ar ..�{ 11,� lt�ht tits 1./;�,s. .,.d'�•+7�t;T'Jb,i{. �:�: x.r!<R. .r, �... .!�':}o-t'%T.. _.it�::'.�Sb} ,iN;-,V.JI�.s.i,r,v=, r..Y.v ttv.n,j�?�,.i}t".+?1.,e.,,f.. ,f'. �_ ,,+ ,Jf�'.., :'ate:r.r :,{�,",::✓1,. ,r. .l,t... :{„, .tt-t2 .SS�n �.u, } ._;, ,.F:* .341 ,1, ./. :t?;^�,�.'n r,lit?S,: ;eK" r,e r`''l•',., „, tr..t;:^y': _.:u"i+•'+;. ,,:I i,.e- „-- xM1". .t i.A `7% Sr:.•5 ,r. _ p p } #x. t ,¢�:,..r t . 2': ': t ',, •. ;,: lt`:n... .`...... -.. �'uk 1;uY' },,_t it�1 �F... - .,•.:,v:,. 3. 'T.,•3.x+• 1. a:ffr..�. ;'+.•..• z,., x:!>:t�i ,:,sl,:«n'^ <?s^::,r' ..Ps"r.v •..r,. . ,,a_ .. � It a 1... ,�l� :•,4, -,.1.,i,t:e'. •t ,CJF?!. ;%i{' pp .r.li�. ,•Q•_ 55 ..r ff � .{• c1.fi. r... .A., �'s,; ,.,r,"�G. �.tli f� 47." •'.'(tii�; �'.r t k pp„Y'e :�;,4. .�','�. ,,r... ?•5. r, 'r -„t.< r,,;: f' .z`:'.!„� . a =, •�v e t��P w. .f , "5r t,j.r<+;, r' .5•',ti=KS��it�Y ?t. a a !.j F '.i�l,i�It;�; '” 1 •..rt P'r �' 1 Ai i .:(•c ,.`.r:t,4S .tt .h?1r47f�+'� o,S.'i:'a' .� t 1 4 ,�,,• � tl,.�. 5.{J .�. '� lY:�t•t, ::i, s t'r t.,i � �f a z� ,.' i' t L t,; , ;p Nu"a# .,l,.,4 r., 1',, .�: ,,',+, j" ,t'�7. •',iir � ;•1.'•:r,t,, ,=R: S, i�n�':t'.�{... .i i „':j -r .it ,r '! erf 7. ,tr, t. .�,,)t.d•'�'.'r"!'•FTf r,;{�\:.:((•r�ir„ t�b,�!'!"s��Ikv��"ii".`i:3 �' 4,�t yr•r 1 �,' �1 f.,l4 t S. +Y,,,Si Y•'r iiyp"(�`,,'i`iAy'"•�5'`' y, fj4 'i'.',•'�,.r IL '.,i,Y.. Sl•Q 't�.7r a nx. ,;, ,tr, rtt rs', , .. .. ., ... y'. r i ;� � � �-, . rtt} t'•}i ([ .y� x ,. r r 1 1`r tyiN 1`l;'3 s}s•r u r f ,�_ fk* t ? } t U .rt t t( 9 a { ,. i�,� ��77 {: 'IF �i S .. t ✓ j.1 , .f 3.. A y h F� i 4 5 t {'y.k at �« 7 s- t st t YY Y S ta'.i a k•, ' }I. S r t t ,•S,°..t'" `, >,i r d �'Yr e,r .`i ; rlr �.a '� ,�d��i"yS'sl�tsji v-r,,•..,,, , .x x.,i ,r. .;5xi•;is,�'r 1'`F?[i�-% .,;I:iyJ#'r#aa{ut ,�t .,}}YS. -.; '.c�;l.i Lr• 'T,i1�aYf$`"..f;'P"+ ,}k :r}�? (��' t, .t 4. ,r ; ., ta^Sr. �YS. �rrk•;�.=3�.� $i�?4-t r r�'� ,t I :a, ,a:;?.F.-,,t��,'Yr��'(SiJ,r�,}x f�>C:�t t' '{ t,t F. r' s ;�• c �. 1 1 # � hs' 1r� ai't�,h;?�' h(��b :�fi,,'� ^'7i �i' Y,;.,Y1LS; ft ,r• f c. r., , 'r } .r•i .�. 5a.' �f e �:*i' Prr N,S ,tA"(: .7y" � �, h ax:,�r�iit�S b {, S§,n`Z•k�,r+ .'r);� �t.S k; � t: r:,-�„' s. ', t n u r ;;r€ �.�.!a�yk�"�',�,� { :j•�p3DHtkIRtitt `'(A'•�..'�,+ kF, '1'!Afe:,. _",,.. .�r,4i"`uri.'`ir`fyi';'� iikfftk'Ffisri�'?n3+; `,t.k;'k:':t ',rM*' a:.'?X'fsA s�'iy,.��y.��, ' +�I•s.,,y { ytrpu 't i i;' �'}'`'F,�*a t''"K'�. i'1.�,,". its " :4y$4' ,'u({',•+ ">t eke �i Client, and paying such firms or individuals with Client f zpl} ; *j funds, subject to Client approval. T ` , J �.. f�r ,t: 3) Coordinate and report to excess insurance carriers, as appropriate, subject to compliance with Section C.5. (c) Provision of Reports. CCMSI agrees to provide reports to the Clients " as specified in the Schedule of Reports attached hereto as Exhibit A. (d) Cooperation by CCMSI. CCMSI will cooperate with any fiscal or fiduciary agent appointed by the Client for the management of the J Client's investments. e Additional Services. Subject to joint agreement by the parties and negotiation of mutually acceptable fee CCMSI will provide such additional services as maybe reasonable,necessary or prudent for the business and purposes of the Client. yl ��� r1Li y � 2. Risk Management Services. CCMSI will provide the Client risk management services upon mutual agreement of the parties. The Schedule of Risk Management Services is attached hereto as Exhibit Far •�a I 3. Loss Control Services. CCMSI will provide the Client loss control services 'y upon mutual agreement of p g the parties. The Client shall remain fully '� - ".':_;` responsible for the implementation and operation of its own safetyprograms and for the detection and elimination of any unsafe conditions or practices. The Schedule of Loss Control Services is attached hereto as Exhibit C. ` � 4. Claim Administration. stration. (a) Claim management and Administration. CCMSI will manse and 4,rI L: administer all claims of the Client which occur during the period of <ty. this Agreement. CCMSI will act on behalf of Client in handling, � ,•,. K.,< " `. monitoring, investigating, overseeing and adjusting all such actual �"�fi 3 and alleged claims. ,,N (b) Claim Settlement. CCMSI will settle claims of the Client with Client funds in accordance to the$2,500 settlement authority established byt ' the Client. Prior authorization from the Client will be necessary for li k all settlements in excess of$2,500. #: (c) Claim Reserves. CCMSI will recommend reserves for unpaid claims •�'`�'i X; ,tx. .• ''" ,q ?a{,.;": :�r s'S`'tkA t{,.{„�v;'K';;r;v.';{=..:a, r. ,R,?it t 1,t.i ..} (f r t'.•t f',S`, 'r t.r `h"'t �i'";��{•i tfyt: i},... "'<r t,<ts• '� • "* �'.'. ,+V1 }i t...,5 a7 k ? r SV:a, ° tit .tt t 1 a t i i�r`t }'({S.4 4rt�'` .t+�Yt:�iciztv 'V+. iYL? 7. •,4f �t ,t.s i t ..lt�: i.'r } °ti t •.('n.S f ° ( fJ�� 51..� ktt£ct}t 1t'hUk:(i � S` u( f .S 'S J'` Y 1 jtS .? .% ri r tl. t (.. t r. .1 "s.','• i{ .t# 4 { t,r. r •tF�{ftti t, 'r. r t; 1,t ,.. 1 }. .-, ,v , .7} #;r .?;tf-,;.:.,:t,��7 �;"ht?�'' ;�.,�:'F, 6.it" y., �° ">sM' P;i y'I •�}��'aA�eY,'r}.1p�i� �,i)tt�£ S rtt e i' t: ,1 4:�. ,,7 f tid sr fr�o t.° .�i'S�.((,� ; rkYj� �sjt � S� .� � .<i t^.•S ,t zj ,., tom°_ 'X(�'Jy�p3•y�,Yt 5�}�V�,v x¢p x t !V i• i t }'y.t , s {2,.rrt�� �,.,. �. h G ,t t: 1r,� f� �'.�„ '�� >l ,�� R' k.: '{, t•„ .r i }�'�y(�,�A ��•y�,,ut. t, yx�,M},.6} �,,!4',t + .. '.'P"�3'F!:i.`el�:4iti%??ar�4 k'd;!'dr•'F.*t'.'SY 'i5'riT?R ROAM r�Lis�"PO .�"Jt.'i"i.�x!�, .t��5.i.q�^. esra qa ,�q F � .lb>��.4vy.4,f�4' �£• t2 p $,� t �aCs . (d) Claim Payment Funding. CCMSI will be responsible for the payment of all claims through check writing authority from the Client's xt' ::'.• specified bank account, CCMSI will provide a weekly check register to the Client indicating invoices requiring payment. It is the responsibility of the Client to ensure that sufficient funds are available once the Client has authorized payment. NO i (e) Allocated Claim Expenses. CCMSI will obtain prior authorization from the Client Uefore incurring any allocated expenses on a file. ' f CCMSI will a p y all Allocated Claim Expenses with Client Funds. Allocated Claim Expenses are charges for services provided in connection with specific claims. Allocated Claim Expenses will include all expenses incurred in connection with the investigation, adjustment, settlement or defense of out-of-state claims,even if such ''�fi1�,in4ti:', r 'y`��$f'i.'rJ�;�f fir• expenses are incurred by CCMSI. Allocated Claim Expenses will ''• include, but not be limited to, charges for: I) Independent medical examinations of claimants y�$ ,� <�"' ' 2) Managed care including " `'„'"} ' ,n b but not limited to PPO networks 't. medical bill audits,medical management review,and CCMSIt., ' Fi r: Managed Care Services agreed to b the Client 3) Surveillance; y 4) Attorneys, experts and special process servers; 5 4 '' 5) Court costs, fees, interest and expenses; 4 Sir-3 6) Depositions, court reports and recorded statements; °•i a : ,�v; 7 Independent adjusters and appraisers; t, : ����` • ,.tX� } 8) CCMSI personnel at their customary rate or charge,but only Y,l with respect to claims outside the State; and 9) Actual expenses incurred by CCMSI employees outside the State for meals, travel,and lodging in conjunction with claim a ement man .g Subrogation. CCMSI will monitor claims for outside third -party '�'`�' i liability recovery. CCMSI will investigate and pursue recovery on the Client's behalf, after obtaining Client's approval to do so,on a case- gad``?? � by-case basis. ±A C'. CLIENT RESPONSIBILITIES. Client agrees to: r �i 1. Report all claims, incidents, reports or correspondence relating to potential ` claims in a timely manner. n 2. Cooperate fully in the disposition of all claims. 3. Provide adequate funds to pay all claims and expenses in a timely manner. t H!Contract PikslsMirc`cannon Cochran•nutcontract 200LWpd 3 A #,. k` :� ! .��"�'"'li'yt,'^•dti�l^° ,tili`Y`. .r tr�i,�Mf Y�ao,«,7�7.,? �5)Sd4fi';,•�j,:,,'*•�!,.,.t. }'�t�,r^^^.r•n,�,*n.�:.w,",...,�.ry..a•>�n'i�T",^,n'i�'%'SS^"?,"',","�•-�srtf^.r�p I�`.Y,j rf r � r �.,t:i',�,1,;�':'� it'i x .Z p <1:y.,t,11,h,'*u.: t"T;'.•..1%{�51 1,,7", rt,'r,7. W raf � „ _ ;i ✓5,, ; w'. :.:tefl,.(,.CrT,.ao� }•.5,7�.:''d„41trs4,; .F,/..'�.y1,�.,,�°,7'.,�'j•'; ,r(xr� 1fi'afe pth*,.: ,,*�., 1.w.'i�ir r!k �i�i�::V�tf "�e i t� phVp',:it.S> `+:enr,���i;?l:��S�c.?ar r i�.•;,i tt'�r rr�`iii.a.h,.1fy� � �n{•��� .,IN�f v� { �s.0 ;�U,.t .g�)b, Y?..^ ,,t. r r�1�•• e.��•;,' ,{'. ,,:;�'S1 :,�,f�;..F zy7,.ti�Y',.�;..a :.•tt?t�,�i (J','14f�iXi�.',,.�;� �.k�i 3'V1' rr . [ "P' }., ..tti fix} }r A.k;,�S,a,V i r r } •�,�`a t '. t �'. r >; ,'7, #;1;. ,!�. �'..i' � h,„, ,fi •!u j 'r ^+p4"c, ..t.;'fi'.4. *ry;h�1'' ,�,i.{r r.rfrt.a t�.',�t"'�e-0` :r.,i"V+, },[)�'L. ' .yy�}t�' ,t'�,.iv::^A,. ,'•(,+ .{ 7t ,Zty(ijf}/{�'s7�i., jar' k':>.J.YF�•_ V'yw 1. � V �•t '1;1. Y�.t t{.o k-t r{��: !-f';<.i,1 .S-.� �.(�. ��trF Pr�< .r: r..f i.�.� „f«•r �j +,. � £{r,7 * �'x• w t ..1 ktfh'�ii.�,',i. ;14,#i.°.,;'}r}jdy1';ks;, t.zx,a,'t.t, ,r•� &r .io '7t;i.j{?S .fkY•: 1' t xy,,/w` �"7 r5h",t �} w`�rS }-y f�k� .1 ii•';P}'�S"',�+*;iS ti!{• t3�:k1 t T I,t,,' �t`�( �I:,f`' 1'7 rf�{' � * '�i':5 2%h°+i� '?� �,yit.�' `}� r r}`� 2'4 Y ,�x�' i S.,V•.• h .� ° i.z ,ti N,,. t{ ° n 7 ji{,,<r r CY 3< <�{ ;.J'�'":-/1�l°' i'° .�''1$4 Yi ti ryjS(�s•)'i;3. ''�n T,• ;`� ?� :. { ,i.�, 3i:� `} t Z f a r'• y tc> t r•}r r n?; (��,'X: ': :i';1, f� x. 7, Zt, t .�� i y 4 krw;'{3:�.'.ti i `�.t r F+etr Cti J(H'(� {`� ly •t �'rw. �""i.:�y �• f7}� �t�l:` L ,r 3 t;>z,f! �.'� (r,, i..�}e� ,r Y7 s S rS, �i r4 � .{tt(X .Y.(`r t , , t, .�(i'1 Z•t�..,Ri��x,;S;r.r[{i �'N S} "�.� � ft 7 I.rrP.�..>F °,d ,sg .:s F4°di..,.,,•T�r { ..•h1q .,e.J{,Y t<, .?,v..d1 9, r f.gFy."rz?s ,`?. fie:r yt.e. i J, { .:tf: X}. .,itw+'�,,,a x, ,y� •4r... �lf�F 1. o{ .,. � Ir,?�.\ �f' s f t +r,.«1z.°r L 4ryh�,r "�;t�•;,;�' F fi, pr'�i e• f`,. M41, , . . ,!„f . :S ! , 1 , o s 7 S.. } ' . t .:i :l`t iA ;� t .S� 't { � '2 `� h ' VI'h'�V ' ' '`�t,'jj:�! a} 70 Ci rl,:,Mi ,f`;`IV, ry� ?�Yf i�,Y6 k;�71{t, 'id ,t' tSA;'•t+r. t 'r.r1 1;i: �k } f� ,, d 't p t.u,t x.. i�',i�l '�P7J t t u c iJ 1 T� }a��'.' ti r� L• > t`��; t"}'} <+'. 3;..��yr.l��7> psi}i 4.•�„ � s. , � 3 i,�t ..P t + } i I�;S ltt Sr'J t.t z•},.e�"l��Y 'Mr�'``Iy�p`� �++t7 .�` A f�t Qc's��,,"'j� `.v'' v` s-'�,,r,.'t; •,r ,rii� i:r.•;>r fjt ay<y 7 a e i ,1 r+ i s? S,j N"', '.x,°54,.,. d #p.�$ F;y t• ar 9r, "re. t; 'T {•.���.f' �YS'•.��' �r •��. ,X;v}C-h fi'f'I..t S' � c vcf r: `:i i. },,"t � �y :�19`t 4'.7^�',•'+t).,x,Yg�y. �r A •,�`, 5 k"` ul'PYe91 i���ci �+° ttr� 9�,}cif a •, , t Y f � "r > i.. .,�s� ��;E �ti.•,� a I!� ��' " �''+4; ti''�"�`r r #����'����r �.i 5 �.i;., _ ! .s f�x rt r.tr n'. r 'f f .�..AI„�4y;f'�fi$ !�1'�.�•,� a ,4 •r. eY{At ,y r i .., . 'y�^i c: +�Cj,,T`` 'ru } A ."5F.«_ i;} -�+< .. hJ C;,aY .i� `d,r,.;; r _.�4•.,., x. }M}�y�}� '�S� r�.,'+!�r }�,y;r,�hi'�.rµ, ' 1 1�t.+:. t,. `2 irsq;; l �. i�} it A .i tst5(�,t:�.�}J)itZ�s' .C�• �,. ..,�. I��4'i' '.tit�1, B,i• t,•. .S5i5R�.'3S}1 ,F�1 ;V� +Y'6t't��� �7�M1ls'+;'(intt!'.t�.�. �"'+ tl h, J i r i rY f,� �;/,,.','v a'#i,.!t`Y°69.; t�.' � •�M it d'S 17~ q1J, 4. Respond to information requests in a timely manner. S. Provide a complete copy of current excess or other insurance policies, including endorsements and audits, applicable to the Client's workers' compensation self-insurance program. t%? 6. Promptly pay CCMSI's fees. _ D. BOOKS AND RECORDS. . 1. (a) CCMSI shall maintain all books, records, applications and other forms of information relating specifically to the Client which are � ” .6 `t necessary to the performance of CCMSI's obligations under this Agreement(the"Records"). The Records shall remain at all times they �'u ;.�: :•: sole property p of theX; ' � Kr;•,'; :. ro Client. �'{tkA�}'y�j;yy�{a,.r• (b) The Records shall not include any manuals forms files and reports, s + •� :,y, r documents, customer lists, rights to solicit renewals, computer f records and tapes, financial and strategic data, or information which ' documents CCMSI's process, other than the Client. The items J` specified in this paragraph E.L(b)shall at all times be and remain the n sole and exclusive property of CCMSI, and the Client shall not have any ownership, interest, right to duplicate or right to utilize these ',:. ° w , � -` items. :• :4 . 2. During this Agreement, CCMSI shall provide the Client with copies of the Records, if so requested by the Client. Any costs of reproduction of the ;.' V. s ` Records shall be borne b the Client. In the event this A Y Agreement is ,„ ; q�Xl; , terminated or non-renewed, Client Records will be turned over to the Client. r 3. CCMSI shall make the Records available for inspection by any duly ? authorized re p resentative of Client or any governmental rnmental authority havin g jurisdiction over CCMSI or the Client. 4. The Client shall not during this Agreement or thereafter,disclose to any other #t ' r a person or entity or utilize in an way, an confidential information or trade p Y Y Y Y secretes of CCMSI,including but not limited to CCMSI's business methods and techniques, research data and financial infonnation. rk :.try �• �K;$: r F. SOLICITATION OF EMPLOYEES. The Client agrees not to recruit solicit or hire f any employee of CCMSI without CCMSI's written permission during the term of this rr '7t ?,,Y Agreement and for one year following termination of this Agreement. In the event ;N the Client does recruit, solicit or hire any CCMSI employee without the written y '77n ��d• ,.w II;iContrart f•51a`sm•ice'cannon cochmn-tmikomtnct 2001.tipd 4 d;"t�`ct,• Y t �.r,' •,t•p•r n.i".A �1 " t i ,}: 4;,.i k}., ti ri r;:s A ,".."�f"'��"^""j',•"T""r":1Ti..;x.; ,s;m 3;�•;,.;art . r� �' Z }��4t�. r'P.:.�i:, •.��„ +j..hi�#14,,4r,,.t.'i°::i;n:'.1!,^fit�ki�E.:'`�+y:�<•t:.e,1�,.. ni'..i ,y+: S:'� .j '�i.."r,., t+Ttrt ..��.�! :E •��%ii(rft�. }, �. �. j� � 'Mil �ft,;�,p• '�� Y.. r,.+, ,.,S,' �rS' :ti' ..'t iy;r, ',tf lt�i>_�; :ti<;: .,y. �`k�+:h,,/..r.rp+.q�'•.t4f,., x•,e ,�4 a'!.t�ts�£,,�t��ry ,.>i��;r;..3; T'*' H�.' ,�Nv 7`t i• { ;y � r :n'L1 Y t.? �" ��7' .i � �V'�. i�r' ,A r �T}� ,�r;,';L A�, 4;':{t;�t•F ;,+ mn; v (s 1.,•�,tc+ ;ty L t�i't { �tg a;r,•'+ ,f,' ;', c. ,"?'l",.'`'.t:. t' .v+�°} � ,�rntrT3. rtt r;ayy�, x}.__irlkt{cbi:1'SJe';.';�.;:t+�„�t y�tr��`.,. �„r r3# 1!•..t'L.x.p ��'iws.'r„�q,.,'=v i6t�,1{'.i'`���.fir.�•,.yt•. •'�; `b ,5 k � .:t'4 t,. ` I' # r,. S ,;�,� {�f, .i ,s?} {, Y.. t.i• d a,+H t, `.yr c }. €, t,i, $x ,p `(?{fr; r F^':^,I:.i' 3 k x:+ cy.d sil ti .U" �tS � �t�,�<x•,;tt �x�f.. +.1�,1;`ml ',�'' , asi'y' x: Lx:c p,,`:,r. ?ys..,•-kr .sS7.'�:. y� �,a`rr4t �", ..�i. '1( }. :F�`t ".!t.v+. t >{r,�f• ri �N•�S.71F..>tl r:Y[ f a,!•,}.(Ut t'J'��c .,Y' 7,i R�,7•,*�•. ..tJ.r.i:i1H >.l 1. Y114.x ,7 f1'':w,>,,.� ��,¢� �t�+ ��)�y�g •�}�:i4` �. S•tia' .y.� �ir[, '7�.YYn. xr�"t,,U r +kt"9 t�y, a �{,�.:<>„y'f i� .�I:i .41i ,C. rt?'a'^r F.},'[ki:i'�i,'f:r•„ik•.$ ..� -•�,A:en.7 Vr'i r;i r R'.l,�•� �4. '7, s:L+.�+ i,.,.L� ..< ,},>... '41:;�'ir•��{": :L' t +t 1 /!7i:s"k+�.4'•x• J :7;rr't.;:T,,' '� 'S:n 7t1 �.,.•t yi`s Mfr. •'7/z{71 w.Y, t .5'x, ,�� ""iz .'`r' 1 @ }. '<„ '� ,'Y',>�',. :,, ..�rr r:-iry:?k.•Y,n..f° ,... y.'•.,S'r '�€ ..ti.f'r,. t.,.Yy ,.}}:c<, .} ¢.�'l, 7r,}g ,+., �. k x ;%,. •^'' !t.� 't, t�„w F�,;,, t>, .�irr. 7''r d r.5.. ;i%�3{'V,'r 3r'n.� >+,1.'*.,..i:s .rd":-`'., ,.,�"- e•7'< h�°�}`,�.'tc. ti iS'�v, $ � a. t r' 1 .#. f' ,",QK' .�ti71 :,T-,✓.v{tt?.',t {. :y, .lr ^,T.alt.. ;S:' a,,., ,t:., �i {} E. +'t, 1 ,��``�.ppa. 2 9,},.. {}, .)"• c� x+r:: .t'�L%:. ,^,,, '':F'..�;, ,.{�.,t•�."/:%717, ..ly i.l a ,�.t,. .} ., r� •:t i Y{>� ,l,, �u. ` :K t. .f.>3'�: ..�.{+ f{. }. :>� ?(hit,#t'�., •tr:A.I' '�' .s`". ':t. r °':iA','r ..v.i5: .5�.,,:}K}}}t t•''�i ,�t{ t'`ta. ��:�...�d rf4''..z �•if`*Fk W,!+.;it� :f.i";•�� � .� i^i,, :t,'' ;c`'•2,; L: .,+- vr�`•' ,:Ir i ?,u? a' ,t,«;>•. ,'p.{f �.r h Yt'��iS+•��1�# �f .A,i. `(1 ••+� rrn 1 t c ,r: f, , i,r i t .M1'' >:*r•� :ti; ��..r• ,5,:1..,rt t;a:� R, Y r,1r"'a"t� ,, .r�x.i�r•j�': t,l?C�° r. „7; i ,.C.. f d ry,n•, t �("j[� 'rid A#y , +v y r= '� s " :`,:,, .": fc i. rT x.,-� •t,. 1 54r�i�{� �".ty`.0 I.. ,�+ � r +a•% -fit ,i•,, f.: SG` t�r��'�•,Jtii�i2,�t,l'17'7 r{.(X •�i l.r z�f i tt.r�'ti:i {{ �w.r.., .::j i,i f ; 't :+47:Et:... 'ii 246 'r{yS f „Pri.+l e,F•'''� A� t •{`r���� •'", yc s >' 1j 1-•L.r.r].t1 p .it U)t.Fk?#d jl.y')!', t 't T r l t ! L' .,r lF tty•!','.j h>S,t i(:. ar!tl,.4 X :t J`' ) <f" C �.'/ 'r �N' • ri;g'�}aa J5r _<tAatU ��i t t+,t,,7 r� ) ,4i i iy t > f 3 4 ( ,fi.��:5�«z•F?'t�;,r�„;kr ��"a`?X^t fJ �� �� rt�"�"syr,'F3+h,� i r.;�,ar?t:,�� , tr;.+l.irt L a ., ;, t t tl,yF. 1 � i e„} y{tp.s,•�. t•' �r r��"y tilt. 1) 3 .,, )i f {1,£� l r .' .'l A yh,;t• tie :! C ,i, .i3 x '21a } ,t,.{@`v '(1„�;�r b•>;.� ,,t` '", �r LLk �� �'. S t5') i � .F'."�. s i t, r ! e. Hf;t s•f I,r GC e� sr,. ;j 9.P.Y` i t��' �;� 'a Ij • k1��5:1 F���� !t,jtiir i. t 1, •G"7 ',.s s.t t� � �J �1�.Y,�..,tt.,Urrt. '�rF tr Si,r..:«:,.�t�.4P�1 ,1°�1�.,�,', • 1 y;yr. � �,�`'S},t�y(�S.r j,;'ri.Sf ttrrf?t,Ifil�i'b ,d}, � .�;` r ,t , •f .� j„ 5,t,.,, ad'r i t'�.• , ?)i's iS. ;.:�t+4;R Yia �r w. y �'^'7•Jr,l•+r 9ih� h, " ';:1,stn+' ..{,E t xf. ' ' :a� ,:, "t „f�,i};1'r•.r. ii '�r, m•, .,h..)�.�e)4'.��„�.,�••'�'+:i{R,dl �(Q p. •�"� ,. �D`4�f;#i�`.IIW '�.C ,�+i, +'�a���ti.�;�i�.�'.s�'�!S•''3"y�'''ir,�'q` 't's.'�4•ft"`�',�`"t`t�Fri��'+`t'!'af;,',l"��tr, 'at` 's�'�lrt '�`f1�!'h'vlL�3!�� t.t{�) :,� s F.,;� ..`+,:;,i t..4r5,,r:.'r:° x��7'j��:�`",.F$�'! �y� �' *7' t. " permission of CCMSI, the Client shall pay to CCMSI, as liquidated damages one : t :d year of said employee's gross salary. The gross salary ill be determined by the ' " amount of annualized income carved by the CCMSI employee at the time notice ofy't,: +````'� !trntxt ;, resignation is given to CCMSI by the employee, and will be due in full within thirtyrr £ ; ;s days after the employee's last day of employment at CCMSI. n' G. OTHER INSURANCE. Any specific or aggregate excess insurance or reinsurance hNr r X r `, s4 purchased by the Client will be negotiated an placed by CCMSI. C ustoms ry 77 commissions and fees for these coverages will be retained b . f g y CCMSI All ^f,�~` : 7' ! commissions received by CCMSI for the marketing and placement of specific oriF` 't' aggregate excess insurance, reinsurance or other insurance product will be fully t disclosed to the Client. H. TERM AND TERMINATION. s,a V' t >: 1. Term of Agreement Unless earlier terminated as provided hereunder, this st" S Agreement shall be for a term of one(1)year beginning on July 1 2001 and 7 terminating on June 20, 2002, and will automatically renew for successive �ta .����•` >�.��;w;ir one(1)year terms for a total of five(5) one-year renewal terms. The parties agree to negotiate in goof faith the service fee schedule on an annual basis. If agreement cannot be reached, CCMSI, at its option, can terminate the ��''r „ A g reement upon thirty (30) days written notice, or elect to continue the �°'�:•� � `'s'', X'y tF, F ',::i:`'�'}' �:,;•F y, to Agreement pursuant to the then current fee schedule. 2. Termination of A reement. This Agreement may be terminated; (a) By mutual agreement of the parties hereto; (b) Upon expiration of the term of this Agreement if either party has wt, given the other at least ninety(90)days written notice of its intention �� �•#;' '�'��{,. to terminate pursuant to Section H.1; �l (c) Upon dissolution of the Client's self-insurance program, whether ' F2 voluntary or due to cessation of Client's authority to self-insure; (d) Upon dissolution of the client's self--insurance am pro due 1 g to Client insolvency or bankruptcy; (e) Upon ninety(90)days written notice by either party if the other party ! � � lac•..�',:;,n. is in material breach of any term, covenant or condition contained herein; provided however, that as a condition precedent to ' . , '' termination under this Section H.2.(e), the terminating parties shall have written notice to the other party,who shall have sixty 60 days from the date of such notice to cure or correct the grounds for ,'fop termination, If the grounds of termination are not corrected or cured during the sixty(60) day period, this Agreement may be terminated Y on the tennination date specified in the notice, but not prior to the 'i expiration of the ninety(90) day period described herein. 5 yal 11:1Contract Pilq`srn'ia'cannon mchrm-nuPcnntruci:ppLu7x1 44; ,l t,t,i ':,r,�.w.. :=.i ,�F. �nr'!te•�v^R'^:4"'. r .f'a'x{'. --r•4'^ r^—mr y �''+ /! R ill X�'da'Jt1 r ""}:yxz'� ^'tr':. fi a"};'.tii"r-rt• (z, 7"t•.-X,,.,. p. , r,�e�,�t'�.l;ft, .�',6`r e;y.F.e_•�.it�4,t-.,� :..iQ{fry �'X d,,.r,�.b.��.•..�wt L ittr.r,,." r n v s\ {",f''4t•�i±.4iy,,:il`�+ r�jr.'t', ,; 't.,+W:n�'Ct''7�•+�C r• at ryv�•.: r( :r�` �'nli \ yet;�,�•3 �,f� 4'' !+'SF°�{t;y}7� 'p;,a.4 r .r .C,.v�-�r'h�F.:}£r� lf;.�;;'• 5�:."ks•'.• „i,lx 1:�?�,,�fi�? ..,t •,.,.,..lfti>,�,5.,,,N,lfs'!'rt�s�r tt.�,..i;.,�( �C• .��J'{�r5.`T.�}�.�•.��� �-."htz :ia a.�,.a-'�u/t,�•,�. -R'�:,. � ,F ' r ( !" "s., ca,:d r;r t{4% rF;cl•x,'..l��e rl/•';��kj�ip fir;" '..V_.,�i,..Rr.flf,i.r�{t}: `k^+vii3'i.`;3.3' ��r, rr fF '`"3 (;C;i`+ �{,` 'qtt?{�r'')6, 1� 1� p ''?f;,��' .,�'},.>'� {?�5 '� T r5;'1.�. �s,�,�. ri}}!s �:•.��1,,:�:1,s5��';ttlTrK):r h„. ,�;,,. { ,!.1 ,k 1 1,t� �,y. �. ,4 l t1w ��� r t,, ft�' X' !"t!. �`.I; 1��, is yFL•7 j l;r:ift�, ayi '1;iLV�`" .,�,Tr1..,,.�vtr:'t{,.F.',ryy tw,,�v??f,�, ]jj:"r, Frrcrt' l=r} {yy .t FT � ♦• 1.�i♦.i 'fib y t<1:+.'„J:I`' h�x� �1� (4 .,}.�,''d 5'x�' c.'(S. :�ti .3. Po g �A-Yf* t 'k+ JJri�ri,��`X�?�fr�,4l!:{�l�{'R+Tryry,,,((•:;�IdY r;r nf�;t;,?q�i��eiy��, y�r?�'�,f`{.i�,;i,rt rs p.jRS.�{, v;=�. ..v,� f' r'.•..45 rv�'t',�i t, �g �'�ti h'w'!�. � . 4t rt• r� yr,,' K + 1� Fift '1.,, p rS, .il1 .yt:h' ,.t,� ,Q;r rr I �. i• 71� .�' �il)r,b,,b,,,{ `,1 r .• t.,a rq,t. •� �' r"7'�+i �' Y �ul'� i.v�1}. a ^S ,�5 , .w.t i�t a� li,y;�r:',�},�v,3;.,7�.�Yt ti t '�`��✓.,`� 'xt,�e'""{3+>A�y�•,{a. ��X; �}�+ `ft 5��+" '�i�+r a Xl' y l�, �.� ?�';� ,{le,�is r g =�,.,•'�:1`u<� Ys t� �. y� s 4 r y .�t r.�.;:sj'p. �3. fir,!,fi• ,', i S )�?�rt�t:'��,Fi' t�' 'r'-�r �*' 1•t w t^r,�t., ''C '•?•+t ;�r,'�'� �' �1a u�i �}q}y{'�,�'. II'�S t y l A,p ...r •�•.r (4„ .� .!,, .r 1v d.°�'..�na, .rn:.,r?,i ,.3t.'}<> � 1 5.., ..t` '.�?'j•r.s�.� f' ''`�3"�£ � '><• .X '�'S,a v.it?,. rt.S', 'r} }� { 'st�;:'�1'�. ,:t`1,'i,S 4` }:,so..,. ti'. ,d» `:i,. .;:'t,� ,�,�n,,,, .k.ti+. ,:i,, :t6,�:i:+,:.v„�'j" .�, .f.�..;.v}.,4. 1 tiaj�,K:" •r �a��-: r rt1 r•Etr :V',+��' o.r".'t{�`r;' ,�w ,rf r:,,,4t':�'�t.,a.Tret't?�,�P; j»6!,.,t'1. ,,, '�t r:•rv„.:;�:� t,;; .^'f:ti t,.l�'f... ri ii.F ,!:t � c }' ;'�'fi S..e s+. ...}�,'"t; f'},`. sT ,y �d,+ ..�,t�'{:1.,).//1�:-tz r,.;Y..?a,:�Z•?..r...}. -�. :r.. era'vts, ,4} ,v..!• i.,t,�. .,r`,'� ,. y .�.: .i, t ii, �e.,r�ri� .F:p H,�k.� '6! 4 t- 3 c• i.,.�i,;'i4',.t,r drr }r�}., �.: :}' .� 51 x :�:1 ,x, t ,t r r h��,,•. � ,Y. i ,t r�t �.� ;+�� �•��J, '%f:�.. ..i, .).t, rr t,tr. j .{ -Ie "i; 'n.><?' .rt:. .i1. 4' :,t, h. 46 ;�: r[i +,h .,.,..�jkf.� , {r �;. r>41..' k. .,�;��+..• � w5 ..•A f, ,t'•' , J t i",o J N�_ Y W t ff r77� AR 1A 3. Services Following Termination of A reernent. Should this Agreement be ten-ninatcd or non-renewed for any reason other than bankruptcy/insolvency of the Client,CCMSI will cease providing services,turn over to the Client all Client files, which shall include loss control records, reports, surveys, and correspondence,underwriting surveys and premium calculations,reinsurance and excess insurance files, all active and closed claim files, Client files, and readable form copies of all regulatory filings. Upon the Client's request and subject to agreement by CCMSI, CCMSI will be paid a reasonable negotiated fee to: '®r", ��i (a) Provide continued administration of the open claim files; (b) Cooperate with any successor administrator in the orderly transfer of all functions; (c) Provide magnetic media transfer of data, if such is feasible. R) In the event of bankruptcy/insolvency of the Client, or cessation of the self- :1 w insured authority, CCMSI will continue to handle all claims to conclusion and agree to cooperate with the Missouri Self-insurers Guaranty fund, as requested, for a reasonably negotiated fee. Termination Fee. If the Client terminates this Agreement at any time prior to the end of any one (1) year terni for any reason other than those set forth g 1211�'11��1", in Section 14.2.,the Client will pay CCMSI a single termination fee equal to ten percent(10%)of CCMSI's projected annual fee. In such event,payment of the termination fee will be within thirty(30) days after termination. R. 6�, 1. SERVICE FEE PAYMENTS. The Client shall pay to CCMSI a service fee as 32 outlined in the Fee and Payment Schedule, attached hereto as Exhibit D. J. RELATIONSHIP OF PARTIES. Nothing in this Agreement shall be construed to create a relationship of employer/Employee, partners orJoin ventures between the Client and CCMSI. This Agreement is non-exclusive, and CCMSI shall have the right to perform services on behalf of other individuals, firms, corporations and entities. K. INDEMNIFICATION. 1. Indemnification by Client. The Client agrees that it will indemnify and hold harmless CCMSI and CCMSI's directors, officers, employees, agents, shareholders, subsidiaries and other affiliates from and against any and all claims, losses, liability, costs, damages and reasonable attorneys' fees incurred by CCMSI as a result of breach of this Agreement by the Client, or RK I IXOntract 111olm."icc%cannon cochmn-imkontract 2001."pd 6 71.F,­T W�l r1r,"7111 7,11,717- 1P VV�VY 4 -0, -:1, SYM ­69k, W RT, 2g DI!R Vq VYx' `� t, ,N 151, i� ioR M � '21 ­W� 4A 't ' i t t, I i t { t ..,. ..- .. t •� " ;i tr •r A' E Jb a., • � r� +��. �,�FC,��'t!,A�'ye��t5,..�t �(y"K.�•(•1.t.Fp. t t �.�,r' .s .7 ir �'� t 'i. i4'� iC}P: ?�i1e� +i'Sh ti"�t3�1.Fi.���?�(;5#�3,'r�. i�r�:' ��y+ y-tsr'�; ,+,ti,1,_,� � '�•t i �•t .11r.�±1 r h r �„z.. ,t.i, .; i' L.�'Y. ,q.�;:; `ht}.r• �Y.4;' °%•'qy v� •4,c I Y�:'' .iW. � ..�;.•: �1(y1rNf�t Y !.ij i r P,S ..45 ,�1,r t{, yry Y,i �•` a •,X".,�y.`vA t S�.1+,vt:ttq , l� r,�',`•��uj{?wit ',}' e, .{t �5,tt't it J',•f �t Y ,.�a.r i� s�4>+ .>,,'r ;�!i•,' .� �4�,'ia�'i:6:�'ttv..ras %�S`.id�r'i•Yi"Far,,tF 5:;':i,':tf',. _+ `.J a: yr:�e �!3 kr�? '1r����:1�va;;vx.�;;�t � ti- �j�,!' .j}'_�; {�f; r r cld ,t>!� � fr {} .,?•� 1, .L r /t s�t .z �tk`�'t xr'-%°,E�1,"'+7. y"•'y�.><u1?•t �{.•t"}��' „�a}->'}}1. ;� 1�{W` �;�ty";{i.�;e'3 U%t. 1a,.�.,s•,i.;,:,• '�, ° fi� : r+ .e�i). fq"",:{;';11�it��a-: 4ht7, ���� .3�.y�,; r*I,fN'•'.1+ jfC4xi;-"kF {,d..41`h�ri' .t, "�.:i,•n ,�,q�'t <. ,y�y,/ .,. F. 1. .t,rS 4,ilFic n{Ilict+�; .. 't�` P ,�,. .� t ,CLIi!'�li�#�C�°W7 Y,snS.S+.'�����+'�.'��t➢'�.�i,t''tk7"7��,�.af"�1���.rY.a'�5��'1��S���Tn',ii;{ r .....•'t rrr 't�c �•t•�,""'"� s ! �• `� m¢t, W�! � � 1� , S. t r��l X't.?r�k� misconduct, error or omissions by the Client, or by any of the Client's E ` trustees directors officers employees,agents, shareholders subsidiaries or _ other affiliates in connection with the performance of this Agreement, • 11 ti�,si,t 2. Indemnification by CCMSI. CCMSI agrees that it will indemnify and hold hannless the Client and the Clients trustees, directors, officers, employees, agents, shareholders, subsidiaries, members, or other affiliates from and ,�.+>•� <��1; ; �Y�" t (^+ against any and all claims, losses, liability, costs, damages and reasonable 1,,t; `� ; ;rC�.• attorneys' fees incurred by the Client as the result of breach of thisr4uy ' r°"``' ` Agreement by CCMSI or misconduct,error or omission by CCMSI,or by anx �''' ofCCMSI's directors officers employees,agents,shareholders subsidiaries tayr '1{,s or other affiliates in connection with the performance of this Agreement. ,Fr, � » L. CHANGE 1N CIRCUMSTANCES. In the event the adoption of any statute,rule,or regulation materially changes the nature of the relationship between the parties hereto or the legal or economic premises upon which this Agreement is based, the parties hereto shall undertake good faith negotiations to amend the terms of this Agreement ; R'•;ENN, .: j to account for such changes in a reasonable manner. j M. MISCELLANEOUS. 'z�7•3`;������r��t r,,. 1. Governing Law. This Agreement shall be governed by and construed in accordance with the internal laws of the State of Missouri without regard to �;3't';�;'�`�•�:�'i..� principles of conflicts of law. a fr 2. Successors in Interest. This Agreement shall be binding upon, and inure toi' �'; ' the benefit of the successors in interest. Neither the Client or CCMSI shall ,p � ,� ;SY;` ` assign or transfer its interest in this Agreement without the written consent f; of the other. ?x`' r+•', 3. Severability. The invalidity or unenforceablity of any particular provision of i.< this Agreement shall not affect the other provision hereof, and this Agreement shall be construed in all respects as if the invalid or unforceable ra,' �. ',:• provision had been revised to the minimum extent necessary to make it valid and fully enforceable under applicable law. f 4. Paragraph Headings. All paragraph headings in this Agreement are for 1 ',i. :• and shall not affect in an way the meaning or ¢ iT'x reference purposes only y y g • interpretation of this Agreement. ' + ' a- of °�• 5. Waiver. The failure of any party to enforce any provisions of this Agreement s; shall not constitute a waiver b such art of an provision. A past waiver Y party Y p P of a provisison by either party shall not constitute a course of conduct or a ,,; ,Y waiver in the future with respect to that same provision. 'tt5f�f.. .� ` vE "a °y,+r 1 OContmct fiksluivicctcnnnon cochrun•nuPconirlu:001.%pd 7 '* 7"'^..,["'r rtc.. G,:7r,., i r s _ ,a;trrr^•ir r, ,1.c^r'.° ^rr^ e.7*?�-,�., — �..,•:r - ,;?r—Si •14rk �. .11 t "�' �f s! I i ir�7'�t;,,•r•, I .i<. .�''}Dtr a.t•;;h.1.a.t C .!tir..=r.'7:i''t'• `S N t >• ."'�'-,t'u„}$ 't'F+t: 'V:r4,^=r .t `4 r:• ;1•,�• '. ,t• 'i�t. ' ,`�•i' ,v t �' 'D r � 2; r ='i.�.n l'I"�.•Nu*�� r�, ."'.��IC' �..Ek U,. i � .1 •t.xi,4tn.; 't,., S ,+r,',�., i'. 7'... .?f'.v•�;t..s„t•, xtt�1.1 tt.q.�:�`d'Y t'S 71�x'ta r. Fr�3'.#)t •i`•. �.� �,d �z'Mv,' 1 ,•/'t+!�;;r 11/' t:d 3 t1 •„ ` **�� �h'r �''tr •�) .a ;�t:E!"• r•,+.t,cEi... ,t. Ja}�. ,:t..,3,i e•?, ^!j"•t!t` ,'t,••'1 ,> `J,..;r•„ t>>. :'{' +LVt,,, 1tt. 7v' 7. :.il.k+"+'Jrt!,ss, S.Si t,n ,y`, u:r`i is;,;4k 1 a •1f,^r•�•t. zk .3.'§#:'w'i r, .} (.. �,. .1 1 "rF p,': i til ,.t ,5 t. .).. ` , . "8. r �,A, t!x,ytr.l., 'r; J. Y;,{°r iD, fnty + "<+, { J if d r;:.. fir}€y 5�..l.{ i. ri y t �t,;hi 1' + �'. si '7 7h� ?��.I�.ae��,z'*��'t�t?,'z�tgt ti ty:prt'e �t'� t�*< V. �,tt�•? t , r,fy;t<t'q,l�\,•s'.�.St ^skA'�.rco„r; Y ., cn i:,; .k.r•9.,.-:i', 4�. .: r•9 a'fN� .,' ,ri: a' 5 f .ir t '•7 s'i't J '+ .{d'` r;,F73'Ftif ,/";?.�', xtF•.; °'�a�1L';';v”; ,{t ff;hG.`w, :}.};c,.r:<i:; t 'i c,4,.i,< i),. t .t'{]• tlCtr?'li,�,,i: r.:4•'•�r� r a. ��✓!a,j4j�y:Y.' V�'rl^t' ,�" 3(�,t�yi r+�^,t� � 4 +s,, �:�,.;s 't uy {t,�,....•..>•cs'F.rr.t ' r i I.f r t }' ;1 r. t i`�.:4tt t t + { vfrrY'.'t�4�T�•Y` Al i. E1 t . (7', f 1 'r ,:sr��,� •."MA�I+iS^'}.r1 t .��,�„��F n ty. <S'� Yt'EN 7 { ,{v Y.'(�,.) .t,, (l' � �: i• 1�” dt o,At'Jt I s t.,� 4ti,, 15i}•{4' )1 t'l + ( 4 L r ''- .;. n:{\•+%iDS�it'",f^�,"'f5 4lRi k rfi�rr{t%b „ e 5,rl...,i: :�,4t + r'(a4.b°�i r b/ 't t"t i b t. ,, rI,.;. d s.,y. :.yn�:;•, �., "•,G�, �it� ! t.. i.' �.:,_. ..xp"' " :11 ,x. .. "f �"��'�''"s� rr }}'� ?.(.• }� t;',lh•t,.f `.'s,;�r .xa,•.�: i it e.`r J r �• i`:.S'>t l t" a..r;k�:If lgy,t a•'t Yv :y T fy {i• ,+''r!'�` ,n� 'tY.r..I•.ql f .f.s r "s�%' <,y..;..,:. ;�+.az: ,r:J: •/, r,e :S,e,, d,L_o, ..+,. •y��:. `I,+,,�na f> r ..b•.c ,t,;,, �!y� F t 1'� A• � �.,;n. .7 .4 .5X �ti,+, �hy;H �. ,7... 'ti• + r. _Akf.,�l't,,:,t;;,,i;'" ;re v7.w.` s,. .,�+„# ( $rY. � � �s' � ,4. ;v ,��n {..J$.cf"t °+�;�F t-S�?!D,,•w}�, .�..�ii'i,�,...}���,`7•: btSe '9�t%: s4;t,3•.d, >:' �'i�„ ,.:ro, 'des L.J"iF'lo+, Ft._,�..,,.,,c � 'Yy_ }'r."'�'�< �y` ia ,,� ,. ,,��.( t+�:�,, fi ,�� „r�:i,,: �,r„ i.�r.;� .,� ,F, .A.,,i�t'�;',fr::a;��±�. �� •''�: �; t ' ���' iV• pj,� t{ Ei"' ,1�_.k," ;3.r. „�.. '�,�":���. .fir •!"' .tY•}t :`'s-`xL .,e,r;,;:,•1i ,'c;:,•,,. �.. S4,•t;:.,,;�..3 .�t, .S�R., .rt ?, '') �. ,�{,}'� 'tl ,�t.{ 'TL 1� 4�.c'�x ,�:, a.. zF 1 �. .;t.��.t,.r{'h�i>,.,.; �i ;t`•�.".'�,at�; ,1 ;�3'`� "S� ;',} '�n�.. ; J�grh iG:"r �i . P �!'t''4`U`;'f.T•}�iT/} :�: }+:r`'��P .�.t,.,:�4�t {(� .f,I,S.E y' ��.. �Cyq E,',k •.t..,xl ,�(t.,. 7, ,.v�,.i •'r .x r ,`5, r:('� ,�r.�'.:,.,y,P• �' 1 �'3pp,,�fe!' .n1Y.r „q„ ��y.0�7 he�'e��; ,.Ca°t; ,+,t �1 jiv ",3; .7 E+r :�t�' � a .t.9 r( C ,ti,, k�.v� j� �r•�.c.an• � �•xi:. S?fn�:•5� rE�.'3;.iS ' '�71 t"�tai�:` ri '•s'n��+{1,:,"'v';�'14 4u.i i'..!'�'3 e iaD( .r,,l� (..,.,, �r,r;t '71 P. y't t .it t3i/+A.F1�.,7�'•T :i1I�V•r�'r� ;� q ,�' t �>.' a{'r ,.�4e,' ,t,'f�?t �'rr ;'a! ,1 '' ,t'..r:S..: ,,.)J,» ,YC�• ���.��' tt�s�d, r,, •,�. tt v. .S, r', t ?:! ? t.:, `�'�,( `19,,•.,C;•,', y�',��;7! •S:"4r +�=»,{K.,{ s '; .1'.T� .0{.p t'r y. ,.1. :,r t ..i`: "r, e., aft l,: Y .{., �v•hat 4 n• , f �s. •,.'f '' ;eii� ,!{no^' .77{ :y tiv5 tt .fit, v .*r .F '.�r: ,;� r ,., 4 .>' .1� + 1•t, st 1U Y'�,'. ,'1*:� .i. E• tad fi�Qq.1 � nY' 'Y� +i�l?a , �4Ut. 't.,++f' t... � ! i D t �t t .F Y;!.t Y � T� C,rUf <?��� i t t.:� t.�Yt,i•I4vvtt t;5`F•,Fy, '„tJ ,SS�;�t ' rr '7 S. t •. 1` � ,'. � y"Yt fr�7V1,�f�itl ill/>r`,."(d� K :!F{���F '� .ti x r T7. w� .f� .i,t# ii yp �r .� a -r .;p t'. :. ,•}.j :;e, q ),r "Jt 'C . .:a t i p W; ct W9 "»r�"C•'tx r h tr" �1'' ,, l? i ,tr it .y ;Ki{fof '' p't .j 'rn iS {`,SYi ._1 '�. '.•f z.. ;i;a '..� L rr,5�:. oaf `,'�t.� tyKrt`;'4l s,t's•` ,Sj,t �50'} 41i ..;. • a •� gg'4i �t�rt ��t{ tt; i 7t � ��� I � '., i �,�• +' � >. F k .a . ', 'e �,+ '{�. r.• `:�4 ,i� 'u' { j'. �,�il, � � 'a�k z {r'y ij.•� i, s Ray+,r� t G{ s.�i t' ,, rH ( y 6 .,c,'.t s Nc . i,Z i J,t`Ygi, h S�f }Rt ,; >. x ° "N.�l� t'et �p5yx ,hNt ,S,h 3rFy��rl!k� r t x s ,- ,!}(:c;•:. `IYtiS t1\"y r)ti L, YA'wVc"Sii°+�;' s i• ltr3� f Y}i'+ C,:,7�{ 'St .t're^+n) H � fl u't: f.l i•1 y J f1•Y r1,K,- .{l t .t .t )3 f tt�';iY:�'f"4J�'t.'1! K 4al S,t�A' � F-fh°j r? ,w TO�7�a r'3 �p pt•. `' , + •5' r ,t' rs,'c,,I1a'. ifr cr�rip5 I5t, „;�1,!s•}La�;�tr!f `�F5`��.9„•s, �,y.ktr r s.. s ;: 7 { t'":a•;k s�r LCM ^tY.l't t✓. .i;;r: `4•. +�S1t' �.k., �. ,�#, r� 1 3 ���y''.., '�ij/i l��':P tt i:!i.. t ;t s 1 .4;'lf: S,yy �r.tf-{{'�W a dd:.a}, ��t a r '•i ” -s� �r g tttRk•.9tj�wp3zsS[*�✓i 1� .�.,', r�t - 3 r ' r � a r .� r•,>aa"-�' ,t,n?r,4 '''r �.'.t�r�'r.st�i�4'r�;R f��.` �y' t_r. {t': 3 - ,. s1����i%�'!fP7v!u. pk}'Yit+z�vt�'.ii'>f'4i•1?� - � �R: 1 e 'j' i! t• r 6. Entire Agreement Amendment. This Agreement sets forth the full and final understanding of the parties hereto with respect to the matters described "4 r• herein, and supersedes any and all prior agreements and understandings `r ` between them, whether written or oral. This Agreement may be amended only by written document executed by the Client and CCMSI° ' Executed this Qday of June, 2001. CITY OF JEFFERSON CANNON COCHRAN MANAGEMENT SERVICES, INC. rr M or Presidentth ATTEST: 1't, Cl y Cl k IM `� ' Approved As To Form: yy y City Coun 1 { 'F' '1`y 1f a + :qtr r t 2'i rtr?3., 1 E; P t .vF + IlXontraet Fileisenice'cannon coclttan•inskontract 2001.apd s. �r "`? i� 'r" t•; ,',"h,' P o."{tSt n rr�.} Yl l}`��Y� 6,;5,.;'` •?}1:.';r1i� ii9?L�'�'. }� ffY 13 l��{rSrM11Pr 1 rt�T° t "r i� . ��fiis (f 7 N 'f` ''d ��`�5 ,•� t��' ��;�F `� !� x 't},� �"5:,°�.t`��nap� y(��' �`��'' t: ��t v n1Yc'„�3'. i1.}A 'tXVha gN fa,k t ra, p „ Q'}` ,'1 .3'4€3";`ty'rJt� {,ltlPe `>ky,'£'�''v}�.�i� .w' t' 'y r r •r '� }. "}.''1 , ., .o .f ,: •;' i/:',: •+•w..,q; i .:h�lf�?'”: .:' �.. s"§trf" S{+"P}fa 'rM'01 • {Cr'' s + fi ,}i.;� 'kY- 2•S'.1+ 5� 1,25,' '-1p,}h.•+,r,�, {el.tr •.t,11, (i`ar �' •r' ."• S4 fat; s �.;Ai. � is ..:7r1Y �r�A( ,.}4n• :> rg4 �, vc;<44�,'tt4"C�,�lt 1L1 .ft• � c; ;rCSt. � {� a7s° .!� '}''j^1 �}`#{2 L..'+,Y,.(. rrp7ft'r ,47 e-"c'i'•. .1�' ✓ YY.. f"}t t r •'tv ati In 1' :.a' ¢ ,'ru i F ,r fij.a, ;, :s 2 �i-.,::.•.1, frr�,' f1,r "ris t .��{ °.St't�.�y.�•u*'�� �. '��:. '.'1.; ' 4 . ::�;.. .,?. } fit, 's.t�+ ;}it,. '¢¢. ..r''E�1• cli !�•t, t�1;r ` �'�+.�!,; ..,r�' +J Y t•± 4•....r�� r .•� } i' .I �. S 9 )1 s'� 5 ^ L�y. �, ^iv .4 r if:: , y .. s .;f .,i;{ i^ r t .i: r {.'. 's =c N 3 Jr'T P C; 2.tt •1 s r }} S1' 5 kkn54ti +�'d4fih ti''� �. 1� a,;,'rc� ��'.Y1e,.., K„t t .t S �e' rr ,.. t. ,tn., x .5'e .k t•Aa 21a�aF�,z at'ury-Me �,.�7"_^—•r,,,.;;{.� �:. oil xq\ Y ,�� 41� �' ' t��t y1 * ` f �'a'1J t�'� ' rF� ' t %� ' �'y�N^t�p � ��! t'Z�r�Y ''� r� . Y� }} � z,, l 7'� l5 ! ',..� s J:a i ",�, i. i 'Y �. z e' �..ta��. �,� xc �t 1 ,•i r. "sd• �a'4?# � u�* d {� .x. � v , �. :� }z.P , a a., x}, .�y )t s } it, `�S i I zfl � M;,,z;.•r EXHIBIT A ry ,, SCH_EDULE OF REPORTS ;�tiu �' •4:t CCMSI will provide the Client with the following reports: 1. A detailed listing of claims broken down by location, policy year and line of s�4 coverage. (MONTHLY) (�k t �'. 2. A summary of all claims broken down by location,policy year and line of coverage. u ; (MONTHLY) 3r A. check register listing all checks issued during a reporting period. {� a s I}s� s (WEEKLY/MONTHLY) 4. Detailed loss analysis report(QUARTERLY) 9l' t. !r 5. NCCI unit statistical reports. (ANNUAL) ' 'n 6. Annual state reports produced on calendar year basis to satisfy Department of h' Insurance and the Division of Workers' Compensation. (ANNUAL) N yGrfi t ti,{fit . y M S t., ! 4 [:Contract res\wvicatcannon cochran•nukontract 2001,tvpJ ; n• p 1.Rb } 4' � ;F y �.k1'4.`�.}^p. r' TNF'. J' ., i ,� k�',. {� ' t' 'C � ,�I"is � ��'�fi�r�}}�S�o�C'1F�i�, rr�l� +'• t' pq f yrkr,,{ , �� f1! � r � t� ��. ,„. t,, r' ;s��' r'f '� �2��c ,'.t.G�'''��3�i�,,�,���t�,�.L,h,�:�+�r` � ;tr �. ' .ti `'.,}f; �'}' I' ,+. ;'• - k.�tS [yr,,F'�7 } '�'�'tu°S yr Pd,°Lt. , s�;' Y�` ..�i',�4.: nt 5 {i } 1, v t r r,t t�. p t�.zyy3�r isu;.!}F ,{ c 7 n r lz S, St 3 t r a rya. s t r. � �^ :q"t,�8 r,•uus; '.,X,,,,�;;:IrA� .�,,.4! i•{x iws L�'fih.w. 'x}t'}fi.s7+t_'n.- .;fit' ;,;s.}'ii�# .nttyrY., ',•i I A, t I rY Y kT A 5 ,t 4 t{� �i\�'R`)�t,�'4 Sint it .tt:y .S�„�, 19't['i,!' Ic�.•� �°" t 6 u K' 'p'� jkr' c ;4'� x. t4r li t.� i ".a �t :�,t•, .I 3'rrY Tr' -, .,r r✓,t? 6 & S. l , .�+ t' h�.� �,"s'v �?Y�+'�:'lta'i.�'`'.•f't j,'N f � A� i�, S: k ��,t( y.t t S`ti d�S}:w i�' :�I.•t�'°�,v:��i�.%(' '.}k;+�'. 'f7;' .9: .S � �`'�'r r4�K�i�C� r'g't�} !^�;'�"� `{9vit �' {sy. t '7{c+ 1,,�',. st S=!t:r rfr�t�,+iif a��',S�y >•77( r ,�� ', ', � c•rl t h ae+� ,{"'at��t� Yi "t to rf'�r� .� ri3 ' 4t � f•1,,r rAP : "EY����' . $ 'j�••.�R'ar". a � •,�Q r t9'�y 1.; rl.L.jtr�,:t ii(i tr }.� }�`r�ti.�h 'ti;�1i!�,SZ'r+h�A•l�i��t.,A��Kt4if��,2••ta Ji �i_ �. .{ , �'��"'�Y�"dE�'� tt�,�1M'i+,°�,.�y i�i"r T: f {i• a<a. �R,�' �. `K.na}r>S '.7+0, f' xv.'•Et +%r Y.�.(q.I' '!:' yt�:''ti•� .y:' f„ x' 'tr. �,v: N•'l: •t.r >5,.1 .�� .��. �E'7.55 ,S t tQr.,, t7�✓3'�',ht,��F,n• f'a:j 4�'Li�yt ' � A !�k7f �r�j•)1�i 'Jy{� ,,,���yyy'� Sly'•^.. t it y F >f'. '+ji'7yr�•Y� u N t � Est o is q t t G F,I1, '/ � Ir.t�i[tiY`"•i f.�h'4,��tit.;:3f1}i'}tlt"'''. ei ryitl� ti S +itb+'f» t�; M Ka t!- C'i Y: � A. •v'�',}�•Y•�Lf�r' 1. tti4.�}at: +(�1y�1T'y:'c.tfyy 'Pit'V'E? 'tit i , 't> tFt x' 1, f ., t•'h.�?B r z•, �.,.,m,.,y ilk E a ,�.'•f';f-1 J �' .•�f".tl« ..t., � t' e`W' r; .d: S e '`0+ .', � ..•Y,''�'''. •,'S$�'�;Sid.:";k ,.;�r..t.�' >.fa, ,1rw7°,�art,; 'w7'. s'tr t ..a ��r t r ' r, s•t . � �t��•e k ,,.,4. f,.ret `�'�• !r r4i t:l,--' •:.'..r-t{y•r�ti;�,�.,r,Y�.�9i*'j.5,�,,}� r +�f�.�k ^Y ^y, s�r f U, i 1`,(y �Fy>z l:tf�t!, rt +u r `fh! e{4', r,•ra .�r��« {w, `.S;G.1 ,:fq,t.,.;5..•.i. �S.,s !l; tai ,..ti „'�it'4t1.��Y�h.;{c•>Zf,',,� �i}k�` ,yvfr4"( 'i•F '•a �'Yr �' F ',,�'. '� Y.l k��. ��?F� �.+ af:+ fi., :,.0�1r i:, _2`' ..i1,t,�;t.r'� 3rf.r9`f. n.n.�.r^°s ��+}` .•a �-� x+t:l;,'.«»;',sr.,.,a,i,,, ,e A b>t!�A r'1 ilc5,, t'.r' x �} »t y i k 1 •F .�,�1 �Uxf ,�. } S r }:k,,u..a:h,:t f fl,� t(., e�;�f ,r<r�i, ,,t'j,� „'p.44;,p ,."-•",R= �!t+v.�.:�'r}., yy 4f?' �' y. ('!• � � 'r. t � ,� tt� � �� �.... 't,"� Fa, � :`:�'f�,� ',t'�[T17,tt''+, lx k!".S a rr x+4.�`„'•:4 r.�[�tr 1•, r:R.' �'.*"b .{..!':i• ":?r.. ..,�.htn,•�,'f`1 y1+�! ,c dJ,� r .ir. ,!,t ���t,�.,A� r ,,"����''}�� .t^ , �'.t:'' p ^a ;! sr�� .kp ks r.''it, ,�„1 ,:f i� 'Ft,,{A .F .:� +j 1.?�' 1 '+ ..s„ •11 } I� � 1's rr ��• tr ,7�� _ e��'�'�� ,{ r �( . �r��' j ��' ..� �� ,! 7 tr �;.YLr �, ?. „i+, ,r• °'sr .;rf,'fci''.t�.;e,,^.i'�.., ,�r >iaS2 trr� >i � ., 1 t Syr r +`'_ ' r�y�” ,Sr:'?e '�.^EC ,�,tt .,Fvxt ,�,,. i ,•,t.rs,.,• ?;.�:,.eq,.j;n 9f',.. `.-5.:' ;.$ ,'afi't; r'i �+k S"r�,,. .n. � � .tr A.t: '. a• ,..�j„{:r �� >,, 3,�, a't•!. �, c( i �y«9 j� 'a'C'�Ei7i::`!, •:t!f r'Ki ;,A}''M#+•1%.�-�ri�.i},,fi ,. r;,h M1 I•.!,. .�".S'f�,:.v � � t7 ,,�fK', 7) .�, i .,b.t• �A rrw ' � ��t 7' �. t ;y a .t} } h , 1'Y.�.}.y .9 i t} ,.�i ,1F7- ,"'t'1'� 11". `� + r'� , n�,' � i ,5 �v ,,,•ids�� �.,�rr �"5.1 � �„ si ��t.i� ti,i. + ' St f 1t''['a is ;��•� •`�' zpQ�..�Y, ,K+ ,� ,��' �' , k• .� � , , .{s �, r '��S�x , ,,r ��� ,�,f>� �t ��r•f�� r,4y1 Y•,., !• ,.�,a.: v r, .{.zt ;�'.,, y',, n! '�' . itd�'},1,,.}•.% 9 a �.'�". t,�.�;t�i�'�/z,•�t'y.�,i!,.n';:�4,.,/,v``r.`3,A t�ar;:tj i,u.,vlJ'.i9'��'<t f3••yG1 l^+'�7T�{.'r tf..'�'wf�.�,.^+ 8w V110, 'f'9 4� ,}k. •!`y�f�! .t y.yi- ,t,r� af. ,y f b J r t ai•."y'.-si f �t q h,;3+f�!•:.�e'•+5r?t,,t a 1r�..7�aL p l M,C5.: p3 i+ty,t tR,,,,F•t f,n ttY:.t,'f.�;''a'bz{x,S��r•'',�ai�1'',ar`r.,7��•:Sr:,.A5'j i�,Y�„1}1'.�`J l 1 15�:+�L'�:.,•,�5�;'�Gr„•';•l-t{t:aJ Y 3`�"r '!`'c y;•)x4.1}nt K;;5i::'�i '»��' 7' Boa �� r{ 1,�� �t'"f•.^}! �j t ff��. f i' ¢� 1 j, �r ..�t (� �; ;k�a .AFy' " sri, 'rS"r,'i;J•'A ,riI !.r'' ) P yK L 'yl� .,}GYPS Vii':,° �^ '1 �rt�,,y:�t k” :+�'.1'!�r,"w��r 3'?i;tr,�,!?}�:!..y5. �,r,t.�t7>'3 �.���:p f,l,�Tt ��[tr,� ij;Y;?yf. �f�• '�'�� •,A c ,�,, s .b � '�'' A ��49.ryr� tiz!'«•'�.1r,�y! �a ,t,, J."'h<, {f•t�'•�` �, �i z�r) :rY�'�I�t, 'S ai'�-6�?;.fir s''. t'{ yf ;� t r�,S � � ..R / r P f F«Si•� $'��FYa•.. Rt`fl-.a. � , '� "J-1 K�, r ,r r y c '�i4US°'Sr�f ' tY.'',� �'�+'{�'• t� �iif°4 ' 'i. t !, r r, ��,,�+Ca •f'`tk +stt'� r �k�r�4,°,�y x7'�tr��r;r'�x i}'� t,..�r�i�n�ttj�y,�1 ?py1�"f.i r y 1.,-•""yrr". ��ar E �' �, Ya"' `v+• � , } l� tr )t f t@ t+r i v Jit jj�,>+• k� � ?. �t' �' �•• ..� '� •'�`�'€{ t�t r''£'�d,Y r5 ,,.'' try;,rw A n'ir' }'t it t�1 rt,'1� �'S id}�rh•}yv7tF t) r v 5��{��`�,�' yrS 7' f�,ttr r6�" =i4 "+ � '�l t '� +fNNtt"+i'"31rt��;�.:t�'yr""t�,�� 1 +�r,6t,�W•. L� ,ir' r i 4 }it#r fr?[ n•r�,.t� i �.'b .�jr't�'r�. t trip:,#,; R Si. ' k�� .� } s��`9k•iy�r3�, tit�. �a�v� '�'�'fs�`a'��7 4) � tk� :. ,..y �,����f•�S ��«� °�•' "•., x s �r: �� t � f, '`ttE'9`���} {''fil�r"t�t)rt`'�2r i;3�r�.�q7 ;��; �t7't t� �'�iti� t dx at ."t•r,:� ,:f >e'+ }r. ,',d ..; ..,1. .r ,t..r.,;t• .;i: , ,.j3. ? :n:; ',le,::+ �Y 4'1 11 rr��t+". .1 1 • Ril'!E;,��21.Iti,�:Mf'��jfti!7'(%:, • • 't i�s�� �sfr''L r ri RPM Y�1. "1r d' • t nj'n3�,4r f�1t,Tir. j'� 3'i1 { •.n "; 4- x5't:a.a,;�3ri',Mv" iMN� , ll ,e�,.rtt.,.,•.A' i A , k ri° f .a n'r�,i. t`,1' .,�` y `yi •'S"'.r,•,i. ;v,"�,, 1..:.'•ftl r,�•y``t..Flip yi..],, +, ."'i et t.y;r,'ttt`d.,�, N. ?�y:i' •, ,•C +H �i f j; 'fF!'• .r1 'J`•, �' '}'dr,ii wy i' t' 'i�'^`�,�:{i't�Si i'�!��v:;iy;L'cy:•�',5::' i''�t S.r.':F; �,y�''�ac;.L d5 ?. �, ,5,] ,'rt• ��, 4,^ 7 ('rd, �: ..i•„ I,,f' / ]�]{ 1'Si y�. .:F-�'.',s�', 'r ," .tl t.' •}� .f "}r£ , }� y R }• �1•. .p(1� :�'.'. :,�. � i..ti �•`+•w.\ •lft t� :��''i' � "� 'Y• 3 f ki ,'h s �,'�?•t'Z-.'i. ,s�•�s:�,'',�]]�''t'*.t���.� .._,;�' 4� •].�. .,r. ,,.. +`'{ `•5 P.n K�r.:$� , •'Nit. ';+ `�. b-'� +t�' +t7 ;>Y:; Fr.•i.,r{•[[.,'�i. 5 }.1. ,e�,y� 9 .i r{�'' w r' '�3� .,I k,t�' 2 r,,J (Je� r,. lt,: yj .�"a��'r?:1:. ( ` i N ;!: n�Y.t..l, ,'f!.' .C' • ' 3�•f" t t. .� y� '�, �,,'. .���)� F�'• .f:.;l�`�,,t. 1. 1. ��lr.,'..Y.h'!{r .(t,'. N.�.1':"..i`u)."t' (.�'I�� : .a�tn/t ty,{,. ,;� � � ° � -tr`+� l v' ei t � }"'+Z r a c, x.: 'Ni. ?.� z: r, r. M;.;.• �,P'!:;•; +� •,V ,;.;e,'<. ,4 `t!t�,..� 3'{;� i +~il `r,"NC'y� y "�+,r � 'i £ �.i�r ;� r� t' F` ip ,��:. t .e•stx r��^t:"fir",,,,jt ,,.7. ;,':',`='1, ,r" '!'i .f:.]• r,W �, �• J4, f. C ,'d. f r ��:' 1 ,JA •rsr1. ,)'1,d.`S S .i� � n4::"fi ::iic3n ��{:r '+d. - �'1',.+ ;;•k;'n. � a!fi-{. I ,.�'. .6 'dyt.::a'N-:. .Vt 3tx •;fit, �3 Su' i5,"• 'Y'..>,fy; j[. Fi`r•i"r. 5'' •'•it't.. f,{ .l•;, .,i: � �,+k.1.. �'.,: .`:,}•:t .�) ` 6.�',. '�'{, i,. .� .7f,',' tY'.• t,, 1�'!+ •.'4*., iy,r r�. ,,a.° ,M,ti.;:'��• i.3.., ,.}.a! �i.�1tiGi,� -w <� ,'i�t. -1. �•n ''jA, '"1{] r YS' f?�rr'+. �,. er ., �,t ':.i .�� r''�` iea ].,;� ..«z•t<, �. •j]!1 .f f; :f 1 ';.rJ t. n.� �y. rr vi�yy•7�ir.{,r.;t!"t r.. :`!� r, �4•.�('^•4 :t+'S' ^tR, r 1 r. i'• is 's ,t`�.,+ •„✓ �i ,r�,' :r '� „�k..?H.'i"„qa•,• y'.;.nt d;'f:f)i2E'i.j�''.' .s:, x.�k, '�. 4�QI.L.t. (,] .s.i.;t {; � ,y. ,� P� �' .sy .� •�j�� # 4n. s.} r 't .�':,.i, 3ili�'!i'. L er .,p+.�c,;.r; , Z .,. .5, 'rfy� rd .1ik, ..{ dr,'''�'Y 'y'7: ,y �r ��+ "..'� �. �i� M1d•��f} ,-,L � .rds�r4. ...�'.•;'ir 1,.,�q ...1,2'':3 .r., (';.{`..r.::..�.Yt .:�..h.7:,'i,.rr3. t�;:b,'f r. "a., ,,('. �itt '1'A'.'fir": `'t+. tt � ^^��.s r.,�..,e}+�.ir' ..."i'ry,�,�y N r y, p ni y .1-9'�%. Y- t� ° .. !.'t�'u�..• yi .E3!• i S�!,.t.�•t.t,. ,1.t1„1, 1,f9E1.. .,,r,,,l t.y":r it, `it' 1 ..� fjj,,,,l„ .Fj']•�. s,tt �,7,,*; fs,t,: ,yl"'f{t (' •t S.�rtr�;��' 3�..ss`�4 t`fY' {bq ',. Y' 1' 48 'r`�.' �r. �'Y7t, t %.:,�,,s £l, .t.i,; � rc.,, v.,r%•:.J,.s, .�.::t.,:•ir it:;`'i'�y,.ti• t':t'•t ';':�,,.n, r t..kx i .c,.. 9.� r�' + 1rrs, } :t7r '�' r .'1. 4• .a,: t"s' .,,„ !.+ 4 ,.sr 1..r .�rf.,rr•,' �� ,,5.1�,' ( .1 � rf }i�+',+ r^ �jj��?y �. ',��1� 1 1 � t1,'t,.,,}�,�Y-'1 f, ��y, rfi. ��+t¢rX'«J�:(,..�.y. �'.p. atr 4 .5i 9, R+. 'f !fl t3 t3 1t" �n) i y r`�+`'<fi'': r,ti:e d .'E7, f 7 ,q55� , ;•,�1.�. � �`� 3 �.' .$� r it 9 :� 'r, S 5 � ..a �,A.%'],."� •9:r �.,:r• .t1.••,,,6.,.a t,r.r .1 ti t +�C�, +f �:1,.��T�i�1.,t,�i;y :.r� ✓'„*�! ,f�. ,.Ryr,a..!3�2'.`i r�, !'r.: ,«:sc:..1'"' ,.( f',' ,l, +'Jr N rry. '�', aP 1�4., .!, � ^S n �� •�,i< P: 't�'•.? .d E'S`�,' � �35 ,.t fr .t;'d rr-...' i:i`.ir�'�..,F' ), s '-+3"*?t;. �i* '�° c?,J w ,�r 3"`. ,'d'tF,,t 1, ��. �Y ��. ,S '� rc ] t >� y�. ��'r y S 9 l 3 `a 7.'1�f,a;t�,; 3fi?•�`'y;::�.r ST.. ,.t,. , '":;t y��:'�4;� 4�i���.1•',: :ti,r�.� � j t t ,j �,'r' �: � {'r Y. .i �r t �i �?,w. t.l?�r-t��;t 'i;]�)f�t,.� r�3i�.,'du-xrtt.4,� <<�'<.:y c,,z•{t.:;�,;r'.i+, itt +t'r',:.;( i b t �r4idir^a� @ 9 14�t�,r,,�1r,�,'tr � wr � , t a S.•� p•`� 5• 9 r e!L i' 'f + t 1�'t tai �i�f. � �* {1r�ij 1 .�''r SS��ffi�,}fr+?tlZ); �'.if{tt"r���r;af{Crtd �',wy",:' 'i'+v �tiv �;� 4iy�:7T-7';'` 3 ,+,fir � E'LV x �^�yl,,i57 frt i��i ti ,f e 1�.:, ti t } fit.}, `ea ' �r r�vt v I�t��, t'„�,'��"• f i'�'i, k' i '' ;{t Yt{'�..t',tF^�Tt''t�,,f �{����%]t'�qi�,r,,.3�1 vt �i �f� I �1�� � Y k�i. 5 ��.�s�i�,••X':,��%i�j, }1 �`�s ``YT' t'•� 4.t? t a s + i4' 2 St: S t .t 1S t 2� t s i .f�r to r,sit� ;Gii7' .R•u "x R. g"p kw"�, 9 1 � � ..'G'r��,,i,tl 7�' ti'`' f�.t;s'ir t,ra) s t ,'.r' r,„�C..;,:,,t�•�f t?r.p fF�; St, sr �ri;�6 f���„�i'`�,. ^4c.�"'r� J ,Y e. '•rr s }n..a'f 3.�'` +, }4 r r t N ? , t t r y r "t' .�. ti'' s: � r�. 5``. ,�k �.�a,• � k r �`tr� � P ��.}� i;�t��� 'tf;?li 4'.��.+'�H s t 't � i.:<M1S r .e t �a � }��° la M1t r�.t,t ti��rt,�• !u. n zy7.��� 9 f e,y f'��. '4"i. 3:�b?i;,�'�'! 8 . .x t r., � r s s,' t �},, t;< . r�• tt xt-6..r }.st '{ J,�!?t t{tt �.��Y.}Q r � t � 1 { r)a �h j.J.i�j y. IL I y� 4� S i t !t ! s • t / t ..t �,t i2 �ji� (' y�r4'p/� &f�`rl '# �. i 'F '�7.f'• '7 .�'Cf?Fii ,Fr{.) .t "� •.� J , t tt, '✓dk 3":J S d }'� f�;h',;ti t t ri;.k�5 +PI,, +' { l• ,. t P I • Y,>Rl >t .fit EXHIBIT D ;.. 'r: FEE AND PAYMENT SCl-IEDULE '�' Y• ��,�'���.' .5.� r�,�ffr.iSr it Claims Administration s �� CCMSI will handle claims for the following fees: il Claims Administration ` <<*. t; Medical-Only........................................................$125.00 per claim Indemnity..............................................................$525.00 per claim i Incident-Only........................................................$ 25.00 per claim 1tt,i ...........$ 1075.00 ; Minimum Claim Se rvice Fee........................................................... .�( a Indemnity claims open after 24 months from the date reported to CCMSI will continue to be handled t}h and will be billed and payable on a quarterly basis. for a fee of$25 per claim per each month open, a P y yy Jy,�dp r � P rrt .........S 5,500.00 t, Risk management Fee.......................................... ` Annual Executive Summary F J• On-Line System Access ,y j~ Fi Monthly Management Information Reports , tt,r Claim Reviews t. rt' i r( Central Index Bureau ' ESTIMATED SERVICE FEE.................................................................$ 16,375.00 rt Payment Schedule xt 'Total Service fee of$16,375 to be billed and payable in quarterly installments of$4,093.75 on the first days of July, October, January, and April. : #r Y )r >t' C �k f t, 12 H Contract[rtica\sarvicrcannoncochran•nisi,contract 2001.%%pd ' •� x IN{ L � 'R( � t`f �`�� m �'t ��i� 'Y� .<��,ltr.`:tr'''r���F„�ti�q117777��� 1'�t�tV}t� i�yt.ay�P�.xktS'h{U)��"f' ,k'S �ii �YN�� • NJ.qas r ! tt j 1 ,�6.. .,�t�,. 1 h3„ttCS,} d tfXt j.i 't.{[+•,3p.i:•f'k£. tt. F.4s: ,t�` ?f 4�rr 'rb,E'� if'Y' .� A'1�:�f�,,vC�� F],{t t u3,”,(„.( ��'r .. •N?t •i- 1 54�k�S':v;��,'1�-' .��•.f� rie?�_,�,J+.#t'��''��tz�.Y�;g��y�3�r�P ��� ���Y`.k�'T n��"d > it���b. f j ' ;ro t .f , '} t , } y, ^t. ,{j!N•y �; F` ', .u. ,x ,¢ •{ � 4"i� ����,s'+,,:1"'. ����,� � f�`r 7..,t°:t "1.7 i J'triy{;.i75 �,llr,¢}'s(�t( fr.+k r.••�iY't j`,r� ,;#;t "t,J` t y, i [tJ't t•'4.f w � i;,t�:Si T�1��ar';''z,lY, �ijx.Q�,J, tt`d •fi x .+)lt fv� ,}F,$ {., "t',., t'•'tSS?;F.H}e,fttJ:,• Yg •rtl°�7e>h,., ,M1., •41A;r...r>'t�al' /r�.� t .,C,r�f�.r••Se�{,.,.�a.;•;.t."Pt .'9.,,t.,.!'+" ,+j, t' r � �q� i. �i,�aL t'T4-;:t4,. r+ :•r�j„', �;i:.fi :;i�'.�,0+', ,#.s. ,,cji§��' h ,h�:rf. `.7 t :,iiS, ,� .E^r s,'•r., ..�",(%'S"9:r'r.>1.3; 'x. . ..i. ±.ki } ri.r t„ ';�"^P H.w � it 1�.r b .4] t ,;stir It(e 9r{' 4ir ,v .t:i` h d: e,C, t ! 1. ��{ 1><1{aYr�"tC':'�, •!r, "a'.n..'I.', op'Ni +;.r .'i. Y r r t�' t i s: .�,lliq:fi•!• ;r r'i 5 ',�}�J ��tr�id �' ���JAS; J j'f' .�- lK sl""'�>�,��Fa y��i'f 4�p i�', i�rv+�.} {t•{: t4 v J+�lr ��'�x��i'�� � ,R:� "r.� - `� 'erfi f.*�t�'ti?ji���ty!t{ .,vtP. ,lwt 1•ts�+�5:1'C�*: 1J�1�N� ' + t f' , t 'rt �'`w'°1s,�°� �:n r,'ri!'rjr:'rs T�f�• q Vr♦ + 'gt+113' I MV L L T;t , )4!!tYfy_rts�.Y'iT'S �Jr'srY}Y�yN, - •- M.•- • • �*ref`���� Ma Orb �Xf t rs !. ,t,S..;ar, fr! 5-0 rr ' �� L�,S�•{�4�• ':}Tli�: t� �' � { .,�,h• � •!1 � '� ijT Fib !tr > ;t ti' �}��1i � a,Y i;3��r'd: fj,i;ay: t'�1�:"l.{f'�"!;`2: 1.•5. f b' 'xt !�� a+ 4 •� � � �"�' r w+a• � i" �t�y#,•.yd �� {•,�A•�l�i.i:. 1r ( .it,r �' �7x+• kr A' .Zi` :M'0 +FF+.�{ " t''ris� tt � iy}} �i n� } qu ! Y r;J + 't'F ;•rT r �i( 1 3 r n qy ' .' t ) 'Y i�, fi „f✓•.J N' ;:c+n{t�j}si:a. .6j �. ,�� y ,i. :.r ,x. tl ( . t S pi ! (r.%�i+";�,�•i"3`„nt c{i 1t;'r�+e. .'fi'. �'S�F ,;�• :'� r r y�' e�alk,;�''�.� } .�n k. a �•.'S .''�c y r .f. � c>i 'd�y�'y :�+ �at15.;.:n+ .ijl:�r�'J t:s•� a,.r.l,+ r t.ip:,, :� n �,: {. { � 1+ 'f, '�' t{ 9 � '('' " `+ � '��Y.1���3'�: S :t 'Jj{"+r' .vr'',�� ;,fir!T�!r't+'' �.�� �;1•,:u:l f•-°'E S.;Y:"r ,. -r ,, 'G,., x•. at}7 Y.�. �}-..;�sr � •i: J �' r � �`��,L � +s'°��' r � "xa+� .t � ..BSI .r'..�t rtf.7r. �yP'r;� �{., y 3 +�' 4s� e�^y tt� i�fd4 }� ,� �. ! �,¢r�' �;5�, r t;,.{.Y. ,T .5:...q+ +�::,;} ',f•'': "CY?i• .,,r ":i6� } ;.L 'l't�;U,t t�'i Pr ��' •� ,� �'' �,l ,4,a �3 s r � .:L� � �.�� � iT }'t ,-,F. +r'� �; tid::i_!,•,y,�,�' �, ��• :,'q�,,�.f{ �yC � 1. .a i 'r: �+�. ( ~, .`! . �� i�d'{ d 1+. l,?+"t.F•R;}f� ,i„��:^.1•r�{'rr�4�ia�%`s" "• ;r,� r 'f./�.,,'r'a i,��•yd'v�2t' •�LA�r. tT ..y4.,. •t•'�y, qS •'�. `{�y>,� � ,t '� ,Q` 1y�''t!.�y,.P 4 t i}S.l��rtt j!j? 5j"�'°:'.•c'PC' �f.1•t lSd•x� )t.-s3:. � �f+.A•SI_ (�•1��N�i; 4 't rJj .! l ft 3+"F {�rj E W r��� � ��. �' ,(' �Q /"�7tK��' ,iuy „7,f•k'�,y�:�'Y�A;: r! ll;.+l', il .�;'ft1E sr f• ! ! i � 3�4k bc+ t �tn�.� l�F ti (r`V' ;�1�' S!`�h��+±� ',