FY1991 11/14/1990
1Dannp 1.. Itolbage
BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 743-9036
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 294-4641
BRANCH OFFICE
P.O. BOX 379
PLANTATION KEY, FLORIDA 33070
TEL. (305) 852-9253
M E M 0 RAN DUM
To: George Harper, Director
Management Services Division
From: Rosalie L. Connolly, Deputy Clerk
Date: November 26, 1990
Subject: Gallagher Bassett Services, Inc.
On November 14, 1990, the Board of County Commissioners
approved renewal of the Service Contract with Gallagher
Bassett Services, Inc. to administer the Workers compen-
sation Program effective October 1, 1990, at a total cost of
$28,589.00.
In accordance with the attached letter from Gallager, I am
returning three duplicate originals of the Contract for your
handling.
Attachments
cc: County Attorney
County Administrator
Finance Director
File
GALLAGHER BASSETT SERVICES, INC.
CONTRACT FOR SERVICES
PARTIES
Monroe County Board of County Commissioners (hereinafter "CLIENT") hereby retains Gallagher Bassett
Services, Inc. (hereinafter "GB") to perform the services listed on Schedule V.
TERM
This contract shall be in effect from 10/1/90 through 9/30/91 and shall remain in full force and effect unless
amended or terminated.
ATTACHMENTS
Attached hereto and made a part hereof are the following schedules:
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I. OBLIGA TIONS OF THE PARTIES c.) -
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II. BANKING r' . i 1""'''
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III. TERMS AND CONDITIONS C:i
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IV. DEFINITIONS -1 c:: -:~ ")
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V. SERVICES AND FEES r pOi ~ 0
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MONROE COUNTY BOARD OF
COUN~M~SS NERS
By: c7?7 /1A:..
GALLAGHER BASSETT SERVICES, INC.
By:
J CK LA AR
RESIDENT/FINANCE
Title: Mayor /Chainnan
DATE: November 14, 1990
ADDRESS: 5825 Junior College Road
Public Service Building, Room 217
ADDRESS: 2550 W. Golf Road
Rolling Meadows, Illinois 60008
Key West, FL 33040
(SEAL)
A~ST~ L KOIMAGE, Cleric:
By.~~
Dep ty er
-2-
SCHEDULE I
OBLIGATIONS OF THE PARTIES
A. Obliaations of GB
GB agrees to perform the following services:
1. With regard to Claims Administration, GB shall:
a. Review each claim and loss report submitted by the CLIENT during the term of this
contract.
b. Conduct an investigation of each qualified claim or loss to the extent deemed necessary by
GB.
c. Maintain a file for each qualified claim or loss which shall be available for review by the
CLIENT.
d. Adjust, settle or resist all qualified claims or losses:
1 ) within the stated discretionary settlement authority limit;
2) with specific approval of the CLIENT, if outside the stated authority limit.
e. Perform necessary and customary administrative and clerical work in connection with each
qualified claim or loss, including the preparation of checks or vouchers, releases,
agreements and other documents needed to finalize a claim.
f. Establish and update claim reserves as needed.
g. Assist the CLIENT in establishing a banking arrangement for loss and expense payments as
set forth in Schedule II.
h. Notify CLIENT, CLIENT's agent or carriers, as designated by the CLIENT, of all qualified
claims or losses which may exceed the CLIENT's retention and. if requested, provide
information on the status of those claims or losses.
i. Coordinate investigations on litigated claims with attorneys representing the CLIENT and
with representatives of the excess carrier, as required. It is expressly understood that all
legal costs and loss payments will be charged to the CLIENT.
j. Have GB's internal Product Support staff review large and unusual claims at no additional
cost to the CLIENT.
1) Investigate and pursue subrogation possibilities in behalf of the CLIENT in all states
permitting subrogation. Funds received from all subrogation collections shall be
considered revenue of the CLIENT.
k. Maintain an automated loss and information system, and provide the CLIENT with reports
from RISX-FACS@ as set forth in Schedule V.
I. Provide forms, as determined by GB, needed to administer the CLIENT's program.
Cont-LE (1 Q, 90)
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m. Provide additional ad hoc information, analysis, reports and services on a time and expense
basis.
n. Assist the CLIENT in selecting appropriate experts or specialists as the claims may require.
o. Provide personnel needed to perform the services agreed to herein.
2. With respect to Self-Insurance Qualification, GB shall assist the CLIENT in the filing of periodic
reports and renewal applications required by state administrative agencies. All fees and
assessments in connection with such are the obligation of the CLIENT.
3. With regard to Risk Management Consulting and Appraisals, GB shall provide the services set
forth in Schedule V.
4. Provide other services as set forth in Schedule V.
B. Obligations of CLIENT
1. CLIENT shall pay GB for services the annual sum set forth on Schedule V. At the end of the first
year of this contract, the annual compensation shall be subject to adjustment.
2. CLIENT shall provide funds for the payment of qualified claims or losses and allocated loss
expenses. GB shall not be required to advance funds to pay losses, allocated loss expenses or
bank charges.
3. Fees are payable upon receipt of invoice. GB reserves the right to charge 1 % per month on
balances unpaid after 30 days.
SCHEDULE II
BANKING - VOUCHER
1. GB agrees to assist the CLIENT in setting up a voucher system for loss and expense payments.
2. CLIENT shall at all times be responsible for the payment of qualified claims or losses and of allocated
loss expenses. For this purpose, allocated loss expenses shall mean all costs, charges or expenses of
third parties incurred by GB, its agents or its employees, which are properly chargeable to a qualified
claim or loss including without limitation court costs, fees and expenses of attorneys, independent
investigators, experts and witnesses, fees for obtaining diagrams, reports, documents, photographs,
surveillance and appraisals.
3. CLIENT will establish procedures to make timely payments of loss and expense vouchers submitted by
GB during the course of its claims management program.
4. It is expressly understood that GB shall not be required to advance its own funds to pay losses, and GB
shall have authority to commit the CLIENT's funds up to the discretionary payment limit set forth in
Schedule III.
Cont for Serv (10/90)
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SCHEDULE III
TERMS AND CONDITIONS
A. Settlement Authoritv - The limit on any settlement payment by G8 shall be ZERO Dollars ($0.00). This
amount may be changed by the CLIENT upon written notice to G8. It is agreed that GB shall have full
authority in all matters pertaining to the payment, processing, investigation and administration of qualified
claims on losses within this limit. Failure of GB to settle a qualified claim or loss within such limit shall
not subject GB to liability to any party in the event of an adverse judgment entered by any court or the
settlement of such claim or loss for an amount in excess of such limit.
B. Terms of Cancellation or Nonrenewal - Either party shall have the right to cancel or renegotiate the
contract after the initial one-year period by giving the other party written notice of intent to cancel or
renegotiate at least sixty (60) days in advance. If timely notice of cancellation is given, this contract shall
terminate upon the expiration of the current term.
In the event of cancellation or nonrenewal of this contract, GB will continue to manage all pending
claims, and claims occurring but not reported prior to the date of termination, at a fee to be determined.
A reduced RISX-FACS@ reporting package will be provided as long as GB handles the claims.
If the CLIENT tails to pay G8's service fee, GB shall have the right to terminate the contract by giving
the CLIENT ten (10) days' notice in writing. GB will then return all files to the CLIENT in an orderly
manner. Costs for file transfer shall be the obligation of the CLIENT.
C. Practice of Law - G8 will not perform any services which may constitute the unauthorized practice of law.
D. Mutual Indemnification - GB agrees to defend, indemnify, protect, save and keep harmless CLIENT tram
any and a1l105s, cost, damage or exposure arising from the negligent acts or omissions of GB.
CLIENT agrees to defend, indemnify, protect, save and keep harmless GB from any and all loss, cost,
damage or exposure arising from the negligent acts or omissions of CLIENT.
E. Notices - Any notice required to be given under this contract shall be sent by certified mail to the
following in the case of GB:
Jack H. Lazzaro
Vice President/Finance
Gallagher Bassett Services, Inc.
2550 W. Golf Road
Rolling Meadows, Illinois 60008
and in the case of the CLIENT:
Ms. Stella Otto
Employee Benefits Coordinator
Monroe County Board of County Commissioners
5825 Junior College Road
Public Service Building, Room 217
Key West, FL 33040
(ant for Serv (1090)
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F. Success'ors - This contract shall be binding upon and shall inure to the benefit of all assigns, transferees
and successors in interest of the parties.
G. Modification - This contract represents the entire agreement between the parties and may be modified
only in writing. GB reserves the right to charge additional fees if service terms are modified.
H. Confidentialitv of Data - All data furnished by the CLIENT, or generated as a result of services performed
under this agreement, and other information designated by the CLIENT in writing, shall be treated as
confidential. GB reserves the right to use statistical information or other data, so long as the CLIENT's
name and/or confidential data are adequately protected.
I. Status - It is understood that GB is engaged to perform services under this contract as an independent
contractor and not as an agent of the CLIENT. This contract shall be governed by the laws of the State
of Florida.
J. Cost Containment - If GB provides cost containment services for the CLIENT's program, GB shall
receive a fee for these additional services.
K. Reportina - GB will not assume that other coverage (unknown to GB) exists for a qualified claim or loss.
GB shall not be responsible for reporting to carriers on a type of claim or loss not managed by GB.
L. Property Catastrophe Charaes - Any property loss involving multiple locations as a result of natural
disasters from a covered peril will be billed at time and expense at GB's prevailing hourly rate.
SCHEDULE IV
DEFINITIONS
Discretionary Settlement Authority - GB is authorized to make payment, for loss or expense, up to this
amount, as GB deems necessary.
Qualified Loss or Claims - GB will investigate and adjust any loss or claim occurring within the service term,
provided the loss or claim type is identified in Schedule V.
Allocated Expenses - Shall be the responsibility of the CLIENT and shall include, but not be limited to:
.
.
.
.
.
.
.
.
legal fees
professional photographs
medical records
experts' rehabilitation costs
accident reconstruction
architects, contractors
engineers
police, fire, coroner, weather, or other such
reports
property damage appraisals
extraordinary costs for witness statements
official documents and transcripts
.
.
.
Cant far Serv (10,90'
.
.
.
.
.
.
.
.
sub rosa investigations
medical examinations
extraor.dinary travel made at CLIENT's request
court reporters
fees for service of process
pre- and post-judgment interest paid
chemists
any other similar cost, fee or expense reasonably
chargeable to the investigation, negotiation,
settlement or defense of a claim or loss which
must have the explicit prror approval of the
CLIENT
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SCHEDULE V
SERVICES AND FEES
Monroe County Board of County Commissioners
Client:
GB Client #:
010371
Service Period: From 10/1/90 through 9/30/91
Inet.
SERVICES PROVIDED:
A. Claims Administration
SERVICES PROVIDED:
Incl.
PS Mail
Oth er:
Loss Funding
SIMMS
Auto Uability-Bodily Injury (AS)
Auto UabiJity-Property Damage (AD) c.
Auto Physical Damage (APD)
General Liability-Bodily Injury (GB)
General Liability-Property Damage (GO) D.
Products Liability
Professional Uability
Property (PR)
Workers Comp (WC)
W/C Med Only ~
Indemnity
Indemnity-Surcharge ~
Indemnity-California
Run-Off
Assumption
Oth e r:
B. Information Services
RISX-FACS~ ~
Standard Package
Non Standard Reports E.
MICRO-FACS~
Terminals & Printers
Data Transfer-Fronter
Data Transfer-Client
Voucher
~
Supplemental
Loss Notice Program
Reporting Level $10,000
Topical Captioned Reports
Reporting Level $50,000
Meetings
Settlement Authority $0.00
Index Bureau
Coordination
Set Up/Program
Incident Processing
Record Only Processing
Update Appraisals
Risk Inspections
Other: Self Ins. Qualification
Risk Management Consulting
Loss Control - 4 Days
Risx-Control Consulting
Other:
x
~
~
~
~
~
~
TOTAL
$28.589
ADDITIONAL SERVICE TERMS AND CONDITIONS:
Client will be biled $131 per claim for each Workers' Compensation claim reported in excess of 154.
BilliNG AND PAYMENT TERMS:
Fee of $28,589 is payable in 1 installment of $28,589 beginning 10/1/90.
Cont-lE (1090)