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BERKLEY RISK SERVICES, INC. <br /> DATE: 11/13/97 <br /> ST. ANTHONY Attn:Finance Dept. <br /> 3301 SILVER LAKE -ROAD <br /> ST. ANTHONY MN 55418 <br /> RE: BRS CLAIM NO. : 11013192 <br /> TRUST MEMBER: ST. ANTHONY <br /> CLAIMANT: DEBRA LYNN BYRD ;JOHN KIRK SWEDBERG ETAL <br /> DATE OF LOSS/OCCURRENCE: 03/18/96 <br /> CLAIMS MADE DATE: 03/18/96 <br /> The above claim has been concluded. <br /> This claim occurred when - <br /> POLICE SQUAD CAUSED A THREE VEHICLE CHAIN REACTION ACCIDENT <br /> On behalf of your city, we have paid the following to conclude <br /> this claim: <br /> Paid Losses Paid Medical Paid Expenses Total <br /> 1,506 .50 .00 .00 1,506.50 <br /> Ded.Recover PRIOR AGGREGATE <br /> This Bill This Claim This Covenant <br /> -1,506 . 50 .00 7-7,818.24 <br /> Your city ' s deductible is $10,000 per occurrence/ $50,000 annual <br /> aggregate/$1,000 per loss . per line of coverage (after aggregate is <br /> exceeded) . This applies under covenant number CMC 15453 effective <br /> 06/01/95 thru 06/01/96. <br /> Accordingly, please prepare a draft made payable to the "LEAGUE OF <br /> MINNESOTA CITIES INSURANCE TRUST" in the amount of $ 1,506 .50 <br /> and forward 'it to Berkley Risk Services,Inc. , 920-2nd Ave. So. <br /> Minneapolis, MN 55402-4023,.,--,; Attention: Finance Department. <br /> Please include our claim number, as captioned above, with <br /> your remittance to insure proper credit. <br /> Should you have any questions relative to the disposition of this <br /> claim, please do not hesitate to contact the BRS examiner who <br /> supervised this claim, BOB WEISBROD at 1-800-925-1122, <br /> or locally at 612-281-1285. <br /> Sincerely, ' <br /> Finance Department <br /> Agent .of Record: BERKLEY INSURANCE SERVICES <br /> 920 SECOND AVE. S . #700 <br /> MINNEAPOLIS MN 554024 <br /> d <br />