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BERKILEY RISK SERVICES, INC. <br /> DATE: 03/07/96 <br /> S T. ANTHONY Attn:Finance Dept. <br /> 3301 SILVER LAKE ROAD <br /> ST. ANTHONY MN 55418 <br /> RE: BRS CLAIM NO. : 04213009 <br /> TRUST MEMBER: ST. ANTHONY <br /> CLAIMANT: JAMES PIRINO <br /> DATE OF LOSS/OCCURRENCE: 04/24/90 <br /> CLAIMS MADE DATE: 03/05/91 <br /> The above claim has been concluded. <br /> This claim occurred when <br /> ZONING INTERPRETATION DISPUTE (101 L 2826) . <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 /> 2,500.00 .00 7,100.03 = 9,600.03 <br /> Ded.Recover PRIOR AGGREGATE <br /> This Bill "Ibis Claim This Covenant <br /> -1 , 710 .23 -7,889 .80. ' -8,889.80 <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 CMC1093719 effective <br /> 06/01/90 thru 06/01/91. <br /> Accordingly, please prepare a draft made payable to the "LEAGUE OF <br /> MINNESOTA CITIES INSURANCE TRUST" in the amount of $ 1, 710.23 <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 />