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01
City of Pleasanton
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CITY CLERK
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AGENDA PACKETS
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2011
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062111
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01
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6/17/2011 3:20:33 PM
Creation date
6/16/2011 3:20:55 PM
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CITY CLERK
CITY CLERK - TYPE
AGENDA REPORT
DOCUMENT DATE
6/21/2011
DESTRUCT DATE
15Y
DOCUMENT NO
01
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F. Statistical. ICS will adhere to the following statistical report production <br /> obligations and provide all required reports to the client at agreed to intervals: <br /> 1. Report to CLIENT, monthly status of claim payments and reserves on an <br /> individual claim basis and in the aggregate. <br /> 2. Report to CLIENT, quarterly loss analysis of claims filed by frequency and <br /> severity. <br /> 3. Assist in the preparation of all reports required by the State of California or other <br /> Governmental agencies relating to Workers' Compensation claims. <br /> 4. ICS will prepare the federal information return (Form 1099) by the statutory <br /> deadline for all payments subject to 1099 reporting made by ICS on behalf of the <br /> CLIENT during the term of this Agreement. <br /> 5. Additional ad-hoc reports will be provided to CLIENT at their request at no <br /> additional cost. Special report requests that require programming time will be <br /> charged to CLIENT at $150 per hour, which is our direct cost. Our system is <br /> capable of generating standardized reports as follows: <br /> Claim Logs <br /> Claim Activity <br /> Claim Cost Detail <br /> Claim Cost Summary <br /> Claim Cost Summary by Year <br /> Examiner Activity <br /> Examiner Case Log <br /> Frequency Reports <br /> Location Summary <br /> Management Summary <br /> Multiple Claims Listing <br /> Occurrence Cost <br /> OSHA <br /> Payment Type Totals <br /> Vendor Payments Summary <br /> State Annual Report <br /> 6. Ad-hoc reports queries, which require no specific programming will be provided <br /> at no cost to CLIENT. <br /> G. Banking Services. ICS will adhere to the following services standards, as <br /> directed by the clients: <br /> 1. The CLIENT agrees to establish, fund and replenish an account at a financial <br /> institution agreed upon by the CLIENT and ICS for the purpose of paying <br />
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