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2020-154 Resolution
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2020-154 Resolution
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1/6/2021 3:51:13 PM
Creation date
1/6/2021 1:49:07 PM
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North Olmsted Legislation
Legislation Number
2020-154
Legislation Date
1/5/2021
Year
2021
Legislation Title
Sedgwick Contract
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EXHIBIT <br />a <br />SERVICE AGREEMENT FOR ADMINISTRATION OF <br />A CLAIMS PROGRAM <br />This Agreement is entered into effective the 1St day of January, 2020 ("Effective Date"), by and <br />between Sedgwick Claims Management Services, Inc. ("Sedgwick") and City of INlorth Olmsted <br />"Client"). <br />RECITALS <br />1. Client self -insures its claims administration program for workers compensation risks and <br />desires to have Sedgwick provide the specific services set forth below in connection with <br />such self-insured program (the "Program," as defined on Exhibit A, attached hereto). <br />2. Sedgwick is willing to provide such services on the terms and conditions hereinafter stated. <br />AGREEMENT <br />1. Services to Be Performed by Sedgwick: Sedgwick agrees to perform the following <br />services: <br />A. With regard to Claims Administration, Sedgwick shall: <br />(1) During the term of this Agreement, review all claim and loss reports received <br />from Client that are required to be reviewed under the Program (a "Qualified <br />Claim"), and process each such claim or loss report in accordance with <br />applicable statutory and administrative regulations; <br />(2) Conduct an investigation of each Qualified Claim to the extent deemed <br />necessary by Sedgwick in the performance of its obligations hereunder; <br />(3) Arrange for independent investigators, appraisers, or medical or other <br />experts to the extent deemed necessary by Sedgwick in connection with <br />processing any Qualified Claim; <br />(4) Pay benefits, expenses, and adjust or settle each Qualified Claim, but only if <br />in the sole judgment of Sedgwick such payment would be prudent for Client <br />and the anticipated amount thereof does not exceed the limit specified in <br />accordance with paragraphs 2F and 2G below, or as Client specifically <br />approves or directs such action in writing; <br />(5) Maintain a file for each Qualified Claim which shall be the property of Client <br />(for self-insured claims) or Insurer (for insured claims) and which shall be <br />available for review by Client or Insurer during normal business hours upon <br />three (3) days prior written notice; <br />(6) Notify Client's first layer of insurance coverage for each Qualified Claim <br />where the values may exceed Client's retention, providing such insurer with <br />C/20912 <br />
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