Office of the City Clerk - Record #: Or2011-432

Record #:

Or2011-432

Type:

Order

Status:

Passed

Intro date:

4/13/2011

Current Controlling Legislative Body:

City Council

Final action:

4/13/2011

Title:

Payment of hospital and medical expenses of police officers and firefighters - Regular Orders - each amount not to exceed $1,000

Sponsors:

Burke, Edward M.

Topic:

CLAIMS - Police Officer/Firefighter Injuries

Attachments:

1. Or2011-432.pdf

Date	Journal Page Number	Action By	Action	Action Details	Meeting Details	Captions
4/13/2011		Committee on Finance	Recommended to Pass	Action details	Meeting details	Not available
4/13/2011	114849	City Council	Passed	Action details	Meeting details	Not available
4/13/2011		Committee on Finance	Direct Introduction	Action details	Meeting details	Not available

CHICAGO April 13, 2011

To the President and Members of the City Council:

Your Committee on Finance having had under consideration four (4) orders authorizing the payment of hospital and medical expenses of Police Officers and Firefighters injured in the line of duty.

having had the same under advisement, begs leave to report and recommend that your Honorable Body pass the proposed ordinance(s)/order(s) transmitted herewith.

This recommendation was concurred in by_(^jva voce vote^

of the members of the committee with_dissenting voters)).

Respectfully submitted

Chicago. April 13, 2011

To the President of the City Council:

Your Committee on Finance. Which has given consideration, for Hospitals, Medical and Nursing Services rendered injured members of the Police and or/ the Fire Department.

having had the same under advisement, begs leave to report and recommend that Your Honorable Body pass the proposed Orders transmitted herewith:

This recommendation was concurred in by the ) members of the Committee (with _

( a vica voca vote of

dissenting vote(s) )

(Signed)

Respectfully submitted

Chairman

ORDERED, That the City Comptroller is authorized and directed to issue payments, each in an amount not to exceed $1,000.00, in conformity with the schedule herein set forth, to physicians, hospitals, nurses or other individuals, in settlement for hospital, medical and nursing services rendered to the injured members of the Police Department and/or the Fire Department herein named., The payment of any of these bills shall not be construed as an approval of any previous claims pending or future claims for expenses or benefits on account of any alleged injury to the individuals named. The total amount of said claims is set opposite the names ofthe injured members ofthe Police Department and/or the Fire Department, and payments are to be drawn in favor of the proper claimants and charged to the following Account Numbers: 100-57-2005-0937; 610-57-4415-0937; 740-57-4415-0937; 100-59-2005-0937; 610-59-4415-0937; and 740-59-4415-0937.

City Of Chicago

Police & Fire Regular Orders

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

Insured Namel: City Of Chicago Fire

11/08/2009 ZNAVOR, THOMAS

01/03/2010 YOUNG, GARRY

01/22/2008 Williams, Jerry

01/17/2008 Williams, Anthony

04/28/2003 Walz, Randall

10/24/2008 WILSON, JON

07/17/2010 WALSH, KEVIN

07/19/2010 VOJTAS, MICHAEL

09/25/2009 ULRICH, CHRISTOPHER

10/26/2006 Thornton, Charles

07/21/2010 TUMA, MICHAEL

8819

8731

8801 8731 8750 8750 8750 8801 8801 8801 8801 F

8801 8801 8801 8801

09999.

09999

00541

00410

00435

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire -City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$6.50

$298.92

$603.90

$6.50

$5.92

$153.28

$6.50

$53.02

$378.35

$21.76

$40.25

$1.35

$32.57

$148.80

$424.25

$80.50

$380.71

$57.59

$8.34

$6.50

$416.40

$153.40

$53.48

$435.94

$588.91

$0.24

$358.64

$6.50

$61.37

City Of Chicago - Confidential

Page 1 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/21/2010 TUMA, MICHAEL

01/15/2009 TORTORELLO, CHARLES

07/10/2010 THOMPSON, JAMES

8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8801 8731 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764 8764

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$5.81

$6.50

$153.17

$281.76

$6.50

$45.60

$563.52

$6.50

$91.20

$679.19

$6.50

$205.53

$135.28

$190.72

$6.50

$18.80

$6.50

$50.85

$39.67

$6.50

$17.56

$190.72

$6.50

$18.80

$90.22

$6.50

$11.81

$16.17

$6.50

$8.24

$6.50

$627.00

City Of Chicago - Confidential

Page 2 of 69

Incident Date Claimant Rank

07/10/2010 THOMPSON, JAMES 8764

Unit of Insured Total to be Paid

City Of Chicago Fire $65.76

City Of Chicago Fire $6 .50

City Of Chicago Fire $5.72

City Of Chicago Fire $6.50

City Of Chicago Fire $289.73

City Of Chicago Fire $207.31

City Of Chicago Fire $6.50

City Of Chicago Fire $20.43

City Of Chicago Fire $190.72

City Of Chicago Fire $6.50

City Of Chicago Fire $ 18.80

City Of Chicago Fire $143.01

City Of Chicago Fire $6.50

City Of Chicago Fire $14.09

City Of Chicago Fire $190.72

City Of Chicago Fire $6.50

City Of Chicago Fire $18.80

City Of Chicago Fire $190.72

City Of Chicago Fire $6.50

City Of Chicago Fire $18.80

City Of Chicago Fire $ 190.72

City Of Chicago Fire $6.50

City Of Chicago Fire $18.80

City Of Chicago Fire $190.72

City Of Chicago Fire $6.50

City Of Chicago Fire $18.80

City Of Chicago Fire $190.72

City Of Chicago Fire $6.50

City Of Chicago Fire $18.80

City Of Chicago Fire $190.72

City Of Chicago Fire $6.50

City Of Chicago Fire $18.80

City Of Chicago Fire $190.82

City Of Chicago - Confidential

Page 3 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 07/10/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 05/02/2010 07/02/2008 11/30/1994 11/30/1994 11/30/1994 10/10/2005 10/10/2005

THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES THOMPSON, JAMES TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH TAVITAS, JOSEPH Swift, Charles O Sutton, David Sutton, David Sutton, David Spencer, John Spencer, John

8764

8745

00531 00615 00615 00615 00488 00488

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi

$6.50

$18.81

$190.72

$6.50

$18.80

$198.70

$6.50

$19.59

$190.72

$6.50

$18.80

$6.50

$579.55

$206.13

$6.50

$2.49

$607.27

$6.50

$7.34

$693.76

$6.50

$8.40

$340.49

$13.94

$418.12

$16.37

$14.04

$6.50

$365.14

$6.50

$5.90

City Of Chicago - Confidential

Page 4 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005

Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer, Spencer,

John John John John John John John John John John John John John John John John John John John John John John John John John John John John John John John John John

00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488 00488

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$6.50

$64.04

$706.53

$6.50

$40.63

$98.93

$6.50

$5.69

$63.89

$6.50

$1.11

$63.89

$6.50

$1.11

$6.50 .

$707.69

$6.50

$40.69

$22.27

$121.08

$6.50

$25.99

$97.39

$6.50

$23.40

$6.50

$50.73

$450.00

$6.50

$166.32

$6.50

$108.86

$6.26

City Of Chicago - Confidential

Page 5 of 69

Incident Date Claimant

Rank

Unit of

10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/10/2005 10/25/2001 10/25/2001 10/25/2001 10/25/2001 10/25/2001 10/25/2001 10/25/2001 . 10/04/2001 10/04/2001 10/04/2001 10/04/2001 10/04/2001 10/04/2001 07/28/2007 07/28/2007 07/28/2007 12/21/2006 12/21/2006 01/01/2008 01/01/2008 01/01/2008 01/01/2008 01/01/2008 01/01/2008 01/01/2008

Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Spencer, John Sorrentino, Nicholas. Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sorrentino, Nicholas Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Sopko, Andrew Singh, Ranjit Singh, Ranjit Singh, Ranjit Serwatka, Paul Serwatka, Paul Seanior, George Seanior, George Seanior, George Seanior, George Seanior, George Seanior, George Seanior, George

00488 00488 00488 00488 00488 00488 00488 00488 00367 00367 00367 00367 00367 00367 00367 00357 00357 00357 00357 00357 00357 09999 09999 09999 00413 00413 09999 09999 09999 09999 09999 09999 09999

City Of Chicago

Insured

Total to be Paid

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$103.90

$6.50

$5.97

$63.89

$6.50

$1.11

$6.50

$102.59

$70.20

$5.18

$8.34

$118.01

$5.18

$861.37

$146.61

$18.33

$24.70

$353.05

$53.91

$34.23

$527.20

$6.50

$98.09

$7.34

$6.50

$97.32

$3.35

$82.43

$6.50

$3.35

$614.76

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/01/2008 01/01/2008 01/01/2008 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 03/04/2010 10/04/2009 08/04/2008 12/06/2003 12/06/2003 06/08/1994 06/08/1994 06/08/1994 06/08/1994 06/08/1994 07/12/2010 07/12/2010 07/12/2010 07/12/2010 12/01/2009 12/01/2009 12/01/2009 08/27/2009 08/27/2009 01/15/2009 01/15/2009 04/26/2004

Seanior, George Seanior, George Seanior, George SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SPENCER, JACK SOFIA, JEFF Ryder, Adam Rogus, Andrew Rogus, Andrew Robinson, Joyce Robinson, Joyce Robinson, Joyce Robinson, Joyce Robinson, Joyce ROBINSON, ROYAL ROBINSON, ROYAL ROBINSON, ROYAL ROBINSON, ROYAL REYES, RAUL REYES, RAUL REYES, RAUL REIMER, RICHARD REIMER, RICHARD REILLY, REED REILLY, REED Penrod, Kenneth

F F

F-

8731

8733

09999 09999 09999

8731 8731 8731 8733 8733

09999 00432 00432 00642 00642 00642 00642 00642

00459

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$3.35

$6.50

$82.43

$243.43

$0.89

$73.71

$6.50

$7.94

$6.50

$195.50

$6.50

$4.87

$21.02

$113.99

$147.20

$370.38

$6.50

$38.75

$157.50

$6.50

$0.48

$6.50

$225.00

$150.00

$6.50

$15.21

$23.46

$108.22

$6.50

$609.14

$53.55

$6.50

City Of Chicago - Confidential

Page 7 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago City Of Chicagi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago F City Of Chicago F City Of Chicago Fi City Of Chicago Fi

04/26/2004 04/26/2004 04/26/2004 04/26/2004 04/26/2004 04/26/2004 04/26/2004 04/26/2004 04/26/2004 04/26/2004 04/26/2004 01/14/2005 02/06/2009 02/06/2009 02/06/2009 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 09/20/1979 08/16/2000 05/11/2010 05/11/2010 05/11/2010 05/11/2010 05/11/2010 01/26/2009 10/15/2008 10/15/2008 10/15/2008

Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Penrod, Kenneth Patton, John PAPEZ, RICHARD PAPEZ, RICHARD PAPEZ, RICHARD Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Owcarz, Eugene Ocallaghan, Patrick OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY OHSE, RORY NOKES, JOHN NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID

F F F F F F F F F F F F-

8731

8801 8801 8801 8801 8801 8763

00459 00459 00459 00459 00459 00459 00459 00459 00459 00459 00459 00482

00439 00439 00439 00439 00439 00439 00439 00439 00377

Fi |0 Fi Fi Fi Fi Fi Fi

$84.92

$6.50

$84.92

$6.50

$84.92

$6.50

$84.92

$6.50

$84.92

$6.50

$46.35

$218.33

$6.50

$578.36

$25.84

$6.50

$210.51

$6.50

$136.50

$6.50

$30.51

$6.50

$816.40

$6.50

$758.54

$6.50

$100.68

$6.50

$54.62

$427.11

$335.67

City Of Chicago - Confidential

Page 8 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/15/2008 10/15/2008 10/15/2008 10/15/2008 12/12/2002 12/12/2002 05/28/1999 05/28/1999 07/05/2010 07/05/2010 07/05/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 06/18/2010 11/24/2009 11/24/2009 11/24/2009 11/24/2009 11/24/2009

NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID NAVARRO JR, DAVID Moran, Thomas Moran, Thomas Mcmahon, James P Mcmahon, James P MURRAY, JOHN MURRAY, JOHN MURRAY, JOHN MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MURPHY, THOMAS MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST MUELLER, ERNST

F F F F

8731

8735

881

00377 00377 00492 00492

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$6.50

$4.06

$842.03

$27.70

$608.23

$6.50

$25.32

$322.47

$157.88

$6.50

$10.24

$104.21

$6.50

$20.61

$6.50

$7.51

$6.50

$214.32

$130.71

$6.50

$10.95

$275.20

$428.71

$15.82

$1.56

$6.50

$27.20

$6.50

$34.44

$1.09

$6.50

$89.64

$17.19

City Of Chicago - Confidential

Page 9 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

11/24/2009 MUELLER, ERNST

09/05/2009 MC CAULEY, LORRAINE

12/12/2008 MAXWELL, STEVEN

01/11/2010 MANIACI, ROBERT

12/21/2008 MADDEN, JOHN

12/03/2007 Lynch, Thomas

02/01/1985 Lasco, Samuel

88 88 88 88 88 88 88 88 88 88 88 88 88 88 8749 8749

8749

00352 00352 00388 00388 00388 00388 00388 00388 00388 00388 00388

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$6.50

$423.47

$30.90

$6.50

$138.27

$30.27

$6.50

$138.27

$1.09

$6.50

$89.64

$155.14

$6.50

$23.19

$367.63

$340.48

$29.80

$6.50

$23.49

$11.61

$31.58

$180.81

$6.50

$198.24

$14.60

$6.50

$0.84

$186.83

$6.50

City Of Chicago - Confidential

Page 10 of 69

. Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

02/01/1985 Lasco, Samuel

11/11/2009 LONERGAN, LAWRENCE

07/13/2006 Kussmann, Donald

03/21/2009 KINZIE, WAYNE

03/21/2009 KINZIE, WAYNE,

03/21/2009 KINZIE, WAYNE

02/25/2010 KING, JONI

12/16/2008 KELLY, JOSEPH

06/15/2010 KELLY, JAMES

11/12/1999 Haynes, Patrick

02/08/2004 Hatten, Osa

10/08/2009 HATTEN, OSA

F F F F F F

8817 F

F .

8750

8701

8733 8733 8733

00388 00388 00388 00388 00388 00388

00349 00349 00349 00349

00349 00349 00349 00397 00397 00397

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

$6.50 .

$6.50

$55.40

$244.90

$6.50

$836.00

$95.27

$6.50

$299.21

$257.07

$6.50

$74.04

$6.50

$58.50

$113.75

$435.07

$6.50

$113.75

$6.50

$435.07

$6.50

$23.60

$110.00

$107.00

$423.00

$6.50

$16.42

$230.10

$10.56

$6.50

City Of Chicago - Confidential

Page 11 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/08/2009 10/08/2009 10/08/2009 10/08/2009 09/25/2009 09/25/2009 09/25/2009 09/25/2009 09/25/2009 10/23/1997 01/15/2008 01/15/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 03/01/2008 07/27/2010 07/27/2010 01/14/2009

HATTEN, OSA HATTEN, OSA HATTEN, OSA HATTEN, OSA HAGGARD, VALERIE HAGGARD, VALERIE HAGGARD, VALERIE HAGGARD, VALERIE HAGGARD, VALERIE Graves, Michael P Gavin, Terrence Gavin, Terrence Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David Garcia, David GUSTAFSON,TOM GUSTAFSON,TOM GILMORE, GARY

8733

8807

F "

8701 8701

00647 00395 00395 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999

City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicagi City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago I City Of Chicago I City Of Chicago I City Of Chicago I City Of Chicago I City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago Fi City Of Chicago F City Of Chicago Fi City Of Chicago Fi

|o Fi Fi Fi Fi F Fi Fi Fi Fi

$246.12

$6.50

$186.81

$15.44

$6.50

$9.49

$123.75

$59.19

$256.85

$6.50

$98.00

$6.19

$6.50

$103.05

$150.00

$6.50

$130.00

$6.50

$124.16

$6.50

$5.94

$709.80

$52.71

$124.16

$6.50

$5.94

$174.50

$6.50

$43.70

City Of Chicago - Confidential

Page 12 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago' Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire City Of Chicago Fire

09/21/2009 GERICH, ROBERT

01/03/2009 GALLAGHER, JOANNE

10/14/2008 FARMER, ERIC

03/23/2008 Daly, Daniel

08/05/2003 Cordt, Robert

04/25/2009 CZARNECKI, TODD

06/15/2010 CHISESI, VINCENT

05/08/2010 CARROLL, WILLIAM

01/12/2010 CARBONNEAU, THOMAS

8801 8801

8731

8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8750 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8819 8735

00662 00662 09999 09999

$246.31

$60.00

$373.06

$6.23

$176.00

$6.50

$568.52

$195.88

$60.71

$6.50

$403.77

$6.50

$2.69

$280.80

$4.89

$134.63

$90.23

$280.80

$6.50

$101.70

$1.16

$6.50

$95.65

$80.50

$6.50

$4.37

$676.23

$6.50

$87.60

$170.97

$153.78

City Of Chicago - Confidential

Page 13 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/12/2010

10/24/2008

04/05/2010

10/05/2009

05/06/2004

Number Total: 448

CARBONNEAU, THOMAS BURKE, JULIE BROWN, RICHARD BROWN, RICHARD BROWN, RICHARD BROWN, RICHARD BROWN, RICHARD BROWN, RICHARD BRANNIGAN, MICHAEL Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Alicea, Raymond Amount

$47,688.77 Insured Namel: City Of Chicago Police

01/26/2008 Zoldan, Anton 01/26/2008 01/26/2008 09/08/1997 09/08/1997 04/11/2008 04/11/2008

Zoldan, Anton Zoldan, Anton Wright-Krygowski, Tammi L Wright-Krygowski, Tammi L Walker, Corey L Walker, Corey L

8735

8750

8807

8733

00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407 00407

00015 00015 00015 00022 00022 00006 00006

City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police

$274.43

$6.50

$10.50

$5.25

$53.00

$6.50

$161.91

$80.96

$248.35

$6.50

$14.95

$736.67

$6.50

$8.93

$96.17

$2.99

$3.90

$192.23

$6.50

$2.33

$247.28

$6.50

$131.72

$1.93

$6.50

$225.00

$335.00

$31.07

$20.22

City Of Chicago - Confidential

Page 14 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

04/11/2008 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 09/03/2009 02/18/2010 02/18/2010 02/18/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010

Walker, Corey L WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RICKEY WILLIAMS, RAMSEY WILLIAMS, RAMSEY WILLIAMS, RAMSEY WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

00006

006

012

City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police

$6.50

$188.40

$6.50

$4.81

$188.40

$6.50

$4.81

$801.14

$6.50

$83.67

$1.01

$143.12

$6.50

$18.81

$6.50

$190.82

$18.81

$6.50

$190.82

$14.11

$101.70

$6.50

$159.71

$6.50

$15.74

$143.12

$6.50

$14.11

$143.12

$6.50

City Of Chicago - Confidential

Page 15 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 01/16/2010 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 12/11/2009 07/15/2009 07/15/2009 03/07/2010 03/07/2010 03/14/2010 03/14/2010 03/14/2010 03/14/2010

WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WETZEL, DAVID WESTON, ROBERT WESTON, ROBERT WESTON, ROBERT WESTON, ROBERT WESTON, ROBERT WESTON, ROBERT WESTON, ROBERT WESTON, ROBERT WATERS IV, MILTON WATERS IV, MILTON WASHINGTON, TAKIA WASHINGTON, TAKIA WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON WASHINGTON, AARON

9161 9161 9161 9161 9161 9161 9161 9161

9161 9161

050 050 050 050 050 050 050 050

ilice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$14.11

$143.12

$6.50

$14.11

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$313.47

$6.50

$143.12

$6.50

$425.63

$6.50

$5.15

$2.98

$6.50

$203.04

$6.50

$16.57

$236.63

$86.62

$732.84

$6.50

$21.56

$174.66

$6.50

City Of Chicago - Confidential

Page 16 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/14/2010 03/14/2010 07/27/2010 07/27/2010 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008

WASHINGTON, AARON WASHINGTON, AARON WARNKE, JOSEPH WARNKE, JOSEPH

Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Man Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Man Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari Velazquez, Mari

9161

P .-

018

00020

$17.22

$218.69

$6.50

$76.81

$6.50

$24.99

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$234.14

$6.50

$3.44

$89.12

$6.50

$1.31

$234.14

$6.50

$3.44

$175.60

$6.50

$2.58

$175.60

$6.50

$2.58

$175.60

$6.50

$2.58

$175.60

$6.50

$2.58

City Of Chicago - Confidential

Page 17 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

02/09/2008 02/09/2008 02/09/2008 02/09/2008 02/09/2008 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997 01/09/1997

Velazquez, Velazquez, Velazquez, Velazquez, Velazquez, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten, Vanvegten,

Maria Maria Maria Maria Maria Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H Andre H

00020 00020 00020 00020 00020 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999 09999

Poli Poli Poli

ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ice ice ce ce ce ce ce

$234.14

$6.50

$3.44

$234.14

$3.44

$69.34

$40.13

$6.50

$18.22

$11.97

$6.50

$3.92

$724.96

$106.46

$506.41

$6.50

$130.08

$6.50

$39.29

$146.67

$324.75

$8.34

$102.36

$274.53

$167.08

$106.46

$19.18

$35.68

$397.59

$108.82

$992.52

$6.50

City Of Chicago - Confidential

Page 18 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

01/09/1997 01/09/1997 02/09/2010 02/09/2010 02/09/2010 02/08/2009 02/08/2009 02/08/2009 07/21/2009 07/21/2009 07/21/2009 07/21/2009 04/06/1998 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006 08/03/2006

Vanvegten, Andre H Vanvegten, Andre H VERTA, RHONDA VERTA, RHONDA VERTA, RHONDA VASQUEZ, VINCENT VASQUEZ, VINCENT VASQUEZ, VINCENT VALENZUELA, RUTH VALENZUELA, RUTH VALENZUELA, RUTH VALENZUELA, RUTH Tokarz, Joyce A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A Thomas, Herman A

09999 09999

9161

003

00023

00002

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poll City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

ice ice ice ice ce ice ice ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ice ice ice ce ce

$238.49

$6.50

$3.04

$74.86

$11.15

$6.50

$62.04

$578.36

$230.45

$6.50

$450.84

$954.10

$319.79

$6.50

$47.19

$6.50

$47.19

$6.50

$319.79

$6.50

$340.75

$6.50

$340.75

$6.50

$340.75

$6.50

$408.90

$6.50

$639.58

$6.50

$639.58

City Of Chicago - Confidential

Page 19 of 69

Incident Date Claimant_Rank

08/03/2006 Thomas, Herman A P

09/20/2009 TRAAN, GUAM 9161

07/02/2009 THANASENARIS, TED 9161

03/02/2010 TEGTMEIER, MATT 9161

09/24/2006 Szudy, Edmund M P

02/06/2000 Sullivan, James P

02/06/2000 ' Sullivan, James P

02/06/2000 Sullivan, James P

07/09/1998 Stover, Danny P

Unit of Insured Total to be Paid

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $2.33

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $768.08

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $681.50

00002 City Of Chicago Police $6.50

00002 City Of Chicago Police $749.65

00002 City Of Chicago Police $6.50

001 City Of Chicago Police $6.50

001 City Of Chicago Police $38.00.

001 City Of Chicago Police $6.50

001 City Of Chicago Police $174.80

001 City Of Chicago Police $6.50

001 City Of Chicago Police $646.00

001 City Of Chicago Police $114.00

001 City Of Chicago Police $6.50

019 City Of Chicago Police $239.14

019 City Of Chicago Police $24.47

019 City Of Chicago Police $6.50

044 City Of Chicago Police $102.76

09999 City Of Chicago Police $125.26

09999 City Of Chicago Police $9.65

09999 City Of Chicago Police $6.50

00009 City Of Chicago Police $100.68

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $142.88

00009 City Of Chicago Police $6.50

00009 City Of Chicago Police $8.52

00009 City Of Chicago Police $141.55

00009 City Of Chicago Police $6.50

00004 City Of Chicago Police $48.00

City Of Chicago - Confidential

Page 20 of 69

Incident Date Claimant Rank

07/09/1998 Stover, Danny P

10/11/2006 Spiegel, Robert L P

05/07/2007 Smith, Daniel J P

06/16/2005 Seaton, Milton P

05/07/2008 Schab, Gregory P

01/09/2008 Santana, Yolanda P

03/27/2010 SURVILLION, ALLEN 9161

07/20/2010 SULLIVAN, JULIANNE 9161

Unit of Insured Total to be Paid

00004 City Of Chicago Police $6.50

00005 City Of Chicago Police $99.19 00005 City Of Chicago Police $6.50 00018 City Of Chicago Police $7.82

00018 City Of Chicago Police $31.24 00701 City Of Chicago Police $5.21 00701 City Of Chicago Police $128.32 00701 City Of Chicago Police $6.50 00701 City Of Chicago Police $6.50 00151 City Of Chicago Police $6.50 00151 City Of Chicago Police $247.97 00002 City Of Chicago Police $34.50 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $203.97 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $8.28 00002 City Of Chicago Police $637.40 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $25.88 00002 City Of Chicago Police $383.96 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $22.08 00002 City Of Chicago Police $115.18 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $8.28 00002 City Of Chicago Police $599.93 00002 City Of Chicago Police $203.97 00002 City Of Chicago Police $6.62 00002 City Of Chicago Police $6.50 311 City Of Chicago Police $16.72

019 City Of Chicago Police $6.50 019 City Of Chicago Police $83.45 019 City Of Chicago Police $2.13

City Of Chicago - Confidential

Page 21 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Po¹City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 07/20/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 06/09/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010

SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE SULLIVAN, JULIANNE STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STOREY, MILTON STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS

9161 9161 9161 9161 9161 9161 9161 9161 9161 9168 9168 9168 9168 9168 9168 9168 9168 9168 9168 9168 9168 9168 9168 9168 9168

019 019 019 019 019 019 019 019 019 059 059 059 059 059 059 059 059 059 059 059 059 059 059 059 059

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice ilice lice

$28.94

$14.47

$6.50

$251.63

$6.50

$503.26

$10.61

$6.50

$184.53

$6.50

$159.15

$436.60

$6.50

$74.86

$6.50

$364.68

$3.04

$6.50

$19.70

$6.50

$210.18

$26.39

$6.50

$650.24

$7.30

$6.50

$255.41

$6.50

$311.10

$190.61

$6.50

$18.78

City Of Chicago - Confidential

Page 22 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010

STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA, STELLA,

NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS NICHOLAS

lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice dice ilice

$6.50

$207.31

$6.50

$20.43

$215.11

$6.50

$21.20

$218.61

$6.50

$21.54

$6.50

$40.77

$171.01

$218.61

$6.50

$21.54

$142.91

$6.50

$16.85

$171.01

$6.50

$16.85

$14.08

$171.01

$6.50

$16.85

$43.24

$6.50

$20.20

$218.72

$6.50

$21.56

City Of Chicago - Confidential

Page 23 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po! City Of Chicago Po! City Of Chicago Po: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol

03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 03/07/2010 06/07/2009 06/07/2009 06/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 12/07/2009 03/29/2010 03/29/2010 03/29/2010 03/29/2010

STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS STELLA, NICHOLAS SOTO, RICARDO SOTO, RICARDO SOTO, RICARDO SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN, SCOTT SOREGHEN,SCOTT SOREGHEN,SCOTT SOREGHEN, SCOTT SOREGHEN,SCOTT SONLEY, JOHN SONLEY, JOHN SONLEY, JOHN SONLEY, JOHN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

002 002 002 002

lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$218.72

$6.50

$21.56

$218.61

$6.50

$21.54

$85.35

$6.50

$24.76

$171.01

$6.50

$16.85

$95.20

$6.50

$9.38

$723.00

$6.50

$2.35

$113.77

$4.85

$6.50

$29.62

$10.71

$6.50

$14.79

$10.71

$14.79

$6.50

$268.83

$249.11

$101.46

$6.50

City Of Chicago - Confidential

Page 24 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

03/14/2009 03/14/2009 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 -06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/11/2010 06/14/2010 06/14/2010 06/14/2010 08/29/2009 08/29/2009

SNYDER, FREDERICK SNYDER, FREDERICK SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SIMMONS, KAREN SILVA JR, ARMANDO SILVA JR, ARMANDO SILVA JR, ARMANDO SHEPLER, WALTER SHEPLER, WALTER

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161

189 189 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023 023

$6.50

$48.42

$150.97

$6.50

$150.97

$6.50

$177.16

$6.50

$493.00

$4.53

$6.50

$177.16

$12.58

$6.50

$492.32

$4.53

$6.50

$177.16

$201.63

$6.50

$262.10

$60.55

$6.50

$4.53

$7.59

$6.50

$187.00

$613.50

$12.32

$6.50

$5.73

City Of Chicago - Confidential

Page 25 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

08/29/2009 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010

SHEPLER, SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS SCHLOSS, SCHLOSS SCHLOSS,

WALTER , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON , ALLISON

9161

Poli Poli Poli

$0.23

$165.39

$6.50

$2.43

$6.50

$2.43

$125.96

$83.39

$6.50

$4.21

$165.39

$6.50

$2.43

$82.56

$6.50

$4.17

$125.96

$6.50

$1.84

$63.62

$6.50

$3.21

$165.39

$6.50 .

$2.43

$244.40

$6.50

$3.60

$165.39

$6.50

$2.43

$165.39

$6.50

City Of Chicago - Confidential

Page 26 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po: City Of Chicago Po

01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010 01/13/2010

SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS, SCHLOSS,

ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON ALLISON

lice lice lice lice >lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$2.43

$126.84

$6.50

$1.86

$165.39

$6.50

$2.43

$125.96

$6.50

$1.84

$242.95

$6.50

$1.84

$125.96

$6.50

$1.84

$125.96

$6.50

$1.84

$125.96

$6.50

$1.84

$61.10

$6.50

$0.90

$61.10

$6.50

$0.90

$165.39

$6.50

$2.43

$39.04

$6.50

City Of Chicago - Confidential

Page 27 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Poi City Of Chicago Po! City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol

01/13/2010 SCHLOSS, ALLISON

01/13/2010 SCHLOSS, ALLISON .

11/12/2009 SCAPARDINE, MICHAEL

07/23/2010 SANFILIPPO, HEATHER

07/09/2008 Rodriguez, Marian

07/03/1998 Rodriguez, Abelardo

09/27/2001 Richard-Kamalu, Janice L

9161

00017 00017 00017 00002 00002 00002 00715 00715 00715 00715 00715 00715

lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$0.57

$165.39

$6.50

$2.43

$165.39

$6.50

$2.43

$6.50

$1.84

$165.39

$6.50

$2.43

$125.96

$6.50

$165.88

$6.50

$76.42

$1.96

$6.50

$91.53

$2.34

$161.95

$6.50

$53.82

$365.64

$6.50

$110.25

$84.92

$6.50

$84.92

City Of Chicago - Confidential

Page 28 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/27/2001 09/27/2001 09/27/2001 09/27/2001 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006

Richard-Kamalu, Janice L Richard-Kamalu, Janice L Richard-Kamalu, Janice L Richard-Kamalu, Janice L Reed, Larry

Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed Reed

Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry Larry

00715 00715 00715 00715 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce ce :ce ice ice ice ice ice ice ice ice

$6.50

$84.92

$6.50

$293.10

$13.29

$13.48

$87.84

$6.50

$5.05

$91.10

$5.24

$338.57

$6.50

$33.37

$409.66

$6.50

$26.58

$614.49

$6.50

$39.87

$204.83

$6.50

$13.29

$409.66

$6.50

$26.58

$204.83

$6.50

$13.29

$53.60

$6.50

$3.08

City Of Chicago - Confidential

Page 29 of 69

Incident Date Claimant

Rank

Unit of

06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 06/19/2006 10/21/1992 10/21/1992 10/21/1992 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010 02/17/2010

Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Reed, Larry Rak, John Rak, John Rak, John RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL

P P P P P P P P P P P P P P P P P P P

P: P

9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165 9165

00153

00015

153

City Of CIV

Insured

Total to be Paid

City Of Chicago Police $204.83

City Of Chicago Police $6.50

City Of Chicago Police $13.29

City Of Chicago Police $204.83

City Of Chicago Police $6.50

City Of Chicago Police $13.29

City Of Chicago Police $409.66

City Of Chicago Police $6.50

City Of Chicago Police $26.58

City Of Chicago Police $409.66

City Of Chicago Police $6.50

City Of Chicago Police $26.58

City Of Chicago Police $377.27

City Of Chicago Police $6.50

City Of Chicago Police $24.48

City Of Chicago Police $204.83

City Of Chicago Police $6.50

City Of Chicago Police $256.85

City Of Chicago Police $44.86

City Of Chicago Police $6.50

City Of Chicago Police $4.53

City Of Chicago Police $6.50

City Of Chicago Police $301.14

City Of Chicago Police $6.50

City Of Chicago Police $232.88

City Of Chicago Police $6.50

City Of Chicago Police $69.37

City Of Chicago Police $15.32

Confidential

Page 30 of 69

Incident Date Claimant

Rank

Unit of

. Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

02/17/2010 02/17/2010 02/17/2010 10/04/2009 10/11/2009 10/11/2009 10/11/2009 03/20/2009 03/20/2009 03/20/2007 03/20/2007 03/20/2007 08/18/2008 08/18/2008 08/18/2008 08/18/2008 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005 10/17/2005

RIOS, MIGUEL RIOS, MIGUEL RIOS, MIGUEL RICHARDS, WARREN REEVES, TARA REEVES, TARA REEVES, TARA RAY, IVAN RAY, IVAN Quintero, Gerardo Quintero, Gerardo Quintero, Gerardo Philp, Danielle Philp, Danielle Philp, Danielle Philp, Danielle Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A . Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A Pawlak, Patricia A

9165 9165 9165 9171

9161

153 153 153 051

004

00007

00005

00012

Poli Poli Poli

ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ice ice ice ice ice ce ce

$6.50

$6.61

$226.68

$275.20

$83.67

$6.50

$1.01

$174.89

$151.71

$128.90

$19.97

$6.50

$220.36

$202.58

$596.34

$202.58

$6.50

$2.08

$73.71

$6.50

$0.89

$6.50

$160.40

$6.50

$134.20

$305.93

$6.50

$3.70

$35.18

$6.50

$171.55

$4.18

$0.42

City Of Chicago - Confidential

Page 31 of 69

Incident Date Claimant Rank

10/17/2005 Pawlak, Patricia A P

06/17/2010 PURTELL, CYNTHIA 9161

Unit of_Insured_Total to be Paid

00012 City Of Chicago Police $345.00

00012 City Of Chicago Police $6.50

008 City Of Chicago Police $12.66

008 City Of Chicago Police $23.05

008 City Of Chicago Police $128.34

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.65

008 City Of Chicago Police $175.94

008 City Of Chicago Police $6.50

008 City Of Chicago Police $17.34

008 City Of Chicago Police $6.50

008 City Of Chicago Police $165.45

008 City Of Chicago Police $128.34

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.65

008 City Of Chicago Police $117.54

008 City Of Chicago Police $6.50

008 City Of Chicago Police $1.42

008 City Of Chicago Police $105.13

008 City Of Chicago Police $6.50

008 City Of Chicago Police $10.37

008 City Of Chicago Police $128.23

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.64

008 City Of Chicago Police $158.05

008 City Of Chicago Police $6.50

008 City Of Chicago Police $15.58

008 City Of Chicago Police $133.55

008 City Of Chicago Police $6.50

008 City Of Chicago Police $13.16

008 City Of Chicago Police $128.23

008 City Of Chicago Police $6.50

008 City Of Chicago Police $12.64

City Of Chicago - Confidential

Page 32 of 69

Incident Date Claimant_Rank

06/17/2010 PURTELL, CYNTHIA 9161

06/13/2010 POWERS, COLIN 9161

06/11/2010 POPE, TRETA 9161

08/15/2009 PERILLI, TINA 9161

Unit of_Insured_Total to be Paid

008 City Of Chicago Police $95.47

008 City Of Chicago Police $6.50

008 City Of Chicago Police $1.15

008 City Of Chicago Police $128.44

008 City Of Chicago Police $6.50 City Of Chicago Police $176.45

044 City Of Chicago Police $2.67

044 City Of Chicago Police $6.50

044 City Of Chicago Police $0.32

009 City Of Chicago Police $92.27 009 City Of Chicago Police $6.50 009 City Of Chicago Police $167.89 009 City Of Chicago Police $6.50 009 City Of Chicago Police $4.29 009 City Of Chicago Police $651.99 009 City Of Chicago Police $6.50 009 City Of Chicago Police $16.67 009 City Of Chicago Police $108.03 009 City Of Chicago Police $98.09 009 City Of Chicago Police $5.68 009 City Of Chicago Police $65.32 009 City Of Chicago Police $6.50 009 City Of Chicago Police $ 11.77 009 City Of Chicago Police $6.50 009 City Of Chicago Police $36.84 009 City Of Chicago Police $5.68 009 City Of Chicago Police $6.50 009 City Of Chicago Police $65.32 009 City Of Chicago Police $77.82 009 City Of Chicago Police $270.44 009 City Of Chicago Police $11.77 009 City Of Chicago Police $6.50 009 City Of Chicago Police $36.84

City Of Chicago - Confidential

Page 33 of 69

Incident Date Claimant_Rank_ Unit of

04/28/2009 PEREZ, NELSON

09/09/2009 PEMBERTON, KENT 9161 020

06/09/2010 PATTISON, JOSEPH 9161

07/28/2009 PACOCHA, JEFFREY 9161

09/10/2009 PACHECO JR, ENRIQUE 9161 007

03/30/2006 Odonnell-Weiss, Karen P 00044

03/11/2010 O KEEFE, SHEILA 9161 019

10/29/1987 Nowak, Phillip P 00022

02/19/2008 Nieves-Silos, Anita P. 00007

02/19/2008 Nieves-Silos, Anita P 00007

City Of Ch

Insured

Total to be Paid

City Of Chicago Police $233.60

City Of Chicago Police $13.59

City Of Chicago Police $30.00

City Of Chicago Police $6.50

City Of Chicago Police $810.00

City Of Chicago Police $6.50

City Of Chicago Police $698.01

City Of Chicago Police $30.00

City Of Chicago Police $37.95

City Of Chicago Police $6.50

City Of Chicago Police $13.59

City Of Chicago Police $6.50

City Of Chicago Police $828.26

City Of Chicago Police $6.50

City Of Chicago Police $16.05

City Of Chicago Police $162.73

City Of Chicago Police $361.59

City Of Chicago Police $6.50

City Of Chicago Police $630.00

City Of Chicago Police $6.50

City Of Chicago Police $3.15

City Of Chicago Police $214.64

City Of Chicago Police $79.71

City Of Chicago Police $84.91

City Of Chicago Police $6.50

City Of Chicago Police $84.92

City Of Chicago Police $6.50

City Of Chicago Police $84.92

City Of Chicago Police $6.50

Confidential Page 34 of 69

Incident Date Claimant Rank

02/19/2008 Nieves-Silos, Anita P

01/03/2008 Nielsen, Paul W. P

01/03/2008 Nielsen, Paul W P

03/29/2010 NOWAK, THOMAS 9161

10/21/2009 NASH, THOMAS 9161

04/28/2007 Murlasits, William P

10/17/1996 Mullen, James P

- 10/17/1996 Mullen, James P

10/17/1996 Mullen, James P

Unit of_Insured_ _Total to be Paid

00007 City Of Chicago Police $6.50

00079 City Of Chicago Police $6.50

00079 City Of Chicago Police $8.28

00079 City Of Chicago Police $204.11

015 City Of Chicago Police $30.00

045 City Of Chicago Police $35.10

045 City Of Chicago Police $180.81

00007 City Of Chicago Police $40.94

00007 City Of Chicago Police $6.50

00007 City Of Chicago Police $235.83

00024 City Of Chicago Police $58.60

00024 City Of Chicago Police $11.24

00024 City Of Chicago Police $0.64

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $138.36

00024 City Of Chicago Police $7.49

00024 City Of Chicago Police $881.76

00024 City Of Chicago Police $50.71

00024 City Of Chicago Police $774.97

00024 City Of Chicago Police $44.56

00024 City Of Chicago Police $334.08

00024 City Of Chicago Police $19.21

00024 City Of Chicago Police $102.54

00024 City Of Chicago Police $5.88

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $111.87

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $6.78

00024 City Of Chicago Police $140.82

00024 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 35 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol

10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 10/17/1996 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008

Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Mullen, James Morandi, Kelly Morandi, Kelly Morandi, Kelly Morandi, Kelly Morandi, Kelly Morandi, Kelly Morandi, Kelly Morandi, Kelly Morandi, Kelly Morandi, Kelly

P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P

00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00004 00004 00004 00004 00004 00004-00004 00004 00004 00004

lice lice lice lice lice lice ilice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$117.96

$8.10

$109.44

$6.50

$6.29

$60.00

$6.50

$3.45

$204.48

$6.50

$11.75

$6.50

$109.44

$6.29

$6.50

$136.29

$754.13

$6.50

$43.38

$45.38

$6.50

$251.75

$789.31

$330.82

$6.50

$17.13

$320.25

$6.50

$16.80

$70.27

$6.50

$4.04

$320.25

City Of Chicago - Confidential

Page 36 of 69

Incident Date Claimant

Rank

Unit of

03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 03/12/2008 10/11/2008 10/11/2008 01/17/2007 01/17/2007 01/17/2007 01/17/2007 01/17/2007

Morand Morand Morand Morand Morandi Morandi Morandi Morandi Morandi Morandi Morandi Morandi Morand Morandi Morand Morand Morand Morand Morand Morandi Morandi Morandi Morandi Morandi Morandi Morandi

Montejano-Kalat-Just, Doris K

Miller, Walter E

P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P

00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00004 00376 00376 00013 00013 00013 00013 00013

Insured

City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police . City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police City Of Chicago Police

Total to be Paid

$6.50

$16.80

$356.00

$6.50

$19.80

$410.82

$6.50

$21.73

$341.64

$6.50

$127.14

$625.30

$6.50

$32.07

$672.14

$6.50

$21.08

$330.82

$6.50

$17.13

$48.00

$6.50

$2.76

$409.66

$6.50

$78.34

$6.50

$912.00

$17.10

$43.85

$179.03

$13.90

$21.28

City Of Chicago - Confidential

Page 37 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Po

01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/26/2008 01/10/2008 01/10/2008 01/10/2008 10/06/2006 10/06/2006 10/06/2006 10/06/2006 10/06/2006 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 06/20/1993 09/14/2004 09/14/2004

Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Michael, Linda Messino, William Messino, William Messino, William Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcmahon, Mary L Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Mcclory, Kathleen Matthis, Mary J Matthis, Mary J

00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00020 00020 00020 00006 00006 00006 00006 00006 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00166 00166

>lice lice lice lice lice lice ilice lice lice lice lice ilice lice lice lice lice lice ilice ilice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice

$245.07

$6.50

$9.95

$80.21

$6.50

$1.61

$100.27

$545.75

$6.50

$66.70

$33.04

$50.73

$6.50

$134.00

$0.53

$6.50

$136.96

$13.64

$6.50

$134.93

$55.00

$100.80

$55.00

$100.80

$55.00

$100.80

$55.00

$11.46

$6.50

City Of Chicago - Confidential

Page 38 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Po! City Of Chicago Pol City Of Chicago Po! City Of Chicago Po¹City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

09/14/2004 09/14/2004 09/14/2004 09/14/2004 09/14/2004 09/14/2004 09/14/2004 05/21/2003 05/21/2003 05/21/2003 05/21/2003 05/21/2003 05/21/2003 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 08/23/2009 09/19/2009 02/22/2010 01/04/2010

Matthis, Mary J Matthis, Mary J Matthis, Mary J. Matthis, Mary J Matthis, Mary J Matthis, Mary J Matthis, Mary J Mack, Frank C Mack, Frank C Mack, Frank C Mack, Frank C Mack, Frank C Mack, Frank C MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MYTHEN, STEPHEN MURPHY, KARYN MOYER, CHRISTOPHE MOORE, LATANYA

P P P P P P P P P P P P P

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9173 9161 9161

00166

00153

024

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice ilice lice lice

$116.25

$17.84

$180.92

$7.67

$6.50

$0.76

$6.50

$89.76

$8.85

$89.76

$8.85

$121.51

$275.20

$190.82

$18.81

$713.60

$6.50

$41.03

$190.82

$6.50

$18.81

$715.26

$6.50

$190.82

$6.50

$18.81

$190.82

$6.50

$858.02

$6.50

City Of Chicago - Confidential

Page 39 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicagi City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Po City Of Chicago Po¹

01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 01/04/2010 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 08/27/2009 09/12/2009 09/12/2009 09/12/2009 11/16/2008 11/16/2008 12/30/2009 12/30/2009 05/19/2009 05/19/2009 05/19/2009 12/02/2008 12/02/2008 12/02/2008 12/28/2009 01/21/2009 01/21/2009 01/21/2009

MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, LATANYA MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, GEORGE MOORE, ANTOINETTE MOORE, ANTOINETTE MOORE, ANTOINETTE MITCHELL, ERIK MITCHELL, ERIK MIRANDA, ROBERTO MIRANDA, ROBERTO MIDLOWSKI, ROBERT MIDLOWSKI, ROBERT MIDLOWSKI, ROBERT MENDOZA, MARIO MENDOZA, MARIO MENDOZA, MARIO MC NICHOLS, THOMAS MC ELRATH, DORIS MC ELRATH, DORIS MC ELRATH, DORIS

9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161

9161 9161 9165 9165 9165 9161 9161 9161 9161 9161 9161 9161

011 011 075 075 075

171 171 171

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$68.01

$6.50

$84.92

$6.50

$84.91

$6.50

$84.92

$4.41

$15.80

$389.30

$21.03

$6.50

$640.40

$260.68

$6.50 .

$8.57

$188.17

$6.50

$18.55

$238.71

$25.79

$110.00

$225.00

$248.10

$6.50

$109.50

$954.24

$44.33

$6.50

$263.85

$6.50

$3.40

$897.09

City Of Chicago - Confidential

Page 40 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

12/14/2009 12/14/2009 12/02/2009 12/02/2009 07/18/2009 07/18/2009 07/18/2009 07/18/2009 07/18/2009 07/18/2009 06/11/2010 10/15/2009 10/15/2009 04/02/2010 04/02/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 07/19/2010 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 05/19/2002 12/14/2005 12/14/2005

MAYAS, CARLOS MAYAS, CARLOS MARTINEZ, SERGIO MARTINEZ, SERGIO MARTINEZ, REYES MARTINEZ, REYES MARTINEZ, REYES MARTINEZ, REYES MARTINEZ, REYES MARTINEZ, REYES MARKHAM,SEAN MAR, MARCO MAR, MARCO MANDER, THOMAS MANDER, THOMAS MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM MALLEK, WILLIAM Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lloyd, Kimberly D Lisula, Nancy J Lisula, Nancy J

9161 9161

9161

9201

9161

P .

020

177

014

00007

00006

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice

$82.82

$6.50

$72.08

$27.19

$84.92

$84.91

$6.50

$84.92

$6.50

$5.64

$577.42

$6.50

$208.99

$6.50

$142.97

$6.50

$1.73

$47.61

$197.36

$6.50

$573.06

$106.56

$6.50

$323.01

$112.89

$326.91

$6.50

$15.58

$6.50

$432.04

$53.55

City Of Chicago - Confidential

Page 41 of 69

Incident Date Claimant_Rank

12/14/2005 Lisula, Nancy J P

09/12/2008 Lipinski, David P

10/14/2006 Leahy, Brian P

03/07/2003 Lange, Jimmie P

02/05/2005 Lahori-Martinez, Myra P

08/28/2006 Laduzinsky, Mark J P

01/11/2009 LOPEZ MALAVE, IRMA 9164

12/27/2009 LIS, RONALD 9161

Unit of_Insured_Total to be Paid

00006 City Of Chicago Police $212.50

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $28.52

00010 City Of Chicago Police $80.43

00010 City Of Chicago Police $28.52

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $80.43

00010 City Of Chicago Police $28.22

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $81.77

00010 City Of Chicago Police $28.22

00010 City Of Chicago Police $6.50

00010 City Of Chicago Police $81.77

00011 City Of Chicago Police $6.50 -00011 City Of Chicago Police $57.57 00011 City Of Chicago Police $6.50 00011 City Of Chicago Police $488.07 00011 City Of Chicago Police $242.72 00701 City Of Chicago Police $378.74 00001 City Of Chicago Police $6.50 00001 City Of Chicago Police $84.92 00001 City Of Chicago Police $84.92 00001 City Of Chicago Police $6.50 00001 City Of Chicago Police $84.92 00001 City Of Chicago Police $6.50 00001 City Of Chicago Police $84.92 00001 City Of Chicago Police $6.50 00153 City Of Chicago Police $35.63 00153 City Of Chicago Police $6.50 00153 City Of Chicago Police $877.89 010 City Of Chicago Police $142.39 253 City Of Chicago Police $6.50 253 City Of Chicago Police $188.14

City Of Chicago - Confidential

Page 42 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po!

12/27/2009 12/27/2009 12/27/2009 12/27/2009 12/27/2009 05/18/2008 05/18/2008 05/18/2008 02/12/2008 02/12/2008 02/12/2008 01/31/1996 01/31/1996 01/31/1996 01/31/1996 01/31/1996 01/31/1996 01/31/1996 01/31/1996 01/31/1996 03/14/2005 03/14/2005 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010

LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD LIS, RONALD Kwiatkowski, Joseph J Kwiatkowski, Joseph J Kwiatkowski, Joseph J Kurpiel, Joseph Kurpiel, Joseph Kurpiel, Joseph ■ Komorowski, Cyro S Komorowski, Cyro S Komorowski, Cyro S Komorowski, Cyro S Komorowski, Cyro S Komorowski, Cyro S Komorowski, Cyro S Komorowski, Cyro S Komorowski, Cyro S Kirchner, Robert Kirchner, Robert KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES

9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

253

00003

00017

00610

09999

044

lice lice lice lice lice lice lice lice lice lice ilice lice lice ilice lice lice lice lice lice lice ilice ilice lice ilice ilice lice lice lice lice lice lice lice lice

$136.29

$6.50

$100.00

$62.70

$6.50 .

$6.50

$82.43

$3.35

$6.50

$233.55

$3.43

$340.60

$29.76

$6.50

$775.43

$34.82

$18.12

$936.88

$6.50

$169.02

$54.63

$21.04

$166.19

$6.50

$16.39

$6.50

$21.04

$190.82

$6.50

$18.81

$23.51

$6.50

City Of Chicago - Confidential

Page 43 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 06/21/2010 11/10/2009 11/10/2009 11/10/2009 08/02/2010 08/02/2010 08/02/2010 05/30/2009 05/30/2009

KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KIRCHENS, JAMES KING, FREDERICK KING, FREDERICK KING, FREDERICK KHAN, FAIZULLAH KHAN, FAIZULLAH KHAN, FAIZULLAH KERIN, ELIZABETH KERIN, ELIZABETH

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161

044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

191 191 191 044 044

lice lice lice lice lice lice lice lice lice ilice lice ilice lice lice lice lice lice lice lice lice lice lice dice dice dice dice lice lice lice lice lice lice lice

$213.42

$6.50

$166.19

$23.51

$238.53

$28.20

$286.13

$6.50

$238.53

$28.20

$286.13

$190.82

$25.93

$21.23

$215.32

$6.50

$28.21

$6.50

$23.51

$28.20

$286.13

$28.21

$6.50

$89.64

$84.92

$186.76

$6.50

$13.13

$202.40

$148.85

$65.78

City Of Chicago - Confidential

Page 44 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po^!City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

04/28/2009 04/28/2009 06/30/2008 06/30/2008 03/22/2007 03/22/2007 03/22/2007 07/17/2008 07/17/2008 03/01/2008 03/01/2008 03/01/2008 01/23/2007 01/23/2007 01/23/2007 08/06/2007 08/06/2007 08/06/2007 08/02/2008 08/02/2008 08/02/2008 01/11/2005 08/13/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 12/16/2009 11/05/2009 11/05/2009 11/05/2009

KATSAROS, DIMITRIOS KATSAROS, DIMITRIOS Jones, Gerald S Jones, Gerald S Johnson, Leslie E Johnson, Leslie E Johnson, Leslie E Johnson, John M Johnson, John M Johnson, Charlotte Johnson, Charlotte Johnson, Charlotte Jelks, Jennifer Jelks, Jennifer Jelks, Jennifer Jaycoz, Patrick W Jaycoz, Patrick W Jaycoz, Patrick W Jackson, Cortney D Jackson, Cortney D Jackson, Cortney D Jackovac, Michael T JONES, TIMOTHY JONES, NANCY JONES,NANCY JONES, NANCY JONES,NANCY JONES, NANCY JONES, NANCY JONES, NANCY JANUS, RICHARD JANUS, RICHARD JANUS, RICHARD

9161

9164

Sgt

019

00005

00008

00014

00013

00012

00004

00022

630 630 630

lice lice lice lice lice ilice lice dice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$65.46

$197.24

$6.50

$240.00

$3.35

$82.43

$6.50

$3.86

$67.19

$6.50

$620.34

$35.68

$3.01

$6.50

$249.01

$18.21

$13.06

$6.50

$52.28

$6.50

$330.31

$18.03

$6.50

$400.00

$6.50

$733.91

$0.89

$73.71

$6.50

$61.80

$167.28

City Of Chicago - Confidential

Page 45 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

10/17/2009 JANNOTTA, ANTHONY

02/12/2008 Ivers, Neal

07/10/2009 IVERS, NEAL

06/30/2008 Hoover, Tracy L

02/18/2004 Hitz, Joni M

01/15/2004 Hicks, Nathan

08/25/1993 Herring, Patricia

02/26/1989 Henry, Bernadette

02/16/2008 Hawkins Jr, Nolon B

06/01/2006 Hansen, Neil T

08/25/2007 Haddad-Webb, Samantha M.

08/25/2007 Haddad-Webb, Samantha M.

9161

00022 00022 00022 00022 00022 00022

00009 00009 00009 00009 00009 00009 00009 00004 00044 00007 00007 00007 00001 00008 00008 00008 00022 00022 00022 00022 00022 00022

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Pol: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice

$20.17

$6.50

$789.34

$6.50

$84.91

$84.92

$6.50

$84.92

$6.50

$912.00

$6.50

$48.72

$6.50

$92.46

$7.14

$6.50

$217.46

$6.50

$301.50

$119.41

$726.57

$6.50

$56.45

$6.50

$316.45

$19.44

$0.95

$77.94

$6.50

$0.95

$77.94

$6.50

City Of Chicago - Confidential

Page 46 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po! City Of Chicago Po! City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

08/25/2007 Haddad-Webb, Samantha M.

02/20/2010 HORAN, MARIANNE

02/20/2010 HORAN, MARIANNE .

06/19/2009 HOLMES JR, VERTIS

07/25/2009 HERNANDEZ, RICARDO

00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022 00022

9161

001

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice dice ilice lice lice lice lice

$0.95

$77.94

$6.50

$0.95

$77.94

$6.50

$0.95

$77.94

$6.50

$0.95

$77.94

$6.50

$0.95

$87.30

$6.50

$87.30

$6.50

$77.94

$0.95

$6.50

$77.94

$97.50

$6.50

$51.12

$6.50

$138.51

$6.50

$305.00

$394.04

$100.91

City Of Chicago - Confidential

Page 47 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poi City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po!

07/25/2009 HERNANDEZ, RICARDO

08/03/2010 HENRY, NICOLE

06/18/2009 HEALY, JAMES

02/21/2009 HARRIS, JENNIFER

12/13/2009 HARRIS, DAVID

12/11/2009 HALLINAN, ANNETTE

05/16/2010 HALEEM, MAHMOUD

08/03/2006 Groh, Joseph R

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

001 001

9161 9161 9161 9161 9161 9161 P

019 019

008 008 008 008 008 008 00024

lice lice lice lice lice lice lice lice ilice Jice ilice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice

$6.50

$18.96

$6.50

$269.88

$809.64

$404.82

$6.50

$86.51

$851.89

$6.50

$202.41

$6.50

$777.49

$6.50

$203.71

$6.50

$165.03

$6.50

$30.43

$182.53

$6.50

$37.31

$55.09

$5.61

$33.00

$6.50

$113.71

$6.50

$6.97

$5.06

$363.41

City Of Chicago - Confidential

Page 48 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

08/03/2006 08/03/2006 08/03/2006 08/03/2006 04/17/2008 04/17/2008 04/17/2008 07/11/2006 07/26/2008 07/26/2008 07/26/2008 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 09/28/2004 10/16/2005 10/16/2005 08/17/1990 08/17/1990 01/01/2008 01/01/2008 01/01/2008

Groh, Joseph R Groh, Joseph R Groh, Joseph R Groh, Joseph R Griffin, Richard C Griffin, Richard C Griffin, Richard C Greif, Robert F Grandberry, Terri Grandberry, Terri Grandberry, Terri Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Golosinski, Mark Gleason-Galich, Colleen Gleason-Galich, Colleen Gillott, David A Gillott, David A Gilger, James G Gilger, James G Gilger, James G

P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P

00024 00024 00024 00024 00006 00006 00006 00024 00022 00022 00022 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00024 00016 00016 00012 00012 00650 00650 00650

City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Po City Of Chicago Po

lice lice lice lice lice lice lice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice

$10.36

$6.50

$205.12

$6.50

$165.72

$6.73

$72.33

$36.86

$6.50

$289.68

$87.36

$19.51

$3.30

$930.90

$6.50

$29.67

$980.13

$6.50

$31.37

$370.26

$6.50

$12.62

$601.92

$6.50

$30.16

$697.24

$234.58

$6.50

$345.04

$6.50

City Of Chicago - Confidential

Page 49 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli

02/17/2007 03/08/2008 03/08/2008 05/14/2010 05/14/2010 05/14/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 02/05/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010

Gass, George W Gardner, Kevin J Gardner, Kevin J GUARNIERI, PAUL GUARNIERI, PAUL GUARNIERI, PAUL GUAJARDO, LUIS GUAJARDO, LUIS GUAJARDO, LUIS GUAJARDO, LUIS GUAJARDO, LUIS GUAJARDO, LUIS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS

P P P

9161 9161 9161

00153 00007 00007

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019

Poli Poli Poli

ice ice ice ce ce ce ce ce ce ce ce ce ice ce ce ce ce ce ce ce ce ice ice ice ice ice ce ce ice ce ce ce ce

$6.50

$95.95

$6.50

$293.10

$13.48

$62.40

$3.31

$2.87

$6.50

$112.10

$6.50

$237.52

$7.76

$3.49

$242.19

$6.50

$23.87

$280.80

$6.50

$27.68

$175.41

$6.50

$315.58

$6.50

$31.11

$175.41

$316.62

$6.50

$92.78

$20.96

$367.63

City Of Chicago - Confidential

Page 50 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pa City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po¹City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po

07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 07/22/2010 11/28/2009 11/28/2009 11/28/2009 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010

GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GIANNOS, ELIAS GAYTAN, LUIS GAYTAN, LUIS GAYTAN, LUIS GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9171 9171 9171 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 019 017 017 017

lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$303.70

$6.50

$7.76

$303.70

$6.50

$7.76

$6.50

$45.55

$350.89

$6.50

$8.97

$85.58

$6.50

$3.47

$303.70

$6.50

$175.60

$2.58

$6.50

$23.46

$188.92

$6.50

$18.62

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

$238.53

$6.50

$23.51

City Of Chicago - Confidential

Page 51 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010

GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice

$219.53

$3.22

$188.92

$6.50

$18.62

$166.19

$6.50

$16.39

$213.42

$6.50

$21.04

$166.19

$6.50

$16.39

$141.69

$6.50

$13.97

$213.42

$6.50

$21.04

$213.42

$6.50

$21.04

$188.92

$6.50 .

$18.62

$188.92

$6.50

$18.62

$237.92

$6.50

$168.80

$6.50

City Of Chicago - Confidential

Page 52 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

GAMEZ, GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ, GAMEZ GAMEZ GAMEZ, GAMEZ, GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ, GAMEZ GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ,

ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL ISRAEL

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

$16.64

$168.80

$6.50

$16.64

$242.19

$6.50

$23.87

$18.46

$99.21

$95.60

$6.50

$1.40

$190.82

$6.50

$18.81

$238.53

$6.50

$23.51

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

$190.82

$6.50

$18.81

City Of Chicago - Confidential

Page 53 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ, GAMEZ GAMEZ GAMEZ, GAMEZ GAMEZ, GAMEZ, GAMEZ, GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ, GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ GAMEZ, GAMEZ GAMEZ, GAMEZ, GAMEZ

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice ilice ilice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice

$238.53

$6.50

$23.51

$190.82

$6.50

$18.81

$243.32

$6.50

$23.99

$266.53

$6.50

$26.27

$291.03

$6.50

$28.69

$190.82

$6.50

$18.81

$286.23

$6.50

$28.21

$286.23

$6.50

$28.21

$190.82

$6.50

$18.81

$266.53

$6.50

$26.27

$238.53

$6.50

$23.51

City Of Chicago - Confidential

Page 54 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol: City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 07/16/2010 05/04/2008 05/04/2008 05/04/2008 03/09/2008 03/09/2008 06/12/2006 06/12/2006 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007

GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL GAMEZ, ISRAEL Flynn, Robert Flynn, Robert Flynn, Robert Fineran, Edward W Fineran, Edward W Figueroa, Edwin Figueroa, Edwin Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita

9161

00018 00018 00018 00022 00022 00015 00015 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376 00376

Poli Poli Poli

ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ce ce ce ce ce

$238.53

$6.50

$23.51

$243.32

$6.50

$23.99

$6.50

$6.80

$167.41

$64.68

$7.43

$169.85

$6.50

$18.20

$823.60

$6.50

$32.64

$471.77

$6.50

$18.20

$471.77

$24.35

$6.50

$645.80

$17.91

$882.75

$462.54

$6.50

$5.12

$6.50

$39.60

$34.47

City Of Chicago - Confidential

Page 55 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po City Of Chicago Pol City Of Chicago Poi City Of Chicago Pol City Of Chicago Poi

07/22/2007 07/22/2007 07/22/2007 07/22/2007 07/22/2007 01/03/2006 01/19/2010 01/19/2010 01/19/2010 01/09/2010 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 08/27/2008 03/27/2009 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010

Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fenner, Lolita Fagan, Daniel FREGEAU, JENNIFER FREGEAU, JENNIFER FREGEAU, JENNIFER FERENZI, RICHARD Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L Ellis-Threatt, Karen L ESQUIVEL, CIRILO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO

P P P P P P

9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

00376 00376 00376 00376 00376 00044

153

00006

044

002

lice lice lice lice lice ilice lice lice lice lice lice ilice lice lice lice lice lice ilice ilice lice lice lice lice ilice ilice lice lice lice lice lice lice lice lice

$333.40

$6.50

$11.81

$800.21

$6.50

$119.00

$6.50

$3.66

$66.24

$6.50

$103.49

$6.50

$30.02

$83.99

$4.72

$37.79

$13.29

$71.18

$11.55

$13.53

$368.38

$12.14

$123.20

$6.50

$12.14

$170.91

$6.50

$16.84

$218.72

$6.50

$21.56

$171.01

City Of Chicago - Confidential

Page 56 of 69

Incident Date Claimant Rank

07/27/2010 ESCOBAR, GONZALO 9161

Unit of insured Total to be Paid

002 City Of Chicago Police $6.50

002 City Of Chicago Police $16.85

002 City Of Chicago Police $195.51

002 City Of Chicago Police $6.50

002 City Of Chicago Police $19.27

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $24.99

002 City Of Chicago Police $187.68

002 City Of Chicago Police $6.50

002 City Of Chicago Police $81.25

002 City Of Chicago Police $6.50

002 City Of Chicago Police $144.68

002 City Of Chicago Police $6.50

002 City Of Chicago Police $481.08

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $123.20

002 City Of Chicago Police $6.50

002 City Of Chicago Police $12.14

002 City Of Chicago Police $159.60

City Of Chicago - Confidential

Page 57 of 69

Incident Date Claimant Rank

07/27/2010 ESCOBAR, GONZALO 9161

Unit of Insured Total to be Paid

002 City Of Chicago Police $6.50

002 City Of Chicago Police $15.73

002 City Of Chicago Police $123.41

002 City Of Chicago Police $6.50

002 City Of Chicago Police $12.16

002 City Of Chicago Police $198.64

002 City Of Chicago Police $6.50

002 City Of Chicago Police $58.50

002 City Of Chicago Police $14.76

002 City Of Chicago Police $6.50

002 City Of Chicago Police $4.20

002 City Of Chicago Police $147.70

002 City Of Chicago Police $6.50

002 City Of Chicago Police $14.56

002 City Of Chicago Police $123.20

002 City Of Chicago Police $6.50

002 City Of Chicago Police $12.14

002 City Of Chicago Police $123.20

002 City Of Chicago Police $6.50

002 City Of Chicago Police $12.14

002 City Of Chicago Police $218.72

002 City Of Chicago Police $6.50

002 City Of Chicago Police $21.56

002 City Of Chicago Police $74.11

002 City Of Chicago Police $6.50

002 City Of Chicago Police $3.01

002 City Of Chicago Police $715.00

002 City Of Chicago Police $6.50

002 City Of Chicago Police $130.04

002 City Of Chicago Police $147.70

002 City Of Chicago Police $6.50

002 City Of Chicago Police $14.56

002 City Of Chicago Police $123.20

City Of Chicago - Confidential

Page 58 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poll City Of Chicago Poll City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli

07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/27/2010 07/14/1988 07/14/1988 12/11/2007 07/07/2008 07/07/2008 07/07/2008 05/04/2010 05/04/2010 05/04/2010 05/01/2009 05/01/2009 05/01/2009 05/01/2009 03/03/2009 03/03/2009 03/03/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009 07/07/2009

ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO ESCOBAR, GONZALO Domagala, Bernard Domagala, Bernard Dearth, Robert F Davis, Monica M Davis, Monica M Davis, Monica M DUNK, JOSEPH DUNK, JOSEPH DUNK, JOSEPH DUGAN, DANIEL DUGAN, DANIEL DUGAN, DANIEL DUGAN, DANIEL DOYLE, JOHN DOYLE, JOHN DOYLE, JOHN DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS DISMUKES, MARCUS

9161

9164 9164 9164 9796 9796 9796 9796 9161 9161 9161

002

09999

00701

00006

007

153

013

Pol Poli Pol

ice ice ice ice ice ice ice ice ice ice ce ce ce ce ce ce ce ce ce ce ce ce ice ice ice ice ice ice ice ice ice ce ce

$6.50

$12.14

$95.20

$6.50

$9.38

$123.20

$6.50

$929.50

$421.20

$500.90

$7.73

$6.50

$190.37

$14.10

$347.57

$6.50

$57.66

$6.50

$57.08

$6.50

$14.64

$573.04

$6.50

$1.17

$6.50

$96.62

$378.46

$6.50

$4.58

$378.46

$6.50

$4.58

$3.98

City Of Chicago - Confidential

Page 59 of 69

Incident Date Claimant Rank

07/07/2009 DISMUKES, MARCUS

09/12/2009 DENNIS, ANDRE 9161

05/14/2010 DARCY, PATRICIA 9161

12/16/2006 Connelly, Dennis M S

06/21/2005 Chiagkouris, Christine P

Unit of_Insured_Total to be Paid

City Of Chicago Police $6.50

City Of Chicago Police $328.66

005 City Of Chicago Police $25.32

005 City Of Chicago Police $180.81

005 City Of Chicago Police $396.02

005 City Of Chicago Police $25.32

005 City Of Chicago Police $180.81

City Of Chicago Police $6.50

City Of Chicago Police $383.87

City Of Chicago Police $14.16

City Of Chicago Police $553.50

City Of Chicago Police $10.50

City Of Chicago Police $6.50

City Of Chicago Police $316.62

City Of Chicago Police $6.50

City Of Chicago Police $182.72

City Of Chicago Police $6.50

City Of Chicago Police $132.00

00022 City Of Chicago Police $583.00

00022 City Of Chicago Police $10.36

00022 City Of Chicago Police $426.17

00022 City Of Chicago Police $6.50

09999 City Of Chicago Police $171.12

09999 City Of Chicago Police $87.19

09999 City Of Chicago Police $16.87

09999 City Of Chicago Police $187.71

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $18.50

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $16.87

09999 City Of Chicago Police $171.12

City Of Chicago - Confidential

Page 60 of 69

Incident Date Claimant_Rank

06/21/2005 Chiagkouris, Christine P

05/27/2008 Chan, Mary J P

12/05/2009 COX, PAULINE 9161

07/23/2009 CONWAY, NICOLE

07/02/2009 CONSIDINE, BERNARD 9161

01/22/2010 COLLINS, RAYMOND 9161

05/27/2009 COLE II, DENSEY 9161

Unit of Insured Total to be Paid

09999 City Of Chicago Police $6.50

00021 City Of Chicago Police $51.36

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $334.62

City Of Chicago Police $147.33

City Of Chicago Police $705.29

City Of Chicago Police $162.22

City Of Chicago Police $6.50

012 City Of Chicago Police $3.84

012 City Of Chicago Police $261.46

012 City Of Chicago Police $6.50

City Of Chicago Police $6.50

City Of Chicago Police $252.14

City Of Chicago Police $265.28

City Of Chicago Police $6.50

001 City Of Chicago Police $4.62

001 City Of Chicago Police $117.95

001 City Of Chicago Police $6.50

001 City Of Chicago Police $3.01

001 City Of Chicago Police $524.94

001 City Of Chicago Police $478.50

001 City Of Chicago Police $39.95

001 City Of Chicago Police $6.50

001 City Of Chicago Police $1.62

001 City Of Chicago Police $512.72

001 City Of Chicago Police $6.50

001 City Of Chicago Police $20.79

001 City Of Chicago Police $163.00

001 City Of Chicago Police $238.39

001 City Of Chicago Police $23.60

001 City Of Chicago Police $141.83

001 City Of Chicago Police $117.95

City Of Chicago - Confidential

Page 61 of 69

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

Unit of_Insured_Total to be Paid

001 City Of Chicago Police $6.50

001 City Of Chicago Police $3.01

001 City Of Chicago Police $6.15

001 City Of Chicago Police $52.89

001 City Of Chicago Police $76.93

001 City Of Chicago Police $280.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $16.10

001 City Of Chicago Police $448.19

001 City Of Chicago Police $6.50

001 City Of Chicago Police $242.69

001 City Of Chicago Police $6.50

001 City Of Chicago Police $15.80

001 City Of Chicago Police $178.42

001 City Of Chicago Police $6.50

001 City Of Chicago Police $448.19

001 City Of Chicago Police $6.50

001 City Of Chicago Police $481.44

001 City Of Chicago Police $266.19

001 City Of Chicago Police $614.35

001 City Of Chicago Police $78.74

001 City Of Chicago Police $728.55

001 City Of Chicago Police $227.18

001 City Of Chicago Police $35.09

001 City Of Chicago Police $614.35

001 City Of Chicago Police $545.03

001 City Of Chicago Police $926.45

001 City Of Chicago Police $936.00

001 City Of Chicago Police $741.00

001 City Of Chicago Police $936.00

001 City Of Chicago Police $113.56

City Of Chicago - Confidential

Page 62 of 69

Incident Date Claimant Rank

05/27/2009 COLE II, DENSEY 9161

06/09/2010 COBB, TORRENO 9161

10/24/2009 CLEARY, MICHAEL 9161

01/07/2010 CEPHAS, RYDELL 9161

Unit of Insured Total to be Paid

001 City Of Chicago Police $6.50

001 City Of Chicago Police $16.02

001 City Of Chicago Police $340.68

001 City Of Chicago Police $6.50

001 City Of Chicago Police $48.06

001 City Of Chicago Police ' $420.65

001 City Of Chicago Police $6.50

001 City Of Chicago Police $62.72

001 City Of Chicago Police $214.00

001 City Of Chicago Police $6.50

001 City Of Chicago Police $10.82

001 City Of Chicago Police $141.53

001 City Of Chicago Police $6.50

001 City Of Chicago Police $3.62

001 City Of Chicago Police $138.60

001 City Of Chicago Police $6.50

001 City Of Chicago Police $2.73

001 City Of Chicago Police $154.27

001 City Of Chicago Police $6.50

001 City Of Chicago Police $6.26

001 City Of Chicago Police $70.46

001 City Of Chicago Police $6.50

001 City Of Chicago Police $4.05

001 City Of Chicago Police $77.31

001 City Of Chicago Police $6.50

011 City Of Chicago Police $483.10

011 City Of Chicago Police $5.84

011 City Of Chicago Police $6.50

City Of Chicago Police $87.23

City Of Chicago Police $1.75

City Of Chicago Police $6.50

001 City Of Chicago Police $83.67

001 City Of Chicago Police $6.50

City Of Chicago - Confidential

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Po! City Of Chicagi City Of Chicago Po! City Of Chicago Pol City Of Chicago Po City Of Chicago City Of Chicago City Of Chicago City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Po^!City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol

01/07/2010 CEPHAS, RYDELL

04/10/2009 CAMEY-SANDOVAL, CARLOS

12/07/2009 CALLAGHAN, BRIAN

03/23/2008 Butler, Michael L

09/22/2003 Burke, Margaret

12/14/2005 Brynkus, Emilia

04/24/2007 Brown, James E

04/24/2007 Brown, James E '

04/24/2007 Brown, James E

08/14/2007 Bojan, Bryan

9161 9161

001 044

00003 00003 00003 00008 00008 00008 00008 00008 00008 00008 00008 00044 00044 00044 00044 00044 00012 00012 00012 00012 00012 00012 00012 00012 00153

lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice

$1.01

$32.00

$6.50

$4.41

$6.02

$61.03

$6.50

$68.01

$157.22

$6.39

$6.50

$49.54

$11.38

$392.71

$592.62

$12.37

$482.87

$12.37

$108.82

$35.74

$6.50

$76.04

$6.50

$143.50

$38.85

$39.20

$6.50

$142.00

$6.50

$80.00

$6.50

$358.56

City Of Chicago - Confidential

Page 64 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago City Of Chicago City Of Chicago City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol City Of Chicago Poli City Of Chicago Poli City Of Chicago Poli City Of Chicago Pol

08/14/2007 08/14/2007 08/14/2007 08/14/2007 08/14/2007 02/28/2006 02/28/2006 02/28/2006 02/28/2006 02/28/2006 02/28/2006 02/28/2006 02/28/2006 02/28/2006 02/28/2006 02/28/2006 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 11/12/2008 09/18/2009 09/18/2009 09/18/2009 09/18/2009

Bojan, Bryan Bojan, Bryan Bojan, Bryan Bojan, Bryan Bojan, Bryan Blanden, James L Blanden, James L Blanden, James L Blanden, James L Blanden, James L Blanden, James L Blanden, James L Blanden, James L Blanden, James L Blanden, James L Blanden, James L BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BRADFIELD, MARCIA BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY

P P P P P P P P P P P P P P P P

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

00153

00022

171

Poli Poli Poli

ce ce ce ce

ice ice ice ce ce ce ce ce ce ice ice ice ce ce ce ce ce ce ce Ice ice ice ice ice ice ice ce ice ice

$6.50

$328.50

$16.60

$76.42

$6.50

$1.96

$84.92

$6.50

$84.92

$6.50

$84.92

$408.90

$6.50

$204.45

$6.50

$204.45

$6.50

$35.15

$6.50

$319.79

$477.05

$388.91

$6.50

$19.63

$96.62

City Of Chicago - Confidential

Page 65 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

09/18/2009 09/18/2009 09/18/2009 09/18/2009 09/18/2009 09/18/2009 09/18/2009 09/18/2009 09/18/2009 09/18/2009 09/18/2009 09/18/2009 05/05/2010 05/05/2010 05/05/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010 03/13/2010

BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BOND, WENDY BLAIR, KEITH BLAIR, KEITH BLAIR, KEITH BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN BERKA, BRIAN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

009 009 009 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

$6.50

$1.17

$6.50

$52.11

$566.55

$6.50

$28.59

$557.94

$6.50

$28.16

$202.46

$6.50

$747.00

$2.30

$6.50

$243.46

$6.50

$3.57

$310.73

$6.50

$30.63

$310.73

$6.50

$30.63

$310.73

$6.50

$30.63

$310.73

$6.50

$30.63

$89.12

$6.50

$1.31

City Of Chicago - Confidential

Page 66 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Po! City Of Chicago Po: City Of Chicago Po City Of Chicago Pol City Of Chicago Po

03/13/2010 BERKA, BRIAN

09/21/2009 BATZER, ZOE

09/09/2009 BATTAGLIA, CATHERINE

11/19/2009 BATES, JACQUELYN

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161

044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044 044

9161 9161 9161

123 123 123

lice lice lice lice lice lice lice lice lice ilice lice lice lice lice lice lice ilice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice

$263.03

$6.50

$25.93

$286.23

$6.50

$28.21

$310.73

$6.50

$30.63

$88.23

$6.50

$1.29

$88.23

$6.50

$1.29

$310.73

$6.50

$30.63

$307.87

$6.50

$30.35

$310.73

$6.50

$30.63

$34.67

$22.70

$180.81

$166.90

$6.50

$151.71

$4.78

$6.50

$83.20

City Of Chicago - Confidential

Page 67 of 69

Incident Date Claimant

Rank

Unit of

Insured

Total to be Paid

City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po: City Of Chicago City Of Chicago City Of Chicago City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po! City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Pol City Of Chicago Po!

03/28/2009 03/28/2009 03/28/2009 03/28/2009 03/28/2009 03/28/2009 10/14/2009 10/14/2009 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 01/15/2010 02/01/2007

BASILE, MICHAEL BASILE, MICHAEL BASILE, MICHAEL BASILE, MICHAEL BASILE, MICHAEL BASILE, MICHAEL BANIK, MARIBETH BANIK, MARIBETH BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY BALASZ, TIMOTHY Arroyo, Reyna

9161 9161 9161 9161 9161 9161

9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 9161 P

044 044 044 044 044 044

00010

lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice lice ilice ilice lice lice lice lice lice lice lice lice lice

$6.45

$6.50

$42.99

$532.67

$6.50

$955.38

$38.78

$6.50

$1.44

$159.71

$6.50

$15.74

$123.41

$118.70

$21.57

$6.50

$218.82

$16.87

$6.50

$171.12

$16.87

$6.50

$171.12

$12.16

$6.50

$123.41

$16.87

$6.50

$171.12

$12.16

$6.50

$4.75

City Of Chicago - Confidential

Page 68 of 69

_Incident Date Claimant_Rank

08/10/2006 Allen-Harper-Tate, Jytonne P

12/15/2008 ASKAR, JAMIL

08/12/2009 ARROYO, RICHARD 9161

07/06/2009 ARNOLD, RYAN 9161

12/27/2008 ARAMBULA, SAUL

02/13/2009 ALTWASSER, PATRICK 9161

12/24/2009 AHEARN, DORY 9161

Number Amount

Total: 1812 $191,485.62

Number Amount

Total: 2260 $239,174.39

Unit of_Insured_Total to be Paid

09999 City Of Chicago Police $465.31

09999 City Of Chicago Police $6.50

09999 City Of Chicago Police $12.09

City Of Chicago Police $263.38

City Of Chicago Police $23.83

City Of Chicago Police $98.08

City Of Chicago Police $6.50

City Of Chicago Police $7.16

City Of Chicago Police $6.50

City Of Chicago Police $46.82

City Of Chicago Police $4.15

City Of Chicago Police $6.50

City Of Chicago Police $162.53

044 City Of Chicago Police $19.63

044 City Of Chicago Police $6.50

044 City Of Chicago Police $125.37

016 City Of Chicago Police $6.50

016 City Of Chicago Police $696.85

016 City Of Chicago Police $6.50

016 City Of Chicago Police $970.28

016 City Of Chicago Police $4.64

016 City Of Chicago Police $316.35

City Of Chicago - Confidential

Page 69 of 69

Legislation Text

Legislation Details

Legislation Details (With Text)