Office of the City Clerk - Record #: Or2011-652

Record #:

Or2011-652

Type:

Order

Status:

Passed

Intro date:

6/8/2011

Current Controlling Legislative Body:

City Council

Final action:

6/8/2011

Title:

Payment of hospital and medical expenses of Police Officers and Firefighters - Third Party Orders - each amount not to exceed $1,000

Sponsors:

Burke, Edward M.

Topic:

CLAIMS - Police Officer/Firefighter Injuries

Attachments:

1. Or2011-652.pdf

Date	Journal Page Number	Action By	Action	Result	Action Details	Meeting Details	Captions
6/8/2011	1135	City Council	Passed	Pass	Action details	Meeting details	Not available
6/6/2011		Committee on Finance	Recommended to Pass		Action details	Meeting details	Not available
6/6/2011		Committee on Finance	Direct Introduction		Action details	Meeting details	Not available

Chicago, j ,_Tnn(3 _Rj _?n-, ₁

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 _ ( a vica voca vote of

the ) members of the Committee (with _ dissenting vote(s) ).

Respectfully submitted

(Signed)

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, provided such members of the Police Department and/or Fire Department shall enter into an agreement in writing with the City of Chicago to the effect that, should it appear that any of said members of the Police Department and/or Fire Department have received any sum of money from the party whose negligence caused such injury, or have instituted proceedings against such party for the recovery of damage on account of such injury or medical expenses, then in that event the City shall be reimbursed by such member ofthe Police Department and/or the Fire Department out of any sum that such member of the Police Department and/or Fire Department has received or may hereafter receive from such third party on account of such injury or medical expenses, not to exceed the expense in accordance with Opinion No. 1422 ofthe Corporation Counsel of said City, dated March 19, 1926. The payment of any of these bills shall not be construed as 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 such claims, as allowed, is set opposite the names ofthe injured members of the Police Department and/or the Fire Department and the 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 Third-Party Orders

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

lamel: City Of Chicago Fire

05/11/1990 05/11/1990 10/19/2009 10/19/2009 02/15/1991 02/15/1991 02/15/1991 02/15/1991 02/15/1991 02/15/1991 02/15/1991 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982 07/19/1982

Wilburn, Gardell Wilburn, Gardell KAMPER, KRISTOFFER KAMPER, KRISTOFFER Guzick, Lawrence Guzick, Lawrence Guzick, Lawrence Guzick, Lawrence Guzick, Lawrence Guzick, Lawrence Guzick, Lawrence Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S Banks, Thomas S

M M

00655 00655

00450 00450 00450 00450 00450 00450 00450 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379 00379

City Of Chicago City Of Chicago

Fi F

jo Fi loFi Fi Fi Fi Fi Fi Fi Fi

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City ( City ( City ( City City City City City City Of ( City Of (

City Of ( City Of

$6.50

$89.10

$6.50

$478.04

$277.58

$873.99

$15.19

$6.50

$269.27

$6.50

$76.57

$6.50

$11.73

$6.50

$21.10

$6.50

$19.64

$6.50

$4.63

$6.50

$94.86

$6.50

$2.08

$6.50

$825.64

$113.75

$80.54

$8.56

City Of Chicago - Confidential

Page 1 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

07/19/1982 Banks, Thomas S F

07/19/1982 Banks, Thomas S F Claim Total Amount 36 $4,498.95

amel: City Of Chicago Police

06/17/2002 Zygowicz, Peter P

12/16/2006 Williams-Ortiz, Clara M P

12/03/1999 Williams-Cooper, Robin R P

11/03/2004 Williams, Stanley E P

03/29/2006 Watson, Henry P

00379 City Of Chicago Fire $6.50

00379 City Of Chicago Fire $81.40

00379 City Of Chicago Fire $458.95

00379 City Of Chicago Fire $144.70

00379 City Of Chicago Fire $96.23

00379 City Of Chicago Fire $314.15

00379 City Of Chicago Fire $56.75

00007 City Of Chicago Police $156.33

00007 City Of Chicago Police $6.50

00023 City Of Chicago Police $300.43

00023 City Of Chicago Police $6.50

09999 City Of Chicago Police $429.93

09999 City Of Chicago Police $6.50

00018 City Of Chicago Police $85.00

00018 City Of Chicago Police $19.71

00018 City Of Chicago Police $3.45

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $121.60

00018 City Of Chicago Police $6.50

00701 City Of Chicago Police $6.50

00701 City Of Chicago Police $84.92

00701 City Of Chicago Police $84.91

00701 City Of Chicago Police $84.92

00701 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 2 of 26

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

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

01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/04/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009 01/20/2009

WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, WOMACK, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO, VIVERITO,

CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA CYNTHIA VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT VINCENT

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

002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002 002

City City City

lice lice lice lice 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 lice lice lice lice

$84.92

$6.50

$26.52

$6.50

$24.43

$6.50

$88.03

$120.30

$84.92

$242.57

$101.70

$6.50

$51.36

$6.50

$13.95

$6.50

$633.90

$6.50

$720.00

City Of Chicago - Confidential

Page 3 of 26

Incident Date Claimant

Rank

Assigned to Unit

Insured

Total Paid

01/20/2009 01/20/2009 01/20/2009 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006

VIVERITO, VINCENT VIVERITO, VINCENT VIVERITO, VINCENT

Torres, Eddie Torres, Eddi< Torres, Eddie Torres, Eddi( Torres, Eddie Torres, Eddi< Torres, Eddif Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Eddie Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer

e J e J e J ie J ie J ie J e J e J e J e J e J e J e J e J ie J ie J ie J ie J ie J e J e J e J e J e J

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

00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019

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

$141.55

$361.70

$6.50

$21.56

$6.50

$1.01

$6.50

$21.56

$6.50

$21.56

$6.50

$19.29

$6.50

$21.56

$6.50

$21.57

$6.50

$7.12

$218.72

$195.62

$218.72

$218.82

$72.21

$68.98

$6.50

$3.49

$256.26

$194.23

City Of Chicago - Confidential

Page 4 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total 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 Pol Of Chicago Pol Of Chicago Pol 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

08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006 08/28/2006

Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer Torres, Ebenezer

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

00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019 00019

City City City

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

$194.23

$73.71

$96.62

$287.86

$96.62

$6.50

$2.35

$6.50

$2.35

$6.50

$2.35

$6.50

$2.35

$6.50

$2.35

$6.50

$2.35

$6.50

$0.89

$6.50

$14.73

$6.50

$108.52

$6.50

$0.89

$6.50

$1.17

$6.50

$1.17

City Of Chicago - Confidential

Page 5 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

04/05/2000 Thompson, Nicole C P

08/14/2005 Taylor, Christine P

12/02/2007 Tate, Kevin B P

05/06/2009 STEHLIK, SCOTT 9161

01/28/1998 Roszak, Rose M P

00044 City Of Chicago Police $121.52

00044 City Of Chicago Police $388.74

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $33.68

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $14.44

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $46.21

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $24.78

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $15.60

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $9.91

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $15.60

00044 City Of Chicago Police $6.50

00044 City Of Chicago Police $39.90

00044 City Of Chicago Police $791.27

00044 City Of Chicago Police $351.82

00044 City Of Chicago Police $659.62

00044 City Of Chicago Police $388.74

00044 City Of Chicago Police $293.98

00044 City Of Chicago Police $200.04

00003 City Of Chicago Police $6.50

00003 City Of Chicago Police $47.23

00005 City Of Chicago Police $453.02

701 City Of Chicago Police $19.12

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.78

00014 City Of Chicago Police $167.51

00014 City Of Chicago Police $190.72

City Of Chicago - Confidential

Page 6 of 26

Incident Date Claimant

Rank

Assigned to Unit

Insured

Total Paid

01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998

Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M

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

00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014

$190.61

$190.72

$238.42

$1.06

$196.04

$190.72

$190.61

$190.72

$190.61

$190.72

$358.23

$95.41

$190.72

$215.22

$143.01

$167.41

$143.01

$119.81

$190.72

$190.61

$344.30

$6.50

$16.51

$6.50

$18.80

City Of Chicago - Confidential

Page 7 of 26

Assigned to Unit Insured Total Paid

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.78

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $23.50

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $0.11

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $19.32

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.78

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $154.49

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

00014 City Of Chicago Police $18.80

00014 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 8 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

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

01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 01/28/1998 08/31/1994 08/31/1994 08/31/1994 08/31/1994 08/31/1994 08/31/1994 08/31/1994 12/23/1987

Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose M Roszak, Rose Roszak, Rose Roszak, Rose Roszak, Rose Roszak, Rose Roszak, Rose Roszak, Rose Robarts-Dillon, Janice M

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

00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00014 00012 00012 00012 00012 00012 00012 00012 00016

City City City

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

$18.78

$6.50

$18.80

$6.50

$35.31

$6.50

$143.21

$6.50

$9.40

$6.50

$18.80

$6.50

$18.80

$6.50

$21.22

$6.50

$14.09

$6.50

$16.50

$6.50

$14.09

$6.50

$11.81

$6.50

$18.80

$6.50

$12.87

$6.50

$14.89

$12.46

$6.50

$238.74

City Of Chicago - Confidential

Page 9 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

01/14/2007 Reschke-Mcguire, Teresa

10/22/1985 Reid, Robert G

12/21 /2004 Pickert, Mark J.

12/21/2004 Pickert, Mark J.

02/09/2008 Pallida, Estanislao

10/09/2007 Pakula, Edward

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

00151 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00018 00005 00005 00005 00005 00004 00151 00151 00151 00151

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

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

$6.50

$25.93

$6.50

$25.93

$215.32

$239.89

$238.53

$263.03

$356.47

$25.93

$6.50

$25.93

$6.50

$23.51

$6.50

$23.65

$6.50

$21.23

$6.50

$34.38

$6.50

$86.24

$19.29

$6.50

$43.43

$6.50

City Of Chicago - Confidential

Page 10 of 26

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

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 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 Of Chicago Pol Of Chicago Pol 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

10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 10/09/2007 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005 04/16/2005

Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Pakula, Edward Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J

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

00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00151 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153 00153

City City City

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

$57.27

$6.50

$55.00

$6.50

$62.92

$6.50

$0.89

$6.50

$23.92

$73.71

$215.89

$237.49

$6.50

$137.54

$6.50

$206.44

$208.72

$100.45

$6.50

$310.04

$234.98

$234.80

$234.98

$9.08

$16.60

$234.98

$308.38

$372.60

$6.50

City Of Chicago - Confidential

Page 11 of 26

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

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 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

04/16/2005 04/16/2005 04/16/2005 11/21/1998 11/21/1998 11/21/1998 11/21/1998 11/21/1998 11/21/1998 11/21/1998 11/21/1998 11/21/1998 11/21/1998 11/21/1998 11/21/1998 02/24/1998 02/24/1998 02/24/1998 02/24/1998 02/24/1998 02/24/1998 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008

Oskvarek, Glenn J Oskvarek, Glenn J Oskvarek, Glenn J Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oneal, Brenda Oconnell, Dennis L Oconnell, Dennis L Oconnell, Dennis L Oconnell, Dennis L Oconnell, Dennis L Oconnell, Dennis L

Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki

Robert Robert Robert Robert Robert Robert Robert Robert Robert Robert Robert Robert

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

00153 00153 00153 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00005 00006 00006 00006 00006 00006 00006 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016

ilice ilice 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 ilice ilice

$6.50

$92.00

$167.51

$2.23

$6.50

$16.51

$6.50

$3.86

$6.50

$16.51

$39.20

$6.50

$139.90

$17.93

$257.96

$28.75

$707.08

$28.75

$498.07

$395.78

$306.98

$229.78

$409.80

$6.50

$54.08

$6.50

$85.84

$6.50

$54.66

$6.50

City Of Chicago - Confidential

Page 12 of 26

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008 05/03/2008

Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki Obrecki

, Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert , Robert

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

00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016 00016

$14.96

$6.50

$270.18

$6.50

$224.32

$6.50

$36.97

$6.50

$54.66

$6.50

$164.08

$6.50

$33.21

$6.50

$14.96

$6.50

$3.91

$6.50

$241.45

$6.50

$20.21

$82.57

$134.47

$87.61

$260.22

$288.92

$494.74

$58.16

$87.61

$153.00

City Of Chicago - Confidential

Page 13 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

05/03/2008 Obrecki, Robert P

02/12/2009 ORTEGON, TYRONE 9161

06/08/1993 Miller-Shemash, Kimberly P

11/18/2007 Miceli, Mary P

02/23/1997 Martin, Gwendolyn P

05/09/1998 Marozas, Michael J P

05/09/1998 Marozas, MichaelJ P

05/09/1998 Marozas, Michael J P

00016 City Of Chicago Police $62.32

00016 City Of Chicago Police $260.22

00016 City Of Chicago Police $68.10

00016 City Of Chicago Police $240.84

00016 City Of Chicago Police $335.74

006 City Of Chicago Police $39.54

00010 City Of Chicago Police $166.27

00018 City Of Chicago Police $35.10

00018 City Of Chicago Police $30.04

00018 City Of Chicago Police $35.10

00021 City Of Chicago Police $33.06

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $211.50

00021 City Of Chicago Police $319.73

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $3.88

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $34.07

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $5.41

00004 City Of Chicago Police $6.36

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $4.92

00004 City Of Chicago Police $193.74

00004 City Of Chicago Police $274.94

00004 City Of Chicago Police $202.94

00004 City Of Chicago Police $156.82

00004 City Of Chicago Police $488.07

00004 City Of Chicago Police $122.67

00004 City Of Chicago Police $678.33

City Of Chicago - Confidential

Page 14 of 26

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 05/09/1998 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995

Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Marozas, Michael J Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr.

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 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025

ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ity Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol ty Of Chicago Pol

ilice lice lice lice lice lice lice lice lice ilice lice dice Jice ilice ilice ilice ilice ilice ilice ilice ilice ilice lice ilice ilice ilice lice ilice ilice lice ilice lice lice

$6.50

$2.76

$6.50

$332.68

$6.50

$10.50

$6.50

$6.08

$6.50

$88.07

$6.50

$0.83

$6.50

$544.46

$224.73

$6.50

$34.95

$6.50

$7.07

$6.50

$7.07

$6.50

$54.48

$6.50

$47.61

$6.50

$43.79

$42.65

$360.00

City Of Chicago - Confidential

Page 15 of 26

Incident Date

Claimant

Rank

Assigned to Unit Insured

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

07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 07/15/1995 05/16/1999 05/16/1999 11/27/2008 11/27/2008 11/27/2008 11/27/2008 11/27/2008 11/27/2008 11/27/2008 11/27/2008

Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Manno, Samuel Jr. Mackey, Patricia J Mackey, Patricia J MENA, ARTURO MENA, ARTURO MENA, ARTURO MENA, ARTURO MENA, ARTURO MENA, ARTURO MENA, ARTURO MENA, ARTURO

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

00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00025 00044 00044

City City City

Poli Pol Poli

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

$864.08

$656.87

$288.03

$322.43

$378.31

$692.12

$6.50

$33.16

$6.50

$14.54

$43.62

$6.50

$16.28

$6.50

$62.77

$6.50

$7.07

$6.50

$19.10

$6.50

$119.77

$6.50

$195.40

$153.31

$6.50

$3.08

$6.50

$2.08

$6.50

$240.75

$6.50

$2.08

City Of Chicago - Confidential

Page 16 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

11/27/2008 11/27/2008 11/27/2008 11/27/2008 11/27/2008 11/27/2008 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 07/26/2009 06/21/2006 06/21/2006 06/21/2006 06/21/2006 09/30/2002 09/30/2002 09/30/2002 09/30/2002 09/30/2002 09/30/2002 02/13/2005 02/13/2005 05/09/2008 05/09/2008

MENA, ARTURO MENA, ARTURO MENA, ARTURO MENA, ARTURO MENA, ARTURO MENA, ARTURO MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L MCGUIRE, KERRY L Locke, Lisa R Locke, Lisa R Locke, Lisa R Locke, Lisa R Lamperis, Dimitrius Lamperis, Dimitrius Lamperis, Dimitrius Lamperis, Dimitrius Lamperis, Dimitrius Lamperis, Dimitrius Kroliczek, Les O Kroliczek, Les O Koconis, Peter C Koconis, Peter C

9161

017

00002

00011

00016

00024

City Of Chicago Poli City Of Chicago Poli 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 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 Pol 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 Poli

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

$6.50

$157.26

$453.25

$209.92

$141.91

$85.54

$10.15

$6.50

$10.15

$6.50

$10.15

$57.59

$232.36

$269.90

$208.22

$57.59

$6.50

$84.92

$6.50

$84.92

$6.50

$150.97

$347.03

$150.97

$6.50

$100.68

$6.50

$63.62

$3.21

City Of Chicago - Confidential

Page 17 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

05/09/2008 Koconis, Peter C P

08/21/2003 Kitowski, Nicholas P

08/21/2003 Kitowski, Nicholas - P

08/21/2003 Kitowski, Nicholas P

11/29/2006 Kereakes, Demetrios P

07/28/2007 Jones, Yvette A P

01/26/1994 Jaks, Barbara P

10/26/2009 HUDSON, ROBIN 9161

02/04/2009 HILL, ELISABETH 9161

07/05/2003 Greer, Howard T P

00024 City Of Chicago Police $6.50

00018 City Of Chicago Police $6.50

00018 City Of Chicago Police $693.95

00018 City Of Chicago Police $338.18

00018 City Of Chicago Police $6.50

00011 City Of Chicago Police $323.49

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $190.72

00021 City Of Chicago Police $143.01

00021 City Of Chicago Police $18.80

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $21.22

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $21.56

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $21.22

00021 City Of Chicago Police $218.72

00021 City Of Chicago Police $14.09

00021 City Of Chicago Police $6.50

00021 City Of Chicago Police $21.56

00021 City Of Chicago Police $215.22

00021 City Of Chicago Police $218.72

00021 City Of Chicago Police $215.22

00024 City Of Chicago Police $7.93

00024 City Of Chicago Police $6.50

00024 City Of Chicago Police $241.39

City Of Chicago Police $6.50

City Of Chicago Police $121.56

044 City Of Chicago Police $125.58

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $8.70

City Of Chicago - Confidential

Page 18 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

07/05/2003 Greer, Howard T P

11/18/2004 Gavin, MichaelJ P

10/09/2004 Gauthier, Emmert P

06/23/2002 Garcia, Margarita M P

11/12/2007 Gaines, Kenyatta P

12/15/2008 GARTH, WALTER 9161

00008 City Of Chicago Police $98 .45

00008 City Of Chicago Police $98.45

00008 City Of Chicago Police $151.31

00008 City Of Chicago Police $171.01

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $16.85

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $16.85

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $16.85

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $16.85

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $16.85

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $14.91

00008 City Of Chicago Police $6.50

00008 City Of Chicago Police $8.70

00153 City Of Chicago Police $293.49

00001 City Of Chicago Police $400.59

00018 City Of Chicago Police $420.10

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police " $23.95

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $4.84

00004 City Of Chicago Police $133.45

00004 City Of Chicago Police $4.03

023 City Of Chicago Police $2.49

City Of Chicago - Confidential

Page 19 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

12/15/2008 GARTH, WALTER 9161

023 City Of Chicago Police $6,50

023 City Of Chicago Police $10.41

023 City Of Chicago Police $6.50

023 City Of Chicago Police $336.25

023 City Of Chicago Police $75.04

023 City Of Chicago Police $73.71

023 City Of Chicago Police $75.56

023 City Of Chicago Police $316.96

023 City Of Chicago Police $134.94

023 City Of Chicago Police $67.47

023 City Of Chicago Police $321.80

023 City Of Chicago Police $101.70

023 City Of Chicago Police $6.50

023 City Of Chicago Police $11.05

023 City Of Chicago Police $6.50

023 City Of Chicago Police $2.47

023 City Of Chicago Police $6.50

023 City Of Chicago Police $2.47

023 City Of Chicago Police $6.50

023 City Of Chicago Police $2.47

023 City Of Chicago Police $6.50

023 City Of Chicago Police $2.47

023 City Of Chicago Police $6.50

023 City Of Chicago Police $2.42

023 City Of Chicago Police $6.50

023 City Of Chicago Police $2.49

023 City Of Chicago Police $6.50

City Of Chicago - Confidential

Page 20 of 26

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 01/14/2003 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006

Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Fuda, Frank J Farmer, Mark B

Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer,

Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B MarkB MarkB MarkB MarkB Mark B Mark B Mark B

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

00007 00007 00007 00007 00007 00007 00007 00007 00007 00007 00007 00007 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006

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

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

$5.45

$6.50

$6.90

$17.23

$67.50

$50.00

$416.44

$892.37

$85.80

$6.50

$0.99

$6.50

$36.82

$6.50

$121.05

$6.50

$1.01

$6.50

$1.01

$6.50

$2.52

$192.77

$404.45

$282.22

$423.33

$178.15

$282.22

$309.55

$282.22

$141.11

City Of Chicago - Confidential

Page 21 of 26

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006 11/15/2006

Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer, Farmer Farmer, Farmer, Farmer, Farmer, Fanner, Farmer, Farmer, Farmer,

Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B Mark B MarkB MarkB Mark B MarkB MarkB Mark B

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

00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006 00006

$141.11

$497.27

$258.58

$83.67

$208.17

$6.50

$99.57

$6.50

$73.64

$6.50

$110.46

$6.50

$42.10

$59.30

$6.50

$73.64

$6.50

$71.27

$6.50

$1.01

$6.50

$73.64

$6.50

$36.82

$6.50

$36.82

$6.50

$36.82

City Of Chicago - Confidential

Page 22 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total 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 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

02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986 02/27/1986

Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J Farina, Richard J

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

00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015 00015

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

$14.28

$269.37

$250.92

$91.72

$6.50

$7.78

$6.50

$15.74

$6.50

$6.42

$6.50

$7.00

$6.50

$14.00

$6.50

$6.42

$6.50

$11.65

$6.50

$538.74

$6.50

$7.86

$6.50

$8.44

$6.50

$36.66

$6.50

$16.88

$642.61

$501.87

$204.80

$223.25

$446.50

City Of Chicago - Confidential

Page 23 of 26

Incident Date

Claimant

Rank

Assigned to Unit Insured

Total Paid

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

02/27/1986 Farina, Richard J

01/10/2006 Farah, James

02/18/2009 E AKELS, ILANA

04/25/2006 Decoligny, Michael

09/28/1993 Dace, Veronica

08/30/2009 COATS, CHRISTOPHER

04/30/2006 Buehler, Colette

08/15/2002 Brumley, Cedric

08/15/2002 - Brumley, Cedric

08/15/2002 Brumley, Cedric

P P P P P P

9161

00015

00018

023

00019

00005

022

00008

00004

Poli Poli Poli Poli

City City City <

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

$204.80

$341.37

$455.72

$20.74

$6.50

$88.51

$69.96

$350.60

$6.50

$5.15

$6.50

$5.15

$6.50

$83.67

$1.01

$6.50

$42.51

$396.21

$269.95

$137.37

$16.20

$553.06

$967.76

$5.68

$476.40

$6.50

$8.70

City Of Chicago - Confidential

Page 24 of 26

Incident Date Claimant

Rank

Assigned to Unit Insured

Total Paid

08/15/2002 Brumley, Cedric P

04/10/2000 Barney, Walter P

07/28/2001 Anthony, Wanda P

02/12/2009 ANDREWS, PATRICK 9161

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $5.77

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $4.66

00004 City Of Chicago Police $99.00

00004 City Of Chicago Police $114.69

00004 City Of Chicago Police $98.45

00004 City Of Chicago Police $141.95

00004 City Of Chicago Police $170.02

00004 City Of Chicago Police $294.70

00004 City Of Chicago Police $168.00

00004 City Of Chicago Police $371.53

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $19.11

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $11.03

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $135.12

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $80.50

00004 City Of Chicago Police $6.50

00004 City Of Chicago Police $4.41

00004 City Of Chicago Police $205.00

00004 City Of Chicago Police $68.01

00016 City Of Chicago Police $136.39

00016 City Of Chicago Police $112.20

020 City Of Chicago Police $102.95

020 City Of Chicago Police $27.64

020 City Of Chicago Police $449.44

City Of Chicago - Confidential

Page 25 of 26

Incident Date

Claimant

Rank

Assigned to Unit

Insured

Total Paid

02/12/2009 12/04/2008 12/04/2008 12/04/2008 12/04/2008 Claim Total Amount

ANDREWS, PATRICK ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE ALLEN, PHOEBE

787

$72,144.04

Claim Total Amount 823 $76,642.99

9161

020

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

$95.81

$89.60

$6.50

$2.78

$85.94

City Of Chicago - Confidential

Page 26 of 26

Legislation Text

Legislation Details

Legislation Details (With Text)