ORDERED, That the City Comptroller is authorized and directed to issue payments 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 of the 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 of the 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 of the 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
Insured Namel: City Of Chicago Fire
10/19/2009
10/19/2009
02/15/1991
03/23/2007
03/23/2007
03/23/2007
07/19/1982
07/19/1982
07/19/1982
Claim Total Amount 9 $5,273.67
Insured Namel: City Of Chicago Police
07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 07/15/2008 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 04/05/2000 05/22/2008 05/22/2008 12/23/1987
KAMPER, KRISTOFFER KAMPER, KRISTOFFER Guzick, Lawrence Bigoness, James Bigoness, James Bigoness, James Banks, Thomas S Banks, Thomas S Banks, Thomas S
Torres, Eddie J Torres, Eddie J Torres, Eddie J Torres, Eddie J Torres, Eddie J Torres, Eddie J Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Thompson, Nicole C Taylor, Albert Taylor, Albert Robarts-Dillon, Janice M
P P P P P P P P P P P P P P P P P
00450 00482 00482 00482 00379 00379 00379
00019 00019 00019 00019 00019 00019 00044 00044 00044 00044 00044 00044 00044 00044 00002 00002 00016
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 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
$210.71
$4,485.83
$445.73
$5.40
$6.50
$22.44
$6.50
$84.06
$96.62
$1.17
$6.50
$1,756.01
$6.50
$35.44
$990.09
$6.50
$1,211.51
$1,167.48
$1,050.06
$6.50
$47.24
$45.36
$6.50
$618.95
$1,173.00
City Of Chicago - Confidential Page 1 of 4
Incident Date
Claimant
Rank
Assigned to Unit Insured
Total Paid
01/05/1996 Rivera, Sally A
06/06/1988 Phillips, Susan
10/01 /2007 Perez, George A
12/13/2008 PROANO, FRANK
11/25/1984 Overton, Susan P
11/25/1984 Overton, Susan P
11/21/1998 Oneal, Brenda
06/08/1993 Miller-Shemash, Kimberly
06/08/1993 Miller-Shemash, Kimberly
06/08/1993 Miller-Shemash, Kimberly
06/08/1993 Miller-Shemash, Kimberly
06/08/1993 Miller-Shemash, Kimberly
06/08/1993 Miller-Shemash, Kimberly
03/07/2002 Merriweather, Sheila A
03/07/2002 Merriweather, Sheila A
03/07/2002 Merriweather, Sheila A
03/07/2002 Merriweather, Sheila A
03/07/2002 Merriweather, Sheila A
03/07/2002 Merriweather, Sheila A
03/07/2002 Merriweather, Sheila A
03/07/2002 Merriweather, Sheila A
05/09/1998 Marozas, MichaelJ
05/09/1998 Marozas, Michael J
07/15/1995 Manno, Samuel Jr.
07/15/1995 Manno, Samuel Jr.
07/15/1995 Manno, Samuel Jr.
07/15/1995 Manno, Samuel Jr.
07/15/1995 Manno, Samuel Jr.
07/15/1995 Manno, Samuel Jr.
05/16/1999 Mackey, Patricia J
05/16/1999 Mackey, Patricia J
05/16/1999 Mackey, Patricia J
05/16/1999 Mackey, Patricia 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
00025 00004 00010
00019 00019 00005 00010 00010 00010 00010 00010 00010 00005 00005 00005 00005 00005 00005 00005 00005 00004 00004 00025 00025 00025 00025 00025 00025 00044 00044 00044 00044
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
$4,455.66
$1,161.80
$1,302.00
$1,516.04
$3,872.00
$4,048.00
$2,469.85
$83.67
$1.01
$6.50
$5.73
$6.50
$473.83
$6.50
$1,226.70
$555.48
$408.90
$6.50
$1,226.70
$1,383.57
$1,836.79
$6.50
$1,495.00
$37.32
$6.50
$692.12
$6.50
$34.95
$739.40
$95.00
$4.37
$6.50
$719.32
City Of Chicago - Confidential
Page 2 of 4
Incident Date Claimant
Rank
Assigned to Unit Insured
Total Paid
09/30/2002 Lamperis, Dimitrius P
08/21/2003 Kitowski, Nicholas P
08/07/2008 Kirkilas, Gary S P
03/16/2009 KINNEY, JEANNE 9161
03/16/2009 KINNEY, JEANNE 9161
07/28/2007 Jones, Yvette A P
07/28/2007 Jones, Yvette A P
07/21/2003 Irons, Darren L P
07/21/2003 Irons, Darren L P
07/21/2003 Irons, Darren L P
06/07/1999 Hopkins, Will E P
08/17/2006 Hallinan, Annette M P
08/17/2006 Hallinan, Annette M P
08/17/2006 Hallinan, Annette M P
08/17/2006 Hallinan, Annette M P
08/17/2006 Hallinan, Annette M P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
07/05/2003 Greer, Howard T P
11/05/2007 Glass-Watkins, Jacqueline P
11/05/2007 Glass-Watkins, Jacqueline P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
05/02/2006 Foster, Teresa P
01/04/2009 FICHT, LEONARD 9171
01/04/2009 FICHT, LEONARD 9171
04/22/2006 Eigenbauer, Robert P
04/22/2006 Eigenbauer, Robert P
04/22/2006 Eigenbauer, Robert P
00011 City Of Chicago Police $1,954.97 00018 City Of Chicago Police $3,659.25
00012 City Of Chicago Police $6.50 005 City Of Chicago Police $1.77 005 City Of Chicago Police $69.34 00021 City Of Chicago Police $311.38 00021 City Of Chicago Police $6.50 00002 City Of Chicago Police $28.70 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $125.37
00021 City Of Chicago Police $2,660.94 00016 City Of Chicago Police $8.56 00016 City Of Chicago Police $800.00 00016 City Of Chicago Police $6.50 00016 City Of Chicago Police $18.76 00016 City Of Chicago Police $6.50 00008 City Of Chicago Police $1,248.68 00008 City Of Chicago Police $6.50 00008 City Of Chicago Police $1,550.00
00022 City Of Chicago Police $1,821.87 00022 City Of Chicago Police $6.50 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $0.96 00002 City Of Chicago Police $502.30 00002 City Of Chicago Police $6.50 00002 City Of Chicago Police $20.39 00002 City Of Chicago Police $6.50 024 City Of Chicago Police $286.39 024 City Of Chicago Police $44.38 00014 City Of Chicago Police $90.22 00014 City Of Chicago Police $10.60 00014 City Of Chicago Police $74.86
City Of Chicago - Confidential
Page 3 of 4
Incident Date
Claimant
Rank
Assigned to Unit Insured
Total Paid
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
04/22/2006 04/22/2006 08/15/2002 08/15/2002 08/15/2002 08/15/2002 08/15/2002 02/12/2009 02/12/2009 12/04/2008 Claim Total Amount
Eigenbauer, Robert Eigenbauer, Robert Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric Brumley, Cedric ANDREWS, PATRICK ANDREWS, PATRICK ALLEN, PHOEBE
93
$77,092.89
P P P P P P P
9161 9161
00014
00014
00004
00004
00004
00004
00004
020
020
$6.50
$6.50
$5,162.86
$5,225.75
$5,225.61
$5,267.67
$1,344.59
$73.38
$6.50
$1,289.70
Claim Total Amount 102 $82,366.56
City Of Chicago - Confidential
Page 4 of 4