HomeMy WebLinkAboutClaims Service Bureau of NY ET.TT. ABETH A. NEVIIJ.E
TOWI~I CT,~RK
REGISTRAR OF VITAL STATISTICS
MARRIAGE OFFICER
RECORDS MANAGEMENT OFFICER
FREEDOM OF INFORMATION OFFICER
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
Fax (631) 765-6145
Telephone (631) 765-1800
southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION NO. 839 OF 2003
WAS ADOPTED AT THE REGULAR MEETING OF THE SOUTItOLD TOWN BOARD
ON DECEMBER 16, 2003:
RESOLVED that the Town Board of the Town of Southold hereby authorizes and directs
Sul~ervisor Joshua Y. Horton to execute the "Proposal to Create & Manage Self-Insurance
Proaram For AH Motor Vehicle/No Fault and General Liability Claims Toeether with all
Professional Liability Claims" aareement with Claims Service Bureau of New York, Inc.
dated November 7, 2003 relating to the Town's 2004 insurance, said agreement subject to the
approval of the Town Attorney.
Elizabeth A. Neville
Southold Town Clerk
ACCOLrNTING & FINANCE DEPT.
John A, Cushman, Town Comptroller
Telephone (631) 765~4333
Fax (63t) 765-1366
E~mall: accounting@town.southold.ny.us
TOWN HALL ANNEX
Feather Hill, Building 10
6~0 Traveler Street
P.O. Box 1179
Southold, NY 11971-0959
TOWN OF SOUTHOLD
OFFICE OF THE SUPERVISOR
December 23, 2003
David G. Hutchinson
Executive Vice President
Claims Service Bureau of New York, Inc.
21 Hempstead Avenue
P.O. Box 805
Lynbrook, NY 11563
Re: Self-Insurance Program
Dear Mr. Hutchinson:
Enclosed please find an executed copy of the "Proposal to Create & Manage Self-
Insurance Program for all Motor Vehicle/No Fault and General Liability Claims
Together with all Professional Liability Claims" agreement with the Claims Service
Bureau of New York, Inc., dated November 7, 2003.
We look forward to working with you. Best wishes for the holiday season.
EnO.
CC;
Very truly yours,
Town Comptroller
Jon Shearin, Roy Reeve Ag/~'ncy
Betty Neville, Town Clerk
CLAIMS SERVICE BUREAU
21 HEMPSTEAD AVENUE P.O. BOX 805
(516)
593-2440
LYNBROOK, N.Y. 11563 (718) 895-2400
LICENSED AND BONDED
STATE OF NEW YORK & CONNECTICUT
OF NEW YORK INC.
FAX: (516) 593-248(~
(600) 433-9631
November 7, 2003
PROPOSAL TO CREATE & MANAGE
SELF I'NSURANCE PROGRAM
ALL MOTOR VEHI'CLE/NO FAULT & GENERAL L~.BIL[TY CLAI'MS
TOGETHER WZl'H ALL PROFESSTONAL L~AB[I..[TY ClAIMS
To:
Town of Southold
C/o Roy Reeve Agency
PO Box 54
Mattituck, New York 11952
A~: ]on Sheadn
Claims Service Bureau of New York Inc., a domestic corporation, organized and
existing under the Laws of the State of New York, with offices at 21 Hempstead
Avenue, Lynbrook, New York, hereinafter referred to as CSB, hereby proposes to:
Provide a Complete Claims Management Service for the Town of Southold,
hereinafter referred to as the Client, with responsibility for all General Liability
Claims, with the following services:
Examine all inddent and accident reports received from the
Client relative to personal injury, or property damage, and
other liability claims brought against the Client.
Provide necessary field and supervisory personnel to
investigate, evaluate and adjust all claims on a 24 hour a
day basis, 7 days a week, throughout the entire City of New
York and Long Island area.
Provide home telephone numbers of at least four'Claims
Representatives who will respond immediately to the scene of
serious accidents before and after normal business hours.
INVESTIGATORS · ADJUSTERS e ADMINISTRATORS · SERVING INSURERS & SELF iNSURERS · SINCE 1959
Town of Southold
'2-
Meet initially and regularly thereafter with the Client and the
head of each and every Department in order to
coordinate the enUre Program, implement Loss Control and
reporting procedures. Dudng all meetings the emphasis
shall be on developing employee awareness as to the
significance of a Self Insurance Program.
If requested, we are able to provide a list of defense attorneys
whose expertise and experience in the defense of Municipal
cases we have tested over the past 44 years. We shall also provide a
list of medical doctors (all spedalUes), who will be called upon to
verify allegations as to injury, disability, treatment, etc.
When a file is created requiring the posting of a reserve,
conduct a complete investigation in accordance with the
highest accepted standards of claims investigation. Said
investigation shall include, but is not limited to the following:
Personal or recorded statements, photos, diagrams, police
and motor vehicle reports, all medical reports, hospital
records and etc., verification of lost time and earnings,
property damage apprai§als and reports, Central Index
Bureau reports, etc. Each file will be thoroughly prepared
as swiftly as possible and shall remain prepared as if
liUgation were imminent.
On those cases where liUgaUon has been commenced, CSB
shall make available to whatever defense attorney is selected,
the original copies of all investigative material and shall work
closely with the defense attorney and supervise the legal
handling in accordance with the claim philosophy set forth
herein. We shall require the defense attorney to report
regularly to the Claims Department with an analysis of all
pleadings, including 50-H Hearings, EBT's and all Discovery
Proceedings
We shall solicit from defense attorneys their opinions
concerning ultimate probable cost and value and transmit
those opinions, together with our own opinions as to the
value to the Client with recommendations, etc.
Town of Southold
-3-
=
10.
:1.1.
:1.2.
13.
Report regularly to the Client's office concerning all
investigation as developed in order that the Client may
keep a complete file on each open case. If, as and when
authorizations are requested, the Client will have complete
copies of all investigaUons, including documentation,
verificaUon, etc.
Review in detail all current .claims forms used by the Client
and compare same with the current claims forms used by
CSB for the past 44 years with a view toward utilizing those
forms which will best serve the needs of the Client and CSB.
Perform all cledcal work in connection with each recorded
claim to include the establishment of claim files, diary
systems, control registers, prepare input reports of all
activity to be fed into our own computer system to provide
the Client with a computerized loss run and other statistical
data.
During the course of negotiaUng settlements, all efforts will
be made to evaluate the possibility of Structured
Settlements. Upon the consummation of a settlement, General
Release, and/or infant's compromise orders, together with
whatever vouchers are required, will be forwarded to the
Client for payment.
Assume full responsibility for the reporting of claims to your
Excess Uability and Umbrella Carrier in accordance with the
terms of those Insurance Policies. Thereafter, periodic
follow-ups by reports will be forwarded to each of your
Carriers, brokers, etc.
Participate in all audits of the Self Insurance Program and
any and all filings required by your Insurance Companies.
Town of Southold
-4-
All claim files and material shall be the property of the
Client. The Client may exercise its right to audit any claim
file or the entire Program at its discretion without notice.
15.
Treat all claim files and related matedat as highly
confidential.
16.
Consult with the Client concerning the rules and regulaUons
in dealing with outside contractors, particularly as they
relate to Certificates of Insurance, naming the Client as an
additional insured.
17.
Institute the necessary proceedings to recover for any and all
damage done to Client property as well as subrogation
proceedings in New York Arbitration and Inter-Company
Arbitration.
18.
Coordinate the Uability Claims Program with that of Client's
existing Worker's Compensation Program, making available
to the representaUve under Worker's Compensation Program,
the contents of our file where necessary, and assist when
called upon in the third l~arty proceedings instituted by the
Worker's Compensation Program, etc.
19.
CSB shall process all bodily injury claims through the New
York Central Index Bureau System. This is a claimant
accident exchange.
FEES
The annual fee to include the processing of all incident
reports, and the services mentioned herein above, with the
exception of Section B below, shall be
On all cases where formal Notice of Claim is filed, and/or cases
where a need for investigation adses, each case will be handled on a
time and expense basis of $65.00 per hour plus allocated expenses.
Town of Southold
B L NG
The annual minimum fee of $1000.00 shall be billed on execution
of this agreement.
B=
On all cases requiring investigation, CSB shall submit a
separate bill on each case with the regular monthly billing
when the matter is completed or an interim bill within six
months after the receipt of a Notice of Claim.
Any item of Allocated Expense in excess of $100.00 shall be
forwarded to the Client for direct payment.*
* ALLOCATED EXPENSES shall mean all court costs; fees and expenses; fees
for service of process; fees to attorneys; costs of undercover operative and
detective services; fees of independent adjusters or attorneys for investigation or
adjustment of claims in areas not reasonably accessible to employees of CSB, cost
of employing experts for preparation of maps, photographs, diagrams, chemical or
physical analysis; property damage reports; physical examinations; or for advice,
opinion or testimony concerning claims under investigation or in litigation; costs of
civil proceedings; costs for copies of any public records; cost of depositions and
court reporter or recorded statements; travel expense; telephone; telegrams;
photostats; photographs, storage fees and any other similar fee cost or expense
reasonably chargeable to the investigation, negotiation, settlement, subrogation or
defense of a claim or loss.
Respectfully submitted,
CLAIMS SERVZCE BUREAU OF NEW YORK
By. David G. Hutchinsoh~, Exec. V.P.
N3C: gm
ACCEPTED:f Town of Southold
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