scheme creditor number: s0a335 king streetdemocracy.lbhf.gov.uk/documents/s46556/payment...

15
MUNDCDPAL MUTUAL (subject to a Scheme of Arrangement under section 425 of the Companies Act 1985 which was triggered on 13 November 2012, with Gareth Hughes appointed as Scheme Administrator) Chris Robbins Insurance Services Manager London Borough of Hammersmith & Fuiham Finance, Insurance Section Room 37, Hammersmith Town Hall King Street London W6 9JU Scheme Creditor Number: S0A335 l4January2Ol4 Dear Scheme Creditor Statement pursuant to the Scheme of Arrangement (the “Scheme”) between Municipal Mutual Insurance Limited (the “Company”) and its Scheme Creditors (the “Creditors”) Further to my letter dated 1 January 2014 enclosing a notice setting out details of the Levy (the “Notice”), I have set out below the amount payable by you in respect of the Levy based on the financial information available as at 31 December 2013 This letter constitutes the Statement (as defined in the Notice) The Notice, together with this Statement, constitutes a Levy Notice for the purposes of Section 55 of the Scheme Terms defined in the Notice have the same meaning in this Statement unless otherwise defined £ Amount of Established Scheme Liabilities and Elective Defence Costs paid on your behalf since the Record Date per attached 2 89069820 detailed schedule Retention exempt from Levy (50,000 00) Total payments subject to Levy 2,840,698 20 Levy due at 15% £426,104 Municipal Mutual Insurance Limited 29 Buckingham Gate Westminster London SW1E 6NF Tel No: 020 7821 6444 Fax No: 020 7821 1556 www.mminsurance.co.uk Registered Office 29 Bueidngham Gate Westminster London SW1E 6NF Registered No: 76678 Engiand

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Page 1: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

MUNDCDPAL MUTUAL(subject to a Scheme of Arrangement under section 425 of the Companies Act 1985 which was

triggered on 13 November 2012, with Gareth Hughes appointed as Scheme Administrator)

Chris RobbinsInsurance Services ManagerLondon Borough of Hammersmith & FuihamFinance, Insurance SectionRoom 37, Hammersmith Town HallKing StreetLondonW6 9JU

Scheme Creditor Number: S0A335

l4January2Ol4

Dear Scheme Creditor

Statement pursuant to the Scheme of Arrangement (the “Scheme”) between MunicipalMutual Insurance Limited (the “Company”) and its Scheme Creditors (the “Creditors”)

Further to my letter dated 1 January 2014 enclosing a notice setting out details of the Levy (the“Notice”), I have set out below the amount payable by you in respect of the Levy based on thefinancial information available as at 31 December 2013

This letter constitutes the Statement (as defined in the Notice) The Notice, together with thisStatement, constitutes a Levy Notice for the purposes of Section 5 5 of the Scheme Termsdefined in the Notice have the same meaning in this Statement unless otherwise defined

£

Amount of Established Scheme Liabilities and Elective DefenceCosts paid on your behalf since the Record Date per attached 2 89069820detailed schedule

Retention exempt from Levy (50,000 00)

Total payments subject to Levy 2,840,698 20

Levy due at 15% £426,104

Municipal Mutual Insurance Limited 29 Buckingham Gate Westminster London SW1E 6NFTel No: 020 7821 6444 Fax No: 020 7821 1556 www.mminsurance.co.uk

Registered Office 29 Bueidngham Gate Westminster London SW1E 6NF Registered No: 76678 Engiand

Page 2: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

2

Payment of this Levy is due by no later than 14 February 2014 (the Payment Date”).Remittances should be sent (at the risk of the Scheme Creditor) to the Company at the addressbelow or may be made (at the expense of the Scheme Creditor) by bank transfer to theCompany’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great TowerStreet, London, EC3P 3HX. (sort code: 15-20-25). Please ensure that you quote your aboveScheme Creditor number when making payment.

If you fail to pay, by the Payment Date, any amount of any Levy imposed by this Levy Notice,then in accordance with Section 5.8 of the Scheme: (a) interest shall accrue on the amount ofsuch Levy remaining outstanding after the Payment Date at the rate of 4 per cent. above thebase lending rate from time to time of National Westminster Bank Plc, such interest to accrue ona daily basis; and (b) until such Levy has been paid in full, you shall not under the Scheme beentitled to receive from the Company any payment in respect of any Scheme Liability.

Yours faithfully

,1t~Gareth HughesScheme Administrator

Page 3: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

-Municipal Mutual Insurance Limited (in Scheme of Arrangement)____________ 29 Buckingham Gate, Westminster, London, SW1E 6NF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fuiham Scheme Creditor No: S0A335

Page 1 of 13

Notification Accident SettlementPolicy No. Claim No. Bus CI. Claimant Customer Ref Date Date Date Description Net Payments

01E2120104 01881338388 MV MOORE 89015 18/10/1988 26/09/1988 28/01/1994 BACK INJURY & NECK C555XEX 250.00

01E2120104 01911338079 MV 891058 11/03/1991 13/02/1991 22/12/1993 F955NUR 355.00

01E2120104 01911338306 MV ANDERSON 89099 13/08/1991 22/07/1991 25/07/1994 H675WGK (43.00)

01E2120104 01911338318 MV BATHROOMS DIRE 89099 13/08/1991 13/05/1991 11/11/1994 H675WGK (649.70)

01E2120104 01911338393 MV 89495 01/10/1991 14/09/1991 02112/1993 H86OERO 113.00

01E2120104 01911338463 MV BOYLE 89076 03/12/1991 25/10/1991 26/11/1993 E6400AH 331.10

01E2120104 01921338051 MV 89093 29/01/1992 07/12/1991 15/08/1994 G9D4SGF (18.07)

01E2120104 01921338100 MV SHELLWAY PRESS 89325 09/03/1992 11/02/1992 20/02/1997 DSO3VBD 3,581.56

01E2120104 01921338114 MV WILLIAMS 89008 30/03/1992 16/03/1992 27/09/1995 LIMOUSINE DAMAGED. D411FVG 4,424.74

01E2120104 01921338192 MV 89494 26/05/1992 30/04/1992 25/05/1994 H859ER0 168.60

01E2120104 01921338222 MV CORTELL 89272 16/06/1992 03/06/1992 25/05/1994 H31OAEG 258.50

01E2120104 01921338237 MV NAVAS/FOSBUEAR 89009 24/06/1992 15/06/1992 10/11/1997 RTA INJURY NAVRAS D414FVG 7,067.00

01 E2120123 01012101163 TP FLETCHER MCK-BP/PLO2/01/074 07/12/2001 01/06/1991 13/05/2013 CO POISONING 34A CATHNOR ROAD SHEPHERDS BUSH 12,936.15

01E2120123 01072138316 TP LONGWORTH MCK-B/ZPL3O/06/023 22103/2007 31/12/1978 10/03/2011 ALLEGED ABUSE BY MOTHER UNDER S.S CARE 94,768.84

01E2120123 01092139030 TP DICKENS MCK-BIZPL3O/09/032 01/07/2009 04/04/1982 08/04/2011 SOCIAL SERVICES FAILURE / FOSTER CARE 14,496.00

01E2120123 01092139326 TP BLACKMOOR 11/06/2009 01/03/1980 04/11/2010 ABUSE 627.00

01E2120123 01092169441 TP HUNTER 22/06/2009 31/12/1981 08/04/2011 ABU 5,153.40

01E2120123 01872139504 TP CITY NATIONAL BO 23/02/1987 16/01/1987 12/04/1995 FLOOD DAMAGE 872.20

01E2120123 01872139505 TP MACDONALD 13/03/1987 16/01/1987 22/08/1997 655 FULAHM RD 520.00

01E2120123 01872139537 TP HOODS 25/06/1987 11/05/1987 16/02/1995 BACK INJURY 6,696.31

D1E2120123 01872139559 TP JAQUES 09/11/1987 27/03/1987 12/07/1996 HIT BY IRON FENCE (286.50)

01E2120123 01882138148 TP KINGSBURY RJ/80504 02/08/1988 22/06/1988 08/12/1994 (1,758.30)

01E2120123 01882138677 TP HEAVEN 11/04/1988 31/12/1987 23/02/1998 DEFECTIVE PREMISES 19,040.09

01E2120123 01882138813 TP MOLLOY 05/09/1988 24/07/1988 24/03/1994 6,150.39

01E2120123 01882139002 TP GEDDIES 07/04/1988 05/04/1988 23/05/1994 15 ETHELDEN RD. 15 ETHELDEN ROAD 500.00

01E2120123 01892138018 TP OLESZKEWICZ RJ/80966 28/02/1989 24/12/1988 30/06/1995 CYCLE TRIP BROKEN FOREARM DIS. WRIST 2,730.00

Page 4: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

Mlunicipal Mutual Insurance Limited (in Scheme of Arrangement)___________ 29 Buckingham Gate, Westminster, London, SWIE 6NF (T) 020 7821 6~4. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fulham Scheme Creditor No: S0A335

Page2of 13

Notification Accident SettlementPolicy No. Claim No. Bus Cl. Claimant Customer Ref Date Date Date Description Net Payments

01E2120123 01892138077 TP HOYLES RJ180737 07/07/1989 08/05/1989 29/04/1994 HMITRIP BROKEARMS 15,041.97

01E2120123 01892138113 TP BENJAMIN RJ/80478 07/09/1989 25/07/1989 11/12/1995 2,293.76

01E2120123 01892138142 TP O’CONNOR RJ/80508 18/10/1989 02/09/1989 27/0111997 HIGHWAY TRIP BROKEN WRIST & ANKLE 17,435.68

01E2120123 01892138591 TP EBEID 17/04/1989 13104/1989 14/02/1997 DAMAGE TO PROPERTY 920.00

01E2120123 01892138759 TP MCNEILL 18110/1989 01/02/1988 17/10/1994 DISREPAIR 4,664.32

01E2120123 01892138796 TP COGGAN 13/12/1989 13/10/1989 18/10/1993 400.00

01E21 20123 01892139007 TP COOK 07/11/1989 01/11/1989 08/12/1999 110 ENCONWALD STREET W12 110 ERCONWALD ST W12 1,225.97

01E2120123 01892139009 TP BRUNT 05/12/1989 14/11/1989 07/11/1995 TREE ROOTS 14 LEFROY RD W12 3,681.80

01E2120123 01892139010 TP NORRIDGE 05/12/1989 04/12/1989 10/11/1993 TREE ROOTS 70 BISCAY RDW6 373.75

01E2120123 01892139515 TP PRIEST 17/04/1989 02/04/1987 12110/1995 INJURY AT 54B ADDISON GDNS 648.10

01E2120123 01892139556 TP SMITH 19/10/1989 03/02/1989 14/04/1997 FELL ON POTHOLE IN CARPARK 500.00

01E2120123 01902138073 TP WASHBOURNE RJ80641 10/04/1990 28/11/1989 10/11/1993 RIGHT WRIST,LEG AND LOWER BACK 340.00

01E2120123 01902138077 TP FLANNAGAN RJ/80149 19/04/1990 22/12/1989 16/0811994 (88.13)

01E2120123 01902138124 TP CHARLES RJ/80229 29106/1990 28/11/1989 12/0811994 FRACTURED HIP 2,449.22

01E2120123 01902138158 TP KAMIL RJ/80508 24/09/1990 18/04/1990 03/12/1997 TRIP-ALLEGED KERB DESIGN-L/AID DISCHARGE 2,365.00

01E2120123 01902138634 TP MCCARTHY 06/04/1990 14/02/1990 22/05/1995 ALL’GD REMOVAL & DESTRUCTION OF PROPERTY 775.00

01E2120123 01902138635 TP DAKIN 06/04/1990 02/03/1990 12/08/1994 BROKEN ANKLESCREW& PLATE IN ANKLE 8,199.43

01E2120123 01902138639 TP TIERNEY 18/04/1990 31/12/1988 25/11/1996 DISREPAIR 22,670.06

01E2120123 01902138676 TP SHAW 16/05/1990 12/12/1989 25/07/1997 WATER INGRESS INTO PROPERTY 11,869.10

01E2120123 01902138757 TP CHICKOREE 06/09/1990 23/01/1990 11/10/1996 1,095.00

01E2120123 01902138800 TP PHILLIPS 23/10/1990 27/07/1990 01/12/1994 FRACTURED FEMUR LOSS OF EARNINGS 1,750.25

01E2120123 01902139005 TP SIMMONDS 01/02/1990 09/01/1990 29/11/1993 TREE ROOTS 46 ALDBOURNE RD W12 8,690.36

01E2120123 01902139011 TP WRIGHT: 04/06/1990 27/09/1989 04/01/1995 TREE ROOTS 9 KINNEAR RDWI2 4,739.36

Dl E2120123 01902139017 TP CHARLESON 12/11/1990 15/07/1989 28/03/1995 TREE ROOT DAMAGE 44 ALDBOURNE RDSW12 6,955.00

01E2120123 01902139539 TP Wt’LDER 04/06/1990 02/05/1990 11/12/1995 GLASS HIT CHILD ON FACE 14,802.60

01E2120123 01902139575 TP WILLIAMS 27/09/1990 24/08/1990 24/0611996 ABRASIONS TO LEG 13,065.43

Page 5: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

~Municipal Mutual Insurance Limited (in Scheme of Arrangement)___________ 29 Buckingham Gate, Westminster, London, SW1E 6NF (T) 020 7821 64~. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fuiham Scheme Creditor No: S0A335

Page3of 13

Notification Accident SettlementPolicy No. Claim No. Bus CI. Claimant Customer Ref Date Date Date Description Net Payments

01E2120123 01912138006 TP FO~LER 80508 04101/1991 0611111990 19109/1994 1,564.14

01E2120123 01912138014 TP FIELD 80291 12102/1991 13/01/1991 27/0311996 FACIAL INJURY CEDARNE RD 3,019.75

01E2120123 01912138019 TP 8ARBATO 80244 05103/1991 14/1211990 19/04/1995 TRIPPED AND INJ. ANKLE WINDSER WAY 525.00

01E2120123 01912138022 TP BROWN 81013 23/05/1991 17/1211990 12/0811994 DEGLOVING INJURY TO THIGH TALGARTH ROAD 35,094.00

01E2120123 01912138057 TP MARTEN 80384 07/08/1991 10/01/1991 22/09/1995 VEHICLEACC.ATJUNCTION DUNRAVEN RD 20,105.82

01E2120123 01912138078 TP FARRELL 24/05/1991 09/06/1990 12/08/1994 FRACTURED ANKLE HARBLEDON RD 4,459.30

01E2120123 01912138102 TP TEGGART 80546 07/08/1991 09/07/1991 06/02/1995 HAMMERSMITH GROVE 1,200.00

01E2120123 01912138113 TP RUTHERFORD 80473 20/11/1991 16/07/1991 18/08/1995 INJURY TO SPINE/ARM FULHAM BROADWAY (265.00)

01E2120123 01912138147 TP HOOD 80279 14/11/1991 13/10/1991 19/06/1995 CANADAWAY 3,840.93

01E2120123 01912138151 TP MARKOVIC 80316 19/12/1991 08/01/1991 24/1111993 CAR HIT UNLIT BOLLARD 1,179.25

01E2120123 01912138528 TP STANISLAU 01/03/1991 10/12/1990 06/12/1994 50.00

01E2120123 01912138586 TP EBORALL 23/04/1991 04/04/1991 20/05/1994 3,713.30

01E2120123 01912138598 TP AZGARD 10105/1991 01/01/1991 10/08/1995 200.00

01E2120123 01912138605 TP ODEA 21/05/1991 21/06/1990 12/08/1994 4,334.76

01E2120123 01912138616 TP MANUEL 11/06/1991 15/12/1990 13/04/1994 475.00

01E2120123 01912138637 TP ANSBRO 03/07/1991 02/03/1991 17/03/1998 DISREPAIR CLAIM & PERSONAL INJURY (550.00)

01E2120123 01912138652 TP JAMES 26/07/1991 02/07/1991 10/11/1993 656.60

01E2120123 01912138653 TP CHRISTIE 26/07/1991 23/02/1991 20/07/1994 SERIOUS HEAD INJURY- PROV. DAMAGES 43,559.75

01E2120123 01912138654 TP SAMUEL 26/07/1991 12/05/1991 28/12/1994 LACERATION TO THIGH 5,026.09

01E2120123 01912138678 TP HOODS 16/08/1991 01/09/1983 29/03/1994 DISREPAIR 10252.88

01 E2120123 01912138693 TP DESOUZA 30/08/1991 15/06/1991 02/12/1997 RTA DUE TO ABSENCE OF ROAD MARKINGS 4,929.40

01 E2120123 01912138697 TP SHIPLEY 91138697 10/09/1991 30/05/1991 17/03/l998 WINDOW SMASHED - CUT ARN 10,507.15

01E2120123 01912138710 TP CAMBAGE 02/10/1991 29/08/1991 17/03/1998 FELL INTO POTHOLE ON ESTATE-FRAC WRIST 6107.00

01E2120123 01912138718 TP JAMES 25/11/1991 02/10/1989 30/11/1994 708.50

01E2120123 01912138727 TP JOSEPH 02/10/1991 29/06/1991 12/12/1994 1 ST & 2ND DEFENDANTS CAUSED FIRE 624.44

01E2120123 01912138729 TP NIEMAN 17/10/1991 30/09/1991 14/07/1994 CLEARANCE OF PROPERlY 173.90

Page 6: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

Municipal Mutual Insurance Limited (in Scheme of Arrangement)____________ 29 Buckingham Gate, Westminster, London, SWIE 6NF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OP STATEMENT: 31/12/2013

London Borough of Hammersmith & Fulham Scheme Creditor No: S0A335

Page4of 13

Notification Accident SettlementPolicy No. Claim No. Bus CI. Claimant Customer Ret Date Date Date Description Net Payments

01 E2120123 01912138739 TP TANIKIE 04/11/1991 13/10/1991 25/11/1993 8,306.06

01E2120123 01912138740 TP DEGALE 04/11/1991 01/07/1991 21/04/1994 DISREPAIR 500.00

01 E2120123 01912138756 TP LYNCH 13/11/1991 25/04/1991 10/03/1994 MINOR - SCAR ON LEG 6,037.34

01E2120123 01912139001 TP MACONOCHIE 26/03/1991 21/01/1991 15/08/1995 TREE ROOTS 36 INGERSOLL RDW12 3,177.81

01E2120123 01912139003 TP LAZARE 22/04/1991 02)04/1991 05/08/1994 TREE ROOTS 43 SUNDEWRD 338.40

01E2120123 01912139004 TP DRENNAN 22/0411991 06/11/1990 21/04/1994 TREE ROOTS I ETHELDEN RD W12 3,949.12

01E2120123 01912139009 TP E.F.FAGAN & CO. LT 09/05/1991 01/01/1991 09/06/1994 TREE ROOTS - UNDERPINNING 17/19 ETHELDEN ROAD 1,776.65

01E2120123 01912139013 TP CHARALAMBIDIS ** 23/05/1991 15/03/1991 11/1011996 TREE ROOT CLAIM 6 YEW TREE RD W12 6,639.64

01E2120123 01912139015 TP BREESE 29/05/1991 01/05/1991 12/12/1997 TREE ROOTS 20 AYNHOE RD W14 659.18

01E2120123 01912139020 TP ST MART 01/07/1991 24/04/1991 15/05/1995 TREE ROOTS - UFTONS ASSESSING 13 ALDBOURNE RD 3944.27

01E2120123 01912139026 TP WILLIAMS 23/07/1991 12/07/1991 03/05/1995 TREE ROOTS 24 ETHELDEN RD W12 102.22

01E2120123 01912139549 TP HOULT 24/05/1991 18/08/1987 07/08/1999 CHILD FELL OUT WINDOW EYE INJURY 46562.34

01E2120123 01922138006 TP TRESSIDER 92/006 07/01/1992 08/10/1991 27/03/1996 FELLOVER BTTRENCH RICHMONDWAY 3,625.00

01E2120123 01922138009 TP BALAL 05/02/1992 05/07/1991 06/11/1995 TRIP ON DRAIN COVER HAMMERSMITH GROVE 4,692.10

01E2120123 01922138013 TP GOGGIN 20/03/1992 02/12/1990 11/10/1993 FRACTURE OF RIGHT HUMEROUS ERCONWALD ST (10.00)

01E2120123 01922138026 TP TURNER 10/02/1992 25/11/1991 10/02/1994 BROKEN HAND GREATWESTRD 6,093.28

01E2120123 01922138042 TP CAMPBELL 06/03/1992 05/12/1991 16/11/1993 SHEPHERDS BUSH RD 1,647.00

01E2120123 01922138058 TP HILLIER 06/04/1992 17/02/1992 10/06/1998 FRACTUREDANKLE FULHAM RD 2,244,00

01E2120123 01922138060 TP KUZMIK 01/04/1992 08/02/1992 14/07/1994 HIGHWAYTRIP FRACTURED WRIST & ELBOW SHEPHER 1,870.00

01E2120123 01922138068 TP RUNCIMAN 08/05/1992 10/02/1992 04/10/1995 FACIAL LACERATION KINGS RD 3,490.00

01E2120123 01922138074 TP WY’THE 05/05/1992 10/02/1992 11/03/1996 BROKEN ARM BISHOPS RD 4,755.00

01 E2120123 01922138104 TP CLARKE 31/07/1992 18/03/1992 15/09/1994 FRACTURED ARM EWALD RD 7,448.75

01E2120123 01922138112 TP ZAMMIT 27/08/1992 06/06/1992 02/02/1995 FRACTURED RIGHTANKLE OLD OAK ROAD 765.00

01E2120123 01922138113 TP FOWLER 17/08/1992 24/05/1992 26/06/1997 PAVEMENT FALL-ANKLE 23,586.83

01E2120123 01922138118 TP MULLIGAN 26/08/1992 20/06/1992 02/12/1993 FRACTURED ANKLE PERCY ROAD 2,976.62

01E2120123 01922138125 TP SALVI 11/11/1992 24/04/1992 19/01/1994 1,425.75

Page 7: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

Municipal Mutual Insurance Limited (in Scheme of Arrangement)V

___________ 29 Buckingham Gate, Westminster, London, SWIE SNF (T) 020 7821 64M. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 31/12J2013

London Borough of Hammersmith & Fuiham Scheme Creditor No: S0A335

PageS of 13

Notification Accident SettlementPolicy No. claim No. Bus Cl. claimant Customer Ref Date Date Date Description Net Payments

01E2120123 01922138541 TP ASHMAN 04/03/1992 01/06/1991 20104/1995 DISREPAIR/ILLNESS 9,228.83

01E2120123 01922138552 TP MITCHELL 30/03/1992 14/02/1992 12106/1998 FRACTURED RIBS 25,097.13

01E2120123 01922138585 TP DOYLE 22105/1992 20/06/1991 11/03/1998 ALLEGEDLY FELL ON HOUSING ESTATE-FACIAL 7,650.25

01E2120123 01922138601 TP LEWIS 12/06/1992 01/08/1986 24/03/1994 DISREPAIR 3,114.23

01E2120123 01922138610 TP MESHESHA 01/07/1992 12/12/1991 10/12/1993 FRACTURED HIP 2,660.00

01E2120123 01922138629 TP KHIABAN 08/07/1992 30/05/1992 24/05/1994 277.30

01E2120123 01922138637 TP MARSHALL 15/07/1992 19/06/1992 04/09/1995 COCKROACH INFESTATION 4,561.00

0122120123 01922138654 TP TAKHAR 16/07/1992 10/06/1992 13/10/1995 WATER DAM 2,500,00

01E2120123 01922136658 TP MORLEY 11/08/1992 30/05/1992 08/03/1994 1,100.00

01E2120123 01922136673 TP VARY 26/08/1992 17/06/1992 24/02/1997 SCARRING 4,497.16

01E2120123 01922138675 TP BYRNE 26/08/1992 01/06/1992 10/11/1993 175.00

01E2120123 01922138680 TP MC INTYRE 04/09/1992 31/03/1992 12/03/1996 FLOODING 100.00

01E2120123 01922138690 TP DOWDEN 25/09/1992 01/06/1992 14/04/1994 5,725.00

01 E2120123 01922138691 TP AUBRY 25/09/1992 12/06/1992 18/02/1994 INJURY TO RIGHT FOOT AND ANKLE 3,901.80

01E2120123 01922138708 TP COTTERELL 11/11/1992 29/10/1991 08/11/1993 300.00

01E2120123 01922138716 TP WARD 08/12/1992 27/02/1992 19/04/1994 1,293.75

01E2120123 01922138721 TP FOREMAN 22/12/1992 14/05/1991 10/11/1993 REMOVALAND DESTRUCTION OF GOODS 2,817.13

01E2120123 01922139004 TP MARCHADOUR 07/02/1992 22/01/1992 27/03/1996 TREE ROOTS I3ANASCOTSTREETWI2 2,735.67

01 E2120123 01922139005 TP WILSON 07/02/1992 22/01/1992 30/09/1997 TREE ROOT 11 NASCOT STREET W12 1,742.72

01E2120123 01922139008 TP MAYHEW 07/02/1992 22/01/1992 09/04/1999 TREE ROOT 8 YEWTREE ROAD W12 1,096.26

0122120123 01922139010 TP PATEL 11/02/1992 05/02/1991 28/05/1996 TREE ROOTS 1/3 ERCONWALD ST W12 2,392.32

01E2120123 01922139012 TP CRYER 04/03/1992 25/02/1992 13/02/1997 TREE ROOTS 24 AYNHOE RD W14 475.87

01E2120123 01922139017 TP 15/04/1992 10/0411992 28/05/1996 TREE ROOTS 34 STERNDALE RD W14 8,351.37

01E2120123 01922139514 TP BLAKE 20/01/1992 14/01/1991 30/01/1996 CHILD BURNT LEG ON RADIATOR. 23,744.51

01E2120123 01922139523 TP CAMPBELL 17/03/1992 05/02/1992 09/03/1994 394.90

01E2120123 01922139524 TP WHIT~AKER 01/04/1992 19/12/1991 07/05/1996 FELL BROKEN LEG 13,955.39

Page 8: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

.Municipal Mutual Insurance Limited (in Scheme of Arrangement)____________ 29 Buckingham Gate, Westminster, London, SW1E 6NF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fuiham Scheme Creditor No: S0A335

Page6of 13

Notification Accident SettlementPolicy No. Claim No. Bus CI. Claimant Customer Ref Date Date Date Description Net Payments

01E2120123 01922139531 TP FRASER 24104/1992 10/0211992 28/08/1997 TOP OF LEFT THUMB SEVERED 16,804.55

01E2120123 01922139533 TP TATE 27/04/1992 21101/1992 19/09/1995 BROKEN LEFTARM 7,524.10

01E2120123 01922139535 TP TIERNEY 16/06/1992 24/01/1991 26/11/1993 MULTIPLE INJURIES 3,078.03

01E2120123 01922139545 TP CHARLES 01/07/1992 03106/1992 06/12/1996 TP SLIPPED ON WET FLOOR 9,219.95

01E2120123 01932138007 TP NEEDHAM 05/07/1993 11/03/1991 24/05/1994 PAVEMENTTRIPFRACTUREDANKLE 7,900.10

01E2120123 01932138008 TP SINGH 18/08/1993 23/06/1990 19/06/1995 PAVEMENT TRIP FRACTURED LEG 9,875.60

01E2120123 01932138010 TP ALDRIDGE 14/12/1993 17/06/1992 30/08/1996 BICYCLE ACCIDENT FACIAL INJURY 7,509.55

01E2120123 01932138127 TP TAFF 08/02/1993 07/03/1992 13/02/1995 1,902.50

01E2120123 01932138503 TP BISHOP 06/01/1993 01/06/1992 27/01/1994 REMOVAL OF GOODS 9,365.60

01E2120123 01932138507 TP HAYES 16/03/1993 17/05/1991 24/10/1996 DISREPAIR /FELLON UNLIT STAIRS 5,398.13

01E2120123 01932138510 TP FETUWI 29/03/1993 06/06/1992 14/07/1994 DISREPAIR 320.00

01E2120123 01932138512 TP ~M1ITE 20/04/1993 30/06/1992 03/10/1995 295.00

01E2120123 01932138514 TP BASHIR 29/04/1993 01/01/1992 24/02/1997 WATER INGRESS FROM FLAT AOVE 129.25

01 E2120123 01932138516 TP VARY 06/05/1993 01/07/1991 12/07/1995 DISREPAIR CASE 111.92

01E2120123 01932138521 TP GOODALL 13/07/1993 05/03/1992 01/12/1994 170.00

01E2120123 01932138522 TP PEREZ 06/08/1993 01/01/1985 13102/1995 OAMAGE DUE TO DAMPNESS 6,105.00

01E2120123 01932138523 TP MOURAD 12/07/1993 01/01/1988 03/08/1994 547.40

01E2120123 01932138524 TP BROWN 16/08/1993 21/05/1992 16/02/1996 ALLEGEDLY FRAC LEG WHILST REMOVING BRICK 332.88

01E2120123 01932138531 TP DINE 13/10/1993 25102/1992 03/05/1995 WATER DAM 450.00

01E2120123 01932138533 TP SORELL-SAGAJLLO 29/10/1993 23/05/1992 19/09/1994 128.60

01E2120123 01932138535 TP FERNANDEZ 18/11/1993 30/05/1992 27/05/1994 381.74

01E2120123 01932138538 TP LEBEAU 01/12/1993 30/06/1992 19/09/1994 325.50

01E2120123 01932138539 TP MAYERS-BISHOP 08/12/1993 01/06/1991 16/12/1994 350.00

01E2120123 01932138540 TP RYAN 08/12/1993 30/06/1992 09/12/1996 615.24

01E2120123 01932138543 TP WOODS 14/12/1993 01/12/1991 17/03/1994 380.00

01E2120123 01932138544 TP ACIRO 14/12/1993 01/01/1991 22/11/1995 WATER DAMAGE 665.75

Page 9: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

.Municipal Mutual Insurance Limited (in Scheme of Arrangement)___________ 29 Buckingham Gate, Westminster, London, SWIE 6NF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of I-Iammersmith & Fuiham Scheme Creditor No: 50A335

Page7of 13

Notification Accident SettlementPolicy No. Claim No. Bus Cl. Claimant Customer Ref Date Date Date Description Net Payments

01E2120123 01932139003 TP PEABODY TRUST 05/04/1993 30/06/1992 24/08/1998 TREE ROOTS CLEVERLEY ESTATE SAWLEY ROAD W12 1,278.98

01E2120123 01932139005 TP DUNBAR 03/06/1993 30/06/1992 06/11/1996 LBH&F WARNING RE PARTYWALL 210 DU CANE ROAD 1,119.44

01E2120123 01932139014 TP CASSON 03/06/1993 30/06/1992 21/09/1994 TREE ROOT 44 HURLINGHAM ROAD SW6 468.43

01E2120123 01932139016 TP 03106/1993 30/06/1992 31/05/1994 TREE ROOT DAMAGE 96 LOFTUS ROAD W12 334.88

01E2120123 01932139017 TP WOOD 03/06/1993 30/06/1992 19/04/1995 TREE ROOT-DRAINS 12 NARBOROUGH STREET 5W6 454.72

01 E2120123 01932139019 TP MATHEWS 03/06/1993 30/06/1992 15/11/1994 TREE ROOTS 31 TADMOR ST W12 31 TADMOR STREET 3,120.15

01E2120123 01932139020 TP WEBSTER 03/06/1993 30/06/1992 25/06/1997 X REF 01.91.21.39041 - REC. NOT PURSUED 39 THORPEB 1,055.73

01E2120123 01932139021 TP MC DERMOTT 03/06/1993 30/06/1992 12/03/1997 TREE ROOT 110 WULFSTAN ST W12 956,45

01E2120123 01932139022 TP MC GINLEY 03/06/1993 30/06/1992 15/05/1995 TREE ROOTS 16 PROTHERO ROAD SW6 125.00

01E2120123 01932139501 TP WILLIS 18/01/1993 27/09/1991 13/10/1994 110.00

01E2120123 01932139507 TP JAMES 28/07/1993 01/04/1972 11/10/2002 ALL FAILURE TO FOSTER 94,565.94

01E2120123 01932139509 TP O’DONNELL INS/MD 01/12/1993 07/03/1989 21/01/2000 ACCIDENTAT CARAVAN PARK 72,426.17

01E2120123 01932139511 TP GREENING 10/12/1993 30/01/1991 25/11/1998 CHAIR COLLAPSED INJURED LEG 28,384.83

01E2120123 01942138501 TP GATH 18/01/1994 01/04/1992 14/07/1994 530.00

01E2120123 01942138504 TP AL-RIFAIL DHS/PS/10/MC 21/02/1994 30/06/1992 30/11/1994 129.25

01E2120123 01942138505 TP COLLIS DHS/PS/10/MC 03/03/1994 27/05/1991 19/09/1994 HIGHWAY FALL 4,390.48

01E2120123 01942138508 TP BURLEY DHS/PS/10/MC 23/03/1994 18/03/1991 06/11/1995 FELL DOWN STAIRWAY 7,352.21

01E2120123 01942138510 TP WOODWARD DHS/PS/10/MC 12/04/1994 21/05/1992 24/10/1995 TRIPPED ON CARPET & INJURED KNEE 5,661.37

01E2120123 01942138513 TP FOLKE INS/PRA’TP/94/38513 26/11/1994 30/06/1992 25/06/1997 WATER PENETRATION OVER PERIOD FLAT 3,22 DAWES 344.27

01E2120123 01942139001 TP WOOD 01/94/21/39001 15/03/1994 01/07/1990 09/12/1997 TREE ROOT DAMNAGE 921.20

01E2120123 01942139002 TP CHUNG MD/0I194/21/39002 27101/1994 21/02/1992 17/12/1997 TREE ROOTS 692,08

01E2120123 01942139006 TP SUN ALLIANCE INSURANCEJMD 27/09/1994 30/06/1992 24/09/1996 TREE ROOTS 2 TADMOOR STREET, W12 550.49

01E2120123 01942139009 TP JACKSON INS.MD/TP/94/39009 26111/1994 30/06/1992 13/07/1998 TREE ROOTS 53 BREWESTER GDNS ,W10 1,854.96

01E2120123 01942139503 TP MEAKINS/HEELEY 03/08/1994 01/01/1977 26/06/1997 SOCIAL SERVICES 508.80

01E2120123 01942139504 TP RODDEN (DECEASE 03108/1994 01/01/1987 26/06/1997 SOCIAL SERVICES 950.00

01E2120123 01952138722 TP TAKHAR 06/01/1995 17/09/1991 06/10/1995 FLOODING OF BASEMENT STORE 141 LILLIE RD,FULHAM 0.00

Page 10: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

,Municipal Mutual Insurance Limited (in Scheme of Arrangement)____________ 29 Buckingham Gate, Westminster, London, SWIE 6NF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fuiham Scheme Creditor No: S0A335

Page8of 13

Notification Accident SettlementPolicy No. claim No. Bus Cl. claimant customer Ref Date Date Date Description Net Payments

01E2120123 01962138003 TP REID PL30195/075 26/06/1995 17/05/1992 16/10/1999 FELL DOWNSTAIRS 9,863.90

01E2120123 01992101125 TP HARRIS 18/05/1999 01/07/1989 12/02/2001 FLAT 1-241 NORTH END ROAD, LONDON 3,749.29

01E2120124 01901339026 MV DOUGLAS 89613 14/12/1990 04/12/1990 25/11/1993 G779TY0 200.00

01E2120124 01911339007 MV HIND 89770 25/01/1991 14/01/1991 25/07/1994 WHIPLASH A774UYL 9,270.79

01E2120124 01921339021 MV FREDERICK 89834 20/05/1992 15/0311992 22/07/1994 B167XVV 922.95

01E2120133 01073001132 EL ALEXANDER 10105/2007 01/07/1981 05/04/2013 MESOTHELIOMA 114,043.00

01E2120133 01083001185 EL HARGARVE MCK-B/ZELO8/002 18108/2008 30/09/1980 10/01/2013 PLEURALTHICKENING 31,282.25

01E2120133 01083001229 EL KING MCK-B/ZELO8/002 10/10/2008 31/12/1986 10/01/2013 ASBESTOSIS INSURANCE SECTION, TOWN HALL EXTEN 60,401.41

01E2120133 01083001265 EL OWEN MCK-B/AM-ZELO8005 13111/2008 30/06/1992 16/09/2010 PLEURAL THICKENING TOWN HALL EXTENSION, KINGS 24,500.00

01E2120133 01083039210 EL ENRIGHT MCK-B/ZELO8IOO1 11/03/2008 30/06/1992 10/01/2013 ASBESTOSIS 39,711.85

01E2120133 01093001489 EL LUCKETT MARTIN KENNEDY 26/08/2009 31/03/1992 05/12/2011 ASB 30,316.58

01E2120133 01853038026 EL HUMPHREYS 31/12/1985 07/10/1983 30/08/1994 SLIPPED ON WATER INJURY TO BACK 946.10

01E2120133 01863038020 EL PARAMERISSIOS 27/10/1986 10/01/1985 23/01/1995 NECK AND SHOULDER INJURY 26,624.81

01 E2120133 01883038002 EL MARTIN 15/02/1988 15/10/1984 10/03/1999 FELL OVER FILING CABINET (2,056.47)

01E2120133 01883038004 EL RAYMOND 03/03/1988 24/05/1986 14/10/1993 INJUREDLIFTINGPATIENT 500.00

01 E2120133 01903038006 EL CROWDY 15/06/1990 05/02/1990 12/12/1994 FOOT HIT BY BIN 2,850.00

01E2120133 01903038013 EL tAMITTEN 12/12/1990 01/06/1990 13/07/1994 INJURYTO BACK 6,539.33

01E2120133 01913038002 EL MARSH 01/02/1991 25/01/1990 04/08/1994 HOARDING COLLAPSED BACK INJURY 5,855.20

01E2120133 01913038011 EL WISHER 29/08/1991 29/08/1990 10/11/1995 FELL IN PLAYGROUND INJURED FOOT 7,074.40

01E2120133 01913038012 EL MILLAR 19/09/1991 29/01/1991 06/02/1997 GRAB LORRYTRAPPED HAND 12,010.26

01E2120133 01913038016 EL GADD 21/10/1991 07/06/1991 08/10/1993 SLIPPED ON WET FLOOR 2,250.00

01E2120133 01923038002 EL MC NEE 27/02/1992 01/06/1991 18/12/1997 PAINTER HURT BACK 31,329.96

01E2120133 01923038003 EL BAILEY 10/03/1992 30/04/1990 22/04/1996 FELL INJURY TO BACK & LEG 12,877.90

01E2120133 01923038005 EL SIMON 06/04/1992 21/06/1991 01/10/1996 PUSHING WHEEL CHAIR HURT BACK 22,737.89

01E2120133 01923038010 EL COCKERELL 08109/1992 25/02/1992 26/10/1993 FRACTUREDANKLE 2,875.63

01E21201S3 01923038011 EL PEACOCK 08/09/1992 10/01/1992 18/10/1993 INJURED SHOULDER 3,580.13

Page 11: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

Municipal Mutual Insurance Limited (in Scheme of Arrangement)___________ 29 Buckingham Gate, Westminster, London, SWIE SNF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fuiham Scheme Creditor No: S0A335

Page9of 13

Notification Accident SettlementPolicy No. Claim No. Bus Cl. Claimant Customer Ref Date Date Date Description Net Payments

01E2120133 01923038013 EL GANGADEEN 25/11/1992 17/01/1992 28/09/1994 SLIPPED FELL INTO BOILER 6,343.01

01 E2120133 01923038015 EL FAY 25/11/1992 21/04/1991 11/1011994 LIFTING COVER STRAINED BACK 5,886.19

01E2120133 01923038016 EL SHELDON 10/12/1992 06/11/1990 15/12/1997 SLIPPED KNEE INJURY 39,143.59

01 E2120133 01933038001 EL MITCHELL 21/01/1993 23/09/1991 17102/1995 LIFTING CLIENT SHOULDER INJURY 4,835.75

01E2120133 01933038002 EL SAUNDERS 24/0211993 01/06/1989 12105/2000 INJURED BACK 127,713.93

01E2120133 01933038003 EL BIAKPARA 24/0211993 30/06/1992 21/11/1996 DOOR FELL NECK INJURY 100.00

01E2120133 01933038004 EL HOEY 24/0211993 28/04/1992 17/07/1996 FELL ON MAT BACK INJURY 0.00

01E2120133 01933038005 EL DEVERAS 27104/1993 30/06/1992 15/09/1999 REPETITIVE STRAIN INJURY 2,603.57

01E2120133 01943038001 EL CUNNINGHA, INSURANCE/MD 27/01/1994 16/05/1992 12/10/1995 INJURED BACK LIFTING TABLE 1,551.80

01E2120133 01953038001 EL JONES INS/MJL/EL95/001 15/11/1995 10/0511991 04/06/1998 R SHOULDER STRAINED CARRYING EQUIP.BAGS 150.00

01E2120133 01973038001 EL CRUZ EL96/027 28102/1997 31/12/1970 10/03/1999 NIHL 300.00

01E2120133 01993001198 EL THOMPSON MCK-B/EL95/004 15/11/1999 18/10/1991 25/09/2001 VARIOUS LIFTING ACCIDENTS 30,509.51

01E2120143 01912538722 PN TAKHAR 27/11/1991 17/09/1991 24/06/1997 WATER DAM 2,500.00

01E2120143 01922539504 PN SNELL 16/01/1992 01/06/1991 16/08/1994 (15.00)

01E2120143 01922539563 PN KITON 30111/1992 01/1111991 10/11/1997 LOSS OF PROFITS 19,425.75

01E2120163 01929438003 MCG AINSLIE CRHM 17/06/1992 09/05/1989 11/09/1995 112 CLEVELAND ROAD, EALING,LONDON,W13 DEL (3,419.00)

01E2120163 01929438004 MCG RICKELL CRHM 17/06/1992 14/08/1990 12/0511994 150 RANDOLPH AVENUE, FLAT 5,MAIDAVALE,LONDON,W9 775.00

01E2120163 01929438007 MCG KHAN CRHM 17/05/1992 18/01/1991 12101/1995 5 LAVINGTON ROAD, EALING,LONDON,N13 908.50

01E212016S 01929438008 MCG SCRIVENER CRHM 17/06/1992 31/03/1991 27/10/1993 3A PALACE VIEW, NEW1..ANDS ROAD,LONDON,N8 7AH 264.00

01E2120163 01929438009 MCG HALLYBURTON CRHM 17/06/1992 26/04/1991 11/06/1996 3 WESTFIELD HOUSE, GARSBALE AVENUE,IDLE,BRADFOR 450.00

01E2120163 01929438012 MCG LEAR CRHM 17/06/1992 16/08/1991 13/04/1995 SOVEREIGN MEWS, 17GEOFFRYE ROAD.SHOREDITCH,E2 311.00

01E2120163 01929438013 MCG GREEN CRHM 17/06/1992 16/08/1991 12/11/1993 13 KINGSTON AVENUE, MILTON KEYNES,MK11 1DS 248.00

01E2120336 01888238002 LC AGP LLC D12145 12/07/1988 14/04/1988 20/07/1995 23 HILARY ROAD W12 10,688.73

01E2120336 01918238001 LC 19/12/1991 12/12/1991 10/11/1997 6 PETERBOROUGH MANSIONS 1,613.44

01E2120336 01958200022 LC PYNE 22/12/1995 22/0811989 08/0111998 ALLEGED RESPONSE TO ENQUIRY 11,917.63

01E2120346 01927338015 CT INS/BP/MONEY/64 01/09/1992 24/05/1992 14/07/1994 11 FARM LANE, DW6 42.00

Page 12: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

Municipal Mutual Insurance Limited (in Scheme of Arrangement)___________ 29 Buckingham Gate, Westminster, London, SWIE SNF (T) 020 7821 6~4. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fulham Scheme creditor No: S0A335

Page lOof 13

Notification Accident SettlementPolicy No. Claim No. Bus CI. Claimant Customer Ref Date Date Date Description Net Payments

01E2120356 01918138004 FG 14/1111991 01/06/1989 17/08/1995 ABUSE OF BONUS STREET LIGHTING 705.00

01E2120366 01907438004 B INS/KNTHEFT/24 03101/1990 07/11/1989 25/07/1994 1,00000

01E2120366 01917438039 B THEFT/hO 28108/1991 27/07/1991 21/12/1994 50.00

01E2120366 01927438008 B PLAY SERVICE 39 R INS/BOJTHEFT/142 24/01/1992 26/12/1991 21/12/1994 900.00

01E2120366 01927438014 B SOCIAL SERVICE (6 BO/THEFT/149 04102/1992 1811211991 21/12/1994 300.00

01E2120366 01927438023 B HURLINGHAM & CHEL 23/03/1992 14102/1992 21/12/1994 HURLINGHAM & CHELSEA SCHOOL 1,700.00

01E2120366 01927438024 B INS/BO/THEFT/162 21/04/1992 22/01/1992 21/12/1994 WEST LONDON STADIUM 3,000.00

01E2120356 01927438025 B INS/BO/THEFT/160 21/04/1992 10/12/1991 21/12/1994 STAY PLAY, DALGARNO GARDENS,W10 150.00

01E2120366 01927438030 B INS/BO/THEFT/168 23/04/1992 28/02/1992 21/12/1994 CATHNOR PLAYHOUSE, SHEPHERDS BUSH W12 500.00

01E2120366 01927438037 B INS/CM/THEFT/172 28/04/1992 02/03/1992 21/12/1994 ADDISON COMMUNITY EDUCATION CENTRE 2,000.00

01E2120366 01927438039 B INS/CM/THEFT/175 28/04/1992 30/03/1992 21/12/1994 PETERBOROUGH SCHOOL, FULHAM SW6 800.00

01 E2120366 01927438046 B INS/BO/THEFT/183 21/05/1992 21/01/1992 21/12/1994 BLACK CULTURAL CENTRE, W14 1,500.00

01E2120366 01927438049 B INS/8O/THEFT/187 08/06/1992 02/03/1992 21/12/1994 DEPT OF ENGINEERS MASONS SITE HUT 200.00

01E2120366 01927438052 B THAXTON PLAYGROU 07/07/1992 23/02/1991 21/12/1994 THAXTON ADVENTURE PLAYGROUND, LILLIE ROAD,SW6 1,200.00

01E2120366 01927438054 8 INS/BO/THEFT/192 14/08/1992 01/06/1992 21/12/1994 395 GOLDHAWK ROAD, W6 600.00

01E2120366 01927438056 B INS/BP/THEFT/195 01/09/1992 24/05/1992 22/12/1994 11 FARM LANE, SW6 550.00

01E2120366 01937438001 B MD/THEFT/191 07/12/1993 29/04/1992 13/05/1996 DISTILLERY LANEADVENTURE PLAYGROUND, W6 524.94

01E2120416 01864238013 PAC SLIM 13/11/1986 12/09/1986 07/03/1994 ASSAULT EYE INJURY MR J SLIM 2,789.60

01E2120486 01894338009 PAD MURPHY INS/JH/PAC 02/02/1989 21/08/1987 24/06/1997 INJURYTO ANKLE/HIP- MEDICAL RETIREMENT 125.00

01E2120486 01894338027 PAD WEBSTER INS/KDO/PAC 07/07/1989 18/10/1988 23/08/2003 BACK INJURY 30,562.08

01E2120486 01894338030 PAD HARRINGTON INS/KDO/PAD 26/10/1989 23/07/1987 16/03/1994 CRUSHED FOOT CANNOT WORK REF. COLLECTOR 47,074.48

01E2120486 01904338011 PAD MARSH INS/KDO/PAC 03/08/1990 25/01/1990 17/12/1993 BACK INJURY 11,138,86

01E2120486 01924338011 PAD BARWICK 14/07/1992 25/07/1991 06/12/1994 NURSE MEDICAL RETIREMENT 22404.00

01E2120486 01934338002 PAD COWARD 12/05/1993 15/11/1991 27/05/1994 PERSONAL INJURY 5,091.34

01E2120486 01934338003 PAD DAILEY 12/05/1993 15/06/1992 15/11/1994 PA BACK INJURY 549.72

01E2120486 01934338005 PAD HUGHES 15/10/1993 24/09/1991 24/06/1997 INJURYTO BACK /LEG 11,523.60

Page 13: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

iViunicipal Mutual Insurance Limited (in Scheme of Arrangement)St~~c≥~ 29 Buckingham Gate, Westminster, London, SWIE 6NF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fuiham Scheme Creditor No: S0A335

Page 11 of 13

Notification Accident SettlementPolicy No. Claim No. Bus CI. Claimant Customer Ref Date Date Date Description Net Payments

01E2120486 01944338001 PAD GORDON INSURANCEIMD 27/09/1994 26102/1991 1410711995 2,500.00

01E2120496 01927938001 CPR 8 10/01/1992 30/12/1991 21/12/1994 GLENTHORNE RD 2,900.00

01E2120506 01917538017 AR BAGLEYS LANE DE 15/08/1991 23/11/1990 21/12/1994 10000

01E2120506 01917538031 AR AR3 12/1 1/1991 18/07/1991 21/12/1994 CONINGHAM ADVPLAYSPACE 75.00

01E2120506 01917538032 AR 13/12/1991 02/11/1991 21/12/1994 300.00

01E2120506 01927538017 AR INSIBOIAR/12 04/08/1992 07/04/1992 21/12/1994 SHERBROOKE PROFESSIONAL SUPPORT CENTRE, SHER 575.00

01E2120506 01927538024 AR INS/BO/ALL RISKS/iS 27/08/1992 13104/1992 21/1211994 59 WOOD LANE HOUSE, SHEPHERDS BUSH 150.00

01E2120506 01927538026 AR AR/iS 02/10/1992 09/06/1992 21/12/1994 STOWE ROAD DEPOT 450.00

01E212156102 01873510301 F 01/02/1987 05/01/1987 23/11/1993 7 IVATT PLACE W14 52,284.59

01E212156102 01890038001 F 11/01/1989 10/01/1989 23/11/1993 FLAT 1040,LILLIE RD, LONDON SW6 3,482.06

01E212156102 01890038017 F INS/KD/FIRE 20/04/1989 15/01/1989 16/05/1994 154 FLORA GARDENS, DALLING ROAD,W6 10,513.70

01E212156102 01890038027 F 05/09/1989 04/09/1989 30/1111993 14 DELAFORD STREET, 5W6 29,100.64

01E212156102 01890038031 F VIKING COURT 09/10/1989 08/10/1989 22/10/1993 VIKING COURT,162 HALFORD ROAD, FULHAM, SW6 17,778.41

01E212156102 01890038034 F 20/11/1989 18/11/1989 28/09/1995 140 NORLAND HOUSE, EDWARD WOODS ESTATE,QUEENS 45,810.07

01E212156102 01900038010 F INS/KD/FIRE 22/05/1990 20/03/1990 30/06/1994 4OAUCKLAND HOUSE, \M-IITE CITY ESTATE,W12 4,689.47

01E212156102 01900038029 F HERBERT MORRISON 15/11/1990 13/11/1990 25/04/1995 LIFT SHAFT,HERBERT MORRISON HOUSE, CLEM ATTLEE 244,071.65

01E212156102 01910038003 F INS/MD/FIRE 15/01/1991 23/04/1990 27/07/1994 36 GODOPHIN RD, LONDON W12 4,724.73

01E212156102 01910038004 F INS/MD/FIRE 15/01/1991 01/10/1990 27/07/1994 61 LICKEY HOUSE, HAMMERSMITH 4,305,82

01E212156102 01910038010 F 05/02/1991 16/11/1990 12105/1994 138B TOWNMEAD RD, SW6 3,012.45

01E212156102 01910038019 F 123 CUNNINGHAM RO 11/0611991 03/06/1991 20/06/1994 123 CUNNINGHAM ROAD 4,999.00

01E212156102 01910038023 F INSIMD/FIRE 12/07/1991 25/06/1991 25/10/1993 258 FULHAM COURT 11,38B.56

01E212156102 01910038024 F INSIMD/FIRE 12/07/1991 11103/1991 09/01/1997 S6AANSELM ROAD, FULHAM,5W6 5,638.03

01E212156102 01910038028 F INS/ML/FIRE 23/07/1991 01/07/1991 21/12/1994 99 ASPEN GARDENS 1,800.00

01E212156102 01910038032 F INS/MD/FIRE 25/07/1991 26101/1991 21/12/1994 450 SULIVAN COURT 600.00

01E212156102 01910038038 F 27/08/1991 26/08/1991 25/08/1995 HASTINGS HOUSE,AUSTRALIA ROAD, WHITE CITY ESTATE 152,597.70

01E212156102 01910038040 F INS/MD/FIRE 04/09/1991 26/07/1991 21/12/1994 iSA KEITH GROVE 500.00

Page 14: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

., ,Municipal Mutual Insurance Limited (in Scheme of Arrangement)____________ 29 Buckingham Gate, Westminster, London, SWIE 6NF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fuiham Scheme creditor No: S0A335

Page 12o1 13

Notification Accident SettlementPolicy No. Claim No. Bus Cl. Claimant Customer Ref Date Date Date Description Net Payments

01E212155102 01910038041 F INS/ML/FIRE 11/09/1991 06/09/1991 25/07/1994 14/16 ORMISTON GROVE, W12 16,512.32

01E212156102 01910038042 F 50 MITCHELL HOUSE 02/10/1991 12/12/1990 11/10/1993 FLAT 50 MITCHELL HOUSE, WHITE CITY ESTATE 6,276.32

01E212155102 01910038047 F INS/MD/FIRE 07/11/1991 18/10/1991 05101/1995 30 LAWSON HOUSE. 400.00

01E212156102 01910038050 F 29/1111991 23/11/1991 07/09/1994 1 RIGELEY ROAD, NW1O 263.20

01E212156102 01910038053 F INS/MD/FIRE 12/12/1991 26/08/1991 21/12/1994 61-106 BARCLAYCLOSE, ENTRANCE LOBBY 2,000.00

01E212156102 01920038002 F INS/MJL 20/01/1992 02/01/1992 11/10/1993 57 WILLIAM MORRIS HOUSE, MARGRAVINE RD 8,027.05

01 E2121 56102 01920038006 F INS/MD/FIRE 07102/1992 20/01/1992 09/06/1995 14 LAWSON HOUSE, tM-IITE CITY ESTATE Wi 2 11,512.54

01E212156102 01920038007 F INS/MD/FIRE 19/02/1992 03/02/1992 05/01/1995 67 PEARSCROFT COURT. 1,800.00

01E212156102 01920038009 F INS/MD/FIRE 02/03/1992 17/12/1991 05/01/1995 261 BECKLOW GARDENS, LONDON,W12 2,500.00

01E212156102 01920038010 F INS/MD/FIRE 09/03/1992 25/02/1992 05/01/1995 97 PHIPPS HOUSE, WHITE CITY ESTATE W12 1,500.00

01E212156102 01920038012 F INS/MD/NEWFIRE CLAI 25/03/1992 20/12/1991 11/10/1993 32 NORLAND HOUSE, EDWARD WOODS ESTATE 5,544.26

01E212156102 01920038013 F 10/04/1992 05/03/1992 28/10/1994 4 & 6 FILMER CHAMBERS. FILMER RD SW6 8,238.15

01 E212156102 01920038015 F 27/04/1992 26/04/1992 30/09/1994 20 ASH LODGE STEVENAGE RD, SW6 17,559.37

01 E212156102 01920038016 F INS/MD/FIRE 28/04/1992 20/04/1992 21/12/1994 74 STOWE ROAD W12 1,134.02

01E212156102 01920038017 F INS/MD/FIRE 22/06/1992 23/05/1992 05/01/1995 1 LAWSON HOUSE, WHITE CITY ESTATE W12 400.00

01E212156102 01920038018 F INS/MD/BUILDINGS LO 25/06/1992 17/06/1992 05/01/1995 BECKLOWGARDENS, SHEPHERDS BUSH W12 2,000.00

01E212156102 01920038022 F INS/MD/FIRE 07/09/1992 02/03/1992 12/05/1994 23 MALABAR COURT, WHITE CITY ESTATE 4,261.12

01E212156102 01930038002 F INSURANCE/MD 26/07/1993 05/04/1992 05/11/1993 34 BECKLOWGARDENS 3,502.45

01E212156103 01883410128 F 21/01/i 988 20/01/1988 30/11/1993 AREA SOCIAL SERVICES BUILDING, 160/162/164 CONINGH 17,736.38

01E212156103 01890038003 F 18/01/1989 17/01/1989 16/05/1994 THE PLAY BUILDING, RAVENS COURT PLAY PARK,W6 13,053.10

01E212156103 01920038001 F 03/01/1992 30/12/1991 19/06/1995 BISHOPS PARKTHEATRE, SW5 93,903.30

01E212156104 01910038034 F INS/BO/FIRE 01/08/1991 17/07/1991 21/12/1994 BURLINGTON DANES SCHOOL 470.00

01 E212156104 01910038049 F 29/11/1991 28/11/1991 18/02/1994 HAMMERSMITH SECONDARY SCHOOL 27,655.37

01E212156106 01920038025 F INSURANCE/MJL 17/09/1992 15/02/1992 21/12/1994 HAMMERSMITH & WEST LONDON COLLEGE 411.25

01 E212156107 01890038023 F 13/07/1989 20/01/1988 30/11/1993 AREA SOCIAL SERVICES BUILDING, 160,162,164 CONINGH 27,088.72

01E212156107 01910038012 F HERBERT MORRISON 01/03/1991 13/11/1990 26/04/1995 LIFT SHAFT,HERBERT MORRISON HOUSE, CLEM ATTLEE 29,266.36

Page 15: Scheme Creditor Number: S0A335 King Streetdemocracy.lbhf.gov.uk/documents/s46556/Payment to...Company’s bank account (number: 11221915) at the Royal Bank of Scotland, 5-10 Great

Municipal Mutual Insurance Limited (in Scheme of Arrangement)____________ 29 Buclcingham Gate, Westminster, London, SWIE 6NF (T) 020 7821 6444. Registered Number 76678 England.

SCHEDULE OF TOTAL PAYMENTS UNDER SCHEME OF ARRANGEMENT DATE OF STATEMENT: 3111212013

London Borough of Hammersmith & Fuiham Scheme Creditor No: 50A335

Page 13 of 13

Notification Accident SettlementPolicy No. Claim No. Bus Cl. Claimant Customer Ref Date Date Date Description Net Payments

01E212156107 01910038036 F 27/08/1991 18/11/1 989 22/11/1995 140 NORLANDS HOUSE, EDWARD WOODS EST 8,414.73

01E212156107 01910038037 F 27/08/1991 17101/1989 12/05/1994 THE PLAY BUILDING RAVENS COURT PLAY PARK 553.42

01E212156107 01910038045 F 05/11/1991 08110/1989 20/10/1993 VIKING COURT 162 HALFORD RD. SW6 2694.70

01 E2121 56107 01910038051 F 04/12/1991 28/11/1991 11/01/1994 HAMMERSMITH SECONDARY SCHOOL, THE CURVE 8,948.01

01 E212156107 01910038052 F 04/12/1991 03/04/1989 05/11/1993 295 WESTWAY /2 TERRICK ST 810.49

01E212156107 01920038014 F 27/04/1992 30/12/1991 29/06/1995 BISHOPS PARKTHEATRE 374.83

01E212156107 01930038001 F 08/01/1993 20/01/1992 27/06/1995 14 LAWSON HOUSE, W12 1,459.50

01E2121631 01910038001 HB DR OPPENHEIMER 27 AYLMER ROAD 14/01/1991 06/08/1990 05/05/1994 27 AYLMER ROAD, LONDON,W12 9LG 5,483.38

01E2121681 01900038019 F HURLINGHAM HAM 361 NEWKINGS ROAD 19/10/1990 28/06/1990 11/03/1996 361 NEWKINGS ROAD,5W6 427.70

01E2127081 01910038011 F INS/MD/FIRE 19/02/1991 03/01/1990 27/10/1993 5 WILTON ROW, LONDON SW6 724.63

BALANCE: 2,890,698.20