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League of Minnesota Cities Insurance Trust <br /> Group Self-Insured Workers' Compensation Plan <br /> 145 University Avenue West <br /> St. Paul, MN 55103-2044 <br /> (651)215-4173 <br /> <br />The I'Ci ~:y" <br /> <br />ELK RIVER, ELK RIVER UTILITIES ,HRA <br />13065 ORONO PARKWAY <br />ELK RIVER MN 55330 <br /> <br />EDA <br /> <br />Agreement No.: 0200051319 <br />Agreement Period From' 10/01/2004 <br /> To: 10/01/2005 <br /> <br />REMUNERATION <br /> <br /> 361200 <br /> 134300 <br /> 11122OO <br /> 222800 <br /> 140000 <br />POP 20062 <br />1857000 <br />302900 <br />258800 <br />14538OO <br />165300 <br />200800 <br />344900 <br />7985OO <br />30300 <br />87360 <br />500000 <br /> <br /> CONTINUATION SCHEDULE FOR QUOTATION PAGE <br /> <br />RATE ~Ik~W CODE DESCRIPTION <br /> <br /> 6.27 q.%R 5506 <br /> 2.70 &,~ 752O <br /> 3.56 ~.~ 7539 <br /> 3.59 ~.~ 758O <br /> 5.46 q,u( 7706 <br />56.07 q~,l~ 7708 <br /> 3 61 ~.~1 7720 <br /> I 90 ~,~ 8017 <br /> 4 68~,~o 8227 <br /> 54 .~'~ 8810 <br /> 4 27 q,o5 9015 <br /> 2 26a,~5 9016 <br /> 2 86 &.~q 9102 <br /> ,98 l.l[ 9410 <br /> ~37 .uq 9411 <br /> .37 ,MN 9411 <br /> .54 .q'l 8810 <br /> <br />STREET CONSTRUCTION <br />WATERWORKS <br />ELECTRIC& STEAM PLANT <br />SEWAGE DISPOSAL PLANT <br />FIREFIGHTERS(NOT VOLUNTEER) <br />FIREFIGHTERS (VOLUNTEER) <br />POLICE <br />OFF SALE LIQUOR STORE <br />CITY SHOP & YARD <br />CLERICAL OFFICE EMPLOYEES NOC <br />BUILDINGS-OPER BY OWNER <br />SKATING RINK OPERATION <br />PARKS <br />MUNICIPAL EMPLOYEES <br />ELECTED OR APPOINTED OFFICIALS <br />BOARDS AND COMMISSIONS <br />PUBLIC UTILITIES CLERICAL <br /> <br />Manual Premium <br /> <br />EST. PREM <br /> <br />22647 <br /> 3626 <br />39594 <br />7999 <br />7644 <br />11249 <br />67038 <br /> 5755 <br />12112 <br />7851 <br />7058 <br />4538 <br />9864 <br />7825 <br />112 <br />323 <br />27OO <br /> <br />217935. <br /> <br />Agent' 416021790 <br />00575: ELK RIVER INSURANCE AGCY INC <br /> 812 MAIN ST <br /> ELK RIVER MN 55330 <br /> <br />s/25/2ooa LM 4680(8/99) <br /> <br /> <br />