Laserfiche WebLink
<br />UJUUl-J vt::II-III~UICa... YYVI"CI,., ",""UII'J-lC'I.;),ClI.IUII I 1011 <br /> <br />" <br /> <br />Administrator <br />Berkley Administrators <br />a member of the Berkley Risk Management Services Group <br />P.O. Box 59143 Minneapolis, MN 55459-0143 Phone (612) 544-0311 <br /> <br />e <br /> <br />Self-Insured Workers' Compensation Ouotation <br />(RENEWAL of Agreement No. 02-000513-7) <br /> <br />ELK RIVER, ELK RIVER <br /> <br />1i)/;)1 / 1993 <br /> <br />1(}/(il/1994 <br /> <br />STA T~ <br />CODE ~~'\e. S RATE <br /> <br />EST It1A TED <br />PAYF:OLL <br /> <br />STREET CONSTRUCT I ON ~" 1'1A I NTENANCE <br />~.jA TEF:l.jORKS <br />ELECTRIC & STEAM PLANT <br />SEWAGE DISPOSAL PLANT <br />F 1 REF I GHTERS ('./OLUNTEEF:) <br />POLICE <br />DFF SALE L I QUDF: STOF:E <br /> <br />5506 ~o. ~ 7 0'..... I <br />7520 ~.L.l g '-+. l 0' <br />7539 q I f) ~ 5. 54 <br />7580 (,. I 9 7 . 32 <br />7'708 Joe.). &581 .82 <br />7720 ~.qc, 6.5l, <br />80 17 ~ r q \ 2.81 <br />8227 ~.L\3 5.72 <br />8SiO . L.I 5" 0.54 <br />9102,.<('1-} 4.17 <br />9410 '-1.;;11 2.31 <br />9411 t.[.~l 2.31 <br /> <br />3180(). <br /> <br />147(H)(i. <br /> <br />5910(i. <br />471600. <br />191600. <br /> <br />PDP <br /> <br />of C".-,.} ro <br />.i~I." 10. <br /> <br />CITOl SHOP t YA~:i) <br /> <br />748300. <br />152600. <br />68400. <br /> <br />CLEHICAL <br />PARKS <br /> <br />603.20(} . <br /> <br />3800':) . <br /> <br />f~1tJNI[:IF'AL E!11PLOYEES <br />ELECTED OR APPOINTED OFFICIALS <br /> <br />242.80(i. <br /> <br />e <br /> <br />l",anual Premium <br />Experience Modification 0.90 .q~ <br />Standard Premium <br />Managed Care Credit 0% <br />Deductible Credit 0% <br />Premium Discount <br />Discounted St2ndard Premium <br /> <br />LMC Insurance Trust Discount 0% <br />Net Deposit Premium <br /> <br />e <br /> <br />S7 ATe <br />DEPOSIT ?j,~ M <br />F'REi'l I Ut1 <br /> <br />10981. ~q7q (. <br />2819. 3~~cr <br />26127 . l-) ~ \ ~ ~ <br />14025. f 1 ~ (PO <br />128.60. )' l..) <a <br />48939. S~~c:>( <br />4288. 1.\ t..l 1-1 b <br />3912.. 5 '1 ~ C; <br />3257. ~ 11 I..J <br />1585.. ~ '54 C, <br />=.632. I iJ ~ Cl' ~ <br />735. l 33); <br /> <br />135160. I ~f),31: <br /> <br />121644. I ~ <6fJl <br />o. <br /> <br />o. <br /> <br />1 it::.>) 1. I 5 1 q <;; <br /> <br />11 O~)4.3. <br /> <br />i\ <br /> <br />. 1 ,"","\ '. 3'"" I 53 51 r: <br />.L '..".-'-;. f \P. <br /> <br />~~()e 4LJ35:)0 <br />