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<br />1996 CIRSA Workers' Compensation Quotation <br />November 6, 1995 <br />Page 3 <br /> <br />v. QUOTATION FOR 1996 PROPOSED WORKERS' COl\fPENSA TION COVERAGES <br /> <br />The enclosed quote is shown in Exhibit 1. It is for the proposed coverages along with <br />administrative costs, claims-servicing fees, and a reserve fund contribution. It also reflects any <br />Special Contribution Plan options previously requested. Contribution rates are calculated utilizing <br />a loss experience factor for the municipality. <br /> <br />Please notify CIRSA, by November 20. 1995, of your decision to join or not to join CIRSA <br />for workers' compensation coverages for 1996. <br /> <br />Thank you for your interest in CIRSA. We look forward to serving you as a member in the <br />CIRSA Workers' Compensation Pool. Should you have any questions, please contact me at (303) <br />757-5475 or (800) 228-7136. <br /> <br />Sincerely, <br /> <br />~ -/ <br />I' I <br />, 1----;-:'.." <br />~.' J _ I . <br />J' <br />------- <br /> <br />/ <br />/i/ _, /' ./7' \ <br />I, : -:J <br /> <br />/ <br />J/y.... I., - , "/' _, <br />/-Y\"-' .<' <br />, . <br /> <br />Rebecca A. Frnka, ARM, CIC <br />Assistant Director Underwriting/Membership Services <br /> <br />RAP/dIp <br /> <br />enc. <br /> <br />wcdocs/96newmbr .q~ <br />