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2023-204
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2023-204
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Last modified
10/24/2023 12:47:24 PM
Creation date
10/24/2023 12:45:19 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Amendment
Approved Date
09/26/2023
Control Number
2023-204
Agenda Item Number
8.A.
Entity Name
Johns Eastern Company, Inc.
Subject
Second Extension & Amendment to Agreement for Third Party Administration Services for the Self-
Funded Workers Compensation and Liability Program
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IN WITNESS WHEREOF, the parties have caused this Second Extension and Amendment to be <br />executed effective the day and year first set forth above. <br />Johns Eastern Company, Inc. <br />By: <br />Q�±� <br />Printe ame: everly Adkins, AIC, AIM <br />Title: Executive Vice President <br />(Corporate Seal) <br />Date: 10/18/2023 <br />`t%%%IIIIIIt/4. <br />RN COf,, <br />...........� i <br />;z 4X -P CP, PO JW-.% <br />%i9 <br />Z=•`'SEAL` <br />o . 1965 <br />i n :A% .:-z <br />•�{+G 0 At Miss •., <br />INDIAN RIVER COUNTY, 1~ A. <br />BOARD OF COUNTY COMNkII RS <br />*• <br />WIN <br />61 <br />By: <br />arman, airman ;% •...i,';,, `r 1 . oQ`: <br />Attest: Ryan L. Butler, Clerk of Circuit Court <br />And Comptroller <br />By: iuu�� <br />Deputy Clerk <br />Approved: <br />ohn Titkanich <br />County Administrator <br />Approved as to form and legal s ffici y: <br />Wk <br />• <br />William DeBraal <br />County Attorney <br />
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