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2006-331T.
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2006-331T.
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Last modified
1/31/2017 1:09:47 PM
Creation date
9/30/2015 10:09:32 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
10/03/2006
Control Number
2006-331T.
Agenda Item Number
7.J.
Entity Name
Children's Services Advisory Contract
Subject
Healthy Start Coalition - Healthy Families
Supplemental fields
SmeadsoftID
5864
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,tsurance Corporation WORKERS COMPENSATION EMPLOYERS LIABILITY <br /> 97' <br /> INSURANCE POLICY <br /> '-- FL 3a232-0303 Policy Number: WCX OOi 4034 <br /> Named Insured : KIDS CONNECTED BY DESIGN INC <br /> Agent: BRAISHFIELD FL 0002244 <br /> EXTENSION OF INFORMATION PAGE <br /> CLASSIFICATION OF OPERATIONS <br /> Code Premium Basis Rate Per Estimated <br /> No. Classification Description Total Est. Annual $ 100 of Annual <br /> Florida <br /> Remuneration Remuneration Premium <br /> Unit 00001 <br /> 8742 SALESPERSONS , COLLECTORS OR MESSENGERS - OUTSIDE J ` <br /> 8810 CLERICAL OFFICE EMPLOYEES NOC 724 , 123 1 . 00000 {� 7 , 241 <br /> Unit Total 758 , 697 0 . 58000 Vt'� 4 , 400 <br /> 9740 FOREIGN TERRORISM $ 11 , 643 <br /> 9698 EXPERIENCE MDDIFICATION 1 , 4820820 0 . 03000 445 <br /> 11 , 641 0 . 98000 - 233 <br /> 0063 PREMIUM DISCDUNT <br /> 0900 EXPENSE CONSTANT 11 , 408 0 . 06100 - 696 <br /> State Total 200 <br /> Policy Total $ 11 , 357 <br /> $ 11 , 357 <br /> 1 <br /> Issued Date: 09 / 18 / 2006 <br /> 04 <br /> 58001405 Ed. 102-017 <br /> WC998901 102-011 <br /> INSURED COPY <br /> Page 2 of 4 <br />
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