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: _ NCACC Risk Management Pools <br /> a,a r„ Workers Compensation <br /> RENEWAL ESTIMATE JULY 1, 2020 TO JULY 1, 2021 <br /> Quoted on: 4/20/20201 <br /> Member:ILEE COUNTY <br /> Limits Coverage A : Workers Compensation: Statutory <br /> Coverage B: Employer's Liability: $2,000,000 <br /> Class Annual Modified Modified <br /> Code Description Remuneration Rate Contribution <br /> 7370 DRIVERS(LIMOUSINE ONLY) $495,445 5.337 $26,439 <br /> 7710 FIREFIGHTERS&DRIVERS PATROL OR PROTECTIVE CORPS $131,611 4.039 $5,316 <br /> 7720 SHERIFF'S DEPT.OFFICERS&DRIVERS $4,752,926 3.860 $183,448 <br /> 8810 CLERICAL $4,003,778 0.342 $13,712 <br /> 8810x CLERICAL-DSS-N/A $2,870,566 0.342 $9,831 <br /> 8810y CLERICAL-HEALTH DEPT.-N/A $69,635 0.342 $238 <br /> 8820 ATTORNEY $181,526 0.326 $592 <br /> 8831 HOSPITAL VETERINARY&DRIVERS $93,228 1.502 $1,400 <br /> 8832y PHYSICIAN HEALTH DEPT N/A $1,259,361 0.424 $5,346 <br /> 8835x NURSES-DSS N/A $121,901 3.411 $4,158 <br /> 8868 SCHOOL-PROFESSIONAL EMPLOYEES&CLERICAL $3,209 0.523 $17 <br /> 9015 BUILDINGS-NOC $1,055,439 4.373 $46,159 <br /> 9063 YMCA,YWCA-ALL EMPLOYEES AND CLERICAL $581,602 0.963 $5,601 <br /> 9102 PARK NOC ALL EMPLOYEES/DRIVERS $635,876 2.676 $17,018 <br /> 9410 MUNICIPAL TOWNSHIP COUNTY OR STATE EMPLOYEES NOC $963,671 2.244 $21,623 <br /> 9410x MUNICIPAL TOWNSHIP COUNTY OR STATE EMPLOYEES NOC• $1,659,849 2.244 $37,243 <br /> 9410y MUNICIPAL TOWNSHIP COUNTY OR STATE EMPLOYEES NOC $490,986 2.244 $11,017 <br /> Total Estimated Payroll $19,370,609 <br /> Subject to audit 12020-2021 Contribution: $389,158 <br /> Please return this document with your signed proposal. <br /> NCACC 4/20/2020 <br />