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s'' NCACC Risk Management Pools <br /> <0_� Workers Compensation <br /> RENEWAL ESTIMATE JULY 1, 2021 TO JULY 1, 2022 <br /> Quoted on: 5/18/20211 <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) $371,479 5.050 $18,758 <br /> 7710 FIREFIGHTERS&DRIVERS PATROL OR PROTECTIVE CORPS $109,528 3.822 $4,186 <br /> 7720 SHERIFF'S DEPT.OFFICERS&DRIVERS $5,220,344 3.652 $190,658 <br /> 8810 CLERICAL $7,626,012 0.324 $24,713 <br /> 8810x CLERICAL-DSS-N/A $61,863 0.324 $200 <br /> 8810y CLERICAL-HEALTH DEPT.-N/A $2,561 0.324 $8 <br /> 8820 ATTORNEY $187,864 0.309 $580 <br /> 8831y HOSPITAL VETERINARY&DRIVERS N/A $100,961 1.421 $1,435 <br /> 8832y PHYSICIAN HEALTH DEPT N/A $1,383,398 0.402 $5,557 <br /> 8835x NURSES-DSS N/A $226,569 3.228 $7,313 <br /> 9015 BUILDINGS-NOC $1,215,911 4.138 $50,318 <br /> 9063 YMCA,YWCA-ALL EMPLOYEES AND CLERICAL $670,383 0.911 $6,109 <br /> 9102 PARK NOC ALL EMPLOYEES/DRIVERS $527,230 2.532 $13,352 <br /> 9403 ASHES GARBAGE OR REFUSE COLLECTION&DRIVERS $40,224 8.516 $3,426 <br /> 9410 MUNICIPAL TOWNSHIP COUNTY OR STATE EMPLOYEES NOC $1,558,430 2.123 $33,088 <br /> 9410x MUNICIPAL TOWNSHIP COUNTY OR STATE EMPLOYEES NOC $1,868,097 2.123 $39.663 <br /> 9410y MUNICIPAL TOWNSHIP COUNTY OR STATE EMPLOYEES NOC $93,517 2.123 $1,986 <br /> 9999 VOLUNTEERS (NCACC designated class) $20,384 36.575 $7,456 <br /> Total Estimated Payroll $21,264,371 <br /> Subject to audit. 12021-2022 Contribution: $408,806 I <br /> Please return this document with your signed proposal. <br /> NCACC <br /> 5/18/2021 <br />