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Supporting Documentation · Jun 28, 2022

164-22 Exhibits to Agreement for Workers Compensation Third Party Administration - 2022.pdf

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Client References Township of North Bergen 4233 John F. Kennedy Blvd North Bergen, NJ 07047 Dominick Cinelli 732.539.2119 DCinelli@bbmetro.com Services Provided: Workers’ Compensation Administration Prior TPA- Qual-Lynx City of East Orange 44 City Hall Plaza East Orange, NJ 07018 Naiima Horsley-Fauntleroy 973-266-5310 Naiima.Fauntleroy@eastorange-nj.gov Services Provided; Workers’ Compensation, Auto Liability, Auto Physical Damage, Employment Practices Liability, Police Professional, Property, Public Officials and General Liability Administration Prior TPA- Inservco Township of Bloomfield 1 Municipal Plaza Bloomfield, NJ 07003 Kimberly Duya 973-680-4007 kduya@bloomfieldtwpnj.com Services Provided: Workers’ Compensation Administration Prior TPA- D&H ‘The information contained in this section of the REP response is confidential, proptietary and exempt from disclosnre under any federal or state ficedom of information law or regulation including the New Jersey Open Public Records Act (NS.A.AT1Acd 1). Any request to disclose CRC (his information mus: be provided to Claims Resolution Corporstion, Ine. prior to releasing to aty third patty in order to provide CRC with the opportunity to object in writing to my disclosure of such information

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