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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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North Hudson Regional Rescue and Fire 11 Port Imperial Blyd. West New York, NJ 07093 Jeffrey Welz, Director 201-601-3542 jwelz@nhrfr.net Service Provided: Workers’ Compensation, Auto Liability, Auto Physical Damage, Employment Practices Liability, Police Professional, Property, Public Officials and General Liability Administration Prior TPA- Qual-Lynx Temple University 1803 N. Broad Street Carnell Hall, 6th Floor Philadelphia, PA 19122 Thomas Johnston, Director of Workers’ Compensation thomas.johnston@temple.cdu Service Provided: Workers’ Compensation Prior TPA- Qual-Lynx City of Plainfield 515 Watchung Avenue Plainfield, NJ 07061 David Minchello, Corporation Counsel 908-226-4902 david.minchcllo@plainfieldnj.gov Services Provided: Workers’ Compensation, Auto Liability, Auto Physical Damage, Employment Practices Liability, Police Professional, Property, Public Officials and General Liability Administration Prior TPA- Inserveo ‘The information contained in this seotion of the RFP response is confidential, propriotnry and exempt from disclosure under any federal or state Goodom of infonnation Inw or regulation including the New Jersey Open Public Records Act ( NuIS.A. 47:1A+1.1), Any request to disclose this information must be provided to Claims Resolution Corporation, Inc. prior to seleasing to any thitd party in order to provide CRC with the opporlunity to object in writing to any disclosure oF auch information

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