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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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Jersey City Public Schools 346 Claremont Ave. Jersey City, NJ 07305 Samantha Moore, Safety and Insurance Coordinator 201.369.3380 smoore@jcboe.org Service Provided: Workers’ Compensation Prior TPA- CCMST Town of West New York 428 60" Street. West New York, NJ 07093 Olga Prateep 201.295.5285 OPrateep@westnewyorknj.org Services Provided: Workers” Compensation, Auto Liability, Auto Physical Damage, Employment Practices Liability, Police Professional, Property, Public Officials and General Liability Administration Prior TPA- D&H ‘The information contained in this section of the RFP response is confidential, propristary and oxompt from disctosure under any federal or state fecedom of information law or regulation inchading the New Jersey Opon Public Records Act (NSA, 47:1A-1.1}, Any request to disclose this information must be provided to Claims Resolution Corporation, Inc, prior to rcteasing to any third party in order to provide CRC with the opportunity to object in writing to any disclosure of such ingonuation,

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