08.01.2015 Views

Self insured list - Colorado Department of Labor and Employment

Self insured list - Colorado Department of Labor and Employment

Self insured list - Colorado Department of Labor and Employment

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

SELF INSURED LIST<br />

PERMIT<br />

ANNIVERSARY<br />

DATE NAME OF PERMIT TPA OR LOCAL PERMIT HOLDER<br />

851 08/01/91 DOUGLAS COUNTY SCHOOL DISTRICT Ms. Stacy Ross Mr. John Zimmerman<br />

RE-1 State Director Risk Manager<br />

CCMSI<br />

Douglas County School District RE-1<br />

7600 East Orchard Road, #360N 620 North Wilcox Street<br />

P. O. Box 4998 (80155-4998) Castle Rock, CO 80104-1739<br />

Greenwood Village, CO 80111-2518<br />

OFFICE: 303-804-2032 OFFICE: 303-387-0037<br />

FAX: 303-804-2005 FAX: 303-387-0110<br />

EMAIL: sross@ccmsi.com<br />

EMAIL: john.zimmerman@dcsdk12.org<br />

943 10/01/72 EASTMAN KODAK COMPANY Ms. Cynthia Tucker Mr. Mark Johnson<br />

Branch Manager<br />

MS CPE<br />

§8-42-124 Gallagher Bassett Services, Inc. Eastman Kodak Company<br />

P. O. Box 4068 200 Ridge Road West<br />

Cancelled effective 5/1/07 Englewood, CO 80155-4068 Rochester, NY 14652-3403<br />

OFFICE: 303-796-9494, x201 OFFICE: 585-588-3868<br />

FAX: 303-796-9498 FAX: 585-722-9856<br />

EMAIL: cynthia_tucker@gbtpa.com<br />

EMAIL: mark.darence.johnson@kodak.com<br />

Brad Rutgers<br />

820 01/01/93 EDWARD C. LEVY COMPANY Director Mr. Kenneth Harrell<br />

ASU Group<br />

Controller<br />

Original Risk Management Edward C. Levy Company<br />

2120 University Park dr 2635 Delta Drive<br />

Anniversary OKEMOS, MI 48864 <strong>Colorado</strong> Springs, CO 80910-1007<br />

Date: 10/01/93 Till 3/31/08<br />

Mr. Joseph Tracey 517-381-7964 OFFICE: 719-392-4207<br />

Regional Claims Manager 517-349-9063 Fax FAX: 719-392-4245<br />

Cambridge Integrated Services Group<br />

EMAIL: dharrell@schmidtconstr.com<br />

P. O. Box 52106 ASU effective 4/1/08<br />

Phoenix, AZ 85004-4577<br />

*Send copy <strong>of</strong> Anniversary letter to:<br />

Ms. Ann Lowery<br />

OFFICE: 602-427-6044 Corporate Risk Manager<br />

FAX: 440-914-2551 Edward C. Levy<br />

EMAIL: joseph.tracey@cambridge-na.com 9300 Dix Street<br />

Detroit, MI 48209-1023<br />

OFFICE: 313-429-2200<br />

FAX: 313-849-9446<br />

EMAIL: alowery@edwclevy.net<br />

Page 13 6/22/2009

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!