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Self insured list - Colorado Department of Labor and Employment

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SELF INSURED LIST<br />

PERMIT<br />

ANNIVERSARY<br />

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

876 01/01/89 FORT COLLINS, CITY OF Ms. Stacy Ross Mr. Lance Murray<br />

State Director<br />

Risk Manager<br />

§ 8-42-124 CCMSI City <strong>of</strong> Fort Collins<br />

7600 East Orchard Road, #360N Risk Management Division<br />

P. O. Box 4998 (80155-4998) P. O. Box 580<br />

Greenwood Village, CO 80111-2518 Ft. Collins, CO 80522-0580<br />

OFFICE: 303-804-2032 OFFICE: 970-221-6807<br />

FAX: 303-804-2005 FAX: 970-221-6296<br />

EMAIL: sross@ccmsi.com<br />

EMAIL: lmurray@fcgov.com<br />

815 01/01/94 FREEDOM COMMUNICATIONS, INC. Mr. John Walker Lynda L. Bemis<br />

Operations Manager<br />

Risk & Enterprise Services<br />

Original Sedgwick CMS Freedom Communications, Inc.<br />

Anniversary 7400 East Orchard Road, Suite 4015 17666 Fitch<br />

P. O. Box 5107 (80111-5107) Irvine, CA 92614-6022<br />

Date: 04/15/94 Greenwood Village, CO 80111-2518<br />

OFFICE: 303-713-6030 OFFICE: 949-253-2334<br />

800-507-9656 FAX: 949-798-3566<br />

FAX: 303-713-6056<br />

EMAIL: lbemis@freedom.com<br />

EMAIL: jewalker@sedgwickcms.com<br />

elaine.nevens@sedgwickcms.com<br />

909 01/01/66 GATES CORPORATION CLAIMS 06/01/03 & FORWARD<br />

Ms. Suzanne Limppo<br />

Ms. Jeanette McAl<strong>list</strong>er<br />

Gallagher Basset Services, Inc.<br />

HSE/Manager, Workers’ Compensation<br />

The Quorum West, Suite 305<br />

Gates Corporation<br />

Revoked 6/1/08 7935 East Prentice Avenue P. O. Box 5887<br />

Englewood, CO 80111-2717<br />

1551Wewatta Street<br />

Denver, CO 80217-5887<br />

OFFICE: 303-796-9494, x218 OFFICE: 303-744-5072<br />

FAX: 303-796-9498 FAX: 303-744-4895<br />

EMAIL: suzanne_ limppo@gbtpa.com<br />

EMAIL: jmcal<strong>list</strong>er@gates.com<br />

CLAIMS PRIOR TO 06/01/03<br />

Ms. Tamara Corbin<br />

Senior Account Manager<br />

GAB Robins North America<br />

3350 Shelby Street, Suite 300<br />

Ontario, CA 91764-4882<br />

OFFICE: 909-941-3247<br />

FAX: 909-484-2597<br />

EMAIL: corbint@gabrobins.com<br />

Page 17 6/22/2009

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