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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 />

834 01/01/93 GOODRICH CORPORATION Ms. Nhu Miller Judy Salas<br />

Specialty Risk Services<br />

Human Resources Manager<br />

§ 8-42-124 P. O. Box 221700 Goodrich Corporation<br />

Denver, CO 80222-8700<br />

50 William White Boulevard<br />

Pueblo, CO 81001-4856<br />

judy.salas@goodrich.com<br />

OFFICE: 800-829-7985 OFFICE: 719-948-0403<br />

303-645-8644 FAX: 719-948-3112<br />

FAX: 303-645-8654<br />

EMAIL: barrie.green@goodrich.com<br />

EMAIL: nhu.miller@srsconnect.com<br />

887 01/01/88 GRAND JUNCTION, CITY OF CLAIMS 02/01/06 & FORWARD Mr. David L. Roper<br />

City <strong>of</strong> Gr<strong>and</strong> Junction<br />

Ms. Karen Marie Lesko<br />

250 North 5th Street<br />

Director, Sales & Claims Services Gr<strong>and</strong> Junction, CO 81501-2668<br />

TRI-Star Risk Management<br />

200 Union Boulevard, Suite 580<br />

P. O. Box 5007 (80217-5007)<br />

Denver, CO 80228-1849<br />

OFFICE: 720-962-0274 OFFICE: 970-244-1592<br />

FAX: 720-762-0301 FAX: 970-256-4007<br />

EMAIL: karen.lesko@tristargroup.net<br />

EMAIL: daver@ci.gr<strong>and</strong>jct.co.us<br />

889 09/30/87 HEWLETT-PACKARD COMPANY Mr. John Walker Ms. Cristina Tate<br />

Operations Manager<br />

Hewlett-Packard Company<br />

Sedgwick CMS<br />

3000 Hanover Street<br />

7400 East Orchard Road, Suite 4015 Mail Stop 1041<br />

P. O. Box 5107 (80155-5107) Palo Alto, CA 94304-1181<br />

Greenwood Village, CO 80111-2518<br />

OFFICE: 303-713-6030 OFFICE: 650-236-2563<br />

800-507-9656 650-857-6940<br />

FAX: 303-713-6047 FAX: 650-852-8116<br />

EMAIL: jewalker@sedgwickcms.com<br />

EMAIL: cristina.tate@hp.com<br />

janice.styles@hp.com<br />

Page 18 6/22/2009

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