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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 />

ALL CLAIMS<br />

997 01/01/86 WESTMINSTER, CITY OF<br />

Ms. Sally Phillips<br />

Ms. Martee Erichson<br />

§8-42-124 Risk Manager Risk Manager<br />

C/O Jefferson County School District R-1<br />

City <strong>of</strong> Westminster<br />

Risk Management <strong>Department</strong><br />

4800 West 92nd Avenue<br />

P. O. Box 4001 Westminster, CO 80031-6387<br />

Golden, CO 80401-0001<br />

OFFICE: 303-982-2439<br />

OFFICE: 303-430-2400, x2156<br />

FAX: 303-982-2327 FAX: 303-706-3924<br />

EMAIL: sphillip@jeffco.k12.co.us<br />

EMAIL: merichson@ci.westminster.co.us<br />

Effective 7/1/09 change from in house to TPA<br />

886 01/01/88 WEYERHAEUSER COMPANY Laurie Iverson Ms. Betsie Doust<br />

Specialty Risk Services<br />

Manager, Administration<br />

Ms. Jessie Garbarino P.O.Box 221700 Weyerhaeuser Company<br />

Senior Claims Representative Denver, CO 80222 P. O. Box 9777, NB2-2B4<br />

Weyerhaeuser Company Federal Way, WA 98063-9777<br />

PO Box 9777, NB2-2E4<br />

Federal Way, WA 98063-9777 OFFICE: 800-829-7985 X 58506 OFFICE: 253-924-7591<br />

FAX: 303-645-8654 FAX: 253-924-4440<br />

OFFICE: 253-924-7685<br />

EMAIL: betsie.doust@weyerhaeuser.com<br />

FAX: 253-924-4440 laurie.iverson@srsconnect.com<br />

EMAIL:<br />

jessie.garbarino@weyerhaeuser.com<br />

All past, Present, Future claims are h<strong>and</strong>led by SRS<br />

863 01/01/90 YELLOW TRANSPORTATION, INC. Ms. Kelly Castanon Ms. Jill A. Rueter<br />

Gallagher Bassett Services, Inc.<br />

Insurance Specia<strong>list</strong><br />

Revoked 10/1/08 P. O. Box 4200 Yellow Transportation, Inc.<br />

Rancho Cucamonga, CA 91729-4200 P. O. Box 7270<br />

Overl<strong>and</strong> Park, KS 66207-0270<br />

OFFICE: 909-581-1919, x252 OFFICE: 913-696-6107<br />

FAX: 909-581-1996 FAX: 913-234-9173<br />

EMAIL: kelly_castanon@gbtpa.com<br />

EMAIL: jilla.rueter@yrcw.com<br />

866-517-6782 X252<br />

10990 Roe Avenue Overl<strong>and</strong>park KS 66211<br />

Page 35 6/22/2009

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