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HomeMy WebLinkAboutC80-021 Employer's Unityxp`
0
RESOLUTION
OF
THE BOARD OF COUNTY COMMISSIONERS
COUNTY OF EAGLE, STATE OF COLORADO
RESOLUTION NO. 80 - �/y
AGREEMENT BETWEEN THE COUNTY OF EAGLE AND EMPLOYER'S UNITY, INC.
WHEREAS, the Board of County Commissioners, County of Eagle, State of
Colorado desires to employ the services offered by Employer's Unity Inc; and
WHEREAS, Employer's Unity, Inc. is willing to provide the County of
Eagle with services pertaining to Unemployment Insurance and Worker's Comp-
ensation;
NOW, THEREFORE , be it resolved by the Board of County Commissioners,
County of Eagle, State of Colorado.
THAT, Employer's Unity, Inc. is hereby authorized to act as the true
and lawful agent for Eagle County in all matters regarding Worker's Compensation
in accordance with the Power of Attorney attached hereto as Exhibit "A" and
incorporated herein by this reference.
THAT, the County of Eagle, State of Colorado shall reimburse Employer's
Unity, Inc. in the manner stated in the Agreement, attached hereto as Exhibit "B"
and incorporated herein by this reference.
THAT, the Board of County Commissioners, County of Eagle, State of
Colorado, hereby finds, determines and declares that this Resolution is necessary
for the health, safety and welfare of the citizens of Eagle County.
MOVED, READ AND UNANIMOUSLY adopted by the Board of County Commissioners,
County of Eagle, State of Colorado at it's regular meeting held this►{'
day of,1980.
COUNTY OF EAGLE, STATE OF COLORADO
By and through its
Board of County Commissioners
By:
ATTEST:
Dan
erk of the Ward/of
ounty Commissioners
.0
el, Chairman - pro
ams,— Commissioner
ejo*a �/w 9
(/ / rl.
Unemployment Insurance and Workers' Compensation Cost Control Specialists
P.O. Bu. 732
i,Ve;t nl i lode r. Colorado MOO
303.426-4343
AGREEMENT
}
This Agreement, made this /N �� day of UG L'T T 19 , between Employers
Unity, Inc., the party of the first part and:
)546.1_,6
For the above services, the party of the second part agrees to pay to the party of the first part, annually, a sum of money
equal to - 7 per $100.00 of gross payroll as reported by the party of the second part to the State unemployment Admin-
istration offices, or n� G�, whichever amount is greater. Payments shall be made Al. 4,111 4 /
and are due and payable each'Ale The first payment hereunder shall be due and payable
pr)
._,19 A ` .
This Agreement expressly excludes any activity which may be deemed to be the practice of law or which would violate any
procedure adopted by the State Administrative Agency governing the rules and regulations of Worker's Compensation claims.
This Agreement constitutes the full and complete understanding of the parties, and it shall not be modified except in writing
signed by both parties.
This Agreement may be terminated by either party upon 90 days written notice to the other party, and shall not be terminated
in any other manner.
Signed this
a .a
Tff
z L -
day of tr L'w 01 T , 19 dpo
/ eSr f GnG�` I
BY
Unity, Inc., party of the first p
Party of the second part
The party of the second part is as follows:
7 I
The party of the first part agrees to:
f
1.
Assist the employer in matters pertaining to payroll rates and classifications.
2.
Initially audit Worker's Compensation account.
3.
Assist and conduct workshops on Worker's Compensation and safety matters at request of the employer.
4.
Process and follow-up all claims against the employer for Worker's Compensation benefits.
5.
Audit Worker's Compensation benefit charges.
6.
Keep the employer informed on Worker's Compensation matters.
1
7.
Consult with and advise the employer on the best method of insuring the Worker's Compensation risk.
4,z :
8.
Conduct a loss source analysis pertaining to accident frequency and severity.
For the above services, the party of the second part agrees to pay to the party of the first part, annually, a sum of money
equal to - 7 per $100.00 of gross payroll as reported by the party of the second part to the State unemployment Admin-
istration offices, or n� G�, whichever amount is greater. Payments shall be made Al. 4,111 4 /
and are due and payable each'Ale The first payment hereunder shall be due and payable
pr)
._,19 A ` .
This Agreement expressly excludes any activity which may be deemed to be the practice of law or which would violate any
procedure adopted by the State Administrative Agency governing the rules and regulations of Worker's Compensation claims.
This Agreement constitutes the full and complete understanding of the parties, and it shall not be modified except in writing
signed by both parties.
This Agreement may be terminated by either party upon 90 days written notice to the other party, and shall not be terminated
in any other manner.
Signed this
a .a
Tff
z L -
day of tr L'w 01 T , 19 dpo
/ eSr f GnG�` I
BY
Unity, Inc., party of the first p
Party of the second part
W. D. Dittmcr
PRESIDENT
S. C. Thomason
V. P. OPERATIONS EMPLOYERS UNITY, INC.
C. H. Pringle - P.O. Box 782
V. P. APPELLATE DIV. Westminster, Colorado 80030
AGREEMENT
This Agreement made this day of6"� r%
19 �, between Employers Unity, Inc. the party of the first part
and:
J5466E 6U417-1
the party of the second part, is as follows:
The party of the first part agrees to:
1. Advise party of the second part which of the two
optional plans is most feasible.
(1. Reimbursement or, 2. Contributory)
2. Audit payroll records for correctness in unemployment
tax payments.
3. Assist and conduct workshops on unemployment insurance
matters at request of party of second part.
4. Process all claims against party of the second part for
f unemployment insurance benefits.
1 ) S. Audit unemployment insurance benefit charge statements.
6. Keep party of the second part informed on unemployment
insurance matters.
7. Attend all hearings on behalf of party of the second part.
Such attendance shall be free of cost to party of the
second part.
For the above services the party of the second part agrees to
pay to the party of the first part, annually, a sum of money equal
to -zl YZ per $100.00 of gross payroll,
or$,y�l%,% hichever amount is greater. One payment shall be made
annually. The first payment hereunder shall be due and payable
5"417- / 19 J,0.
This agreement constitutes the full and complete understanding
of the parties, and it shall not be modified except in a writing
signed by both parties.
This agreement may be terminated by either party upon 90
f days written notice to the other party, and shall not be
terminated in any other manner.
Signed this T day of cJ7.4rJ % 19 ."0 .
c
Employers Unity, Inc. party o the
first part
,y party of the Second pa t ,
,
0
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
THAT �5116-L,4 CCPt1A.'r-1
Employer Identification No.
a Cc�����'ry C%c' li,`,°,t�,ti1.:'�.�T' having its principal office at
Type of Legal Entity
DOES HEREBY APPOINT:
Employers Unity, Inc.
P.O. Box 782
Westminster, Colorado 80030
its true and lawful agent and, attorney in fact, with full power
and authority to act for said employer in all matters affecting
Workers' Compensation matters before the Colorado State Compen-
sation Insurance Fund.
This Power of Attorney authorizes Employers Unity, Inc. to:
1. Receive any and all documents, pertaining to premium notices,
claims matters, and notices of hearing.
2. Prepare and submit Employer's First Report of Accident and
f all other forms required to be submitted by the employer
to the Colorado State Compensation Insurance Fund. Exception
of premium payment forms.
3. Consult with employees and agents of the Colorado State
Compensation Insurance Fund regarding Workers' Compensation
claims filed by or against the employer.
4. Exercise any statutory rights granted the employer by the
Colorado Revised Statutes, as amended, and as may be amended
on behalf of the employer.
This Power of Attorney excludea any a:;zs which constitute the
practice of law.
The Power of Attorney may be revoked at any time by the employer
by a writing mailed to the Colorado State Compensation Insurance
Fund.
IN WITNESS WHEREOF, the said Ro,4A,i> Oc 6uA)r-/ �ici,+rss�o,c s
COvut y OF C1Gc� S T Of �ca,�� has caused this instrument to be duly
-` attested by the signature of its duly qualified officer this
day of 19J o
C,4 G z,,-- Cuti}ty
KNOW ALL MEN BY THESE PRESENTS:
THAT The Ea41e County Board of County Commissioners
Employer Identification No. Fed. 84-6000762 - State 04-02-960
County
a having its principal office at
(type of legal entity)
Eagle, Colorado
DOES HEREBY APPOINT:
Employers Unity, Inc.
P.O. Box 782
Westminster, Colorado 80030
It's true and lawful agent with full power and authority
to ,represent the said Fagl _ County Board of County Commissioners
before the COLORADO DIVISION OF EMPLOYMENT AND TRAINING
, until further notice in connection with:
All matters affecting Unemployment Insurance Tax, Claims,
and Appeals.
IN WITNESS WHEREOF, the said
has caused this instrument to
be duly attested by the signature of its duly qualified
officer this � �-- � day of Pi � � 19 d U
BY
E-6 (5-78)