Clerk's Memo
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
November 21,2005
TO:
Maria Z. Fernandez, Administrator
Group InsuranceIWorker's Compensation
Pamela G. Hanc€!J;-
Deputy Clerk
FROM:
At the September 28, 2005, Board of County Commissioner's meeting the .eoard granted
approval to purchase Specific Excess Workers' Compensation Insurance from Safety National
Casualty Corporation at a rate of .2591 per $100 of payroll for a projected annual premium in the
amount of$158,377.00 for FY 05/06. Waiver of purchasing policy is requested to the extent that
a change in carrier only requires a waiver. (Broker remains unchanged); and granted approval to
renew the Accidental Death & Dismemberment Policy with Hartford Life & Accident Insurance
Company in the Amount of$2,822.00.
Enclosed is a duplicate original of the above-mentioned for your handling. Should you
have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance
File ,/