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HomeMy WebLinkAbout09- Montana Municipal Interlocal Authority Revised and Restated Workers' Compensation Program AgreementMONTANA MUNICIPAL INTERLOCAL AUTHORITY REVISED AND RESTATED WORKERS' COMPENSATION PROGRAM AGREEMENT Signature Page IN WITNESS WHEREOF, The Authority has caused this Revised and Restated Workers' Compensation Risk Retention Program Agreement to be executed in its name by its duly authorized officers; MONTANA MUNICIPAL INTERLOCAL UTHORITY, as Author' By Chief xecutive Officer Date Signed -l -1~ -~j and the Member Entity has caused this Revised Agreement to be executed in its name by its duly authorized officers, as of the date first above written. City of ~ZP17Y1QlYl As Member Address ~a~f~i5f~l~ ~~. 2 T 77) By Its /~ ~ t a ~ Date Signed 7 -~ ` ©~ ATT UI City CI rk reasurer RECEIVED BY MMIA JUL 14 2009 MMIA Workers' Compensation Program Agreement, September 1, 2010 Page 21