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2011 07 01 BozemanWCDecPage
MMIA FY 2011 -2012 WC Declaration Page MONTANA MUNICIPAL INTERLOCAL AUTHORITY Workers' Compensation Risk Retention Program Workers' Compensation and Occupational Disease Policy DECLARATIONS Covered Party:City of Bozeman PO Box 1230 Bozeman MT 59771 --1230 Document Number:1017WC Coverage Period:July 1, 201 1 through June 30, 201 2 Description:Workers’ Compensation Liability:Statutory By _____________________________Date: July 1, 2011 Montana Municipal Interlocal Authority