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DocuSign Envelope ID:A4C366A3-F5D9-473B-9218-AF49BCCA02E0
<br /> N O R 't' Ti C A R O 1. i N A NCACC Risk Management Fools
<br /> r AsSOCtATION OF COUNTY COhIXIIISSIONE s Worker's Compensation
<br /> SCHEDULE
<br /> Participant ORANGE COUNTY
<br /> Contract
<br /> Number WC-OR-067-14
<br /> Contract
<br /> period July 1,2014 to July 1,2015
<br /> Effective
<br /> Time 12:01 A.M.,Eastern Daylight Time
<br /> Annual Modlfled Modified
<br /> Class Code I Description Remuneration Rale Contribution
<br /> 6217 EXCAVATION&DRIVERS $ 868,451 6.40 $ 55,563
<br /> 7380X DRIVERS -DSS NIA $ 163,703 8.34 $ 13,650
<br /> 7382 LIMOUSINE CO AOE&DRIVERS $ 450,602 5.87 $ 26,437
<br /> 7704 FIREFIGHTERS&DRIVERS $ - 3,87 $
<br /> 7705 AMBULANCE&E.M.T./E.M.S. $ 3,063,843 5.12 $ 156,716
<br /> 7710 FIREFIGHTERS&DRIVERS PATROL OR $ 100,198 3.87 $ 3,880
<br /> PROTECTIVE CORPS
<br /> 7720 SHERIFF'S DEPT.OFFICERS&DRIVERS $ 6,004,680 3.70 $ 222,173
<br /> 8380 AUTO SERVICE OR REPAIR CENTERS& $ 129,575 3.31 $ 4,286
<br /> DRIVERS
<br /> 8742 SALESPERSON,COLLECTORS OR $ 139,006 0.59 $ 826
<br /> MESSENGERS-OUTSIDE;
<br /> 8810 CLERICAL_ $ 11,197,822 0.33 $ 36,729
<br /> 881OX CLERICAL-DSS-NIA $ 3,969,230 0.33 $ 13,019
<br /> 8810Y CLERICAL-HEALTH DEPT.-NIA $ 41,835 0.33 $ 137
<br /> f 8820 ATTORNEY $ 367,992 0.31 $ 1,152
<br /> 1 8831 HOSPITAL VETERINARY&DRIVERS $ 885,196 1.44 $ 12,738
<br /> 8832Y PHYSICIAN HEALTH DEPT NIA $ 3,511,359 0.41 $ 14,291
<br /> 8835 NURSING-HOME HEALTH,PUBLIC& $ - 3.27 $ -
<br /> TRAVELING ALL EMPLOYEES
<br /> 8868 SCHOOL-PROFESSIONAL EMPLOYEES $ 4,385 0.50 $ 22
<br /> &CLERICAL
<br /> 9015 BUILDINGS-NOC $ 794,943 4.19 $ 33,324
<br /> 9033 HOUSING AUTHORITY&CLERICAL, $ - 2.06 $ -
<br /> SALESPERSONS,DRIVERS
<br /> 9063 YMCA,YWCA-ALL EMPLOYEES AND $ 968,331 0.92 $ 8,938
<br /> CLERICAL
<br /> 9082 RESTAURANT $ 70,158 1.75 $ 1,229
<br /> 9102 PARK NOC ALL EMPLOYEES/DRIVERS $ 1,386,049 2.57 $ 35,552
<br /> 9403 ASHES GARBAGE OR REFUSE $ 970,561 8.63 $ 83,730
<br /> COLLECTION&DRIVERS
<br /> 9410 MUNICIPAL TOWNSHIP COUNTY OR $ 2,609,093 2.15 $ 56,122
<br /> STATE EMPLOYEES NOC
<br /> 941 OX MUNICIPAL TOWNSHIP COUNTY OR $ 2,725,834 2.15 $ 58,633
<br /> STATE EMPLOYEES NOC-DSS
<br /> 9410Y MUNICIPAL TOWNSHIP COUNTY OR $ 1,227,133 2.15 $ 26,396
<br /> STATE EMPLOYEES NOC
<br /> 9999 VOLUNTEERS (NCACC designated class) $ 53,783 37.05 $ 19,927
<br /> Total Estimated Payroll $ 41,703,762
<br /> 2014-2015 Contribution $ 500,303
<br /> t
<br /> NCACC Workers'Compensation Schedule Document
<br /> Edition 711/2014 Issued
<br /> 6/26/2014
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