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DocuSign Envelope ID: 313DA256 -lEDE- 4396- A716- 4C53B809027E <br />TV <br />SIA GROUP <br />pi�ilci lidu Ui1'UUd III',ul anti <br />July 10,2017 <br />627 (,um Itl.unal Road <br />Jaeltsonvlllo. Pic. 285410 <br />(910) 15!.i -7576 <br />(600) 687 7I'll toll Iwo <br />W P15V.SIa�I'fN I h.f: u10. I <br />To Whom it May Concern: <br />Attached is the Experience Modification for H.M. Kern from the NCRS for the 2017 year. As you will notice, <br />there is one lame claim in the 2014 -2015 policy year and one lame claim in the 2015 -2016 policy year. The <br />2014 claim involved one of oil" employees involved in an injury opening a package with a box CLIMI' and the <br />2015 claim IS ii Soft tiSSLIe back 1i1ILIIy that had SUSl71GIOLIS GIrCLIniStanCe SUCroUndin the claim Which do not <br />1'etlect the safety and care in wlllGh the company operates oil a dally basis. This has been reflected llli-ough the <br />years with the company's EMR rating consistently below I .0, Also attached is the EMR for H.M. Merit Wid1011t <br />the accidents previously 111elltianed showing the FMR of .81. ff further clarification is needed of there are tiny <br />questions, please feel free to call nle at 336 -263 -6105. <br />Respectfully, <br />-� <br />James Kirkpatrick <br />