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Chris Guluarte 1/3/2022
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6 Years Then Destroy
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Chris Guluarte 1/3/2022
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Last modified
3/11/2022 11:29:28 AM
Creation date
3/11/2022 11:29:01 AM
Metadata
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Contracts
Contractor's Name
Chris Guluarte
Approval Date
1/3/2022
Council Approval Date
12/22/2022
End Date
1/3/2022
Department
Legal
Department Project Manager
David Hall
Subject / Project Title
Workers' Compensation Settlement Agreement
Tracking Number
0003226
Total Compensation
$300,000.00
Contract Type
Agreement
Retention Period
6 Years Then Destroy
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Claim Status The claim was closed as medical only on October 11, <br /> 2018 without any permanent partial disability. <br /> Condition(s) <br /> Accepted Conditions Right shoulder strain <br /> Denied Conditions None <br /> (Hereafter referred to as Denied Conditions) <br /> Unrelated Conditions None <br /> (Hereafter referred to as Unrelated Conditions) <br /> CLAIM#3: SK36352 <br /> Claim Number SK36352 _ <br /> Date of Injury July 11, 2016 <br /> Description of Accident Opening a small shoot on dump truck that was too tight <br /> and had to bang and pull on it and injured right hand <br /> middle finger. <br /> Date Claim Received by On or about July 12, 2016 <br /> Employer <br /> Date of Claim Allowance The Department of Labor& Industries issued an. <br /> allowance order on July 26, 2016. <br /> Date Allowance Order The allowance order became final 60 days after it was <br /> Became Final received, which was on or about September 26. 2016. <br /> Nature and Extent of As a result of the industrial injury, Claimant sustained a <br /> Condition and Disability right hand middle finger strain. <br /> Claimant underwent conservative treatment for the <br /> condition. <br /> The claimant did not have any permanent partial <br /> disability as a result of this industrial injury. <br /> Attending Physician Unknown _ <br /> Claim Status The claim was closed on April 25, 2017 without any <br /> permanent partial disability. <br /> Condition(s) <br /> Accepted Conditions Right hand middle finger strain <br /> Denied Conditions None <br /> JHereafter referred to as Denied Conditions) _ <br /> Unrelated Conditions None <br /> (Hereafter referred to as Unrelated Conditions) <br /> Chris Guluarte Page 5 of 14 <br />
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