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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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Claimant underwent conservative treatment for the <br /> condition. The claimant did not have any permanent <br /> partial disability as a result of this industrial injury. <br /> Attending Physician Unknown <br /> Claim Status The claim was closed on September 5, 2014 without <br /> any permanent partial disability. <br /> Condition(s) <br /> Accepted Conditions Right upper extremity carpal tunnel syndrome _ <br /> Denied Conditions None <br /> (Hereafter referred to as Denied Conditions) <br /> Unrelated Conditions None <br /> (Hereafter referred to as Unrelated Conditions) <br /> CLAIM #6: SG15622 <br /> Claim Number SG l 5622 <br /> Date of Injury April 18, 2011 <br /> Description of Accident Occupational disease claim for left knee strain <br /> Date Claim Received by On or about April 18, 2011 <br /> Employer <br /> Date of Claim Allowance The Department of Labor& Industries issued an <br /> allowance order July 13, 2011. <br /> Date Allowance Order The allowance order became final 60 days after it was <br /> Became Final received, which was on or about September 13, 2011. <br /> Nature and Extent of As a result of the occupational disease, Claimant <br /> Condition and Disability sustained a left knee strain. <br /> Claimant underwent conservative treatment for the <br /> condition. The claimant did not have any permanent <br /> __partial_partial disability as a result of this industrial injury. <br /> AttendinPhy_sician Unknown <br /> Claim Status The claim was closed as medical only on September <br /> 27, 2011 without any permanent partial disability. <br /> Condition(s) <br /> Accepted Conditions xiphoid cartilage strain <br /> Denied Conditions None <br /> (Hereafter referred to as Denied Conditions) —_ <br /> Unrelated Conditions None <br /> (Hereafter referred to as Unrelated Conditions) <br /> Chris Guluarte Page 7 of 14 <br />
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