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Erin Westvang 10/12/2023
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Erin Westvang 10/12/2023
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Last modified
10/13/2023 10:32:23 AM
Creation date
10/13/2023 10:30:46 AM
Metadata
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Template:
Contracts
Contractor's Name
Erin Westvang
Approval Date
10/12/2023
Council Approval Date
9/13/2023
Department
Human Resources
Department Project Manager
Marcy Hammer
Subject / Project Title
Claim Resolution Settlement Agreement Between Erin Westvang and the City of Everett
Tracking Number
0003982
Total Compensation
$170,000.00
Contract Type
Agreement
Contract Subtype
Settlement Agreements
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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medical benefits only, and that even if the Claim(s) is reopened, no further disability benefits or <br />other payments will be paid <br />11. Administration of Claims During Board Approval Process <br />The Self -insured Employer agrees to continue to administer and provide all benefits due on the <br />Claim(s) under the date this agreement becomes final. Any unpaid bills for necessary and proper <br />treatment provided under the Claims prior to the date of closure should be submitted to the <br />Employer within forty-five (45) days of claim closure, but in no case later than one (1) year <br />following the date of the treatment or service. The parties agree that all necessary and proper <br />treatment for claim -related conditions to date has been paid. There are no further benefits to <br />administer on the Claims included in this agreement <br />12. Ability to Work <br />Nothing in this agreement will prevent the Claimant from returning to work full time or part time, <br />paid or unpaid. <br />13. Future Claims <br />If the Claimant returns to work, and suffers a further industrial injury or occupational disease, the <br />Claimant may file a new claim and receive appropriate benefits if the claim is allowed. <br />14. Parties' Understandings <br />The parties acknowledge and each understands and agrees to the terms of this agreement and has <br />entered into this agreement knowingly and willingly. No patty has been harassed or coerced to <br />participate in this agreement. The parties have represented the facts and the law to each other to <br />the best of their knowledge. The parties represent that this agreement is not the result of a material <br />misrepresentation of law or fact, and that the agreement is reasonable under the circumstances <br />Finally, the parties acknowledge and agree that this agreement will bind each to all aspects of the <br />Claim except for medical benefits. <br />In addition: <br />a) Claimant Understands <br />i) Industrial Insurance Benefits: The Claimant acknowledges, agrees, and understands that <br />by entering into this agreement the Claimant will receive no other benefits related to the <br />Claims except as outlined in this agreement. The Claimant acknowledges that the Claimant <br />could have continued to pursue additional benefits under the Claims (benefits such as <br />financial disability payments or additional vocational services), but instead opted to enter <br />into this agreement The Claimant understands their rights under RCW 51.04 063. <br />ii) Other Benefits Potentially Impacted: The Claimant acknowledges, agrees, and <br />understands that by entering into this agreement, there is a chance that other government <br />benefits that the Claimant is receiving, or may be entitled to receive in the future, may be <br />impacted <br />Pagel 10 <br />i. Social Security Benefits <br />
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