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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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Page <br />of Claim <br />Allowance <br />There <br />can <br />the <br />06/14/2006 <br />be <br />Department <br />is <br />presumed <br />no <br />allowance <br />to <br />order <br />be <br />order <br />allowed <br />closing <br />in <br />at <br />the <br />least <br />file, <br />the <br />as <br />but <br />of <br />claim <br />the <br />the <br />date <br />claim <br />dated <br />of <br />Date <br />Date <br />Became <br />Allowance <br />Final <br />Order <br />Claim <br />approximately <br />the <br />closing <br />allowance <br />order. <br />60 <br />became <br />days <br />after <br />final <br />the <br />on <br />or <br />Claimant's <br />about <br />08/20/2006, <br />receipt <br />of <br />Claim <br />Status <br />The <br />will <br />claim <br />remain <br />was <br />closed <br />as <br />part <br />by <br />order <br />of <br />dated <br />this <br />agreement. <br />06/14/2006 <br />and <br />closed <br />Closing <br />Order <br />The <br />will <br />claim <br />remain <br />was <br />closed <br />closed <br />as <br />pert <br />by <br />order <br />of <br />dated <br />this <br />agreement. <br />06/14/2006 <br />and <br />Accepted <br />Conditions <br />There <br />Claimant <br />knee <br />are <br />under <br />no <br />received <br />the <br />orders <br />claim. <br />conservative <br />accepting <br />any <br />treatment <br />conditions <br />for <br />her <br />but <br />right <br />the <br />Denied <br />Conditions <br />conditions <br />There <br />are no <br />in <br />orders <br />this <br />claim. <br />denying <br />or segregating <br />any <br />5 <br />CLAIM. <br />Claim <br />Number <br />W-834373 <br />Date of <br />Industrial <br />Injury <br />06/02/04 <br />of Accident <br />The <br />Claimant <br />sustained <br />a right <br />ankle <br />injury <br />at <br />work. <br />Description <br />Nature <br />Condition <br />and <br />and <br />Disability <br />of <br />sprain <br />The <br />without <br />Claimant <br />and <br />any <br />her <br />permanent <br />had <br />condition <br />conservative <br />impairment. <br />returned <br />care <br />to <br />for <br />preinjury <br />her right <br />ankle <br />status <br />Extent <br />Date <br />Claim <br />Received <br />claim <br />was received <br />by <br />the <br />Employer <br />on or about <br />06/02/04. <br />The <br />Date <br />of <br />Claim <br />Allowance <br />There <br />can <br />the <br />be <br />order <br />is <br />no <br />presumed <br />closing <br />allowance <br />to <br />the <br />be <br />claim <br />allowed <br />order <br />dated <br />in <br />at <br />the <br />least <br />08/13/2004 <br />file, <br />as <br />but <br />of <br />the <br />the <br />claim <br />date <br />of <br />Date <br />Became <br />Allowance <br />Final <br />Order <br />sixty <br />order. <br />Claim <br />days <br />allowance <br />after <br />the <br />became <br />Claimant <br />final <br />on or about <br />s receipt <br />of <br />10/20/2004, <br />the <br />closing <br />Claim <br />Status <br />The <br />will <br />claim <br />remain <br />was <br />closed <br />closed <br />as <br />part <br />by <br />order <br />of <br />this <br />dated <br />agreement. <br />08/13/2004 <br />and <br />Closing <br />Order <br />The <br />will <br />claim <br />remain <br />was <br />closed <br />closed <br />as <br />part <br />by <br />order <br />of <br />this <br />dated <br />agreement. <br />08/13/2004 <br />and <br />Accepted <br />Conditions <br />There <br />Claimant <br />ankle <br />are <br />sprain <br />no orders <br />received <br />under <br />conservative <br />the <br />accepting <br />claim. <br />any <br />treatment <br />conditions, <br />for <br />her <br />but <br />right <br />the <br />
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