HomeMy WebLinkAboutContract 12719 TML WORKERS' COMPENSATION JOINT INSURANCE FUND
AMENDMENT TO INTERLOCAL AGREEMENT
CONTRACT NO. A0201A
• CITY SECRETARY
CONTRACT No. J-U/.9
It is mutually agreed that the term of Contract No. A0201A is extended for
a twelve (12) month period terminating at 12:01 A.M. , October 1 , 1983. All
terms, provisions and rates contained in said contract will remain the same
and in full force and effect for the period of this extension.
IN WITNESS WHEREOF, the parties have hereunto set their hands by their re-
presentatives thereunto duly authorized this 18 th day of October ,
1982.
A0201
Contract Number
TEXAS MUNICIPAL LEAGUE
WORKERS' ENSATIO
JOIN N NCE rD
BY
Fund Secretary VA
Austin, Texas
The Workers' Compensation Coordinator
for the Employer Member is:
FOR City of Fort Worth
Employer Member
NAME William R. Otto
ADDRESS 1000 Throckmorton
BY:
CITY Fort Worth, Tx. ZIP 76102 Auth i Of al
TELEPHONE 870-7766 ,Texas
APPROVED AS TO FORM AND LEGALITY: ATTEST:
L) JQ"-" <`'
City Attorney City Secretary
DATE: I b r I V 2
APPROVED BY CITY COUNCIL
C Secratary
Date