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<br />ADDENDUM C <br /> <br />TML INTERGOVERNMENTAL EMPLOYEE BENEFITS POOL <br /> <br />STOP LOSS/LIFE AND AD&D COVERAGE <br /> <br />EMPLOYER: CITY OF PARIS <br />EFFECTIVE DATe: 5/1/03 <br /> <br />PURSUANT TO SECTION 252.021 OF THE LOCAL. GoveRNMeNT COI;)~, THE TML EMPI,.0YEE <br />BENEFITS POOL WILL p~ocu~e THE COVERAGE INDICATED BELOW ON BEHALF OF SAID <br />EMPLOYER. <br /> <br />YES No <br />I x Ii STOP Loss COVERAGE <br />I x. D LIFE & ACCIDENTAL DEATH AND DISMEMBERMENT COVERAGE <br />I x I I LONG TERM DISABILITY <br />I [I] SHORT TERM DISABILITY <br /> <br />NEWSPAPER OF RECORD: <br /> <br />The Paris News <br /> <br />AUTHORIZED OFFICIAL: <br /> <br />TITLE: <br /> <br />H3:~or <br /> <br />~~ .' ., <br /> <br />DATE: <br /> <br />April 14, 2003 <br />