Document 10v3kqx5qOmGK4Oz4Qj0Z7QDZ

July 23, 1980 Mr. John Carter Director of Purchasing Uniroyal Chemical Company P.O. Box 460 Painesville, Ohio 44077 Dear Mr. Carter: Enclosed, please find a copy of the proof of insurance coverage, which you requested during our conversation on July 18th. You will note that the policy is for Environmental Technology Cor poration, who will be providing the equipment and the technicians to perform your work. The system to be used, however, will be Health-Scan's, as well as the forms, and the arrangements and scheduling will be handled by myself. Because of the afore-mentioned arrangements, Environmental Tech nology has requested that the Purchase Order be made out to: Environmental Technology Corporation C/O Health-Scan, Inc. 30405 Solon Road Solon, Ohio 44139 They will, also, be handling the invoicing, upon the completion of the job. If you have any questions or problems, please feel free to call me. Very truly yours. URL 20631 Diane E. Pletcher Vice President, Operations Enclosures cc: Bill Gibson, Environmental Technology Corporation file 646 Coy Lane/Chagrin Falls, Ohio 44022/(216) 247-5388 health ican. Inc. fimMcmmewtad techofogy ccnpokation CORPORATE OFFICE: 30405 Solon Road. Cleveland. Ohio 44139 (216) 248-2250 July, 1980 Uniroyal Chemical Company Fairport Harbor Road Painesville, Ohio 44077 Dear Mr. Carter: Enclosed is a copy of a Certificate of Insurance. While issued to a company other than your own, it nevertheless indicates current coverage. I have forwarded your request for certification of our insurance coverage to the Ohio Commercial Insurance Agency. You may expect to receive verification from them in the near future. Sincerely yours. Connie M. Lewis cc:Ohio Commercial Ins. SOUTHEAST REGIONAL OFFICE: 1140 Alpharetta St.. Suite 5, Roswell, Ga. 30075 (404) 992-3030 locoroj r, t-- i : t fri-. ~: r ! J-t^A.' NAM' ANt LDpRt'S ?! *31*0 OHIO CO.'-r:TiCIAL INS* AGCY. COMPANIES AFFORDING COVERAGES 1276 V;. 3RD ST. - SUITE 706 CLEVELAND, OHIO 44113 ACOMPAh' LETTER BCOMPAN- LETTER TRAVELERS INDEMNITY COMPANY NAME AND ADDRESS OF INSURED ENVIRONMENTAL TECHNOLOGY CORP, 30403 SOLON ROAD t>. SOLON, OHIO 44139 COMPANY LETTER COMPAh' LETTER COMPAh' LETTER Ytfi This is to certify that oeiioes of ins -met lisiad below htva bMn issued to the insured named above * *d art in force at this time Notwithstanding any reouirement. term or conomo' of any contract or ottitr documer* with respect to which this eertHieete may be issued or may pent n. the insurance afforded by the policies describe herein is subject to all the r "--"1 COMPANY LETTER TtP or INSURAI.:- GENERAL LIABILITY : A i-. la 1_*1 COMPREHENSIVE FC-pv W PREMISES--OPERAT CN5 n EXPLOSION AND CO-LAPSE ^5! HAZARD LJ UNDERGROUND HAZARD l^l PRODUCTS'COMPLrTD *jd OPERATIONS HAZARD [3 CONTRACTUAL INSTANCE W BROAD FORM PROsipty hd OAMAQE POLICYNUMBER 650-653A135-9-TIA-60 { i PlRATlOh CATE 6/23/61 Limits of Liability in Thousan rnum---------- Each OCCURRENCE AGGREGA't BODILY INJURY s t PROPERTY OAMAGE t * BODILY INJURY AND property DAMAGE COMBINED ' s1,000 ,1,000 1-.;r* " i A . >: * i 1 PERSON A.; INJUR* ^AUTOMOBILE LIABILITY Lj COM = liHNSiVE ';sv Lj owne: B MIRED B NON-Or/NEC 6 5 0-S 53 A13 5-5-T1A-SO EXCESS LIABILITY 1 j UMBRELLA FORM ^3 OTHER THAN UMBRE.LA FORM WORKERS' COMPENSATION and EMPLOYERS' LIABILITY OTHER 6/23/21 PFRSONAL 'NJUPY s BODILY INJURY fEACHPERSON) BODILY INJURY (EACH ACCIDENT) PROPERTY DAMAGE BODILY INJURY AND PROPERTY DAMAGE COMBINED BODILY INJURY AND PROPERTY DAMAGE COMBINED s rrr.'V s L ^'F'1r v>t": r-r-> , 1,030' *3 r~ N3 O p; OJ s, STATUTORY s DESCRIPTION OF OPE*TIONM.OCF_ON$VEHICLES Cancellation: Shoulc any of the above described policies be canceiie: before the expiration date thereof, the issuing com pany k.ii endeavor to mail days written notice to the below named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. 3 NAME AND AC :*ESS OF CERTIFICATE HOLDER _ JULY 10, 19^0 V REPUBLIC STEEL CORPORATION DATE ISSUED:. n CLEVELAND DISTRICT 3100 EAST 45TH STREET CLEVELAND, OHIO 44127 AUTHORIZED REPRESENTATIVE ACORD nr .. IMS (Ml ^.[1^1-- !] fi URL 20634 CHS .: STATE OF OHIO THE INDUSTRIAL COMMISSION & BUREAU OF WORKERS' COMPENSATION COLUMBUS, OHIO 43215 CERTIFICATE OF PREMIUM PAYMENT THIS IS TO CERTIFY, AND NOTICE IS HEREBY GIVEN TO ALL PERSONS, Ihol on dole hereof the below named employer paid into the Slote Insurance Fund premium as provided by law and lhal, therefore, said employer is entitled to the rights and benefits of said fund during the period below set forth. MUST BE POSTED IN A CONSPICUOUS PLACE. RISK NO. AND EMPLOYER , Vl Vi l Vi k Jfu.r.i.T. 1. T.`.'Jhi;l*. j'ai COUP JOViOLUM ri iwLUi. j i* <i * I T PERIOD SPECIFIED BELOW THIS CERTIFICATE MAY BE REPRODUCED AS NEEDED MDO MOBILHEALTH DETECTION OFFICE, INC. 8B 320 South Street, Morristown, NJ. 07960 (201) 267-5938 Corporate Headquarters April 17, 1980 Mr Richard Shearer Uniroyal Chemical Company Division of Uniroyal, Inc. Painesville, Ohio 44077 Subject: Renewal of the Medical Service Agreement of November 1,1976 Dear Mr Shearer: The only parts of the agreement made by Uniroyal and Mobilhealth Detection Office, Inc that need updating are: 1. the time period of the agrement should now read - November 1, 1980 to October 31, 1982 .2 the hand x-rays are eliminated from the program 3. the "contract price" should read - blood chemistry, hematology, chest x-rays, pulmonary function analysis, blood pressure, electrocardiogram shall be $68. 00 - blood chemistry ( 24 tests), hematology (7 tests, 8th if needed - $19. 50 These fees are valid through 1981 with an allowance to increase in 1982 the fees up to ten percent, by mutual agreement - billing is net in ten days with an additional charge of two percent per month on the unpaid balance. Payments are to be sent to corporate office. Mr Shearer, I hope that this meets with your approval. Sincerely, J. Ciark Kaskie President cc: Rosemary Rowe URL 2 0 6 3 5 \