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COLUCCI, DENNIS A. 1-2003
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COLUCCI, DENNIS A. 1-2003
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Last modified
1/3/2012 3:10:39 PM
Creation date
7/7/2003 9:33:35 AM
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Template:
Contracts
Company Name
Dennis A. Colucci
Contract #
N-2003-063
Agency
Personnel Services
Expiration Date
6/30/2006
Insurance Exp Date
5/3/2006
Destruction Year
2011
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<br />Dennis A. Colucci, ALA., FAAA <br /> <br />Hearing and Balance Laboratory <br />Board Certified in Audiology <br /> <br />24902 Moulton Parkway <br />La9una Woods, Ca 92653 <br />949 830-5770 FAX 830-2324 <br /> <br />May 5, 2003 <br /> <br /> <br />Ms. Emilyn Buenafe <br />Loss Control Technician <br />City of Santa Ana <br />P.O. Box 1988 M-28 <br />Santa Ana, Ca 92702 <br /> <br />RE: Consulting Agreement <br /> <br />Dear Ms. Buenafe: <br /> <br />I just realized after getting your fax that I am making this confusing. The $175.00 still applies to <br />cases of determining the STS. Should you need a Worker's Compensation Evaluation with <br />causation information, apportionment, and reporting, a longer evaluation and more documentation is <br />needed. I forgot to tell you that the higher fee is for a Worker's Compensation Evaluation not for the <br />STS. So, our agreement should include a basic STS evaluation for a base of $175.00 with further <br />discovery up to an additional $150.00. Additionally, if any of the cases become a Worker's <br />Compensation claim that average fee is $500.00 with an additional $250.00 for needed evaluations <br />and case research. I hope I cleared up the confusion. <br /> <br /> <br />Sin <br /> <br />ennis Colucci, M.A., FAAA <br />, Clinical Audiologist, AU 348 <br /> <br />EXHIBIT A <br /> <br />
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