Volunteer Coverage
STATEMENT OF NON-COVERAGE FOR VOLUNTEERS
City of Sodaville hereby elects not to provide Workers; Compensation coverage for its volunteer workforce under the Workers' Compensation coverage agreement with City County Insurance Services.
City of Sodaville hereby acknowledges its understanding that no Workers' Compensation coverage exists for volunteer workers under the City County Insurance Services coverage agreement in the vent a claim is filed.
Date: November 15, 2012
Name of Entity: City of Sodaville
Name of authorized representative: Judy K. Smith
Title: City Administrator
Signature: Judy K. Smith