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CUYAHOGA COUNTY AUXIi,IARY POLICE r CC 11 439 Ohio Bureau af ?IP?orkers' Compensatian Mayfield Village COPfTRACT FOR PUBLIC EMPLOYER VOLUIdTEER EMERGENCY SERVICE ORGANlZATIORlS This concract by and among THE INDLTSTRIAL COMMISSION OF OHIO, the BUREAU OF WORKERS' COMPENSATION, which agencies are hereinafter referred to as the Commission, and , a polictical subdivision of the State ut Ohio, hereinafter referred to as the Employer, is entered into pursuant to the authority contained in Section 4123.03, Revised Code. In eonsideration of mutual promises, agreements, anci covenancs herein contained: (1) the Employer agrees to submie with this contract ac the time of the execution hereof the official action of the subdivision authorizing the execution of this contract; and (2) the Employer agrees to maintain ac all times during the life of this contract within the ofticial records of the Employer a veriFable and current list of the namcs and addresses of all persons qualifying for the extension of workers' compensation benefits undcr Section 4123.03, R.C., by reason of services rendered to the employer showing the periods of time over which such services are rendered; and (3) the Employer agrees to furnish to the C,ommission, at the time of the execution of this contract, a list of the names and addresses of all the persons qualifying for the extension of workers' compensation benefits under Section 4123.03, R.C., as listed upon the official records of the Emplover; and (4) the Employer agrees to report to the Commission the names and addresses of all persons whose service begins subsequent to the effective date of this contract immediately after such service begins and such report shall show the date of inceptiori of such scrvice; and (5) on December 31st of each ycar, the Employer agrees to report to the Commission the namr.s and addresses oF a11 persons whose service has been terminated during the year together with the date of termina[ion; and (ti) the Commission agrees to extend the beneFts of the workers' compensation law under Chapter 4123, R. C., co such listed persons as may sustain injuries or occupational diseases in the course of and arising out of such services to the employer, subjec:t to all the provisions of Chapter 4123, R.C., provided that sucn persons were listed with the Commission prior to the occurrence of the - -, in.iii.r_vr_nr_f}1p--inceOLtnn_A{_LIte-p=t[1aT10[1aLd1SCaSC__3IIL{ v