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Book 1 Exhibit F Attachment 1 bFormb OCIP-S1 - Colorado bb

Book 1 Exhibit F Attachment 1 bFormb OCIP-S1 - Colorado bb 2025

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The document is a worksheet (Form OCIP-S(1)) used by the Colorado Department of Transportation for calculating insurance premiums related to workers' compensation, general liability, and excess/umbrella liability for a specific project. It includes sections for estimating payroll, rates, and premiums, as well as factors affecting costs such as experience modification and deductibles. The form is part of the EJMT FFSS Design Build Project and requires broker signatures and policy rate pages.

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