APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • December 19th, 2017 • Massachusetts
Contract Type FiledDecember 19th, 2017 JurisdictionTHIS AGREEMENT is by and between Self Insured Lumber Businesses Association, Inc., a Massachusetts nonprofit corporation, (the "Group"), and the undersigned employer located in the Commonwealth of Massachusetts, (the "Member"), and is effective upon, and as of the date of, acceptance in the manner indicated below by the Group and the Member.