IN THE MATTER OFDeficit Assessment Contractual Agreement • January 26th, 2016 • New York
Contract Type FiledJanuary 26th, 2016 JurisdictionTHIS DEFICIT ASSESSMENT CONTRACTUAL AGREEMENT (“Agreement”) is entered into by and between the New York State Workers’ Compensation Board (“State” or “WCB”), with offices located at 328 State Street, Schenectady, New York, 12305 and the above-named Member (“Member”) of the above-named Trust (“Trust”), said New York State Workers’ Compensation Board and Member to be collectively referred to herein as the “Parties.”