Workers’ Compensation Bill Review and Utilization Review Services Agreement Sample Contracts

City and County of San Francisco Municipal Transportation Agency One South Van Ness Ave. 7th floor San Francisco, California 94103 Agreement between the City and County of San Francisco and
Workers’ Compensation Bill Review and Utilization Review Services Agreement • November 17th, 2020 • California

This Agreement is made this [Day of the Month (1st, 2nd, etc.)] day of [Month], [Year], in the City and County of San Francisco, State of California, by and between: [Contractor’s (Firm’s) Full Name], [Contractor’s (Firm’s) Street Address; No PO Box], [Contractor’s (Firm’s) City, State & Zip Code] (“Contractor”), and the City and County of San Francisco, a municipal corporation (“City”), acting by and through its Municipal Transportation Agency (“SFMTA”).

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