DEC – Policy Exhibit 1

Policy Exhibit #1DEC

EMPLOYEE: _______________________ Date of Hire: __________________
            I am a newly hired employee of the Garfield County School District and have received from the Garfield County School District a disclosure of insurance coverage which is provided to employees through the Utah State Risk Manager.  I state that I have read the disclosure prepared and provided through the Risk Manager through the School District
office.  I further state that I understand legal liability protection provided to me and what is not covered, as explained in the disclosure.
            Unless indicated below, I have no questions or uncertainty about liability protection coverage.
Dated this ____ day of ________, 20___.
Utah Code § 53G-11-202.