Florida proof of coverage wc: free download. On-line document store on 5y1.org

[DOC File]Sample Request for a Certificate of Insurance
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Subcontractor – Provide Certificate of Insurance and maintain insurance for general liability with minimum limits of [$1,000,000 occurrence / $2,000,000 aggregate suggested], motor vehicle liability [$1,000,000 suggested], and workers compensation, including employers liability. [Your company name] must be named as an . additional insured

[DOC File]PART 1 - browardschools
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A. ASSE 1052, ASSE 1019-B, dual check, vandal-proof cast bronze, round wall opening for recessed wall stainless steel box, mild-climate wall hydrant with satin face, self-opening locking cover, removable key, 3/4 inch HPT outlet, integral vacuum breaker, backflow preventer.

[DOC File]Sample COBRA letter to employees on company letterhead
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Coverage for your eligible dependents can be extended up to 36 months if one of the following “qualifying events” occurs: They are covered under the plan(s) and you die while still employed. You or your spouse become legally separated or divorced. A dependent child reaches maximum age for coverage.

[DOC File]ACORD™ CERTIFICATE OF LIABILITY INSURANCE
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wc statu-tory limits oth-er e.l. each accident $500,000 e.l. disease - ea employee $500,000 e.l. disease - policy limit $500,000 other. description of operations / locations / vehicles / exclusions added by endorsement / special provisions

[DOC File]SAMPLE REQUEST LETTER - Orchard Park Fire District
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Form SI-12 Certificate of Workers Compensation Self Insurance. OR. Form GSI-105.2- Certificate of Participation in Workers Compensation Group Self Insurance. Take special note (1) Workers Compensation Certificate must advise of officer inclusion or exclusion. You will not be permitted on a job site without the required certificates as requested.

[DOC File]MECHANICAL DESIGN CRITERIA - browardschools
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The school facility shall be fully sprinklered in accordance with Chapter 9 of the current State of Florida approved FBC, NFPA 10, NFPA 13, NFPA 14, NFPA 20 and NFPA 24 using standard coverage area sprinkler heads. The extended coverage area sprinkler head method of design is PROHIBITED.

[DOC File]Overpayment Notification Sample Letter
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Title: Overpayment Notification Sample Letter Author: Finance & Administration Last modified by: Finance & Administration Created Date: 3/30/2004 4:58:00 PM

69L-6 - Florida Administrative Register
The Proof of Coverage database can be accessed from the Division’s website at: www.fldfs.com/WC/; or (c) A Certificate of Liability Insurance and written documentation obtained either from the producer or carrier confirming that workers’ compensation coverage is in effect for the subcontractor.

[DOC File]Texas Claim EDI Data Dictionary
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Division of Workers’ Compensation. Texas Claims . Electronic Data Interchange (EDI) Data Dictionary. April 2008 The Texas EDI Claims Data Dictionary was created to assist insurance carriers and trading partners in understanding each data element and how it should be reported according to Texas Department of Insurance, Division of Workers’ Compensation Act and Rules, and to increase the ...

Florida proof of coverage wc