HomeMy WebLinkAboutInsurance Certificate: Hunter Communications Workers Comp.
BE 907895
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August 07, 2018
HUNTER COMMUNICATIONS INC
801 ENTERPRISE DR
SUITE 101
CENTRAL POINT, OR 97502-3587
Re: Barrett Business Services, Inc. ("BBSI")
Letter of Self-Insurance for Workers' Compensation Coverage
As the named addressee of this Letter, your company's required workers' compensation coverage is provided
through BBSI's state approved Self-Insured Workers' Compensation Plan by way of your co-employment
contract with BBSI. Additional information is as follows:
State: Oregon Workers' Compensation Limits: Employer Liability Limits:
Self Insurance Certification 1068 Statutory $5,000,000.00 Each Accident
$5,000,000.00 Disease Coverage Limit by Client
L $5,000,000.00 Disease; Each Employee
Other Comments (place an "X" if applicable):
X Named "Letter Holder": City of Ashland 90 N Mountain Ave Ashland, OR 97520
Other: This letter of self-insurance for workers' compensation replaces Acord form 25. Contract effective 4/1/18,
renewal date 3/31/19. Subject to 30 days' notice of cancellation.
Additionally, BBSI's self-insured program is further supported by an excess workers' compensation insurance policy with
ACE American Insurance Co.. Copy of certificate is available upon request.
For additional information, please contact your local BBSI office at: MEDFORD
(541) 772-5469
2045 Cardinal Way Suite 100
Very truly yours, Medford, OR 97504
10
Z
Michael L. Elich
President and Chief Executive Officer doc: LOSI-2