PUT ON YOUR LETTERHEAD - Jacobs Center
Certificate Holder complete as outlined in Sample Certificate (2) Project name and number correct (3) ... WORKERS COMPENSATION. ... (14) WC Statutory Limits box checked (15) Employers Liability Limits of $1,000,000 Each Accident, $1,000,000 Disease Each Employee, and $1,000,000 Disease Policy Limit ... ................
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