PROOF OF INSURANCE (2019 - 2019) CLOSED r1ri Quality SOILI ions, Inca
Htidding for Fxcellence
Statement of Self Insurance for Liabilities directed to the Corporation
August 22, 2018
Quality Solutions, Inc. an Ohio Corporation, maintains accrued liabilities and reserves relating
to the resolution of certain contingent obligations and reserves for self-insurance. Significant
contingencies include those related to potential litigation or state tax assessments.
We maintain accrued liabilities and reserves relating to the resolution of certain contingent
obligations and reserves for self-insurance. We are self-insured for a general liability programs.
The assessment of contingencies is a highly subjective process that requires judgments about
future events. Contingencies are reviewed at least semi-annually to determine the adequacy of
the accruals.
Quality Solutions, Inc. maintains a Merrill Lynch account well in excess of$ 500,000.
John D. Dickey
President
Quality Solutions, Inc.
Cell: 216-272-5665
Office: 800-471-1646
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PO Box 40147 # Cleveland, OH 44140 - 800-471-1646 www.qualitysolutions.com
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Bureau of Workers' 30 W. Spring St.Ohi o 1, Compensation Columbus, OH 43215
Certificate of Ohio Workers' Compensation
This certifies that the employer listed below participates in the Ohio State Insurance Fund as required by law.
Therefore, the employer is entitled to the rights and benefits of the fund for the period specified. This certificate I
' is only valid if premiums and assessments, including installments, are paid by the applicable due date. To
I, verify coverage, visit www.bwc.ohio.gov, or call 1-80044-6292,
This certificate must be conspicuously posted.
Policy number and employer Period Specified Below
01032337 07/01/2018 to 07/01/2019
QUALITY SOLUTIONS INC
31898 STARBOARD COVE
AVON LAKE, OH 44012
www.bwc.ohio.govs
Issued by: BWC
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Administrator/CEO
You can reproduce this certificate as needed.
Ohio Bureau of Workers' Compensation
Required Posting
Effective Oct. 13, 2004, Section 4123.54 of the Ohio Revised Code -
requires notice of rebuttable presumption. Rebuttable
presumption means an employee may dispute or prove untrue
the presumption (or belief) that alcohol or a controlled substance -
not prescribed by the employee's physician is the proximate
- cause (main reason) of the work-related injury.
,i
The burden of proof is on the employee to prove the presence of -
alcohol or a controlled substance was not the proximate cause of
the work-related injury. An employee who tests positive or
refuses to submit to chemical testing may be disqualified for
compensation and benefits under the Workers' Compensation
Act.
! Bureau of Workers'
h, I Compensation
� You must poet this language with the Certificate of Ohio Workers'Compensation.
DP-29 BWC-1629(Rev. July 1, 2015)