BWC_07_01_26.pdf

This document is a Certificate of Coverage and Finding of Facts issued by the Ohio Bureau of Workers' Compensation, authorizing S.A. Comunale Co., Inc., located in Barberton, Ohio, to continue self-insurance operations under Ohio law. The document is dated 05/02/2025 and is associated with Policy Number 20004350, involving the state of Ohio and the Bureau of Workers' Compensation.

The certificate grants S.A. Comunale Co., Inc. the privilege of self-insurance for workers' compensation from July 1, 2025 to July 1, 2026, or until further action by the Ohio Bureau of Workers' Compensation. The document requires the employer to post the Certificate of Coverage at all Ohio locations and provide a copy to each of their Ohio work sites. The certificate authorizes the employer to pay compensation directly to injured employees or dependents of killed employees as provided in Section 4123.35 of the Ohio Revised Code.