BWC_Cert_-_Decisive_Dynamics_2025.07.01-2026.07.01.pdf
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- Agency Administered OH|421-26-0040
- Contract number
- 421-26-0040
- Issued by
- Ohio
About this file
This document is a Certificate of Ohio Workers' Compensation issued by the Ohio Bureau of Workers' Compensation (BWC) for Decisive Dynamics, LLC, located in Delaware, Ohio. The certificate verifies the company's participation in the Ohio State Insurance Fund for the policy period from July 1, 2025, to July 1, 2026, with policy number 80192623. The managed care organization (MCO) for this policy is Minute Men OhioComp, located in Cleveland, Ohio.
The policy covers Decisive Dynamics, LLC, which is classified under the employee class code 8601 for an architectural or engineering firm, including salespersons and drivers. The document indicates that Dustin Doherty is listed as a corporate officer for the policy period. There are no elective individuals covered under this policy. The certificate outlines the company's rights and benefits in the state insurance fund, contingent upon timely premium and assessment payments, and includes a required posting about rebuttable presumption related to workplace injuries and substance use.
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Text version
Mike DeWine, Governor Jim Tressel, Lt. Governor Stephanie McCloud, Administrator/CEO
1-800-644-6292 BWC.Ohio.govBureau of Workers' Compensation
30 West Spring Street Columbus, Ohio 43215-2256
#BWNFVSQ
#XX10030633185#
04/21/2025 Date Mailed .Invisible_TemplateName=DP29Delivery_Channel=mailInvisible_Document_Date=2025-04-21Invisible_ClaimNumber=undefinedInvisible_PolicyNumber =80192623Invisible_Recipient=Decisive Dynamics, LLCInvisible_AddressLine1=255 Silver Branch DrInvisible_AddressLine2=undefinedInvisible_City=DelawareInvisible_State =OHInvisible_zip =43015-7739Invisible_Country=United StatesInvisible_Document_Context =PolicyInvisible_Watermark_Name =\\mswg9\CoreSystem\PP\ALC\Images\blank.tifInvisible_Creator_Name =BATCH Invisible_Participation_Type =InsuredInvisible_QuoteNumber =undefinedInvisible_FEIN =undefined
Decisive Dynamics, LLC 255 Silver Branch Dr Delaware OH 43015-7739
IMPORTANT DOCUMENT: REMOVE AND POST
DP-29 BWC-1629 (Rev. Jan. 10, 2019)
30 W. Spring St.
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 is only valid if premiums and assessments, including installments, are paid by the applicable due date. To verify coverage, visit www.bwc.ohio.gov, or call 1-800-644-6292.
This certificate must be conspicuously posted.
Policy number and employer 80192623
Period Specified Below 07/01/2025 to 07/01/2026
Decisive Dynamics, LLC 255 Silver Branch Dr Delaware OH 43015-7739 www.bwc.ohio.gov Issued by: BWC
Administrator/CEO You can reproduce this certificate as needed.
Ohio Bureau of Workers' Compensation
Required Posting
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, marihuana or a controlled substance not prescribed by the employee's physician is the proximate cause (main reason) of the work-related injury.
The burden of proof is on the employee to prove the presence of alcohol, marihuana 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.
You must post this language with the Certificate of Ohio Workers' Compensation.
Policy Information
Policy Information for the policy period beginning from 12:01 AM on 07/01/2025 to 12:01 AM on 07/01/2026.
Policy Number and Employer MCO
80192623 Decisive Dynamics, LLC 255 Silver Branch Dr Delaware OH 43015-7739
Minute Men OhioComp 3740 Carnegie Ave.
CLEVELAND OH 44115
Additional Insured’s Name and Address Effective Date Expiration Date
Individuals Eligible for Elective Coverage Individuals Eligible for Elective Coverage Covered (Yes/No) Elective Coverage Type
No Elective Individuals.
**Please refer to our website for reporting guidelines/requirements.
Corporate Officer Effective Date Expiration Date Dustin Doherty 07/01/2025 07/01/2026
**Please refer to our website for reporting guidelines/requirements.
Employee Class Codes and Descriptions Class Code Class Code Description
8601 ARCHITECTURAL OR ENGINEERING FIRM-INCLUDING SALESPERSONS & DRIVERS
The information noted above is as of 04/19/2025. For the most current information on the policy or to update your account information, please log into your account at www.bwc.ohio.gov. You may also call 1-800-644-6292 to speak with a customer service representative.
File details come from the government source that posted it. Updated .