DOC051325-05132025123932.pdf

This document is a Certificate of Ohio Workers' Compensation issued by the Bureau of Workers' Compensation (BWC) in Columbus, Ohio. The certificate is for Native Sun: Positive Human Development, LLC, located at 678 S 22nd St in Columbus, OH, verifying their participation in the Ohio State Insurance Fund. The policy number is 80084851, and the coverage period is from 07/01/2025 to 07/10/2026.

The document includes a required posting that outlines Section 4123.54 of the Ohio Revised Code regarding rebuttable presumption in workers' compensation claims. It explains the burden of proof for employees in work-related injury cases involving alcohol, marijuana, or controlled substances, and notes that employees who test positive or refuse chemical testing may be disqualified for compensation and benefits under the Workers' Compensation Act. The certificate must be conspicuously posted and is valid only if premiums and assessments are paid by the applicable due date.