Fwd__Affirmative_Action.msg
MSG file 182 KB Posted
- Attached to
- Agency Administered OH|403-24-3354
- Contract number
- 403-24-3354
- Issued by
- Ohio
About this file
This document is a Certificate of Liability Insurance (COI) for Wilsonart LLC, involving the Ohio Department of Rehabilitation & Correction (ODRC) as the certificate holder. The insurance is provided by Liberty Insurance Corporation, Liberty Mutual Fire Insurance Company, and LM Insurance Corporation, with Lockton Companies serving as the insurance producer. The documentation includes communication between Mark Metzger from Wilsonart Engineered Surfaces, Dave Piacenti, Mike Leonard, and Matthew Newman from ODRC regarding affirmative action and insurance certification.
The insurance coverage includes comprehensive general liability with limits of $1,000,000 per occurrence, $10,000,000 aggregate, and additional policies covering automobile liability, umbrella liability, and workers' compensation. The insurance policies are effective from 10/31/2023 to 10/31/2024, with self-insured auto physical damage. While specific contract details are not fully elaborated, the documentation suggests an ongoing business relationship between Wilsonart LLC and the Ohio Department of Rehabilitation & Correction, with appropriate insurance documentation being exchanged to meet contractual requirements.
Text of this file
Fwd: Affirmative Action
| From |
| Mark Metzger |
| To |
| Newman, Matthew |
| Recipients |
| Matthew.Newman@odrc.state.oh.us |
Hello Matthew, I was told that you needed this document. I think we should be good to go now . Thank you.
Thanks, Mark Metzger
Wilsonart Engineered Surfaces
Metro Sales Rep
9195 Seward Rd Fairfield, OH 45014
“Surfaces, Supplies, and Services for the Cabinet-Making Industries”
Mobile | 513-295-3194 Email | mmetzger@flagginc.com Website | www.flagginc.com
Begin forwarded message:
From: Dave Piacenti <Dave.Piacenti@wilsonart.com> Date: November 28, 2023 at 9:29:28 AM EST To: Mark Metzger <MMetzger@flagginc.com> Cc: Mike Leonard <lmike@flagginc.com> Subject: RE: Affirmative Action
***CAUTION EXTERNAL E-MAIL***
DO NOT open any attachments or click on any links from unknown senders or unexpected e-mails
Here is the COI
From: Dave Piacenti Sent: Monday, November 27, 2023 5:44 PM To: Mark Metzger <MMetzger@flagginc.com> Cc: Mike Leonard <lmike@flagginc.com> Subject: FW: Affirmative Action
Marc, Attached is the EEO statement. It was also completed online. We should be good to go
From: Mike Leonard <lmike@flagginc.com> Sent: Monday, November 27, 2023 5:30 PM To: Dave Piacenti <Dave.Piacenti@wilsonart.com> Subject: FW: Affirmative Action
EXTERNAL EMAIL: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.
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Ohio Department of Rehabilitation & Correction.pdf
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-
POLICY LOC PRODUCTS - COMP/OP AGG $JECT
OTHER: $
COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A (Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
Lockton Companies 1185 Avenue of the Americas, Suite 2010 New York NY 10036 646-572-7300
Wilsonart LLC 13413 Galleria Circle #200 Austin TX 78738
Liberty Insurance Corporation 42404 Liberty Mutual Fire Insurance Company 23035
LM Insurance Corporation 33600
X
$1,000,000
$5,000 $1,000,000 $10,000,000 $2,000,000
$5,000,000
XXXXXXX
XXXXXXX
XXXXXXX
X X $10,000,000 $10,000,000
N
A AS2-631-510797-013 10/31/2023 10/31/2024
A TB2-631-510797-023 10/31/2023 10/31/2024
B TH7-631-510797-063 10/31/2023 10/31/2024
C WA5-63D-510797-033 (AOS) 10/31/2023 10/31/2024
C WC5-631-510797-053 (WI) 10/31/2023 10/31/2024
10/31/2024
1499686
N N
N
11/16/2023
20069458
20069458 XXXXXXX
Ohio Department of Rehabilitation & Correction 4545 Fisher Road, Columbus, OH 43228
Auto physical damage is self-insured.
See Attachment
Three CityPlace Dr, Suite 900 / St. Louis, MO 63141-7088
314-432-0500 / FAX: 314-812-3299
lockton.com
Ohio Department of Rehabilitation & Correction 4545 Fisher Road, Columbus, OH 43228
Dear Wilsonart LLC certificate holder:
In an effort to meet demand for instant electronic delivery of certificates, Lockton Companies now provides paperless delivery of Certificates of Insurance. Thank you for your patience and willingness to help us lessen our environmental footprint.
To fulfill your certificate delivery, we need your email address. Please contact us via one of the methods below with your Holder ID number, email address, and phone number in the event we have any questions.
Your Holder ID number is 20069458.
Email: Wilsonartcertrequests@lockton.com Toll-free automated phone service: 866-218-4018
If this certificate is no longer needed or valid, please notify us.
Thank you, Attachment Code: D600268 Master ID: 1499686, Certificate ID: 20069458 mailto:Northeast-TSA@lockton.com
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