sc59dhs2018.doc

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Attached to
Blanket Employees Dishonesty Bond for the Department of Health Services
Contract number
505ENT-M19-DHONBNDDHS-01
Issued by
Wisconsin

About this file

This document represents a Blanket Employees Dishonesty Bond contract for the Wisconsin Department of Health Services, identified as Contract 505ENT-M19-DHONBNDDHS-01. The contracting agency is the Wisconsin Department of Health Services, with Schwarz Insurance Agency, Inc. of Prairie du Sac, Wisconsin serving as the contractor, and The Hanover Insurance Company as the insuring company. The contract was executed on October 11, 2018, with Janice Clooten designated as the Customer Service Agent contact.

The contract provides $500,000 per occurrence coverage for employee dishonesty with a $5,000 deductible, covering a three-year period from November 1, 2018 through November 1, 2021. The total premium is $8,943, paid in advance for the full three-year term. Coverage applies to 6,364 employees classified into three categories: 1,001 Class 1 employees who handle money daily, 473 Class 2 employees who handle money occasionally, and 4,890 Class 3 employees who never handle money. This contract replaces the previous agreement 505ENT-M16-DHONBNDDHS-01 dated October 21, 2015, and is classified under commodity code 95341.

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Text version

Blanket Employees Dishonesty Bond for the Department of Health Services Contract 505ENT-M19-DHONBNDDHS-01 Attachment 1 of 1

October 11, 2018

COMMODITY

CODE:

95341

CONTRACTOR:

Schwarz Insurance Agency, Inc.

CONTACT:

Janice Clooten, Customer Service Agent

1420 North Ridge Drive

Prairie du Sac, WI 53578

Direct Line: 608-644-8562

Phone: 608-643-3385

Fax: 608-643-3249

E-mail: jclo@schwarzins.com

INSURING

COMPANY:

The Hanover Insurance Company

PREMIUM:

Three-year prepaid premium—$8,943

AMOUNT OF

COVERAGE:

$500,000 per occurrence with a $5,000 deductible

PERIOD OF

COVERAGE:

November 1, 2018 through November 1, 2021

EXISTING

CONDITIONS:

Classification of Employees 1,001—Class 1, Employees handling money daily

473—Class 2, Employees handling money occasionally

4,890—Class 3, Employees handling money never

ADDITIONAL

INFORMATION:

This contract replaces 505ENT-M16-DHONBNDDHS-01, dated October 21, 2015.

Sc59dhs2018

File details come from the government source that posted it. Updated .