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# Includes $5,000 Tools & Equipment Coverage ($500
deductible) ^ Includes $5,000 Business Personal Property Coverage ($500 deductible) * Rates for liability coverage for an individual owner/operator in Allen County, IN unless otherwise noted. Coverage available for additional employees and subcontractors for an additional fee. Fees for adding contract holders as Additional Insureds may apply. Rates are current for 2009 and subject to change without notice. Underwriting approval required. ** Excludes professional liability. *** $250 Property damage deductible applies. ****Exclusion for underground work applies. ***** $500 Property damage deductible applies. Contact Dave MacDonald for more information or a specific quote for your business. Toll Free: (877)
341-5377 Workers CompensationIndiana Independent Contractors Waiver Form The Indiana Worker's Compensation Board Effective July 1, 2001 Indiana Code IC 22-3-7 requires that all individuals requesting an Independent Contractors Exception Certificate must first be verified by the Indiana Department of Revenue. By law the Comp Board cannot provide an independent contractor a certificate of exemption until the Department of Revenue verifies no taxes are currently owed. In order to receive an independent contractor certificate of exemption:
The
following Building & Construction trades are eligible: Asbestos worker, asbestos abatement, boilermaker, bricklayer, carpenter, cement mason, drywall finisher, drywall installer, electrician, elevator constructor, floor covering installer, framers, glazier, hod carrier, ironworker, construction laborer, millwright, operating engineer, painter, paperhanger, pipe fitter & steamfitter, plastering, plumber, tuck pointer/cleaner/caulker, roofer, sheet metal worker, siding installer, sound and communication, sprinkler fitter, stone mason, technical engineer, terrazzo. Contact Dave
or Mike
(260-422-5377) for more information
or a specific quote for your Indiana business.
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