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Workers' Compensation Insurance <br />Workers' Compensation Overview <br />Are you contracting with the employee leasing company as the employer? Yes <br />Are you functioning as an Employee Leasing Company <br />Workers' Compensation Select on <br />Workers' Compensation Carrier United Wisconsin Insurance Co <br />July 23, 2020 <br />Workers' Compensa ban Effective Date. my 23, 2020 <br />Workers' Compensation Expirat on Date. luly 23, 2021 <br />Workers' Compensation Address: 210 Wmga Way ste 400 <br />Mount Pleasant, SC 29464 <br />United States of America <br />Documentation <br />Attachment Name ArtachmentType <br />EDD Quarterly reports (DE9/DE9Q reflecting number of employees Miscellaneous Documents <br />FEIN Federal Employer Identification Number <br />(FEIN) <br />Surety Bond(si Bond Certification <br />Bond Rider Bond Certification <br />owners Driver License or Photo ID - Donald Seaman <br />WCI Certificate from PEO <br />Employee Leasing Contract <br />Articles of incorporation <br />Statement of Information <br />Driver License or Photo iD - Donald <br />Seaman <br />Workers Compensation Insurance (WCI) <br />Signed Employee Leasing Contract <br />Articles of Incorporation/Organization <br />Statement of Information <br />Registration Services Page 4 of 7 <br />