2020/01/01 JPW Communications, LLC Workers Compensation ApplicationDATE (MM/DD/YYYY)
RETRO PLAN
INDEMNITY
EXPENSE CONSTANT
INCREASED LIMITS
N/A
N/A
N/A
N/A
N/A
FAX
COMP
PART
12/24/2019
Travelers
JPW Communications, LLC
2710 Loker Ave W Suite 300, Carlsbad, CA 92010
jenny@jpwcomm.com
4 8999
824843813
1 2710 Loker Ave W Suite 300, Carlsbad, CA 92010
01/01/2020 01/01/2021
CA 1,000,000
1,000,000
CA 1 8810
Clerical Office Employees Other 553,158.00 0.24 1,328.00
CA
1,328.00 160.00
54.00
111.00
1,328.00
1,653.00
PREMIUM
DocuSign Envelope ID: 0CAAB2BC-409F-4C34-B6E3-9C232B4C29D7
NONO
PRODUCTS: PRODUCT,
PHONE:
NAME:
11. ANY SEASONAL EMPLOYEES?
PHONE:
13. ANY EMPLOYEES WITH PHYSICAL HANDICAPS? NAME:
PHONE:
NAME:
PREMIUM
CRIME
COMPANY ANOTHER OR
CRIME SUBSTANTIAL] CIVIL PENALTIES. (Not applicable in CO, HI, NE, OH, OK, OR, TN or VT; in DC, LA, ME and VA, insurance benefits may also be denied)
CA 1 Jennifer Windle Founder and 100 E 0.00
Public Relations Firm
(760) 683-8395
Jennifer Windle
jenny@jpwcomm.com
(760) 683-8395
Jennifer Windle
jenny@jpwcomm.com
(760) 683-8395
Jennifer Windle
jenny@jpwcomm.com
DocuSign Envelope ID: 0CAAB2BC-409F-4C34-B6E3-9C232B4C29D7
1/2/2020