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Bureau of Workers' <br />Ohio Compensation <br />30 W. Spring St. <br />Columbus, OH 43215 <br />Certificate of Ohio Workers' Compensation <br />This certifies that the employer listed below participates in the Ohio State Insurance Fund as <br />required by law. Therefore, the employer is entitled to the rights and benefits of the fund for the <br />period specified -This certificate is only valid if premiums and assessments, including install- <br />ments, are paid by the applicable due date.To verify coverage, visit www.bwc.ohio.gov, or call <br />1-800-644-6292. <br />This certificate must be conspicuously posted. <br />Policy number and employer Period specified below <br />1703597-0 07/01/2016 through <br />SNIDER RECREATION INC 06/30/2017 <br />10139 ROYALTON RD STE K <br />N ROYALTON, OH 44133 <br />www.bwc.ohio.gov da <br />Issued by: Acting Administrator/CEO <br />You can reproduce this certificate as needed. <br />Ohio Bureau of Workers' Compensation <br />Required Posting <br />Effective Oct. 13, 2004, Section 4123.54 of the Ohio Revised Code <br />requires notice of rebuttable presumption. Rebuttable presumption <br />means an employee may dispute or prove untrue the presumption <br />(or belief) that alcohol or a controlled substance not prescribed by <br />the employee's physician is the proximate cause (main reason) of <br />the work -related injury. <br />The burden of proof is on the employee to prove the presence of <br />alcohol or a controlled substance was not the proximate cause of <br />the work -related injury. An employee who tests positive or refuses <br />to submit to chemical testing may be disqualified for compensation <br />and benefits under the Workers' Compensation Act. <br />Bureau of Workers' <br />Ohio I Compensation You must post this language with the Certificate of Ohio Workers' Compensation <br />ID-10 orAI ncon ,n_.. .. <br />rY:// <br />