Common use of Disability Benefits Insurance Clause in Contracts

Disability Benefits Insurance. Full NYS Disability Benefits coverage for the benefit of such employees as are required to be covered by the NYS Disability Benefits Law shall be provided and evidenced by one of the following certificates: (1) DB-120.1 (September 2015, or most current version) – Certificate of Insurance Coverage under the NYS Disability Benefits Law. The insurance carrier shall provide a completed form as evidence of in-force coverage. (2) DB-155 (9/16) - Compliance with Disability Benefits Law. The NYS Workers’ Compensation Board’s Self Insurance Office shall provide a completed form. (3) CE 200 - Certificate of Attestation of Exemption. (Note: This form will only be accepted as evidence of an exemption from providing Disability Benefits insurance as required by law. DASNY will not accept this as an exemption from providing Workers’ Compensation Insurance.) The Certificate may be obtained from the NYS Workers Compensation Board’s website at xxxx://xxx.xxx.xxxxx.xx.xx. The CE-200 cannot be used for multiple projects. Therefore, a new form will have to be completed prior to award of any subsequent contract.

Disability Benefits Insurance. Full NYS New York State Disability Benefits coverage for the benefit of such employees as are required to be covered by the NYS New York State Disability Benefits Law shall be provided and evidenced by one of the following certificates: (1) i. DB-120.1 (September 201515, or most current version) – - Certificate of Of Insurance Coverage under Under the NYS Disability Benefits Law. The insurance carrier shall provide a completed form as evidence of in-force coverage. (2) ii. DB-155 (9/16) - – Compliance with Disability Benefits Law. The NYS Workers’ Compensation Board’s Self Insurance Office shall provide a completed form. (3) iii. CE 200 - Certificate of Attestation of Exemption. (Note: This this form will only be accepted as evidence of an exemption from providing Disability Benefits insurance as required by law. DASNY The Dormitory Authority of the State of New York will not accept this as an exemption from providing Workers’ Worker’s Compensation Insurance.) The Certificate may be obtained from the NYS Workers Compensation Board’s website at xxxx://xxx.xxx.xxxxx.xx.xx. The CE-200 cannot be used for multiple projects. Therefore, a new form will have to be completed prior to award of any subsequent contractxxxx://xxx.xxx.xxxxx.xx.

Disability Benefits Insurance. Full NYS New York State Disability Benefits coverage for the benefit of such employees as are required to be covered by the NYS New York State Disability Benefits Law shall be provided and evidenced by one of the following certificates: (1) DB-120.1 (September 201515, or most current version) – - Certificate of Of Insurance Coverage under Under the NYS Disability Benefits Law. The insurance carrier shall provide a completed form as evidence of in-force coverage. (2) DB-155 (9/16) - – Compliance with Disability Benefits Law. The NYS Workers’ Compensation Board’s Self Insurance Office shall provide a completed form. (3) CE 200 - Certificate of Attestation of Exemption. (Note: This this form will only be accepted as evidence of an exemption from providing Disability Benefits insurance as required by law. DASNY The Dormitory Authority of the State of New York will not accept this as an exemption from providing Workers’ Worker’s Compensation Insurance.) The Certificate may be obtained from the NYS Workers Compensation Board’s website at xxxx://xxx.xxx.xxxxx.xx.xx. The CE-200 CE 200 cannot be used for multiple projects. Therefore; therefore, a new form will shall have to be completed prior to award of any subsequent contract.

Disability Benefits Insurance. Full NYS New York State Disability Benefits coverage for the benefit of such employees as are required to be covered by the NYS New York State Disability Benefits Law shall be provided and evidenced by one of the following certificates: (1) i. DB-120.1 (September 201515, or most current version) – - Certificate of Insurance Coverage under Under the NYS Disability Benefits Law. The insurance carrier shall provide a completed form as evidence of in-force coverage. (2) ii. DB-155 (9/16) - – Compliance with Disability Benefits Law. The NYS Workers’ Compensation Board’s Self Insurance Office shall provide a completed form. (3) iii. CE 200 - Certificate of Attestation of Exemption. (Note: This this form will only be accepted as evidence of an exemption from providing Disability Benefits insurance as required by law. DASNY The Dormitory Authority of the State of New York will not accept this as an exemption from providing Workers’ Worker’s Compensation Insurance.) The Certificate may be obtained from the NYS Workers Compensation Board’s website at xxxx://xxx.xxx.xxxxx.xx.xx. The CE-200 cannot be used for multiple projects. Therefore, a new form will have to be completed prior to award of any subsequent contractxxxx://xxx.xxx.xxxxx.xx.

Disability Benefits Insurance. Full NYS New York State Disability Benefits coverage for the benefit of such employees as are required to be covered by the NYS New York State Disability Benefits Law shall be provided and evidenced by one of the following certificates: (1) a. DB-120.1 (September 201515, or most current version) – - Certificate of Of Insurance Coverage under Under the NYS Disability Benefits Law. The insurance carrier shall provide a completed form as evidence of in-force coverage. (2) b. DB-155 (9/16) - – Compliance with Disability Benefits Law. The NYS Workers’ Compensation Board’s Self Insurance Office shall provide a completed form. (3) c. CE 200 - Certificate of Attestation of Exemption. (Note: This this form will only be accepted as evidence of an exemption from providing Disability Benefits insurance as required by law. DASNY The Dormitory Authority of the State of New York will not accept this as an exemption from providing Workers’ Worker’s Compensation Insurance.) The Certificate may be obtained from the NYS Workers Compensation Board’s website at xxxx://xxx.xxx.xxxxx.xx.xx. The CE-200 cannot be used for multiple projects. Therefore, a new form will have to be completed prior to award of any subsequent contractxxxx://xxx.xxx.xxxxx.xx.