08/25/2022
Marsh Affinity
a division of Marsh USA Inc.
PO Box 14404
Des Moines, IA 50306-9686
Marsh Affinity
800-743-8130
ADPT [email protected]
AIU Insurance Company 19399
A 07/01/2022 07/01/2023
2,000,000
2,000,000
2,000,000
ADP T otalSource DE IV, Inc.
5800 Windward Parkway
Alpharetta, GA 30005
L/C/F:
Artworks Foundry, LLC
729 HEINZE AVE SPACE 10
Berkeley, CA 947100000
WC 053419893 CA
All worksite employees working for Artworks Foundry, LLC paid under ADP T OT ALSOURCE, INC.'s payroll, are covered under the above stated policy. 2243 Firefighter Memorial
City of Alameda
1300 Park St
Alameda, CA 94501
X
8/30/2022 OK LKC
8/30/2022 OK LKC