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PUBLIC RISK INNOVATION, SOLUTIONS, AND MANAGEMENT <br />WORKERS' COMPENSATION PROGRAM <br />2025/2026 SCHEDULE OF INSURERS <br />CITY OF BELMONT <br />PROVIDER <br />POLICY NUMBER <br />LIMIT <br />Public Risk Innovation, Solutions, <br />PRISM PE 25 PWC -22 <br />Workers' Compensation and Employers Liability: <br />and Management <br />$125,000 each occurrence <br />Public Risk Innovation, Solutions, <br />PRISM -PE 25 EWC-91 <br />Workers' Compensation: <br />and Management <br />$50,000,000 each occurrence <br />(Difference between $50,000,000 and the <br />individual member's retention) <br />Employers' Liability: <br />$5,000,000 each accidentleach employee <br />for disease <br />(Difference between $5,000,000 and the <br />individual member's retention) <br />Liberty Mutual Fire Insurance Co <br />EW2-64N-444785-015 <br />Statutory each accident/each employee <br />for disease excess of $50,000,000 <br />