Optimal Recovery, LLC - Subcontractor Application
*Employee Type:
Enter correct response
Direct Hire, Leased, or Both

Both you and your company must meet theses mandatory insurance requirements

Commercial General Liability:
Each Occurrence - $1,000,000
Aggregate- $2,000,000

Auto Liability:
Combined Single Limit - $1,000,000
Any Auto or Scheduled/Hired/Non-Owned
must be covered.

Workers’ Compensation:
Each Occurrence - $1,000,000
Aggregate- $2,000,000
Must be statutory to the state in which work is being performed. Owners and officers must be covered by the WC policy.

Certificate of Insurance:
Optimal Recovery, LLC must be listed as an additional insured on the General Liability and Auto policies on a primary and non-contributory basis. We must also be listed as the Certificate Holder on the Workers’ Compensation policy.

*Do you meet necessary
insurance requirements:
Enter correct response
-Yes, we meet requirements
- No, but capable of meeting