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Workers' Compensation History

Contractor License #	1004163
Contractor Name	PAC COAST CONTRACTORS INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 04/04/2020 Expiration Date

Insurance Company NORGUARD INSURANCE COMPANY Policy # MIWC032072 Effective Date 03/25/2019 Expiration Date 03/25/2020

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3333768 Effective Date 03/25/2018 Expiration Date 03/25/2019

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3269900 Effective Date 03/25/2017 Expiration Date 03/25/2018

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # A9WC739201 Effective Date 03/25/2016 Expiration Date 03/25/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9093480-15 Effective Date 03/25/2015 Expiration Date 03/25/2016