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Workers' Compensation History

Contractor License #	1004172
Contractor Name	DONALD JOSEPH MITCHELL

Workers' Compensation History

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # N9WC677619 Effective Date 09/20/2023 Expiration Date 09/20/2024

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # N9WC790617 Effective Date 09/20/2022 Expiration Date 09/20/2023

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9145605 Effective Date 10/27/2017 Expiration Date 10/27/2022

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 91460515 Effective Date 10/27/2016 Expiration Date 10/27/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 914560515 Effective Date 10/26/2015 Expiration Date 10/26/2016

Insurance Company EXEMPT Policy # Effective Date 05/21/2015 Expiration Date