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Workers' Compensation History

Contractor License #	1006053
Contractor Name	FORTICON INC

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9141506 Effective Date 09/04/2017 Expiration Date 09/04/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9141506 Effective Date 09/01/2015 Expiration Date 09/01/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9141506 Effective Date 09/04/2015 Expiration Date 09/01/2016

Insurance Company EXEMPT Policy # Effective Date 06/25/2015 Expiration Date