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Workers' Compensation History

Contractor License #	1006229
Contractor Name	TINA L THOMAS

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 06/26/2019 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9229048 Effective Date 04/04/2018 Cancellation Date 05/13/2019

Insurance Company EXEMPT Policy # Effective Date 09/01/2017 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 06/15/2015 Expiration Date 09/01/2017