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Workers' Compensation History

Contractor License #	1011096
Contractor Name	R PEREZ GENERAL CONTRACTOR INC

Workers' Compensation History

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # CWC00188801 Effective Date 11/10/2023 Expiration Date 11/10/2024

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00188801 Effective Date 09/24/2022 Expiration Date 09/24/2023

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00188800 Effective Date 09/24/2021 Expiration Date 09/24/2022

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9275499 Effective Date 05/02/2020 Cancellation Date 05/27/2021

Insurance Company EXEMPT Policy # Effective Date 02/10/2020 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 03/12/2018 Expiration Date 02/10/2020

Insurance Company EXEMPT Policy # Effective Date 02/03/2016 Expiration Date 03/12/2018