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Workers' Compensation History

Contractor License #	1019658
Contractor Name	J H MEJIA CONSTRUCTION AND REMODELING

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 08/30/2023 Expiration Date

Insurance Company BERKLEY NATIONAL INSURANCE COMPANY Policy # BNUWC0153155 Effective Date 02/08/2022 Expiration Date 01/08/2023

Insurance Company CAROLINA CASUALTY INSURANCE COMPANY Policy # BNUWC0153155 Effective Date 01/08/2021 Expiration Date 01/08/2022

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5017993 Effective Date 12/08/2019 Expiration Date 12/08/2020

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5015164 Effective Date 12/08/2018 Expiration Date 12/08/2019

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5011661 Effective Date 12/08/2017 Expiration Date 12/08/2018

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5009215 Effective Date 12/08/2016 Expiration Date 12/08/2017

Insurance Company EXEMPT Policy # Effective Date 09/14/2016 Expiration Date