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Workers' Compensation History

Contractor License #	1025699
Contractor Name	GOLDEN STATE ELECTRICAL INNOVATIONS INC

Workers' Compensation History

Insurance Company HARTFORD CASUALTY INSURANCE COMPANY Policy # 76WEGAV1KX3 Effective Date 11/28/2023 Expiration Date 11/28/2024

Insurance Company HARTFORD FIRE INSURANCE COMPANY Policy # 76WEGAV1KX3 Effective Date 11/28/2022 Expiration Date 11/28/2023

Insurance Company HARTFORD INSURANCE COMPANY OF THE MIDWEST Policy # 76WEGAV1KX3 Effective Date 03/21/2023 Expiration Date 11/28/2023

Insurance Company HARTFORD FIRE INSURANCE COMPANY Policy # 76WEGAR1WV7 Effective Date 03/21/2022 Expiration Date 03/21/2023

Insurance Company EXEMPT Policy # Effective Date 05/01/2021 Expiration Date

Insurance Company SECURITY NATIONAL INSURANCE COMPANY Policy # SWC1288567 Effective Date 04/24/2020 Expiration Date 04/24/2021

Insurance Company SENTINEL INSURANCE COMPANY LTD Policy # 76WEGAC1RV0 Effective Date 10/08/2019 Expiration Date 10/08/2020

Insurance Company SENTINEL INSURANCE COMPANY LTD Policy # 76WEGAC1RVO Effective Date 10/08/2018 Expiration Date 10/08/2019

Insurance Company EXEMPT Policy # Effective Date 01/23/2017 Expiration Date