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Workers' Compensation History

Contractor License #	1027911
Contractor Name	MARTIN'S BAY AREA CONSTRUCTION

Workers' Compensation History

Insurance Company PALOMAR SPECIALTY INSURANCE COMPANY Policy # PSIC1164503 Effective Date 08/15/2023 Expiration Date 08/15/2024

Insurance Company PALOMAR SPECIALTY INSURANCE COMPANY Policy # PSIC1164502 Effective Date 08/15/2022 Expiration Date 08/15/2023

Insurance Company PREFERRED PROFESSIONAL INSURANCE COMPANY Policy # ON1164501 Effective Date 08/15/2021 Expiration Date 08/15/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01239501 Effective Date 08/15/2020 Expiration Date 08/15/2021

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01239500 Effective Date 08/15/2019 Expiration Date 08/15/2020

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9216129 Effective Date 08/15/2017 Cancellation Date 08/15/2019

Insurance Company EXEMPT Policy # Effective Date 05/02/2017 Expiration Date