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Workers' Compensation History

Contractor License #	1030345
Contractor Name	ARDELL-SMITH & ASSOCIATES INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 09/11/2023 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 05/23/2022 Expiration Date 09/11/2023

Insurance Company EXEMPT Policy # Effective Date 11/29/2021 Expiration Date 05/23/2022

Insurance Company NORGUARD INSURANCE COMPANY Policy # ARWC212524 Effective Date 06/10/2021 Expiration Date 06/10/2022

Insurance Company NORGUARD INSURANCE COMPANY Policy # ARWC130669 Effective Date 06/10/2020 Expiration Date 06/10/2021

Insurance Company NORGUARD INSURANCE COMPANY Policy # ARWC049298 Effective Date 06/10/2019 Expiration Date 06/10/2020

Insurance Company EXEMPT Policy # Effective Date 08/14/2017 Expiration Date