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Workers' Compensation History

Contractor License #	1032649
Contractor Name	FOUR DIMENSIONS BUILDERS INC

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9348124 Effective Date 10/21/2023 Expiration Date 10/21/2024

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00342401 Effective Date 12/03/2022 Cancellation Date 03/02/2023

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00342400 Effective Date 12/03/2021 Expiration Date 12/03/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA013833 Effective Date 03/13/2020 Expiration Date 03/13/2022

Insurance Company NORGUARD INSURANCE COMPANY Policy # FOWC030947 Effective Date 03/13/2019 Expiration Date 03/13/2020

Insurance Company EXEMPT Policy # Effective Date 09/06/2017 Expiration Date