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Workers' Compensation History

Contractor License #	1034441
Contractor Name	REVIVAL CONSTRUCTION INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 01/13/2024 Expiration Date

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00285001 Effective Date 11/05/2022 Expiration Date 11/05/2023

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00285000 Effective Date 11/05/2021 Expiration Date 11/05/2022

Insurance Company EXEMPT Policy # Effective Date 05/20/2021 Expiration Date

Insurance Company NORGUARD INSURANCE COMPANY Policy # REWC130210 Effective Date 05/04/2020 Expiration Date 05/04/2021

Insurance Company EXEMPT Policy # Effective Date 01/30/2020 Expiration Date

Insurance Company NORGUARD INSURANCE COMPANY Policy # REWC037469 Effective Date 05/04/2019 Expiration Date 05/04/2020

Insurance Company NORGUARD INSURANCE COMPANY Policy # REWC984882 Effective Date 05/04/2018 Expiration Date 05/04/2019

Insurance Company EXEMPT Policy # Effective Date 12/22/2017 Expiration Date