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Workers' Compensation History

Contractor License #	1038114
Contractor Name	WOOD PECKER CONSTRUCTION INC

Workers' Compensation History

Insurance Company PACIFIC COMPENSATION INSURANCE COMPANY Policy # 1028344 Effective Date 09/10/2023 Expiration Date 09/10/2024

Insurance Company OHIO SECURITY INSURANCE COMPANY Policy # XWS63677644 Effective Date 09/10/2021 Expiration Date 09/10/2023

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9253400 Effective Date 05/03/2019 Cancellation Date 09/10/2021

Insurance Company EXEMPT Policy # Effective Date 03/29/2018 Expiration Date