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Workers' Compensation History

Contractor License #	1038186
Contractor Name	COOPER CONSTRUCTION AND ENGINEERING INC

Workers' Compensation History

Insurance Company HARTFORD CASUALTY INSURANCE COMPANY Policy # 76WEGAX1NYH Effective Date 04/03/2023 Expiration Date 04/03/2025

Insurance Company BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY Policy # N9WC443493 Effective Date 01/25/2022 Expiration Date 07/25/2023

Insurance Company BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY Policy # N9WC292340 Effective Date 05/12/2021 Expiration Date 05/12/2022

Insurance Company EXEMPT Policy # Effective Date 03/10/2021 Expiration Date

Insurance Company BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY Policy # N9WC194512 Effective Date 05/12/2020 Expiration Date 05/12/2021

Insurance Company OHIO SECURITY INSURANCE COMPANY Policy # XWS59765728 Effective Date 04/15/2019 Expiration Date 04/15/2020

Insurance Company TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy # UB5K49244818 Effective Date 01/12/2018 Expiration Date 01/12/2019