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Workers' Compensation History

Contractor License #	1063778
Contractor Name	CLAYCON DEVELOPERS CORP

Workers' Compensation History

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # A9WC589423 Effective Date 04/05/2024 Expiration Date 04/05/2025

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # A9WC466920 Effective Date 04/07/2023 Expiration Date 04/07/2024

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01927800 Effective Date 07/15/2022 Cancellation Date 01/11/2023

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600022560211 Effective Date 07/15/2021 Expiration Date 07/15/2022

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9278768 Effective Date 06/26/2020 Expiration Date 06/26/2022

Insurance Company EXEMPT Policy # Effective Date 01/23/2020 Expiration Date