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Workers' Compensation History

Contractor License #	396530
Contractor Name	JACK STABB

Workers' Compensation History

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600014851241 Effective Date 05/04/2024 Expiration Date 05/04/2025

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600014851231 Effective Date 05/04/2023 Expiration Date 05/04/2024

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600014851221 Effective Date 05/04/2022 Expiration Date 05/04/2023

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600014851211 Effective Date 05/04/2021 Expiration Date 05/04/2022

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600014851201 Effective Date 05/04/2020 Expiration Date 05/04/2021

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600014851191 Effective Date 05/04/2019 Expiration Date 05/04/2020

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600014851 Effective Date 05/04/2016 Expiration Date 05/04/2019

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600014851151 Effective Date 05/04/2015 Expiration Date 05/04/2016

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9098485 Effective Date 05/04/2014 Cancellation Date 05/04/2015

Insurance Company OAK RIVER INSURANCE COMPANY Policy # 2200059087131 Effective Date 05/04/2012 Expiration Date 05/04/2014