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Workers' Compensation History

Contractor License #	409167
Contractor Name	THE ORIGINAL CRAFTERS

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9096406 Effective Date 05/01/2015 Cancellation Date 05/01/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9096406 Effective Date 05/01/2014 Expiration Date 05/01/2015

Insurance Company OAK RIVER INSURANCE COMPANY Policy # 2200019908131 Effective Date 05/01/2012 Expiration Date 05/01/2014

Insurance Company OAK RIVER INSURANCE COMPANY Policy # 2200019908111 Effective Date 05/01/2011 Expiration Date 05/01/2012

Insurance Company OAK RIVER INSURANCE COMPANY Policy # 2200019908101 Effective Date 05/01/2010 Expiration Date 05/01/2011

Insurance Company OAK RIVER INSURANCE COMPANY Policy # 2200019908091 Effective Date 05/01/2009 Expiration Date 05/01/2010

Insurance Company OAK RIVER INSURANCE COMPANY Policy # 2200019908081 Effective Date 05/01/2008 Expiration Date 05/01/2009

Insurance Company OAK RIVER INSURANCE COMPANY Policy # 2210019908071 Effective Date 05/01/2007 Expiration Date 05/01/2008

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # 0100019908061 Effective Date 05/01/2006 Expiration Date 05/01/2007

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 229-0028084 Effective Date 05/01/2004 Cancellation Date 05/01/2006