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Workers' Compensation History

Contractor License #	410248
Contractor Name	KELLY-SON & ASSOCIATES

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 08/14/2023 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 08/12/2021 Expiration Date 08/14/2023

Insurance Company EXEMPT Policy # Effective Date 08/14/2019 Expiration Date 08/12/2021

Insurance Company EXEMPT Policy # Effective Date 07/24/2017 Expiration Date 08/14/2019

Insurance Company EXEMPT Policy # Effective Date 07/09/2015 Expiration Date 07/24/2017

Insurance Company EXEMPT Policy # Effective Date 10/18/2013 Expiration Date 07/09/2015

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1841064 Effective Date 09/01/2012 Expiration Date 09/01/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1841064 Effective Date 09/01/2006 Expiration Date 09/01/2012

Insurance Company EXEMPT Policy # Effective Date 06/04/2006 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1841064 Effective Date 09/23/2005 Expiration Date 09/01/2006