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Workers' Compensation History

Contractor License #	444635
Contractor Name	JIM GARDNER CONSTRUCTION INC

Workers' Compensation History

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600025101241 Effective Date 01/01/2024 Expiration Date 01/01/2025

Insurance Company SOUTHERN INSURANCE COMPANY Policy # OWP1008928 Effective Date 01/01/2023 Expiration Date 01/01/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9041430 Effective Date 01/01/2013 Cancellation Date 01/01/2023

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 904143013 Effective Date 01/01/2013 Expiration Date 01/01/2014

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600008683121 Effective Date 01/01/2012 Expiration Date 01/01/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1942461 Effective Date 01/01/2010 Cancellation Date 01/01/2012

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0018405 Effective Date 01/01/2007 Cancellation Date 01/01/2010

Insurance Company CASTLEPOINT NATIONAL INSURANCE COMPANY Policy # WSATMEC001630 Effective Date 01/01/2006 Expiration Date 01/01/2007

Insurance Company CALIFORNIA INSURANCE COMPANY Policy # 460041820101 Effective Date 06/01/2005 Expiration Date 06/01/2006

Insurance Company VIRGINIA SURETY COMPANY INC Policy # 00500023715 Effective Date 01/01/2005 Expiration Date 01/01/2006