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Workers' Compensation History

Contractor License #	506954
Contractor Name	CP/M DESIGN COMPANY INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 01/22/2024 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9129491 Effective Date 04/01/2017 Cancellation Date 01/10/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9129491 Effective Date 04/01/2015 Expiration Date 04/01/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 850-0504025 Effective Date 04/01/2012 Cancellation Date 04/01/2015

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0503459 Effective Date 04/01/2012 Cancellation Date 04/01/2012

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 571-0007263 Effective Date 04/01/2003 Cancellation Date 04/01/2012

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1458160 Effective Date 04/27/1996 Cancellation Date 04/01/2003

Insurance Company EXEMPT Policy # Effective Date 12/09/1994 Expiration Date

Insurance Company REPUBLIC INDEMNITY COMPANY OF AMERICA Policy # NC3500008 Effective Date 08/01/1993 Expiration Date 08/01/1994

Insurance Company SUPERIOR NATIONAL INSURANCE COMPANY Policy # 02WCP25676B Effective Date 08/01/1992 Expiration Date 08/01/1993