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Workers' Compensation History

Contractor License #	518970
Contractor Name	TERRY G PICKETT CUSTOM BUILDING

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 10/09/2023 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 08/25/2021 Expiration Date 10/09/2023

Insurance Company EXEMPT Policy # Effective Date 09/30/2019 Expiration Date 08/25/2021

Insurance Company EXEMPT Policy # Effective Date 10/12/2017 Expiration Date 09/30/2019

Insurance Company EXEMPT Policy # Effective Date 09/25/2015 Expiration Date 10/12/2017

Insurance Company EXEMPT Policy # Effective Date 09/27/2013 Expiration Date 09/25/2015

Insurance Company EXEMPT Policy # Effective Date 05/19/1997 Expiration Date 09/27/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1272778 Effective Date 07/24/1992 Cancellation Date 02/14/1997

Insurance Company EXEMPT Policy # Effective Date 08/20/1991 Expiration Date 11/14/1993