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Workers' Compensation History

Contractor License #	520294
Contractor Name	DAVID PAUL GUSTAFSON

Workers' Compensation History

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

Insurance Company EXEMPT Policy # Effective Date 10/06/2021 Expiration Date 10/10/2023

Insurance Company EXEMPT Policy # Effective Date 09/30/2019 Expiration Date 10/06/2021

Insurance Company EXEMPT Policy # Effective Date 10/26/2017 Expiration Date 09/30/2019

Insurance Company EXEMPT Policy # Effective Date 10/23/2015 Expiration Date 10/26/2017

Insurance Company EXEMPT Policy # Effective Date 10/17/2013 Expiration Date 10/23/2015

Insurance Company EXEMPT Policy # Effective Date 09/14/1991 Expiration Date 10/17/2013