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Workers' Compensation History

Contractor License #	544131
Contractor Name	GOERIZ BUILDERS

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 09/26/2022 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 11/15/2021 Expiration Date 09/26/2022

Insurance Company ACCREDITED SURETY AND CASUALTY COMPANY INC Policy # 1ATCA160022120 Effective Date 09/03/2019 Expiration Date 09/03/2020

Insurance Company EXEMPT Policy # Effective Date 10/04/2018 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 05/23/2018 Expiration Date 10/04/2018

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600017503 Effective Date 04/01/2017 Expiration Date 04/01/2018

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9050399 Effective Date 04/01/2014 Expiration Date 04/01/2018

Insurance Company EXEMPT Policy # Effective Date 06/01/1997 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 0556616 Effective Date 04/01/1993 Cancellation Date 08/11/1997

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 05566192 Effective Date 04/01/1992 Expiration Date 04/01/1993