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Workers' Compensation History

Contractor License #	549537
Contractor Name	QUETZALCOATL CONSTRUCTION

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 10/13/2022 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 01/13/2022 Expiration Date 10/13/2022

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9290694 Effective Date 01/12/2021 Expiration Date 01/12/2022

Insurance Company EXEMPT Policy # Effective Date 11/20/2020 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 06/10/2019 Expiration Date 11/20/2020

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600005370 Effective Date 06/01/2012 Expiration Date 06/01/2019

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600005370111 Effective Date 06/01/2011 Expiration Date 06/01/2012

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600005370101 Effective Date 06/01/2010 Expiration Date 06/02/2011

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0028589 Effective Date 06/01/2009 Cancellation Date 06/01/2010

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 3007925 Effective Date 06/01/2008 Cancellation Date 06/01/2009