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Workers' Compensation History

Contractor License #	631327
Contractor Name	LARSEN HOME SERVICE

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 08/28/2019 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 09/20/2017 Expiration Date 08/28/2019

Insurance Company EXEMPT Policy # Effective Date 10/28/2015 Expiration Date 09/20/2017

Insurance Company EXEMPT Policy # Effective Date 10/17/2013 Expiration Date 10/28/2015

Insurance Company EXEMPT Policy # Effective Date 10/30/1991 Expiration Date 10/17/2013