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Workers' Compensation History

Contractor License #	659212
Contractor Name	KNOX SEWER AND BACKHOE SERVICE INC

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9123576 Effective Date 01/29/2015 Expiration Date 01/29/2025

Insurance Company EXEMPT Policy # Effective Date 05/13/2013 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9032877 Effective Date 11/01/2012 Expiration Date 11/01/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 238-0014447 Effective Date 11/10/2010 Cancellation Date 11/01/2012

Insurance Company EXEMPT Policy # Effective Date 12/07/2009 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1434097 Effective Date 06/01/1996 Cancellation Date 11/05/2009

Insurance Company EXEMPT Policy # Effective Date 10/28/1992 Expiration Date 06/01/1996