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Workers' Compensation History

Contractor License #	679442
Contractor Name	MONTCLAIR CONSTRUCTION & STRUCTURAL INC

Workers' Compensation History

Insurance Company STARNET INSURANCE COMPANY Policy # BNUWC0141110 Effective Date 07/01/2018 Expiration Date 07/01/2024

Insurance Company MIDWEST EMPLOYERS CASUALTY COMPANY Policy # BNUWC0141110 Effective Date 07/01/2017 Expiration Date 07/01/2018

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5008323 Effective Date 07/01/2016 Expiration Date 07/01/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9060865 Effective Date 07/01/2013 Expiration Date 07/01/2016

Insurance Company ZURICH AMERICAN INSURANCE COMPANY Policy # WC962603900 Effective Date 07/01/2012 Expiration Date 07/01/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1963922 Effective Date 08/23/2011 Cancellation Date 07/01/2012

Insurance Company AIG PROPERTY CASUALTY COMPANY Policy # WC1291360 Effective Date 07/01/2010 Expiration Date 07/01/2011

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600002743091 Effective Date 07/01/2009 Expiration Date 07/01/2010

Insurance Company GRANITE STATE INSURANCE COMPANY Policy # WC9923958 Effective Date 07/01/2008 Expiration Date 07/01/2009

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1653002 Effective Date 07/21/2001 Cancellation Date 09/23/2008