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Workers' Compensation History

Contractor License #	680675
Contractor Name	KEVIN R CONSTRUCTION

Workers' Compensation History

Insurance Company PALOMAR SPECIALTY INSURANCE COMPANY Policy # PSIC0701260202 Effective Date 01/25/2024 Expiration Date 01/25/2025

Insurance Company PALOMAR SPECIALTY INSURANCE COMPANY Policy # PSIC0701260201 Effective Date 01/25/2023 Expiration Date 01/25/2024

Insurance Company TECHNOLOGY INSURANCE COMPANY INC Policy # TWC4068413 Effective Date 01/25/2022 Expiration Date 01/25/2023

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA010750 Effective Date 01/25/2019 Expiration Date 01/25/2022

Insurance Company NORGUARD INSURANCE COMPANY Policy # KEWC091908 Effective Date 01/25/2019 Expiration Date 01/25/2020

Insurance Company NORGUARD INSURANCE COMPANY Policy # KEWC982468 Effective Date 01/25/2018 Expiration Date 01/25/2019

Insurance Company EXEMPT Policy # Effective Date 12/04/2017 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 02/22/2017 Expiration Date 12/04/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9152265 Effective Date 02/05/2016 Expiration Date 02/05/2017

Insurance Company EXEMPT Policy # Effective Date 01/28/2016 Expiration Date