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Workers' Compensation History

Contractor License #	692450
Contractor Name	CLIFF GUSTAFSON CO

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 09/16/2022 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 07/16/2020 Expiration Date 09/16/2022

Insurance Company EXEMPT Policy # Effective Date 08/30/2018 Expiration Date 07/16/2020

Insurance Company EXEMPT Policy # Effective Date 07/18/2016 Expiration Date 08/30/2018

Insurance Company EXEMPT Policy # Effective Date 06/16/1994 Expiration Date 07/18/2016