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Workers' Compensation History

Contractor License #	698707
Contractor Name	UBHI CONSTRUCTION INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 09/15/2021 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 09/20/2019 Expiration Date 09/15/2021

Insurance Company EXEMPT Policy # Effective Date 06/19/2019 Expiration Date 09/20/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9061229 Effective Date 07/01/2017 Cancellation Date 07/01/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9061229 Effective Date 07/01/2013 Cancellation Date 07/01/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0028620 Effective Date 07/01/2009 Cancellation Date 07/01/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 3018649 Effective Date 07/01/2008 Cancellation Date 07/01/2009

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 229-0036074 Effective Date 07/01/2007 Cancellation Date 07/01/2008

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 229-0036074 Effective Date 07/01/2007 Expiration Date 07/01/2008

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1743536 Effective Date 07/11/2003 Cancellation Date 07/01/2007