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Workers' Compensation History

Contractor License #	719025
Contractor Name	MADISON PARK FINANCIAL CORPORATION

Workers' Compensation History

Insurance Company EMPLOYERS COMPENSATION INSURANCE COMPANY Policy # EIG5301701 Effective Date 06/24/2023 Expiration Date 06/24/2024

Insurance Company SECURITY NATIONAL INSURANCE COMPANY Policy # SWC1395266 Effective Date 06/24/2022 Expiration Date 06/24/2023

Insurance Company SECURITY NATIONAL INSURANCE COMPANY Policy # SWC1346570 Effective Date 06/24/2021 Expiration Date 06/24/2022

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3479522 Effective Date 06/24/2020 Expiration Date 06/24/2021

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3425207 Effective Date 06/24/2019 Expiration Date 06/24/2020

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3361734 Effective Date 06/24/2018 Expiration Date 06/24/2019

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3219433 Effective Date 06/24/2016 Expiration Date 06/24/2018

Insurance Company INSURANCE COMPANY OF THE WEST Policy # WSA502682000 Effective Date 06/24/2014 Expiration Date 06/24/2016

Insurance Company EMPLOYERS COMPENSATION INSURANCE COMPANY Policy # EIG116086601 Effective Date 06/24/2013 Expiration Date 06/24/2014

Insurance Company EXEMPT Policy # Effective Date 08/06/1999 Expiration Date