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Workers' Compensation History

Contractor License #	719337
Contractor Name	OVER THE WOODSMAN BUILDER INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 01/21/2020 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 03/02/2018 Expiration Date 01/21/2020

Insurance Company EXEMPT Policy # Effective Date 01/11/2016 Expiration Date 03/02/2018

Insurance Company EXEMPT Policy # Effective Date 02/14/2014 Expiration Date 01/11/2016

Insurance Company EXEMPT Policy # Effective Date 06/18/2010 Expiration Date 02/14/2014

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1483647 Effective Date 04/01/2003 Cancellation Date 08/12/2009

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1483647 Effective Date 04/26/1997 Expiration Date 04/01/2004

Insurance Company EXEMPT Policy # Effective Date 02/20/1996 Expiration Date 04/26/1997