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Workers' Compensation History

Contractor License #	721333
Contractor Name	CORNERSTONE PAVERS & CONSTRUCTION

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 08/26/2019 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9139689 Effective Date 08/12/2015 Cancellation Date 12/27/2016

Insurance Company EXEMPT Policy # Effective Date 11/03/2014 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 03/29/1996 Expiration Date 11/03/2014