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Workers' Compensation History

Contractor License #	722995
Contractor Name	DAVID UNDERWOOD CONSTRUCTION

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 05/12/2022 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 05/18/2020 Expiration Date 05/12/2022

Insurance Company EXEMPT Policy # Effective Date 05/16/2018 Expiration Date 05/18/2020

Insurance Company EXEMPT Policy # Effective Date 05/16/2016 Expiration Date 05/16/2018

Insurance Company EXEMPT Policy # Effective Date 05/22/2014 Expiration Date 05/16/2016

Insurance Company EXEMPT Policy # Effective Date 04/25/2007 Expiration Date 05/22/2014

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 044-0023505 Effective Date 04/01/2006 Cancellation Date 04/01/2007

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1516248 Effective Date 04/17/1998 Cancellation Date 04/01/2006

Insurance Company EXEMPT Policy # Effective Date 05/13/1996 Expiration Date 04/17/1998