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Workers' Compensation History

Contractor License #	742960
Contractor Name	BROAD CONSTRUCTION LLC

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9092383 Effective Date 03/13/2018 Expiration Date 03/13/2025

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9092383 Effective Date 03/13/2014 Expiration Date 03/13/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9045275 Effective Date 02/14/2013 Expiration Date 12/02/2013

Insurance Company EXEMPT Policy # Effective Date 05/10/2006 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 229-0023072 Effective Date 01/01/2001 Cancellation Date 01/01/2006

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1533233 Effective Date 08/25/1998 Cancellation Date 01/01/2001

Insurance Company EXEMPT Policy # Effective Date 11/07/1997 Expiration Date