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Workers' Compensation History

Contractor License #	753227
Contractor Name	ROLAND FORTIN CONSTRUCTION

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 08/22/2018 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 11/02/2016 Expiration Date 08/22/2018

Insurance Company EXEMPT Policy # Effective Date 08/27/2014 Expiration Date 11/02/2016

Insurance Company EXEMPT Policy # Effective Date 08/02/1998 Expiration Date 08/27/2014