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Workers' Compensation History

Contractor License #	787251
Contractor Name	LORICK AND MARTINEZ DESIGN BUILD INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 04/05/2024 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9129728 Effective Date 03/26/2015 Cancellation Date 03/26/2024

Insurance Company NORGUARD INSURANCE COMPANY Policy # LOWC648021 Effective Date 03/26/2015 Expiration Date 03/26/2016

Insurance Company CALIFORNIA INSURANCE COMPANY Policy # 4688789301 Effective Date 03/26/2014 Cancellation Date 03/26/2015

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9068503 Effective Date 08/17/2013 Expiration Date 08/17/2014

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600007756121 Effective Date 08/17/2012 Expiration Date 08/17/2013

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600007756111 Effective Date 08/17/2011 Expiration Date 08/17/2012

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0028171 Effective Date 08/17/2008 Cancellation Date 08/17/2011

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 3008824 Effective Date 08/17/2008 Expiration Date 08/17/2009

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 046-0013425 Effective Date 08/17/2003 Cancellation Date 08/17/2008