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Workers' Compensation History

Contractor License #	791012
Contractor Name	CLAY JENSEN

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 01/25/2023 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 01/28/2021 Expiration Date 01/25/2023

Insurance Company EXEMPT Policy # Effective Date 12/20/2018 Expiration Date 01/28/2021

Insurance Company EXEMPT Policy # Effective Date 01/12/2017 Expiration Date 12/20/2018

Insurance Company EXEMPT Policy # Effective Date 01/02/2015 Expiration Date 01/12/2017

Insurance Company EXEMPT Policy # Effective Date 01/28/2001 Expiration Date 01/02/2015