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Workers' Compensation History

Contractor License #	816480
Contractor Name	GREEN HAMMER DESIGN

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9225375 Effective Date 01/31/2023 Expiration Date 01/31/2025

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9225375 Effective Date 01/31/2019 Cancellation Date 12/23/2022

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9225375 Effective Date 01/31/2018 Cancellation Date 12/24/2018

Insurance Company EXEMPT Policy # Effective Date 07/03/2017 Expiration Date

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600013304 Effective Date 05/31/2017 Cancellation Date 07/01/2017

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600013304 Effective Date 05/31/2014 Expiration Date 05/31/2017

Insurance Company TOWER INSURANCE CO OF NEW YORK DBA TOWER SELECT INSURANCE CO Policy # WCC003903400 Effective Date 05/31/2013 Expiration Date 05/31/2014

Insurance Company EXEMPT Policy # Effective Date 10/30/2008 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1702464 Effective Date 08/01/2007 Cancellation Date 02/13/2008

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1702464 Effective Date 08/15/2002 Expiration Date 08/01/2007