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Workers' Compensation History

Contractor License #	819759
Contractor Name	KENJI HASEGAWA

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 04/14/2023 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 04/01/2021 Expiration Date 04/14/2023

Insurance Company EXEMPT Policy # Effective Date 04/15/2019 Expiration Date 04/01/2021

Insurance Company EXEMPT Policy # Effective Date 07/26/2017 Expiration Date 04/15/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9162357 Effective Date 07/09/2016 Cancellation Date 07/09/2017

Insurance Company EXEMPT Policy # Effective Date 03/30/2015 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 05/06/2013 Expiration Date 03/30/2015

Insurance Company EXEMPT Policy # Effective Date 04/07/2003 Expiration Date 05/06/2013