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Workers' Compensation History

Contractor License #	831632
Contractor Name	TOM MARTIN PLUMBING

Workers' Compensation History

Insurance Company NORGUARD INSURANCE COMPANY Policy # TOWC051797 Effective Date 10/09/2019 Expiration Date 10/09/2020

Insurance Company NORGUARD INSURANCE COMPANY Policy # TOWC913070 Effective Date 10/08/2018 Expiration Date 10/08/2019

Insurance Company SOUTHERN INSURANCE COMPANY Policy # OWC1006069 Effective Date 07/31/2017 Expiration Date 07/31/2018

Insurance Company HARTFORD UNDERWRITERS INSURANCE COMPANY Policy # 76WEGZR4920 Effective Date 08/17/2016 Expiration Date 08/17/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9109341 Effective Date 08/13/2014 Expiration Date 08/13/2016

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9017011 Effective Date 07/01/2012 Expiration Date 07/01/2014

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 238-0010759 Effective Date 07/30/2008 Cancellation Date 07/01/2012

Insurance Company EXEMPT Policy # Effective Date 12/10/2003 Expiration Date