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Workers' Compensation History

Contractor License #	832058
Contractor Name	PERRILLIAT ENTERPRISES

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 11/09/2018 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 12/17/2014 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 01/29/2008 Expiration Date 12/17/2014

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0014828 Effective Date 10/15/2005 Expiration Date 10/01/2007

Insurance Company EXEMPT Policy # Effective Date 01/06/2003 Expiration Date