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Workers' Compensation History

Contractor License #	844256
Contractor Name	EBY CONSTRUCTION INCORPORATED

Workers' Compensation History

Insurance Company PALOMAR SPECIALTY INSURANCE COMPANY Policy # PSIC0701393701 Effective Date 03/24/2024 Expiration Date 03/24/2025

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01388403 Effective Date 03/24/2023 Expiration Date 03/24/2024

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01388402 Effective Date 03/24/2022 Expiration Date 03/24/2023

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01388401 Effective Date 03/24/2021 Expiration Date 03/24/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01388400 Effective Date 03/24/2020 Expiration Date 03/24/2021

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5015591 Effective Date 04/01/2019 Expiration Date 04/01/2020

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C65213564 Effective Date 12/01/2018 Cancellation Date 03/24/2019

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # RWCC6440670A Effective Date 12/01/2017 Cancellation Date 12/01/2018

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # RWCC48832787 Effective Date 12/01/2016 Cancellation Date 12/01/2017

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # RWCC48557004 Effective Date 12/01/2015 Cancellation Date 12/01/2016