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Workers' Compensation History

Contractor License #	845427
Contractor Name	CITY STRUCTURES INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 07/12/2022 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 09/22/2020 Expiration Date 07/12/2022

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9262402 Effective Date 10/15/2019 Cancellation Date 09/24/2020

Insurance Company EXEMPT Policy # Effective Date 08/06/2018 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 10/03/2016 Expiration Date 08/06/2018

Insurance Company EXEMPT Policy # Effective Date 07/28/2014 Expiration Date 10/03/2016

Insurance Company EXEMPT Policy # Effective Date 08/17/2004 Expiration Date 07/28/2014