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Workers' Compensation History

Contractor License #	891540
Contractor Name	LE'S GOLDEN FLOOR INC

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9275418 Effective Date 05/01/2020 Expiration Date 05/01/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA009151 Effective Date 05/01/2018 Expiration Date 05/01/2020

Insurance Company NORGUARD INSURANCE COMPANY Policy # LEWC903789 Effective Date 05/01/2018 Expiration Date 05/01/2019

Insurance Company NORGUARD INSURANCE COMPANY Policy # LEWC881131 Effective Date 05/01/2017 Expiration Date 05/01/2018

Insurance Company TRUCK INSURANCE EXCHANGE Policy # B19517104 Effective Date 05/01/2013 Expiration Date 05/01/2017

Insurance Company TRUCK INSURANCE EXCHANGE Policy # A19517104 Effective Date 05/01/2012 Expiration Date 05/01/2013

Insurance Company TRUCK INSURANCE EXCHANGE Policy # A19517104 Effective Date 05/01/2011 Expiration Date 05/01/2012

Insurance Company TRUCK INSURANCE EXCHANGE Policy # A19517104 Effective Date 05/01/2010 Expiration Date 05/01/2011

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0026351 Effective Date 05/01/2008 Cancellation Date 05/01/2010

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 3011040 Effective Date 05/01/2008 Expiration Date 05/01/2009