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Workers' Compensation History

Contractor License #	896206
Contractor Name	T S I ARCHITECT / BUILDER INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 06/03/2019 Cancellation Date 05/26/2021

Insurance Company EXEMPT Policy # Effective Date 12/11/2018 Expiration Date 06/03/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9165943 Effective Date 09/24/2017 Expiration Date 09/24/2018

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9165943 Effective Date 09/08/2016 Expiration Date 09/08/2017

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3156715 Effective Date 09/24/2015 Expiration Date 09/24/2016

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3102374 Effective Date 09/24/2014 Expiration Date 09/24/2015

Insurance Company PRESERVER INSURANCE COMPANY Policy # WCC701974700 Effective Date 09/24/2013 Expiration Date 09/24/2014

Insurance Company TOWER INSURANCE CO OF NEW YORK DBA TOWER SELECT INSURANCE CO Policy # WCC003206500 Effective Date 09/24/2012 Expiration Date 09/24/2013

Insurance Company EXEMPT Policy # Effective Date 04/02/2007 Expiration Date