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Workers' Compensation History

Contractor License #	918750
Contractor Name	MICHAEL L LIZOTTE

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 06/11/2018 Cancellation Date 08/01/2020

Insurance Company EXEMPT Policy # Effective Date 05/19/2016 Expiration Date 06/11/2018

Insurance Company EXEMPT Policy # Effective Date 12/18/2015 Expiration Date 05/19/2016

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9106115 Effective Date 07/11/2015 Cancellation Date 01/22/2016

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9106115 Effective Date 07/11/2014 Expiration Date 07/11/2015

Insurance Company EXEMPT Policy # Effective Date 05/21/2008 Expiration Date