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Workers' Compensation History

Contractor License #	930440
Contractor Name	BRIAN-MARTIN SAMWAY

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 03/30/2023 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 03/01/2021 Expiration Date 03/30/2023

Insurance Company EXEMPT Policy # Effective Date 03/04/2019 Expiration Date 03/01/2021

Insurance Company EXEMPT Policy # Effective Date 03/02/2017 Expiration Date 03/04/2019

Insurance Company EXEMPT Policy # Effective Date 04/02/2015 Expiration Date 03/02/2017

Insurance Company EXEMPT Policy # Effective Date 03/11/2013 Expiration Date 04/02/2015

Insurance Company EXEMPT Policy # Effective Date 03/26/2012 Expiration Date 03/11/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0034670 Effective Date 11/08/2010 Cancellation Date 07/07/2011

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-34670 Effective Date 11/08/2010 Expiration Date 11/08/2011

Insurance Company EXEMPT Policy # Effective Date 02/27/2009 Expiration Date