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Workers' Compensation History

Contractor License #	930628
Contractor Name	KODIAK DESIGN BUILD INC

Workers' Compensation History

Insurance Company INSURANCE COMPANY OF THE WEST Policy # WVE507566400 Effective Date 02/01/2024 Expiration Date 02/01/2025

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01837101 Effective Date 02/01/2023 Expiration Date 02/01/2024

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01837100 Effective Date 02/01/2022 Expiration Date 02/01/2023

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600017263211 Effective Date 02/01/2021 Expiration Date 02/01/2022

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600017263211 Effective Date 02/01/2021 Cancellation Date 04/02/2021

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600017263201 Effective Date 02/01/2020 Expiration Date 02/01/2021

Insurance Company ARROWOOD INDEMNITY COMPANY Policy # 7600017263191 Effective Date 02/01/2019 Expiration Date 02/01/2020

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600017263171 Effective Date 02/01/2017 Expiration Date 02/01/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9082356 Effective Date 02/01/2015 Cancellation Date 02/01/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9082356 Effective Date 12/19/2013 Expiration Date 12/19/2014