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Workers' Compensation History

Contractor License #	936811
Contractor Name	JOHN R CARPENTER CONSTRUCTION

Workers' Compensation History

Insurance Company ENDURANCE ASSURANCE CORPORATION Policy # EAW0000059600 Effective Date 02/23/2024 Expiration Date 02/23/2025

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01854601 Effective Date 02/23/2023 Expiration Date 02/23/2024

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01854600 Effective Date 02/23/2022 Expiration Date 02/23/2023

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600010899211 Effective Date 02/23/2021 Expiration Date 02/23/2022

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600010899201 Effective Date 02/23/2020 Expiration Date 02/23/2021

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600010899181 Effective Date 02/23/2019 Expiration Date 02/23/2020

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600010899 Effective Date 02/23/2013 Expiration Date 02/23/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9005722 Effective Date 02/23/2012 Cancellation Date 02/23/2013

Insurance Company EXEMPT Policy # Effective Date 07/27/2009 Expiration Date