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Workers' Compensation History

Contractor License #	938311
Contractor Name	PETE BARCIK

Workers' Compensation History

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00298102 Effective Date 11/11/2023 Expiration Date 11/11/2024

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00298101 Effective Date 11/11/2022 Expiration Date 11/11/2023

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC00298100 Effective Date 11/11/2021 Expiration Date 11/11/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01572300 Effective Date 11/11/2020 Expiration Date 11/11/2021

Insurance Company SIRIUSPOINT AMERICA INSURANCE COMPANY Policy # 19937 Effective Date 09/27/2020 Expiration Date 09/27/2021

Insurance Company SIRIUSPOINT AMERICA INSURANCE COMPANY Policy # WC1993700 Effective Date 09/27/2019 Expiration Date 09/27/2020

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1098545 Effective Date 09/27/2018 Cancellation Date 09/27/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1098545 Effective Date 09/27/2018 Expiration Date 12/03/2018

Insurance Company EXEMPT Policy # Effective Date 11/15/2018 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1098545 Effective Date 09/27/2010 Cancellation Date 11/15/2018