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Workers' Compensation History

Contractor License #	940886
Contractor Name	FAN L CONSTRUCTION

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 11/26/2023 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 11/08/2021 Expiration Date 11/26/2023

Insurance Company EXEMPT Policy # Effective Date 11/04/2019 Expiration Date 11/08/2021

Insurance Company EXEMPT Policy # Effective Date 11/13/2017 Expiration Date 11/04/2019

Insurance Company EXEMPT Policy # Effective Date 01/17/2017 Expiration Date 11/13/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9146549 Effective Date 11/13/2015 Cancellation Date 12/23/2016

Insurance Company EXEMPT Policy # Effective Date 11/09/2015 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 12/19/2013 Expiration Date 11/09/2015

Insurance Company EXEMPT Policy # Effective Date 11/07/2009 Expiration Date 12/19/2013