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Workers' Compensation History

Contractor License #	953131
Contractor Name	ELEMENTAL HOMEWORKS

Workers' Compensation History

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC01846500 Effective Date 04/03/2023 Expiration Date 04/03/2024

Insurance Company ACCREDITED SURETY AND CASUALTY COMPANY INC Policy # 1ATCA160048911 Effective Date 06/01/2022 Expiration Date 06/01/2023

Insurance Company ACCREDITED SURETY AND CASUALTY COMPANY INC Policy # 1ATCA160048910 Effective Date 06/01/2021 Expiration Date 06/01/2022

Insurance Company EXEMPT Policy # Effective Date 09/10/2020 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 09/21/2018 Expiration Date 09/10/2020

Insurance Company EXEMPT Policy # Effective Date 10/19/2017 Expiration Date 09/21/2018

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9042443 Effective Date 01/22/2013 Cancellation Date 10/09/2017

Insurance Company STATE NATIONAL INSURANCE COMPANY INC Policy # AWL00128212 Effective Date 04/16/2012 Expiration Date 04/16/2013

Insurance Company EXEMPT Policy # Effective Date 09/09/2010 Expiration Date