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Workers' Compensation History

Contractor License #	957789
Contractor Name	SUPREME GLASS COMPANY

Workers' Compensation History

Insurance Company ACCREDITED SURETY AND CASUALTY COMPANY INC Policy # 1AGCA160098350 Effective Date 04/13/2024 Expiration Date 04/13/2025

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA020788 Effective Date 04/13/2023 Expiration Date 04/13/2024

Insurance Company SIRIUSPOINT AMERICA INSURANCE COMPANY Policy # WC70663 Effective Date 04/23/2022 Expiration Date 04/13/2023

Insurance Company SIRIUSPOINT AMERICA INSURANCE COMPANY Policy # WC70663 Effective Date 04/13/2021 Expiration Date 04/13/2022

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9208143 Effective Date 04/13/2017 Cancellation Date 04/13/2021

Insurance Company WESCO INSURANCE COMPANY Policy # WWC31396344 Effective Date 04/13/2016 Expiration Date 04/13/2017

Insurance Company WESCO INSURANCE COMPANY Policy # WWC3139630 Effective Date 04/13/2015 Expiration Date 04/13/2016

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600013062 Effective Date 04/13/2014 Expiration Date 04/13/2015

Insurance Company TRUCK INSURANCE EXCHANGE Policy # C09245214 Effective Date 04/13/2013 Expiration Date 04/13/2014

Insurance Company TRUCK INSURANCE EXCHANGE Policy # B0924524 Effective Date 04/13/2012 Expiration Date 04/13/2013