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Workers' Compensation History

Contractor License #	957809
Contractor Name	SUSTAINABLE BUILDINGS SYSTEM INC

Workers' Compensation History

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600023135241 Effective Date 03/15/2024 Expiration Date 03/15/2025

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600023135231 Effective Date 03/15/2023 Expiration Date 03/15/2024

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600023135221 Effective Date 03/15/2022 Expiration Date 03/15/2023

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9206369 Effective Date 03/15/2017 Expiration Date 03/15/2022

Insurance Company HARTFORD INSURANCE COMPANY OF THE MIDWEST Policy # 76WEGDD1103 Effective Date 03/15/2015 Expiration Date 03/15/2017

Insurance Company HARTFORD FIRE INSURANCE COMPANY Policy # 76WEGDD1103 Effective Date 03/15/2013 Expiration Date 03/15/2015

Insurance Company HARTFORD UNDERWRITERS INSURANCE COMPANY Policy # 76WEGDD1103 Effective Date 03/15/2012 Expiration Date 03/15/2013

Insurance Company TWIN CITY FIRE INSURANCE COMPANY Policy # 76WEGDD1103 Effective Date 03/15/2012 Expiration Date 03/15/2013

Insurance Company EXEMPT Policy # Effective Date 02/10/2011 Expiration Date