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Workers' Compensation History

Contractor License #	968209
Contractor Name	BALSAM DESIGN BUILD INC

Workers' Compensation History

Insurance Company INSURANCE COMPANY OF THE WEST Policy # WSA507535100 Effective Date 01/01/2024 Expiration Date 01/01/2025

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9290303 Effective Date 01/01/2023 Expiration Date 01/01/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9290303 Effective Date 01/01/2021 Expiration Date 01/01/2023

Insurance Company EXEMPT Policy # Effective Date 01/24/2020 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 12/29/2017 Expiration Date 01/24/2020

Insurance Company EXEMPT Policy # Effective Date 03/18/2016 Expiration Date 12/29/2017

Insurance Company EXEMPT Policy # Effective Date 01/02/2014 Expiration Date 03/18/2016

Insurance Company EXEMPT Policy # Effective Date 09/01/2011 Expiration Date 01/02/2014