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Workers' Compensation History

Contractor License #	985332
Contractor Name	SHADA BUILD & DESIGN INC

Workers' Compensation History

Insurance Company SEQUOIA INSURANCE COMPANY Policy # TWC4322434 Effective Date 09/18/2023 Expiration Date 09/18/2024

Insurance Company PALOMAR SPECIALTY INSURANCE COMPANY Policy # PSIC0701215501 Effective Date 09/18/2022 Expiration Date 09/18/2023

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01528801 Effective Date 09/18/2021 Expiration Date 09/18/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01528800 Effective Date 09/18/2020 Expiration Date 09/18/2021

Insurance Company SECURITY NATIONAL INSURANCE COMPANY Policy # SWC1253662 Effective Date 09/18/2019 Expiration Date 09/18/2020

Insurance Company SECURITY NATIONAL INSURANCE COMPANY Policy # SWC1210108 Effective Date 09/18/2018 Expiration Date 09/18/2019

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA001322 Effective Date 09/18/2016 Expiration Date 09/18/2018

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600015491151 Effective Date 09/18/2015 Expiration Date 09/18/2016

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600015491151 Effective Date 09/18/2015 Expiration Date 09/18/2016

Insurance Company REPUBLIC UNDERWRITERS INSURANCE COMPANY Policy # ATW005437 Effective Date 09/18/2014 Expiration Date 09/18/2015