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Workers' Compensation History

Contractor License #	993494
Contractor Name	FIVE9 DESIGN

Workers' Compensation History

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY Policy # CWC02537200 Effective Date 10/03/2023 Expiration Date 10/03/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9114297 Effective Date 10/03/2019 Cancellation Date 10/03/2023

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9114297 Effective Date 10/03/2015 Expiration Date 10/03/2020

Insurance Company EXEMPT Policy # Effective Date 05/22/2014 Expiration Date