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Workers' Compensation History

Contractor License #	994389
Contractor Name	ACE SEWER LATERAL CONTRACTOR

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 01/06/2023 Expiration Date

Insurance Company MARKEL INSURANCE COMPANY Policy # MWC015743901 Effective Date 10/08/2019 Expiration Date 10/08/2020

Insurance Company EXEMPT Policy # Effective Date 03/20/2019 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9229766 Effective Date 04/13/2018 Cancellation Date 03/29/2019

Insurance Company EXEMPT Policy # Effective Date 03/07/2018 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9211920 Effective Date 05/31/2017 Cancellation Date 01/08/2018

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # A9WC694716 Effective Date 07/22/2015 Expiration Date 07/22/2017

Insurance Company NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Policy # ARWC579320 Effective Date 07/22/2014 Expiration Date 07/22/2015

Insurance Company EXEMPT Policy # Effective Date 06/07/2014 Expiration Date