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Workers' Compensation History

Contractor License # 1029390
Contractor Name ICOSA DESIGN LLC


Workers' Compensation History

Insurance Company MID-CENTURY INSURANCE COMPANY
Policy # A09601354
Effective Date 10/20/2019
Expiration Date 10/20/2020
Insurance Company SECURITY NATIONAL INSURANCE COMPANY
Policy # SWC1255909
Effective Date 10/20/2019
Expiration Date 10/20/2020
Insurance Company SECURITY NATIONAL INSURANCE COMPANY
Policy # SWC1170939
Effective Date 10/20/2018
Expiration Date 10/20/2019
Insurance Company SECURITY NATIONAL INSURANCE COMPANY
Policy # SWC1209244
Effective Date 10/20/2018
Expiration Date 10/20/2019
Insurance Company FARMERS INSURANCE EXCHANGE
Policy # A09487942
Effective Date 10/25/2017
Expiration Date 10/25/2018
Insurance Company RSUI INDEMNITY COMPANY
Policy # VBA575894
Effective Date 10/25/2017
Expiration Date 10/25/2018
Insurance Company SECURITY NATIONAL INSURANCE COMPANY
Policy # SWC1170939
Effective Date 10/20/2017
Expiration Date 10/20/2018
Insurance Company MID-CENTURY INSURANCE COMPANY
Policy # A09487942
Effective Date 10/26/2016
Expiration Date 10/20/2017