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Workers' Compensation History

Contractor License # 295665
Contractor Name DAVE GREEN CONTRACTING


Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 9140793
Effective Date 10/01/2015
Expiration Date 10/01/2016
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 820-0000010
Effective Date 10/01/2012
Expiration Date 10/01/2015
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 820-0000010
Effective Date 10/01/2011
Expiration Date 10/01/2012
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 044-0024815
Effective Date 10/01/2007
Cancellation Date 10/01/2011
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 046-0014819
Effective Date 10/01/2004
Cancellation Date 10/01/2007
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 1597253
Effective Date 10/01/2000
Cancellation Date 10/01/2004
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 1597244
Effective Date 10/01/2000
Expiration Date 10/01/2001
Insurance Company FREMONT COMPENSATION INSURANCE COMPANY
Policy # WN9976766102
Effective Date 10/01/1999
Expiration Date 10/01/2000
Insurance Company FREMONT COMPENSATION INSURANCE COMPANY
Policy # WN9876766102
Effective Date 10/01/1999
Expiration Date 10/01/2000
Insurance Company FREMONT COMPENSATION INSURANCE COMPANY
Policy # WN9876766101
Effective Date 10/01/1998
Expiration Date 10/01/1999