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Workers' Compensation History

Contractor License # 421901
Contractor Name TOM W GORMAN GENERAL CONTRACTOR


Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 9048557
Effective Date 03/16/2013
Expiration Date 03/16/2021
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 713-0032514
Effective Date 03/16/2010
Cancellation Date 03/16/2013
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 1809581
Effective Date 03/16/2005
Cancellation Date 03/16/2010
Insurance Company EXEMPT
Policy #
Effective Date 03/08/2004
Expiration Date
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 1699620
Effective Date 10/01/2002
Cancellation Date 03/08/2004
Insurance Company CONNECTICUT INDEMNITY COMPANY
Policy # PC108944
Effective Date 10/01/2001
Expiration Date 10/01/2002
Insurance Company FIRE AND CASUALTY INSURANCE COMPANY OF CONNECTICUT
Policy # PC094997
Effective Date 10/01/2000
Expiration Date 10/01/2001
Insurance Company FIRE AND CASUALTY INSURANCE COMPANY OF CONNECTICUT
Policy # PC094672
Effective Date 10/23/1999
Expiration Date 10/23/2000
Insurance Company CLARENDON NATIONAL INSURANCE COMPANY
Policy # 01PD0013602
Effective Date 10/23/1998
Expiration Date 10/23/1999
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 1367291
Effective Date 10/22/1994
Cancellation Date 02/16/1999