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Workers' Compensation History

Contractor License # 486311
Contractor Name A M ORTEGA CONSTRUCTION INC


Workers' Compensation History

Insurance Company FEDERAL INSURANCE COMPANY
Policy # 54303215
Effective Date 10/01/2016
Expiration Date 10/01/2020
Insurance Company TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
Policy # DTJUB3G72009915
Effective Date 10/01/2015
Expiration Date 10/01/2016
Insurance Company OLD REPUBLIC GENERAL INSURANCE CORPORATION
Policy # A1CW98691404
Effective Date 10/01/2012
Expiration Date 10/01/2015
Insurance Company OLD REPUBLIC GENERAL INSURANCE CORPORATION
Policy # A1CW98691101
Effective Date 10/01/2011
Expiration Date 10/01/2012
Insurance Company OLD REPUBLIC INSURANCE COMPANY
Policy # A1CW98691000
Effective Date 10/01/2010
Expiration Date 10/01/2011
Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy # BB1090942
Effective Date 10/01/2009
Expiration Date 10/01/2010
Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy # BB1060942
Effective Date 10/01/2006
Expiration Date 10/01/2009
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 046-0015666
Effective Date 10/01/2005
Cancellation Date 10/01/2006
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 1648042
Effective Date 10/01/2001
Cancellation Date 10/01/2005
Insurance Company ZENITH INSURANCE COMPANY
Policy # Z045970901
Effective Date 10/01/1999
Expiration Date 10/01/2001