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Workers' Compensation History

Contractor License # 491884
Contractor Name CHISM BROTHERS CUSTOM PAINTING INC


Workers' Compensation History

Insurance Company DEPARTMENT OF INDUSTRIAL RELATIONS
Policy # 4503-150
Effective Date 01/01/2008
Expiration Date
Insurance Company DEPARTMENT OF INDUSTRIAL RELATIONS
Policy # INT-4503-150
Effective Date 01/01/2008
Expiration Date 06/29/2008
Insurance Company IMPERIUM INSURANCE COMPANY
Policy # 01DKRM11000315
Effective Date 01/01/2007
Expiration Date 01/01/2008
Insurance Company ZENITH INSURANCE COMPANY
Policy # C067967501
Effective Date 01/01/2006
Expiration Date 01/01/2007
Insurance Company CALIFORNIA INSURANCE COMPANY
Policy # 460020440101
Effective Date 06/01/2005
Expiration Date 06/01/2006
Insurance Company VIRGINIA SURETY COMPANY INC
Policy # 00500025709
Effective Date 01/01/2005
Expiration Date 01/01/2006
Insurance Company VIRGINIA SURETY COMPANY INC
Policy # 00500019448
Effective Date 03/23/2004
Expiration Date 01/01/2005
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 012-0015809
Effective Date 03/25/2002
Expiration Date 03/23/2005
Insurance Company INDEMNITY INSURANCE COMPANY OF NORTH AMERICA
Policy # NWC00527600
Effective Date 03/23/2001
Expiration Date 03/23/2002
Insurance Company LEGION INSURANCE COMPANY
Policy # WC30530093
Effective Date 03/22/2000
Expiration Date 03/22/2001