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Workers' Compensation History

Contractor License # 502422
Contractor Name J L S FLOORS ETC INC


Workers' Compensation History

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY
Policy # FLA00704100
Effective Date 09/12/2019
Expiration Date 09/12/2020
Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY
Policy # FLA00704101
Effective Date 09/12/2018
Expiration Date 09/12/2019
Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY
Policy # FLA00704100
Effective Date 09/12/2017
Expiration Date 09/12/2018
Insurance Company TRUCK INSURANCE EXCHANGE
Policy # A19144954
Effective Date 01/01/2016
Expiration Date 01/01/2018
Insurance Company TOWER INSURANCE CO OF NEW YORK DBA TOWER SELECT INSURANCE CO
Policy # A19144954
Effective Date 01/01/2012
Expiration Date 01/01/2016
Insurance Company TRUCK INSURANCE EXCHANGE
Policy # A19144954
Effective Date 01/01/2011
Expiration Date 01/01/2012
Insurance Company TRUCK INSURANCE EXCHANGE
Policy # A19144954
Effective Date 01/01/2010
Expiration Date 01/01/2011
Insurance Company TRUCK INSURANCE EXCHANGE
Policy # 19144954
Effective Date 01/01/2008
Expiration Date 01/01/2010
Insurance Company STATE FARM GENERAL INSURANCE COMPANY
Policy # 97D326854F
Effective Date 01/01/2007
Expiration Date 01/01/2008
Insurance Company ZENITH INSURANCE COMPANY
Policy # WC00540279500
Effective Date 06/11/2005
Expiration Date 06/11/2007