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Workers' Compensation History

Contractor License # 706083
Contractor Name SAMSON GENERAL CONST


Workers' Compensation History

Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy # CSWK0000078411
Effective Date 01/15/2022
Expiration Date 01/15/2023
Insurance Company CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Policy # CSWK0000078410
Effective Date 01/15/2021
Expiration Date 01/15/2022
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 9216821
Effective Date 08/26/2017
Cancellation Date 01/15/2021
Insurance Company EXEMPT
Policy #
Effective Date 06/14/2017
Expiration Date
Insurance Company EVEREST NATIONAL INSURANCE COMPANY
Policy # 7600014808
Effective Date 04/24/2015
Expiration Date 04/24/2017
Insurance Company EVEREST NATIONAL INSURANCE COMPANY
Policy # 7600013120
Effective Date 04/24/2013
Cancellation Date 04/24/2015
Insurance Company SOUTHERN INSURANCE COMPANY
Policy # PWC006173
Effective Date 04/24/2013
Expiration Date 04/24/2014
Insurance Company TOWER INSURANCE CO OF NEW YORK DBA TOWER SELECT INSURANCE CO
Policy # WCC002820600
Effective Date 04/17/2012
Expiration Date 04/17/2013
Insurance Company EXEMPT
Policy #
Effective Date 06/11/2009
Expiration Date
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 1880466
Effective Date 06/12/2007
Expiration Date 06/01/2008