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Workers' Compensation History

Contractor License # 829462
Contractor Name LAKESIDE PAVING AND SEALING INC


Workers' Compensation History

Insurance Company EVEREST PREMIER INSURANCE COMPANY
Policy # 76000020584201
Effective Date 06/01/2020
Expiration Date 06/01/2021
Insurance Company EVEREST PREMIER INSURANCE COMPANY
Policy # 7600014950191
Effective Date 06/01/2019
Expiration Date 06/01/2020
Insurance Company EVEREST NATIONAL INSURANCE COMPANY
Policy # 7600014950181
Effective Date 06/01/2018
Expiration Date 06/01/2019
Insurance Company EVEREST NATIONAL INSURANCE COMPANY
Policy # 7600014950
Effective Date 06/01/2015
Expiration Date 06/01/2018
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 9100614
Effective Date 06/01/2014
Expiration Date 06/01/2015
Insurance Company MARKEL INSURANCE COMPANY
Policy # MWC003392802
Effective Date 06/01/2012
Expiration Date 06/01/2014
Insurance Company GRANITE STATE INSURANCE COMPANY
Policy # 001644712
Effective Date 06/01/2011
Expiration Date 06/01/2012
Insurance Company IMPERIUM INSURANCE COMPANY
Policy # 01DKRM22008987
Effective Date 06/01/2010
Expiration Date 06/01/2011
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 713-0029017
Effective Date 06/01/2008
Cancellation Date 06/01/2010
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 3017881
Effective Date 06/01/2008
Expiration Date 06/01/2009