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Workers' Compensation History

Contractor License # 940426
Contractor Name DONCAM AMERICAN INC


Workers' Compensation History

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY
Policy # FLA013281
Effective Date 01/01/2020
Expiration Date 01/01/2021
Insurance Company BENCHMARK INSURANCE COMPANY
Policy # CST5014811
Effective Date 01/01/2019
Expiration Date 01/01/2020
Insurance Company INSURANCE COMPANY OF THE WEST
Policy # WAS5039058
Effective Date 01/01/2018
Expiration Date 01/01/2019
Insurance Company MID-CENTURY INSURANCE COMPANY
Policy # A09488614
Effective Date 01/01/2017
Expiration Date 01/01/2019
Insurance Company SECURITY NATIONAL INSURANCE COMPANY
Policy # SWC1095359
Effective Date 01/01/2016
Expiration Date 01/01/2017
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 9084699
Effective Date 01/01/2014
Expiration Date 01/01/2016
Insurance Company INSURANCE COMPANY OF THE WEST
Policy # WSA500575702
Effective Date 01/01/2013
Expiration Date 01/01/2014
Insurance Company INSURANCE COMPANY OF THE WEST
Policy # WSA500575701
Effective Date 01/01/2012
Expiration Date 01/01/2013
Insurance Company INSURANCE COMPANY OF THE WEST
Policy # WSA500575700
Effective Date 01/01/2011
Expiration Date 01/01/2012
Insurance Company SOUTHERN INSURANCE COMPANY
Policy # WSI003759902
Effective Date 01/01/2011
Expiration Date 01/01/2012