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Workers' Compensation History

Contractor License # 954061
Contractor Name BLACK STAR PAVEMENT MAINTENANCE INC


Workers' Compensation History

Insurance Company INSURANCE COMPANY OF THE WEST
Policy # WSA505015301
Effective Date 08/22/2020
Expiration Date 08/22/2021
Insurance Company INSURANCE COMPANY OF THE WEST
Policy # WSA505015300
Effective Date 08/22/2019
Expiration Date 08/22/2020
Insurance Company BENCHMARK INSURANCE COMPANY
Policy # CST5013573
Effective Date 08/22/2018
Expiration Date 08/22/2019
Insurance Company BENCHMARK INSURANCE COMPANY
Policy # CST5010816
Effective Date 08/22/2017
Expiration Date 08/22/2018
Insurance Company BENCHMARK INSURANCE COMPANY
Policy # CST5008546
Effective Date 08/22/2016
Expiration Date 08/22/2017
Insurance Company STATE COMPENSATION INSURANCE FUND
Policy # 9110533
Effective Date 08/22/2014
Cancellation Date 08/22/2016
Insurance Company GRANITE STATE INSURANCE COMPANY
Policy # WC019396966
Effective Date 08/22/2013
Expiration Date 08/22/2014
Insurance Company NORGUARD INSURANCE COMPANY
Policy # BLWC339890
Effective Date 08/22/2012
Expiration Date 08/22/2013
Insurance Company NORGUARD INSURANCE COMPANY
Policy # BLWC231270
Effective Date 08/22/2011
Expiration Date 08/22/2012
Insurance Company NORGUARD INSURANCE COMPANY
Policy # BLWC231270
Effective Date 08/22/2011
Expiration Date 08/22/2012