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Workers' Compensation History

Contractor License #615123
Contractor NameCHAMBERLAIN BACKHOE SERVICE


Workers' Compensation History
Insurance CompanyEVEREST NATIONAL INSURANCE COMPANY
Policy #7600011409
Effective Date05/01/2013
Expiration Date05/01/2020
Insurance CompanyCALIFORNIA INSURANCE COMPANY
Policy #468624450101
Effective Date12/01/2012
Cancellation Date05/01/2013
Insurance CompanySOUTHERN INSURANCE COMPANY
Policy #PWC00166311
Effective Date12/01/2011
Expiration Date12/01/2012
Insurance CompanyIMPERIUM INSURANCE COMPANY
Policy #02DKRM22008182
Effective Date12/01/2010
Expiration Date12/01/2011
Insurance CompanyIMPERIUM INSURANCE COMPANY
Policy #01DKRM22008182
Effective Date12/01/2009
Expiration Date12/01/2010
Insurance CompanyEVEREST NATIONAL INSURANCE COMPANY
Policy #7600000451081
Effective Date12/01/2008
Expiration Date12/01/2009
Insurance CompanyLINCOLN GENERAL INSURANCE COMPANY
Policy #CWC00110700
Effective Date12/01/2007
Expiration Date12/01/2008
Insurance CompanyACE PROPERTY AND CASUALTY INSURANCE COMPANY
Policy #C44768094
Effective Date01/01/2007
Expiration Date01/01/2008
Insurance CompanySTATE COMPENSATION INSURANCE FUND
Policy #046-0011008
Effective Date01/01/2003
Cancellation Date03/29/2007
Insurance CompanySTATE COMPENSATION INSURANCE FUND
Policy #1675132
Effective Date01/01/2002
Expiration Date01/01/2003
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