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Workers' Compensation History

Contractor License #954061
Contractor NameBLACK STAR PAVEMENT MAINTENANCE INC


Workers' Compensation History
Insurance CompanyINSURANCE COMPANY OF THE WEST
Policy #WSA505015300
Effective Date08/22/2019
Expiration Date08/22/2020
Insurance CompanyBENCHMARK INSURANCE COMPANY
Policy #CST5013573
Effective Date08/22/2018
Expiration Date08/22/2019
Insurance CompanyBENCHMARK INSURANCE COMPANY
Policy #CST5010816
Effective Date08/22/2017
Expiration Date08/22/2018
Insurance CompanyBENCHMARK INSURANCE COMPANY
Policy #CST5008546
Effective Date08/22/2016
Expiration Date08/22/2017
Insurance CompanySTATE COMPENSATION INSURANCE FUND
Policy #9110533
Effective Date08/22/2014
Cancellation Date08/22/2016
Insurance CompanyGRANITE STATE INSURANCE COMPANY
Policy #WC019396966
Effective Date08/22/2013
Expiration Date08/22/2014
Insurance CompanyNORGUARD INSURANCE COMPANY
Policy #BLWC339890
Effective Date08/22/2012
Expiration Date08/22/2013
Insurance CompanyNORGUARD INSURANCE COMPANY
Policy #BLWC231270
Effective Date08/22/2011
Expiration Date08/22/2012
Insurance CompanyNORGUARD INSURANCE COMPANY
Policy #BLWC231270
Effective Date08/22/2011
Expiration Date08/22/2012
Insurance CompanyNORGUARD INSURANCE COMPANY
Policy #BLWC231270
Effective Date08/22/2011
Expiration Date08/22/2012
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