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Workers' Compensation History

Contractor License #	1002062
Contractor Name	TRUCKEE PINES CONSTRUCTION LLC

Workers' Compensation History

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C55549333 Effective Date 09/01/2023 Expiration Date 09/01/2024

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C51258964 Effective Date 09/01/2022 Expiration Date 09/01/2023

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C69971386 Effective Date 09/01/2021 Expiration Date 09/01/2022

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C68623297 Effective Date 09/01/2020 Expiration Date 09/01/2021

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9232971 Effective Date 06/09/2018 Expiration Date 06/09/2021

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9232971 Effective Date 06/09/2018 Expiration Date 06/09/2019

Insurance Company EXEMPT Policy # Effective Date 04/03/2017 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 02/27/2015 Expiration Date 04/03/2017