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Workers' Compensation History

Contractor License #	1024499
Contractor Name	OLD TOWN CONSTRUCTION

Workers' Compensation History

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5023104 Effective Date 02/09/2022 Expiration Date 02/09/2023

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5018597 Effective Date 02/09/2020 Expiration Date 02/09/2021

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5015262 Effective Date 02/09/2019 Expiration Date 02/09/2020

Insurance Company NORGUARD INSURANCE COMPANY Policy # JUWC077324 Effective Date 02/09/2019 Expiration Date 02/09/2020

Insurance Company NORGUARD INSURANCE COMPANY Policy # JUWC923560 Effective Date 02/09/2018 Expiration Date 02/09/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9204918 Effective Date 02/01/2017 Cancellation Date 03/12/2018