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Workers' Compensation History

Contractor License #	1048117
Contractor Name	BACASPRINGBUILDERS LLC

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9329644 Effective Date 12/17/2022 Expiration Date 12/17/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9328197 Effective Date 12/07/2022 Expiration Date 12/07/2023

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600021123211 Effective Date 12/07/2021 Expiration Date 12/07/2022

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600021123201 Effective Date 12/07/2020 Expiration Date 12/07/2021

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600021123191 Effective Date 12/07/2019 Expiration Date 12/07/2020

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9242507 Effective Date 12/07/2018 Cancellation Date 12/07/2019