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Workers' Compensation History

Contractor License #	1053325
Contractor Name	MOUNTAIN CRAFT INC

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 05/29/2023 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 04/08/2022 Expiration Date 05/29/2023

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9299806 Effective Date 06/09/2021 Expiration Date 06/09/2022

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600017558211 Effective Date 04/23/2021 Expiration Date 06/05/2021

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600017558201 Effective Date 04/23/2020 Expiration Date 04/23/2021

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600017558191 Effective Date 04/23/2019 Expiration Date 04/23/2020