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Workers' Compensation History

Contractor License #	1053823
Contractor Name	SIMPLE POWER INC

Workers' Compensation History

Insurance Company CAROLINA CASUALTY INSURANCE COMPANY Policy # BNUWC0161941 Effective Date 01/04/2024 Expiration Date 01/04/2025

Insurance Company NATIONAL CASUALTY COMPANY Policy # WCC336233A Effective Date 01/04/2023 Expiration Date 01/04/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9228170 Effective Date 01/04/2019 Cancellation Date 01/04/2023