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Workers' Compensation History

Contractor License #	479629
Contractor Name	JIM MOORE

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 09/02/2022 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 09/16/2020 Expiration Date 09/02/2022

Insurance Company EXEMPT Policy # Effective Date 08/22/2018 Expiration Date 09/16/2020

Insurance Company EXEMPT Policy # Effective Date 10/28/2016 Expiration Date 08/22/2018

Insurance Company EXEMPT Policy # Effective Date 10/29/2014 Expiration Date 10/28/2016

Insurance Company EXEMPT Policy # Effective Date 06/15/2014 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 09/17/2004 Expiration Date