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Workers' Compensation History

Contractor License #	528021
Contractor Name	ANDES CONSTRUCTION INCORPORATED

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9346431 Effective Date 10/01/2023 Expiration Date 10/01/2024

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9074068 Effective Date 10/01/2013 Expiration Date 10/01/2023

Insurance Company CYPRESS INSURANCE COMPANY Policy # 3300062698121 Effective Date 10/01/2012 Expiration Date 10/01/2013

Insurance Company TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy # DTJUB5A59718311 Effective Date 10/01/2011 Expiration Date 10/01/2012

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600005982101 Effective Date 10/01/2010 Expiration Date 10/01/2011

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1909443 Effective Date 10/01/2008 Cancellation Date 10/01/2010

Insurance Company REDWOOD FIRE AND CASUALTY INSURANCE CO Policy # W7A38121 Effective Date 10/01/2007 Expiration Date 10/01/2008

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0017842 Effective Date 10/01/2006 Cancellation Date 01/07/2008

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1761075 Effective Date 10/01/2003 Cancellation Date 10/01/2006

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0007405 Effective Date 05/23/2001 Expiration Date 10/01/2004