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Workers' Compensation History

Contractor License #	559305
Contractor Name	GILMORE SERVICES LLC

Workers' Compensation History

Insurance Company SAFETY NATIONAL CASUALTY CORPORATION Policy # LDS4066109 Effective Date 12/31/2022 Expiration Date 12/31/2024

Insurance Company SAFETY NATIONAL CASUALTY CORPORATION Policy # LDS4066109 Effective Date 12/31/2021 Expiration Date 12/31/2022

Insurance Company TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy # UB4P6192522226G Effective Date 01/01/2022 Expiration Date 01/01/2023

Insurance Company TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy # UB4P6192522126G Effective Date 01/01/2021 Expiration Date 01/01/2022

Insurance Company TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Policy # UB4P6192522026G Effective Date 01/01/2020 Expiration Date 01/01/2021

Insurance Company CYPRESS INSURANCE COMPANY Policy # GIWC909832 Effective Date 01/01/2018 Expiration Date 01/01/2020

Insurance Company CYPRESS INSURANCE COMPANY Policy # GIWC806813 Effective Date 01/01/2017 Expiration Date 01/01/2018

Insurance Company CYPRESS INSURANCE COMPANY Policy # GIWC704212 Effective Date 01/01/2016 Expiration Date 01/01/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9122311 Effective Date 01/01/2015 Expiration Date 01/01/2016

Insurance Company SUSSEX INSURANCE COMPANY Policy # WGCCWC000005002 Effective Date 01/01/2014 Expiration Date 01/01/2015