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Workers' Compensation History

Contractor License #	738088
Contractor Name	ROCK & ROSE INC

Workers' Compensation History

Insurance Company HARTFORD CASUALTY INSURANCE COMPANY Policy # 51WECBD4C4F Effective Date 03/01/2024 Expiration Date 03/01/2025

Insurance Company PALOMAR SPECIALTY INSURANCE COMPANY Policy # PSIC0701266901 Effective Date 03/01/2023 Expiration Date 03/01/2024

Insurance Company EMPLOYERS PREFERRED INSURANCE COMPANY Policy # EIG493464000 Effective Date 03/01/2022 Expiration Date 03/01/2023

Insurance Company BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY Policy # ROWC224993 Effective Date 03/01/2021 Expiration Date 03/01/2022

Insurance Company OAK RIVER INSURANCE COMPANY Policy # ROWC122366 Effective Date 03/01/2020 Expiration Date 03/01/2021

Insurance Company OAK RIVER INSURANCE COMPANY Policy # ROWC017924 Effective Date 05/20/2019 Expiration Date 05/20/2020

Insurance Company OAK RIVER INSURANCE COMPANY Policy # ROWC915009 Effective Date 05/20/2018 Expiration Date 05/20/2019

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # RWCC65184382 Effective Date 05/01/2018 Cancellation Date 05/19/2018

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # RWCC64383760 Effective Date 05/08/2017 Cancellation Date 05/01/2018

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # RWCC48818134 Effective Date 07/01/2016 Expiration Date 07/01/2017