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Workers' Compensation History

Contractor License #	739980
Contractor Name	JNSJ ROOFING INCORPORATED

Workers' Compensation History

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # MBSSIP0005210 Effective Date 12/30/2007 Cancellation Date 04/07/2010

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # MBS-SIP-00052-09 Effective Date 02/29/2008 Expiration Date 02/28/2010

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # MBSIP0005207 Effective Date 12/30/2007 Expiration Date 02/28/2008

Insurance Company USING LEASING COMPANY EMPLOYEES Policy # Effective Date 02/23/2004 Expiration Date 10/31/2007

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1719519 Effective Date 12/14/2002 Cancellation Date 02/03/2004

Insurance Company AMERICAN PROTECTION INSURANCE COMPANY Policy # 5BR085107-00 Effective Date 07/31/2002 Expiration Date 07/31/2003

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # WCH750000 Effective Date 01/01/2002 Expiration Date 01/01/2003

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # WC249189627 Effective Date 09/01/2001 Expiration Date 09/01/2002

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # WC247859437 Effective Date 09/01/2000 Expiration Date 09/01/2001

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # NWA011776806 Effective Date 05/03/2000 Expiration Date 12/31/2000