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Workers' Compensation History

Contractor License #	783341
Contractor Name	HALSELL BUILDERS

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9354354 Effective Date 02/16/2024 Expiration Date 10/09/2024

Insurance Company INDEMNITY INSURANCE COMPANY OF NORTH AMERICA Policy # C56033099 Effective Date 10/01/2023 Expiration Date 10/01/2024

Insurance Company INDEMNITY INSURANCE COMPANY OF NORTH AMERICA Policy # C5171314A Effective Date 10/01/2022 Expiration Date 10/01/2023

Insurance Company INDEMNITY INSURANCE COMPANY OF NORTH AMERICA Policy # C7022883A Effective Date 03/01/2022 Expiration Date 10/01/2022

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9273729 Effective Date 03/31/2020 Expiration Date 03/31/2022

Insurance Company INSURANCE COMPANY OF THE WEST Policy # WPL5047464 Effective Date 03/31/2019 Expiration Date 03/31/2020

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9129050 Effective Date 03/31/2015 Expiration Date 03/31/2019

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600011127 Effective Date 03/31/2013 Expiration Date 03/31/2015

Insurance Company AIG PROPERTY CASUALTY COMPANY Policy # WC065256051 Effective Date 03/31/2012 Expiration Date 03/31/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9011401 Effective Date 03/31/2012 Cancellation Date 03/31/2012