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Workers' Compensation History

Contractor License #	809125
Contractor Name	MERCURY CONCRETE

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9097802 Effective Date 05/01/2014 Expiration Date 05/01/2025

Insurance Company EXEMPT Policy # Effective Date 07/24/2012 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 713-0013712 Effective Date 05/01/2005 Cancellation Date 07/13/2012

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1788446 Effective Date 05/06/2004 Cancellation Date 05/01/2005

Insurance Company EXEMPT Policy # Effective Date 05/06/2002 Expiration Date 05/06/2004