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Workers' Compensation History

Contractor License #	818749
Contractor Name	HOLLYWOOD REFINISHING INC

Workers' Compensation History

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9337061 Effective Date 04/17/2023 Expiration Date 04/17/2025

Insurance Company EXEMPT Policy # Effective Date 06/15/2022 Expiration Date

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9226484 Effective Date 02/21/2018 Cancellation Date 05/27/2022

Insurance Company EXEMPT Policy # Effective Date 04/03/2017 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 05/05/2015 Expiration Date 04/03/2017

Insurance Company EXEMPT Policy # Effective Date 05/20/2013 Expiration Date 05/05/2015

Insurance Company EXEMPT Policy # Effective Date 05/01/2011 Expiration Date 05/20/2013

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1919958 Effective Date 06/10/2009 Cancellation Date 04/01/2011

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1806736 Effective Date 11/19/2004 Cancellation Date 01/06/2009

Insurance Company EXEMPT Policy # Effective Date 09/16/2002 Expiration Date