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Workers' Compensation History

Contractor License #	822843
Contractor Name	KELLY BROTHERS PAINTING INC

Workers' Compensation History

Insurance Company NATIONAL CASUALTY COMPANY Policy # WCC336303A Effective Date 04/26/2023 Expiration Date 04/26/2024

Insurance Company TECHNOLOGY INSURANCE COMPANY INC Policy # TWC4104113 Effective Date 04/26/2022 Expiration Date 04/26/2023

Insurance Company STATE FARM FIRE AND CASUALTY COMPANY Policy # 92MWF4076 Effective Date 04/26/2021 Expiration Date 04/26/2022

Insurance Company STATE FARM FIRE AND CASUALTY COMPANY Policy # 92GXA2007 Effective Date 04/26/2020 Expiration Date 04/26/2021

Insurance Company MIDWEST EMPLOYERS CASUALTY COMPANY Policy # BNUWC0147532 Effective Date 04/26/2019 Expiration Date 04/26/2020

Insurance Company MIDWEST EMPLOYERS CASUALTY COMPANY Policy # BNUWC0143711 Effective Date 04/26/2018 Expiration Date 04/26/2019

Insurance Company MIDWEST EMPLOYERS CASUALTY COMPANY Policy # BNUWC0140464 Effective Date 04/26/2017 Expiration Date 04/26/2018

Insurance Company INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA (THE) Policy # WC65437260 Effective Date 04/26/2016 Expiration Date 04/26/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9131734 Effective Date 04/26/2015 Expiration Date 04/26/2016

Insurance Company SECURITY NATIONAL INSURANCE COMPANY Policy # SWC1045232 Effective Date 04/26/2014 Expiration Date 04/26/2015