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Workers' Compensation History

Contractor License #	829462
Contractor Name	LAKESIDE PAVING AND SEALING INC

Workers' Compensation History

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600020584231 Effective Date 06/01/2023 Expiration Date 06/01/2024

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600020584221 Effective Date 06/01/2022 Expiration Date 06/01/2023

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600020584211 Effective Date 06/01/2021 Expiration Date 06/01/2022

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 76000020584201 Effective Date 06/01/2020 Expiration Date 06/01/2021

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600014950191 Effective Date 06/01/2019 Expiration Date 06/01/2020

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600014950181 Effective Date 06/01/2018 Expiration Date 06/01/2019

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600014950 Effective Date 06/01/2015 Expiration Date 06/01/2018

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9100614 Effective Date 06/01/2014 Expiration Date 06/01/2015

Insurance Company MARKEL INSURANCE COMPANY Policy # MWC003392802 Effective Date 06/01/2012 Expiration Date 06/01/2014

Insurance Company GRANITE STATE INSURANCE COMPANY Policy # 001644712 Effective Date 06/01/2011 Expiration Date 06/01/2012