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Workers' Compensation History

Contractor License #	876124
Contractor Name	BLACKTOP SEALING AND STRIPING INC

Workers' Compensation History

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C55580017 Effective Date 01/01/2024 Expiration Date 01/01/2025

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C51290902 Effective Date 01/01/2023 Expiration Date 01/01/2024

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C69988520 Effective Date 01/01/2022 Expiration Date 12/31/2022

Insurance Company ACE AMERICAN INSURANCE COMPANY Policy # C68638355 Effective Date 01/01/2021 Expiration Date 01/01/2022

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C66380476 Effective Date 01/01/2020 Expiration Date 01/01/2021

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # C65216103 Effective Date 01/01/2019 Cancellation Date 01/01/2020

Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE Policy # RWCC64915009 Effective Date 01/01/2018 Cancellation Date 01/01/2019

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600014179 Effective Date 01/01/2015 Expiration Date 01/01/2018

Insurance Company CALIFORNIA INSURANCE COMPANY Policy # 4600746102 Effective Date 01/01/2013 Cancellation Date 01/01/2015

Insurance Company CALIFORNIA INSURANCE COMPANY Policy # 460074610208 Effective Date 01/01/2012 Expiration Date 01/01/2013