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Workers' Compensation History

Contractor License #	888834
Contractor Name	MADISON TILE INC

Workers' Compensation History

Insurance Company OHIO SECURITY INSURANCE COMPANY Policy # XWS61330723 Effective Date 07/01/2021 Expiration Date 07/01/2024

Insurance Company TRUMBULL INSURANCE COMPANY Policy # 53WECAD5BB2 Effective Date 07/01/2019 Expiration Date 07/01/2021

Insurance Company MARKEL INSURANCE COMPANY Policy # MWC011360302 Effective Date 07/01/2018 Expiration Date 07/01/2019

Insurance Company MARKEL INSURANCE COMPANY Policy # MWC0113603 Effective Date 07/01/2017 Expiration Date 07/01/2018

Insurance Company OUT OF STATE Policy # WCV1009720 Effective Date 07/01/2014 Expiration Date 07/01/2017

Insurance Company OUT OF STATE Policy # MCV1009720 Effective Date 07/01/2013 Expiration Date 07/01/2014

Insurance Company ASSURANCE COMPANY OF AMERICA Policy # 005278751 Effective Date 07/17/2012 Expiration Date 07/17/2013

Insurance Company HARTFORD INSURANCE COMPANY OF THE MIDWEST Policy # 53WECLN1709 Effective Date 07/17/2011 Expiration Date 07/17/2012

Insurance Company HARTFORD INSURANCE COMPANY OF THE MIDWEST Policy # 53WECLN1709 Effective Date 07/17/2010 Expiration Date 07/17/2011

Insurance Company SEQUOIA INSURANCE COMPANY Policy # SWP2011945 Effective Date 07/17/2008 Expiration Date 07/17/2009