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Workers' Compensation History

Contractor License #	894230
Contractor Name	SIERRA SUSTAINABLE BUILDERS INC

Workers' Compensation History

Insurance Company TRANSVERSE INSURANCE COMPANY Policy # FORWC0000005130 Effective Date 07/15/2023 Expiration Date 07/15/2024

Insurance Company INSURANCE COMPANY OF THE WEST Policy # WSA507211800 Effective Date 07/01/2023 Cancellation Date 07/15/2023

Insurance Company SERVICE AMERICAN INDEMNITY COMPANY Policy # SAMTWC10010900 Effective Date 07/01/2022 Expiration Date 07/01/2023

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA00966403 Effective Date 07/01/2021 Expiration Date 07/01/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA00966402 Effective Date 07/01/2020 Expiration Date 07/01/2021

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA00966401 Effective Date 07/01/2018 Expiration Date 07/01/2020

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5010503 Effective Date 07/01/2017 Expiration Date 07/01/2018

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1972540 Effective Date 07/01/2017 Cancellation Date 07/01/2017

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 1972540 Effective Date 08/10/2011 Expiration Date 07/01/2017

Insurance Company WILLIAMSBURG NATIONAL INSURANCE COMPANY Policy # WC0493479 Effective Date 07/01/2009 Expiration Date 07/01/2011