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Workers' Compensation History

Contractor License #	927006
Contractor Name	KOCH ELEVATOR COMPANY

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 12/30/2020 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 02/04/2019 Expiration Date 12/30/2020

Insurance Company EXEMPT Policy # Effective Date 12/22/2016 Expiration Date 02/04/2019

Insurance Company EXEMPT Policy # Effective Date 12/31/2014 Expiration Date 12/22/2016

Insurance Company EXEMPT Policy # Effective Date 12/10/2008 Expiration Date 12/31/2014