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Workers' Compensation History

Contractor License #	941262
Contractor Name	NORTHERN SKY BUILDERS

Workers' Compensation History

Insurance Company MIDWEST EMPLOYERS CASUALTY COMPANY Policy # BNUWC0161524 Effective Date 11/17/2023 Expiration Date 11/17/2024

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5024579 Effective Date 11/17/2022 Expiration Date 11/17/2023

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5022700 Effective Date 11/17/2021 Expiration Date 11/17/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01079802 Effective Date 02/02/2021 Expiration Date 02/02/2022

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA01079801 Effective Date 02/02/2020 Expiration Date 02/02/2021

Insurance Company FALLS LAKE FIRE AND CASUALTY COMPANY Policy # FLA010798 Effective Date 02/02/2019 Expiration Date 02/02/2020

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5012186 Effective Date 02/02/2018 Expiration Date 02/02/2019

Insurance Company BENCHMARK INSURANCE COMPANY Policy # CST5009707 Effective Date 02/02/2017 Expiration Date 02/02/2018

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9118194 Effective Date 11/20/2014 Cancellation Date 01/30/2017

Insurance Company EXEMPT Policy # Effective Date 08/12/2014 Expiration Date