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Workers' Compensation History

Contractor License #	979138
Contractor Name	MILLS TILE INC

Workers' Compensation History

Insurance Company OHIO SECURITY INSURANCE COMPANY Policy # XWS60758113 Effective Date 06/15/2020 Expiration Date 06/15/2024

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600020392201 Effective Date 04/29/2020 Expiration Date 04/29/2021

Insurance Company EVEREST NATIONAL INSURANCE COMPANY Policy # 7600020392191 Effective Date 04/29/2019 Expiration Date 04/29/2020

Insurance Company EVEREST PREMIER INSURANCE COMPANY Policy # 7600020391191 Effective Date 04/29/2019 Expiration Date 04/29/2020

Insurance Company NORGUARD INSURANCE COMPANY Policy # ADWC015213 Effective Date 04/29/2019 Expiration Date 04/29/2020

Insurance Company NORGUARD INSURANCE COMPANY Policy # ADWC996194 Effective Date 04/29/2018 Expiration Date 04/29/2019

Insurance Company NORGUARD INSURANCE COMPANY Policy # ADWC807745 Effective Date 04/29/2017 Expiration Date 04/29/2018

Insurance Company NORGUARD INSURANCE COMPANY Policy # ADWC725910 Effective Date 04/29/2016 Expiration Date 04/29/2017

Insurance Company NORGUARD INSURANCE COMPANY Policy # ADWC692821 Effective Date 04/29/2015 Expiration Date 04/29/2016

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