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Workers' Compensation History

Contractor License #	991162
Contractor Name	BALFOUR BEATTY / GALLAGHER & BURK JV

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 05/04/2018 Expiration Date

Insurance Company XL INSURANCE AMERICA INC Policy # CWD7409465 Effective Date 04/01/2017 Expiration Date 04/01/2019

Insurance Company XL INSURANCE AMERICA INC Policy # CWG74094760 Effective Date 04/01/2017 Expiration Date 04/01/2018

Insurance Company XL INSURANCE AMERICA INC Policy # CWD7409465 Effective Date 04/01/2016 Expiration Date 04/01/2018

Insurance Company XL INSURANCE AMERICA INC Policy # CWG7409476 Effective Date 04/01/2016 Expiration Date 04/01/2017

Insurance Company NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA Policy # WC67712769 Effective Date 04/01/2015 Expiration Date 04/01/2016

Insurance Company EXEMPT Policy # Effective Date 03/07/2014 Expiration Date