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Workers' Compensation History

Contractor License # 715731
Contractor Name PACIFIC PAVINGSTONE INC


Workers' Compensation History

Insurance Company MIDDLESEX INSURANCE COMPANY
Policy # A0137560004
Effective Date 11/15/2019
Expiration Date 11/15/2020
Insurance Company TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
Policy # UB2L886949
Effective Date 11/15/2018
Expiration Date 11/15/2019
Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE
Policy # WC0123061
Effective Date 04/01/2016
Cancellation Date 11/15/2018
Insurance Company AN EMPLOYEE SERVICE GROUP HOLDS THE INSURANCE
Policy # WC0123061
Effective Date 11/26/2015
Expiration Date 04/01/2016
Insurance Company STARSTONE NATIONAL INSURANCE COMPANY
Policy # T10140111
Effective Date 12/01/2014
Expiration Date 12/01/2015
Insurance Company OLD REPUBLIC GENERAL INSURANCE CORPORATION
Policy # A1CW01891302
Effective Date 12/01/2012
Expiration Date 12/01/2014
Insurance Company OLD REPUBLIC GENERAL INSURANCE CORPORATION
Policy # A1CW01891100
Effective Date 12/01/2011
Expiration Date 12/01/2012
Insurance Company OLD REPUBLIC GENERAL INSURANCE CORPORATION
Policy # A1CW01891100
Effective Date 12/01/2011
Expiration Date 12/01/2012
Insurance Company SPARTA INSURANCE COMPANY
Policy # 040WK00001
Effective Date 12/01/2010
Expiration Date 12/01/2011
Insurance Company ZURICH AMERICAN INSURANCE COMPANY
Policy # 509896601
Effective Date 12/01/2009
Expiration Date 12/01/2010