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Workers' Compensation History

Contractor License #	792932
Contractor Name	BECERRA PAINT DESIGN

Workers' Compensation History

Insurance Company EXEMPT Policy # Effective Date 03/08/2022 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 04/12/2019 Expiration Date 03/08/2022

Insurance Company EXEMPT Policy # Effective Date 04/03/2017 Expiration Date 04/12/2019

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9123606 Effective Date 01/29/2017 Expiration Date 01/29/2018

Insurance Company STATE COMPENSATION INSURANCE FUND Policy # 9123606 Effective Date 01/29/2015 Cancellation Date 01/29/2017

Insurance Company EXEMPT Policy # Effective Date 03/25/2013 Expiration Date

Insurance Company EXEMPT Policy # Effective Date 02/27/2001 Expiration Date 03/25/2013