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Workers Comp Policy Number: 9398658

Workers Comp Effective Date: 2025-11-14 2026-04-01

Workers Comp Expiration Date: 2027-04-01

Workers Comp Insurance Company: STATE COMPENSATION INSURANCE FUND

Workers Comp Coverage Type: Exempt Workers' Compensation Insurance

Workers Comp Cancellation Date: 2025-09-22 cleared

Primary Status: Work Comp Susp CLEAR

Primary Status: CLEAR Work Comp Susp

Secondary Status: WC Susp Pending

Workers Comp Policy Number: 9379433

Workers Comp Effective Date: 2025-03-17 2025-04-29

Workers Comp Expiration Date: 2026-04-29

Workers Comp Insurance Company: STATE COMPENSATION INSURANCE FUND

Workers Comp Coverage Type: Exempt Workers' Compensation Insurance

Mailing Address: 10650 REAGAN ST 10650 REAGAN STSUITE 923

Expiration Date: 2025-02-28 2027-02-28

Workers Comp Effective Date: 2023-02-27 2025-03-17