Coverage Details

  Selected

Policy Details
Policy #
WC84000329012016A
Effective Date
12/31/2016
Cancel Date
DC Date
Carrier Name
FFVA MUTUAL INS CO
Carrier #
0712

Insured Details
Insured ID
365413000
Name
R & L PAVING INC
Street Address
2396 KY RT 581 ATTN: KRISTY OR ROGER THORNSBU
TUTOR KEY , KY 41263

Location ID Name Industry Address
L791394352 R & L PAVING INC 238110 - Poured Concrete Foundation and Structure Contractors 2396 KY RT 581 ATTN: KRISTY OR ROGER THORNSBU
TUTOR KEY , KY 41263
L790302402 R & L PAVING INC 1611 - HIGHWAY AND STREET CONSTRUCTION 2396 KY RT 581
TUTOR KEY , KY 41263
L791245885 R & L PAVING INC 238110 - Poured Concrete Foundation and Structure Contractors 2374 KY RT 581 ATTN: KRISTY OR ROGER THORNSBU
TUTOR KEY , KY 41263
L790302403 R & L PAVING INC 1611 - HIGHWAY AND STREET CONSTRUCTION 2396 KY RT 581
TUTOR KEY , KY 41263
L365413000 R & L PAVING INC 1611 - HIGHWAY AND STREET CONSTRUCTION 2396 KY ROUTE 581
TUTOR KEY , KY 41263
Process Date Triplicate Code Description Policy # Effective Date Audit # Line #
12/31/2024 00-20-01 Renewal 441247 12/31/2024 20241202-U0 661
12/31/2024 00-32-84 Change Insured Demographics 441247 12/31/2024 20241231-U0 307
12/31/2023 05-32-85 Change Location Demographics (New Data) 441247 12/31/2023 20250228-U0 478
12/31/2023 00-32-84 Change Insured Demographics 441247 12/31/2023 20240224-U0 379
12/31/2023 04-32-85 Change Location Demographics (Old Data) 441247 12/31/2023 20250228-U0 476
12/31/2023 00-33-56 Delete Employer Location 441247 12/31/2023 20240224-U0 380
12/31/2023 00-20-01 Renewal 441247 12/31/2023 20231202-U0 72
12/31/2023 00-32-84 Change Insured Demographics 441247 12/31/2023 20240101-U0 748
12/31/2022 05-32-85 Change Location Demographics (New Data) 441247 12/31/2022 20240321-U0 520
12/31/2022 00-33-56 Delete Employer Location 441247 12/31/2022 20240224-U0 377
12/31/2022 00-10-01 New Policy 441247 12/31/2022 20230104-U0 2020
12/31/2022 00-32-84 Change Insured Demographics 441247 12/31/2022 20240224-U0 376
12/31/2022 04-32-85 Change Location Demographics (Old Data) 441247 12/31/2022 20240321-U0 518
12/31/2021 00-20-01 Renewal WC84000329012021A 12/31/2021 20211019-N0 738
12/31/2020 00-20-01 Renewal WC84000329012020A 12/31/2020 20201019-N0 1212
12/31/2019 00-20-01 Renewal WC84000329012019A 12/31/2019 20191021-N0 1443
12/31/2018 00-20-01 Renewal WC84000329012018A 12/31/2018 20181212-N0 757
12/31/2017 00-20-01 Renewal WC84000329012017A 12/31/2017 20171027-N0 640
12/31/2016 00-20-01 Renewal 383862 12/31/2016 20170101-U0 196
12/31/2016 00-42-60 Cancellation by Insured / Coverage Elsewhere 383862 12/31/2016 20170104-U0 3188
12/31/2016 00-10-01 New Policy WC84000329012016A 12/31/2016 20161227-N0 106
12/31/2016 00-70-01 Reinstatement 383862 12/31/2016 20170111-U0 1065
12/31/2016 00-41-64 Cancellation by Carrier / Underwriting Reason 383862 12/31/2016 20170112-U0 470
12/31/2015 05-32-85 Change Location Demographics (New Data) 383862 12/31/2015 20160709-U0 439
12/31/2015 00-20-01 Renewal 383862 12/31/2015 20151230-U0 497
12/31/2015 00-32-84 Change Insured Demographics 383862 12/31/2015 20160709-U0 436
12/31/2015 04-32-85 Change Location Demographics (Old Data) 383862 12/31/2015 20160709-U0 437
12/31/2015 00-60-01 Non-Renewal by Insured / Reason Unknown 383862 12/31/2015 20170104-U0 3187
12/31/2014 00-20-01 Renewal 383862 12/31/2014 20141231-U0 345
12/31/2014 00-32-84 Change Insured Demographics 383862 12/31/2014 20150611-U0 315
12/31/2014 00-32-84 Change Insured Demographics 383862 12/31/2014 20150202-U0 726
12/31/2014 00-32-84 Change Insured Demographics 383862 12/31/2014 20151102-U0 631
12/31/2014 00-32-84 Change Insured Demographics 383862 12/31/2014 20150622-U0 525
12/31/2014 00-32-84 Change Insured Demographics 383862 12/31/2014 20151027-U0 226
12/31/2014 04-32-85 Change Location Demographics (Old Data) 383862 12/31/2014 20161206-U0 3
12/31/2014 05-32-85 Change Location Demographics (New Data) 383862 12/31/2014 20161206-U0 5
12/31/2013 00-20-01 Renewal 383862 12/31/2013 20131230-U0 1023
12/31/2013 00-32-84 Change Insured Demographics 383862 12/31/2013 20140925-U0 356
12/31/2012 05-32-85 Change Location Demographics (New Data) 383862 12/31/2012 20250131-U0 2158
12/31/2012 00-20-01 Renewal 383862 12/31/2012 20121228-U0 828
12/31/2012 00-32-84 Change Insured Demographics 383862 12/31/2012 20131108-U0 964
12/31/2012 00-32-84 Change Insured Demographics 383862 12/31/2012 20250131-U0 2155
12/31/2012 04-32-85 Change Location Demographics (Old Data) 383862 12/31/2012 20250131-U0 2156
1/1/2012 00-20-01 Renewal 19602 1/1/2012 20120117-A3 302
12/31/2011 00-10-01 New Policy 383862 12/31/2011 20111221-U0 302
12/31/2011 00-32-84 Change Insured Demographics 383862 12/31/2011 20121002-U0 256
12/31/2011 00-32-84 Change Insured Demographics 383862 12/31/2011 20250131-U0 245
12/31/2011 00-31-54 Add New Employer 383862 12/31/2011 20250131-U0 246
1/1/2011 00-20-01 Renewal 19602 1/1/2011 20110104-A2 1232
1/1/2011 00-42-60 Cancellation by Insured / Coverage Elsewhere 19602 1/1/2011 20120201-A0 6
4/14/2010 00-20-01 Renewal 19609059 4/14/2010 20100203-N0 1351
4/14/2010 00-10-01 New Policy 19602 4/14/2010 20100416-A0 22
4/14/2010 00-42-61 Cancellation by Insured / Duplicate Coverage 19609059 4/14/2010 20100421-N0 316
4/14/2009 00-20-01 Renewal 19609059 4/14/2009 20090204-N0 1995
4/14/2009 00-60-60 Non-Renewal by Insured / Coverage Elsewhere 19609059 4/14/2009 20100421-N0 40
00-20-01 Renewal WC2930596 4/14/2008 20080404-N0
00-10-01 New Policy 19609059 4/14/2008 20080425-N0
00-42-01 Cancellation by Insured / Reason Unknown WC2930596 4/14/2008 20080425-N0
00-60-60 Non-Renewal by Insured / Coverage Elsewhere WC6846955 4/14/2007 20080215-N0
00-10-01 New Policy WC6846955 4/14/2007 20070426-N0
4/14/2006 00-20-01 Renewal 336489 4/14/2006 20070201-K1 4371
4/14/2006 00-32-84 Change Insured Demographics 336489 4/14/2006 20070301-K1 353
00-41-64 Cancellation by Carrier / Underwriting Reason 336489 4/14/2005 20070416-K0
00-10-01 New Policy 336489 4/14/2005 20050420-K0
00-41-64 Cancellation by Carrier / Underwriting Reason 001000005103104 4/14/2004 20050211-U0