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Selected

Policy Details

Policy #

WC10000167952023A

Effective Date

10/1/2023

Cancel Date

DC Date

Carrier Name

CLEARPATH MUTUAL INSURANCE COMPANY

Carrier #

0605

Insured Details

Insured ID

206441000

Name

PAYNTER WHOLESALE TIRE INC

Street Address

101 DAYTONA DR
WINCHESTER , KY 40391

Locations
POC History

Location ID	Name	Industry	Address
L790689702	PAYNTER TIRE & SERVICE CENTER	5531 - AUTO AND HOME SUPPLY STORES	101 DAYTONA DR WINCHESTER , KY 40391
L790485147	PAYNTER WHOLESALE TIRE INC	441320 - Tire Dealers	101 DAYTONA DR WINCHESTER , KY 40391
L206441000	PAYNTER WHOLESALE TIRE & SERVICE CENTER INC	7539 - AUTOMOTIVE REPAIR SHOPS, NEC	101 DAYTONA DRIVE WINCHESTER , KY 40391
L791367125	PAYNTER TIRE & SERVICE CENTER DBA	441320 - Tire Dealers	101 DAYTONA DR WINCHESTER , KY 40391

Process Date	Triplicate Code	Description	Policy #	Effective Date	Audit #	Line #
10/1/2024	00-41-59	Cancellation by Carrier / Non-Payment	WC11125594	10/1/2024	20250425-N0	346
10/1/2024	00-20-01	Renewal	WC11125594	10/1/2024	20240820-N0	1250
10/1/2023	00-20-01	Renewal	WC10000167952023A	10/1/2023	20231003-N0	2317
10/1/2022	00-20-01	Renewal	WC10000167952022A	10/1/2022	20220916-N0	1433
10/1/2021	00-20-01	Renewal	WC10000167952021A	10/1/2021	20211005-N0	1449
10/1/2020	00-20-01	Renewal	WC10000167952020A	10/1/2020	20201002-N0	1216
10/1/2019	00-20-01	Renewal	WC10000167952019A	10/1/2019	20191003-N0	1103
10/1/2018	00-20-01	Renewal	WC10000167952018A	10/1/2018	20181015-N0	3121
10/1/2017	00-20-01	Renewal	WC10000167952017A	10/1/2017	20170929-E0	192
10/1/2016	00-41-59	Cancellation by Carrier / Non-Payment	WC10000167952016A	10/1/2016	20170123-E0	22
10/1/2016	00-20-01	Renewal	WC10000167952016A	10/1/2016	20160929-E0	286
10/1/2016	00-70-01	Reinstatement	WC10000167952016A	10/1/2016	20170405-E0	80
10/1/2015	00-20-01	Renewal	WC10000167952015A	10/1/2015	20151028-E0	34
10/1/2014	00-41-59	Cancellation by Carrier / Non-Payment	WC10000167952014A	10/1/2014	20150106-E0	203
10/1/2014	00-41-59	Cancellation by Carrier / Non-Payment	WC10000167952014A	10/1/2014	20150309-E0	238
10/1/2014	00-41-59	Cancellation by Carrier / Non-Payment	WC10000167952014A	10/1/2014	20150608-E0	24
10/1/2014	00-20-01	Renewal	WC10000167952014A	10/1/2014	20141003-E0	143
10/1/2014	00-70-01	Reinstatement	WC10000167952014A	10/1/2014	20150108-E0	22
10/1/2014	00-70-01	Reinstatement	WC10000167952014A	10/1/2014	20150610-E0	6
10/1/2014	00-70-01	Reinstatement	WC10000167952014A	10/1/2014	20150319-E0	10
10/1/2014	00-70-01	Reinstatement	WC10000167952014A	10/1/2014	20151023-E0	70
10/1/2014	00-60-64	Non-Renewal by Carrier / Underwriting Discretion	WC10000167952014A	10/1/2014	20151006-E0	651
10/1/2013	00-41-59	Cancellation by Carrier / Non-Payment	WC84000250342013A	10/1/2013	20131106-N0	619
10/1/2013	00-41-59	Cancellation by Carrier / Non-Payment	WC10000167952013A	10/1/2013	20140107-E0	629
10/1/2013	00-41-59	Cancellation by Carrier / Non-Payment	WC10000167952013A	10/1/2013	20140307-E0	200
10/1/2013	00-20-01	Renewal	WC84000250342013A	10/1/2013	20130819-N0	1169
10/1/2013	00-70-01	Reinstatement	WC84000250342013A	10/1/2013	20131220-N0	395
10/1/2013	00-70-01	Reinstatement	WC10000167952013A	10/1/2013	20140310-E0	164
10/1/2013	00-70-01	Reinstatement	WC10000167952013A	10/1/2013	20140114-E0	95
10/1/2013	00-10-01	New Policy	WC10000167952013A	10/1/2013	20130930-E0	385
10/1/2013	00-42-61	Cancellation by Insured / Duplicate Coverage	WC84000250342013A	10/1/2013	20131223-N0	388
10/1/2012	00-41-59	Cancellation by Carrier / Non-Payment	WC84000250342012A	10/1/2012	20130307-N0	287
10/1/2012	00-20-01	Renewal	WC84000250342012A	10/1/2012	20120817-N0	871
10/1/2012	00-70-01	Reinstatement	WC84000250342012A	10/1/2012	20130311-N0	305
10/1/2012	00-60-64	Non-Renewal by Carrier / Underwriting Discretion	WC84000250342012A	10/1/2012	20131223-N0	31
10/1/2011	00-20-01	Renewal	WC84000250342011A	10/1/2011	20110817-N0	547
10/1/2010	00-10-01	New Policy	WC84000250342010A	10/1/2010	20101014-N0	715
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20100210-E0	233
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20100607-E1	91
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20100706-E0	150
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20100406-E0	123
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20100308-E0	222
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20100806-E0	55
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20091207-E0	527
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20100506-E0	137
10/1/2009	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562009A	10/1/2009	20100106-E0	314
10/1/2009	00-20-01	Renewal	WC10000104562009A	10/1/2009	20091006-E0	423
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20091215-E0	71
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20100810-E1	46
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20100224-E1	53
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20100521-E0	33
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20100622-E0	47
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20100108-E0	61
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20100721-E0	12
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20100421-E0	61
10/1/2009	00-70-01	Reinstatement	WC10000104562009A	10/1/2009	20100323-E0	54
10/1/2009	00-60-64	Non-Renewal by Carrier / Underwriting Discretion	WC10000104562009A	10/1/2009	20100917-E0	144
10/1/2008	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562008A	10/1/2008	20081208-E0	243
10/1/2008	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562008A	10/1/2008	20090206-E1	157
10/1/2008	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562008A	10/1/2008	20090120-E1	27
10/1/2008	00-20-01	Renewal	WC10000104562008A	10/1/2008	20081008-E0	60
10/1/2008	00-70-01	Reinstatement	WC10000104562008A	10/1/2008	20081210-E0	46
10/1/2008	00-70-01	Reinstatement	WC10000104562008A	10/1/2008	20090212-E1	52
10/1/2008	00-70-01	Reinstatement	WC10000104562008A	10/1/2008	20090130-E0	68
10/1/2008	00-60-64	Non-Renewal by Carrier / Underwriting Discretion	WC10000104562008A	10/1/2008	20090917-E0	173
10/1/2008	00-70-01	Reinstatement	WC10000104562008A	10/1/2008	20091002-E0	9
	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562007A	10/1/2007	20080708-E0
	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562007A	10/1/2007	20080107-E0
	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562007A	10/1/2007	20080409-E0
	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562007A	10/1/2007	20080609-E1
	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562007A	10/1/2007	20071206-E0
	00-20-01	Renewal	WC10000104562007A	10/1/2007	20071106-E0
	00-70-01	Reinstatement	WC10000104562007A	10/1/2007	20080417-E1
	00-70-01	Reinstatement	WC10000104562007A	10/1/2007	20080123-E1
10/1/2007	00-70-01	Reinstatement	WC10000104562007A	10/1/2007	20081002-E0	3
	00-70-01	Reinstatement	WC10000104562007A	10/1/2007	20071217-E0
	00-70-01	Reinstatement	WC10000104562007A	10/1/2007	20080613-E0
	00-70-01	Reinstatement	WC10000104562007A	10/1/2007	20080717-E0
	00-70-01	Reinstatement	WC10000104562007A	10/1/2007	20080220-E0
10/1/2007	00-60-64	Non-Renewal by Carrier / Underwriting Discretion	WC10000104562007A	10/1/2007	20080918-E1	160
	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562007A	10/1/2007	20080208-E0
	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562006A	10/1/2006	20070808-E1
	00-41-59	Cancellation by Carrier / Non-Payment	19401419	10/1/2006	20061108-N0
	00-41-59	Cancellation by Carrier / Non-Payment	WC10000104562006A	10/1/2006	20070306-E0
	00-20-01	Renewal	19401419	10/1/2006	20060805-N0
	00-70-01	Reinstatement	19401419	10/1/2006	20070125-N0
	00-70-01	Reinstatement	WC10000104562006A	10/1/2006	20071004-E0
	00-70-01	Reinstatement	WC10000104562006A	10/1/2006	20070813-E0
	00-70-01	Reinstatement	WC10000104562006A	10/1/2006	20070312-E1
	00-10-01	New Policy	WC10000104562006	10/1/2006	20061002-E0
	00-60-64	Non-Renewal by Carrier / Underwriting Discretion	WC10000104562006A	10/1/2006	20070917-E1
	00-42-61	Cancellation by Insured / Duplicate Coverage	19401419	10/1/2006	20070203-N0
	00-60-64	Non-Renewal by Carrier / Underwriting Discretion	19401419	10/1/2005	20070125-N0
	00-10-01	New Policy	19401419	10/1/2004	20041012-C0
	00-42-60	Cancellation by Insured / Coverage Elsewhere	12791	10/1/2001	20040928-C0

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Coverage Details

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