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PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 401k Plan overview

Plan NamePACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN
Plan identification number 002

PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PACIFIC EXCAVATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:PACIFIC EXCAVATION, INC.
Employer identification number (EIN):931267825
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Additional information about PACIFIC EXCAVATION, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 1999-03-19
Company Identification Number: 68131383
Legal Registered Office Address: 180 EAST 11TH AVE

EUGENE
United States of America (USA)
97401

More information about PACIFIC EXCAVATION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022024-01-01SEAN CARY
0022023-01-01SEAN CARY2024-10-13
0022022-01-01
0022022-01-01SEAN CARY
0022021-01-01
0022021-01-01
0022021-01-01
0022021-01-01SEAN CARY
0022020-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01JOHN ANSAY
0022016-01-01JOHN ANSAY2017-07-28
0022015-01-01JOHN ANSAY2016-10-11
0022014-01-01MICHAEL CARLSEN2015-08-11
0022013-01-01MICHAEL CARLSEN2014-10-08
0022012-01-01MICHAEL CARLSEN2013-05-30
0022011-01-01MICHAEL CARLSEN2012-09-04
0022010-01-01MICHAEL CARLSEN2011-10-03
0022009-01-01MICHAEL CARLSEN

Financial Data on PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN

Measure Date Value
2023 : PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$920,386
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$649,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$639,808
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$471,105
Value of total assets at end of year2023-12-31$2,695,986
Value of total assets at beginning of year2023-12-31$2,424,696
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$9,288
Total interest from all sources2023-12-31$18,868
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$125,909
Participant contributions at end of year2023-12-31$239,873
Participant contributions at beginning of year2023-12-31$304,391
Participant contributions at beginning of year2023-12-31$2,838
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$8,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$271,290
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,695,986
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$2,424,696
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in pooled separate accounts at beginning of year2023-12-31$43,509
Interest on participant loans2023-12-31$18,868
Value of interest in common/collective trusts at end of year2023-12-31$2,456,113
Value of interest in common/collective trusts at beginning of year2023-12-31$1,971,154
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$56,931
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$430,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$336,960
Employer contributions (assets) at beginning of year2023-12-31$45,873
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$639,808
Contract administrator fees2023-12-31$9,288
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Disclaimer
Accountancy firm name2023-12-31JONES & ROTH, PC
Accountancy firm EIN2023-12-31930819646
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$920,386
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$649,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$639,808
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$471,105
Value of total assets at end of year2023-01-01$2,695,986
Value of total assets at beginning of year2023-01-01$2,424,696
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$9,288
Total interest from all sources2023-01-01$18,868
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$125,909
Participant contributions at end of year2023-01-01$239,873
Participant contributions at beginning of year2023-01-01$304,391
Participant contributions at beginning of year2023-01-01$2,838
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$8,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$271,290
Value of net assets at end of year (total assets less liabilities)2023-01-01$2,695,986
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$2,424,696
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in pooled separate accounts at beginning of year2023-01-01$43,509
Interest on participant loans2023-01-01$18,868
Value of interest in common/collective trusts at end of year2023-01-01$2,456,113
Value of interest in common/collective trusts at beginning of year2023-01-01$1,971,154
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$56,931
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$430,413
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$336,960
Employer contributions (assets) at beginning of year2023-01-01$45,873
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$639,808
Contract administrator fees2023-01-01$9,288
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-013
Accountancy firm name2023-01-01JONES & ROTH, PC
Accountancy firm EIN2023-01-01930819646
2022 : PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2022 401k financial data
Total transfer of assets from this plan2022-12-31$173,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$418
Total income from all sources (including contributions)2022-12-31$25,796
Total of all expenses incurred2022-12-31$128,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$94,621
Expenses. Certain deemed distributions of participant loans2022-12-31$22,837
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$429,422
Value of total assets at end of year2022-12-31$2,424,696
Value of total assets at beginning of year2022-12-31$2,701,959
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$11,383
Total interest from all sources2022-12-31$14,412
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$96,217
Participant contributions at end of year2022-12-31$304,391
Participant contributions at beginning of year2022-12-31$182,404
Participant contributions at end of year2022-12-31$2,838
Participant contributions at beginning of year2022-12-31$779
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$1,456
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$418
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-103,045
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,424,696
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,701,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$56,931
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$62,255
Value of interest in pooled separate accounts at end of year2022-12-31$43,509
Value of interest in pooled separate accounts at beginning of year2022-12-31$50,721
Interest on participant loans2022-12-31$14,343
Interest earned on other investments2022-12-31$69
Value of interest in common/collective trusts at end of year2022-12-31$1,971,154
Value of interest in common/collective trusts at beginning of year2022-12-31$2,361,545
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-418,038
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$331,749
Employer contributions (assets) at end of year2022-12-31$45,873
Employer contributions (assets) at beginning of year2022-12-31$44,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$94,621
Contract administrator fees2022-12-31$11,383
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31JONES & ROTH, P.C.
Accountancy firm EIN2022-12-31930819646
Total transfer of assets from this plan2022-01-01$173,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$418
Total income from all sources (including contributions)2022-01-01$25,796
Total of all expenses incurred2022-01-01$128,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$94,621
Expenses. Certain deemed distributions of participant loans2022-01-01$22,837
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$429,422
Value of total assets at end of year2022-01-01$2,424,696
Value of total assets at beginning of year2022-01-01$2,701,959
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$11,383
Total interest from all sources2022-01-01$14,412
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$96,217
Participant contributions at end of year2022-01-01$304,391
Participant contributions at beginning of year2022-01-01$182,404
Participant contributions at end of year2022-01-01$2,838
Participant contributions at beginning of year2022-01-01$779
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$1,456
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$418
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-103,045
Value of net assets at end of year (total assets less liabilities)2022-01-01$2,424,696
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$2,701,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$56,931
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$62,255
Value of interest in pooled separate accounts at end of year2022-01-01$43,509
Value of interest in pooled separate accounts at beginning of year2022-01-01$50,721
Interest on participant loans2022-01-01$14,343
Interest earned on other investments2022-01-01$69
Value of interest in common/collective trusts at end of year2022-01-01$1,971,154
Value of interest in common/collective trusts at beginning of year2022-01-01$2,361,545
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-418,038
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01Yes
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$331,749
Employer contributions (assets) at end of year2022-01-01$45,873
Employer contributions (assets) at beginning of year2022-01-01$44,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$94,621
Contract administrator fees2022-01-01$11,383
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-013
Accountancy firm name2022-01-01JONES & ROTH, P.C.
Accountancy firm EIN2022-01-01930819646
2021 : PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets from this plan2021-12-31$37,431
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$418
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$803,935
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$142,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$131,995
Expenses. Certain deemed distributions of participant loans2021-12-31$7,377
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$479,027
Value of total assets at end of year2021-12-31$2,701,959
Value of total assets at beginning of year2021-12-31$2,077,037
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$10,005
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$874
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$103,220
Participant contributions at end of year2021-12-31$182,404
Participant contributions at beginning of year2021-12-31$177,402
Participant contributions at end of year2021-12-31$779
Participant contributions at beginning of year2021-12-31$3,068
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$418
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$661,935
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,701,541
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,077,037
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$10,005
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$62,255
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$57,898
Value of interest in pooled separate accounts at end of year2021-12-31$50,721
Value of interest in pooled separate accounts at beginning of year2021-12-31$42,265
Interest on participant loans2021-12-31$13,221
Value of interest in common/collective trusts at end of year2021-12-31$2,361,545
Value of interest in common/collective trusts at beginning of year2021-12-31$1,740,247
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$324,908
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$375,807
Employer contributions (assets) at end of year2021-12-31$44,255
Employer contributions (assets) at beginning of year2021-12-31$56,157
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$131,995
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31JONES & ROTH, P.C.
Accountancy firm EIN2021-12-31930819646
2020 : PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$721,937
Total of all expenses incurred2020-12-31$184,625
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$174,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$476,015
Value of total assets at end of year2020-12-31$2,077,037
Value of total assets at beginning of year2020-12-31$1,539,725
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$10,004
Total interest from all sources2020-12-31$11,866
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$300,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$89,267
Participant contributions at end of year2020-12-31$177,402
Participant contributions at beginning of year2020-12-31$243,143
Participant contributions at end of year2020-12-31$3,068
Participant contributions at beginning of year2020-12-31$1,594
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$537,312
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,077,037
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,539,725
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$57,898
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$46,582
Value of interest in pooled separate accounts at end of year2020-12-31$42,265
Value of interest in pooled separate accounts at beginning of year2020-12-31$35,264
Income. Interest from loans (other than to participants)2020-12-31$11,866
Value of interest in common/collective trusts at end of year2020-12-31$1,740,247
Value of interest in common/collective trusts at beginning of year2020-12-31$1,208,565
Net investment gain or loss from common/collective trusts2020-12-31$234,056
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$386,748
Employer contributions (assets) at end of year2020-12-31$56,157
Employer contributions (assets) at beginning of year2020-12-31$4,577
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$174,621
Contract administrator fees2020-12-31$10,004
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Accountancy firm name2020-12-31JONES AND ROTH
Accountancy firm EIN2020-12-31930819646
2019 : PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2019 401k financial data
Total transfer of assets from this plan2019-12-31$2,068,250
Total transfer of assets from this plan2019-12-31$2,068,250
Total income from all sources (including contributions)2019-12-31$621,404
Total income from all sources (including contributions)2019-12-31$621,404
Total of all expenses incurred2019-12-31$276,366
Total of all expenses incurred2019-12-31$276,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$266,822
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$266,822
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$353,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$353,642
Value of total assets at end of year2019-12-31$1,539,725
Value of total assets at end of year2019-12-31$1,539,725
Value of total assets at beginning of year2019-12-31$3,262,937
Value of total assets at beginning of year2019-12-31$3,262,937
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$9,544
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$9,544
Total interest from all sources2019-12-31$11,275
Total interest from all sources2019-12-31$11,275
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$350,000
Value of fidelity bond cover2019-12-31$350,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$87,164
Contributions received from participants2019-12-31$87,164
Participant contributions at end of year2019-12-31$243,143
Participant contributions at end of year2019-12-31$243,143
Participant contributions at beginning of year2019-12-31$322,114
Participant contributions at beginning of year2019-12-31$322,114
Participant contributions at end of year2019-12-31$1,594
Participant contributions at end of year2019-12-31$1,594
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$8,147
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$8,147
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$345,038
Value of net income/loss2019-12-31$345,038
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,539,725
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,539,725
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,262,937
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,262,937
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$46,582
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$46,582
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$35,264
Value of interest in pooled separate accounts at end of year2019-12-31$35,264
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,161,288
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,161,288
Interest on participant loans2019-12-31$11,275
Interest on participant loans2019-12-31$11,275
Value of interest in common/collective trusts at end of year2019-12-31$1,208,565
Value of interest in common/collective trusts at end of year2019-12-31$1,208,565
Value of interest in common/collective trusts at beginning of year2019-12-31$1,779,535
Value of interest in common/collective trusts at beginning of year2019-12-31$1,779,535
Net investment gain or loss from common/collective trusts2019-12-31$256,487
Net investment gain or loss from common/collective trusts2019-12-31$256,487
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$258,331
Contributions received in cash from employer2019-12-31$258,331
Employer contributions (assets) at end of year2019-12-31$4,577
Employer contributions (assets) at end of year2019-12-31$4,577
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$266,822
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$266,822
Contract administrator fees2019-12-31$9,544
Contract administrator fees2019-12-31$9,544
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ZIRKLE, LONG & ASSOCIATES, LLC
Accountancy firm name2019-12-31ZIRKLE, LONG & ASSOCIATES, LLC
Accountancy firm EIN2019-12-31474164440
Accountancy firm EIN2019-12-31474164440
2018 : PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$254,615
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$318,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$300,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$469,478
Value of total assets at end of year2018-12-31$3,262,937
Value of total assets at beginning of year2018-12-31$3,326,493
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$17,207
Total interest from all sources2018-12-31$18,660
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$350,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$193,713
Participant contributions at end of year2018-12-31$322,114
Participant contributions at beginning of year2018-12-31$373,616
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$866
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-63,556
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,262,937
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,326,493
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$1,161,288
Value of interest in pooled separate accounts at beginning of year2018-12-31$1,098,652
Interest on participant loans2018-12-31$18,660
Value of interest in common/collective trusts at end of year2018-12-31$1,779,535
Value of interest in common/collective trusts at beginning of year2018-12-31$1,854,225
Net investment gain/loss from pooled separate accounts2018-12-31$-75,690
Net investment gain or loss from common/collective trusts2018-12-31$-157,833
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$274,899
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$300,964
Contract administrator fees2018-12-31$17,207
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ZIRKLE, LONG & ASSOCIATES, LLC.
Accountancy firm EIN2018-12-31474164440
2017 : PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$931,162
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$140,330
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$125,565
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$487,973
Value of total assets at end of year2017-12-31$3,326,493
Value of total assets at beginning of year2017-12-31$2,535,661
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$14,765
Total interest from all sources2017-12-31$15,942
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$300,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$196,196
Participant contributions at end of year2017-12-31$373,616
Participant contributions at beginning of year2017-12-31$287,565
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$7,602
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$790,832
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,326,493
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,535,661
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$1,098,652
Value of interest in pooled separate accounts at beginning of year2017-12-31$889,989
Interest on participant loans2017-12-31$15,942
Value of interest in common/collective trusts at end of year2017-12-31$1,854,225
Value of interest in common/collective trusts at beginning of year2017-12-31$1,358,107
Net investment gain/loss from pooled separate accounts2017-12-31$163,427
Net investment gain or loss from common/collective trusts2017-12-31$263,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$284,175
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$125,565
Contract administrator fees2017-12-31$14,765
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ZIRKLE, LONG & QUIMBY, LLC.
Accountancy firm EIN2017-12-31474164440
2009 : PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN

2023: PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2009: PACIFIC EXCAVATION, INC. DAVIS BACON 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710422
Policy instance 1
Insurance contract or identification number710422
Number of Individuals Covered163
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,107
Total amount of fees paid to insurance companyUSD $221
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710422
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710422
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710422
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710422
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710422
Policy instance 1
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number710422
Policy instance 1

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