CA #1064942 Pending

Office Furniture Install

Grass Valley, CA

Business Information

Address
10051 Holcomb Dr, Grass Valley, CA 95949
Phone
(916) 778 7643
Type
Limited Liability

License Status

Status
Pending
Issued
Apr 3, 2020
Expires
Apr 30, 2026
Classifications
D34 Prefabricated Equipment

Workers Compensation

Coverage
Exempt
Effective
Dec 8, 2025

Contractor's Bond

Bond #
30041218
Amount
$25,000
Effective
Jan 1, 2023
Surety
Hudson Insurance Company

License History

Secretary of State issue

Jan 31, 2026

Secondary Status: SOS Problem

Changed to workers' comp exempt

Dec 23, 2025
Workers Comp Policy Number
N9WC536072
Workers Comp Effective Date
2024-11-22 2025-12-08
Workers Comp Expiration Date
2025-11-22
Workers Comp Insurance Company
NATIONAL LIABILITY AND FIRE INSURANCE COMPANY
Workers Comp Coverage Type
Workers' Compensation Insurance Exempt

Workers' comp suspension pending

Nov 25, 2025

Secondary Status: WC Susp Pending

Workers' comp coverage obtained

Jan 14, 2025

Workers Comp Policy Number: N9WC536072

Workers Comp Effective Date: 2024-12-23 2024-11-22

Workers Comp Expiration Date: 2025-11-22

Workers Comp Insurance Company: NATIONAL LIABILITY AND FIRE INSURANCE COMPANY

Workers Comp Coverage Type: Exempt Workers' Compensation Insurance

Changed to workers' comp exempt

Dec 24, 2024
Workers Comp Policy Number
N9WC536072
Workers Comp Effective Date
2024-11-22 2024-12-23
Workers Comp Expiration Date
2025-11-22
Workers Comp Insurance Company
NATIONAL LIABILITY AND FIRE INSURANCE COMPANY
Workers Comp Coverage Type
Workers' Compensation Insurance Exempt

Workers' comp renewed

Dec 10, 2024
Workers Comp Policy Number
N9WC237297 N9WC536072
Workers Comp Effective Date
2023-11-22 2024-11-22
Workers Comp Expiration Date
2024-11-22 2025-11-22

Workers' comp suspension pending

Nov 26, 2024

Secondary Status: WC Susp Pending

Business address updated

Nov 23, 2024
City
ROSEVILLE GRASS VALLEY
County
Placer Nevada
Mailing Address
7311 GALILEE RD 155 10051 HOLCOMB DR
ZIP Code
95678 95949

Suspended — Liability Insurance

Oct 29, 2024

Primary Status: CLEAR Liab Ins Susp

License renewed

Apr 25, 2024

Expiration Date: 2024-04-30 2026-04-30

Workers Comp Policy Number: CP140180106P2022 N9WC237297

Workers Comp Effective Date: 2022-12-28 2023-11-22

Workers Comp Expiration Date: 2024-03-18 2024-11-22

Workers Comp Insurance Company: BERKSHIRE HATHAWAY DIRECT INSURANCE COMPANY NATIONAL LIABILITY AND FIRE INSURANCE COMPANY

Workers' comp suspension pending

Mar 19, 2024

Secondary Status: WC Susp Pending

License issued

Apr 3, 2020