CA #1071897 Active

Fathom And Form Llc

Los Angeles, CA

Business Information

Address
2910 Humboldt St, Los Angeles, CA 90031
Phone
(323) 806 7449
Type
Limited Liability

License Status

Status
Active
Issued
Dec 11, 2020
Expires
Dec 31, 2026
Classifications
B General Building Contractor

Workers Compensation

Insurer
Omaha National Casualty Company
Effective
Apr 5, 2026
Expires
Apr 5, 2027

Contractor's Bond

Bond #
LSM1412998
Amount
$25,000
Effective
Jan 1, 2023
Surety
Rli Insurance Company

License History

License reinstated

Apr 25, 2026

Primary Status: Liab Ins Susp CLEAR

Suspended — Liability Insurance

Apr 24, 2026

Primary Status: EMP/WK Bnd Susp Liab Ins Susp

License data updated

Apr 24, 2026
Workers Comp Policy Number
ONCC1701262701 ONCC1701262702
Workers Comp Effective Date
2025-04-05 2026-04-05
Workers Comp Expiration Date
2026-04-05 2027-04-05
Workers Comp Insurance Company
OMAHA NATIONAL CASUALTY COMPANY
Worker Bond Cancellation Date
2026-04-02

Suspended — Employee/Worker Bond

Apr 4, 2026

Primary Status: CLEAR EMP/WK Bnd Susp

License data updated

Mar 16, 2026
Worker Bond Cancellation Date
2026-04-02

Workers' comp renewed

Apr 9, 2025
Workers Comp Policy Number
1ATCA160059961 ONCC1701262701
Workers Comp Effective Date
2024-04-05 2025-04-05
Workers Comp Expiration Date
2025-04-05 2026-04-05
Workers Comp Insurance Company
ACCREDITED SURETY AND CASUALTY COMPANY INC

Workers' comp suspension pending

Apr 8, 2025

Secondary Status: WC Susp Pending

License reinstated

Apr 4, 2025

Primary Status: Liab Ins Susp CLEAR

Suspended — Liability Insurance

Apr 2, 2025

Primary Status: CLEAR Liab Ins Susp

License renewed

Jan 3, 2025

Expiration Date: 2024-12-31 2026-12-31

Business address updated

Nov 7, 2024
Mailing Address
1218 E WASHINGTON BLVD 2910 HUMBOLDT ST
ZIP Code
90021 90031

License reinstated

Oct 25, 2024

Primary Status: Contr Bond Susp CLEAR

Contractor's bond reinstated

Oct 25, 2024

Contractor's Bond Cancellation Date: 2024-10-23 cleared

Suspended — Contractor's Bond

Oct 24, 2024

Primary Status: CLEAR Contr Bond Susp

License data updated

Sep 24, 2024
Contractor's Bond Cancellation Date
2024-10-23

License reinstated

Apr 27, 2024

Primary Status: Liab Ins Susp CLEAR

Workers' comp renewed

Apr 11, 2024
Workers Comp Policy Number
1ATCA160059960 1ATCA160059961
Workers Comp Effective Date
2023-04-05 2024-04-05
Workers Comp Expiration Date
2024-04-05 2025-04-05
Workers Comp Insurance Company
FALLS LAKE FIRE AND CASUALTY COMPANY ACCREDITED SURETY AND CASUALTY COMPANY INC

Workers' comp suspension pending

Apr 9, 2024

Secondary Status: WC Susp Pending

Suspended — Liability Insurance

Apr 3, 2024

Primary Status: CLEAR Liab Ins Susp

License reinstated

Feb 1, 2024

Primary Status: EMP/WK Bnd Susp CLEAR

License data updated

Feb 1, 2024
Worker Bond Number
3554214 5548045
Worker Bond Effective Date
2020-09-29 2024-01-11
Worker Bond Cancellation Date
2024-01-11

Suspended — Employee/Worker Bond

Jan 12, 2024

Primary Status: CLEAR EMP/WK Bnd Susp

License data updated

Dec 21, 2023
Worker Bond Cancellation Date
2024-01-11

License issued

Dec 11, 2020