CA #1075004 Suspended

Form & Function Landscapes Llc

Patterson, CA

Business Information

Address
46 Jersey Lane, Patterson, CA 95363
Phone
(510) 362 9299
Type
Limited Liability

License Status

Status
Suspended
Issued
Apr 21, 2021
Expires
Apr 30, 2027
Classifications
C27 Landscaping

Workers Compensation

Insurer
Employers Compensation Insurance Company
Effective
Jan 27, 2026
Expires
Jan 27, 2027

Contractor's Bond

Bond #
65416668
Amount
$25,000
Effective
Jan 1, 2023
Surety
Western Surety Company

License History

Suspended — Contractor's Bond

Jun 4, 2026

Primary Status: CLEAR Contr Bond Susp

License reinstated

May 5, 2026

Primary Status: Liab Ins Susp CLEAR

License data updated

May 4, 2026
Contractor's Bond Cancellation Date
2026-06-03

Suspended — Liability Insurance

Apr 7, 2026

Primary Status: CLEAR Liab Ins Susp

Workers' comp renewed

Feb 11, 2026
Workers Comp Policy Number
CWC01565602 → EIG618877200
Workers Comp Effective Date
2025-01-27 → 2026-01-27
Workers Comp Expiration Date
2026-01-27 → 2027-01-27
Workers Comp Insurance Company
CLEAR SPRING PROPERTY AND CASUALTY COMPANY → EMPLOYERS COMPENSATION INSURANCE COMPANY

Workers' comp suspension pending

Feb 3, 2026

Secondary Status: WC Susp Pending

Workers' comp coverage changed

Apr 24, 2025
Workers Comp Policy Number
CWC01565602
Workers Comp Effective Date
2025-03-13 → 2025-01-27
Workers Comp Expiration Date
2026-01-27
Workers Comp Insurance Company
CLEAR SPRING PROPERTY AND CASUALTY COMPANY
Workers Comp Coverage Type
License does not have current W/C → Workers' Compensation Insurance

Workers' comp coverage changed

Mar 14, 2025
Expiration Date
2025-04-30 → 2027-04-30
Workers Comp Policy Number
EIG541845700 → —
Workers Comp Effective Date
2024-01-27 → 2025-03-13
Workers Comp Expiration Date
2025-01-27 → —
Workers Comp Insurance Company
EMPLOYERS PREFERRED INSURANCE COMPANY → —
Workers Comp Coverage Type
Workers' Compensation Insurance → License does not have current W/C

Workers' comp suspension pending

Jan 28, 2025

Secondary Status: WC Susp Pending

License data updated

May 10, 2024
Worker Bond Number
6006324 → 100416366
Worker Bond Effective Date
2021-04-05 → 2024-05-08
Worker Bond Surety Company
SURETEC INSURANCE COMPANY → MERCHANTS BONDING COMPANY (MUTUAL)
Worker Bond Cancellation Date
2024-05-09 → —

License reinstated

Apr 10, 2024

Primary Status: Liab Ins Susp CLEAR

License data updated

Apr 10, 2024
Worker Bond Cancellation Date
2024-05-09

Suspended — Liability Insurance

Apr 9, 2024

Primary Status: CLEAR Liab Ins Susp

Workers' comp renewed

Jan 30, 2024
Workers Comp Policy Number
CWC01565600 → EIG541845700
Workers Comp Effective Date
2023-01-27 → 2024-01-27
Workers Comp Expiration Date
2024-01-27 → 2025-01-27
Workers Comp Insurance Company
CLEAR SPRING PROPERTY AND CASUALTY COMPANY → EMPLOYERS PREFERRED INSURANCE COMPANY

License issued

Apr 21, 2021