CA #1078177 Active

Pacific Shores Distributing

Fountain Valley, CA

Business Information

Address
10573 Ellis Ave, Fountain Valley, CA 92708
Phone
(714) 841 2228
Type
Corporation

License Status

Status
Active
Issued
Jul 15, 2021
Expires
Jul 31, 2027
Classifications
B General Building Contractor

Workers Compensation

Insurer
Republic Indemnity Company Of America
Effective
Oct 25, 2025
Expires
Oct 25, 2026

Contractor's Bond

Bond #
100580221
Amount
$25,000
Effective
Jan 1, 2023
Surety
American Contractors Indemnity Company

License History

Workers' comp renewed

Oct 28, 2025
Workers Comp Policy Number
25758501 → 25758502
Workers Comp Effective Date
2024-10-25 → 2025-10-25
Workers Comp Expiration Date
2025-10-25 → 2026-10-25

License data updated

Jun 5, 2025
Business Phone
(714) 926 8388 → (714) 841 2228
Expiration Date
2025-07-31 → 2027-07-31

License data updated

May 28, 2025
Business Name 2
MDM II ENTERPRISES INC

Workers' comp renewed

Oct 28, 2024
Workers Comp Policy Number
BNUWC0161361 → 25758501
Workers Comp Effective Date
2023-10-25 → 2024-10-25
Workers Comp Expiration Date
2024-10-25 → 2025-10-25
Workers Comp Insurance Company
MIDWEST EMPLOYERS CASUALTY COMPANY → REPUBLIC INDEMNITY COMPANY OF AMERICA

Workers' comp renewed

Oct 26, 2023
Workers Comp Policy Number
CWWCP100067178 → BNUWC0161361
Workers Comp Effective Date
2022-10-25 → 2023-10-25
Workers Comp Expiration Date
2023-10-25 → 2024-10-25
Workers Comp Insurance Company
COMPWEST INSURANCE CO → MIDWEST EMPLOYERS CASUALTY COMPANY

License issued

Jul 15, 2021