CA #1080875 Active

Completly Custom Tile

Elk Grove, CA

Business Information

Address
5819 Zoller Ct, Elk Grove, CA 95757
Phone
(707) 770 7940
Type
Sole Owner

License Status

Status
Active
Issued
Sep 8, 2021
Expires
Sep 30, 2027
Classifications
C54 Ceramic and Mosaic Tile

Workers Compensation

Insurer
National Specialty Insurance Company
Effective
Jan 15, 2026
Expires
Jan 15, 2027

Contractor's Bond

Bond #
67412139
Amount
$25,000
Effective
Jul 18, 2025
Surety
Western Surety Company

License History

Workers' comp renewed

Jan 9, 2026
Workers Comp Policy Number
NXTLQRK9H700WC NXTLQRK9H701WC
Workers Comp Effective Date
2025-01-15 2026-01-15
Workers Comp Expiration Date
2026-01-15 2027-01-15

License renewed

Oct 31, 2025

City: SUISUN CITY ELK GROVE

County: Solano Sacramento

Mailing Address: 419 KINSMILL COURT 5819 ZOLLER CT

ZIP Code: 94585 95757

Expiration Date: 2025-09-30 2027-09-30

Contractor's bond renewed

Jul 22, 2025
Contractor's Bond Number
30052699 67412139
Contractor's Bond Effective Date
2023-01-01 2025-07-18
Contractor's Bond Surety Company
HUDSON INSURANCE COMPANY WESTERN SURETY COMPANY

Workers' comp insurance reinstated

Feb 11, 2025

Workers Comp Cancellation Date: 2025-01-06 cleared

Workers' comp renewed

Feb 11, 2025
Workers Comp Policy Number
9358963 NXTLQRK9H700WC
Workers Comp Effective Date
2024-05-02 2025-01-15
Workers Comp Expiration Date
2025-05-02 2026-01-15
Workers Comp Insurance Company
STATE COMPENSATION INSURANCE FUND NATIONAL SPECIALTY INSURANCE COMPANY

Workers' comp suspension pending

Jan 7, 2025

Secondary Status: WC Susp Pending

License data updated

Jan 7, 2025
Workers Comp Cancellation Date
2025-01-06

Workers' comp coverage obtained

May 3, 2024

Workers Comp Policy Number: 9358963

Workers Comp Effective Date: 2023-09-30 2024-05-02

Workers Comp Expiration Date: 2025-05-02

Workers Comp Insurance Company: STATE COMPENSATION INSURANCE FUND

Workers Comp Coverage Type: Exempt Workers' Compensation Insurance

License data updated

Oct 2, 2023
Business Phone
(707) 812 4051 (707) 770 7940
Expiration Date
2023-09-30 2025-09-30
Workers Comp Effective Date
2021-09-07 2023-09-30

License issued

Sep 8, 2021