CA #1126065 Active

Fossum Brock Builder

Santa Cruz, CA

Business Information

Address
P O Box 2633, Santa Cruz, CA 95063
Phone
(831) 818 9391
Type
Sole Owner

License Status

Status
Active
Issued
Sep 6, 2024
Expires
Sep 30, 2026
Classifications
B General Building Contractor

Workers Compensation

Insurer
National Casualty Company
Effective
Oct 14, 2025
Expires
Oct 14, 2026

Contractor's Bond

Bond #
67552916
Amount
$25,000
Effective
May 16, 2025
Surety
Western Surety Company

License History

License reinstated

Oct 21, 2025

Primary Status: Work Comp Susp CLEAR

Workers' comp coverage changed

Oct 21, 2025
Workers Comp Suspend Date
2025-05-17 → —
Workers Comp Policy Number
BRWC510690 → WCC345213A
Workers Comp Effective Date
2024-05-17 → 2025-10-14
Workers Comp Expiration Date
2025-05-17 → 2026-10-14
Workers Comp Insurance Company
NORGUARD INSURANCE COMPANY → NATIONAL CASUALTY COMPANY
Workers Comp Coverage Type
License does not have current W/C → Workers' Compensation Insurance

Suspended — Workers' Comp

Jul 15, 2025

Primary Status: Contr Bond Susp Work Comp Susp

Contractor's bond reinstated

Jul 15, 2025

Contractor's Bond Cancellation Date: 2025-05-16 cleared

Workers' comp coverage changed

Jul 15, 2025
Contractor's Bond Number
100848971 → 67552916
Workers Comp Suspend Date
2025-05-17
Contractor's Bond Effective Date
2024-04-09 → 2025-05-16
Contractor's Bond Surety Company
AMERICAN CONTRACTORS INDEMNITY COMPANY → WESTERN SURETY COMPANY
Workers Comp Coverage Type
Workers' Compensation Insurance → License does not have current W/C

Workers' comp suspension pending

May 20, 2025

Secondary Status: WC Susp Pending

Suspended — Contractor's Bond

May 17, 2025

Primary Status: CLEAR Contr Bond Susp

License data updated

Apr 18, 2025
Workers Comp Policy Number
BRWC510690
Workers Comp Effective Date
2024-05-17
Workers Comp Expiration Date
2025-05-17
Workers Comp Insurance Company
NORGUARD INSURANCE COMPANY
Contractor's Bond Cancellation Date
2025-05-16

License issued

Sep 6, 2024