CA #708567 Suspended

Medina Daniel Concrete

Palmdale, CA

Business Information

Address
36604 Santolina Drive, Palmdale, CA 93550
Phone
(661) 810 1567
Type
Sole Owner

License Status

Status
Suspended
Issued
Jun 21, 1995
Expires
Jun 30, 2027
Classifications
C-8 Concrete

Workers Compensation

Insurer
Wellfleet New York Insurance Company
Effective
Oct 29, 2024
Expires
Oct 29, 2025

Contractor's Bond

Bond #
7901204928
Amount
$25,000
Effective
May 3, 2025
Surety
Nationwide Mutual Insurance Company

License History

Workers' comp renewed

Apr 11, 2026
Workers Comp Insurance Company
ATLANTA INTERNATIONAL INSURANCE COMPANY → WELLFLEET NEW YORK INSURANCE COMPANY

Suspended — Workers' Comp

Dec 19, 2025

Primary Status: CLEAR Work Comp Susp

Workers' comp coverage changed

Dec 19, 2025
Workers Comp Suspend Date
2025-10-29
Workers Comp Coverage Type
Workers' Compensation Insurance → License does not have current W/C

Workers' comp suspension pending

Nov 4, 2025

Secondary Status: WC Susp Pending

License data updated

Jun 18, 2025
Name Type 2
Principal Name → —
Business Name 2
MEDINA & SONS CONCRETE → —
Expiration Date
2025-06-30 → 2027-06-30

Contractor's bond renewed

May 6, 2025
Contractor's Bond Number
66638778 → 7901204928
Contractor's Bond Effective Date
2023-05-03 → 2025-05-03
Contractor's Bond Surety Company
WESTERN SURETY COMPANY → NATIONWIDE MUTUAL INSURANCE COMPANY

License reinstated

Nov 19, 2024

Primary Status: Work Comp Susp CLEAR

Workers' comp coverage changed

Nov 19, 2024
Workers Comp Policy Number
TWC4296607 → N9WC197898
Workers Comp Effective Date
2023-07-22 → 2024-10-29
Workers Comp Expiration Date
2024-07-22 → 2025-10-29
Workers Comp Insurance Company
TECHNOLOGY INSURANCE COMPANY INC → ATLANTA INTERNATIONAL INSURANCE COMPANY
Workers Comp Coverage Type
License does not have current W/C → Workers' Compensation Insurance

Suspended — Workers' Comp

Sep 6, 2024

Primary Status: CLEAR Work Comp Susp

Workers' comp coverage changed

Sep 6, 2024
Workers Comp Coverage Type
Workers' Compensation Insurance → License does not have current W/C

Workers' comp suspension pending

Jul 23, 2024

Secondary Status: WC Susp Pending

License issued

Jun 21, 1995