CA #724784 Active

Coastal Well Cleaning

Fort Bragg, CA

Business Information

Address
16481 Flanklin Dr, Fort Bragg, CA 95437
Phone
(707) 964 5939
Type
Sole Owner

License Status

Status
Active
Issued
Jul 9, 1996
Expires
Jan 31, 2028
Classifications
C57 Well Drilling

Workers Compensation

Insurer
Security National Insurance Company
Effective
Jan 27, 2026
Expires
Jan 27, 2027

Contractor's Bond

Bond #
100185076
Amount
$25,000
Effective
Jan 1, 2023
Surety
American Contractors Indemnity Company

License History

Workers' comp coverage obtained

Jan 29, 2026

Workers Comp Policy Number: SWC1620985

Workers Comp Effective Date: 2025-12-08 2026-01-27

Workers Comp Expiration Date: 2027-01-27

Workers Comp Insurance Company: SECURITY NATIONAL INSURANCE COMPANY

Workers Comp Coverage Type: Exempt Workers' Compensation Insurance

Family support temporary license

Jan 15, 2026
Secondary Status
FAM Sup Tmp Lic

License renewed

Dec 9, 2025

Expiration Date: 2026-01-31 2028-01-31

Workers Comp Effective Date: 2023-12-29 2025-12-08

Workers' comp renewed

Jan 9, 2024
Workers Comp Effective Date
2021-12-23 → 2023-12-29

License renewed

Jan 6, 2024

Expiration Date: 2024-01-31 2026-01-31

Renewal received

Jan 3, 2024
Secondary Status
Renewal Recived

License issued

Jul 9, 1996