CA #764657 Active

Full Coverage Company

Mill Valley, CA

Business Information

Address
68 Shelley Dr, Mill Valley, CA 94941
Phone
(915) 720 6619
Type
Sole Owner

License Status

Status
Active
Issued
Jun 21, 1999
Expires
Jun 30, 2027
Classifications
B General Building Contractor C39 Roofing

Workers Compensation

Insurer
State National Insurance Company Inc
Effective
Jan 1, 2026
Expires
Jan 1, 2027

Contractor's Bond

Bond #
PB10163401323
Amount
$25,000
Effective
Apr 3, 2025
Surety
Philadelphia Indemnity Insurance Company

License History

Classification added

Apr 11, 2026
+ Roofing (C39)

License data updated

Apr 11, 2026
Business Phone
(415) 720 6619 (915) 720 6619

License reinstated

Mar 18, 2026

Primary Status: Judgement Susp CLEAR

Suspended — Judgment

Mar 17, 2026

Primary Status: CLEAR Judgement Susp

Judgment pending

Mar 16, 2026

Secondary Status: Judgement Pend

Workers' comp insurance reinstated

Mar 16, 2026

Workers Comp Cancellation Date: 2025-11-04 cleared

Workers' comp renewed

Mar 16, 2026
Workers Comp Policy Number
CWC719491903 CWC194919446
Workers Comp Effective Date
2025-10-22 2026-01-01
Workers Comp Expiration Date
2026-01-01 2027-01-01

Workers' comp suspension pending

Dec 23, 2025

Secondary Status: WC Susp Pending

License data updated

Dec 17, 2025
Workers Comp Cancellation Date
2025-11-04

Workers' comp coverage obtained

Dec 2, 2025

Workers Comp Policy Number: CWC719491903

Workers Comp Effective Date: 2025-05-16 2025-10-22

Workers Comp Expiration Date: 2026-01-01

Workers Comp Insurance Company: STATE NATIONAL INSURANCE COMPANY INC

Workers Comp Coverage Type: Exempt Leasing Firm, Temp Agency, etc

License data updated

Jun 5, 2025
Name Type 2
Principal Name
Business Name 2
CHECK & COMPANY

Workers' comp renewed

May 20, 2025
Workers Comp Suspend Date
2025-03-18
Workers Comp Policy Number
BNUWC0162344
Workers Comp Effective Date
2024-03-18 2025-05-16
Workers Comp Expiration Date
2025-03-18
Workers Comp Insurance Company
MIDWEST EMPLOYERS CASUALTY COMPANY

License reinstated

May 17, 2025

Primary Status: Work Comp Susp CLEAR

Changed to workers' comp exempt

May 17, 2025
Workers Comp Coverage Type
License does not have current W/C Exempt

Classification removed

May 14, 2025
Roofing (C39)

License renewed

May 12, 2025

Expiration Date: 2025-06-30 2027-06-30

Suspended — Workers' Comp

May 9, 2025

Primary Status: CLEAR Work Comp Susp

Workers' comp coverage changed

May 9, 2025
Workers Comp Suspend Date
2025-03-18
Workers Comp Coverage Type
Workers' Compensation Insurance License does not have current W/C

Contractor's bond renewed

Apr 15, 2025
Contractor's Bond Number
W150372694 PB10163401323
Contractor's Bond Effective Date
2023-01-01 2025-04-03
Contractor's Bond Surety Company
OLD REPUBLIC SURETY COMPANY PHILADELPHIA INDEMNITY INSURANCE COMPANY

Workers' comp suspension pending

Mar 25, 2025

Secondary Status: WC Susp Pending

Workers' comp renewed

Mar 19, 2024
Workers Comp Policy Number
BNUWC0159507 BNUWC0162344
Workers Comp Effective Date
2023-03-18 2024-03-18
Workers Comp Expiration Date
2024-03-18 2025-03-18

Liability pending

Mar 9, 2024

Secondary Status: Liability Pend

License issued

Jun 21, 1999