CA #936262 Active

Form Design + Build Inc

San Luis Obispo, CA

Business Information

Address
2436 Broad Street, San Luis Obispo, CA 93401
Phone
(805) 547 2344
Type
Corporation

License Status

Status
Active
Issued
Aug 5, 2009
Expires
Dec 31, 2026
Classifications
B General Building Contractor

Workers Compensation

Insurer
Ace American Insurance Company
Effective
Nov 1, 2025
Expires
Nov 1, 2026

Contractor's Bond

Bond #
100439068
Amount
$25,000
Effective
Jul 21, 2024
Surety
Merchants Bonding Company (Mutual)

License History

License data updated

Oct 28, 2025
Name Type 2
Principal Name → —
Workers Comp Policy Number
C58843131 → C73865578
Workers Comp Effective Date
2024-11-01 → 2025-11-01
Workers Comp Expiration Date
2025-11-01 → 2026-11-01

License renewed

Dec 5, 2024

Expiration Date: 2024-12-31 2026-12-31

Workers' comp renewed

Oct 28, 2024
Workers Comp Policy Number
C55566057 → C58843131
Workers Comp Effective Date
2023-11-01 → 2024-11-01
Workers Comp Expiration Date
2024-11-01 → 2025-11-01

Contractor's bond renewed

Jul 23, 2024
Contractor's Bond Number
04CF602643 → 100439068
Contractor's Bond Effective Date
2023-01-01 → 2024-07-21
Contractor's Bond Surety Company
NORTH RIVER INSURANCE COMPANY (THE) → MERCHANTS BONDING COMPANY (MUTUAL)

Workers' comp renewed

Oct 26, 2023
Workers Comp Policy Number
C51287940 → C55566057
Workers Comp Effective Date
2022-11-08 → 2023-11-01
Workers Comp Expiration Date
2023-11-01 → 2024-11-01

License issued

Aug 5, 2009