CA #969898 Active

Floor Covering Contractor

Daly City, CA

Business Information

Address
33 Lakewood Drive, Daly City, CA 94015
Phone
(415) 336 7979
Type
Sole Owner

License Status

Status
Active
Issued
Feb 7, 2012
Expires
Feb 29, 2028
Classifications
C15 Flooring and Floor Covering

Workers Compensation

Insurer
Pacific Compensation Insurance Company
Effective
Nov 17, 2024
Expires
Nov 17, 2026

Contractor's Bond

Bond #
100330109
Amount
$25,000
Effective
Jan 1, 2023
Surety
American Contractors Indemnity Company

License History

License renewed

Feb 10, 2026

Expiration Date: 2026-02-28 2028-02-29

License data updated

Nov 12, 2025
Name Type 2
Principal Name
Business Name 2
HENRIQUEZ JOSE OMAR
Workers Comp Expiration Date
2025-11-17 2026-11-17

Workers' comp renewed

Dec 4, 2024
Workers Comp Policy Number
57WECAV0RHL WC1038443
Workers Comp Effective Date
2023-11-17 2024-11-17
Workers Comp Expiration Date
2024-11-17 2025-11-17
Workers Comp Insurance Company
SENTINEL INSURANCE COMPANY LTD PACIFIC COMPENSATION INSURANCE COMPANY

Workers' comp suspension pending

Nov 19, 2024

Secondary Status: WC Susp Pending

License renewed

Feb 27, 2024

Expiration Date: 2024-02-29 2026-02-28

Workers' comp coverage obtained

Feb 22, 2024

Workers Comp Policy Number: 57WECAV0RHL

Workers Comp Effective Date: 2021-12-29 2023-11-17

Workers Comp Expiration Date: 2024-11-17

Workers Comp Insurance Company: SENTINEL INSURANCE COMPANY LTD

Workers Comp Coverage Type: Exempt Workers' Compensation Insurance

Renewal received

Jan 26, 2024
Secondary Status
Renewal Recived

License issued

Feb 7, 2012