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Registrations <br />Pagel of 2 <br />State of Celifamia <br />(httpt ""rm.govpepart► ant of Industrial Relations <br />Contractor Information <br />Legal Entity Nam. <br />cmparan.. <br />kline <br />locoomms <br />01101/19 <br />06130/21 <br />592 E. Staie Slreet Onimlo 91761 CA Unlled Stain of America <br />592 E. StaV SImet Ontad091761 CA UNIeG Stain of Amerka <br />kiora ikercmtludlen®gmelldom <br />1 K40NpIKECONStp000ON SERVICES INC <br />ueeme Nuatlerh) <br />mhnation <br />Legal Entity Information <br />40N011<1:CONVINCnQN SERVICE5INC <br />Corporation Entity Number <br />3600667 <br />Federal Employment Identification Number. <br />463632937 <br />President Names <br />DAVID B. BOORSTEIN <br />Vice President Namm <br />DAVID B. BOORSTEIN <br />Treasurer Name: <br />DAVID B. BOORSTEIN <br />Secretary Name: <br />CEO Name: <br />en ,�,Cr_viSS <br />Back to QIR» (hnps.fm wv diroa GOO <br />Agent of Service Name: DAVID R.. ROORSTEIN <br />Agent of Service Mailing Address! 592 E, Stale Street Ontario 91761 CA United States of America <br />Worker's Compensation <br />i Do you lasso employees through Pro/essbnal Employer Organization (PE017r No <br />Please pmvide your cement worker's compensation Insurance Information below; <br />PEO PIED RED <br />'.. PEO lnrormalionName Phone Emag <br />Insured by Carrier <br />Policy Holder Name; <br />KLONDIKE CONSTRUCTION SERVICES INC <br />Insurance Carrier. <br />STATE COMPENSATION INSURANCE FUND <br />Policy Number; <br />90E7190-2019 <br />Inception date; <br />01/25119 <br />Expiration Dater <br />01/25120 <br />About DIR <br />Who we are (hops:/A~ dir,cagovlabouldir;html) <br />DIR Divisions, Boards a Commissions(htlps:INAVw,dim.m.govldivisions_and-irogmme,html) <br />Contact DIR(https./hv dlr.m,gov/Contactus.html) <br />Worh with Us <br />Jobs at DIR(hRps.lAmanv.dir.cagovMlrlobsfdlrjobs him) <br />Licensing, registrations, cedificecons g permits (hlips:fNrww.dices.govlpermlU-IlwnsesceNficatlons.htm <br />Required Notalcations (hhps-.8wxw.dir,ca.govldo.9MRequired.Nntifi=Vons hlmq <br />Public Records Requests (hllps.fMrvrw dirco.Bovlpra_requesthtml) <br />Learn More <br />ACCeso at idioms (bull /Nixes,dir,co.0ovllBllingtw"eNices-Acgdefaull.html) <br />Frequency Asked Questions thcpe:rlsvw.v dir,ca gmilfagsllSLhhnl) <br />https://cadir.secure.force.com/ContractorSearch/registrationSearchDetails?id=alRt00NO— 12/16/2020 <br />