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Contractor Information <br />Legal Entity Name <br />EBS GENERAL ENGINEERING, INC <br />Legal Entity Type <br />Corporation <br />Status <br />Active <br />Registration Number <br />1000005295 <br />Registration effective date <br />07/01/22 <br />Registration expiration date <br />06/30/23 <br />Mailing Address <br />1345 Quarry St. #101 CORONA 92879 CA United St... <br />Physical Address <br />1345 Quarry St. #101 CORONA 92879 CA United St... <br />Email Address <br />kfairweather@ebsgeneral.com <br />Trade Name/DBA <br />License Number (s) <br />CSL13:720016 <br />CSL13:720016 <br />Legal Entity Information <br />Corporation Entity Number: <br />Federal Employment Identification Number: <br />President Name: <br />Vice President Name: <br />Treasurer Name: <br />Secretary Name: <br />CEO Name: <br />Agency for Service: <br />Agent of Service Name: <br />Agent of Service Mailing Address: <br />Worker's Compensation <br />Registration History <br />Effective Date Expiration Date <br />05/11/18 06/30/19 <br />05/26/17 <br />06/30/18 <br />06/03/16 <br />06/30/17 <br />06/19/15 <br />06/30/16 <br />01/12/15 <br />06/30/15 <br />07/01/19 <br />06/30/20 <br />07/01/20 <br />06/30/21 <br />07/01/21 06/30/22 <br />07/01/22 06/30/23 <br />1744801 <br />330634599 <br />Thomas Nanci <br />Joseph Nand <br />Kari Grippi <br />2650 E. Imperial Hwy Brea 92821 CA Un <br />Do you lease employees through Professional Employer Organization (PEO)?: No <br />Please provide your current worker's compensation insurance information below: <br />PEO PEO PEO <br />PEOlnformationName Phone Email <br />