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Contractor Information <br />Legal Entity Nance <br />CALIFORNIA BARRICADE RENTALS. INC. <br />Legal Entity Type <br />Corporation <br />Status <br />Active <br />Registration Number <br />1000017487 <br />Resistration affective date <br />112/2021 <br />Registration expiration dote <br />613012022 <br />Mailing Address <br />1550 E, SAINT GERTRUDE PLACE SANTA AT A 92705 CA Unr. . <br />Physical Address <br />1550 E, SAINT GERTRUDE PLACE SANTA ANA 92705 CA Unit <br />Emai I Address <br />Trade Name/DBA <br />CALIFORNIA BARRICADE, INC <br />License Numberlsl <br />CSLB:785733 <br />CSL8:785733 <br />Legal Entity Information <br />Corporation Number <br />C2035262 <br />Federal Employment Identification Number: <br />President Name: <br />MARK NURST <br />Vka Pnsidant Name: <br />KFlLM HURST <br />Treasurer Name <br />KELLIE HURST <br />Seer"" Name: <br />KFI I IF HURST <br />CEO Name: <br />KFI t IF HURST <br />Agent of Service Name: <br />NANCY DOWD <br />Agent of Service Mailing Address: <br />9921 CARMEL MOUNTAIN ROAN S-L 382 SAN D:EGO 92129 CA Uraeci States of America <br />Workers Compensation <br />Do you lease employees No <br />through Professional Employer <br />Organization (PEO)?., <br />Please provide your current <br />workers compensation <br />insurance information below: <br />PEo PEO PEO <br />PFOlnformationName Phone Email <br />Insured by Carrier <br />Registration History <br />Effective Date <br />Expiration mate <br />6/1212018 <br />6130/2019 <br />519/2027 <br />6/30/2028 <br />612612016 <br />6/30/2017 <br />9123/2015 <br />6/30/2016 <br />313112015 <br />613012015 <br />7/1/2019 <br />6130/2020 <br />711/2020 <br />6130/2021 <br />711/2021 <br />6130/2022 <br />Policy Holder Name:CAL1FORNIA BARRICADE RENTALS, INC.Insurance Carrier: <br />STATE COMPENSATION INSURANCE FUNDPoliry Number:9063608201nception date:6130/2020Expiration Date: <br />612912021 <br />