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Verify Workers' Comp Premium Status - Employer Liability Certificate <br />Washington State Department of <br />Labor and Industries <br />7", AUG 18 AN $- 29 <br />CITY 1: A14A <br />CLEF '. UIdCIL <br />https://fortress.wa.gov/lni/crpsi/Acct1doPrint.a?px?AccountId=l 98469... <br />Employer Liability <br />Certificate <br />a,')-00f -0757--?10 <br />Department of Labor and Industries <br />Employer Liability Certificate <br />Date: 08/11/2010 <br />U1314: 602 972-080 <br />Legal Business Name: CLOUDBURST MOBILE INC <br />Account #: 198,469-00 <br />'Doing Business As' Name: CLOUDBURST MOBILE <br />Estimated Workers Reported: N/A <br />(See Description Below) <br />Workers' Comp Premium Status: Recently opened account, no premiums are due or <br />owed at this time. <br />Licensed Contractor? No <br />Account Representative: T1 / COLLIN KENNEDY (360)902-4787 - Email: <br />KEND235@lni.wa.gov <br />What does "Estimated Workers Reported" mean? <br />Estimated workers reported represents the number of full time position requiring at least 480 <br />hours of work per calendar quarter. A single 480 hour position may be filled by one person, or <br />several part time workers. <br />AS TO FOR .\ l <br />-8171 <br />Hodge <br />ty Attorney <br />Industrial Insurance Information <br />Employers report and pay premiums each quarter based on hours of employee work already <br />performed, and are liable for premiums found later to be due. Industrial insurance accounts have <br />no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW <br />51.12.050 and 51.16.190). <br />1 of 1 8/11/2010 1:10 PM