Laserfiche WebLink
-1117111 � Verify Wbriws' Copp Premium Status - Ernployer Uablifty Certificate <br />Washington State Department of <br />Labor and Industries <br />Department of Labor and Industries <br />Employer Liability Certificate <br />Date: 07/17/2013 <br />-UBI#: 603 093 734 <br />Legal Business Name: ERVIN LOVETT& MILLER INC <br />Account #: 218,363-00 <br />'Doing Business As! Name. ELM INC <br />Estimated Workers Reported: Ouarter 2 of Year 2013 "0" Workers <br />(See Description Below) <br />Employer Liability <br />Certificate <br />Workers' Comp Premium Status: Account is current. Firm has voluntarily reported and paid <br />their prennums. <br />Licensed Contractor? No <br />Account Representative: T3/TIMOTI-IYLUNDIN(360)902-5240-Email: <br />LUNL235@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 hours of <br />work per calendar quarter. A single 480 hour posidou-n-ay be filled by one person, or several part time <br />workers. <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 no <br />policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RQW <br />L,U.050 and 5 L.JLJ-90). <br />FORM <br />Cit, <br />https:/Ifortress.va,gowlni/crpsi/AcctlnfoPrint,asp).?Accountid- 2183 C)300&AccountManagor=T3+%2f+,TIMOTHY+LUNDIN-�(360)902-5240+-4Bmil%3a+WN... <br />