HomeMy WebLinkAbout1 - Original Submission_ 20210416_4559_2021 Worker's Comp Certificate3/15/21, 10:43 AMNORTHWEST CORROSION ENGINEERING LLC
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Department of Labor & Industries
Certificate of Workers' Compensation Coverage
March 15, 2021
What does "Estimated Workers Reported"
mean?
Estimated workers reported represents the number
of full time position requiring at least 480 hours of
work per calendar quarter. A single 480 hour
position may be filled by one person, or several part
time workers.
Industrial Insurance Information
Employers report and pay premiums each quarter
based on hours of employee work already
performed, and are liable for premiums found later
to be due. Industrial insurance accounts have no
policy periods, cancellation dates, limitations of
coverage or waiver of subrogation (See RCW
51.12.050 and 51.16.190).
WA UBI No.602 107 098
L&I Account ID 131,485-00
Legal Business Name NORTHWEST CORROSION
ENGINEERING LLC
Doing Business As NORTHWEST CORROSION ENGINEERIN
Workers' Comp Premium Status:Account is current.
Estimated Workers Reported
(See Description Below)
Quarter 4 of Year 2020 ''1 to 3 Workers''
Account Representative Employer Services Help Line, (360) 902-
4817
Licensed Contractor?Yes
License No.NORTHCE958PU
License Expiration 04/20/2022
DocuSign Envelope ID: FB5A6201-552D-4AB4-AD50-B952AD21E603
3/15/21, 10:43 AMNORTHWEST CORROSION ENGINEERING LLC
Page 2 of 2https://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=602107098&LIC=NORTHCE958PU&VIO=&SAW=false&ACCT=13148500
DocuSign Envelope ID: FB5A6201-552D-4AB4-AD50-B952AD21E603