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440 VOWN& CALDWELL Page 1 of 1 <br /> _ 7r' <br /> STATE OUEWASHINGTON <br /> Department of Labor& Industries <br /> Certificate of-Workers' Compensation Coverage <br /> March 16, 2015 <br /> WA UBI No. 600 158 600 <br /> L&I Account ID 206,460-00 <br /> Legal Business Name BROWN&CALDWELL <br /> Doing Business As BROWN &CALDWELL <br /> Workers'Comp Premium Status: Account is current. <br /> Estimated Workers Reported Quarter 4 of Year 2014"Greater than <br /> (See Description Below) 100 Workers" <br /> Account Representative T5/BREANN OLSEN(360)902-4802- <br /> Email:OLSA235@Ini.wa.Gov <br /> Licensed Contractor? No <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 /> 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 51.16.1 90). - <br /> 146 <br /> https://secure.lni.wa.gov/verify/Details/liabilityCertificate.aspx?UBI=60015 8600&SAW=... 3/16/2015 <br />