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, <br /> KARL NEEDHAM ENTERPRISES INC Page 1 of 1 <br /> . <br /> STATE OF WAM-UNI TON <br /> Department of Labor& Industries <br /> Certificate of Workers' Compensation Coverage <br /> April 25, 2016 <br /> WA UBI No. •603 236 073 <br /> L&I Account ID 246,290-01 <br /> Legal Business Name KARL NEEDHAM ENTERPRISES INC <br /> Doing Business As KARL NEEDHAM ENTERPRISES INC <br /> Workers'Comp Premium Status: Account is current. <br /> Estimated Workers Reported Quarter 4 of Year 2015 "0"Workers <br /> (See Description Below) <br /> Account Representative 'T5/THAO NGUYEN (360)902-4276- <br /> Email: NGUV235@Ini.wa.gov <br /> Licensed Contractor? Yes <br /> License No. KARLNNE871 DM <br /> License Expiration 03/14/2017 <br /> What does "Estimated Workers Reported" mean? <br /> Estimated workers reported represents the number of full time position requiring at least 480 hours <br /> of work per calendar quarter. A single 480 hour position may be filled by one person, or several part <br /> 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 no <br /> policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW <br /> 51.12.050 and 51.16.190). <br /> https://secure.lni.wa.gov/verify/Details/IiabilityCertificate.aspx?UBI=603236073&LIC=KARLNNE871DM&SAW=&ACCT=24629001 April 25,2016 <br />